An emerging and innovative health system

California joins an emerging movement of states and communities throughout the nation that are adopting the ACH model.

Think national, act local

15 communities across the state have embraced the promise of Accountable Communities for Health and are actively engaged in efforts to make the ACH a reality. Local communities are creating enduring health infrastructures that can respond to community needs for years to come. CACHI is supporting each of these sites, and will advocate for health policies that advance their efforts. And CACHI will share what we're learning in California and throughout the country to help others successfully implement ACH’s in their own region.

6 Catalyst Communities

Catalyst Communities are building the infrastructure of an ACH and fully implementing 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; they are addressing priority health issues, such as reducing cardiovascular disease, asthma and community violence and trauma. These six sites receive administrative support from Community Partners.

Imperial County

Improving asthma outcomes for children and families.


Merced County

Preventing and improving outcomes for cardiovascular disease, diabetes, and associated depression.

Cardiovascular disease, diabetes, depression

San Diego County

Creating a heart attack and stroke free zone through a “dual-approach” that combines county-wide efforts and prioritizes communities of focus.

Cardiovascular disease

San Joaquin County

Helping children and adults in South Stockton thrive and live free of trauma.


Santa Clara County

Preventing violence and trauma that affects youth, families and the community in East San Jose.

Violence & trauma

Sonoma County

Addressing the leading cause of death in the county through resident engagement and sustainable financing.

Cardiovascular disease

9 Accelerator Communities

Accelerator Communities are designed to help bring the ACH to scale in California. Each of these communities are committed to the fundamental values and goals of the ACH, and receive support by CACHI to facilitate advancement through the early developmental stages of the model over the next 18 months. These nine sites receive administrative support from the Public Health Institute.

Boyle Heights

Striving for health equity and improved health outcomes for our most vulnerable residents through deepened clinical-community connections.

Fresno County

Implementing policies, systems and environments to produce measurable improvements in health.

Humboldt County

Addressing alcohol and other drug use disorders to cultivate a safer, healthier and more socially connected community.

Alcohol and Drug Use

Lake County

Leading a joint effort, and leveraging their resources and influence, to improve the overall health and wellness of Lake County.

Long Beach

Creating a city where all children have the opportunity to thrive.

Napa County

Striving to eliminate health inequities through a public-private partnership.

Food Insecurity

Riverside County

Integrating a network of community and clinical resources to prevent and control the most pressing health issues, beginning with obesity

Diabetes and Obesity

Sacramento County

Convening a multi-sector alliance of health, local government and community partners to promote healthy lives and happy hearts.

Cardiovascular Disease

San Gabriel Valley

Creating a healthy, safe and resilient San Gabriel Valley.