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Social Needs Screening and Referral Resources | Care Transformation Framework: Clinical Settings
Social Needs Screening and Referral
Patient and Community Engagement | Care Transformation Framework: Linking Care to Community
Through formal and informal processes (e.g., community health needs assessments, patient and family advisory councils, community-based programs, partnerships) hospitals receive guidance on how they can better connect with individuals of all backgrounds.
Safe and High Quality Resources | Care Transformation Framework: Foundational Principles
Safe and High Quality<
Technology-enabled Care Resources | Care Transformation Framework: Clinical Settings:
Technological advances are applied to care delivery to improve patient care and ensure that patients receive the right care at the right time.
Leadership and Governance Resources | Care Transformation Framework: Operational Infrastructure
By fostering a strong organizational culture and building interdisciplinary care teams, hospitals can enable their team members to meet their mission and prevent burnout.
Accessible and Affordable Resources | Care Transformation Framework: Foundational Principles
Hospitals are working to make care more affordable and are enabling patients to access care where and when they need it.
Team-based Care Resources | Care Transformation Framework: Clinical Settings
Developing a culture and structure for interdisciplinary team-based care enables health care professionals to coordinate physical, mental and social care for their patients, especially for those with complex care needs.
Person-centered Resources | Care Transformation Framework: Foundational Principles
Every person’s circumstance is unique, and the care they receive reflects that. Health care is designed around the needs and assets of each patient, including their medical, behavioral and social needs.
Care Navigation | Care Transformation Framework: Linking Care to Community
Care navigators can help facilitate transitions as patients — particularly those with chronic or complex diseases — move from the acute care to home setting while remaining connected to needed outpatient services.
Coordinated Resources | Care Transformation Framework: Foundational Principles
Partnerships across health care professions, industries and sectors allow hospitals to foster an environment that is conducive to improving health. Community stakeholders and patients are key partners in codesigning new care delivery models.