A $157 million funding opportunity to build alignment of clinical and community services at the local level was announced by the Center for Medicare and Medicaid Innovation (CMMI) in January. The Accountable Health Communities (AHC) Model will support up to 44 communities to screen patients for health-related social needs and connect them to community services. Applications are due on March 31, 2016.

What does this opportunity mean for eligible organizations and how can communities leverage this grant to support population health?

Our Web Forum will consider these and other questions, drawing from national, multi-sector efforts underway in which healthcare and communities have linked clinical and community services to improve population health and enhance health equity.

Our panelists will discuss:

  • Promising approaches to screening for social needs;
  • Connecting patients to community services;
  • Managing a multi-sector coalition; and
  • Data collection and evaluation.

You’ll hear their lessons learned and have the opportunity to ask them your questions.

Did you miss our first Web Forum featuring details on the AHC FOA from CMMI staff? To listen and view the presentations, transcript, and recording, please go to www.dialogue4health.org/web-forums/detail/accountable-health-communities.

AHC FOA Key Dates:
Applications Due: March 31, 2016


Heidi Haney Favet

Care Team Leader

Essentia Health

Ely, MN

Heidi Haney Favet, CHW, BS, is the Care Team Leader spearheading the Community Care Team (CCT) for Ely, MN and the surrounding area. The CCT has grown to a collaboration of 19 area agencies committed to interagency continuity of care for shared patients. As the Care Team Leader, she assists…

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Leslie Mikkelsen, RD, MPH

Managing Director

Prevention Institute

Oakland, CA

Leslie Mikkelsen, RD, MPH, Managing Director of Prevention Institute directs the Health Systems Transformation team. The team focuses on promoting community-level prevention in the implementation of the Affordable Care Act and fostering healthcare – community integration practices and policies. Current efforts underway include technical assistance for funding initiatives in various…

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Donna Skoda, MS, RD, LD

Health Commissioner

Summit County Public Health

Akron, OH

Donna Skoda is the Health Commissioner at Summit County Public Health. She has worked in community-based public health programs for 25 years. Her current responsibilities include the overall management of the health district as well as managing the assessment and epidemiological components within the Health District, data and information systems…

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Matthew Marsom

Vice President, Public Policy and Programs

Public Health Institute

Oakland, CA

As Vice President for Public Policy and Programs for the Public Health Institute (PHI), Matthew works to advance and support the public policy goals of the organization’s domestic and global health programs. He is responsible for designing and implementing strategy for monitoring and influencing public policy, legislation and regulations affecting…

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Presentation Slides