Building a healthier community

Healthy By Design is committed to collaborating with our partners across the community to improve the quality of life for people who live, learn, work and play in Yellowstone County. We are working to make the healthy choice the easy choice. Through policy, system, and environmental change we hope to collectively impact Yellowstone County resident’s physical, behavioral, and social well-being. We are currently leading collective efforts related to physical activity, nutrition, and healthy weight.

Guiding Our Approach

Social Determinants of Health

As Healthy People 2020 reminds us, “the range of personal, social, economic, and environmental factors that influence health status are known as determinants of health”. Social determinants are the social factors and physical conditions of the environment in which people are born, live, learn, play, work, and age. We take these into consideration as we seek to address root causes and/or policies, systems or the environment in order to improve health equitably.

Health Impact Pyramid

As we seek to improve the health of our community, it is important to consider the focus of our momentum in order to make an impact. The Health Impact Pyramid, credited to Thomas Frieden, MD, MPH, is thought to be a framework for public health action. When you look at the pyramid base level interventions are those that have the potential of making the greatest level of impact. In our work we seek to focus on the bottom two tiers of this pyramid.

Health Equity

The American Public Health Association defines health equity everyone having the opportunity to attain their highest level of health. By valuing people equally, we can seek to address factors such as housing, education, food access, etc. at base levels through policy, systems, and environmental change.

Collective Impact

Healthy By Design is interested in applying a Collective Impact framework in its endeavors. Engaged staff members have been students of the collective impact framework for the past two years, and have received coaching through the National Leadership Academy for the Public’s Health as well as from the Tamarack Institute. We continue to focus on the pre-conditions and conditions as they relate to our resourcing, structure, common goals, communication and approach.

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