Golden Gate@2x

Improving the quality of care and equitable health outcomes for all people served by California Community Health Centers

Ocean@2x Scaled Aspect Ratio 3840 1748

Improving the quality of care and equitable health outcomes for all people served by California Community Health Centers

Rectangle 1015 Aspect Ratio 3840 1748 1

Improving the quality of care and equitable health outcomes for all people served by California Community Health Centers

Gavin Spear Mlndamka104 Unsplash Aspect Ratio 3840 1748

Improving the quality of care and equitable health outcomes for all people served by California Community Health Centers

Adobestock 321355207 Aspect Ratio 3840 1748

Improving the quality of care and equitable health outcomes for all people served by California Community Health Centers

We’re collaboratively designing population health management strategies to advance provider capabilities and address disparities.

The Population Health Management Initiative is a California collaboration of the Department of Health Care Services, Kaiser Permanente and Community Health Centers (CHCs). We’re supporting a cohort of 32 CHCs, which serve 1.1 million people, to improve their population health management capabilities and align with Medi-Cal policy and payment reform initiatives.

About the Initiative

Guides and tools to support population health management best practices

We’ll be continuously offering resources including guides, tools, and best practices around expanding specific population health management capabilities. These resources support anyone interested in population health improvement for providers and practices in the Medi-Cal delivery system.

View Resources

Our program is collaboratively designed and tailored to the needs of California Community Health Centers

We are working with Community Health Centers across the state to collaboratively design population health management strategies that work for them and the patients they serve. We are aiming to advance Community Health Center capabilities in population health management that address people, process, and technology.

Our goals include:

Improve quality of care and equitable health outcomes of people served by CHCs​

Enhance access through team-based care and care redesign at CHCs​

Improve CHC patient engagement and experience of care

Improve CHC technology enablement to optimize population health capabilities

Our Program

News and Updates

PHMI 2025 Statewide Learning Session

In March, PHMI stakeholders, including representatives from our cohort of 32 CHCs, Regional Associations of California, DHCS, CPCA, and Practice Transformation Partners came together for an immersive Statewide Learning Session aimed at supporting CHCs develop a robust set of practical ideas and next steps towards achieving improved population health outcomes.

Food is Medicine in PHMI

We know that nutrition is critical to health and well-being. And when people are hungry or cannot access nutritious food, they’re less likely to get or stay healthy. Many of these people are served by our PHMI cohort of CHCs.

Key Insights from Mendocino Coast Clinic’s Patient Engagement Strategy

Beautiful, rural Mendocino County is home to a diverse population of families, service industry workers, loggers, fishermen, and a growing Hispanic community. The area also faces significant challenges with substance abuse, high rates of fentanyl-related deaths, and homelessness.
See All News