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 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 (HCI) Core SetCommunities of Standard Index Indicators Healthy Communities Assessment Tool Assessment Tool (HCAT) Design Assessment and Test HCTI Pilot Cities 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 • More than 220 indicators Reviewed • More than 90 indicators HUD Selected • 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 HCAT Input Geography Priority Indicators Access to Parks and Open Space Proportion Rate Dichotoms Census Block Chronic School Absence Neighborhood X Neighborhood X Household Transportation Costs Census Block X ZIP Code X Motor Vehicle Collisions Census Tract Offsite Alcohol Outlets Preventable Hospitalizations Residential Proximity to Traffic Census Block Group Avg Pop Wtd Inverse Avg Measure X -- -- No -- X -- X ZIP Code Zip Code Count X HS Graduation Rate Low Birth Weight Score X Census Tract Food Desert Aggregation X -- No -- No X Yes X Yes X Yes X Yes X X X Yes X HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) Yes 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? 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 San Diego, CA Partner and stakeholder engagement HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) 18 HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) HCAT DEMONSTRATION HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) HUD HEALTHY COMMUNITIES TRANSFORMATION INITIATIVE (HCTI) FOR MORE INFORMATION: Noreen Beatley Chris Trent Project Manager, HUD HCTI Healthy Housing Solutions nbeatley@healthyhousingsolutions.com Health Scientist HUD OLHCHH Chris.B.Trent@hud.gov www.hud/gov/lead