Screen, Assess, and Address Barriers to Health Equity
The SDH Platform is designed for healthcare organizations, clinics, and health plans to electronically screen and address the social determinants of health affecting patient outcomes.
Research demonstrates that social determinants of health—such as housing, food insecurity, transportation, and social isolation—have a profound impact on health outcomes. Addressing these factors can significantly improve population health and reduce healthcare costs.
Identify social barriers affecting patients
Measure impact on health outcomes
Provide coaching and resources
Measure progress and outcomes
The SDH Platform screens patients for barriers across key domains:
Difficulty paying bills, housing costs, food, or medical expenses
Unemployment or underemployment status
Inability to meet basic needs on current income
Limited formal education or high school completion
Ability to understand health information and instructions
Uninsured or underinsured status
Barriers to accessing medical services
Homelessness, housing instability, or unsafe living conditions
Lack of reliable transportation to medical appointments
Inadequate access to nutritious food
Lack of social support and meaningful relationships
Violence, crime, or unsafe neighborhood environment
Experiences of racism, discrimination, or bias
Alcohol or drug use affecting health
Depression, anxiety, or other behavioral health issues
Patient-friendly electronic screening tool identifies social barriers and SDH risk factors.
Smart algorithms direct at-risk patients to appropriate coaching and resources.
Interactive coaching modules help patients address barriers and improve outcomes.
Connect patients with community resources and social services.
Measure progress and impact on patient health outcomes over time.
Analyze SDH patterns and measure health equity improvements at population level.
Evidence-based coaching tools help patients address social barriers:
Budgeting, bill payment assistance, and financial hardship resources
Housing assistance programs, landlord mediation, and homeless services
Food bank locations, nutrition assistance programs, and meal planning
Public transit, ride assistance, and medical transportation resources
Job training, employment assistance, and skills development resources
Community groups, support networks, and social isolation interventions
Health literacy, disease management, and preventive care guidance
Domestic violence support, crime prevention, and community safety
Behavioral health resources, counseling, and crisis intervention
Address social barriers that drive health disparities and improve outcomes for vulnerable populations.
Patients who address SDH barriers show improved health outcomes and lower healthcare costs.
Identify at-risk patients and coordinate care across healthcare and social services.
Automated screening and intervention routing saves staff time and improves process efficiency.
Meet regulatory requirements for SDH screening (CMS, HEDIS, NCQA, and others).
Track SDH screening rates, intervention completion, and health outcome improvements.
Contact us for details or to arrange a demo of the SDH Platform.