Screen for housing instability, food insecurity, transportation gaps, and language barriers — then turn what you find into targeted outreach. Built for health plans, FQHCs, and care coordination teams.
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Your clinical data tells you what's wrong. It doesn't tell you why a member keeps missing appointments, can't fill a prescription, or ends up back in the ER. This screening tool finds the social and environmental factors driving those outcomes — and gives you a way to act on them.
Safe, stable housing; overcrowding; environmental exposures tied to conditions like asthma.
Food deserts and nutrition access that affect chronic condition management.
Access to reliable transportation for appointments, prescriptions, and community resources.
Language barriers and health literacy gaps that get in the way of care and communication.
Distance to primary care and urgent care, and barriers that keep members from using it.
Access to schools, childcare, and recreational resources that shape long-term outcomes.
Six steps, from first survey to measurable outcomes.
Build assessments around the SDOH domains that matter most to your population.
Reach members where they are to get screenings completed.
Combine internal member data with external social data for a fuller risk picture.
Route identified needs to the community and care partners who can address them.
See social risk trends across your population, not just individual cases.
Track whether outreach is closing gaps and improving outcomes over time.
Book a free 20-minute demo and see how SDOH Solutions surfaces social risk in your population.
Book a Free Demo