mance measures for psychosocial health care. The demonstration could also examine how various types of personnel can be used to perform specific types of interventions and how those personnel can best be trained.

Recommendation: Support for dissemination and uptake. The National Cancer Institute, the Centers for Medicare & Medicaid Services (CMS), and the Agency for Healthcare Research and Quality (AHRQ) should, individually or collectively, conduct a large-scale demonstration and evaluation of various approaches to the efficient provision of psychosocial health care in accordance with the standard of care. This program should demonstrate how the standard can be implemented in different settings, with different populations, and with varying personnel and organizational arrangements.

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