Figure 3.

A framework to integrate clinical and community care for CPS

Note: Funders, payers, and purchasers are tasked with financing the infrastructure needed for integration and preventive care. National and state leadership are empowered with the authority, resources, and responsibility to foster integrations across regions. Local leaders are the regional organizations that step forward to oversee and support local tailoring, integration activities, and CPS delivery. Community is the setting where individuals live, work, and play and where the stakeholders who serve them are located. Community organizations are care providers that deliver the community elements of the clinical–community integration. Clinicians are care providers that deliver the clinical elements of the clinical–community integration. Spanning personnel are staff who specialize in helping people traverse the clinical and community settings to obtain CPS. Spanning support (which includes policies, delivery system design, information systems, decision support, and management support) are essential ingredients to support integrations at all three levels depicted in the diagram.

CPS, clinical preventive services