Health Systems Transformation

Health Systems Transformation

ASTHO’s work in health systems transformation promotes cross-cutting collaboration and integration in a variety of areas across the changing world of public health. ASTHO’s work supports the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care.

All efforts related to health transformation focus on promoting access. ASTHO's Access project includes the Genomics, Maternal and Child Health and Primary Care projects. ASTHO's Access Policy Committee provides oversight for these projects.

Community Health Needs Assessments

ASTHO supports collaboration between non-profit hospitals and governmental public health departments and public health experts to facilitate work to develop hospital Community Health Needs Assessments. Read more »

Community Health Workers

This webpage contains resources for state health agencies on the use of non-licensed providers such as community health workers (CHWs), including resources related to financing, certification and licensure, and examples of work in states to support CHWs. Read more »

Medicaid and Public Health Partnerships

ASTHO supports state health agencies by providing information and technical assistance to facilitate partnerships with Medicaid. These activities encompass a range of payment and delivery reform initiatives such as the State Innovation Models (SIM) Initiative and promoting collaborative opportunities between Medicaid and public health that will achieve the Triple Aim of better care, reducing costs, and improving population health outcomes. Read more »

Primary Care and Public Health

ASTHO's Primary Care project examines key areas of intersection between public health and primary care, and supports the 2013 President's Challenge of the reintegration of public health and healthcare. ASTHO also addresses training and technical assistance for state primary care offices, and provides information to state health officials on larger access to care and primary care issues. Read more »

ASTHO Health Systems Transformation Webinars

To view recordings, slides, and supporting resources from past ASTHO webinars, visit the health systems transformation webinars page.

Payment and Delivery Reform TA Call Series

This technical assistance call series is designed to support state health agencies' work in payment and delivery reform and focuses on key areas that states have identified as needing additional training and technical assistance. Read more »


Megan Miller, Senior Director, Health Integration
Emily Moore, Senior Analyst, Health Transformation
Doug Kershner, Senior Analyst, Primary Care
Anna Bartels, Analyst, Health Systems Transformation