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Health Innovations

The health innovations department at the Steele Institute for Health advances population health to improve the well-being of our patients, communities and members of the Geisinger family.

Our approach goes beyond traditional medical care. By integrating human-centered design and innovative screening solutions, we identify risks such as unmet social needs, environmental factors, chronic health conditions and gaps in preventive care. These insights allow us to deliver tailored recommendations, programs and services that address the whole person.

What are health-related social needs?

These are immediate barriers — like access to food, housing and transportation — that can prevent people from getting care and impact health outcomes.

To address these challenges, we’ve implemented an organizational strategy and launched pilot programs in partnership with community-based organizations. Our work includes:

  • Technology-driven screening to identify social needs and underlying risk factors
  • Data dashboards and reporting tools to track trends and measure outcomes
  • Analytics-driven interventions to guide partnerships and scale successful programs
  • Resource expansion to increase capacity for community partners
  • Outcome-focused strategies to reduce social risk factors and improve health 

This crucial work strengthens Geisinger’s role as a health advocate for one and all.

Featured health innovations:

We’re working across sectors to find new, creative ways to address social and environmental factors that impact health.

Screening for social needs

We proactively screen patients and health plan members to identify urgent social needs and underlying risk factors. This data informs population health strategies, highlights trends and guides targeted interventions to improve outcomes.
Connecting care and resources through Neighborly

Neighborly is an online database linking patients, providers and community organizations to thousands of social resources, from food and housing to transportation and employment. 

Visit Neighborly

Community partnerships

Geisinger uses data-driven strategies to expand partnerships in high-need areas, close resource gaps and create scalable solutions that advance health equity and reduce disparities.
Food is health

From connecting people to SNAP benefits and local food resources to bringing mobile food pantries to rural communities, we’re making healthy food easier to access.

One of our most impactful initiatives is the Fresh Food Farmacy®. This program provides prescriptions for free, nutritious food to qualifying patients, along with recipes, nutrition education and ongoing support. 

Transportation assistance

Geisinger helps patients and members enroll in transportation programs, such as the Medical Assistance Transportation Program, and provides support with applications. We also develop solutions to reduce missed appointments and create additional locations that address social needs.

Housing help

Geisinger recognizes the critical link between stable housing and health outcomes. Our statewide housing strategy uses internal dashboards and government data to identify areas of greatest need. We participate in regional housing task forces and coalitions to expand housing support and address utility needs.
Employment support

Geisinger partners with community-based organizations to support workforce development, offering resources like interview coaching, resume building and access to clothing for job interviews. Through Neighborly, people can connect to hundreds of local and statewide workforce programs. We also provide GED support, including personalized advising, online coaching, practice testing and unlimited test attempts — helping patients and members achieve long-term success.
Other social needs

We also address social needs such as utilities, clothing, social connections, childcare, internet access and financial strain through connections and referrals to local resources.
Free2BeMom
Free2BMom™ helps mothers and their newborns thrive and succeed during recovery from opioid use disorder. The program supports women in Columbia, Montour, Northumberland and Luzerne counties who are in recovery during pregnancy and two years after childbirth.
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