Health Impact Review Framework in Washington State
Explore the evolution and impact of the Health Impact Review (HIR) framework in Washington State, focusing on disparities in health outcomes, community involvement, legislative support, and funding trends. Learn about the process, outcomes, and growth of HIR initiatives for addressing health disparities in diverse communities.
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Presentation Transcript
Washington State Board of Health Governor s Interagency Council on Health Disparities June 17, 2015
Health Impact Review (HIR) framework Health Impact Review history and growth Outreach strategies Health Impact Review example 1
Proposal Governor Legislators Communities of color Health Rural communities Low-income communities HIR FRAMEWORK 3
Screening Scoping Assessment Recommendation Reporting Monitoring & Evaluation HIR FRAMEWORK
HIR Legislators/ Governor HIA Practitioners/ funders/ community Screening Rapid turn around Generally longer timeline Scoping Limited community involvement Community involvement central Assessment Essential step Do not include recommendations Recommendation HIR FRAMEWORK 5
Intermediate Outcomes Health Impacts Proposal HIR FRAMEWORK 6
VERY STRONG EVIDENCE STRONG EVIDENCE A FAIR AMOUNT OF EVIDENCE EXPERT OPINION NOT WELL RESEARCHED VERY STRONG EVIDENCE STRONG EVIDENCE A FAIR AMOUNT OF EVIDENCE EXPERT OPINION NOT WELL RESEARCHED HIR FRAMEWORK 7
2006 2006 2007 2007- -2009 2009 Council and HIR legislation passed 2009 2009- -2013 2013 Seven HIRs requested 2013 2013- -Present Present HIR funding suspended HIR funding reinstated and 20 HIRs requested 450% increase HEALTH IMPACT REVIEW GROWTH 9
Increase in number of legislators requesting Wider variety of requests HEALTH IMPACT REVIEW GROWTH 11
Testimony Bill Reports Legislators Media Reports HEALTH IMPACT REVIEW GROWTH 12
Oil Education Transportation Minimum Wage Health Care Juvenile Justice Emergency Response Mental Health HEALTH IMPACT REVIEW GROWTH 13
Thank you for this [HIR]. I don't know why we don't utilize you guys more often. This is really good analysis and we appreciate it. I wish that I had it for my bill and thought of [requesting an HIR]. Health impact reviews are a useful tool because they provide evidence to support bills that would positively impact health. -Washington State Legislator -Washington State Legislator HEALTH IMPACT REVIEW GROWTH 14
HB 1674 (2015 HB 1674 (2015- -2016) 2016) Youth offenders convicted as adults are placed in the custody of DSHS and provided access to adolescent specific services Improved health outcomes Decreased health disparities Reduced recidivism Key Not Well Researched A Fair Amount of Evidence HIR EXAMPLE Strong Evidence Very Strong Evidence
Sierra Rotakhina, MPH sierra.rotakhina@sboh.wa.gov 360-236-4106 Completed Health Impact Reviews can be found on the Washington State Board of Health website: http://sboh.wa.gov/OurWork/HealthImpactReviews.aspx Sierra Rotakhina, MPH 17
