In 2025, Kaiser Permanente Sacramento’s Continuum of Care (COC) team strengthened its patient-centered approach by launching a nurse-led Community Resource Education Booth to connect members with essential Sacramento County services. Recognizing that many health barriers arise before hospitalization, the event focused on key social determinants of health (SDOH), such as housing instability, transportation challenges, food insecurity, mental health needs, and limited access to supportive services. 

Continuum of Care clinical nurses and Unit Practice Council (UPC) members Joseph Toledo, BSN, RN; Chynn Frasco, BSN, RN; and Prajwala Narla, BSN, RN, ACM, led the initiative. During the event, the team engaged over 50 members, offering personalized guidance on accessing community programs for housing, transportation, food, mental health services, home-delivered meals, and In-Home Supportive Services (IHSS) applications. 

The nurses designed the booth to be approachable and interactive, providing printed materials, individual instruction, and real-time support to help members understand how these services can reduce daily stressors and improve their ability to manage health at home. 

The team saw an immediate and meaningful impact. “People don’t just need clinical care, they need stability,” shared Narla, reflecting on member interactions. “Sometimes the missing piece isn’t medication or follow-up. It’s transportation. It’s food. It’s support at home. When we point someone to the right resource, you can see their hope return.” 

Frasco echoed this, noting that SDOH often hinder a member’s ability to follow their care plan. Toledo added that the experience reaffirmed the advocacy role nurses fulfill daily: “We’re not just educating, we’re empowering. Helping members access these services is part of helping them heal.”