Introduction

Ten years ago, as we considered how to make a stronger impact on community health outside the walls of Kaiser Permanente clinics and facilities, we could not have imagined how Kaiser Permanente’s Community Health Initiatives (CHI) would flourish and gain traction at so many levels.

This timeline presents the milestones of our work throughout our first decade:

  • within Kaiser Permanente
  • in the 52 communities where we have most intensively funded this innovative place-based work
  • in the broader fields of healthy eating, active living, and community health
  • in the evaluation and research arena
  • in the many partnerships and coalitions built and strengthened at the local and national levels

The timeline of our first decade points the way to our aspirations for our next decade and the years to come: taking what we’ve learned so far, scaling these insights and contributions in more ways and more places, and continuing to demonstrate the powerful ripple effect that a health care organization like ours can have on the total health of the communities we serve.

A decade ago, few were talking about comprehensive, place-based, cross-sectoral community health work; even fewer were actually implementing these approaches. Today, it’s the standard — an approach embraced by both practitioners and funders. More importantly, this approach is enshrined in public policy and in the national prevention strategy.

Kaiser Permanente’s Community Health Initiatives paved the way. We’re proud of our contributions and eager to work with our partners to do even more in the years to come.

If we are to live up to our promise as a total health organization with the healthiest possible members in the healthiest possible communities, we need to continue to act on the social determinants of health that lay outside of the doctor’s office. That’s the vision of Community Health Initiatives, now and into the future.

What is CHI?

Our Impact

A decade of building community health

KP Partnership/
Investment
Internal
Practice Change
Award/
Recognition
Evaluation and
Key Publications
National
Milestone

Laying the groundwork

Overweight couple walking

Kaiser Permanente’s Weight Management Initiative tackles obesity prevention from a clinic-to-community integration perspective

An inaugural CHI Summit — Building Our Shared Vision — articulates design principles of what will become CHI

Conference

2004

Strawberries at a farmers market

2004
Kaiser Permanente becomes the first health system to offer farmers markets at its hospitals and facilities
More

2004
CHI design framework and logic model sets forth the principles, intermediate outcomes, and long-term vision for CHI

Children holding plants
Women cooking in kitchen

2004
CHI cross-site evaluation team is launched with the Center for Community Health and Evaluation and UC Berkeley

2004
Continuation grants from the Steps Program keep the momentum going for Steps to a Healthier U.S. applicants from Kaiser Permanente regions
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Steps to a Healthier US

2005

Herbs growing in garden

2005
Healthy Eating Active Living (HEAL) Thriving Communities in Colorado are funded

2005
Kaiser Permanente Healthy Picks labels nudge healthier choices at cafeterias, vending machines and meetings
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Crate of vegetables
Safe Routes to School National Partnership

2005
Kaiser Permanente funds the Safe Routes to School (SRTS) National Partnership to increase state and local investments in active transportation
More

2005
Kaiser Permanente receives the Bonner Award from America’s Health Insurance Plans for its farmers markets

Onions at farmers market

2006

Child with a bowl of cucumbers

2006
Healthy Eating Active Living (HEAL) sites in Northern California are funded

2006
Photovoice puts cameras in the hands of residents to capture healthy eating and active living “transformations" in a visual before-and-after format
More

Volunteers building playground

2007

Convergence Partnership

2007
Kaiser Permanente joins with the Robert Wood Johnson Foundation, the W.K. Kellogg Foundation, The California Endowment, Nemours and the Centers for Disease Control and Prevention (CDC) to create the national Convergence Partnership
More

2007
Kaiser Permanente cofounds LiveWell Colorado
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LiveWell Colorado
Boy holding apples

2007
Health Affairs article — "Health Plans’ Role in Preventing Overweight in Children and Adolescents" — highlights exemplary CHI obesity-prevention efforts

2007
The Institute of Medicine publishes "Progress in Preventing Childhood Obesity: How Do We Measure Up?" and identifies CHI as a model initiative

Progress in Preventing Childhood Obesity: How Do We Measure Up?

