The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

BUILD Health Crosswalk

National Initiatives Supporting

Bold, Upstream, Integrated, Local, and Data-Driven

Initiatives

Courtney Bartlett

July 7, 2016

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Background

The goal of this survey is to identify initiatives that align with the goals of the BUILD Health sites. The document shows where there might be

overlap between BUILD sites and other programs with similar objectives, target populations, or funding streams.

Some ways you can use this guide include:

Find new opportunities for funding that align with your project goals

Identify organizations working on collaborative or upstream health interventions

Spark new ideas for collaborative approaches to public health

Please let me know if you have any questions or suggestions for future improvement.

Courtney Bartlett

Courtney.bartlett@duke.edu

Contents

On the following page, you will find a crosswalk providing a graphic overview of current funding initiatives that are active in the 18 BUILD

Health Challenge communities, with colors indicating whether they are aware of and/or connected with the current BUILD partners in that

city. NOTE: The colors may not accurately reflect connection levels. If you see a color that should be updated, please notify Courtney

Bartlett.

On page 11, you will find a list of the specific partners working on each initiative, organized by city.

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Crosswalk

BUILD Site 6|18

ACH

AHEAD

BHPN

CHSC

CHP

CM

MI

CTSA

DASH

FreshLo

Health

iest

C&

C

Inve

st H

ealth

NG

-ACO

P2P PHTC

PlayE

very

where

PRC

100R

C

REA

CH

ReT

hink

SCALE

X X X X X X X X

X APCP, HCIA, SIM X X X X X**

XAPCP, BPCI, HCIA,

MAPCP, SIMX X X X X

X APCP, BPCI X X X X X X X

X APCP, BPCI HCIA, SIM X X X X X X X

X APCP, BPCI, CPCI, SIM X

XAPCP, BPCI, CPCI, HCIA,

SIMX X

XAPCP, BPCI, CPCI, HCIA,

SIMX X X X

ACO, BPCI, HCIA, SIM X X X

X X X BPCI, HCIA, MAPCP, SIM X X X

X X BPCI, HCIA, ACO, SIM X X X**

X HCIA, APCP, SIM X X X X X X

HCIA, APCP X X

HCIA, BPCI, APCP X X X X X

X HCIA, SIM, BPCI, APCP X X X X

HCIA, BCPI

HCIA, SIM, BPCI, APCP X X X X X X

X X HCIA, BPCI X

Colorado Springs,

CO

Albuquerque, NM

Baltimore, MD

Bronx, NY

Chicago, IL

Cleveland, OH

Springfield, MA

Denver (Aurora), CO

Denver, CO

Des Moines, IA

Detroit, MI

Houston, TX

Los Angeles, CA

Miami, FL

Oakland, CA

Portland, OR

San Bernardino, CA

Seattle, WA

Partners overlap and there is a connection

between BUILD and this initiative Partners may overlap, but we are not aware of a

formal connection – more investigation is needed.

Different partners participating in this initiative and

BUILD. We are not aware of a connection at this time.

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Legend

6|18 = CDC Six-Eighteen Initiative

ACH = Accountable Communities for Health.

AHEAD = Alignment for Health Equity and Development

ACO = Accountable Care Organization

AHC = Accountable Health Communities Model

APCP = FQHC Advanced Primary Care Practice Demonstration

BHPN = Build Healthy Places Network

BPCI = Bundled Payments for Care Improvement Initiative

CHP = Community Health Peer Learning Program

CHSC = Culture of Health Sentinel Communities

CMMI = Centers for Medicare and Medicaid Innovation

CPCI = Comprehensive Primary Care Initiative.

CTSA = Clinical and Translational Science Awards

DASH = Data Across Sectors for Health.

FreshLo = Fresh, Local, and Equitable

Healthiest C&C = Healthiest Cities and Counties Challenge

HCIA = Healthcare Innovation Award

MAPCP = Multi-payer Advanced Primary Care Program

NG-ACO = Next-generation ACO Model

P2P = Pathways to Pacesetter Communities.

PHTC = Regional Public Health Training Centers

PlayEverywhere = Play Everywhere Challenge

PRC = CDC Prevention Research Centers

100RC = 100 Resilient Cities

REACH = Racial and Ethnic Approaches to Community Health

ReThink Health

SCALE = Spreading Community Accelerators through Learning and Evaluation.

SIM = State Innovation Model

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Crosswalk: additional program details by initiative

Initiative Funding Period

Once or Ongoing

National or Regional Funder(s) TA Partners Health Issue Local Partnerships Delivery Reform

6|18 1/2016 – 12/2016

Once National, 8 states

CDC ASTHO, CHSC, CMS, NAMD, NGA, NNPHI, RWJF

Asthma

Tobacco

Unintended Pregnancy Prevention

Public Health Agency

Medicaid Agency

Yes, some state strategies will address delivery system reform with Medicaid.

ACH Not funded, this is a model.

Ongoing N/A N/A Prevention Institute Food

Physical activity

Tobacco There is potential for other topics.

Healthcare

Public health

Other orgs that impact health in the region

Yes, ACH’s should build up and align funding with existing prevention funding streams as well as explore ways to create a new funding mechanism.

