Resources

Features CACHI Director Barbara Masters and West Sacramento ACH leader Debra Oto-Kent in a conversation about their work with Accountable Communities for Health.

Created at the CACHI 2022 convening to capture the themes and ideas discussed at the meeting

Provides an overview of CACHI and an Accountable Community for Health in Spanish

In this overview video, learn how ACH's advance equity and community health in 13 communities across California.

Provides an overview about CACHI and Accountable Communities for Health

Provides guidance and resources to assist small cities and rural communities in developing multi-sector approaches to help all individuals to live long, healthy lives.

Offers an 11-module curriculum to help communities build and strengthen multi-sector collaboratives and Accountable Communities for Health

Provides a step-by-step guide to emulating Rhode Island's initiative to create health equity zones throughout the state.

Describes key lessons from examining ACHs across the country and makes recommendations about incorporating multi-sector partnerships, especially to advance equity.

Provides a guiding framework for the things that all people and places need in order to thrive, built around vital conditions.

Provides practical communications tools and resources to better communicate with the public about public health

Describes the elements of an ACH for Children and Families, an emerging model for improving childrens health.

Describes the ACH model with a focus on its central operating principle--collective accountability--as both a driver and an indicator of permanent systems change.

Describes findings from 19 communities efforts to create systems changes and improve health outcomes

Provides links, tools and data sources for community health improvement efforts

Provides an overview of the California Accountable Communities for Health Initiative

Analysis of California’s state budget finds that health care spending has skyrocketed, leaving fewer dollars to fund programs that prevent illness at the community level

Provides a vision and definition for a transformed health system to support community health and advance equity and compares and contrasts it with the current system

Provides tools to improve communications about the social determinants of health to help health care, public health and human services leaders find common ground.

Provides a policy compendium highlighting a promising set of federal, state and (occasionally) local policies to achieve health system transformation goals

National effort to advance holistic, value-based, person-centered health care that can successfully impact the social determinants of health.

Profiles and outlines key factors behind the success of California’s HiAP approach, and highlights several policy achievements

Explores a variety of state-level multi-sector actions for addressing the social, economic, and environmental factors that impact health

Describes commonalities of multi-stakeholder collaboratives regarding their structure, initial successes, barriers and best practices

Describes how a BUILD grantee reduced pediatric asthma through home improvements and education.

Provides an overview of social determinants of health as well as emerging federal and state initiatives to address them.

Shares information about Accountable Health initiatives supported by various public and private funders.

Review of the literature that describes the fundamentals of ACHs including common characteristics, major challenges, and variations in stakeholder engagement.

Describes core elements of an accountable community for health for children and families.

A partnership between Nemours and the UCLA Center for Healthier Children, MHCU provides case studies and resources regarding innovations to improve community health

ReThink Health conducts research, develops tools and new approaches to help cross-sector teams tackle regional health and healthcare redesign

A scan of 17 multi-sector community health efforts across the country.

Describes the experience of a learning lab of 10 ACHs in Vermont

Review of state efforts to develop and test ACH models within the federal SIM initiative

Provides an overview of whole person care pilots and examples of projects in California safety net systems.

Profiles four states implementing ACHs

Outlines the ACH model as it is emerging in California and provides examples of relevant collaborations throughout the country

Describes critical elements of an Accountable Community for Health and goals of the Initiative

Provides lessons from states implementing population health improvement approaches under State Innovation Model grants

Summarizes various various, distinct funding opportunities available to help communities and providers transition to Cal AIM.

Provides an overview of the various roles the ACH plays as a cross-sector collaborative in catalyzing community change and health equity.

Provides information in support of the Commentary authored by five leading health foundations calling for investment in Recovery and Equity Councils

Cal Matters Commentary by 5 CACHI funders that describes how federal state & local COVID relief funds could catalyze creation of ACH-like Equity and Resiliency Councils

Provides policy recommendations to the federal government for improving health and equity.

Provides a comprehensive inventory and roadmap for advancing anti-racism policies & creating community-level conditions that support health and opportunity for everyone

Proposes a new federal program of Response and Resilience Accountability Councils, modeled on ACHs, to support communities hardest hit by the pandemic.

Describes how ACHs can support Cal AIM by providing the mechanism to build partnerships, coordinate services, engage community, and incorporate a prevention lens.

In this Capitol Briefing, hosted by CACHI & GWU's Funders Forum on Accountable Health, experts take a deep dive into how ACHs are improving community health.

