Scale layer · CHCII
Connected Health & Community Innovation — proven locally, operational everywhere.
CHCII is the scale layer: proven local models, operationalized regionally and nationally — rural pilots, Puerto Rico and USVI programs, and community-governed AI deployment.
The scale problem
Every good local model runs into the same wall.
The pilot works. The community trusts the team. Then the grant ends, the next region starts from zero, and the lesson is lost. CHCII is designed to end that pattern.
The usual pattern
- Pilot funded — pilot ends — team disbands
- Every new region starts from scratch
- Community trust doesn't travel with the model
- Success is measured in the pilot, not the platform
The CHCII pattern
- Every pilot is a template — governance, workforce, tech
- Next region inherits the operating manual and network
- Community-governance travels through NHIT's coalition
- Success is measured in sustained deployment, not one grant cycle
Rural focus · Georgia
Rural Health Innovation Pilot.
Community-governed AI and workforce readiness for rural providers, developed with USDA Rural Development. Rural is not a footnote — it is a first-class deployment context for the Connected Health & Community Innovation Initiative.
Partner on rural deploymentTerritorial focus · Puerto Rico
A Puerto Rico–diaspora–rural bridge.
NHIT operates a Puerto Rico portfolio that connects on-island health innovation with the diaspora in Central Florida, New York, and beyond — pairing federal infrastructure with community-defined priorities.
See the Central Florida Summit →
Territorial focus · U.S. Virgin Islands
USVI Office of Health IT.
Since 2019, NHIT has supported the U.S. Virgin Islands Office of Health Information Technology in advancing the territory's health information exchange capabilities, in collaboration with USVI government leadership and federal partners.
"The collaboration between NHIT and the USVI Office of Health IT has helped position the territory at the forefront of health information exchange in the Caribbean." — Governor Albert Bryan Jr., U.S. Virgin Islands