Taking Innovation to Scale: Community Health Workers, Promotores, and the Triple Aim

A Statewide Assessment of the Roles and Contributions of California’s Community Health Workers

Images of people on red background


The US health care system has entered an era that will require nothing short of a fundamental transformation in the way that care is delivered. Expanded enrollment of uninsured populations and movement towards global budgeting will create incentives for increased investment in new models of primary care and population health interventions to reduce the demand for high cost specialty and inpatient care. There is growing acknowledgement of the need to adopt a broader perspective on what kinds of services, where services are delivered, and who is most appropriate to provide different types of services. This evolution in thinking is leading inexorably to the recognition that we must look beyond traditional services in order to address the social and environmental conditions that perpetuate and exacerbate poor health in our communities.

Community health workers and promotores (CHWs) have been engaged for decades by many of our community health clinics to serve as bridges between traditional service models and community-based prevention. The time has come to more strategically engage these important members of primary care teams and to bring them into the mainstream of the US health care system.


Work With Us

You change the world. We do the rest. Explore fiscal sponsorship at PHI.

Bring Your Work to PHI

Support Us

Together, we can accelerate our response to public health’s most critical issues.


Find Employment

Begin your career at the Public Health Institute.

See Jobs

Aerial view of wildfire smoke


Wildfires & Extreme Heat: Resources to Protect Yourself & Your Community

Communities across the U.S. and around the world are grappling with dangerous wildfires and extreme heat. These threats disrupt and uproot communities and pose serious risks to environmental and community health—from rising temperatures, unhealthy air pollutants, water contamination and more. Find PHI tools, resources and examples to help communities take action and promote climate safety, equity and resiliency.

Get started

Continue to