AHEAD 5 pilot cities for 5 yrs: (10/2014 – 10/2019)

Ongoing – next will engage 8-10 sites for 3-4 year implementation period

National, 5 pilot cities

Kresge Public Health Institute Reinvestment Fund NNPHI Carsey Institute Center on Social Innovation and Finance

Sustainable infrastructure

Quality housing

Access to healthcare

Job opportunities

Education and youth development

Child care

Violence prevention

Access to healthy food

Safe places and spaces/physical activity

Hospital

Public health agency

Financial institution Businesses

Government

Unclear

ACO Shared Savings (accepting applications) Advance Payment (no longer active) Pioneer (2012 – present)

Ongoing - 433 Shared Savings 35 Advance Payment 19 Pioneer

National CMS/CMMI N/A Care coordination

Triple aim

Doctors

Hospitals

Healthcare providers

Suppliers

Medicare Shared Savings Program—helps a Medicare fee-for-service program providers become an ACO. Advance Payment ACO Model – a supplementary incentive program for selected participants in the Shared Savings Program. Pioneer ACO Model—designed for early adopters of coordinated care.

AHC Accepting Applications early 2016. Awardees announced fall 2016. 5 year

Once National CMS/CMMI N/A Care coordination

Clinical-community linkages

Housing instability and quality

Food insecurity

Utility needs

Interpersonal violence

Eligible applicants are community-based organizations, healthcare provider practices, hospitals/health systems, academic institutions, local government entities, tribal organizations and for-profit

Initiatives to accelerate the development and testing of new payment and service delivery models

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

implementation period.

Transportation needs and not-for-profit local and national entities. Must agree to partner with: state Medicaid agencies, clinical delivery sites, and community service providers

(FQHC) APCP

Three years; concluded 10/31/2014.

Once, ended National. 434 participating sites

CMS, HRSA CMS, HRSA Patient-Centered Medical Home

Care Coordination

Doctors and other health professionals working in teams

This demonstration project tested the effectiveness of doctors and other health professionals working in teams to coordinate and improve care for Medicare patients. FQHCs were expected to achieve Level 3 PCMH recognition, help patients manage chronic conditions, and actively coordinate care for patients.

BHPN 3/2016 – 9/2016

6 month grants, once

3 BUILD sites

Kresge Foundation, BHPN

n/a Planning activities to increase collaboration between health sectors and community development

Community Development Financial Institutions (CDFIs)

BUILD sites

BPCI Model 1 = 4/2013 – 12/2016 Model 2,3,4 = 10/2013 – 9/2018

Once National CMS/CMMI n/a Care coordination

Improved patient care

Lower costs

Hospitals/health systems The Bundled Payments for Care Improvement initiative (BPCI) comprises four broadly defined models of care, which link payments for multiple services beneficiaries receive during an episode of care. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality and more coordinated care at a lower cost to Medicare.

CHP January 2016-2017 (17 months)

Once National, 10 Participant communities; 5 Subject Matter Expert communities

Academy Health

ONC, NORC, National Partnership for Women & Families

Data N/A

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

CHSC 2015-2020 (5 years)

Once 30 communities nationwide

RWJF – no funding only monitoring

RTI Observation only:

How communities are developing (or not developing) a Culture of Health,

Data used to track development

N/A N/A

CPCI 10/2012 – fall 2016.

Four year initiative, in progress

Seven U.S. regions

CMS/CMMI CMS Risk-stratified care management

Access and continuity

Planned care for chronic conditions and preventive care

Patient and caregiver engagement

Coordination of care across the medical neighborhood

State Health insurance plans

Primary care practices

CMS/commercial and state health insurance plans to offer population-based care management fees and shared savings opportunities to participating primary care practices to support the provision of a core set of five “comprehensive” primary care functions.

CTSA 2006 - present

Ongoing 50+ sites nationally

National Center for Advancing Translational Sciences

N/A Train and cultivate the translational science workforce;

Engage patients and communities in every phase of the translational process;

Promote the integration of special and underserved populations in translational research across the human lifespan;

Innovate processes to increase the quality and efficiency of translational research, particularly of multisite trials; and

Advance the use of cutting-edge informatics.

Medical Research Institutions. Research teams include scientists, patient advocacy organizations and community members.

DASH 1/2016-6/2017 (18 mo)

Once National, 10 sites

RWJF DASH National Program Office, led by the Illinois Public Health Institute in partnership with the Michigan Public Health Institute

Data sharing

Information technology

Public health, health care, human services, and other sectors

N/A

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

FreshLo 4/2016 – 4/2017.

Once. Option to apply for 2-year implementation grant after 12 months.

National 20 Planning Grants

Kresge Foundation

Kresge Arts and Culture and Health Programs

Project management

Partnership development

Community engagement

Strategic communications

Policy development

Neighborhood-scale initiatives that use food as a strategy for creative community revitalization

Non-profit organizations and local government agencies

N/A

Healthiest Counties

and Cities

Application deadline 5/31/16. Finalists announced 8/1/16 Funding through 2018.

Once National, cities, counties and federally recognized tribes

Aetna Foundation, APHA, NACCHO

CEOs for Cities Tobacco Use

Nutrition

Physical Activity

Community Safety

Built Environment (Food Quality, walkability, bikeability, and transit use

Housing Affordability

Educational Attainment

Living Wage

Children exposed to secondhand smoke in the home

Air Quality

Water Quality

Cross-sector team should include at least one representative from public, private, non-profit, the community and philanthropic sectors be included. E.g. government, non-profit organizations, local, state and county public health departments, health care organization systems, educational institutions, etc.

N/A

Invest Health

6/2016 – 12/2017

Once National: 50 mid-sized cities in 31 states.

