Carolinas Health Innovation Institute

Working to stitch together better health outcomes. 

The Carolinas Health Innovation Institute (CHI2) is a new partnership among the foundations at the North Carolina Healthcare Association, the South Carolina Hospital Association and The Duke Endowment. CHI2’s purpose is to redefine systems of care to equitably and sustainably meet the health needs of the Carolinas.


For more details, read The Duke Endowment article, “Beyond Programs: Funding Systems Change to Improve Care for All.”

Download CHI2’s Executive Summary

Healthcare spending has grown at an unsustainable pace. While costs are escalating, health outcomes are worsening. A large contributor is a fragmented care system. COVID-19 has exposed inequalities and shortcomings, while only widening the gap. By stitching together component funding and aligning efforts across the healthcare spectrum, we can develop a more equitable, sustainable system of care that alleviates uncertainty and creates a more level playing field. 

The Carolinas Health Innovation Institute (CHI2), designed to serve as a common thread, offers the infrastructure to support necessary reforms to our healthcare system. CHI2’s purpose is to redefine systems of care to equitably and sustainably meet the health needs of the Carolinas. 


  • Health Systems 
  • Independent & Rural Hospitals 
  • Non-Profits Involved in Healthcare 
  • Healthcare Payors
  •  State Government Agencies 
  • Policymakers & Legislators 
  • Health Funders


  • Unite promising practices with policy changes needed for sustainability 
  • Innovate and test solutions to validate data for policy and systems change 
  • Design payment pathways so that funders can act as seed capital for payor commitment 
  • Present research and evaluation support for new care delivery models to ensure equitable care in underserved communities 
  • Develop a shared agenda that amplifies community voices to executives and/or legislators 
  • Discover new opportunities to invest in through environmental scanning 
  • Empower community voice to realize return on investment 
  • Provide shared incentives/opportunities for co design such as risk free pilots and demonstrations to develop models of care worth paying for

We are looking to engage partners to better understand needs, evaluate promising practices, and co design innovative solutions that ensure equity in health. 


Working to stitch together better health outcomes. 

Access Health

The Access Health initiative includes community-based networks of care across the North and South Carolina providing access to coordinated primary and specialty healthcare services for the low-income, uninsured.

Healthy People, Healthy Carolinas

Healthy People, Healthy Carolinas is a community-based approach to addressing chronic health issues, such as unhealthy weight, diabetes and heart disease.

Serious Illness Care

The Serious Illness Work Group launched in January 2020 to identify partnerships that could help co-design innovative solutions to equitably improve serious illness care across the Carolinas. 

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North Carolina Healthcare Association

2400 Weston Parkway
Cary, NC 27513

Main: 919-677-2400
Fax: 919-677-4200

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