G1 · Navigation, social needs and access
Social needs screening and navigation visits, coordinated from the payer
Run standardized social needs screening in the home, place referrals for food, transport and benefits, and report which referrals actually closed.
Mission template G1 · SDOH screening and navigation
On scene- Received09:12
Referral raised by payer, Enrollment or a payer list.
- Scheduled10:04
A program covering the address accepts inside the window: ≤14 days.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Standardized screen; Referrals; Follow-through.
- Completed14:40
Outcome fields recorded (Domains positive; Referrals closed); referrer notified.
Why this program
Screening for social needs in a clinic produces a list. Screening in the kitchen produces the truth: an empty refrigerator, a car that does not run, a heating bill on the counter.
The value is not the screen; it is the follow-through, and follow-through is only provable when each referral has a closure status.
The template is fixed so every referral arrives the same way: a defined trigger, a defined window, a defined skill set, and a defined set of outcome fields. That is what makes the work reportable later without asking crews to write anything twice.
Mission template G1
SDOH screening and navigation · sponsor persona: Payer · window: ≤14 days · single mission · no tele-MD
Trigger and window
Enrollment or a payer list
Window: ≤14 days
Skills required: CP, Navigator
Steps
- Standardized screen
- Referrals
- Follow-through
Outcome fields
- Domains positive
- Referrals closed
Escalation and child orders
None; unmet urgent needs return to case management
Child orders: Food, Mobility, Benefits. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
The payer or program sees which domains screened positive, what was referred, and what closed.
Status moves through received, scheduled, active, and completed, escalated or aborted. Exception statuses notify the referrer rather than waiting to be discovered at the end of the week.
What the program does
The program runs the standardized screen, places referrals, and returns to confirm follow-through.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Screens completed inside 14 days of enrollment
- Domains positive per screen
- Referrals closed versus placed
- Utilization change for the screened cohort
Figures shown elsewhere on this site are illustrative unless a source is given. Your reporting reflects your own missions.
Rural Health Transformation
This template maps to CMS strategic goals 1 and 4. Missions, outcome fields and county-level coverage export for state reporting.
DispatchCare is a technology vendor. It does not administer Rural Health Transformation funds.
Questions buyers ask
Enrollment or a payer list. DispatchCare does not receive 911 calls; emergency requests stay in the dispatch system.
Related mission templates
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.