Provides introduction to CACHI as well as national and Washington State perspectives on the Accountable Community for Health model

Provides evidence of success for the ACH model from California and other states.

Provides session videos and resources from a September 2022 convening "Operationalizing Equity-Promoting Policies to improve the Social Determinants of Health"

Provides a framework that can be used as both a planning and an assessment tool for all types of collaborative work.

Charts a pathway to strengthen and transform our local democracies.

Opening commentary of a three-part series that examines the relationship between health and power building.

Drawn from a longer report, offers the 3 questions to center equity in community health partnerships, with considerations specific to public health agencies.

Highlights learnings from RWJF initiative "Lead Local: Community Driven Change and the Power of Collective Action

Reflects on the last 10 years of collective impact and identifies the importance of centering equity for collective impact to succeed.

Helps health care organizations to increase the primary care improvement efforts that center racial equity.

Provides a framework for how government recipients of American Rescue Plan Act, and potentially other initiatives, can be held accountable for addressing equity.

Provides a framework for assessing the role of partnerships between community-based organizations and healthcare in contributing to equitable health outcomes

Provides a range of comprehensive strategies to address the fundamental drivers of health inequities

Recommends six key strategies for how payment and delivery system reforms can advance and achieve greater health equity.

Proposes a new health equity assessment framework for ACHs that highlights the main pathways and opportunities to address health equity.

Provides case studies, resources and tools related to the principles of equity and justice.

Explores the potential of ACHs to address the social determinants of health and suggests a measurement framework to assist ACHs in pursuing a pathway to health equity.

Outlines a six-part strategic approach geared to address all levels of institutional change to advance racial equity.

Highlights the value of ensuring the involvement of those with lived experience in policy and systems change in multi-sector collaboratives.

Examines the underlying socioeconomic factors that have a significant influence on health & well-being, and provides ways to address them through collaboration.

Describes various screening tools used for assessing the social needs of patients.

Step-by-step guide to uncovering root causes of health inequities and a tool to help track progress

Provides a planning guide and curriculum for implementing a resident engagement strategy

Lays out a conceptual framework to organize delivery system and payment reform with health equity, and provides a menu of policy options for reducing health inequities.

Describes the way in which community leaders & community champions formed partnerships with one another as part of 100Million Healthier Lives (report links to Toolkit)

Classifies best practices according to three key outcomes: resident awareness and participation, feedback and input, and active resident leadership.

Findings from Truth, Racial Healing & Transformation effort including policy recommendations that can help achieve health equity.

Supports nonprofit hospitals, health systems, and other stakeholders to translate data from Community Benefit Insight into better community investments.

Issued by the National Quality Forum (NQF), the roadmap guides healthcare providers and payers to use quality performance measures to eliminate healthcare disparities.

Offers a set of strategic practices, including case studies, that health departments can apply to more meaningfully and comprehensively advance health equity.

Provides strategies for incorporating an equity lens into planning processes.

Offers tools, information, case studies and other resources to help non profits develop and improve core competencies on community engagement

Provides a framework, definition and principles of health equity

Provides comprehensive data about the extent of disparities in California and a roadmap for how to achieve health and mental health equity.

Provides a collection of mapping tools for community development and health that can help demonstrate disparities and need, provide baseline data, document trends, etc.

Describes the five potential Drivers of Health measures — food insecurity, housing instability, transportation, utility needs, and interpersonal safety — for Medicare.

Provides guidance guide institutions away from systems that perpetuate harmful practices and towards anti-racist systems that empower communities.

Offers five Guiding Principles to inform measurement that effectively aligns systems’ actions with the needs and priorities of the communities to address inequities

Provides a reference guide to hep organizations identify, select, and track data indicators related to equitable health outcomes for young children and their families

Provides guidance on how to address ACH-related data issues, emphasizing connections between outcomes & interventions, and the data needed to track progress.

Provides a "community intelligence platform" and other resources that enable local governments to identify and utilize data for decision-making

Provides a wealth of child-related data, particular as they relate to advancing equity

Summarizes best practices and data sharing bright spots to assist communities in navigating data partnerships with a focus on child-serving sectors.

Offers a set of common measures to assess and improve population and community health and well-being across sectors.

Provides an online collection of 100+ papers, toolkits, and other resources on privacy and other legal issues related to data sharing

Supports a broad audience of health officials, community organizations, and data managers in developing a modern information infrastructure to provide actionable data

Identifies the five most common data challenges from the BUILD cohort, as well as reflections and solutions from the practitioners involved.

