Our Mission

Transforming community health through partnership

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Our Vision: United Leaders for Health

The California Accountable Communities for Health Initiative (CACHI) was established to lead efforts to modernize our health system and build a healthier California. We aim to transform the health of entire communities, not just individual patients. By bringing together our most valuable community institutions – hospitals, public health, schools, public safety agencies, parks, and local businesses – along with local residents, we can create a new vision for our health system. Our vision is for a health system that is capable of fundamentally changing health outcomes by aligning interventions for maximum impact, promoting prevention, and organizing resources to focus on the most effective strategies. Through this effort, we can move closer to making health equity among all community members a reality in California.

To realize this vision, CACHI is utilizing a new model known as the Accountable Communities for Health (ACH). This model requires us to confront outdated, conventional wisdom that doctors and hospitals alone can improve community health outcomes. We cannot continue to place most of the responsibility on clinicians to keep us well. Building healthy communities is possible when different sectors work toward a common cause —a symphony for a healthier California. However, these sectors, and the various services and programs they provide, often work in isolation of one another—operating as solo musicians, who play their own songs. The ACH seeks to transform these solo players into a highly functioning orchestra.


What makes the ACH unique?

· Infrastructure & Funding

The ACH provides a formal and structured vehicle for continuous and fruitful partnerships.

· Wellness Fund

A key component of the ACH is the creation of a “Wellness Fund,” which is designed to attract and weave funding and resources to support the long-term sustainability of the ACH. The Wellness Fund will also enable the ACH to align and target funding to fill gaps identified in the “network of solutions.”

· Collective Action

The ACH sets a table that enables organizations and people across multiple sectors to work together in creating a “network of solutions.” These solutions are designed to connect and reinforce each other for greater impact than any single program or intervention could achieve alone.

· Community Engagement

CACHI emphasizes and promotes the participation and inclusion of everyday residents in all aspects of the ACH, so they are actively shaping this new business model for health and, ultimately, determining the health of their communities.

· Prevention

The ACH recognizes the role of factors outside of the health care system that contribute to ill health and seeks to ensure that approaches that can prevent the development of disease, injury and disability are integrated into the network of solutions.