17 June 2025

Bridge SDoH Gaps with a Comprehensive Social Care Referral Platform

The most pressing barriers to health today aren't always medical. From housing insecurity to food deserts and transportation gaps, social determinants of health (SDoH) significantly impact health outcomes. Yet, many organizations still rely on manual, fragmented systems to manage referrals across social services, creating gaps that leave individuals underserved.

This is where a comprehensive social care referral platform becomes essential. GridSocial by SocialRoots.ai is specifically designed to bridge these SDoH gaps with unmatched coordination, tracking, and reporting capabilities.

What Are Social Determinants of Health (SDoH)?

SDoH are the non-medical factors that influence health outcomes. These include:

Housing and utilities
Access to nutritious food
Transportation
Employment and income stability
Education
Social and community support
Mental health and substance use resources

When individuals lack access to these critical resources, they are more likely to experience preventable health issues, resulting in higher healthcare costs and a poorer quality of life.

What Are Social Care Referrals?

Social care referrals connect individuals to non-clinical services that address social determinants of health (SDoH) needs. These may come from healthcare providers, caseworkers, or community-based organizations, and typically involve linking a person to food banks, housing programs, job training, or behavioral health services.

A successful social care referral must go beyond just sending a name and number; it must ensure that the connection is made, the service is delivered, and the outcome is tracked.

Without a structured system, referrals often fall through the cracks, mainly when organizations rely on manual methods such as email, phone calls, or spreadsheets.

The Problem: What Happens Without a Social Care Referral Platform?

When organizations operate without a dedicated referral platform, the gaps become clear:

1. Referrals Get Lost

Without centralized tracking, there is no visibility into whether a referral was received, accepted, or acted upon. This results in missed services and unmet needs.

2. Limited Follow-Up

Caseworkers and providers often lack the capacity or tools to verify whether referred clients have received support. This breaks the referral loop and limits the measurement of outcomes.

3. Fragmented Communication

Multiple organizations using disconnected systems creates information silos. This leads to delays, duplication of effort, and inconsistent service delivery.

4. No Data to Prove Impact

Without reporting and analytics, it's nearly impossible to understand service gaps, referral trends, or population needs, all of which are critical for funding and strategy.

The Solution: GridSocial by SocialRoots.ai

GridSocial is a purpose-built social care referral platform designed to close the loop on SDoH services, seamlessly connecting healthcare, nonprofits, CBOs, and government agencies within a unified, trackable system.

It's not just software, it's infrastructure for coordinated care, built with the real needs of community stakeholders in mind.

Key Features That Set GridSocial Apart:

1. Centralized Intake

Aggregate referrals from clinics, hotlines, online forms, and partner portals all in one place. GridSocial ensures every need starts with a single, trackable entry point.

2. Request Categorization and Prioritization

Automatically sort incoming referrals by urgency, eligibility, service category, and location. Prioritize vulnerable populations and high-risk cases for immediate action.

3. Referral Network Database

Maintain a dynamic, up-to-date directory of service providers. Include availability, eligibility criteria, contact info, and service capacity, empowering staff to make informed, fast decisions.

4. Automated Matching and Routing

Utilize intelligent logic to match clients with the most suitable partner, taking into account location, language, services offered, and availability, thereby ensuring optimal efficiency.

5. Reporting and Analytics

Track referral outcomes, completion rates, unmet needs, and service gaps. Export data for grant reporting, internal reviews, and strategic planning.

How GridSocial Closes the SDoH Gaps

GridSocial empowers organizations to :

Act quickly when clients present urgent social needs
Collaborate across sectors with shared visibility into referral status.
Ensure accountability by confirming referral completion.
Measure impact with real-time dashboards and exportable reports
Improve equity by proactively identifying underserved populations.

With GridSocial, referrals are not just sent, they're completed, tracked, and leveraged to improve care quality across communities.

Who Should Use GridSocial?

GridSocial is built for :

Healthcare systems seeking to meet value-based care and community health goals
Nonprofits and social service agencies are coordinating essential programs, including housing, food, and behavioral health services.
Community-based organizations that need visibility into outcomes and collaboration
Public health networks tracking the real-world impact of community initiatives

Whether you serve one neighborhood or an entire region, GridSocial can adapt to your needs and scale with your mission.

GridSocial by SocialRoots.ai is the most comprehensive social care referral platform built to close SDoH gaps through coordinated, accountable, and data-driven referrals. With centralized intake, automated routing, real-time provider databases, and robust reporting, GridSocial enables healthcare providers, Community-Based Organizations (CBOs), and nonprofits to deliver faster, smarter, and more equitable care. Whether you're supporting housing, food access, or behavioral health, GridSocial ensures no referral gets lost, and every client receives the help they need. Designed for impact, proven in the field. Ready to strengthen your community partnerships and track outcomes that matter? Choose GridSocial where social care becomes actionable.

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