Handbook: Optimizing Your Health Impact Assessment (HIA) Experience

HIA Handbook for Practitioners

2 Min Read

Apr 06, 2017


Tatiana Y. Lin, M.A.,

Carlie J. Houchen, M.P.H.,

Sarah M. Hartsig, M.S.,

Sheena L. Smith, M.P.P.


Are you an individual or organization thinking about conducting a health impact assessment (HIA)? Or do you have experience conducting HIAs?

The Kansas Health Institute HIA team has created a practical Handbook to help individuals of all experience levels anticipate and address potential challenges during the HIA process. To help readers understand how solutions can be applied in practice, the Handbook includes examples from several HIAs across the country and abroad. It also directs readers to existing HIA-related resources that can be used to address challenges or provide examples. Furthermore, the Handbook identifies opportunities for using HIA steps and tools to advance Community Health (Needs) Assessment and Foundational Public Health Services efforts.

Step 1: Screening

Screening is the first step of an HIA process. It determines whether an HIA is feasible, timely and would add value to the decision-making process.

Step 2: Scoping

 Scoping is the second step of the HIA process. It determines what health impacts are going to be studied, which populations will be included in the study, and the methods that will be used to conduct an HIA.

Step 3: Assessment

Assessment is the third step of an HIA process. It includes a summary of existing (baseline) conditions and analysis of potential health impacts.

Step 4: Recommendations

Recommendations is the fourth step of an HIA process. Recommendations are a way to suggest action that can enhance positive health effects and mitigate potential negative health effects related to the proposed plan/project/policy.

Step 5: Reporting

 Reporting is the fifth step of an HIA process. It includes the distribution of findings to decision-makers and others involved with the HIA.

Step 6: Monitoring/Evaluation

Monitoring/Evaluation is the sixth step of an HIA process. This step helps determine future health impacts resulting from policy changes and assesses the HIA process, results and lessons learned.

Access these publications and graphics in the Documents & Downloads section.

About Kansas Health Institute

The Kansas Health Institute supports effective policymaking through nonpartisan research, education and engagement. KHI believes evidence-based information, objective analysis and civil dialogue enable policy leaders to be champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.

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