CASE STUDY

SDOH Care Plans & Care Coordination

Summary

Wellup is powering over 60 community health workers in Southern Nevada. These navigators are trained to enroll individuals and conduct social risk assessments for households and individuals. The client develops personalized social care plans to guide their members towards resilience by addressing key social factors such as nutrition, housing, and transportation, and closing the loop with their trusted network partners.

About the Client

The client’s mission is designed to effectively merge health and social services to improve the overall health of high-risk populations. By providing high-risk patients with personalized high-tech and high-touch medical and social services, the client helps them conveniently address barriers to optimal health outcomes. The program focuses on households, longitudinally tracking social determinants of health and dispatching care teams guided by the Wellup platform. This approach ensures households are more prepared and resilient, removing barriers and increasing the likelihood of healthier lives.

Tracking Progress and Outcomes

Wellup enables the client to track tasks, encounters, and care plan progress. This allows them to visualize KPI data and assess how effectively they are addressing social determinants of health and supporting their members' journey towards resilience.

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