Health Impact Review

Health Impact Review

What is a Health Impact Review? Health Impact Review (HIR) is a valuable tool used to provide objective and timely information to decision-makers on the short and long-term public health implications of a proposed policy, program or plan. The process must be applied during the draft phase and will assess potential health impacts of proposals, policies, projects, or development plans.

For more in-depth methodology and examples see the Health Impact Toolkit

The HIR tool will specifically accomplish a number of goals: 

  • Consider the social, economic, and environmental factors that affect health. 
  • Identify what communities or populations may be impacted by a drafted proposal before decisions are made. 
  • Provide a platform for the community to engage in the decision-making processes. 
  • Strengthen or initiate relationships and collaborations. 
  • Utilize existing data from various sources. 
  • Identify opportunities to advance health equity for all populations. 
  • Inform decision makers of evidence-based, health impacts of drafted proposals.


Figure 1: High level overview of types of HIRs.

Types of HIRs and the HIR Process

There are various approaches to using HIR. These approaches are determined based on time and resources available. As shown in figure 2 below there are six steps to conducting a HIA, however these steps can adapted based upon the project needs, resulting in an HIR.


Figure 2: The 6-step process is requried for an HIA, however is scalable for the HIR process.

Please review the Health Impact Toolkit for detailed methodology and examples.


The Built Environment team will work with partners to determine the amount of funding needed to conduct a HIA or HIR. If the process timeframe permits additional use of tools or the use of subject matter experts, then funding will likely be required. There are a number of grant opportunities available related to improving the built environment and conducting health assessments.

Summarized below is a non-comprehensive list of organizations that historically support built environment and health initiatives.