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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.
Alternate Care Sites Resources | Care Transformation Framework: Community Settings
Innovative health care organizations are designing services to meet people where they are — in community settings such as the home, community-based clinics, schools, retail clinics, etc. This encompasses post-acute, specialty, ambulatory and primary care.
Telehealth Resources | Care Transformation Framework: Community Settings
Telehealth programs expand access to care so that people can conveniently receive medical advice and treatment no matter where they are located.
Integrated Behavioral Health Resources | Care Transformation Framework: Clinical Settings
Mental and physical health are intertwined. Having mental health professionals on the care team leads to better, more holistic care for patients.
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.
Social Needs Screening and Referral Resources | Care Transformation Framework: Clinical Settings
Social Needs Screening and Referral
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.
Policies and Procedures Resources | Care Transformation Framework: Operational Infrastructure
Underlying all these operational components, health care organizations have policies and procedures in place to advance their mission as they decide where to devote their financial and staff resources.
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.