RWJF Reinvestment Fund

PATH

Policylink

UnitedHealthcare

Federal Reserve Bank

The ARC

Health Impact Project

NeighborWorks America

Access to quality jobs

Affordable housing

Environmental hazards

Health Equity

Nutritious food

Reducing crime rates

Public sector, community development, and an anchor institution (preferably academic or health-related). Selected teams also include members from public school districts, community organizations, and local philanthropies.

n/a

HCIA Round 1: 5/2012 Round 2: 6/2012

Once; funding for three years

National – 107 sites

CMS/CMMI N/A New care delivery and payment models

Behavioral health & substance abuse

High risk patient targeting

Healthcare orgs, research institutions, public and private sector partners.

Funds new ideas, and new payment and service delivery models to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and Children's Health Insurance Program (CHIP), particularly those

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Community resource planning and prevention

Primary care redesign

Disease specific

with the highest health care needs.

MAPCP 11/2010 – present

Once Began with 8 states (ME*, MI*, MN, NY*, NC, PA, RI*, VT*) *Continuing through 2016

CMS/CMMI N/A PCMH

Cover care coordination

Access to healthcare

Patient education and other services to support chronically ill patients.

State Medicaid agency, private insurers

The demonstration will evaluate whether advanced primary care practice will reduce unjustified utilization and expenditures, improve the safety, effectiveness, timeliness, and efficiency of health care.

NG-ACO Round 1: 2016 Round 2: 2017 – currently accepting applications

Once: two rounds National, 18 sites

CMS/CMMI N/A Care coordination Provider organizations CMS will partner with ACOs that are experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward. This is in accordance with the Administration’s goal of tying 30 percent of traditional, or fee-for-service, Medicare payments to alternative payment models, such as ACOs, by the end of 2016 -- and 50 percent by the end of 2018.

P2P 10/2015 – 3/2017

Once National RWJF Institute for Healthcare Improvement (IHI), Community Solutions, Communities Joined in Action (CJA), and the Collaborative Health Network (CHN)

Same as SCALE below Must put together a team that represents various sectors (e.g., health care, education, public health, etc.)

N/A

PHTC Ongoing Ongoing National, ten centers

HRSA N/A Workforce development Recipients are accredited schools of public health or another public or nonprofit private institutions accredited for the provision of graduate or specialized training in public health

N/A

PlayEverywhere

Finalists announced July 2016.

Once National, 50 cities across the US

RWJF, Target, Playworld

U.S. Department of Housing and Urban Development, the

city redevelopment and design

child health

The challenge will reward applicants who provide community-driven

N/A

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Awardees announced in Sept 2016

National Endowment for the Arts

solutions that integrate play into everyday life and unexpected places— sidewalks, vacant lots, bus stops, open streets, and beyond.

PRC 2014-2019 Ongoing National, 26 centers

HHS CDC Behaviors and environmental factors that affect chronic diseases

Injury

Infectious disease

Mental health

Global health

Poverty and equity

accredited schools of public health or schools of medicine with a preventive medicine residency program

N/A

100RC 12/2013=First cohort of 32 cities. 12/2014 = Second cohort, 35 cities 5/2016 = Third and final cohort, 37 cities.

Three times Funding lasts for at least two years, and potentially for three.

International 104 Total cities

The Rockefeller Foundation

Rockefeller Philanthropy Advisors Partners from the private, public, academic, and non-profit sectors

Aging Infrastructure

Drought

Earthquake

Endemic Crime and Violence

Flooding

Infrastructure Failure

Lack of affordable housing

Landslide

Poor Transportation System

Social inequity

Tsunami

Water Management Issues

Wildfire

Qualifications: Innovative mayors, a recent catalyst for change, a history of building partnerships, and an ability to work with a ride range of stakeholders.

None

REACH REACH 2014 = 2014 – 2017.

Ongoing, 3 year grants.

National, 20 basic implementation awardees, 29 comprehensive awardees

CDC N/A Proper nutrition

Physical activity

Tobacco use and exposure

Chronic disease prevention

Risk reduction and management opportunities

Health equity

Awardees include: governmental and nongovernmental agencies, including state and local health depts, tribes/tribal organizations, universities, and community-based organizations

N/A

ReThink Not currently funding communities

Previously funded 4 sites, plus a QIO project with 5 regions

National ReThink Health

ReThink Health Quality improvement in Medicaid

Community engagement

Chronic disease

Teams of healthcare, public health, insurers (QIOs).

ReThink Health helped five regions and their respective state quality improvement organizations (QIOs) explore innovative ways to improve health and health

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Built environment

Access to care

care and lower costs for Medicaid beneficiaries.

SCALE 4/2015-4/2017

Once; two years of funding.

National, four mentor sites with 20 pacesetter sites

RWJF Institute for Healthcare Improvement, Community Solutions, Communities Joined in Action, and the Collaborative Health Network. Click here for full list

Aging Well

Equity and Social Determinants of Health

Child Health

Behavioral Health and Wellness

Healthy Living

Veterans

Health Systems Transformation

Improvement Capability in Community

Sustainable Financing

Leadership Development

Partnership and Co-design

Culture of Wellbeing

Students and Workforce

Must put together a team that represents various sectors (e.g., health care, education, public health, etc.)

N/A

SIM 12/2014 – 12/2018 (4 years)

Currently in Round 2, unclear if there will be additional rounds.

National, 11 Test and 21 Model Design states.

CMS/CMMI ASTHO, CDC, more Population health

Integrating primary care/behavioral health

Telehealth

Expanding HIT

Value-based payment structures

PCMHs

State health departments and Medicaid agencies

Development and testing of state-led, multi-payer health care payment and service delivery models that will improve health system performance, increase quality of care, and decrease costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries—and for all residents of participating states.

