Four domains.
Weighted by evidence.
Weights derive from the relative strength of each domain as a predictor of all-cause hospitalization and mortality in the published literature.
Function > diagnosis.
Anchored in Life's Essential 8.
A sedentary "healthy" person scores lower than an active 75-year-old with diabetes who walks 2 miles a day. We measure what predicts hospitalization — function, fitness, and recovery — not just disease labels.
Mood. Anxiety. Sleep. Cognition.
The signals that drift first.
Mental health drift precedes most chronic-disease decompensation. We screen every quarter using validated instruments — and escalate to our LCSW/LPC clinicians at threshold.
Gold-standard 9-item self-report. Triggers escalation at ≥10.
Generalized anxiety screen. Tracks severity longitudinally.
Insomnia Severity Index. More sensitive than simple sleep questions.
Montreal Cognitive Assessment. Mini-Cog for fast triage.
Loneliness
is a vital sign.
Social isolation predicts hospitalization, dementia, depression, and all-cause mortality at strengths comparable to smoking and obesity. Most healthcare systems don't track it. We do.
Increased mortality risk associated with social isolation (Holt-Lunstad et al., meta-analysis).
Meaning is medicine.
Optional. Non-denominational. Resilience-focused.
We measure what predicts coping and recovery: sense of purpose, resilience, alignment with values, and existential distress. Clients can opt out — the score re-weights automatically.
PROMIS Meaning & Purpose Short Form.
Brief Resilience Scale (6 items).
Daily-life congruence with values.
Existential well-being subscale.
Change matters
more than level.
A static 82 is interesting. A 90 falling to 82 over six months is an emergency. Every visit produces a delta — and we surface declining trajectories before the absolute score crosses a threshold.
Five data streams.
One record.
Built on what's already proven.
We don't invent instruments. We assemble the best validated ones into a single longitudinal record.