Social Determinants of Health (SDOH)
Social need screening results, community resource mapping, and intervention tracking
Housing Instability
12%
1,012 members
Food Insecurity
18%
1,518 members
Transportation
9%
759 members
Social Isolation
15%
1,265 members
Financial Strain
22%
1,855 members
SDOH Assessment Results
| Member | Screen Date | Primary Need | Secondary Need | Risk Level | Referral Status | Actions |
|---|---|---|---|---|---|---|
| Maria C. M001-3821 | Jan 15, 2026 | Food Insecurity | Financial Strain | High | Pending | |
| James W. M002-7741 | Jan 12, 2026 | Housing Instability | Food Insecurity | Critical | Connected | |
| Patricia K. M003-5512 | Jan 10, 2026 | Transportation | — | Moderate | Connected | |
| Robert G. M004-8833 | Jan 8, 2026 | Financial Strain | Social Isolation | Moderate | Not Referred | |
| Linda H. M005-1124 | Jan 5, 2026 | Social Isolation | Financial Strain | Moderate | In Progress | |
| David S. M006-4490 | Dec 28, 2025 | Food Insecurity | Transportation | High | Pending |
Top ZIP Codes by SDOH Need
Members with 2+ identified SDOH needs
94110
68%
94112
54%
94124
47%
94134
41%
94102
38%
Community Resources
Active referral partners in network
SF-Marin Food Bank
Food Insecurity • Active partner
HomeFirst Services
Housing • 47 referrals YTD
211 SF Transportation
Transportation • 23 referrals YTD
Benefits Enrollment Center
Financial • 89 referrals YTD