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Healthy Communities: The Intersection of Community Development and Health

About Healthy Communities

What is “Healthy Communities”?
Healthy Communities is the space in which the community development, economic development, public health and health care industries collaborate to reduce persistent health inequalities and create healthier communities for all.

Why the Dallas Fed is involved in Healthy Communities
At the Dallas Fed’s Community Development Office, our role is to support the Federal Reserve System’s economic growth objectives by promoting community and economic development and fair and impartial access to credit. Our constituents serve low- and moderate-income individuals, often by providing or facilitating affordable housing, personal financial products and services, small business development products and services and community facilities.

The individuals community developers reach are the same individuals who face major health disparities. While access to health care is one component that explains these disparities, the social determinants of health—where people work, live, learn and play—can play a strong role as well. The more opportunities individuals have to make healthy choices, the more likely they can live longer and healthier lives. These social determinants of health are the nexus of the community development and health sector’s joint interests. It is in this space that collaboration is imperative. And the health of our country and economy depend on it: in general, wealthier people are healthier and healthier people are more economically productive.

Presentations

The Federal Reserve System has been convening leaders from the community development, economic development, public health and health care industries to discuss collaborations to reduce health disparities and create healthier communities for all. On September 28, 2011 the Dallas Fed and Robert Wood Johnson Foundation co-hosted “Healthy Communities: the Intersection of Community Development and Health.” Following are speakers’ presentations.

Why We’re Here: The Intersection of Community Development and Health
David Williams
Florence Sprague Norman and Laura Smart Norman Professor of Public Health and Professor of African and African American Studies
Harvard University

The State of Health in Texas and Obesity
David Lakey
Commissioner
Texas Department of State Health Services

Microfinance and Microenterprise Development
Janie Barrera
President and CEO
ACCION Texas–Louisiana

Assets, Housing and Health
Stephan Fairfield
President and CEO
Covenant Community Capital Corp

The Intersection of Community Development and Health: A County-Level Initiative
Dennis Worsham
Regional Health Officer
Seattle and King County, Washington

Health Impact Assessments: Incorporating Health into Community Development
Kara Vonasek
Project Manager, Health Impact Project
The Pew Charitable Trusts

Active Living By Design: Engaging Community to Improve Health
Moderator: Risa Wilkerson

Project Officer, Active Living by Design
University of North Carolina

“Healthy Kids, Healthy Communities: Supporting Community Action to Prevent Childhood Obesity” El Chamizal–El Paso, Texas
Maria Teresa Cerqueira

Chief, U.S.–Mexico Border Office
Pan American Health Organization/World Health Organization

Healthy Communities in Westside San Antonio
David Clear

Coordinator; Healthy Kids, Healthy Communities
San Antonio Metropolitan Health District

CAN DO Houston—Children And Neighbors Defeat Obesity: Addressing Childhood Obesity One Neighborhood at a Time
Beverly Gor

Director
CAN DO Houston

Healthy Kids, Healthy Communities: Grant County, New Mexico
Andrea Sauer

Coordinator; Healthy Kids, Healthy Communities
Grant County Community Health Council, New Mexico

Childhood Obesity in Texas: A ‘Massive’ Public Health Issue (and what we can do to help)
Shreela Sharma
Assistant Professor of Epidemiology and Assistant Director, Dietetic Internship Program
Michael and Susan Dell Center for Healthy Living
University of Texas Health Sciences Center at Houston

Diabetes Health and Wellness Institute at Juanita J. Craft Recreation Center
Donna Rice

President, Southern Sector Health Initiative
Baylor Health Care System

Community Health Centers: The Foundation of Community Economic Health
Terry Glasscock

Senior Project Consultant
Capital Link

Accountable Health Organizations: Harnessing the Potential of Healthy Communities
Eduardo Sanchez

