Systems Integration for Whole-Person Care
Turning fragmented care into
measurable results
Remedy & Root helps health systems design and implement the missing operational layer between clinical care and community-based supports — reducing avoidable utilization, improving patient outcomes, and driving ROI.
When coordination depends on the informal relationships of a social worker or navigator, rather than designed systems, patients fall through gaps
— and systems carry the cost.
Health systems are increasingly held accountable for outcomes shaped by what happens outside their walls.
The infrastructure to change that doesn't exist yet in most organizations. Remedy & Root exists to build it — staging systems change to be measurable, practical, and durable.
Most systems aren't lacking resources. They're lacking integration.
THE PROBLEM
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Patients don't complete referrals for critical services and social needs go unaddressed until they become clinical complications.
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Increased ED visits and preventable readmissions are driven by unmanaged needs in which no single system has visibility.
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Clinical staff absorbs duplicative, non-reimbursed coordination work.
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Organizations operating in parallel adjacent to health systems, but never truly integrated into workflows, data, or accountability.
In oncology and more complex conditions, fragmentation of supportive care and social care referrals show up fast and costs more than most systems have measured. It looks like…
THE BOTTOM LINE
Fragmentation isn't just inefficient.
It's expensive.
Unmeasured and unreimbursed work. Millions in avoidable cost. Most of it preventable when the integration infrastructure exists.
Community integration as operational strategy.
Many health care organizations already have community partnerships, referral platforms, and navigation programs in place.
But having partnerships is not the same as having integration.
Too often partnerships exist as disconnected referrals, informal relationships, or siloed programs without shared workflows, accountability, or aligned outcomes.
Remedy & Root helps organizations move beyond "having community partnerships" and towards building partnerships that are operationally effective, sustainable, and measurable.We design and implement a system where clinical care, supportive care, and local social care function as one coordinated, accountable model.
This is not a program — it's infrastructure. Here’s what makes it special:
What We Do
Closed-Loop
Referral Workflows
Even if you don't have the technology yet, we build the connective tissue that ensures referrals are completed and not just sent
Partnership Infrastructure
& Accountable Relationships
With community-based organizations structured into your workflows, your data, and your performance goals
Value-Based
Alignment Integration
Designed against quality metrics and value-based care contracts, so the work you're doing is reimbursable and measurable
Governance
& Accountability
Shared goals, shared metrics, and clear accountability across clinical teams, community partners, and leadership
— so integration sustains itself
Population-Level
Measurement Outcomes
Tracked across cost, utilization, equity, and patient impact
— infrastructure that produces evidence
Advisory &
Acceleration
For organizations needing focused engagement on a specific challenge with rapid diagnostics, strategy roadmaps, partnership design, and executive advisory
A structured, phased approach.
HOW WE DO IT
Remedy & Root’s
Community Integration Blueprint™
The Community Integration Blueprint™ is Remedy & Root’s signature system integration framework helping organizations move from fragmented services to coordinated, whole-person care. By starting upstream and meeting organizations where they are, we streamline systems change, so that it is tangible and reflects how people actually experience the health care system.
The result is a more connected system that improves access, strengthens partnerships, reduces duplication, and delivers more equitable whole-person care.
PHASE 01
8–10 WEEKS
Insight Layer
Where clarity becomes strategy
Map patient needs and system gaps
Surface missing connections and unmanaged risk
Quantify impact on utilization and outcomes
PHASE 02
10–14 WEEK
Design Layer
Where strategy becomes systems
Define integrated workflows across clinical and community
Structure partnerships and accountability
Align to oncology and value-based metrics
PHASE 03
14–20 WEEKS
Implementation Layer
Where systems become reality
Sand up workflows and referral pathways
Align internal teams and external partners
Embed coordination into daily operations
PHASE 04
ONGOING
Optimization Layer
Where results become renewable
Track outcomes across cost, utilization, and patient impact
Identify opportunities for expansion and ROI growth
Additional Services
—— WORKSHOPS & EXECUTIVE SESSIONS
Systems Integration Mapping Workshop
A condensed entry point to Phase 1 (Insight) of the
R&R Community integration Blueprint
A single, 90-minute virtual session that surfaces where your coordination architecture is working and where it is breaking down. Using the Remedy & Root’s Systems Integration Readiness Assessment (SIRA) methodology as the diagnostic lens, we map current-state connections and gaps across your clinical and community systems to identify which integration domains warrant deeper attention.
