Community Health Improvement
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NWRPCA is committed to achieving health equity by working to ensure that all communities have the necessary conditions for good health. Federal initiative Healthy People 2020 defines health equity as "attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities.”


The Community Health Improvement program works to improve health outcomes in all of the populations Region X health centers serve. The program’s objectives and activities align with the Triple Aim: improving the patient experience of care (quality and satisfaction); improving the health of populations; reducing the per capita cost of health care.






Community Health Improvement Program Areas

Vulnerable Populations

Community and migrant health centers (C/MHCs) serve a high number of individuals from the most vulnerable populations. NWRPCA works to strengthen health and health care services for vulnerable populations, including migrant and seasonal agricultural workers, the homeless, and residents of public housing, through coordination, information sharing, partnerships, and training among C/MHCs and allied organizations.

Community Health Worker Workforce Support

Community Health Workers (CHWs) are frontline staff, such as community health aides, outreach workers, promotores de salud, peer health educators, and lay health advisors. CHWs play a vital role in the health care workforce. NWRPCA provides coordinated trainings and peer networking opportunities for CHWs, technical support for grants focused on CHW interventions, education to state and federal officials and the roles and impact of CHWs, and CHW-focused sessions at the annual Western Forum for Migrants and Community Health.

Outreach and Enrollment >>

The Affordable Care Act (ACA) provides millions of previously uninsured Americans with health insurance. NWRPCA supports C/MHC's efforts in helping consumers find  health coverage, determine tax credits to reduce premium costs, and provides training  to facilitate access to coverage for hard-to-reach populations, such as immigrants, refugees, migrants and seasonal agricultural workers, and veterans. Read more on our Outreach and Enrollment webpages.

Trauma-Informed Primary Care Initiative 

One in four children in the U.S. grows up in families and communities that put their lifelong social success and physical health at risk because of Adverse Childhood Experiences (ACEs). NWRPCA in partnership with the Washington State University Child and Family Research Unit, is leading a pilot project with Region X C/MHCs to develop and integrate effective trauma-informed practices into the primary care setting.

Western Forum for Migrant and Community Health >>

The Western Forum for Migrant and Community Health, one of the three annual conferences coordinated by NWRPCA, brings together health professionals from C/MHCs and allied organizations for the purposes of education and training, information and resource sharing, coalition building, and program and policy development.


National Cooperative Agreements >>


Community Health Improvement Resources

Community Outreach Resources >>

Health Equity Resources >>


Immigration & Public Charge Resources

Take a look at the resources and tools our colleagues and partners have developed related to immigration and Public Charge. The public comment portal for the Public Charge has closed. In the 60-days for public comment 210,889 comments were submitted on the Public Charge. Many of our partners like the National Health Center Immigration Workgroup submitted and encouraged others to submit comments, gracias! The Department of Homeland Security is required to read and respond to all comments before releasing the final rule. Visit our partners and links below for more updates, resources and information related immigration and public charge. If you have a favorite resource, training or related information that you’d like us to highlight or need more resources please contact Maribel Montes de Oca,


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