10. Health Care

Discussion questions for classrooms

  1. What is the difference between clinical prevention and community prevention?
  2. Why should healthcare be involved in improving the community conditions that shape health?
  3. What inherent assets does healthcare bring to the table that can complement or propel community change efforts?
  4. If your neighbor was told to exercise more by a doctor, would that be easy to do in your community? Why or why not?
  5. Think about any local healthcare institutions, including hospitals or clinics. What kind of history do they have in the community? How did this help or hurt their standing as a potential advocate?
  6. How do payment and billing mechanisms incentivize or disincentivize healthcare’s participation in prevention work?



  1. Resources from Prevention Institute

Back to Our Roots


Addressing social determinants of health is key to helping communities navigate adversity, heal, and flourish. PI’s new report, Back to Our Roots: Catalyzing Community Action for Mental Health and Wellbeing, illustrates how improving community conditions can reduce the incidence and intensity of mental health challenges, and help activate resilience.

  1. Community Centered Health Homes Fact Sheet

    CCHH model

    A Community Centered Health Home acknowledges that factors outside the healthcare system affect patient health outcomes. This fact sheet addresses basic questions about the CCHH model, including what a CCHH is, why healthcare organizations should consider the model, and what we’ve learned from pilot sites across the country.

    Community Centered Health Homes (CCHH)


    In Community Centered Health Homes: Bridging the gap between health services and community prevention, PI outlines an approach that community health centers can take to promote community health as they deliver high quality medical services.

    Assessing and Promoting CCHH


    To explore how the work of community clinics matched up with the principles of Community-Centered Health Homes, Prevention Institute visited or interviewed more than a dozen clinics across California.

    The Community-Centered Health Homes Model: Updates & Learnings


    Momentum is building for healthcare organizations to contribute to advancing population health. This brief reviews and analyzes what we’ve heard from clinics actively involved in community change – particularly clinics doing early testing of the CCHH model – and summarizes what we’ve learned over the years.

    Accountable Communities for Health (ACH) Fact Sheet


    What is an ACH? An Accountable Community for Health (ACH) is a structured, cross-sectoral alliance of healthcare, public health, and other organizations that plans and implements strategies to improve population health and health equity for all residents in a geographic area.

    Accountable Communities for Health (ACH)


    The Accountable Community for Health (ACH) model is emerging as a promising vehicle toward reaching the full potential of the Triple Aim-particularly efforts to improve population health.

    ACH: A Model for Health System Transformation


    This brief outlines the ACH model with examples of collaborations throughout the country, and recommends several concrete actions for organizations interested in taking the next step toward adopting the ACH approach.

    Disrupting the Pathway

    This paper presents an exploratory methodology for disrupting the pathway that leads to high utilization by applying a community-wide prevention lens to the challenges of high utilization.

    Prevention Institute Blog


    *** For up-to-date news on healthcare, see Prevention Institute’s Weekly Media Digest posts in the Prevention Institute Blog ***

    Further Resources

    Can Hospitals Heal America’s Communities?
    Stakeholder Health: Insights from New Systems of Health
    Prevention Attention! Turning a ‘No’ Vote Into a ‘Now’ Vote
  2. DocThoughts: short interviews with thought leaders in medicine


    Episcopal Health Foundation

    Episcopal Health Foundation is committed to help lead this transformation to create healthier communities, and demonstrate our faith by caring for the health of our neighbors. EHF invests millions of dollars in organizations, programs, and church projects that improve the health of the 10 million people living throughout the 57-county region served by the Episcopal Diocese of Texas. EHF is currently funding a Community-Centered Health Homes (CCHH) demonstration project among select health centers in Southeast Texas.

    Louisiana Public Health Institute

    LPHI brings a unique approach to clinical transformation, combining skilled practice coaches with extensive clinical expertise in factors that influence patient health outcomes and healthcare costs. With decades of experience helping healthcare organizations transform their operations to provide quality, patient-centered care, LPHI is a valued partner in achieving better care, smarter spending and healthier people. LPHI implemented the first Community-Centered Health Homes (CCHH) demonstration projects by supporting five health centers throughout the Gulf Coast.

    Blue Cross Blue Shield of North Carolina Foundation

    BCBSNCF’s goal is to make a difference in the health of North Carolinians. They work with our grantees as partners to support nonprofit sustainability, collaborate on shared outcomes, and create lasting change. BCBSNCF is currently implementing a Community-Centered Health Homes (CCHH) initiative with two sites in North Carolina.

    Association for Community Health Improvement

    The Association for Community Health Improvement is the premier national association for community health, community benefit and healthy communities professionals. It delivers education, professional development, peer networking and practical tools that help health leaders expand their knowledge and enhance their performance in achieving community health goals.

    Democracy Collaborative

    Democracy Collaborative is a national leader in equitable, inclusive and sustainable development through our Community Wealth Building Initiative. This initiative sustains a wide range of Advisory, Research and Field Building activities designed to transform the practice of community/economic development in the United States.

    Practical Playbook

    Practical Playbook’s mission is to advance collaboration among public health, primary care, and others to improve population health. They do this by providing practical implementation tools, guidance, and resources.

    Build Healthy Places Network

    Build Health Places Network’s mission is to catalyze and support collaboration across the health and community development sectors, together working to improve low-income communities and the lives of people living in them. BPHN connects leaders and practitioners, curates resources and examples of what works, and builds the knowledge base for cross-sector collaboration.

    Baylor Scott & White Diabetes Health and Wellness Institute

    Baylor committed $15 million over three years to create the Diabetes Health and Wellness Institute at the Juanita J. Craft Center in the Frazier community of South Dallas. The institute will provide an on-site physician and nurse practitioner in addition to nutrition and cooking classes and a diabetes drug distribution system. It will also collaborate with other community organizations, such as public health programs, schools and churches, to improve health.