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Shore Quality Partners
Chairman of the Board of
SOMOS Community Care
Storylines that made a difference...
SOMOS' Innovator Program, designed by NYS DOH, is intended to chart the path into the full risk VBP with requirement of SOMOS outlining and implementing SDOH programs with Community Based Organizations for ~80,000 lives. The necessity to identify patients, track referrals, status of interventions, success of case outcomes, and ultimate impact on utilization, cost, and quality required a central technological solution that can bring multiple parties together. A manual spreadsheet & email to communicate process was replaced with a custom referral intake took and smart forms in Bridge's GRID application for Housing and Food Security/Access Interventions. Since launch, more than 800 referrals have been processed through GRID with 341 Food Cases closed and 427 Housing Cases closed.