It produces a current-state integration map and a domain priority summary. You’ll walk away with a documented picture of where clinical and community systems are connecting and where handoffs are failing - specific enough to brief leadership and inform next steps.
This workshop serves as a natural gateway into Phase 01 and is designed for leaders who want a structured starting point before committing to a full R&R Community Integration Blueprint.
—— strategic advisory & speaking
Advisory Retainers, Strategic Facilitation
& Speaking
For organizations navigating complex cross-sector challenges that require sustained strategic thinking, coalition design, and senior-level guidance without a full Blueprint engagement.
AVAILABLE AS
Advisory retainers — ongoing strategic guidance
Coalition design and cross-sector facilitation
Oncology supportive care strategy
Community integration planning
Conference and executive keynote speaking
—— WORKSHOPS & EXECUTIVE SESSIONS
Flagship Workshop:
Building Community Partnerships That Actually Work
Many health systems have community partnerships on paper, but few have operational alignment, shared accountability structures, or closed-loop workflows that make them sustainable and measurable.
This flagship workshop addresses the gaps between having partnerships and having integration - and it gives teams a concrete framework for building coordination that holds.
TOPICS COVERED
Why referrals fail and what to do instead
Capacity and eligibility realities in community organizations
Shared outcomes and accountability structures
Designing closed-loop coordination that works in practice
Reducing duplication and patient drop-off
Please inquire about other topics and formats
—— EXECUTIVE ROUNDTABLES
Whole-Person Care Strategy Roundtable
A structured convening for oncology leaders, supportive care teams, navigation directors, community health leaders, and value-based care executives designed to address shared challenges in integrated care delivery through peer exchange and strategic facilitation.
BUILT FOR
Oncology and supportive care leaders
Navigation program directors
Community health executives
Value-based care and population health teams
Most solutions add more.
We make what you already have work — no new platforms, technology, or staff required.
Why Remedy & Root
We don't stop at recommendations.
OTHERS
Traditional consultants stop at recommendations
Technology platforms depend on tools to fix structural gaps
Navigation programs work within siloes
Generic consultancies with no lived patient experience
We design and stay through implementation
We align what already exists into a coordinated system
We integrate across departments and co-design with patients & community partners
We build from both sides of the system
Remedy & Root
FOUNDED BY
Tracy Steffek, MPA
Tracy’s career has been defined by one consistent focus: building the infrastructure that makes complex systems actually work for the people who depend on them. Her lived experience navigating cancer - twice - is not background. It is the lens through which every engagement is designed.
Nearly two decade career spanning health and human services expertise with national non-profit and public sector leadership in cross-sector systems change.
National Systems Strategist · Double Cancer Survivor · Patient Advocate
MPA, Virginia Tech
B.S. Human Development & Family Studies, Penn State
Executive Education, AI & Digital Health Transformation, Harvard Medical School
Who We Serve
Built for leaders working at the hard intersection.
We specialize in the space where health systems carry financial risk for outcomes shaped by social and non-clinical factors and where community organizations deliver essential care that isn't yet integrated.
Health Systems
Hospital executives, strategy leaders, population health teams, oncology and chronic care programs, maternal health, care management, and value-based care teams
Community Organizations
Social service providers, navigation programs, behavioral health organizations, and advocacy groups delivering essential non-clinical care.
Public Sector & Payers
Medicaid agencies, public health departments, and payer partners working to align policy, payment, and performance with community-rooted solutions
Philanthropy & Cross-Sector Collaboratives
Funders and backbone organizations investing in systems change, equity, and sustainable community health models
Early Improvements within 90 days
Meaningful financial and operational impact within year one — all customized to your system, your community, and measurable from the start.
What To Expect
Within 90 Days
Early Operational Improvements
Increased referral connection and follow-through with initial workflow alignment across clinical & community teams
Within 1 year
Measurable Financial Impact
Reduced avoidable ED visits and readmissions Improved treatment adherence in oncology Better performance in value-based contracts
ONGOING
Early Operational Improvements
Systems that continue to deliver value long after implementation. Scalable across service lines, populations, geographies, and programs.
Integration pays for itself.
Fragmentation is the cost.