Turning great ideas into healthier communities

Program

Health in All Policies

The Health in All Policies Task Force is a collaborative project between the Public Health Institute, the California Department of Public Health, and the California Strategic Growth Council. Health in All Policies is a collaborative approach to improving population health by incorporating health considerations into decision-making across sectors and policy areas. HiAP is an innovative response to increasingly siloed government structures, rising healthcare costs, growing inequities, and growing awareness of the impact of the social determinants of health.

Program Director(s)

Julia Caplan

Program Site

http://sgc.ca.gov/programs/hiap/

Projects

California Health in All Policies Task Force - Promoting Active Transportation and Access to Greening and Parks

The California Health in All Policies (HiAP) program will engage California state agencies in focusing on low-income and under-served communities while supporting the California Department of Transportation (Caltrans) 2020 transportation mode shift goal to increase the percentage of bicycle, pedestrian, and transit trips.  The program will also engage HiAP Task Force member agencies to identify opportunities to promote community greening and access to parks as part of a broader strategy to promote health, equity, and environmental sustainability.

Designing Safe California Environments for Health

This project combines land use and violence prevention strategies in a practical, usable guidance document that will help local governments and community leaders improve community safety. It supports The California Endowment's Health Happens in Neighborhoods campaign.

Exploring the Value of Prevention: Changing How We Value and Pay for Health

PHI is partnering with Social Finance on core elements of the proposed work product in response to the Blue Shield Foundation of California’s Designing the Future of Health Initiative: identifying key barriers faced by policymakers involved in the HiAP Task Force; identifying leaders at the State with whom to pressure-test tools and messages developed in this process; supporting message development, testing, and refinement; and convening key leaders and influencers in the state to provide input and participate in workshop, training, and diagnostic sessions. Along the way, members of PHI are also participating in ongoing working group sessions.

Health Impact Assessment Training and TA

PHI is collaborating with the Sequoia Foundation and California Department of Public Health to build infrastructure, systems and policies to support more routine integration of health and health impact assessment (HIA) into organizations’ work.  The Health in All Policies program supports the project with training and technical assistance on introduction of HIA and HIA methods to local health departments.

Health in All Policies Guide

PHI is creating a Health in All Policies  (HiAP) Guide in response to growing interest in infusing health considerations into government decision-making across a broad spectrum of policy areas.  While the Guide draws heavily on the experiences of the California HiAP Task Force, it describes a variety of approaches and structures and shares case examples from local, state, national and international efforts.

Health in All Policies Task Force - Active Transportation and Violence Prevention

PHI will convene state agency members of the California Health in All Policies Task Force to promote healthy communities, active transportation and violence prevention.

Health in All Policies Task Force 2016-2017

Funding supports continued efforts of the Health in All Policies Task Force.

Health in all Policies Task Force's Food Procurement project

The goal of this project is to lay the groundwork to advance California state government procurement policies that increase access to healthy and location-efficient food. Efforts will result in collaboration with Health in All Policies Task Force members to identify an agency or several agencies to begin implementing a healthy and location-efficient food procurement policy.

Health in All Policies Training

PHI will design and facilitate a training on Health in All Policies for the Merced County Public Health Department, and provide consultation to Department Leadership on implementing HiAP next steps.

Health in All Policies Training

PHI will design and facilitate a training workshop on Health in All Policies for the Merced County Public Health Department staff in the First 5, PPP, and Nursing sections , and provide consultation to Department Leadership on implementing Health in All Policies next steps.

Support of the Health in All Policies Task Force

With this intervention, the Health in All Policies (HiAP) Task Force staff will facilitate the task force's interagency process, maintain stakeholder engagement, and further expand technical assistance and local support through development and dissemination of a HiAP toolkit. Additional technical assistance will include webinars on the HiAP approach, which will be especially targeted at The California Endowment's Building Healthy Communities sites.


Here's How We're Making a Difference

Changing the Way Governments Do Business

PHI's HiAP team has built the California Health in All Policies (HiAP) Task force from the ground up, partnering with twenty-two state agencies and working in collaboration with the California Department of Public Health to promote healthy and equitable communities. It is the most extensive HiAP initiative within a state government anywhere in the country. Our Health in All Policies guide has been viewed over 30,000 times, and is used as a primer by local, state, federal and international organizations seeking to institute a HiAP approach where they live. 

