Details NCQA's person-driven outcome measures and how they can be used to improve care for people with complex health and social needs.

Explores the epidemiology and characteristics of homebound older adults, inequities they face, and reimagines care delivery for this population.

Features Housecall Providers, a non-profit medical provider serving Portland, Oregon, offering comprehensive home- and community-based programs that incorporate palliative care services and provide patient-driven, high-touch support wherever patients call home.

Features Karla Silverman, MS, RN, CNM, Associate Director for Complex Care Delivery at the Center for Health Care Strategies, who highlights the need to expand what measures are used to assess the quality of care delivery.

Highlights Cleveland Clinic's Paramedic Telehealth Program that provides urgent and transitional care for home-based primary care patients.