CHOICE is a nonprofit organization charged with facilitating collective planning and collaboration with local healthcare leaders, community partners, and Tribal governments, and provides funding and support for regional health improvement programs and services.
CHOICE also oversees our region’s Accountable Community of Health (ACH), the Cascade Pacific Action Alliance (CPAA). ACHs promote health equity and address and coordinate care around social determinants of health. They also respond to regional needs and issues, including COVID-19 response and coordination.
Our work spans across Washington's Cowlitz, Grays Harbor, Lewis, Mason, Pacific, Thurston and Wahkiakum counties.
Every community owes its existence and vitality to generations from around the world who contributed their hopes, dreams, and energy to making the history that led to this moment in time. Some were brought here against their will, some were drawn to leave their distant homes in hope of a better life, and some have lived on this land for more generations than can be counted. Truth and acknowledgment are critical to building mutual respect and connection across all barriers of heritage and difference.
CHOICE/CPAA acknowledges that its location and partners are on the homelands of Native peoples, who have lived in this region from time immemorial. In particular, we are grateful to the hospitality of the Chehalis, the Cowlitz Tribe, the Nisqually Tribe, the Quinault, the Shoalwater Bay Tribe, the Skokomish and the Squaxin Island tribe. CHOICE/CPAA expresses its deepest respect for and gratitude towards these original and current caretakers of the region.
As an organization and community supporting health, we acknowledge our responsibility to establish and maintain relationships with these tribes and Native peoples, in support of tribal sovereignty and the inclusion of their voices in our work. We also pledge that these relationships will consist of mutual trust, respect, and reciprocity.