Integration of clinical staff members (eg, social workers, case managers, registered dietitians) to link patients with appropriate community resources. Training of volunteers within the CDU to access a database of resources to address SDoH and provide follow-up until a resolution of unmet social needs is achieved. Identification of community health workers to conduct home social assessments to connect socially deprived patients with community resources. Creation of partnerships with community organizations that provide healthy food and assist with enrollment in federal nutrition assistance programs. Creation of partnerships with pharmacies to provide access to home delivery options for obtaining medication to manage HBP. Rationale Socioeconomic inequalities are strong determinants of ASCVD risk internationally.178,179 Therefore, it is important to tailor advice to a patient s socioeconomic and educational status, as well as cultural, work, and home environments.180 The CMS has developed a tool to assess 5 domains of non health-related measures that impact health outcomes: housing instability, food insecurity, transportation difficulties, utility assistance needs, and interpersonal safety.177 ASCVD prevention could benefit from such screening. ASCVD risk begins early in life, with heightened susceptibility tied to low socioeconomic status.181 Examples of upstream SDoH that affect adherence and ASCVD health outcomes include comorbid mental illness, low health literacy, exposure to adversity (eg, home/community violence, trauma exposures, safety concerns), financial strain, inadequate housing conditions, food insecurity (eg, access to affordable and nutritious food), and inadequate social support.182 Systems of care should evaluate SDoH that affect care delivery for the primary prevention of ASCVD (eg, transportation barriers, the availability of health services). 