About Us


The mission of the NH Citizens Health Initiative is to measurably improve the systems that finance and provide health care in New Hampshire, by providing trusted leadership, data, and shared learning. Our goal is to accomplish the quadruple aim: achieving better health outcomes, with a better patient care experience, at a lower cost, and with higher provider satisfaction.

Value Proposition

The NH Citizens Health Initiative tackles critical gaps in the coordination and delivery of health care in NH. We catalyze high-value shared learning, putting proven, innovative practices into action for better care at lower cost.

Guiding Principles

  • As a small state, we can build effective relationships across sectors.
  • NH can be an innovative national laboratory for best practices.
  • All players in the NH health care ecosystem can work together to address challenges.
  • The initiative plays an unusual, critically independent role in the state.
  • Improved quality of care is our highest goal.
  • In the face of continuous change, the NH health care system needs to strengthen its change management skill set.
  • Data availabilty and analytics is a critical lever in health care system improvement.
  • The initiative brings its partners the latest research on tested, innovative methods and helps them apply it at a practical level.

For more than a decade, the NH Citizens Health Initiative has worked to improve health and health care for all in New Hampshire, bringing together partners from across every sector that touches health. We have tackled critical gaps in the systems that provide and finance care and have made great progress on challenging issues. Many of the Initiative's early efforts, such as promoting the Patient-Centered Medical Home and ePrescribing, are now built into the New Hampshire health care ecosystem. Our work to connect with our neighboring states of Maine and Vermont has borne fruit with the Northern New England Project ECHO Network and Practice Transformation Network partnerships. Although a lot of progress has been made, issues identidied by our stakeholders, such as primary care and behavioral health work force, transparent cost and quality reporting, and the need for a State Health Plan provides us with opportunities to keep working toward further development across New Hampshire.

2018-2021 Strategic Priorities

  • Spearheading action-focused projects to improve the performance of NH's health care system.
  • Increasing healthcare organization capacity to adapt resources and services to respond to dynamic population needs and system factors.
  • Advancing cross-stakeholder dialogue to catalyze strategies to strengthen health care system efficiency and outcomes.
  • Leveraging diverse strategies to build the Initiative's fiscal stability and the intellectual capital of its staff.


The NH Citizens Health Initiative would like to acknowledge the many past and present funders of its work:

  • Endowment for Health

  • HealthTrust

  • New Hampshire Charitable Foundation

  • The University of New Hampshire

  • HNH Foundation

  • Wellpoint Foundation

  • NH Department of Insurance

  • MVP Health Care

  • Norwin S. and Elizabeth N. Bean Foundation

  • Dartmouth-Hitchcock Medical Center

Contact Us