Embedding Health and Equity into California Programs, Policies and Decision-Making

In 2017, PHI's HiAP staff partnered with the Strategic Growth Council and the California Department of Public Health (CDPH) to convene the California Health in All Policies Task Force to embed health and equity into programs, policies, and decision-making processes at the state level. The HiAP team engaged local and regional agencies, along with other diverse community stakeholders across California, to ensure that Task Force activities are responsive to community needs.

In addition to convening the Task Force, staff build the capacity of CDPH, Office of Health Equity, and the California Health and Human Services Agency in promoting a system of prevention and a culture of health and equity through collaborative work related to the social determinants of health. These governmental multi-agency group meetings covered topics such as: Land Use, Schools, and Health workgroup, Childhood Trauma Prevention workgroup, Housing Siting and Air Quality workroup, and Violence Prevention workgroup. And to support the Health in All Policies approach broadly, staff provide educational tools, trainings, and technical assistance to local entities throughout California, including a "Health Equity 101" workshop for over 200 CDPH staff, as part of a new initiative to build health equity capacity within CDPH.

This work also led to the development of two new Task Force workplans (Equity in government practices and Parks, greening, and places to be active), as well as an ongoing collaboration with the Air Resources Board and CDPH Climate Change and Health Equity Program to provide input on the Caltrans Benefits/Costs Tool, including a new Active Transportation section.

Increasing Access to Parks and Active Transportation with Health in All Policies

Many of California's greatest health challenges are highly complex and often interrelated. Solutions to these problems require collaboration across sectors to address social determinants of health, such as transportation and green and open spaces like parks and urban tree canopy.

Working with members of California's Health in All Policies Task Force, PHI staff helped to support active transportation, increase urban and community greening, and improve access to parks. Staff supported Task Force members to incorporate health and equity into key state-level transportation policy guidelines, including the California Transportation Plan 2040, the Regional Transportation Plan Guidelines, and Caltrans internal planning processes to increase bike, pedestrian and transit trips. Staff also provided guidance in grant-making programs and metrics to increase the likelihood of state resources reaching those communities with the greatest need. Together, they generated recommended collaborative actions state agencies can take to promote community greening and access to parks throughout California.

Systematizing Racial Equity Planning in Government

The lives of California's residents are shaped in part by decisions at the state level. So PHI's Health in All Policies (HiAP) team's work with the Government Alliance for Race and Equity (GARE) Capitol Cohort, a racial equity capacity building project for California's state government, holds the potential to bring greater justice and equity to each of its 39 million residents. 19 state departments—including public health, education, corrections and rehabilitation, and housing—prepared Racial Equity Action Plans, focusing on areas such as workforce development, budgeting, community engagement, results-based accountability, and program development. 

"Participating in GARE provided CDPH with an opportunity to be purposeful and explicit about finding solutions to racial inequities that may be perpetuated through our institutional processes, operations and policies," said Dr. Karen Smith, Director of the California Department of Public Health.

SGC Deputy Director Jessica Buendia, presenting the Racial Equity Action Plan to SGC.The Racial Equity Action Plan was later adopted by California's Strategic Growth Council (SGC) on April 30, 2019. The vote was unanimous, and reflected an endorsement that is multisectoral and from the highest levels of California state government. The California SGC—which represents sectors including transportation, health, agriculture, housing, natural resources, and environment—is the first state cabinet-level body in the country to adopt a racial equity plan.

Learn more about the SGC Racial Equity Action Plan.

Training Health Departments To Advance A Health In All Policies Approach

PHI staff have provided tailored Health in All Policies workshops for local health departments across California, including Fresno, Merced, Monterey, Ventura and Tulare, designed to match health departments' community readiness and needs. Topics have included: learning how HiAP promotes health, equity and sustainability; strategies for building cross-sectoral relationships; avenues for embedding health and equity into existing government processes; government mechanisms; and defining health public policy. These workshops often include community members, local government officials, and cross-sectoral partners.