Agenda

Return

C. 53

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 21, 2023

Contra

Costa

County

Subject:

California Accountable Communities for Health Initiative (CACHI) Grant

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/21/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Emily Parmenter, (925) 608-5176

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 21, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to apply for and accept funding in an amount not to exceed $400,000 from the California Department of Public Health (CDPH) and other partners for the California Accountable Communities for Health Initiative (CACHI) to form an Accountable Community for Health (ACH) in Contra Costa County; and APPROVE and AUTHORIZE the Health Services Director to execute the necessary certifications and assurances required for the grant agreements.

FISCAL IMPACT:

The funds requested will support Contra Costa Health Services to advance the objectives of the Living Contra Costa initiative in establishing a formalized cross-sector collaboration to support improved health across the County. No County funding match is required.

BACKGROUND:

The Accountable Communities for Health (ACH) model is emerging as an important vehicle for addressing population health and health equity using multi-sector and community-based partnerships, in service of a shared collective vision. The model recognizes that health is the result of interdependent factors at work across a community and that no single entity controls enough levers to address them alone. ACHs bring together residents with clinical providers, public health departments, schools, social service agencies, community based organizations and businesses in a collective effort to make a community healthier, more equitable and resilient. To date, 13 communities across California have formed ACHs to address a range of community-identified issues.

In 2019, Contra Costa Health Services undertook a year-long planning process to ensure readiness for the future. At the heart of that effort was a realization that health shapes the lives of everyone in Contra Costa County. This planning process culminated in the Living Contra Costa vision, an ambitious roadmap that serves as an invitation, sense-making, and measurement strategy for improving the health and well-being of everyone in Contra Costa County. While the initiative was placed on pause during the pandemic, the Department now has the opportunity to return to this initiative with the community to continue this work towards improved health and well-being for all residents while centering health equity.

Since the initiative is lacking a framework for how to reengage partners to restart this work, the relaunch of Living Contra Costa within the Accountable Community for Health structure is an opportunity to formalize and sustain these essential partnerships. The ACH model will allow Contra Costa County to continue to build upon the success of partnership and innovation experienced during the COVID-19 pandemic by establishing and acting upon shared goals.

CONSEQUENCE OF NEGATIVE ACTION:

Failure to apply for this funding will result in loss of opportunity to support the continuation of the Living Contra Costa initiative through the development of a cross-sector Accountable Community for Health.