From 2010 to early 2013, under the leadership of the Pima County Health Department, organizations and community members engaged in a comprehensive community health assessment and improvement planning process. The goal of this intensive, community-driven process was to examine the current health needs of Pima County residents and determine how to best address them.

This report is a summary of the Pima County Community Health Assessment that was conducted in 2011. As facilitator, the Pima County Health Department examined existing data describing the community, surveyed residents and stakeholders about their perceptions of the health status of Pima County, and presented these findings to the Community Health Assessment Taskforce. The community members who comprised the taskforce evaluated the information and identified five priorities that would make a significant positive impact on the health status of Pima County residents.

Assessing and addressing the public’s changing needs is a challenging task. The Health Department uses a variety of measures to evaluate program accomplishments while holding itself accountable to the taxpayers. The economic challenges faced by the County and its residents require the Department to rely more on quality improvement approaches to maximize the limited resources. Here are some highlights of the Health Department’s achievements in efficiently providing needed public health services.

Four major statewide "tools" to help manage growth and preserve open space have been put to work in Arizona over the past five years. These include the Arizona Preserve Initiative and the closely-related Proposition 303, as well as the Growing Smarter Act and its "addendum," Growing Smarter Plus. All four tools are based in large part on a concept known as "smart growth," which is generally considered to be a set of growth management measures that attempt to strike a balance among issues of economics, environment, and quality of life. Taken together, these four growth management tools make significant changes in the way that (a) city and county governments plan and regulate their lands, (b) citizens play a role in land use issues, (c) state trust lands are managed, and (d) open space may be acquired and preserved. Many of these changes will have long-term effects for the state. This paper provides a brief overview of each of the four growth management/open space tools, a preliminary accounting of major activities each one has stimulated, and a perspective on what can be expected for the future as expressed by a selection of growth planners and other leaders of growth management in Arizona.

From 2010 to early 2013, under the leadership of the Pima County Health Department, organizations and community members engaged in a comprehensive community health assessment and improvement planning process. The goal of this intensive, community-driven process was to examine the current health needs of Pima County residents and determine how to best address them. This document is an update of the Healthy Pima Initiative.