“Traditionally, the only way hospitals interacted with patients is when they became sick,” says Dr. Ram Raju, senior vice president and the community health investment officer at Northwell Health in New York. “We’re looking at how we move from sick care to a total health system where we look at health holistically, from social and spiritual needs to financial and educational needsorthwell Health works to improve the health outcomes of people in its most vulnerable communities, coordinating efforts with community organizations, nonprofit groups and public-private partners. The organization created a 15-question social risk assessment and scoring index that enables hospital staff to assign patients to needed services quickly. In addition, Northwell Health connects patients to community-based resources seamlessly through a shared computer network.