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About: Evolving to value based care, which strikes a balance between ensuring quality and maintaining profitability, is becoming a compelling strategic imperative. Making efficient and effective connections from the physician’s office to the hospital stay and then the return home is critical to driving value based care through optimization across the continuum. This whitepaper provides practical guidance to maximize each patient touch-point and minimize costly inefficiencies. Essential components for optimizing care include: defining outcomes for each patient or patient population, orchestrating processes to ensure quality and financial outcomes are met, integrating the team’s efforts to manage care and proactive planning to progress patient care across the continuum.