TACHI is growing local solutions that support the health of people and communities on a sustainable basis.

The Texas Accountable Communities for Health Initiative (TACHI) is changing the way we think about health – from one that is centered on the health care system to one that values health equity and multi-sector partnerships. TACHI is supported by Episcopal Health Foundation, St. David’s Foundation, and other local partners across six Texas communities.

By the numbers


Texas communities

$13+ million

total investment


of lives changed

TACHI Improves Communities

TACHI supports sites as they move to center health equity and multi-sector partnerships. It does so by providing flexible grant-funding, site-specific technical assistance, site-directed learning opportunities, and refinement and evaluation of the ACH model within the context of Texas. TACHI aims to position collaboratives to advance community-led, financially sustainable strategies that address non-medical drivers of health that improve health outcomes. Read more about the support for TACHI sites here.


Six communities across Texas are implementing an Accountable Community for Health (ACH) framework. These multi-sector partnerships aim to address the non-medical, root causes of poor health in their communities. 

Leveraging Accountable Communities for Health

TACHI supports collaboratives to become health equity-focused and sustainable entities known as Accountable Communities for Health (ACH).

ACHs are community-based partnerships formed across sectors such as health care, housing, social services, public health, employment training, and economic development, to focus on a shared vision and responsibility for the health of the community.

TACHI Insights

Keep up with all of the TACHI developments from around Texas including news, videos, expert blogs, success stories, and case studies from TACHI sites.

Initiative Partners