IHD's Transition Care Program (TCP) offers a one-on-one patient engagement approach to ensure a patient’s transition from an acute care hospital to their home, or place of care, is cohesive and seamless for a period of 30 days post discharge. The primary goal of the Transition Care Program (TCP) is to coordinate required clinical services post discharge, remove any barriers that impact accessing timely follow up care and foster patient compliance with discharge orders to improve quality outcomes. The key component to the success of the TCP program is having a comprehensive focus that addresses both the medical and social aspects (Social Determinants of Health) the patient may face. Ultimately, the goal of the TCP program is to connect patients with the appropriate outpatient provider setting, caregiver, provider (s) and community resources resulting in increased patient compliance, reduced hospital/ER utilization and improved patient outcomes.

Innovative Healthcare Delivery (IHD) improves quality outcomes and reduces costs for health plans, hospitals, corporate employers and self-insured clients utilizing a high touch, patient centric non-clinical approach. We specialize in simplifying and personalizing the healthcare experience for every patient, every time. We identify Social Determinants of Health barriers and address them in a meaningful way to improve quality of life and medical outcomes while creating a better patient experience. Our organization is committed to the effective delivery of programs that assist Employer Groups, Self Funded Plans, Fully Insured Plans, State and Federal Plans and Hospitals. Our programs are designed to complement existing resources available in the market and foster a comprehensive approach to patient care through a cohesive delivery system. The end result is a patient base that is engaged, educated and empowered to make better healthcare decisions.

SocialScape is a cloud-based platform that manages massive data fusion, analytics, and visualizations of community and individual SDOH risk. The platform provides a powerful, predictable, and efficient path to surfacing SDOH insights to inform the planning, implementation, and evaluation of core business strategies and SDOH initiatives.

Socially Determined is a healthcare analytics company based in Washington DC. We are developing the science of the social determinants of health and partnering with our clients to implement community-based intervention programs. We believe that social determinants drive over 50% of our health outcomes and that we can understand those determinants using advanced analytics and data science. Highlighting and quantifying these factors will allow us to design targeted interventions programs that improve healthcare in our communities. We are a team of physicians and engineers - all experienced entrepreneurs. We are actively building our data science team and consulting force and are looking to build a multi-disciplinary team that is passionate about healthcare and making a difference in our communities. We are Socially Determined.

It's critical for organizations to understand and quantify the impact of the social determinants of health (SDOH) affecting their populations to reduce exorbitant costs and poor health outcomes. SocialScape®, our Social Risk IntelligenceTM platform and advisory team illuminate where social risk exists, why it matters, and what to do about it for maximum business and community impact.