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.

Sustain the work

Keep in mind, policy change is only effective if the changes made are properly implemented. Think about sustaining the gain and making sure that your policy change efforts are put into place. Depending on the issue, administrative rulemaking may be required, or enforcement protocols may have to be developed. In some cases, veto or repeal efforts will have to be confronted.

To assure that your changes are sustained, develop a long-term accountability plan that addresses policies, partnerships, organizational strategies, communication plans, and funding. When a policy is passed following a vigorous campaign that educated and engaged the public, the policy is more likely to be well-implemented and enforced.

As you move forward in long-term planning, consider whether putting a separate infrastructure in place with skilled staff and resources that will stay solely focused on maintaining and improving the policy or program is necessary or beneficial to your initiative. Your decisions about staffing and infrastructure will influence your ongoing funding needs. If the partnership exists for one very specific goal, and that goal is achieved, they no longer need to continue. Don’t be afraid to call it quits when your partnership has finished its work.

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