SDOH Support Programs
Trained outreach specialists who identify needs, connect patients with community resources, and document the work, so SDOH efforts move beyond good intentions.
Most healthcare organizations already understand that housing, food security, transportation, and other social factors shape patient outcomes as much as clinical care does. The harder problem is operational: identifying which patients have unmet needs, connecting them with the right community resources, and documenting the work consistently, all without adding another responsibility to an already stretched care team.
GetYourBots SDOH support programs provide trained specialists who conduct outreach, administer screenings, and help connect patients with housing, food, transportation, employment, and other community resources. Our teams work as an extension of your care coordination or social work function, following the protocols and priorities your organization sets.
This work is inherently conversational and often sensitive. A patient discussing housing insecurity or food access needs someone who can listen, ask the right follow-up questions, and know what resources are actually available in their community, not a static referral list. Our specialists are trained specifically for these conversations.
Where the work is more procedural, such as scheduling follow-up calls or logging screening results, AI-assisted workflows support our specialists to keep the program moving without adding administrative drag.
Identifying social needs is the easy part. Acting on them consistently is where most programs struggle.
Care teams identify needs but rarely have time to follow up on every referral.
Patients are referred to community resources but never confirmed to have connected with them.
SDOH screening happens sporadically instead of systematically across the patient population.
Work that does happen is not consistently logged, making it hard to show program impact.
We start by understanding your organization's SDOH priorities, whether that is housing, food security, transportation, or a broader set of social needs, and the community resources already available in the areas you serve. Outreach protocols are built around your specific patient population and existing referral relationships.
Trained specialists conduct outreach calls, administer health risk assessments and SDOH screenings, and follow up with patients to confirm whether they successfully connected with a referred resource. Where a resource connection did not happen, our team follows up rather than letting the referral quietly go cold.
All screening results, outreach attempts, and outcomes are documented consistently, giving your team visibility into what is actually happening across the patient population, not just what was referred.
This is educational and service-oriented support: our teams help identify needs, connect patients with resources, and document the process. We do not make claims about specific regulatory, reimbursement, or compliance outcomes; those determinations rest with your organization and its own compliance and billing functions.
Trained specialists handle SDOH outreach without pulling from your care team.
Systematic SDOH screening instead of sporadic, ad hoc identification.
Follow-up confirms whether patients actually connected with referred resources.
Consistent logging of screenings, outreach, and outcomes.
Clear reporting on what is happening across your patient population.
Expand outreach capacity as your SDOH program grows.
Identifying and connecting patients with housing assistance resources.
Connecting patients with food access programs and resources.
Helping patients access transportation resources for care and daily needs.
Connecting patients with employment and workforce resources.
Helping patients access utility assistance programs.
Administering standardized assessments to identify social needs.
Structured surveys and follow-up to track needs over time.
Outreach to patients with identified gaps in social or clinical care.
We learn about your SDOH priorities and existing community resources.
We build screening and outreach protocols around your patient population.
Trained specialists begin outreach, screening, and resource connection.
We report on activity and outcomes, refining the program over time.
| Ad Hoc Referrals | With GetYourBots | |
|---|---|---|
| Systematic Screening | ||
| Confirmed Resource Connections | ||
| Consistent Documentation | ||
| Dedicated Outreach Capacity | ||
| Program Activity Reporting | ||
| Care Team Retains Oversight |
Specialists trained specifically for SDOH outreach and screening conversations.
AI-assisted workflows for procedural tasks, trained people for patient conversations.
Programs designed around your specific SDOH priorities and community resources.
Built with security and privacy best practices for healthcare workflows.
Talk to our team about building an SDOH outreach program around your priorities.
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