Sharing Social Needs Screening Data

Through the Community Resource Information Exchange

The Community Resource Information Exchange (CoRIE) initiative aims to prioritize the collection, exchange, and use social needs data to reduce barriers and improve whole-person care in the District. Addressing social needs relies on screening patients to identify social risks, assisting them as appropriate, and tracking efforts that meet their needs.

CRISP DC and DHCF have partnered with District stakeholders to bolster these activities by encouraging the use of standardized screenings, capturing identified social needs, and enhancing intervention efforts. These initiatives aim to optimize person-centered care by improving data sharing among organizations and aligns with the district’s priority areas in collecting and making effective use of social needs as part of the District 5-year roadmap to address current and future digital health needs.

The CoRIE social needs screening component enables health, human, and social service organizations to share and view screening information in the DC HIE.

  • Export social needs screening questions and answers from the Electronic Health Records (EHR) to display in the CRISP Assessments subtab
  • Sign a FindHelp network agreement addendum to authorize sharing your organization’s third-party screening data for display in the CRISP Assessments subtab
  • Enter screening data through the CRISP Direct Entry Screening Tool using a questionnaire of your choice, available via the web-based CRISP DC Portal
  • Assign and send Z-codes that identify social needs for display in the CRISP Conditions subtab
  • View patient’s screening data captured from the EHR, CRISP Direct Entry Screening Tool, or third-party social needs platforms, such as FindHelp, through the CRISP DC Assessments and Conditions subtab made available in the web-based CRISP DC Portal and InContext App

By sharing social needs screening information with CRISP, your organization’s data contribution can support effective clinical decision making by:

  • Break down silos by automatic sharing of the patient’s social needs information with other members of a patient’s care team
  • Facilitate communication across providers to reduce duplication of screening, avoid unnecessary patient distress by re-asking sensitive questions, and share detailed information at the point of care for high quality care planning
  • Enhance awareness of social needs by utilizing pre-populated social needs questions and responses at the point of care, organized chronologically and by social domain (i.e. transportation, housing, food)

If you’re interested in improving care coordination for your patients by using any of the four social needs screening data sharing pathways, please contact Aida Semere, CRISP DC Project Manager, at

If you would like to contact our dedicated support desk for assistance with a referral related IT issue, please email or call (833) 580-4646.


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