1. Emphasizing Equity Health Impact Assessment, Equity, and the Built Environment Texas Health in All Policies Project June, 2013 Brendon Haggerty, MURP Clark County Public Health

2. Overview HIA Examples Discussion Role in HiAP 5 steps Emphasizing equity in WA, MN, MD Q & A

3. Health Impact Assessment 1 Screening 2 Scoping 3 Assessment 4 Reporting 5 Evaluation

4. Health Impact Assessment Source: Health Impact Project

5. Health Impact Assessment Photo: http://www.stepping-stone-peds.com/

6. Example: Clark County, WA

7. Projects Policies Programs

8. Example: Clark County, WA

10. CriteriaPoints Socioeconomic status 10 points Walkability potential4 points Connectivity5 points Low-stress facilities1 point Implementation Closing Gaps Safety & Comfort Access & Mobility Multi- modal Community Benefit Health 20 10 515 10 15 25

11. Example: Clark County, WA

12. Example: St. Paul Light Rail

14. Example: Baltimore Zoning

15. Resources Clark County: http://www.clark.wa.gov/public-health/reports/facts.html Health Impact Project: http://www.healthimpactproject.org/

16. Discussion What are the advantages and disadvantages of using HIA to highlight equity? How much have equity issues been quantified in your jurisdiction? If HIA is a stepping stone, what are the next steps?