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The Cascade Pacific Action Alliance (CPAA) is the Accountable Community of Health (ACH) for the central western Washington region. Accountable Communities of Health (ACH) were designed as part of the statewide Healthier Washington initiative, which aims to transform health care in Washington State.


The CPAA uses inclusiveness, equality, consensus, and shared learning to drive collaboration toward healthier communities. The CPAA Council is made up of diverse multi-sector public and private entities from seven counties:


  • Criminal justiceOperating Principles
  • Education
  • Employers
  • Health plans
  • Hospitals
  • Local and state government
  • Long-term care
  • Primary care and specialty providers
  • Public health
  • Social supports and services
  • Tribes


  • Cowlitz
  • Grays Harbor
  • Lewis
  • Mason
  • Pacific
  • Thurston
  • Wahkiakum


May 21, 2014: The CPAA is created out of existing local collaboration through the Central Western Washington Regional Health Improvement Collaborative.

June 13, 2014: The CPAA is awarded a planning grant to prepare for the Accountable Community of Health designation process. This planning includes building foundational governance and structure.

January 6, 2015: The CPAA is awarded a Pilot Accountable Community of Health grant, and begins planning its pilot project of coordinating youth behavioral health.

July 2, 2015: The CPAA is designated as a fully functional Accountable Community of Health.

January 2016: The CPAA’s Youth Behavioral Health Coordination is set to launch in four pilot school sites across the region.

For a full narrative of the CPAA’s accomplishments so far, take a look at the council’s Readiness Proposal for designation as a fully functional ACH.