Overview

Each Accountable Community of Health has a focus on transformational effort, which is designed to help the state achieve useful change in the structure of Medicaid transformation. Each ACH will develop a series of projects reflecting the evidence-based strategies and promising practices specific to the needs of that region.

Accountable Communities of Health (ACH) and the transformation efforts they undertake are a key component of Washington’s Medicaid Transformation demonstration and have been created to help the state achieve Medicaid transformation goals. Each region, through its ACH, will pursue projects aimed at transforming the Medicaid delivery system to serve the whole person and to use resources more wisely.

Efforts will focus on improving population health and reducing disparities to achieve health equity across populations, while projects will be interrelated and interdependent. ACHs must evaluate priorities and implement projects concurrently, rather than sequentially or in silos.

There are three “domains” in which these projects reside.

  • Domain 1 focuses on Health Systems and Community Capacity Building.
  • Domain 2 focuses on Care Delivery Redesign.
  • Domain 3 focuses on Prevention and Health Promotion.


Domain 1

Domain 1 is a stand-alone step in the process, focusing on system-wide planning and capacity-building to reinforce transformation projects. The second and third Domains, though, can include up to four discrete projects.


Domain 2

Care Delivery Redesign Transformation projects focus on innovative models of care that will improve the quality, efficiency, and effectiveness of care processes. We emphasize integrated models as well as a person-centered approach. Southwest Washington ACH will be participating in the project entitled “Bi-directional Integration of Care and Primary Care Transformation” (see above) and will be making a choice to also add at least one of the following project types:

  • Community-based Care Coordination
  • Transitional Care
  • Diversion Interventions

Domain 3

Prevention and Health Promotion Transformation projects focus on prevention and health promotion to eliminate disparities and achieve health equity across regions and populations. Southwest Washington ACH will be participating in the project entitled “Addressing the Opioid Use Public Health Crisis” (see above) and will be making a choice to also add at least one of the following project types:

  • Maternal and Child Health
  • Access to Oral Health Services
  • Chronic Disease Prevention and Control

Stay tuned to this page for regular updates on these projects.

Domain 2

Bi-directional Integration of Care and Primary Care Transformation

Details forthcoming

Domain 3

Addressing the Opioid Use Public Health Crisis

Details forthcoming