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Legend

Funding Period – What is the start/end date for the current funding cycle

Once or ongoing – Is this a one-time funding opportunity? Or will there be additional cycles?

Location – Is this a national initiative? Or regional? Funder(s) – who funds the project. *Indicates financial support. TA Partners – what national organizations partnered to support

sites with TA.

Health issues – Does it target a specific health issue? Or is it multi-issue?

Local Partnerships – Do they encourage partnerships between multiple entities? (e.g. hospital, primary care, public health, community)

Delivery Reform – Is there a component related to the healthcare delivery system reform? (e.g. payment models – to distinguish between CMMI-type models and population health/SDH initiatives.

ADDITIONAL INFORMATION

ACH = Accountable Communities for Health. Also includes: San

Diego County, California’s Live Well San Diego Initiative; Pueblo

County, Colorado’s Pueblo Triple Aim Coalition; Summit County,

Ohio’s LiveHealth Summit initiative; and Lane County, Oregon’s

Trillium Community Health Plan.

AHEAD = Alignment for Health Equity and Development, funded

by Kresge. Also in Boston, Atlanta, and Dallas.

Core Partners = Names of three core partner organizations for

each site (hospital/health system, public health department,

community org/local non-profit)

BHPN = Build Healthy Places Network. Partnered with Kresge to

issue the Joining Forces Planning Grants to Albuquerque,

Houston, and Springfield BUILD sites. Grants of $20,000 were

issued for sites to work with community development orgs.

CHP = Community Health Peer Learning Program, funded by

ONC and led by Academy Health. Also includes: Austin,

Cincinnati, Santa Maria Valley in southern California, New

Orleans, Humboldt County in Northern CA, a multi-county region

in Southwest Washington State, Nashville, Burlington, VT. *The

following are SME communities for CHP: Minneapolis, San

Diego.

CHSC = RWJF sponsored 30 communities/regions including:

States/Region: Oklahoma, Vermont, Tennessee, Chickasaw

Nation, North Central Nebraska (9-county region: Antaloupe,

Boyd, Brown, Cherry, Keya-paha, Knox, Holt, Pierce, and Rock

Counties). Northeast: Allegheny County, PA; Danvers, MA;

Oxford County, ME; New Haven, CT; White Plains, NY.

Southeast: Baltimore, MD; Louisville, KY; Mobile, AL; Granville

County, NC; Adams County, MS; Tampa, FL. Midwest:

Milwaukee, WI; Sanilac County, MI; Monona County, IA; Finney

County, KS; Toledo, OH. Southwest: Midland, TX; Harris County,

TX; Maricopa County, AZ; San Juan County, NM. West: San

Diego County, CA; Tacoma, WA; Stockton, CA; Butte, MT;

Rexburg, ID.

CTSA = Clinical and Translational Science Awards, funded by

NIH.

DASH = Data Across Sectors for Health. Also includes: San

Antonio, Dallas, New York City, Portland ME, St. Paul and

Ogema, MN, and Pittsburg.

FQHCs = Federally Qualified Health Centers

Freshlo = Fresh, Local & Equitable: Food as a Creative Platform

for Neighborhood Revitalization” – the initiative is a joint effort by

Kresge’s Arts & Culture Program and Health Program. 26 cities.

Healthiest C&C = Healthiest Cities and Counties Challenge.

Partnership between the Aetna Foundation, the American Public

Health Association and the National Association of Counties and

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

administered by CEOs For Cities. The partnership empowers

small to mid-size U.S. cities and counties to create a positive

health impact.

Invest Health = Collaboration between Robert Wood Johnson

Foundation and Reinvestment Fund. Grants to mid-sized cities.

See website for list of cities.

P2P = Pathways to Pacesetter Communities. Pathway to

Pacesetter (P2P) is a program that supports communities in

accelerating their improvement journey. The goal of Pathway to

Pacesetter is to support local leaders at every level of a

community to be successful and multiply their effectiveness in

achieving their existing vision and goals. For those that applied

to SCALE but were not ready or not accepted.

PRC = CDC Prevention Research Centers. The Prevention

Research Centers work as an interdependent network of

community, academic, and public health partners to conduct

prevention research and promote the wide use of practices

proven to promote good health. PRCs work with at-risk

communities to promote health and prevent chronic diseases

such as cancer, heart disease, and diabetes. In 24 states total.

PHTC = Regional Public Health Training Centers. Provide

education, training and consultation to State, local, and Tribal

health department staff. Also in Atlanta, Boston, Iowa City, New

Orleans, Pittsburg, Tucson.

Resilient = 100 Resilient Cities. 100 cities throughout the world,

funded by Rockefeller Foundation.

REACH= CDC funded. Click hyperlink for full list of cities.

ReThink Health = Also in Atlanta, Upper Connecticut River

Valley, Pueblo, CO, Columbia, SC.

**ReThink Health helped five regions and their respective state

quality improvement organizations (QIOs) explore innovative

ways to improve health and health care and lower costs for

Medicaid beneficiaries. The five communities were: Baltimore,

Maryland; Houston, Texas; Monroe, Louisiana; the State of

Arkansas; and the State of West Virginia. Part of a special

innovations project for the Centers for Medicare and Medicaid

Services (CMS)

SCALE = Spreading Community Accelerators through Learning

and Evaluation. Also in Algoma, WI; Atlanta; Boston;

Cattaraugus Co, NY; Cheshire Co, NH; Hennepin, Co, MN;

Jackson, MI; Laramie Co, WY; Maricopa Co, AZ; North

Colorado; Oklahoma City, OK; Pueblo, CO; Raleigh, NC; Salt

Lake City; San Francisco; San Gabriel Valley, CA; Sitka, AR;

Summit County, OH; Waterville, ME; Williamson, WV.

