CHA News Article

California Accountable Communities for Health Initiative Expands Health System Model

The California Accountable Communities for Health Initiative (CACHI) has announced it has grown to 15 communities throughout California, through two distinct efforts, using the Accountable Communities for Health (ACH) as a new business model. The first group — known as Catalyst Communities and comprised of Imperial, Merced, San Diego, San Joaquin, Santa Clara and Sonoma counties — will build the infrastructure of an ACH and fully implement the model. Over the three-year initiative, these six communities will establish the basic foundation of the ACH, including recruitment of key partners to participate in the collaborative and establishment of a governance structure. The communities are creating action plans defining specific steps to address priority health issues, such as reducing cardiovascular disease, diabetes, asthma, trauma and community violence.

The second group, called Accelerator Communities, is designed to help bring the ACH model to scale in California and includes Fresno, Humboldt, Lake, Los Angeles (Boyle Heights, Long Beach and San Gabriel Valley), Napa, Riverside and Sacramento counties. Each of these nine communities receives support from CACHI to facilitate advancement through the early developmental stages of the model over an 18-month period. 

ACHs seek to bring together community and health care stakeholders to advance a common health goal. The model builds on prior efforts to coordinate and integrate various organizations, programs and services by linking their activities and reinforcing a portfolio of interventions across five key domains – clinical services, community programs and social services, community-clinical linkages, public policy and system change, and environments. CACHI will assess the feasibility, effectiveness and potential value of a more expansive, connected and prevention-oriented health system. 

Established as a public/private partnership between state government and private sector funders, CACHI was developed in response to recommendations from the California State Health Care Innovation Plan  and Let’s Get Healthy Task Force. More information on CACHI is available in a fact sheet. Information about CACHI communities, who is involved with their efforts and the health issues they are addressing is available on the CACHI website.

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