CCP CCP Social Determinants of Health & Community Resources 1 — Questions and Answers
Question 1: Which of the following is considered a social determinant of health (SDOH) that chronic care professionals must assess?
- Patient's preferred physician specialty
- Food insecurity and access to nutritious meals (Correct answer)
- Type of insurance plan selected
- Number of specialist visits per year
Correct answer: Food insecurity and access to nutritious meals
Food insecurity is a key SDOH that directly impacts chronic disease management and patient health outcomes.
Question 2: A CCP uses the PRAPARE screening tool primarily to:
- Calculate a patient's BMI trajectory
- Identify social needs that affect health outcomes (Correct answer)
- Determine medication adherence rates
- Assess cognitive function in elderly patients
Correct answer: Identify social needs that affect health outcomes
PRAPARE (Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences) is a standardized tool used to screen for social determinants of health.
Question 3: When a patient with diabetes reports housing instability, the CCP's BEST first step is to:
- Discharge the patient from the care program
- Document and refer the patient to community social services (Correct answer)
- Adjust the patient's insulin dosage immediately
- Request a psychiatric evaluation
Correct answer: Document and refer the patient to community social services
Documenting social needs and connecting patients to community resources is the appropriate care coordination response to housing instability.
Question 4: Which federal program provides community-based support services most commonly leveraged by CCPs for low-income chronic disease patients?
- CHIP
- Medicare Advantage Special Needs Plans (SNPs) (Correct answer)
- TRICARE
- Federal Employees Health Benefits (FEHB)
Correct answer: Medicare Advantage Special Needs Plans (SNPs)
Medicare Advantage Special Needs Plans target chronically ill, low-income, or institutionalized beneficiaries and often include supplemental social support benefits.
Question 5: A patient with COPD lives in a rural area and lacks transportation to medical appointments. The CCP should FIRST explore:
- Hospitalization for closer monitoring
- Telehealth visits or local transportation assistance programs (Correct answer)
- Transferring care to a specialist only
- Stopping chronic care management enrollment
Correct answer: Telehealth visits or local transportation assistance programs
Telehealth and transportation assistance programs are evidence-based SDOH interventions that reduce care access barriers for rural patients.
Question 6: Which organization maintains a national database of community resources (211 network) frequently used by CCPs to address SDOH?
- American Medical Association
- United Way (Correct answer)
- Centers for Medicare & Medicaid Services
- Joint Commission
Correct answer: United Way
United Way's 211 network is the primary US resource directory connecting individuals to local social services including food, housing, and health support.
CCP CCP Social Determinants of Health & Community Resources 1
Which of the following is considered a social determinant of health (SDOH) that chronic care professionals must assess?