W2W = Way to Wellville. Currently not in any BUILD site

locations. The five grantees are: Clatsop County, Oregon;

Greater Muskegon, Michigan; Lake County, California; Niagara

Falls, New York; and Spartanburg, South Carolina. The

challenge sponsor is HICCup (Health Initiative Coordinating

Council, www.hiccup.co), a nonprofit that encourages new

models and markets for the production of health.

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

For more national program and grant information by city/state, see the Trust For America’s Health, Healthy Communities Navigator.

OTHER NOTEWORTHY INITIATIVES NOT INCLUDED:

Systems for Action = Four new research studies aim to improve health across entire communities by integrating the delivery and financing of medical

care, public health, and social services. As part of the new Systems for Action: Systems and Services Research to Build a Culture of Health Research

Program, the Robert Wood Johnson Foundation today announced $1 million in funding to support studies led by the Los Angeles County Department of

Public Health, Drexel University, Michigan State University, and the University of Delaware. The Systems for Action National Coordinating Center, housed

at the University of Kentucky College of Public Health, will manage these studies as part of its national portfolio of research focused on systems and

services research.

Promise Zone Communities = – high poverty areas in select urban, rural and tribal communities. Through the Promise Zone Initiative, the Federal

government will work strategically with local leaders to boost economic activity and job growth, improve educational opportunities, reduce crime and

leverage private investment to improve the quality of life in these vulnerable areas.

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Parallel Initiatives: City-Level Breakdown

ALBUQUERQUE, NM

CORE PARTNERS:

Adelante Development Center, Inc.

Presbyterian Healthcare Services

First Choice Community Healthcare

ACH: Bernalillo County, New Mexico’s Pathways to a Healthy Bernalillo County initiative

CMMI Model Grant:

APCP Demonstration: First Choice Community Healthcare, Inc.

BPCI Model 2: Lovelace Medical Center and Desert Orthopedic Center

HCIA: University of New Mexico Health Sciences Center

SIM Round 2: State of NM

CTSA: University of New Mexico Clinical and Translational Science Center

FreshLo: Partnership for Community Action

Playworks Everywhere: Downtown ABQ Mainstreet Initiative (JUEGO: El Way-Go)

PRC: University of New Mexico Health Sciences Center

REACH: Presbyterian Healthcare Services

SCALE:

Bernalillo County Community Health Council: Presbyterian Healthcare Services-Community Health, Bernalillo County Community Health Council, Presbyterian Healthcare Services-Community Health, NM Department of Health/Health Promotion, Albuquerque P. Community Aim – 1000 people in the International District and the South Valley will set and reach their goals for walking by December 2016.

BALTIMORE, MD

CORE PARTNERS:

Druid Heights Community Development Corporation

City of Baltimore Health Department

R Adams Cowley Shock Trauma Center, University of Maryland Medical Center

Other Partners: Promise Heights -- UMB SSW, Communities United, Roberta's House, University of Maryland

CMMI Model Grant:

APCP: Sinai Community Care

HCIA: Johns Hopkins School Of Nursing MD

Innovation Advisors Program: David Baker DrPH, MBA (Sinai), Janet Will BSN, MSN, Maxine Vance BSN, MSN, PhD

SIM Design Award Round Two: State of MD

Strong Start for Mothers and Newborns Initiative: Bayview Medical Center, East Baltimore Medical Center, Johns Hopkins Outpatient

Culture of Health Sentinel Community

CTSA: Johns Hopkins University Institute for Clinical and Translational Research

DASH: Baltimore City Health Department

P2P: Healthy Babies Collaborative: MedStar Franklin Square Medical Center

Playworks Everywhere: Parks & People Foundation (Nature Play

Space Pop-up in Mondawmin Community of Baltimore City)

PRC: Johns Hopkins University

ReThink: Delmarva Foundation for Medical Care

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

BRONX, NY

CORE PARTNERS:

Montefiore Medical Center

New York City Department of Health and Mental Hygiene

Northwest Bronx Community & Clergy Coalition

Other Partners: MIT Community Innovators Lab

CTSA: New York University Clinical and Translational Science Institute

CMMI Model Grant:

APCP: Urban Health Plan, Inc.

BPCI: Montefiore Medical Center

HCIA: Bronx Regional Health Information Organization, Montefiore Medical Center

MAPCP: State of NY

SIM: Model Testing Awards Round Two: State of NY

DASH: NYC Department of Health and Mental Hygiene

PHTC: Region II- Columbia University, Health Disparities, Health Equity, Social Determinants of Health

PRC: New York University School of Medicine and City University of New York School of Public Health

REACH: Bronx Community Health Network, Inc.

CHICAGO, IL

Core Partners:

Legal Assistance Foundation (LAF)

Cook County Health and Hospitals System

Chicago Department of Public Health

CHP: The University of Chicago Medicine.

