The North Star

For generations travelers have understood the importance of always knowing the location of the North Star. As the only fixed point in the night sky, the North Star is a constant companion and a sure reference for setting one’s course on a journey.

For TCE's Building Healthy Communities Initiative, we too are setting our North Star that will guide our BHC work over the next half of the initiative. Our North Star Goals and Indicators illustrate what success looks like in 2020.

Essentially, the North Star Goals and Indicators crystalize where the work of BHC is NOW and where BHC is GOING.

Health Equity =
Health & Justice 4 All

The true North Star of BHC is the achievement of “health equity” through the advancement of “health and justice for all.” We have identified four goals that will lead us to our North Star. These goals and indicators are markers of progress toward achievement of this ultimate goal.

What do we mean by Health Equity? Health Equity is achieving the highest level of health for all people, by improving the systems and conditions for health for all groups, especially for those who have experienced socioeconmic disadvantage or historical injustice. In this sense, health equity is advanced through the fight for social justice.

Big Story Headlines

We believe that the NSGIs can help us to better understand, capture, and communicate several “big stories” about the initiative and its ability to be transformative and offer unique contributions to public policy and community change at scale. Potential stories include:

  • Power Building: How BHC has supported local communities to develop a coherent and strategic capacity to mobilize young people, residents and community non-profits to advance policy campaigns that improve life prospects and health outcomes for young people and their families.
  • Youth Leadership: How youth organizing work has made visible the abilities of young leaders and helped to build a movement of young people around health equity.
  • State and Local Alignment: How BHC has aligned investment in mobilizing and organizing local community efforts with statewide advocacy, organizing and narrative change to advance policies and system improvements that will improve health outcomes in the long run.
  • Philanthropic Role: What TCE has learned about how a philanthropy can organize its own efforts in order to join forces effectively with many partners to catalyze communities and state efforts to drive policy and systems change.

Following are the 4 goals and indicators.
Click on "learn more" button for background information on the goals and indicators.

Health happens in schools Health happens with prevention Health happens in neighborhoods Health Happens Here Voice & Power!

Goal 1

Building Voice and Power for a Healthy and Inclusive California

Historically excluded adult and youth residents have voice, agency and power in public and private decision making to create an inclusive democracy and close health equity gaps.

As evidenced by…

1. Strengthened leadership, organizations, collaborations, and networks are in place to help community members organize in cross-race, issue, and sector campaigns, both locally and statewide.

2. The dominant cultural narrative has changed to one of inclusion and equity that recognizes traditionally excluded adult and youth residents as assets to their communities.

3. Adult and youth residents have voice and power in local and state government and private sector decision-making processes affecting policies and resource distributions.

This goal is fundamental to and
embedded in all the succeeding goals.

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Goal 2

Health Happens with Prevention

Californians have ready access to a health system that prioritizes prevention and coverage for all.

As evidenced by…

4. Local health systems have integrated preventive care with public health and community services in an equitable and comprehensive fashion.

5. Low-income and hard-to-reach populations are equitably enrolled in health insurance or affordable, quality health care programs.

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Goal 3

Health Happens in Schools

California public schools provide a positive and supporting learning environment that promotes life-long health and wellness for all students.

As evidenced by…

6. Schools implement positive discipline practices and provide supportive learning environments centered on trauma-informed principles to promote health and healing.

7. Students stay in school, maintain their attendance and experience academic success.

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Goal 4

Health Happens in Neighborhoods

California cities and counties directly engage community residents to build health into land use decisions, stabilize neighborhoods, and shift resources from punishment to prevention.

As evidenced by…

8. Cities and counties, with state partners, include health in land use planning and policies, make health-promoting physical improvements in neighborhoods and create safe, stable communities.

9. Cities and counties, with state partners, recognize the toxic effects of trauma, prioritize youth development and resilience and shift the balance of public investment from punishment and incarceration to health and prevention.

10. Youth and adults experience more positive connections and health benefits from living in their communities, avoid involvement in the justice system and, for the formerly incarcerated, successfully re-enter into community life.

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Health Happens Here

We believe by having the North Star Goals and Indicators we have one widely recognized and understood set of goals and indicators that represent BHC's aspirations and will give further clarity to our BHC efforts over the next half of the Initiative.

In the following text you will see two types of indicators:

Policy, systems & Practice Change Indicator Focused Population Indicator