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7 Recommendations
Pages 163-172

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From page 163...
... Better integration of health care and social care services will involve establishing the most effective and efficient roles for the health care sector to play in this area. Working from both evidence and experience, the committee recognized that enabling the health care sector to engage in activities that account for social risks and strengthen social care and community resources will require new approaches to system design, including relationships between the health and social service sectors; staffing; information and technology systems; financing; and research.
From page 164...
... For each goal, the committee makes actionable recommendations to provide guidance on how to achieve the goal. The goals are aimed at several audiences, including health care and social care workers, health care delivery organizations, health plans, federal and state governmental bodies, educational institutions, professional associations, foundations, and researchers.
From page 165...
... Goal 2. Build a workforce to integrate social care into health care delivery.
From page 166...
... Curricula should include evidence on the social determinants of health, protocols for working in interprofessional teams to address social needs in health care settings, interpersonal and organizational approaches to advancing health equity and decreasing health disparities, and competencies relating to collecting, securing, and using data and technology to facilitate social and health care integration. Schools of health professions should also engage social workers in instructional roles in order to model their participation in interprofessional teams and to provide information on social risk screening and social care resources and referrals.
From page 167...
... Recommendation 3a. The federal government should establish a 21st-­ century social care digital infrastructure on a scale similar to that described in the Health Information and Technology for Economic and Clinical Health Act of 2009,2 and it should identify and deploy policies and resources to build the internal capacity necessary for social care organizations and consumers to interoperate and interact with each other and the health care system.
From page 168...
... State Medicaid agencies should use the flexibility described by the U.S. Centers for Medicare & Medicaid Services in the social care that Medicaid pays for as a covered service and make the opportunities and limitations associated with that flexibility clear to health plans and health care and social care service providers.
From page 169...
... The U.S. Department of Health and Human Services, payers, and other private organizations, such as foundations and institutions with community-benefit obligations, should provide funding and technical assistance to support formal contractual relationships between community-based organizations and health care entities.
From page 170...
... • CMS should fully finance (without state contributions) indepen dent state waiver evaluations to ensure robust evaluation of social care and health care integration pilot programs and to facilitate the dissemination of findings.
From page 171...
... The Centers for Medicare & Medicaid Services, the U.S. Department of Health and Human Services, state Medicaid agencies, the National Quality Forum, and the National Committee for Quality Assurance should establish mechanisms that ensure that research on effective demonstrations informs more permanent health care reforms, including the development of accountability measures and payment models.


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