The Index, along with an interactive map, provides overall scores and data on specific areas that shape health, like housing, transportation, and education.

Provides several use cases to demonstrate how a public health agency can use electronic health data to address a public health challenge and overcome legal barriers

A nationwide learning collaborative that helps communities build capacity to address the social determinants of health through multi-sector data sharing collaborations

Tracks process on indicators aligned with six overarching goals, based on the Triple Aim, in support of a shared vision for health.

A 10-item screening tool, developed by the federal CMS, to enable clinicians to identify patient needs that can be addressed through community and social services.

Data that help communities assess how health is influenced by where people live

Explores strategies that states are using to capture SDOH information on Medicaid beneficiaries

Commissioned by the State Health and Human Services Agency, tool kit provides resources to help communities assess and engage in data-sharing across sectors.

Identifies a set of core measures to enhance the understanding and focus on better health and well-being for Americans.

Idenfies priority social and behavioral data that can be incorporated into patient electronic health records

Evaluation of three Community-Centered Health projects that focused on shifts in health care practices to look beyond the walls of health care facilities.

Highlights reflections from ACHs on the benefits and challenges of developing an ACH and what difference they believe ACHs make in their communities.

Identifies four dimensions of value related to cross-sector collaboration: intrinsic benefits, community engagement, outcomes, & sustainable system-level change.

Summarizes findings from a study on six ACHs operating in CA and WA, focusing on the role of local context and power dynamics on efforts to improve equity.

Describes progress in establishing ACHs in sites across California, highlighting the value ACHs bring to communities.

One-page summary of how ACHs are creating value and equity by catalyzing alignment, leveling the playing field and establishing collective accountability.

Provides examples, including two CACHI sites, and a simplified set of valuation tools that multi-sector collaboratives can use to convey the value of their activity.

Describes how ACHs are creating value for their communities, using case studies from Washington, Oregon and California.

Summarizes key observations about the ACH model and provides policy implications for sustaining and scaling the ACH model and similar collaborative efforts.

Summarizes evaluation findings of CACHI covering the original six ACH communities and the first three years.

Presents evaluation findings of the federal Accountable Health Communities (AHC) Model, launched in 2017, that screens and connects beneficiaries to community resources.

Describes how ACHs are helping their communities respond to the COVID-19 pandemic and the five key roles that they are playing

Funders Forum on Accountable Health interviewed leaders in ten communities, including Imperial and Stockton, CA, to better understand their progress & challenges.

Provides learnings from the Ripple Foundation/ReThink Health Ventures Initiative, which worked with six multisector partnerships working to transform health.

Provides findings and lessons learned from Washington State's experience implementing ACHs.

Provides findings from evaluation of the Parks After Dark program, including savings to the county as well as health and social outcomes for youth and young adults.

Provides a mechanism for a multi-sector collaborative to assess its readiness along seven core elements

The Trust Fund supported nine grantee partnerships over four years, with documented improvements.

Using 16 years of data, the study finds that supporting multisector health activities may help close geographic and socioeconomic disparities in population health

Commissioned by California Health and Human Services Agency, the report provides an evaluation framework for ACHs

Provides early evaluation findings of the first year of Washington state's ACH initiative

This report shares insights from state public health and Medicaid policymakers to help federal & state leaders think strategically about how to blend and braid funds.

Provides a set of online resources, practical tools and information regarding how to develop a local wellness fund, a key element of an ACH.

Describes how a pooled fund could help support collaborative investment in the social determinants of health

Provides easy-to-digest key concepts and a practical structure to guide sustainability planning for ACHs and other collaboratives

Identifies 10 promising innovative community investment strategies for Southern California.

Health Affairs article describing the importance of funding backbone functions of an ACH

Provides findings from a legal and policy review of funding streams that could help support the backbone function & infrastructure of an Accountable Community for Health

Provides an overview of key elements of a Wellness Fund as well as three examples from around the country

Provides detailed information about MHSA funding and how CACHI communities can access those resources in support of their goals.

Determines the ROI of health-related social needs to help CBOs and their health system partners plan sustainable financial arrangements for high need patients

Shares early lessons and recommendations for establishing locally-governed Wellness Funds to support multi-sector collaboratives and prevention.

Describes results of an initiative in which seven sites pursued a pooled community wellness fund to address primary prevention of chronic conditions.

Offers modules with practical, user-friendly tools to answer common financing questions and develop action plans for moving beyond the grant.

