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Accountable Care Organizations

As implementation of the federal Affordable Care Act moves forward, CHCF is providing analysis of and insight into models that integrate hospital and physician services to achieve greater accountability and coordination of health care. Specifically, CHCF is working to track the development of integrated approaches to delivery of care and financing; identify regulatory and legislative barriers around the creation of ACOs and help to inform state policy; and determine how ACOs would work in the public sector (community clinics and public hospitals).

The CHCF Blog

The California Health Care Foundation draws on experts from within and outside CHCF to share their health policy insights on this blog.

Community Paramedicine

Community paramedicine is a locally designed, community-based, collaborative model of care that leverages the skills of paramedics and emergency medical services (EMS) systems to take advantage of collaborations between EMS and other health care and social service providers. Community paramedics receive specialized training in addition to general paramedicine training and work within a designated program under local medical control as part of a community-based team of health and social services providers.


CHCF commissions independent evaluations of projects when there are opportunities to learn, contribute to the field, or inform our grantmaking. The results of CHCF-funded evaluations are shared publicly as part of our commitment to assessment, learning, and transparency. Below are projects with completed evaluations.

From the President

Dr. Sandra R. Hernández has led the California Health Care Foundation since January 2014. In her monthly column she reflects on her experiences as a physician and philanthropic leader to comment on current events through the lenses of CHCF's goals, initiatives, research, and projects.

Health Data

Safeguarding the confidentiality of personal health information is a fundamental principle in health care, both on- and offline. And as demand increases for highly portable personal health records, the risks to privacy increase while the challenges for protecting it also grow. CHCF surveys consumer attitudes, monitors industry practice, and reports on health privacy policy and regulation.


In the interest of visually illuminating important health care topics to further understanding and improve policy decisionmaking, CHCF is depicting data in new ways. Below are links to static infographics and interactive data visualizations that we have developed. CHCF infographics are also collected on Pinterest.

Videos and Multimedia

CHCF captures many of its live events on video for playback, as well as offering a series of "On Deck" interviews and other special project clips. We use multimedia presentations to explore some topics in depth. Below are pages with video or multimedia content. CHCF videos are also collected on YouTube.

Medication-Assisted Treatment for Opioid Addiction

Addiction to opioids, including both prescribed pain medication and heroin, is at epidemic levels in the United States. Medication-assisted treatment (MAT) for opioid addiction combines medication with behavioral health services and has been proven to save lives and increase recovery rates. Still, today only 1 in 10 of those who need help with treatment for substance use can access MAT. CHCF is working to increase access to MAT. Learn more about this lifesaving treatment with these key resources:

  1. Recovery Within Reach: Medication-Assisted Treatment of Opioid Addiction Comes to Primary Care
  2. Buprenorphine: Everything You Need to Know (PDF)
  3. Emergency Care for the Opioid Epidemic: Leaders Discuss Medication-Assisted Treatment in the ED

Opioid Overdose Reversal Medication (Naloxone)

Naloxone is an opioid overdose reversal medication that has been proven to save lives. Data are accumulating that show that making naloxone widely available can cut overdose deaths. Under a California law passed in 2014, pharmacists who complete a short online training course may give naloxone to any patient who requests it. No prescription is needed. A study published in Annals of Internal Medicine found that providing naloxone to patients using opioids for pain resulted in 47% fewer opioid-related ED visits in the first year after receiving the drug. CHCF is supporting partners to deploy naloxone through a variety of settings.

Safer Prescribing Practices for Opioids

In the 1990s, opioid prescriptions started to climb, in large part because doctors were taught to treat pain aggressively and told that the risk of addiction was minimal. Today we know that the overuse of opioids puts people at risk of complications, addiction, and accidental overdose death. CHCF is working with partners in health plans, physician and pharmacy groups, hospitals, behavioral health experts, and others to disseminate evidence-based guidelines for safer prescribing.


Californians have access to the best health care in the world. Yet on any given day, there can be a disappointing gap between the quality of care that has been advanced by modern medicine and the quality that the average patient receives. CHCF looks at the issues of quality, safety, and variation in care delivery.


Public reporting of provider performance leads to higher quality of care. These reports and initiatives focus on the quality of care given by hospitals, physicians, health plans, and other providers of care in California.