Examples
1)    Applying the lens of health equity in public health work and data analysis “One Fairfax is a resolution that the board of supervisors and Fairfax County schoolboard adopted several years ago to work on racial, social, and economic equity in Fairfax County… [Through this], we infused a health equity perspective into our process so that everybody could understand health equity and social determinants. As a result of that, the community health improvement plan (CHIP) examines policy, systems, and environmental changes as a means to good health – as opposed to more hospital beds, diabetes screening programs, [etc.]"

- Public health official #3
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“I think what is especially interesting about what we are trying to do is that oftentimes data analysis focuses on the person and asks 'What is wrong with that person/group of people?' when, instead, we ought to include to the scope of data analysis and solutions by focusing on the environment. When you think about poverty, it is not just about the people experiencing poverty – [you should ask], 'what does access to home loans look like?' 'what is the ratio of payday lenders in a zipcode?' Examining the environment versus always [blaming] the individual is something we are trying to emphasize."

- Public health official #1
2)    Offering a framework and guidance to achieve healthier communities “I think we can provide significant help by providing data and guidance through our work. We need to work with all of our local government sectors and partners such as public safety and non-profits. Much like how we conduct our other efforts, we need to ensure we have a diverse group of people at the table because it will take everyone to address this issue. But I believe that [our] health department can be the subject matter experts to provide expertise and guidance moving forward.”

- Public health official #1
3)    Establishing relationships with the community built on trust “… there is trust in public health more than some of the other sectors which provides us with an opportunity to earn that trust and keep it as you wade into controversial areas. When public health is involved in more political realms, our main perspective is that we want people to be healthy and well.”

- Public health official #2
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“I think part of the way that we are well-positioned to start addressing these challenges is that we have been working diligently to build trust in the community and to build those relationships and partnerships [with the community and other organizations] … Our entire strategy is truly about building a base of trust and relationships and continuing to do so.”

- Public health official #1
4)   Collaborating with non-health sector partners “You will see in [our] community health improvement plan that all of those organizations and community members were very much a part of the plan. We also got a community transformation grant about 8 years ago – and as a part of that, we built a leadership team where we brought in the elected officials and high-tier business partners. Through this, we were able to educate them because they are the ones that, with a stroke of a pen, can make it happen."

- Public health official #3
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“…when we set up our general membership for the Community Healthcare Coalition, we always try to reach a wide array of individuals. For example, we always want people from public safety [on the coalition] as well as city planners, local government officials, and even residents. We have a very diverse group of people who are part of the planning of improvement efforts.”

- Public health official #4
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“The health department is leading the [health improvement] coalition (Collective Impact) but it brings together county agencies, hospitals, federally qualified health centers, community organizations, faith organizations, and individuals involved in economic development to look at these issues [with racism] and to say that everybody in this group is signing on to use the strategies and work towards agreed outcomes.”

- Public health official #2