Provides a wealth of resources regarding how to bring various funding streams together through the use of two mechanisms: braiding and blending.

Proposes how a properly governed, collaborative approach to financing could enable health stakeholders to earn a financial return on their social determinants investments

Describes six prominent or emerging forms of impact investments that may be applicable financing approaches for an Accountable Communities for Health

Explores opportunities for Medi-Cal to support community health initiatives such as CACHI and how managed care plans can align resources and partner more effectively

Describes various methods for valuing the tangible and intangible benefits of an Accountable Community for Health

Provides step-by-step guidance for how to develop a business case for investing in the social determinants of health, along with specific examples.

Recommends a new approach for updating the current rate-setting methodology to advance Medi-Cal’s goals of improving health outcomes and promoting efficient resource use.

Provides practical advice for state Medicaid agencies and managed care organizations interested in implementing SDOH strategies within managed care.

Explores practical strategies that states can deploy to support Medicaid managed care plans and their network providers in addressing social issues.

Outlines a potential model, call the Healthy Community Funding Hub, to help coordinate and sustain funding for community health improvement.

Explores the business motivation for investing in community health, the processes involved, and the challenges stakeholders faced when pursuing these initiatives.

Provides and categorizes a wide array of funding options by the sources and the process by which the money is acquired.

Proceedings of a workshop convened by the Roundtable on Population Health Improvement

Provides analysis and examples about why and how Medicaid programs should account for social determinants of health in setting payments and measuring quality

Case study of braiding and blending funding

Illustrates how state Medicaid agencies and their partners can maximize authority that exists under federal Medicaid and CHIP law.

Identifies various financing innovations to support population heatlh

Using the ReThink Health Dynamics Model, the authors show results from alternative investment strategies

Provides tools to analyze funding and develop strategies for braiding and blending, along with case studies and other insights.

Estimates the average ROI for activities of public health departments in California

Provides an overview of local health trusts roles and structures

Overview of community integration structures and emerging innovations in financing

Identifies options for sustainable multi-payer investment in population health

Approaches and issues in establishing a reinvestment mechanism

Guides health departments through the why and how of partnering with Community Power-Building Organizations (CPBOs) to advance health equity.

Describes the different roles intermediaries can play and provides examples, including several CA ACHs, of where they have been used in practice.

Explores the role of leadership in complex systems change strategies

Provides findings & examples that explores integrative functions and mutii-sector collaboratives (note: the report links to other resources associated w/ the initiative).

Describes five broad categories of integrative activities along with a roadmap or checklist that partners can use to assess itself

Offers recommendations of ways to support collaboration between business and public health.

Provides findings from a community of practice that explored what it means to engage and include community residents in the operations of ACH collaboratives.

Profiles characteristics of people who are impressive stewards of change and are helping to grow the entire field of system stewardship for well-being.

Describes key practices for facilitating regional cross-sector collaboration and alignment that creates the conditions for lasting change.

Describes how the community development, health, and financial sectors can better align their work to enable neighborhoods to better support health & financial well-being

Summarizes and highlights the major ideas and learnings about the role of the Backbone in collective impact

Provides an assessment tool and process for identifying strengths and weaknesses of a collaborative's current leadership efforts

Provides a playbook to guide community developers toward partnerships with hospitals and healthcare systems to improve health and equity

Profile and classify burgeoning initiatives, understand common challenges, and surface solutions to address those challenges.

Findings from research about the development of multi-sector partnerships and how well they are poised to lead health transformation.

Describes four case studies to identify core partnership components.

Provides examples of of partnerships between organizations that offer health and social services offers lessons learned from these in depth cases.

Evaluation results about the role of distributive leadership in complex cross-sector systems change strategies, focused on college and career readiness.

Provides practical implementation tools, guidance, and resources to advance collaboration between public health and primary care in order to improve population health.

Identifies four stages of collaboration that are key to the development of partnerships aimed at health equity.

Explores the many ways that health care organizations and CBOs are partnering in shared pursuit of better health outcomes

Describes options for governance and legal considerations for different approaches.

Defines and differentiates hospitals’ community-level SDOH activities.

Summarizes the implications of Governor Newsom's 2022 proposed change to hospital community benefits requirements.

Describes perspectives of Medicaid managed care organizations on emerging promising practices of addressing social determinants of health among their Medicaid enrollees.

Describes the health-related social needs Screening Tool from the federal Accountable Health Communities (AHC) Model & shares promising practices for universal screening

Provides findings from the field about barriers to, and accelerators for, health care to carry out backbone or integrator functions as part of multi-sector collaborative.