Vice President and Chief Medical Officer
Blue Cross Blue Shield of Texas

Healthy Communities Topics

Access to Healthy/Nutritious Food

Asset Building

  • Asset Building and the Wealth Gap
    This issue of Banking and Community Perspectives identifies trends in American households’ wealth, shows its disparities among demographic groups, and spotlights the challenges Texas, Louisiana and New Mexico households face in building and sustaining their assets. “Asset Building and the Wealth Gap,” Elizabeth Sobel Blum, Banking and Community Perspectives, Issue 3, 2006.
  • Asset Building Taking Root in Rural Communities
    This issue of Banking and highlights the environment around rural asset building, points to valuable resources and showcases some initiatives taking root that foster economic growth, prosperity and self-sustainability. “Asset Building Taking Root in Rural Communities,” Roy Lopez, Banking and Community Perspectives, Issue 1, 2011.

Childhood Obesity

Community Development and Health

Community Health Centers

Diabetes

  • “Diabetes Health and Wellness Institute at Juanita J. Craft Recreation Center,” Donna Rice, Baylor Health Care System, PowerPoint presentation at Sept. 28, 2011 Healthy Communities conference by Federal Reserve Bank of Dallas and Robert Wood Johnson Foundation.
  • “The Impact of Diabetes on Individuals, Households and Communities and the Work of the Juanita J. Craft Recreation Center’s Diabetes Health and Wellness Institute,” Podcast of Donna Rice, Southern Sector Health Initiative with Elizabeth Sobel Blum, Federal Reserve Bank of Dallas.

Disparities in Health and Health Care

Early Childhood

Education

Financial Stress

Health Care and Health Care Reform

  • Beyond Health Care: New Directions to a Healthier America, the Commission to Build a Healthier America, April 2009.
  • “National Health Care Reform and the Center for Public Policy Priorities’ Texas Voice for Health Reform,” Podcast of Anne Dunkelberg, Center for Public Policy Priorities with Elizabeth Sobel Blum, Federal Reserve Bank of Dallas.
  • "The Relevance of Health Reform to Community Health and Development," Peter Long, Henry J. Kaiser Family Foundation and Neal Halfon, University of California, Los Angeles, Federal Reserve Bank of San Francisco Community Development Investment Review, Volume 5, Issue 3, 2009.
  • "The Small Business Perspective on Health-Care Reform," Allison Kelly and Kirsten Snow Spalding, Pacific Community Ventures, Federal Reserve Bank of San Francisco Community Development Investment Review, Volume 5, Issue 3, 2009.

Health Impact Assessment

  • "Health Impact Assessment," Kara Vonasek, Health Impact Project, The Pew Charitable Trusts, July 2012
    | Presentation | Resource List | Screening Worksheet
  • Health Impact Assessments help policy-makers address the effects on health when making decisions in other areas, such as transportation, agriculture and energy. Learn more
  • “About HIAs,” Healthy Impact Project: Advancing Smarter Policies for Healthier Communities, a collaboration of the Robert Wood Johnson Foundation and the Pew Charitable Trusts.
  • “Health Impact Assessments: Incorporating Health into Community Development,” Kara Vonasek, Health Impact Project, The Pew Charitable Trusts, PowerPoint presentation at Sept. 28, 2011 Healthy Communities conference by Federal Reserve Bank of Dallas and Robert Wood Johnson Foundation.

Housing and Health

Income, Wealth and Health

  • Beyond the link between income and access to medical care, higher income can provide access to homes in safer neighborhoods, healthier food and more time for physical activity. Learn more

Message Translation

Neighborhoods and Health

  • Safe neighborhoods with sidewalks, playgrounds and full-service supermarkets can make healthier choices easier. But for many, neighborhood conditions serve as barriers to good health. Learn more

Poverty

  • The Poor Pay More—Poverty’s High Cost to Health, George A. Kaplan, September 2009.

