Hear from Jodie Franzen, located at Duncan Regional Health in rural Oklahoma, as she highlights the organization's proactive approach to screening for social drivers of health (SDOH) to reduce readmission rates. Already implementing screening questions before new requirements emerged, Jodie and her team utilize the PREPARE tool to address issues like personal safety, food insecurity, and health literacy. Staff conduct screenings during patient admissions, supported by training and a "We Ask Because We Care" campaign to explain the purpose to patients, who have responded positively. The organization connects patients with resources, including a food bank, and evaluates effectiveness through data collection and community feedback, particularly focusing on the needs of the Hispanic population. Jodie notes initial hesitance from staff in asking sensitive questions but emphasizes their commitment to enhancing community health outcomes and ensuring equitable access to care.