Provides a framework for primary care providers to establish social needs screening and referral programs in concert with human services partners.

Examines 40 Medicaid managed care contracts and 25 approved § 1115 demonstrations across the country to identify common themes for how to support SDOH-related activities.

Provides an organizing framework, with examples, to help hospitals and health systems take both internal and external actions to become more "upstream"

Provides a compilation of resources, strategies, and case studies regarding community benefits strategies to promote healthier food access and healthy food systems.

Provides toolkits and resources to help hospitals and health systems build community wealth through inclusive hiring, investment, and purchasing.

Provides insights from hospital executives about how health systems can move upstream to improve community health

Describes innovations that safety net providers are implementing to address the social determinants of health.

Provides direct access to the community benefit spending information from tax-exempt hospitals throughout the United States.

Provides guidance for how hospitals and health systems can accelerate their efforts to drive institutional alignment with community needs.

Findings from a survey of 300 hospitals and health systems to identify what is being done to address health-related social needs and the potential for future efforts

A "playbook" of effective methods, tools and strategies to create new partnerships with hospitals and sustain successful existing ones.

Case study of a large academic medical center that has implemented an upstream population health strategy

Describes an innovative practice that engages hospital leadership in efforts to align vision, priorities, and initiatives of community benefits with community needs

Provides examples of traditional and less traditional ways that hospitals and health systems can invest in their communities

Examples of effective collaborations between hospitals and community development

Explores ways that states have incorporated population health goals into ACOs and other models

Provides relevant evidence on the costs of health-related social need interventions and/or their impact on health care utilization and cost of care for use with ROI Calc.

Provides individuals and organizations messaging and graphics to share on social media aimed at raising awareness of ACEs and domestic violence.

Evaluates the existing evidence for effective interventions to address social determinants of health and social needs and identifies potential next steps.

Describes approaches to ensure that children and their families benefit from SDOH investments and the range of strategies and interventions needed by families.

Describes how California ACHs can support the Network of Care Milestones related to the ACEs Aware Trauma-Informed Network of Care Roadmap.

Provides a framework for food system collaborations with health care provides along with legal and policy considerations for food system interventions.

Offers recommended strategies that are evidence informed to help ease the mental health and addiction challenges stemming from the pandemic.

Offers a framework for understanding the relationship between community trauma and violence and how community trauma undermines both individual and community resilience.

Provides guidance on key strategies to implement community-clinical linkages that focus on adults 18 years or older.

Highlights examples of how CHW/Ps add value to organizations, how their work is financed, and emerging opportunities to scale and sustain that work within California

Provides a framework with meaningful solutions to help advance mental health policy in this country.

Provides a wealth of resources and tools to improve community health, focusing on policy and environmental change approaches

A go-to-resource that harnesses an array of data and information for planning and implementation of policies, programs, and projects to improve access to healthy foods

Repository of high quality research that advances efforts to identify and address social risks in health care settings

Provides resources from trauma-informed care leaders to help improve outcomes and reduce avoidable health care service use and costs in health care and other settings.

Provides resources and examples to advance implementation of CDC’s 6|18 Initiative by Medicaid, state and local health departments, and other payers and purchasers.

Makes the case for why states should invest in chronic disease prevention as part of a comprehensive approach to chronic disease.

Provides a standardized, unbiased economic analysis of interventions to help public-health officials make informed decisions and engage in cross-sectoral collaboration.

A high-level overview of local and state public policy strategies to prevent and address asthma: health care, childcare and schools, home environment and the outdoors.

Provides a collection of evidence-based findings of the Community Preventive Services Task Force to guide selection of interventions for an ACH's portfolio.

Describes & summarizes scientific evidence behind 8 effective strategies, which involve community-clinical links, for lowering high blood pressure and cholesterol levels.

Provides policymakers with cost-benefit results, based on literature, of a wide variety of public policies.

Provides information regarding financing, certification, education and other elements of Community Health Worker programs across the country.

Identifies non-clinical community-wide approaches that have evidence reporting positive health impacts, results in 5 years and cost-effectiveness and or cost reductions

Outlines key considerations for the design and implementation of ACH-type initiatives focused on trauma and resilience

Report to the CA Secretary of Health and Human Services with recommendations from a workgroup established under the State Innovation model design process

A Review of Emerging Evidence On Interventions for Asthma, Diabetes, and Cardiovascular Care