Public Health

  • Reinventing Public Health: Policies and Practices for a Healthy Nation, ed. Lu Ann Aday, San Francisco: Jossey-Bass, October 2005

Race and Socioeconomic Factors

  • Dramatic differences in health among racial or ethnic groups exist in the U.S. across the measures of good health, from infant mortality and diabetes prevalence to overall death rates. Learn more

School and Health

Social Determinants of Health

Stress and Health

  • Chronic stress is linked with chronic disease. Learn more

Violence, Social Disadvantage and Health

  • Violence, health and social disadvantage are inextricably linked. The health effects of violence can be mitigated with strategies that address the social determinants of health. Learn more

Work and Health

  • Workplace exposures can affect health, but the workplace also can be a place to promote healthy activities and behaviors. Learn more

Resources on the Web

Commission to Build a Healthier America
The Commission has investigated why Americans aren’t as healthy as they could be and looked outside the health care system for ways to improve health for all. From February 2008 to December 2009, the Commission studied prevention, wellness and the broader factors that influence good health—conducting site visits, hearing testimony from experts, and issuing 10 recommendations to dramatically improve health for all Americans. See their recommendations

County Health Calculator: How Do Your State and County Compare?
See how many deaths could be averted in your county if education and income levels were different. Find your county

County Health Rankings
This website provides access to 50 state reports that rank each county according to its health outcomes and the multiple health factors that determine a county’s health. Learn more

Food Desert Locator
Get a spatial overview of low-income neighborhoods with high concentrations of people who are far from a grocery store. Learn more

Health Impact Project: Advancing Smarter Policies for Healthier Communities
This project, a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts, is a national initiative designed to promote the use of health impact assessments (HIAs) as a decisionmaking tool for policymakers. HIAs use a flexible, data-driven approach that identifies the health consequences of new policies and develops practical strategies to enhance their health benefits and minimize adverse effects. Learn more

Healthy Communities: A Framework for Meeting CRA Obligations
CRA and compliance officers at financial institutions are responsible for making complex decisions about how to invest in community development to meet their CRA obligations. This publication provides a roadmap of best practices in community development and a healthy communities framework that highlights the types of investments that are valuable both to financial institutions and their target communities. It also includes reference guides for ensuring planned CRA activities meet regulatory requirements and a template for how financial institutions can tell their CRA story. Learn more

The Henry J. Kaiser Family Foundation
This foundation conducts health policy analysis, serves as a clearinghouse of news and information for the health policy community and helps run large public health information campaigns. Learn more

NewPublicHealth
This blog is designed to spark an ongoing conversation about public health challenges, opportunities, evidence, solutions and innovations. The Robert Wood Johnson Foundation invites and encourages active participation. Visit NewPublicHealth

Opportunity Finance Network
Opportunity Finance Network (OFN) is the national network of Community Development Financial Institutions (CDFIs)—private financial institutions that are 100 percent dedicated to delivering responsible, affordable lending in order to help low-income, low-wealth and other disadvantaged people and communities join the economic mainstream. Learn more

RAISE Texas
RAISE Texas is a statewide network of nonprofit organizations, for-profit corporations, and public institutions working to support and expand asset-building activities in Texas, with a particular focus on low- and moderate-income families and areas. Learn more.

Robert Wood Johnson Foundation
The mission of the Robert Wood Johnson Foundation is to improve the health and health care of all Americans. For information on its program areas, publications and research, health policy data, grants and related topics, visit the website.

What Shapes Health?
This Robert Wood Johnson Foundation online resource lists how the following topics shape health: early childhood experiences, stress, race and socioeconomic factors, education, income and wealth, work, neighborhoods, housing, violence and social disadvantage. Learn more

White Papers

Community Reinvestment Act (CRA)

CRA and compliance officers at financial institutions are responsible for making complex decisions about how to invest in community development to meet their CRA obligations. This publication provides a roadmap of best practices in community development and a healthy communities framework that highlights the types of investments that are valuable both to financial institutions and their target communities. It also includes reference guides for ensuring planned CRA activities meet regulatory requirements and a template for how financial institutions can tell their CRA story.