On Demand

CCE Quarterly: Social Determinants in the Medical Home

Social determinants of health (SDOH) are conditions of environment—where people are born, live, learn, work, play, worship and age—that affect a wide range of health, functioning and quality-of-life outcomes and risks.

About this On Demand Training

Cost: $99.00

CCE Quarterly: Social Determinants of Health in the Medical Home OnDemand

Social determinants of health (SDOH) are conditions of environment—where people are born, live, learn, work, play, worship and age—that affect a wide range of health, functioning and quality-of-life outcomes and risks.

There is broad agreement that SDOH have significant impact on health care outcomes. Patients need more than clinical treatment to recover from illness and stay healthy. Improving patients’ home lives and meeting their basic social needs might be as important as traditional care—or it might be even more important.

NCQA has identified SDOH as a special topic for Annual Reporting in 2020–2021. The core criteria in Knowing and Managing Your Patients (KM) require practices to routinely collect comprehensive patient data, to use that data to understand patients’ backgrounds and health risks and to deliver evidence-based, culturally and linguistically appropriate care that meets population needs.

This webinar will explore strategies for collecting comprehensive patient data and will outline practices for incorporating SDOH into risk stratification. Faculty will discuss how to screen patients, monitor at the population level and implement care interventions based on collected data.


What You Will Learn

At the conclusion of the webinar, participants will be able to:

  • Identify where SDOH are incorporated into PCMH Recognition criteria.
  • Articulate why SDOH was selected as a special topic for Annual Reporting.
  • Outline methods of collection for SDOH data.
  • Develop a plan for how to incorporate SDOH characteristics into risk stratification and care management.

Who Should Attend

  • CCE's.
  • Consultants.
  • Primary Care Teams.
  • Practice Managers. 
  • Health Plans.
  • Physicians
  • Nurses
  • PAs
  • Pharmacists


Bri Clifford, MPH, PCMH CCE

Bri Clifford is a Policy Manager in NCQA’s Recognition Programs Policy and Resources Department. On this team she supports recognition programs through the creation of resources, maintenance of programs and education of both internal and external stakeholders.

Before joining NCQA, she worked with the United States Department of Health and Human Services Office of Emergency Management. There she helped create a GIS mapping tool used to track patient movement to HHS staffed medical facilities in response to natural disasters. She also spent three years managing the clinical side of specialty practices and volunteering as an EMT in her community.

Bri holds a BS in Biology from Virginia Tech and an MPH in Epidemiology from George Mason University.

Samantha Sawdon, PCMH CCE

Ms. Sawdon is the principal consultant at Synergistic Strategies LLC. She is an experienced professional with the ability to manage operations, implement change, processes and people. She has expertise in managing enterprise-wide health information technology projects, including coordination of stakeholder and vendors, project research, specifications, and deliverables, implementation strategies, user application definition and workflow design, validation processes, quality assurance, and support. She has strong leadership skills to focus her teams on project timelines and deliverables. Prior to starting her own company, Ms. Sawdon worked as a Managing Consultant for Massachusetts eHealth Collaborative and was a Practice Manager for major hospitals in the Boston area. She managed the Senior Health Care practice at Massachusetts General Hospital, a Multi-Specialty practice at St. Elizabeth’s hospital and the Cardiology and Vascular Surgery Departments at Boston Medical Center.  Ms. Sawdon holds a degree from  University of New Hampshire and has been a PCMH CCE for five years.

Continuing Education


In support of improving patient care, the National Committee for Quality Assurance is jointly accredited for Continuing Medical Education (ACCME), the  American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) to provide Interprofessional Continuing Education for the healthcare team. 

This educational activity is approved for: 1.0 AMA PRA Category 1 Credit™, ANA CNE, APA, and ASWB ACE.

This live webinar grants 2.0 required Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

* Please note – You must attend the entire program to be eligible for total number of contact hours. 

Event Type
  1. On Demand
Policies and Discounts

Includes the printable registration form, substitutions, transfers/credits and cancellation policies as well as other education policies and discount information.

Read Policies
Publications & Products

View all NCQA publications and products, including HEDIS manuals, Accreditation standards and NCQA newsletters.

View All
Customer Support

NCQA Customer Support is available Monday – Friday, 8:30 – 5:00 ET M-F.
Call: 888.275.7585

Contact NCQA
  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.

Have a Team?
Get Virtual Team Training

NCQA can bring virtual or in-person training to you and your team of 20 people or more.