Rhode to Equity
Rhode to Equity builds clinical-community linkages to advance health equity using the Pathways to Population Health Equity guide to organize efforts. These geographic health equity teams include Health Equity Zones, community residents, community organizations, primary care clinics, accountable entities, community health workers, and community care teams. Teams work together to address both immediate mental, physical, social and spiritual well-being needs along with upstream community conditions and root causes.

To build partnerships needed to address upstream vital conditions of health and well-being and root causes.

Who Came Together?

Rhode Island Department of Health
Rhode Island Executive Office of Health and Human Services
Care Transformation Collaborative of Rhode Island
Well-being and Equity in the World

The Role of WE in the World

Technical assistance, accompaniment to support community partnerships to advance health equity Framework developers and implementers

What Is Changing?

Relationships across clinical and community contexts

Focus on underlying social needs, community conditions and root causes

Community health worker integration


  • Experience and skill development of learning collaborative participants
  • Increased relationships across clinical and community partners
  • Increased capacity and skills to address health equity through addressing social needs, underlying community conditions and root causes using the Pathways to Population Health Compass
  • Improved integration of and systems to sustain community health workers in Rhode to Equity teams

How We Are Doing It

Approach & Building Blocks

Health equity team formation

Learning collaborative
Stories to system change

Pathways to Population Health approaches & tools
Accompaniment approach

Key Insights

Key Insight

Collaboration requires investment in building relationship. Relationships, process, results.

Key Insight

Community partnerships can help to identify many more assets to create meaningful and sustained change.

Key Insight

It takes time to shift from a person based response to more upstream approaches. Sustained investment in partnership development is needed.

Key Insight

Deep integration of people with lived experience is challenging and essential to equity work. There is a full continuum of engagement that can be used depending on where you are on the journey.


Framework and tools to strategically advance health equity for public health change agents

Framework and tools for health care to advance health equity in partnership with communities