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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.
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.
Safe and High Quality Resources | Care Transformation Framework: Foundational Principles
Safe and High Quality<
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.
Community-based Partnership Resources | Care Transformation Framework: Community Settings
Hospitals are adopting strategies to address societal factors at the community level that impact swaths of the patient population. While health care alone cannot change community circumstances, hospital partnerships with multisector community stakeholders can influence community ecosystems to provide an environment in which all community members can thrive.
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.
Provider Partnerships | Care Transformation Framework: Linking Care to Community
By fostering partnerships across providers as part of a clinically integrated network, health care organizations can better facilitate coordinated care for their patients.
Primary Care Transformation | Care Transformation Framework: Linking Care to Community
Health systems are transforming primary care to provide holistic care that closes care gaps while prioritizing prevention and managing complex health and social needs across the continuum of care in alignment with new payment models.