Who We Serve · FQHCs

Bridging Clinical Care and Community Services for FQHCs

Federally Qualified Health Centers serve the most complex patients — people with intertwined medical and social needs. WellCheck provides the coordination infrastructure that connects clinical encounters to community-based support and proves outcomes to funders.

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What FQHCs need to demonstrate
SDoH screening and referral completion
Coordination between clinical and social services
UDS-aligned reporting and quality measures
Patient engagement and follow-up documentation
Community partner accountability
Value-based care outcome tracking
The FQHC Reality

The gap between the clinical visit and community support

FQHCs identify social needs every day. The challenge is what happens between the screening and the resolution — the coordination, tracking, and follow-up that determines whether patients actually get help.

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Referrals leave the building and disappear

Patients are referred to food banks, housing assistance, or behavioral health services. But there's no system to track whether they connect or receive services.

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UDS reporting requires SDoH data

HRSA increasingly expects SDoH screening data and referral outcomes in UDS reporting. Most FQHCs can screen but can't demonstrate follow-through.

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EHRs don't track community referrals

EHR systems document the clinical encounter. But the referral to a community partner, the follow-up, and the outcome live outside that system.

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Value-based care needs outcome evidence

As FQHCs move toward value-based contracts, payers want evidence that social needs are being addressed — not just identified.

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Care teams are stretched thin

CHWs, navigators, and care coordinators manage dozens of patients across multiple needs. Manual tracking adds burden instead of reducing it.

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Equity outcomes are hard to document

Demonstrating that services are reaching the most underserved populations requires demographic-level analytics most FQHCs don't have.

How WellCheck Supports FQHCs

The coordination layer between your EHR and the community

WellCheck doesn't replace your clinical systems. We fill the gap they leave — tracking referrals from the clinical encounter through community-based resolution.

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SDoH Screening + Needs Capture

Digital, multilingual screening workflows that capture social needs across food, housing, transportation, behavioral health, and utilities — integrated into your patient flow.

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Closed-Loop Community Referrals

Route referrals to CBOs, social services, and community partners with full status tracking. Every referral has a documented outcome.

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Patient Follow-Up + Engagement

Automated follow-up via SMS and email in the patient's preferred language. Escalation triggers ensure no referral ages without action.

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Outcomes Dashboards + UDS Support

Referral completion rates, time-to-service, barrier patterns, and equity analytics. Exportable data that supports UDS and quality measure reporting.

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EHR-Adjacent Integration

Works alongside your EHR without requiring deep integration. Supports data exchange for organizations ready to connect systems.

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HIPAA-Compliant + BAA-Ready

256-bit AES encryption, SOC 2 Type II hosting, role-based access controls, and audit logging. Built for protected health information.

11,129
Individuals Screened
Single client deployment
92.3%
Referral Completion Rate
Single client deployment
22,274
Services Delivered
Single client deployment
How We Work With FQHCs

From assessment to deployed infrastructure

We work alongside your clinical and operational teams to deploy referral infrastructure that fits your existing workflows.

01

Workflow Assessment

We map your current referral process, identify gaps, and determine where EquiLoop fits alongside your EHR and care coordination workflows.

02

Configure + Deploy

Screening tools, partner directory, referral workflows, and dashboards configured for your patient population and partner network. Pilot in 30 days.

03

Scale + Report

Expand across departments and service lines. Ongoing reporting packs aligned to UDS, quality measures, and payer requirements.

Ready to Bridge Clinical Care and Community Services?

WellCheck helps FQHCs turn SDoH screenings into completed referrals and demonstrate measurable outcomes to HRSA, payers, and your community.

Schedule a Demo → Explore EquiLoop

WellCheck is a public health technology company that builds closed-loop referral infrastructure for community health programs. Our EquiLoop™ platform tracks every need from SDoH screening through documented resolution — giving frontline teams, funders, and program managers the accountability and reporting they need to prove impact.

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