Social Safety Net
Care for the whole person by assessing and addressing patients’ physical, mental, and social needs. Meet patients where they are by extending care outside of hospitals and clinics.
Social Care
Screen patients for social factors such as food and housing insecurity, substance use, and transportation access. Suggest care programs or use a community resource directory to connect patients with organizations for child welfare, housing support, and more. Provide care in homes, shelters, or the community.
Social Care
details →
Care Management
Identify high and rising risk populations. Care managers enroll and manage patients by assessing needs and connecting with community resources. Efficiently manage and track care management programs, outreach calls, tasks, and program outcomes.
Care Management
details →
Behavioral Health
Help providers support patients with mental health and substance use diagnoses across the full spectrum of care settings. Treatment planning and care coordination in a single patient record enables an interdisciplinary approach for the care team.
Behavioral Health
details →
Correctional Health
Patients and families communicate with their care team about physical, mental, and social needs via MyChart and text message.
.png&w=3840&q=75)
Correctional Health
details →
Patient Experience
Enhance engagement and satisfaction for individuals and families with user-friendly digital tools, clear communication, and personalized support—ensuring a compassionate and responsive experience throughout their journey in the social safety net system.
.png&w=3840&q=75)
Patient Experience
details →
Interoperability
Enable secure data sharing and collaboration among social services, healthcare providers, and community organizations. EpicCare Link allows community organizations to use a web browser to access patient info, send secure messages, place orders, schedule appointments, and receive notifications for patient admissions or discharges.
.png&w=3840&q=75)
Interoperability
details →
State Systems
Provide whole-person healthcare for residents across the state, unifying Medicaid, health benefits for public and school employees, and behavioral health and recovery.
State Systems
details →
Research
Integrate social screening and intervention data with public data sets such as the Social Vulnerability Index and Area Deprivation Index to understand where additional resources or connections with community-based organizations may be needed in your community.
Research
details →
There's an interplay between the individual and the context in which that person lives. That relationship has to be the focus for change. It's amazing to see how you think about the world differently when you consider the whole person or the whole family and not just the acute illness or injury.
—Robin Wittenstein, former CEO of Denver Health
A Brighter Future for Black Maternal and Infant Health: A County-Wide Collaboration to Address Disparities
To address Wisconsin’s high rates of Black maternal and infant mortality, the Dane County Health Council, a multi-sector collaborative that includes all major health systems in the region, created the ConnectRx Wisconsin program. To date, more than 500 Black pregnant patients have been connected with effective and culturally appropriate resources.
Read the full article on EpicShare →
Using Trauma-Informed Care to Serve Patients Experiencing Homelessness
WakeMed’s Homeless Engagement Assistance & Resource Team (HEART) in Raleigh, N.C. is a street outreach team providing free physical exams and mental health services to unsheltered individuals and connecting them to community care resources.
Read the full article on EpicShare →
Caring for the Whole Community: Extending an EHR to a Large County Jail
Harris Health System extended its EHR to the Harris County Jail, improving continuity of care for the nearly 10,000 people in custody there.
Read the full article on EpicShare →
Speeding Up Access to Behavioral Healthcare with Simpler Scheduling, Clearer Referrals, and Virtual Visits
Geisinger improved timely access to behavioral healthcare by introducing virtual visits, moving to centralized scheduling, and overhauling referrals to direct patients to the right service faster. The organization reduced its behavioral health backlog by 84% in six months and improved schedule utilization from 60% to 85%.
Read the full article on EpicShare →
Identifying Social Drivers of Health and Connecting Patients with Community Resources That Can Help
Houston Methodist increased screening for social drivers of health from less than 1% to 37% of patients. Community-based organizations use Healthy Planet Link, giving them secure access to select information in Houston Methodist’s instance of Epic so clinicians can provide holistic care based on patients’ individual social needs.
Read the full article on EpicShare →
Helping People Stay Healthy and Housed with Whole-Person Care
The San Francisco Department of Public Health improved care coordination to provide a stronger safety net for people experiencing homelessness.
Read the full article on EpicShare →
UserWeb Resources
Take a deeper dive into implementation and support documentation, education and training resources, and more on the UserWeb.
Roadmaps
See a high-level view of what Epic can do now, which new features are coming soon, and what the future holds.
Resources
Copyright © 2025 Epic Systems Corporation.