Introduction

On September 12th, the Boston Alliance for Community Health (BACH) and its partners determined 5 strategic issues/questions that we need to address to achieve our vision of a healthy Boston.

The 5 strategic issues/questions are the following:

*How can we promote racial and ethnic health equity in Boston?

*How can we ensure a welcoming, easy to use, continuum of care that integrates medical care with public health?

*How can we increase community resilience by addressing community traumas such as violence, racism, poverty and chronic health conditions?

*How can we improve the health outcomes of all Bostonians affected by education, employment, and transportation policies and practices?

*How can we reach and engage newcomers, immigrant, and undocumented populations in community decisions?

On November 16th, BACH will convene a meeting to determine goals and strategies to address these strategic questions and strive toward our vision. As a first step in the strategy development process, we are taking an inventory of what strategies are already taking place in Boston.

This survey is aligned with the CDC’s Health Impact Pyramid, shown below. A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interventions that change the context to make individuals' default decisions healthy, long-lasting protective interventions and clinical interventions that require limited contact but confer long-term protection, ongoing direct clinical care, and health education and counseling. Interventions focusing on lower levels of the pyramid tend to have more impact because they reach broader segments of society and require less individual effort. However, all levels of intervention are important. Implementing interventions at each of the levels can achieve the maximum possible sustained public health benefit.

For each strategic issue, please list each strategy that your organization is involved in, check the box to select the corresponding level of impact, and tell us what other partners, if any, you collaborate with on this strategy.

Question Title

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EXAMPLES:

For Strategic Issue #1- How can we promote racial and ethnic health equity in Boston?
Strategy: Training on institutional racism
Level of Impact: Counseling and Education
Collaborating Partners: Training Associates, Inc.

For Strategic Issue #2- How can we ensure a welcoming, easy to use, continuum of care that integrates medical care with public health?
Strategy: Patient navigator program
Level of Impact: Changing the Context
Collaborating Partners: Eastside Health Center, Eastside Health Collaborative

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