Specifications include, but are not limited to: implement an internet based county-wide resource and referral management tool that can be used by Howard County Health Department agency staff, community partners, and community members to bridge client-centered deficiencies in social determinants of health. The tool will reliably assess social needs with a validated risk-stratification survey and then strategically and efficiently identify available community resources for customized client needs, facilitate instantaneous client linkages with pertinent client-specific interview data to community partners, track the referral between community agencies, and provide population data analytics regarding the success of community referrals.