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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.
Social Needs Screening and Referral Resources | Care Transformation Framework: Clinical Settings
Social Needs Screening and Referral
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.
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.