Leading the charge in changing how SDOH data is collected, used, reported, and viewed by the C-suite

Fully Automated Closed Loop SDOH Referral Solution

Real-time intervention to support whole person care & cost containment with comprehensive social determinants of health assessments and CBO services.

ESR - A Healthcare Data Management Company

Designed by a credentialed Health Information Professional (RHIT, CHDA, CCS). We specialize in enterprise social record management solutions that transform how healthcare organizations collect, analyze, and act on social determinants of health data.

100% Coverage

Reach 100% of your community members with human-centered SDOH assessments

Real-Time Support

Immediate, tech-enabled intervention and gap closure solutions

Advanced Analytics

Comprehensive reporting and dashboard views for all organizational levels

ESR EcoSystem

The Human Side of Social Health Data

Community Member Engagement

Workflow for Point of Care and Before Care. Human-Centered SDOH assessments with the potential to reach 100% of your community members.

Automated CBO Engagement

Immediate, tech-enabled CBO engagement (HIPAA and TPO driven data exchange). CBO resources always shared directly with Community Member.

Social Needs Coordination

Community-Specific EcoSystem is built with controls to include/exclude CBOs of your choice and to provide a solid audit trail for FWA protections.

CBO Engagement Reporting

Complete, transparent CBO engagement is shared with clients: Which CBO met needs, how needs were met, and how long it took for the need to be met.

Beyond Fulfillment

Numerators & denominators for quality reporting, including Z codes. Local codification and granularity on how needs were met. HCPCS ready. Multi-level dashboards available and HIGHLY configurable.

Inform Future VBC

Self-reported SDOH needs coupled with CBO engagement will inform needed value-based care programs of today & planning for future community members.

Additional Services

Comprehensive support to maximize your ESR platform investment

Initial Outreach

Need help with contacting some of your harder-to-reach customers for abandoned assessments? Our amazing outreach team can help!

Coaching

Drive new revenue through coaching for your most vulnerable population. Leverage our tech to help connect your customers to identified (and available) resources in their local communities. ESR provides a longitudinal record with time tracking of visits for billing coaching services. This module stands audit ready. Ask us how.

Workflow Design

Automation and process improvement experts help your organization review and consider updating processes, people, and technology for efficiency gains.

Leading the charge in changing how SDOH data is collected, used, reported, and viewed by the C-suite