From our years of experience in the Massachusetts health care, community health, and social service environments, we understand the immense challenges presented in shifting to a new model of patient care and cost management. We are committed to helping partner organizations build capacity, refine systems, and coordinate processes, so that they can succeed in providing quality services to ACO members and improving population health outcomes. Our technical assistance is provided in a framework of capacity building, comprising services that help people, organizations, and communities develop and increase the competencies, infrastructure, and resources necessary to improve public health and achieve health equity. Our six core principles for capacity building assistance include: evidence-based analysis, innovation, flexibility, inclusivity, measurable impact, and stakeholder engagement.

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HRiA offers services focused on care coordination and integration, community-based care and social determinants of health, consumer engagement, and performance improvement. Our capacity building services help people, organizations, and communities develop or increase the competencies, infrastructure, and resources necessary to improve public health and achieve health equity. Our services are evidence-based, innovative, customized, culturally competent, and based in principles of inclusion and engagement. We deliver training (interactive in-person and web-based skill-building opportunities, technical assistance (expert consultation or advice on how to develop operational, managerial, technological, programmatic, or administrative systems and/or how to accomplish related tasks), technical services (direct provision of professional services or the implementation of tasks to support operational, managerial, technological, programmatic, or administrative systems), and information communication and dissemination (collection, packaging, and sharing of information, tools, resources, and best practices).


  • Population health is shaped not only by health care, but by public policy, academic research, and access to social services. We understand population health because our staff have professional experience across all those sectors.
  • We are particularly adept at convening diverse stakeholders, defining common goals, and developing action plans, especially with people and organizations who may have differing values and objectives. This expertise is valuable in understanding and addressing the nuances, challenges, and strengths associated with multi-stakeholder processes and the values and motivations of each stakeholder.


The Boston Area Hospitals Collaborative on the Social Determinants of Health (the SDOH Collaborative) engaged us to facilitate a cooperative working group to build fluency around patient social needs in the clinical setting. Our work has thus far included identifying approaches for screening and following up on the social needs of patients and developing associated workflows and infrastructure to integrate these screening tools into practices. In Phase I, we facilitated a process to identify institutional workflows and existing SDOH screening processes and led a consensus-building session to prioritize and align SDOH screening domains across institutions. In Phase II, we facilitated discussions with the Collaborative on workforce, infrastructure, resources, and plans for follow-up on prioritized SDOH domains, particularly related to best practices and models for addressing housing needs.


As a Public Health Institute, we are committed to providing services that will improve population health in the areas where our clients live and work, as well as in our Boston home. Through our activity in the National Network of Public Health Institutes (NNPHI), we have the added benefit of collaborating with organizations nation-wide, understanding themes and trends at the national level, and learning about potential solutions from other regions.

The statements in this document are made solely by Health Resources in Action. No statement in this document should be construed as an official position of or endorsement by Abt Associates Inc. or the Massachusetts Executive Office of Health and Human Services.


Health Resources in Action (HRiA) is a national, Boston-based non-profit organization of 120+ public health professionals with deep expertise in developing, implementing, and evaluating solutions for clients who share a vision of improving population health. HRiA’s mission is to help people live healthier lives and create healthy communities through prevention, health promotion, policy, and research. They believe that access to health care is a right for all and are dedicated to advancing health and racial equity in all of their work. Since 1957, they have worked with state and local stakeholders (e.g., hospitals, community health centers, health departments, and philanthropic and community-based organizations) to develop and implement effective health programs and reduce health inequities. Their core services include capacity building assistance (e.g., training, TA, and consultation); research and evaluation (e.g., assessment, research, program evaluation, and quality improvement); and grant making for biomedical research and community health initiatives.


  • Our new (2018) office space in Boston accommodates the growing staff of over 100 and features six video conference-capable meeting rooms named for women leaders in public health, including Henrietta Lacks, Susan La Flesche Picotte, Camara Jones, and others.
  • Our organization’s values of health and wellness are also evident in HRiA’s office space with convertible standing desks for all staff and a wellness room, named for long-time board member Walter Guralnick, DMD, who assisted in establishing dental insurance in Massachusetts and served as an HRiA Board Member for over 20 years.
  • Reflecting our commitment to supporting the professional development, health, and wellness of our staff, we have six internal committees that lead a range of programs and initiatives for our team, ranging from exercise and yoga sessions to trainings to new policies and procedures. These committees include Well-Being, Equity & Inclusion, Professional Development, the Green Team, Staff Engagement, and the Fun Committee.


  • “HRiA has done thoughtful, focused, engaging work in bringing together seven ACOs and delivery system partners to share promising practices and sort out challenges as we meet the challenge of having the SDOH work for which we are accountable have the best possible positive impact for MassHealth members and for low income communities. HRiA is a consistent and highly effective catalyst for progress on both refining our vision and translating that vision into concrete actions. And HRiA’s understanding of MassHealth’s vision and objectives for ACO—as well as the ACOs’ opportunities and constraints—means that HRiA’s guidance is always well-informed and very practical.” – ACO
  • “As a not-for-profit health system with 13 -area licensed facilities required to conduct an assessment and develop individualized implementation plans, [our hospital] needed to balance the individuality of the different hospitals with a strategy for institutional system alignment to achieve the necessary impact. HRiA coached system staff and the individual hospital teams through virtual meetings to develop implementation plans in real time using a tested, IRS-compliant template. Hospitals completed their assignments in between scheduled working meetings, appreciated the upfront goals, and felt they understood more clearly what does and does not qualify for community benefit – a process that enabled them to uncover more ideas. The 13 final products were not only a meaningful presentation of community involvement, but could be combined to present a robust community presence and plan for the future.” – Hospital Vice President



Actuarial and Financial

Care Coordination/Integration

Community-Based Care and Social Determinants of Health

Consumer Engagement

Flexible Services

Health Information Technology (HIT)

Performance Improvement

Population Health Management