Welcome to the Citizens Health Initiative!

Working for a health and health care system with better health, better care, and lower costs for all New Hampshire residents.

Our long-term goal is to create and sustain a public dialogue that will measurably improve the “systems” that finance and provide health care in New Hampshire in order to accomplish two fundamental objectives: to assure a healthy population and to create an effective system of care.


Initiative in the News!

Great AP story by Holly Ramer highlights NH Citizens Health Initiative efforts to contain health costs and improve quality and public health. Has been picked up by news organizations from coast to coast.

NH Now 4th in Nation for ePrescribing!

Northern New England Health Care Transformation Symposium

Health care providers, purchasers and stakeholders from New Hampshire, Vermont, and Maine came together at UNH Durham on May 21, 2013 to share learning on advancing change in health care system transformation. Jay Want, MD, past chair of Center for Improving Value in Health Care in Colorado, a public-private partnership purposed to catalyze health care reform in the state provided the key note remarks. Want is a CMS Innovation Advisor for the Center for Medicare and Medicaid Innovation and recognized for leadership in health policy by the Colorado Health Foundation. The Symposium also included presentations and panel discussions highlighting health transformation work across northern New England including using data to drive system change; regional tools for learning and collaboration, and funders' perspectives on supporting transformation. Sponsors included Anthem, CIGNA and Harvard Pilgrim and funders Jessie B. Cox Trust, Endowment for Health, Maine Health Access Foundation and the Robert Wood Johnson Foundation.  

Initiative Spring Newsletter Is Out!


Making the Connections: NH Citizens Health Initiative 2012 Annual Report

Clinician's Role in Integrating Medicine and Public Health to Improve Individual and Population Health: A Primer and Call to Action 

As a clinician, you want to provide the best care leading to the best outcomes while reducing the burden of healthcare costs for your patients. Achieving this goal is challenging given shorter appointment times, evolving practice and payment models, financial pressures, and the complexity of patient care needs. At the same time, you are being asked to influence the underlying social factors that impact the health of individuals and communities. Maintaining professional satisfaction in light of these expectations is daunting. This primer introduces the strategy of integrating the medical care and public health systems to help overcome these pressures and optimize health improvement.

NH Ranks #5 in Nation for ePrescribing
New Hampshire ranks fifth in the nation for use of electronic prescriptions. Surescripts, the national electronic prescribing network that connects pharmacies, physicians, and hospitals, announced its Top Ten States for ePrescribing today.  In its first appearance in the Top Ten, New Hampshire went right to #5 for overall rank, with 86% of office-based health care providers using ePrescribing compared to 58% nationally. Nearly 94% of New Hampshire pharmacies are participating in ePrescribing. Watch video.

Learn more about the ePrescrbing effort in New Hampshire...

 Patrick Miller on NH #5 Rank for ePrescribing

Call for Participation: New Hampshire Accountable Care Project: Transforming Systems through Shared Data and Learning

The Initiative's Accountable Care Project has issued a Call for Participation for small and large hospitals, independent provider organizations or integrated delivery systems who are interested in joining this group of active, committed participants in health system transformation through shared data and learning. The Accountable Care Project is funded by the Robert Wood Johnson Foundation. For more...

Pillar Projects

Health Promotion Disease Prevention

The work of the Health Promotion and Disease Prevention Pillar Project focuses on decreasing the leading preventable causes of illness and death among New Hampshire citizens through collaboration, evidence-based information, and sound policy recommendations. Our aim is to strengthen the public health system, integrate population health and clinical care systems, and work towards increased health and well-being of all New Hampshire citizens.

Accountable Care Project

In 2012, the Accountable Care Project will actively work to develop common measures and reports of cost, utilization and quality and create a learning community focused on sharing quality and efficiency improvements, system transformation best practices and lessons learned among participants. The Accountable Care Project is part of ongoing collaborative Initiative efforts on payment reform and health system transformation with the overall aim of better health, better care, and lower costs for all New Hampshire residents.

Medical Home

The NH Citizens Health Initiative Multi-Stakeholder Medical Home Pilot has been a collaboration among the Initiative's medical home workgroup, the Center for Medical Home Improvement, and the four private NH Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare, as well as NH Medicaid. The goal of the pilot has been to value, prescribe, and reward medical care that is tightly coordinated and of superior quality and efficiency. The two-year medical home pilot ended on December 31, 2011; an evaluation is currently in progress. 

Roadmap to New Hampshire's Health

The New Hampshire Health Roadmap project will work with stakeholders and the public to look at New Hampshire’s health and health care needs for 2020 and beyond.