The Future of SDOH Screening & Referrals: How GridSocial Connects Healthcare and Community Networks

Screening for social determinants of health (SDOH) is essential for improving patient well-being, but identifying needs is only half the journey. Without strong collaboration, referrals can get lost, follow-ups can be missed, and outcomes may remain unmeasured.

GridSocial by SocialRoots bridges this gap by connecting healthcare systems, payers, and community organizations on a unified digital platform. Screenings, referrals, updates, and reports flow seamlessly, turning social-care data into measurable, actionable results.

Why Traditional SDOH Tools Often Fall Short

Many SDOH platforms focus heavily on data collection but stop short of enabling real action. They capture risk scores and screening responses, but when it's time to coordinate care, providers often find themselves lost in disconnected emails, phone calls, and spreadsheets.

The result?

• Referrals go untracked because systems don't talk to each other.
• Follow-ups are inconsistent, leaving gaps in patient support.
• Reporting is fragmented, making it difficult to measure real-world outcomes.

GridSocial changes that. Instead of stopping at risk identification, it bridges healthcare and community networks with end-to-end visibility, turning SDOH insights into measurable, coordinated outcomes.

GridSocial Features: From Screening to Seamless Referrals

1. Smart Screening & Custom Form Builder

Every community faces unique challenges. GridSocial's Form Builder lets administrators create digital screening forms for food, housing, transportation, and other social needs.

Key capabilities:

• Digital signatures, file attachments, and logic rules
• Case histories to minimize paperwork
• Bulk data import/export for new partners or system migrations

2. Closed-Loop Referral Management

Referrals are at the heart of social care coordination. With GridSocial, users can:

• Create and assign referral requests to trusted partners
• Track progress in real time from initiation to closure.
• Receive alerts for delayed or pending cases.
• Share visibility securely with authorized team members.

No referral is ever lost; accountability is built into every workflow.

3. EHR Integration & Interoperable Workflows

GridSocial seamlessly integrates with leading healthcare systems to enable cross-platform collaboration.

Integration highlights:

• Compatible with Epic and Oracle Cerner EHRs
• Accepts referrals from external systems such as Pillar Healthcare Software
• Generates QR codes for quick access to forms and referrals

This ensures partners can easily join and collaborate without technical friction.

4. Actionable Reporting & Analytics

Data drives better care decisions. GridSocial automatically compiles all screening and referral data into real-time dashboards.

Key benefits:

• Generate reports by user, service, or date range
• Secure data export for funders and audits
• Complete referral and service histories at a glance

These insights empower organizations to track performance and improve social-care outcomes.

5. HIPAA-Aligned Security & Consent Management

Trust and privacy are essential in social care. GridSocial ensures HIPAA-aligned security and transparent consent management.

• Consent forms are automatically displayed and stored in client records.
• Administrators can centrally update terms and policies to maintain compliance.

6. Streamlined Communication Across Teams & Partners

Stay connected without chaos. GridSocial supports:

• In-app and email notifications for referral updates
• Twilio integration for SMS-based reminders and outreach
• Chat functionality for direct partner collaboration

This ensures partners and care teams remain informed and responsive throughout the process.

7. Flexible Partner & Service Coordination

GridSocial's modular design helps networks stay organized without losing control.

• Admins can add or approve new partners.
• Partners manage agents, services, and availability.
• Multi-service requests enable holistic, coordinated care.
• Each organization controls its own data and visibility.

This decentralized yet unified model keeps collaboration secure and efficient.

8. Payment Processing & Donation Tracking

For programs with fee-based services or contributions, GridSocial offers secure financial workflows:

• Process service payments directly
• Track community donations with transparency.
• Maintain financial oversight across the program.

Use Case: Coordinating Housing and Nutrition Support

Scenario :

A local clinic identifies a family facing housing instability and food insecurity during an SDOH screening.

Without GridSocial :

Staff spend hours manually contacting shelters and food pantries. Follow-ups are inconsistent, and there’s no clear record of outcomes.

With GridSocial:

• The clinic submits a digital referral that instantly alerts partner organizations.
• Partners confirm service availability and share real-time updates.
• Automated alerts notify the clinic of any pending or delayed cases.
• All interactions, consent forms, and completion reports are securely stored.

Outcome:

The family receives coordinated care faster, staff save hours of manual work, and the clinic gains measurable data for reporting and funding.

How to Get Started with GridSocial

Digitizing your social-care workflows with GridSocial is fast and straightforward:

1. Schedule a Demo : See how GridSocial can fit your organization's network.
2. Set Up Your Network : Add your partners, services, and agents.
3. Create Screening Forms : Build customized digital forms for social needs.
4. Launch Referrals : Start tracking requests and outcomes in real time.
5. Access Reports & Insights : Measure performance through dashboards and automated reports.

With GridSocial, your team can reduce manual work, enhance collaboration, and ensure every referral is visible, traceable, and measurable from day one.

Build a Connected, Data-Driven Social-Care Network

Whether you're a healthcare provider, a nonprofit, or a regional coalition, GridSocial helps you digitize and scale your community care coordination. With its unified form builder, referral engine, EHR integration, and analytics, GridSocial turns collaboration into measurable impact.

Take the next step:

Book a Demo and discover how GridSocial strengthens your SDOH programs

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