EquiLoop™
The Closed-Loop Infrastructure Behind Social Prescribing
Track every health-related social need from screening through documented resolution. EquiLoop is the operational backbone of social prescribing, connecting community members to services, coordinating across partner networks, and proving outcomes to funders, all in one workflow.
Rural health hub deployment with a multi-partner ecosystem. Includes both clinical and social services referrals.
Screening alone doesn't improve outcomes
Most organizations can identify social needs. The challenge is what happens next: the coordination, tracking, and follow-up that determines whether people actually get help.
Referrals vanish after the handoff
You send a referral to a partner organization. Then what? There's no system to track whether the individual was contacted, served, or fell through the cracks.
You can count referrals, not completions
Funders want completion rates, time-to-service, and barrier analysis. Most programs can report how many referrals were sent, not how many were resolved.
Follow-up is manual and inconsistent
Care coordinators track referrals in spreadsheets, sticky notes, and memory. When caseloads grow, follow-up drops off and people fall through.
Everything between the screening and the outcome
EquiLoop provides the infrastructure that turns a one-time screening into an ongoing, trackable care coordination workflow.
Digital Enrollment & Consent
Mobile-first, multilingual intake that replaces paper forms. Configurable to any program's eligibility and consent requirements.
SDoH Screening & Needs Assessment
Recurring assessments across food, housing, transportation, behavioral health, utilities, and more. Not one-and-done, but part of an ongoing care cycle.
Closed-Loop Referral Tracking
Every referral tracked from initiation through documented resolution. Partners receive, accept, act on, and confirm referrals within a shared system.
Automated Follow-Up & Escalation
Configurable follow-up via SMS and email. Aged referrals trigger escalation alerts at 7, 14, and 30+ days, so nothing ages without visibility.
Dashboards & Reporting
Role-based dashboards for operations, leadership, and funders. Exportable KPI packs on weekly, monthly, and quarterly cadence, audit-ready out of the box.
Six things every program gets
Capabilities describe what the platform does. These describe what your program experiences, operationally and over time, when EquiLoop is the infrastructure behind it.
A closed loop, not just a referral
Your existing partners become a governed, tracked workflow. Every referral has a status, an owner, and a path to documented resolution, with escalation at 7, 14, and 30 days.
Every social driver tracked to resolution
Food, housing, transportation, utilities, benefits, and behavioral health move through a workflow instead of sitting as checkbox fields. You can report how many needs were resolved, not just screened.
A network that gets stronger as it grows
Each partner joins with defined routing and response expectations, so adding partners extends reach and resolution speed without the same increase in coordination work.
Reporting built in, not assembled at deadline
Funder-ready exports, role-based dashboards, and equity analytics come from the workflow itself, so the documentation already exists when reporting time comes.
A team that stays for the life of the program
Training for new hires, quarterly outcomes reviews, and help onboarding new partners are part of the engagement, not add-ons after go-live.
An evidence base for your next funding ask
Documented completion rates, time-to-service, and equity reach position a program for renewal and expansion funding, and for grants that require proof of prior performance.
Same-day resolution: from screening to restored water service
A community member in Western Maryland had their water shut off for over a week, creating immediate health risks. Through EquiLoop, a community health worker identified the issue during a routine SDoH screening. The referral was routed to the Department of Social Services and acted on the same day.
Water service was restored by 1 PM. A need that would have gone untracked for days was identified, routed, and documented in hours, because the workflow closed the loop automatically.
See more impact stories →Turn Referrals Into Documented Outcomes
From screening to resolution, EquiLoop gives your team the infrastructure to coordinate care, track outcomes, and report impact, in days, not months.
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