The Electronic Social Record for patients. Manages all social issues for patients in one place including proactive identification of patient SDOH issues, creation and tracking of patient navigation plans, and management of population risk.

Target audience:

Our customers are providers, life sciences and payers

Key issues addressed:

Addressing SDOH and health equity in our patient populations is a critical issue for the healthcare industry today. Upcoming regulations and innovative payment approaches will require that healthcare organizations have critical capabilities to address these issues. SocialHealth360 provides these capabilities instantly while simplifying staff workflows and burdens in a cost effective way to meet the specific needs of providers, life sciences and payers:

• Providers: How do we better address complex SDOH issues within our patient population to improve patient care and outcomes, while simplifying work for our staff, and empowering us to meet critical health equity requirements in our value based care contracts?
• Life Sciences: How do we better address complex SDOH and health equity issues in our patient support programs? And, in clinical research, how do we better ensure equitable trial populations through better retention and recruitment of patients who traditionally have SDOH and health equity issues?
• Payers: How do we work together with our providers to proactively address complex SDOH issues to better manage total cost of care, member outcomes and satisfaction and meet upcoming regulatory requirements?

How it Works

• SocialHealth360 proactively identifies potential SDOH issues for individual patients based upon a library of SDOH datasets. Healthcare staff are notified and can discuss these potential issues with patients, including completing payer required Health Related Needs Surveys (HRSN).
• Based on this and through the analysis of other data (e.g. clinical, etc.), SocialHealth360 then creates AI powered “next best actions” for the patient. These are actioned via SocialHealth360’s easy-to-use patient navigation workflow that allows the healthcare worker to assign and track actions (e.g. referrals to community based organizations), record patients notes and interactions, etc. The solution proactively prompts the healthcare worker on an ongoing patient to reach out to patients as required.
• SocialHealth 360 maps the next best actions to Z codes – using a proprietary mapping tool – and generates a patient navigation plan that can be uploaded into patient records, EMR’s, and care systems so that all members of the patient care team are aware of potential issues that may impact treatment and outcomes.
• Managers are equipped to better assign and manage workloads of staff to help prevent staff burnout. SocialHealth360 proactively sends “next best actions” to managers to better allocate staff based on patient loads, patient case mix, and upcoming patient visits.
• SocialHealth360 monitors patient progress through the use of electronic patient reported outcomes (ePRO) capability built within the solution or can integrate with the client’s existing ePRO system.
• Executives can better understand their patient population, key SDOH gaps, rising risk patients and be assured that they are meeting key performance obligations in various contracts.
• All these capabilities are integrated into Microsoft Teams allowing for ongoing collaboration across the healthcare team. Additionally, SocialHealth360 can integrate as required into existing EMR, care management and CRM systems, third-party vendors such as SDOH data providers, community based organization referral networks, etc.

Key Benefits

• SocialHealth360 gives every healthcare organization an instant capability to address SDOH issues at both the patient and population level, helping to improve patient outcomes, manage costs and to meet critical new requirements in various value based arrangements and with accreditation organizations.
• SocialHealth360 helps prevent healthcare worker burnout by using AI powered next best actions to simplify work for front-line staff, managers and executives.