Prototype initiatives spring from groundbreaking partnerships between health systems, payers, providers, and organizations. These groups unify through collaboration around innovative pilot projects that can change the health landscape. ARCHI serves as the coordinator for all participating organizations, ensuring that these initiatives are seamlessly led and that all organizational and programmatic goals are met.

DISEASE MANAGEMENT

ARCHI partners have joined forces to focus on the needs of diabetic patients and address the gap between clinical services and community supports. This project represents a new way of thinking about disease management and is the first time that health systems have come together to jointly address the shared needs of their patients. Across the 3 clinics participating in the pilot, this alignment has provided additional non-clinical support for patients with uncontrolled diabetes by providing online diabetes self-management courses and by enrolling patients into a 4-month coaching program designed to increase diabetes self-management through addressing non-clinical social supports.

VALUE-BASED HEALTH CARE

The Atlanta Value-Based Health Care Pilot is aimed at exploring a value-based healthcare model that improves outcomes and reduces costs for heart failure patients who receive care in facilities located in Cobb, Fulton, or DeKalb counties. This project marks the first time multiple major health systems and payers in the Atlanta market are working together and jointly engaging a network of nonclinical community service providers in metro-Atlanta. This multisystem, multi-payer pilot seeks to shift funding to support quality and not quantity of care by focusing on improving non-clinical social supports for heart failure patients in Atlanta.

SOUTH FULTON COLLABORATIVE

The South Fulton Supported Pathway to Quality Employment (SPQE) is a collaboration among a broad set of service providers and community organizations with the goal of supporting individuals on the path to quality, sustainable employment. Partners of the initiative provide services that help individuals obtain employment and support them and their families on a path to physical, mental, and social wellbeing. Partners will concentrate and focus their existing programs to create a supportive path to employment for individuals. Efforts will include also building partnerships with new service providers to provide critical services that are key to the Aspen Institute’s Two Generation Model including childcare, health screenings, and financial literacy programs.

DeKalb Youth Prosperity Initiative

The DeKalb Youth Prosperity Initiative is a holistic partnership of service providers, community organizations, educational institutions, government agencies, and residents in DeKalb County that aims to organize and deploy resources to achieve greater impact in the quality of life of individuals and families. The initiative adopted the Child Well-being Index, created by United Way, as a composite measure of holistic health and plans to use the instrument to benchmark progress. Violence prevention will be a focus area, with special emphasis on interventions that are likely to have broad health impact on adolescent development. Through optimizing services and resources, the initiative will leverage an integrated service delivery approach to achieve impact. The DeKalb Youth Prosperity Initiative will work with resident leaders, businesses, and community organizations to refine an integrated, school based services network that will: use real time data to identify children and families with potential needs; rapidly deploy supports to children and families experiencing vulnerabilities; invest in youth development to ensure that all children in DeKalb County thrive; and measure results across services and sectors.

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ALIGNMENTS

Across jurisdictions and within communities—where health statistics lag behind local, state, and national averages—ARCHI’s partners engage in tactically precise practices to confront our region’s health inequities.

IMPACT ACROSS OUR REGION

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