The University of Chicago Medicine will provide expertise in data integration to the CHP Program. As the anchor health care institution on the south side of Chicago, they convened and collaborated with community partners to address critical health

issues in their communities. Through their Medical Home Connection program, they leveraged partnerships with community health centers to use consistent messaging when educating emergency department utilizers on the value of using medical homes for ongoing care. Patient Advocates scheduled follow up medical home visits for patients who were discharged from the emergency room. Through an electronic portal they sent real-time information to the health centers informing them of the patients emergency room visit and follow up appointment. The program successfully increased the average show rate to follow up appointments from 35 percent to 60 percent. With the adoption of an electronic patient information portal integrated with the electronic information system, the program expanded. With the use of data from multiple sources the collaborating partners have implemented several additional population health management programs.

CMMI Model Grant:

APCP: ACCESS at Anixter Center Chicago, ACCESS Grand Boulevard Family Health Center, ACCESS Madison Family Health Center, Austin Family Health Center, Chicago Family Health Center, Circle Family HealthCare Network, Inc., Erie Humboldt Park Health Center, Heartland Health Center – Uptown, South Chicago

BPCI: Mercy Hospital And Medical Center, Presence Resurrection Medical Center, Presence Saint Joseph Hospital-Chicago, Swedish Covenant Hospital, Mount Sinai Hospital, Rush University Medical Center, Northwestern Memorial Hospital, University Of Chicago Medicine

Community-based Care Transitions Program: Catholic Charities of the Archdiocese of Chicago

Graduate Nurse Education Demonstration: Rush University Medical Center

Strong Start for Mothers and Newborns Initiative: ACCESS Health centers, Erie Family Health Center

DASH: Public Health Institute of Metropolitan Chicago

FreshLo: Inner-City Muslim Action Network

PHTC: Region V University of Illinois at Chicago-Environmental Public Health

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Play Everywhere: Lekotek-a Division of Anixter Center (Stop n' Play), Urban Initiatives (Shark Park), Rogers Park Business Alliance (¡Escaleras!), Chicago Children's Theatre (Chicago Children's Theatre: Dreams on Parade), World Sport Chicago (Perma-PlayStreets),

PRC: The University of Illinois at Chicago

SCALE:

Proviso Partners for Health: Triton College, Proviso-Leyden Council for Community Action, Loyola Chicago Stritch School of Medicine, Proviso East High School, Triton College, Loyola University Hospital.

100 Resilient Cities: Mayor’s Office

CLEVELAND, OH

CORE PARTNERS:

City of Cleveland Department of Public Health

Environmental Health Watch

The MetroHealth System

Other Partners: Hispanic Alliance Inc

CHP Program: University Hospitals Rainbow Babies & Children’s Hospital will work to prevent and manage the childhood asthma disease burden in target neighborhoods in Cleveland, Ohio.

Fostering partnerships among the health care, public health, housing, social services, environment, and criminal justice sectors, the organization will use data from electronic health records, and public and private records, and Medicaid claims to integrate existing pediatric longitudinal social, environmental, educational, and clinical data. Through this work, they anticipate the ability to create an accountable care community to collectively improve the health and wellness of these Cleveland neighborhoods.

CMMI Model Grant:

APCP: Neighborhood Health Care, Inc. dba Neighborhood Family Practice, NEON Southeast Health Center

BPCI: Fairview Hospital, Lutheran Hospital Cleveland, University Hospitals Cleveland Medical Center, Kindred Hospital Cleveland,

Sunset Manor Healthcare Group, Inc., University Manor Healthcare Group, Inc.

HCIA: University Hospitals of Cleveland

Independence at Home Demonstration: Cleveland Clinic Home Care Services: Medical Care at Home Program Independence

SIM Model Testing Awards Round 2: State of OH

CTSA: Case Western Reserve University Clinical and Translational Science Collaborative

Healthiest Counties and Cities Challenge: Cleveland Department of Health

FreshLo: Environmental Health Watch

Playworks Everywhere: Cuyahoga Metropolitan Housing Authority (Harmony Park at Lakeview Terrace)

PRC: Case Western Reserve University

REACH: Asian Services in Action, Inc; Cutoba County District Board of Health; YMCA of Greater Cleveland

SCALE:

BuckeyeHEAL: Cleveland Metropolitan Housing Authority, MetroHealth - Center for Reducing Health Disparities, Buckeye Shaker Square Development Corporation, East End Neighborhoods House, Fairhill Partners. Community Aim – By Dec 31st, 2016, the HEAL Coalition will have a sustainment and capacity building plan that will support the infrastructure for community leadership for all healthy eating and active living activities for the Buckeye neighborhoods.

COLORADO SPRINGS, CO

CORE PARTNERS:

YMCA of the Pikes Peak and Region/LiveWell Colorado Springs

El Paso County Public Health

Penrose St. Francis Health Services

Other Partners: El Paso County Public Health, Kaiser Permanente CO

CMMI Model Grants:

APCP: Family Health Center at Union

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

BPCI: Penrose-St. Francis Health Services, Colorado Springs Orthopaedic Group, Emeritus At Bear Creek Long Term Care Community, Encompass Home Health Of Colorado

CPCI: Colorado Springs Health Partners P.C., Summit Medical Clinic, PC, Sunrise Health Care, PC

Playworks Everywhere: Boys & Girls Club of the Pikes Peak Region (Pride, Purpose, Promise)

AURORA AND DENVER, CO

AURORA / CORE PARTNERS:

Together Colorado

Children's Hospital Colorado

Tri-County Health Department

DENVER / CORE PARTNERS:

Denver Public Health

Denver Health and Hospital Authority

The Civic Canopy

Other Partners: Irving Harris Program in Child Development and Infant Mental Health (Aurora), Family Leadership Training Institute (Denver)

CMMI Model Grants:

APCP: Denver Health (Bernard Gibson Eastside Family Health Center, La Casa/Quigg Newton Family Health Center, Lowry Family Health Center

BPCI: Centura Health - Porter Adventist Hospital, Emeritus At Roslyn Long Term Care Community, Encompass Home Health Of Colorado

CPCI: Mayfair Internal Medicine

HCIA: Denver Health And Hospital Authority CO

SIM Model Testing Awards Round Two: State of CO

CTSA: Colorado Clinical and Translational Sciences Institute (in Aurora)

FreshLo: Montbello Organizing Committee

PHTC: Rocky Mountain Public Health Training Center run by the University of Colorado.

