HUDs Healthy Communities Transformation Initiative July 2015 National

HUD’s Healthy Communities Transformation Initiative July 2015 National Council of La Raza Health Summit HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

PARTNERS HUD Office of Lead Hazard Control and Healthy Homes Healthy Housing Solutions ICF International City/County Management Association National Center for Healthy Housing Urban Institute HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) 2

HUD & Healthy Communities Strong Community Environments = Healthier Communities Supportive Systems Foster Healthy Behaviors Negative Environmental Issues Impact Low-Income Communities Platform to Improve Quality of Life HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

HUD OFFICE OF LEAD HAZARD CONTROL AND HEALTH HOMES (OLHCHH) Grants for Producing. Lead-Safe and Healthy Housing Units • HUD OLHCHH provides and monitors funding to states and local governments to produce lead-safe and healthy housing units Technical Studies Grants • HUD provides funding to organizations to research methods, costs, and health benefits of making homes safe and healthy Enforcement • HUD enforces the Lead-Based Paint Disclosure Rule and works with HUD program offices on compliance with the Lead Safe Housing Rule Special Initiatives • Initiatives to improve indoor environmental quality include promoting smoke-free housing, implementing the federal radon action plan, and the federal strategies on asthma disparities and healthy homes. Outreach • OLHCHH provides education and outreach to grantees; state, local and tribal governments; and the public on how to make homes safe and healthy

THE LANDSCAPE Defining healthy communities Neighborhood level conditions are determinants of health and human development outcomes Identifying and monitoring indicators can improve community health Need for comprehensive, healthfocused, best practices HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

OVERVIEW Healthy Communities Transformation Initiative (HCTI) Healthy Communities Index (HCI) Core Set of Standard Indicators Healthy Communities Assessment Tool (HCAT) HCTI Pilot Cities Design Assessment and Test HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

HCI CONSTRUCTION: FRAMEWORK Uniform Definition of “Neighborhood” Level Range and Scope Research and Review Expert Advice and Input HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

HCI DOMAINS Environmental Hazards Educational Opportunities Natural Areas Employment Opportunities Transportation Services Neighborhood Characteristics Housing Economic Health Social Cohesion Health Systems & Public Safety HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) 8

HCI CONSTRUCTION: INDICATOR SELECTION Nexus to Health Data Availability Actionability Community Relevance HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

INDICATOR SELECTION PROCESS Considered Reviewed HUD Selected • More than 220 indicators • More than 90 indicators • 37 core indicators • 5 contextual indicators HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) 10

UNIQUE VALUE OF THE HCI What Differentiates the HCTI from Other Projects Indicators viewed through health lens Neighborhood level Standardization HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) 11

KEY BENEFITS Neighborhood Level Measures Generate community engagement Reveal differences/disparities Target resources and action Provide information for planning Add new data to existing systems HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

HEALTHY COMMUNITIES ASSESSMENT TOOL § § Details HCI Indicators Compares and Ranks Neighborhoods & Indicator Values Platform to discuss community health Resource to improve community health HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

DATA PREP HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

DATA COLLECTION Form of HCAT Input Priority Indicators Access to Parks and Open Space HCAT Input Geography Proportion Census Block Chronic School Absence Neighborhood Food Desert X Household Transportation Costs Census Block X ZIP Code X Offsite Alcohol Outlets Preventable Hospitalizations Residential Proximity to Traffic Zip Code Census Block Group -- No -- X ZIP Code Avg Pop Wtd Inverse Avg Measure X X X Census Tract Count -- Census Tract Neighborhood Motor Vehicle Collisions Score X HS Graduation Rate Low Birth Weight Rate Dichotoms Aggregation X -- No X Yes X X X Yes X HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) Yes

DATA APPLICATIONS Who will use the data? How will it be used? City Planners / Developers Elected Officials Advocates / Citizen Groups City Agency Administrators Public Health Professionals HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

DATA APPLICATIONS Who will use the data? How will it be used? ü ü ü ü ü Strategic Planning and Policy Development Land Use Regulation Public Infrastructure and Program Investments Business and Residential Site Selection Plan and Program Performance Monitoring Civic Engagement Education Research and Evaluation Philanthropy HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

TESTING THE HCTI PRODUCTS Albuquerque, NM Assess indicators selected for the HCI Evaluate index and indicator usefulness • Investment • Planning • Program development Minneapolis, MN Providence, RI Determine effectiveness of the HCAT • Functionality • Ease of use Partner and stakeholder engagement HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) San Diego, CA 18

HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) HCAT DEMONSTRATION

P KU OC M HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI)

HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) FOR MORE INFORMATION: Noreen Beatley Project Manager, HUD HCTI Healthy Housing Solutions nbeatley@healthyhousingsolutions. com Chris Trent Health Scientist HUD OLHCHH Chris. B. Trent@hud. gov www. hud/gov/lead