Systems and methods for integrated healthcare management with social services

A computer-implemented method, executed by at least one processor of a computing device, for coordinating healthcare services and social services, the method comprising:

• storing, via the computing device, healthcare data, shelter management data, and social determinants of health data for a plurality of individuals in a centralized database;
• retrieving, via the computing device, clinical data from at least one external electronic health record system via an application programming interface;
• transmitting, via the computing device, updated data to the at least one external electronic health record system via the application programming interface;
• tracking, via the computing device, shelter resource data comprising at least bed availability and intake status for at least one shelter facility;
• communicating, via the computing device, the shelter resource data to the centralized database for integration with the healthcare data;
• collecting, via the computing device, social determinants of health data comprising at least housing status, employment status, and food access metrics for each of the plurality of individuals;
• analyzing, via the computing device, a combined dataset comprising the healthcare data, the shelter management data, and the social determinants of health data;
• generating, via the computing device, a risk assessment identifying at-risk individuals from the plurality of individuals based on the analyzing;
• and
• providing, via the computing device, access to a user interface for a plurality of user types comprising at least healthcare providers, shelter staff, and caseworkers.

A software product comprising at least one computer-readable storage medium having application instructions stored on the at least one computer-readable storage medium, the application instructions executable by at least one processor to:

• store healthcare data, shelter management data, and social determinants of health data for a plurality of individuals in a centralized database;
• retrieve clinical data from at least one external electronic health record system via an application programming interface;
• transmit updated data to the at least one external electronic health record system via the application programming interface;
• track shelter resource data comprising at least bed availability and intake status for at least one shelter facility;
• communicate the shelter resource data to the centralized database for integration with the healthcare data;
• collect social determinants of health data comprising at least housing status, employment status, and food access metrics for each of the plurality of individuals;
• analyze a combined dataset comprising the healthcare data, the shelter management data, and the social determinants of health data;
• generate a risk assessment identifying at-risk individuals from the plurality of individuals based on the analysis;
• and
• provide access to a user interface for a plurality of user types comprising at least healthcare providers, shelter staff, and caseworkers.