Playworks Everywhere: ReArranging Denver (You Are Here), Rocky Mountain Communities (PLAYce to Play & Learn)

REACH: The Stapleton Foundation for Sustainable Urban Communities, Colorado Black Health Collaborative, Inc.

DES MOINES, IA

CORE PARTNERS:

Polk County Housing Trust Fund

UnityPoint

Polk County Health Department

Other Partners: Visiting Nurse Services of Iowa, Mid Iowa Health Foundation, The Trilix Group

CMMI Model Grants:

ACO: Heartland Physicians ACO, Inc.

BCPI: Mercy Medical Center Des Moines, Des Moines Orthopaedic Surgeons Pc, BEC Medical and Dental, East Side Center

Next Gen-ACO: Iowa Health Accountable Care

SIM Testing Awards Round Two: State of Iowa

Invest Health: United Way of Central Iowa, Polk County Housing Trust Fund, City of Des Moines, Polk County Health Department, Des Moines University

Playworks Everywhere: Community Youth Concepts (Sidewalk Chalk Flood 2.0)

DETROIT, MI

CORE PARTNERS:

Eastside Community Network

St. John Providence Health System – Community Health Investment Corporation

Detroit Department of Health and Wellness Promotion

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Other Partners: Detroit Community-Academic Urban Research Center, Gensler, Detroit Eastside Community Collaborative

CHP Program: Greater Detroit Area Health Council

The Greater Detroit Area Health Council (GDAHC) is a not-for-profit organization that has extensive knowledge of data analysis, and performance measurement and data dissemination. GDAHC currently works as one of seven initiatives across the country focused on the use of electronic health records and supporting data to identify population-level issues, such as antibiotic use for viral infections and appropriate screening for Vitamin D deficiencies, with a goal to improve quality, health, and efficiency. They are dedicated to transparency in data sharing, and have successfully launched a system of multi-payer data measurement and public reporting of physician performance on their website (myCareCompare.org). In addition, they successfully provide aggregated individual physical level data to physician organizations to guide quality improvement.

CMMI Model Grants:

BPCI: Detroit Receiving Hospital, Sinai Grace Hospital Detroit, Regency Heights-Detroit, Boulevard Temple Care Center, Hartford Nursing & Rehab Center

HCIA: Altarum Institute MI, Feinstein Institute For Medical Research, Henry Ford Health System, Institute For Clinical Systems Improvement, Michigan Public Health Institute, TransforMED, Detroit Medical Center, Vanguard Health Systems, Regents Of The University Of Michigan

Multi-Payer APCP: State of Michigan

SIM: Model Testing Round Two

Transforming Clinical Practices Initiative: National Rural Accountable Care Consortium

Next Gen ACO: Henry Ford Physician Accountable Care Organization Detroit,

Strong Start for Mothers and Newborns Initiative: St. John Hospital and Medical Center Detroit

FreshLo: Focus: Hope

Playworks Everywhere: Focus: HOPE (Popup Play at the Library), University of Michigan Stamps School of Art and Design (FitLIGHT), Matrix Human Services (The Osborn Community Game-scape).

HOUSTON, TX

CORE PARTNERS:

The University of Texas MD Anderson Cancer Center

Houston Food Bank

Harris County Public Health & Environmental Services

Other Partners: CHI St. Luke's Health, Memorial Hermann Health System

CMMI Model Grants:

BPCI: Encompass Home Health Of Houston

HCIA: Center for Healthcare Services, Christus St. Michael Health System, Innovative Oncology Business Solutions, Inc., MedExpert International Inc., The Methodist Hospital Research Institute, The National Health Care for the Homeless Council, The University Of Texas Health Science Center At Houston

SIM: Model Design Award

Transforming Clinical Practices Initiative: American College of Emergency Physicians TX, VHS Valley Health Systems, LLC

Advanced Payment ACO Model: Physicians ACO, LLC

Next-Gen ACO Model: Accountable Care Coalition of Southeast Texas Inc.

Strong Start for Mothers and Infants: Casa de Amigos Health Center

Culture of Health Sentinel Community

CTSA: University of Texas Health Science Center at Houston Center for Clinical and Translational Sciences

Playworks Everywhere: Community Design Resource Center University of Houston (PLAY Court).

ReThink: Texas Medical Foundation Health Quality Institute

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

LOS ANGELES, CA

CORE PARTNERS:

National Health Foundation

Los Angeles County Department of Public Health

Dignity Health dba California Hospital Medical Center.

