Health Impact Review

Health Impact Review

What is a Health Impact Review?

Health Impact Review (HIR) is a valuable tool used to provide objective and timely information to decision-makers on the short and long-term public health implications of a proposed policy, program or plan. The process must be applied during the draft phase and will assess potential health impacts of proposals, policies, projects, or development plans.

The HIR tool will specifically accomplish a number of goals: 

  • Consider the social, economic, and environmental factors that affect health. 
  • Identify what communities or populations may be impacted by a drafted proposal before decisions are made. 
  • Provide a platform for the community to engage in the decision-making processes. 
  • Strengthen or initiate relationships and collaborations. 
  • Utilize existing data from various sources. 
  • Identify opportunities to advance health equity for all populations. 
  • Inform decision makers of evidence-based, health impacts of drafted proposals.

This diagnostic tool can help identify areas of potential benefit and strength to retain or enhance, and potential areas of concern to mitigate or improve.

In order to create a healthy community, the use of the HIR program encourages collaborative efforts with partners across multiple disciplines such as architecture, transportation, and urban planning and can be adapted to multiple needs and timeframes ranging from a month to a year. 

Resources are available to conduct appropriate research and access to additional services, such as subject matter experts, which will require additional funding. The HIR team can work with partners to decide what timeframe is most appropriate for the specific plan, policy or project.

Types of HIRs and the HIR Process

There are various approaches to using HIR. These approaches are described below and can help determine the best process based on time and resources available.

Desktop Review: 1 Month
Task Description
Task Activities and Deliverables
Timeline
Screening
Is a HIR needed and will it be useful to the decision-making process?
1 week
Scoping
  • Literature review
  • Develop causal diagram
  • Identify health issues
2 weeks
Assessment
Secondary data collection and analysis
2 weeks
Reporting and Coordination
  • Meetings
  • Draft informative report
  • Final informative report
  • Final presentation
Rapid Assessment: 3 - 4 Months
Task Description
Task Activities and Deliverables
Timeline
Screening
Is a HIR needed and will it be useful to the decision-making process?
1 week
Scoping
  • Literature review
  • Develop causal diagram
  • Identify health issues
2 weeks
Assessment (Task 1)
Primary and secondary data collection
2 weeks
Assessment (Task 2)
Community Engagement - Engage with local community residents or community groups around health issues, series of focus groups, as necessary
1 - 2 months
Reporting and Coordination
  • Meetings
  • Draft informative report
  • Final informative report
  • Final presentation
3 weeks

Resources Available:
  • ArcGIS
Complete HIR - Up to 1 Year
Task Description
Task Activities and Deliverables
Timeline
Screening
Is a HIR needed and will it be useful to the decision-making process?
1 week
Scoping
  • Literature review
  • Develop causal diagram
  • Identify health issues
3 weeks
Assessment (Task 1)
Primary and secondary data collection
1 - 2 months
Assessment (Task 2)
Community Engagement
  • Engage with local community residents or community groups around health issues, series of focus groups, as necessary
  • Identify residents' desires and needs around health issues through focus groups and/or surveys
  • Key informant interviews with local community leaders
1 - 2 months
Assessment (Task 3)
Develop Draft Decision-making or Prioritization Model
  • Develop potential decision-making model or prioritization model based on community demographic and health outcomes data and community needs to ensure equitable development.
4 - 6 weeks
Reporting and Coordination
  • Monthly reporting and invoicing
  • Meetings
  • Draft informative report
  • Final informative report
  • Final presentation
1 - 2 months

Resources Available:
  • ArcGIS

For more information on how to conduct a Health Impact Review (HIR), view the steps outlined here.





Additional Resources

Funding

The Built Environment team will work with partners to determine the amount of funding needed to conduct a HIA or HIR. If the process timeframe permits additional use of tools or the use of subject matter experts then funding will likely be required. There are a number of grant opportunities available related to improving the built environment and conducting health assessments. 

Summarized below is a non-comprehensive list of organizations that historically support built environment and health initiatives.