b'Despite the remarkable commitment and mission-driven efforts of many primary care physicians, there is reason to believe that this problem will persist. A study of the physician workforce 9published in 2020 by Human Resources for Health indicated that, Only in the most optimistic supply and demand scenarios would the nation have an adequate supply [of primary care physicians] to meet demand in the year 2020. Transformative solutions are in order.Other Vantage PointsThere are many other groups and constituencies within the health care system that are seeking solutions in this regard. None have as strong a claim to being able to solve these challenges as the groups mentioned above. But they are worth acknowledging:Social workers. Social workers and case management professionals play a crucial role in addressing socialdeterminants of health. They are important partners when it comes to addressing substance abuse, mental and developmental disabilities, and other challenging instances of longitudinal care. Yet these professionals only haveresponsibility for certain patient segments, usually those assigned to their care, and have more limited visibility into, and accountability for other aspects of the health care system. Health care consultants. The health care industry is full of knowledgeable, experienced professionals thatapply their skills to chronic challenges. Yet, consultants have a secondary and supporting role versus thosewho must deal with challenges directly. There is no substitute for the insights gained by having primary clinicaland operational accountability for patient care.Technologies. New technology, especially telemedicine, will play a crucial role in the health care delivery and coordination of the future. As new investments pour into the health care system, technology that enables Hospitalat Home programs, real-time care coordination, and monitoring and tracking, among others, will be vital tools.Yet this technology must ultimately support the cognitive work and clinical judgements of clinicians and will notsoon replace significant segments of that work.3.Identifying & Understanding the Care GapA crucial advantage of the unique perspective offered by theemergency department is its ability to analyze, identify, andultimately manage crucial gaps in care.For many physicians, the course of care after discharge has not beena particular focus. This has changed over time, with the advent ofepisode-based models like BPCI for hospital medicine and CJR fororthopedics, and with other pressures, such as hospital-basedpenalties for all-cause readmissions. Continued pressure on betteroutcomes and cost efficiencies will require broader engagementand even more change.Perhaps the biggest opportunity for change lies within a criticalCare Gap.Together, we healTogether, we heal 485Together, we heal SCP HEALTHIFROM INSIGHTS TO INTERVENTIONS'