SIMPCO's approach empowers individuals and communities to counter these hazards, changing habits long term and channeling resources to help prevent premature disease and death. Improving health outcomes for individuals and populations requires more than just access to medical care, however. It encompasses behavioral health, as well as social, environmental and educational factors, i.e. the "social determinants" of health. SIMPCO mandates that each participant is engaged quarterly, at minimum, to ensure that they receive support, counseling and/or medical referrals as needed.