The Growing Healthy Appalachia Partnership (GHAP) cultivates regional food economies of Central Appalachia through public-private partnerships that combine institutional procurement, cooperative economic models, culinary confidence building, and value chain coordination for small and mid-sized farms. Through community-informed design and evaluation, this planning project sets the stage for future implementation across the Appalachian Regional Healthcare (ARH) system and beyond. Building on previous research, GHAP works to simultaneously 1) expand direct-to-consumer markets for local food in ways that directly address barriers for accessing and enjoying seasonal produce (time, money, knowledge, skill) and 2) establish mid-tier markets for local foods by leveraging the purchasing power and infrastructure of institutional dining. Partners on this project include: Appalachian Regional Healthcare (Hazard), Community Farm Alliance, and Grow Appalachia.