County Health Rankings & Roadmaps, A Healthier Nation, County by County

The County Health Rankings models and measures

Our Approach

The County Health Rankings model of population health

What can I do?

Action Center

Explore guides and tools for improving health.

What Works for Health

Explore programs and policies that work!

What can I learn from others?


Key findings from the last four years of County Health Rankings and other national reports.

County-by-County Blog

Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team.

Important information about this guide

The Act Key Activities will help you move from your broad goal to specific, measurable, achievable, realistic, time-determined (SMART) objectives, and then even more specific tactics or action steps. It’s important to note that while the key activities in the guide are arranged in a linear fashion, this is not a linear process and many of these activities take place at the same time. You may also find yourself moving back and forth between many of the activities.

While creating new programs can be an important strategy toward improving community health, the primary focus of the Act step is on promoting policy, systems, and environmental changes to improve community health for the long term. The following Key Activities provide communities with support and guidance on advocating for change at a population level.

Whether you are advocating for a policy change or implementing a programmatic intervention, it is critical to begin by developing an action – or campaign – plan. Effective campaign plans have multiple components and may include decision-maker analysis and outreach, coalition building, grassroots development, media advocacy, internal and external communications, and fundraising/resources. The Key Activities provide guidance on these different components and offers tools to help you work through each of them.

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