2008

Healthy Eating Active Living Cities Campaign

2008
HEAL Cities Campaign launches in California — a partnership to champion healthy eating and active living policies with local elected officials and city managers
More

2008
Healthy Eating Active Living (HEAL) sites in Georgia and Ohio are funded

Children shopping at farmers market
Girl holding plant

2008
Healthy Eating in Hard Times grantmaking strategy addresses hunger and food insecurity in the wake of the 2008 recession
More

2009

2009
Kaiser Permanente becomes the first health system to commit to menu labeling in all its cafeterias
More

Menu labeling for calories
Boy holding broccoli

2009
CHI evaluation refresh leads to the development of the “population dose” approach, used to design and create greater impact through community interventions
More

2009
Kaiser Permanente is recognized with a Pioneering Innovation award for groundbreaking obesity prevention efforts

Boy holding donut and apple
American Recovery and Reinvestment Act

2009
American Recovery and Reinvestment Act funds Communities Putting Prevention to Work using CHI principles

2010

2010
Kaiser Permanente and the Convergence Partnership partners help launch the Partnership for a Healthier America to mobilize broad-based support to fight childhood obesity
More

Partnership for a Healthier America
Bagging oranges at foodbank

2010
Healthy Options Healthy Meals food bank collaboration begins, helping food banks shift from “enough” food to “healthy” food for millions of Americans experiencing food insecurity
More

2010
Kaiser Permanente cofounds Hunger Free Colorado

w
Hunger Free Colorado
Affordable Care Act

2010
The Affordable Care Act is signed into law, including National Prevention and Wellness Fund and National Prevention Strategy

2010
Healthy Eating Active Living (HEAL) site in the Mid-Atlantic region is funded

Women holding basket of vegetables
American Journal of Public Health

2010
CHI evaluation results published in American Journal of Public Health, including the population dose concept

2010
Every Body Walk! and KP Walk! are created to build a movement for movement
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Every Body Walk!

2011

Women holding newborn

2011
Breastfeeding guidelines are instituted to help 90,000+ infants born in Kaiser Permanente hospitals each year get off to a healthier, more nutritious start in life
More

2011
Kaiser Permanente joins the California Endowment as a founding member of the California FreshWorks Fund
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FreshWorks
CDC: Centers for Disease Control and Prevention

2011
CDC awards $103 million in Community Transformation Grants (CTG), supporting more communities across the country as they adopt CHI/HEAL approaches

2011
Southern California Healthy Eating Active Living (HEAL) sites are funded

Mom holding child eating carrots
Boy eating banana on grass

2011
Comprehensive Obesity Prevention and Treatment Strategy is formed that incorporates clinical, behavioral and community-based approaches

2012

2012
Kaiser Permanente co-convenes Regional Convergence Partnerships in California, Colorado, the Mid-Atlantic States and the Northwest

Convergence Partnership
Weight of the Nation

2012
HBO’s "Weight of the Nation" is developed with support and contributions from Kaiser Permanente
More

2012
Institute of Medicine Report — "Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation" — highlights schools as the heart of health

Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation
Kids playing on merry-go-round

2012
Kaiser Permanente champions successful adoption of Safe Routes to School program in Hawaii

2013

2013
Thriving Schools is launched as key element of Kaiser Permanente’s total health strategy
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Thriving Schools
Let’s Move! Active Schools

2013
Kaiser Permanente is a founding partner of Let’s Move! Active Schools aimed at equipping schools with resources and tools to increase physical activity

2013
Kaiser Permanente adopts total health framework, incorporating key CHI principles that include a focus on the role of social and environmental factors on health and well-being

Families laughing in park
Kids playing soccer

2013
A 2013 Field Research poll commissioned by Kaiser Permanente finds broad public support for CHI approaches
More

2014

2014
CHI place-based initiatives grow to more than 50 sites in 5 states
More

Teacher instructing class
Doctor and child eatings apples in park

2014
Report published by the Commonwealth Center for Governance Studies recognizes Kaiser Permanente CHI for its exemplary efforts to improve public health
More

2014
A CHI 3.0 framework lifts up the role of communities as vital settings to create the conditions of health
More

Mom with kids on playground
The Current State of Obesity Solutions in the United States - Workshop Summary

2014
Institute of Medicine publishes "The Current State of Obesity Solutions in the United States — Workshop Summary"

2014
Kaiser Permanente’s Care Management Institute holds summit on social and non-medical needs that points the way to greater need for clinic-to-community integration

Women getting blood drawn

2015

Women shopping for produce

2015
Kaiser Permanente co-convenes evaluators and funders of major national obesity prevention initiatives to “take stock” of what we’ve learned so far
More

2015
Dose Toolkit and Institute of Medicine's "Dose Matters" white paper published to reach practitioners
More

Coach stretching with kids in park
American Hospital Association

2015
Kaiser Permanente receives American Hospital Association NOVA Award for Southern California HEAL zone

2015
Health Affairs publishes "An Integrated Framework For The Prevention And Treatment Of Obesity And Its Related Chronic Diseases" featuring Kaiser Permanente’s CHI as a model
More

Person standing on scale
Kids playing on merry-go-round

2015
Healthy Eating Active Living (HEAL) sites in Northwest region are funded

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