Integrated Services for Person Centered Care
So People Can Thrive
Our approach facilitates a more holistic, person-centered understanding of patients/clients. And it enables providers to send secure referrals and healthcare data to 2.7 million healthcare providers nationwide.
Food Pantries, Homeless Shelters, Schools, Community Colleges...
Government Agencies
Health Departments, Social Service Agencies, Education Systems, Housing Authorities . . .
Enabling Healthier, Self-Directed Lives
Personalized Care Driven by Individual Agency
People achieve their greatest health and well-being when their individual goals shape the care they receive – and when they have the right resources to meet those goals.
We support and accelerate assessments and questionnaires, while recommending programs and services based on the goals and needs of individuals and their families.
Multidisciplinary partners get a holistic view of their clients/patients’ life circumstances, along with tools to better-manage cases and contribute to a unified, longitudinal Care Plan.
360° View
Deliver contextual, person-centered care based on life circumstances and social needs, such as food, housing or financial insecurity, behavioral health, disability or homelessness.
Community Exchange
We use AI and widely accepted standards to create care-coordination systems that share a common language across a wide range of partners and IT Systems (EHRs, HIEs, Case Management etc.).
Gone are the “walled gardens!” We support referrals to and from any system that supports FHIR or Direct. If your vendor says no, but they support FHIR or Direct, contact us and we will persuade them!
Our customers get a comprehensive listing of health and human service providers in their own community – and they can publish their information to a resource database that’s crowdsourced by every certified EHR in the U.S., comprising over 276,000 organizations.
Our eligibility screening is fully integrated with a person’s data, streamlining access to government benefits, healthcare and human services. Eligibility is comprehensive and includes eligibility questionnaires.
We provide a one-stop-shop across government benefits and enable government application forms to be autofilled, with data across a variety of integrated systems. This can autofill up to 95% of the fields in some forms.