After screening for social determinants, what is an appropriate next step?

• A. Monitor results privately and do nothing with care plan.
• B. Refer to social work/resources and track follow-through and outcomes.
• C. Delay action until the patient requests help.
• D. Only document results in the chart without referrals.

Answer: (B)

When social determinants have been identified, the next step is to actively connect the patient with appropriate resources and follow the outcomes. Referring to social work or community resources provides concrete support—such as housing aid, food assistance, transportation, or legal help—and coordinating these referrals helps ensure the patient can access what they need. Tracking follow-through and outcomes closes the loop, confirming that the patient received help and allowing you to assess whether the support is improving health or requires adjustments. Simply monitoring results without acting leaves needs unaddressed and misses an opportunity to influence care. Delaying action until the patient requests help also shifts responsibility away from the care team, which can allow issues to persist. Documenting results without referrals is likewise insufficient because it does not move the patient toward solutions.