CMMI:

HCIA: Asian Americans For Community Involvement, California Long-Term Care Education Center, Family Service Agency Of San Francisco, Foundation for California Community Colleges, Healthlinknow, Inc.,

SIM Model Design Award

FQHC APCP: Asian Pacific Health Care Venture, Inc., QueensCare Family Clinics, South Central Family Health Center

Next-Gen ACO: Prospect ACO CA, LLC

CHP: California Family Health Council

CTSA: University of California, Los Angeles Clinical and Translational Science Institute

Playworks Everywhere: National Health Foundation (AhMAZE-me South Central (Enrueda-te South Central), CicLAvia (CicLAvia pLAy)

REACH: AltaMed Health Services Corporation; Community Coalition for Substance Abuse Prevention and Treatment; Regents of the University of California, Los Angeles;

SCALE:

Women of the Skid Row Community: JWCH Institute, Downtown Women. Community Aim - Improve the health of at least 50 women with or at risk for diabetes in the Skid Row community by 10/1/16.

San Gabriel Valley Healthy Cities Collaborative: Neighbors Acting Together Helping All (NATHA), City of Hope, Neighbors Acting Together Helping All (NATHA), City of Duarte, Duarte Unified School District (DUSD). Community Aim - Improve healthy living and well-being in high school youth.

100 Resilient Cities

Mayor’s Office - http://www.100resilientcities.org/cities/entry/los-angeles-resilience-challenge#/-_/

MIAMI, FL

CORE PARTNERS:

Florida Institute for Health Innovation

Florida Department of Health, Miami-Dade County

Jackson Health Systems

CMMI Models:

HCIA

Transforming Clinical Practices

FQHC APCP: Jessie Trice Community Health Center

Next-Gen ACO Model: Baroma Accountable Care, LLC.

P2P: Healthy West Kendall: West Kendall Baptist Hospital.

Playworks Everywhere: City of Miami (iPlay MIAMI Streets)

OAKLAND, CA

CORE PARTNERS:

Sutter Health Alta Bates Summit Medical Center

East Bay Asian Local Development Corporation

Alameda County Public Health Department

CMMI Models:

HCIA

BCPI: Webster Orthopaedic Medical Group, Apc

FQHC APCP: LifeLong Medical Care - Downtown Oakland Clinic

FreshLo: Planning Justice

Playworks Everywhere: Our City (Our City Oakland), Family Friendly Oakland (PlayEverywhere Mosaic Trash Can Makeovers)

PRC: University of California, San Francisco

Reach: Mandela Marketplace, Inc.

100 Resilient Cities: Mayor’s Office

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

PORTLAND, OR

CORE PARTNERS:

Oregon Public Health Institute

Providence Health & Services

Multnomah County Health Department

CHP: Providence Center for Outcomes Research and Education (CORE)

CMMI:

HCIA: Providence Portland Medical Center, St. Luke's Regional Medical Center, Ltd.

Medicare Advantage Value-Based Insurance Design Model

SIM Model Testing

Transforming Clinical Practice Initiative

BPCI: Orthopedic And Fracture Clinic, Pc, Laurelhurst Operations, LLC

CPCI: Cascade Physicians, Northwest, Family Medical Group Northeast PC, LEMC Internal Med, LGS Internal Medicine, LMG Northwest, OHSU Family Medicine - Gabriel Park, OHSU Family Medicine at South Waterfront, OHSU Internal Medicine Clinic - Marquam Hill, Pacific Medical Group - North Portland, PMG North Portland Family Medicine, Providence Medical Group, Rose City Clinic, LLP, The Portland Clinic - East Branch

FQHC APCP: Old Town Clinic

CTSA: Oregon Clinical and Translational Research Institute

Playworks Everywhere: Hacienda CDC (Portland Mercado) (Viajando en el Mercado), City of Portland Bureau of Transportation Active Transportation and Safety Division (Sitton Elementary School and George Middle School Walking School Bus Stops)

PRC: Oregon Health and Science University

REACH: Multnomah County Health Department

SAN BERNARDINO COUNTY, CA

CORE PARTNERS:

San Bernardino County Public Health Department

San Antonio Regional Hospital

Partners for Better Health

Other Partners: HC2 Strategies, El Sol Neighborhood Center, City of Ontario, The 20/20 Network, Partners for Better Health, City of Ontario

CMMI:

HCIA

BCPI: Community Hospital Of San Bernardino, Saint Bernardine Medical Center

SEATTLE, WA

CORE PARTNERS:

Public Health - Seattle and King County

Swedish Medical Center

Interim CDA

CMMI:

HCIA: Seattle Children’s Hospital WA

SIM: Model Testing Awards

Transforming Clinical Practices Initiative: PeaceHealth Ketchikan Medical Center WA, University of Washington, Washington State Department of Health

BPCI: Seattle Operations, LLC

APCP: International Community Health Services - Holly Park, Neighborcare Health,

CTSA: University of Washington Institute of Translational Health Sciences

DASH: Public Health – Seattle and King County, Seattle Public Housing Authority, King County Public Housing Authority

FreshLo: Rainer Beach Action Coalition

The BUILD Health Challenge: Crosswalk of Similar Initiatives Updated 7/7/16

Playworks Everywhere: Public Health Seattle & King County (Transit Play Spaces)

PRC: University of Washington

100 Resilient Communities: Mayor’s Office

SPRINGFIELD, MA

CORE PARTNERS:

HAPHousing

Baystate Health

City of Springfield Health and Human Services

Other Partners: Mercy Medical Center, Mason Square Health Task Force, Partners for a Healthier Community, Old Hill Neighborhood Council

CMMI:

HCIA

BPCI: Baystate Medical Center, The Mercy Hospital,

Next-Gen ACO: Pioneer Valley Accountable Care, LLC