Hospital employees walking through hallway
Natividad Medical Center

The Vision of California’s Public Hospital Systems in 2020

SNI is dedicated to helping our members reach this vision…

Models of integrated care that are high value, high quality, patient-centered, efficient and equitable, with great patient experience and a demonstrated ability to improve health care and the health status of populations.


The California Health Care Safety Net Institute (SNI) assures that public health care systems are recognized leaders in delivering and transforming health care practices that enable all individuals and families–particularly in diverse and underserved communities–to enjoy optimal health.


The California Health Care Safety Net Institute (SNI) is the quality improvement partner of the California Association of Public Hospitals and Health Systems (CAPH). We design and direct programs that accelerate the spread of innovative practices among California’s public hospitals, public clinics and beyond. Because of our work, more people–especially those most affected by health disparities–receive effective, efficient and respectful health care regardless of their ability to pay.


Established in 1999, the California Health Care Safety Net Institute (SNI) is committed to advancing community health for California’s low-income and uninsured populations.  Our work builds on the belief that California’s public health care systems are uniquely well-qualified and dedicated to addressing the health needs of vulnerable individuals and at-risk communities, within the context of California’s rich racial and ethnic diversity.

SNI serves the 21 public health care systems who are members of the California Association of Public Hospitals and Health Systems (CAPH). Consisting of county hospitals, academic medical centers, and their affiliated public clinics, these systems form the core of the state’s public health care safety net, providing cost-effective, high quality and culturally appropriate health care services for low-income and uninsured populations. These comprehensive health care systems also ensure the availability of services that are critical for every person in California, from public health and emergency medical services to highly specialized trauma and burn care. These services are essential to the health and well-being of the public at large.

While these institutions perform critical work for vulnerable populations, they do so with extremely limited resources, and operate under razor-thin margins. SNI enables public hospitals to improve patient care and efficiency by facilitating grant-funded team projects and connecting our member health care systems with other critical partners and resources. SNI demonstrates and evaluates innovative strategies, shares best practices, and promotes a broader understanding of the role public hospitals and health systems play in promoting community health.

SNI is the research and educational affiliate of the California Association of Public Hospitals and Health Systems.