Richmond Accountable Health Community

Health Quality Innovators (HQI) and its partners, including IPHI, were awarded a five-year, $4.5 million grant by the federal Centers for Medicare & Medicaid Services to address some of the upstream factors that contribute to poor health.

The funds will support the creation of an Accountable Health Community, in which health care providers will annually screen more than 75,000 patients with Medicare or Medicaid for unmet basic needs, and will connect them to local agencies and organizations that can help.

By connecting patients to community supports for health-related social needs, the Metro Richmond Accountable Health Community expects to reduce avoidable hospital readmissions and Emergency Department utilization. It also hopes to build a sustainable model for clinical-community connections that can be spread to other parts of the region and state.

As the community’s bridge organization, HQI and its partner, the Institute for Public Health Innovation, will coordinate the efforts of multiple health care delivery and community service organizations in the City of Richmond, Chesterfield, Hanover, and Henrico. Participating clinical sites include Bon Secours’ four Richmond-area hospitals, the Bon Secours Medical Group, Capital Area Health Network, Richmond Behavioral Health Authority, Richmond City Health District, The Daily Planet, and VCU Medical Center’s Hospital and Clinics. Among the community organizations that have already committed to participation are Better Housing Coalition, FeedMore, Senior Connections, VanGo, Virginia Supportive Housing and YWCA Richmond.

The Richmond Accountable Health Community Project is one of 32 such projects across the country – and the only awardee based in Virginia – to receive funding from the CMS Center for Medicare and Medicaid Innovation to implement the Accountable Health Communities Model.


For more information on the Richmond Accountable Health Community, see the HQI website, or contact Dr. Mike Royster with IPHI at