Total Health Equity

What Tools Do Community Organizations Need to Support this Vision?

To move toward Total Health Equity, CBOs must be equipped with tools that support relationships, responsiveness, and resilience:

Dynamic Digital Enrollment & Consent Infrastructure

Multi-use, multilingual, mobile-optimized intake that adapts as needs and services evolve. To reduce paperwork burdens, ensure access for multilingual families, and streamline program intake.

Recurring SDOH Assessments with Embedded Follow-Up

SDOH and wellness screenings that are not one-and-done, but part of an ongoing care cycle. To document social needs like housing, food insecurity, and transportation barriers—and turn those insights into action.

Closed-Loop Referral Capabilities

To ensure that every referral made—to food banks, clinics, legal aid—is tracked to resolution, not lost in the system.

Longitudinal Referral & Case Management Systems

Track needs over time, not just per encounter. Enable layered referrals across domains.

Secure Two-Way Communication Tools

To inform, engage, and follow up with families in real time via SMS, email, or app—across multiple languages. Allow families and patients to respond, update, ask questions, and stay engaged on their terms.

Real-Time Reporting & Dashboards

To visualize trends, spot gaps, and support grant reporting with evidence-based data.

Shared Data Systems with Equity Oversight

Real-time dashboards that inform practice, policy, and equitable resource allocation.

Flexible Role-Based Collaboration Frameworks

Allow CBOs, schools, clinics, and public agencies to work together—securely and clearly.

Privacy-Compliant Data Infrastructure

To protect sensitive information while allowing coordinated care across teams and partner organizations.