Since 2013, we have been building our neighbor-to-neighbor network. In our first year, Healthy Homes engaged 52 households on 5 targeted blocks. In the next two years, we scaled to 105 households on 18 blocks. In addition to the “active” households on these targeted blocks, we have provided resources to dozens of households on neighborhood blocks beyond the 18 targeted ones.

In early 2017, we shifted our model so that we may scale to a greater numbers of families, including engaging households outside targeted blocks in the same way we engage active ones. Now, Healthy Homes is poised to scale further across its first neighborhood of Price Hill. We aim to expand to all of the neighborhood’s estimated 1,400 households with pregnant women and/or young children, thereby connecting all households of at-risk families within the neighborhood. We anticipate eventually spreading to other neighborhoods and learning how to apply and adapt our approach to their unique needs and assets.

To test new strategies for engagement and scale, we use quality improvement (QI) science, with all members of Healthy Homes contributing to the process. Together, we develop key driver diagrams, complete PDSA cycles, huddle weekly to review data, learn to fail forward, and commit to rapid cycle change. We continue to leverage this approach to optimally expand and deepen our neighborhood-based, community-driven network.