CLOSING SOCIAL AND CLINICAL GAPS
Our innovative platform for facilitating interactions between stakeholders to address social needs, and close gaps in care.
Implify™
Implify is our innovative platform designed to facilitate critical data sharing across all stakeholders – health plans, providers, government entities, health information exchanges (HIEs), electronic health record (EHR) systems, and community-based organizations (CBOs).
Implify is HITRUST-certified and seamlessly integrates with other healthcare systems, ensuring a smooth and transparent process from assessment to care planning, outcome reporting, and closing social and care gaps.
How Implify works
CBOs and end-service providers use Implify to document every step of the process required to solve social needs.
Secure intake
Safely collect and manage complex member/patient information with secure, bidirectional data sharing.
Cohort tracking
Configure and track member/patient cohorts based on shared characteristics, such as health-related social needs, risk profiles, or wellness goals.
Personalized outreach
Personalize outreach to each member/patient based on their communication preferences (culture, language and modality).
Assessments
Validated instruments are available including PRAPARE, Accountable Health Communities, and custom assessments.
Care plans
Allows for care plan creation, review and assignment by designated personnel, ensuring accountability and personalization in care and wellness management.
Follow-up and gap closure
Monitor follow-ups and ensure that care gaps (social or clinical) are closed.
Claims and billing
Establishes the legal and operational framework under which CBOs and end-service providers deliver services, including responsibilities, performance standards, and payment term options to support fee schedules, PMPM, and shared risk models.
Key features
Implify delivers purpose-built power and scalability.
By verifying credentials, service availability, and reliability, GroundGame.Health ensures that individuals receive services from trusted, credible resources across all markets.
Streamline the process of distributing, tracking, and following up on referrals to CBOs and service providers. Referrals are efficiently processed and monitored, providing real-time updates and tracking to ensure that individuals receive the services they need.
Enables seamless access to social services and care coordination across all markets. This ensures that individuals have access to necessary external resources.
Ensure that all contracted CBOs are verified for quality, maintaining high standards of care and service delivery across all markets.
Comprehensive profiles capture and consolidate key data related to an individual’s health, social determinants, wellness needs, and care history. These profiles include demographic, clinical, and social information. The profiles are continuously updated based on interactions, assessments, and outcomes, ensuring that care plans or wellness programs are informed by the most current information. This helps drive personalized, effective care and support across all markets.
Ensures seamless data exchange between Implify and existing systems such as EHRs, HIEs, human resource, and other systems, allowing for smooth integration and data sharing.
Implify offers a variety of outbound communication approaches (phone, emails, texts, interactive voice response, etc.) based on an individual's preferences. We also offer pre-packaged promotional materials to educate individuals about program benefits. Additionally, Implify supports bi-directional communication for real-time and delayed interactions, integrating seamlessly with existing systems.
Implify tracks and reports on operational performance through process metrics, monitoring workflow efficiency, intervention effectiveness, and resource allocation. Outcome metrics measure the success of interventions, focusing on member/patient health improvements, reduced hospitalizations, and social care impact.
We continuously monitor service performance, ensuring adherence to care plans and organizational standards. These metrics and tools help entities optimize processes, improve service quality, and achieve better health and wellness outcomes.
