Communication Pathways Category

Communication Pathways
This session focused on how to optimize communication in the health related social need (HRSN) screening and discharge process using the TEAMS STEPPS framework. Participants learned how to prevent communication breakdowns, integrate Community Health Integration (CHI) and Principal Illness Navigation services, and improve referral workflows. The featured case study highlighted how a hospital and community based organization (CBO) network streamlined communication for better service delivery post-discharge.
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This session focused on how to optimize communication in the health related social need (HRSN) screening and discharge process using the TEAMS STEPPS framework. Participants learned how to prevent communication breakdowns, integrate Community Health Integration (CHI) and Principal Illness Navigation services, and improve referral workflows. The featured case study highlighted how a hospital and community based organization (CBO) network streamlined communication for better service delivery post-discharge.

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To contact the ACL/Technical Assistance team, please email: CareTransitions@acl.hhs.gov

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