Online Program

Using Collective Impact with Health in All Policies: A Local Health Department's Approach

Tuesday, November 3, 2015 : 12:30 p.m. - 12:50 p.m.

Krista Hanni, M.S., Ph.D., Monterey County Health Department, Salinas, CA

Erica Padilla-Chavez, MPA, Pajaro Valley Prevention and Student Assistance, Inc., Watsonville, CA
La'Quana Williams, MPH, Monterey County Health Department, Salinas, CA
Angelica Chavez, Ed.M., Planning, Evaluation, and Policy, Monterey County Health Department, Salinas, CA
Carmen Gil, MPH, Building Healthy Communities East Salinas, Salinas, CA
Doug Yount, Community and Economic Development, City of Salinas, Salinas
Beth Altshuler, MCP, MPH, CPH, Raimi + Associates, Berkeley, CA

Monterey County Health Department (MCHD) supported its mission to improve the health of all residents by intentionally expanding upstream work on social determinants of health through Health in All Policies (HiAP), using a Collective Impact approach to implement HiAP with community and city partners.


MCHD developed a commitment to HiAP both within the department and with stakeholders using the five components of Collective Impact. MCHD’s efforts included a stronger focus on health equity and support for HiAP by developing and implementing health equity training programs for staff and community members, incorporating HiAP into planning documents for national public health accreditation, and leveraging partnerships for local general plan updates and revisions.


MCHD recognized education was required to assure long-lasting partner engagement for HiAP. From early 2012 to today, MCHD created and offers multiple internal and external trainings to support HiAP reaching thousands of county staff and residents through all-staff meetings, forums, a staff Health Equity Scholars Academy, and a community social equity academy. Along with this work, the intersectoral collaboration between MCHD and Building Healthy Communities (BHC) East Salinas created a robust community participatory process that resulted in the incorporation of a Quality of Life section into the City of Salinas’ General Plan Economic Development element and Housing element updates.


HiAP enabled MCHD to position itself as an important public health strategist and to support community resident’s involvement in shaping the future of their local built environment through inclusion of a health focus in planning documents.

Learning Areas:

Public health or related public policy

Learning Objectives:
Discuss the benefits of using Collective Impact to implement a local Health in All Policies approach. Explain the opportunities, including documentation for public health accreditation and incorporation into policy efforts, to increase a local health department’s capacity to support work on social determinants of health strategies.

Keyword(s): Policy/Policy Development, Built Environment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 14 years experience in public health managing epidemiology and policy development programs. My academic background includes a PhD in Epidemiology and I've taught classes in Community Health and Collaborative Services. I sit on several local public health-related initiative steering committees and local Boards of Directors.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.