Community Transformation Grant


Community Transformation Grant information
News and Events
Leadership Team

In May of 2011, the Centers for Disease Control and Prevention (CDC) announced a new funding opportunity for Community Transformation Grants (CTG). These grants are authorized under the Patient Protection and Affordable Health Care Act of 2010. The goal of the CTG is to create healthier communities by reducing chronic disease rates, preventing the development of secondary conditions, addressing health disparities, and developing a stronger evidence base for effective prevention programming.

On July 15, 2011, the County of San Diego applied for a Community Transformation Grant, basing its application on the 3-4-50 principle. Three behaviors – poor nutrition, lack of physical activity, and tobacco use – contribute to four chronic diseases – heart disease and stroke, cancer, type 2 diabetes, and respiratory conditions – that result in more than 50% of deaths in the United States (57% in San Diego County). In 2007, the County’s direct cost for chronic disease was $4.6 billion.

On September 27, 2011, the County of San Diego received a CTG award from the U.S. Department of Health and Human Services in the amount of $3,053,793.

The opportunity provided by the 5-year CTG funding will allow the County of San Diego to continue the important work initiated by the Communities Putting Prevention to Work (CPPW) grant ($16 million over 2 years) and the 10-year Live Well San Diego initiative Key strategies of alignment include:  tobacco-free living, active living and healthy eating and improving clinical management of risk factors of high-blood pressure and elevated cholesterol.

Objectives of the grant are being achieved by activating a broad range of community transformation implementation plans which focus on policy, environmental, programmatic, and infrastructure changes aimed at maximizing public health impact. Implementation plan activities are integrated across five strategic areas: 

  • Tobacco Free Living protects community residents from secondhand smoke in diverse settings, such as work sites and schools.
  • Active Living and Healthy Eating increases access to and availability of healthful foods through a regional food system. 
  • Clinical Preventive Services engage health care providers in implementing standard clinical care interventions which increase control of high blood pressure and high cholesterol. 
  • Social and Emotional Wellness promotes effective parenting by offering nurse home visitation to high risk new mothers. 
  • Healthy and Safe Physical Environments improves community design and planning to make increased walking and biking possible.

To achieve the goals of these five strategic areas, the County is undertaking 6 strategies and 24 interventions. 

The grant is being implemented through a collaborative effort among a multi-sectorial leadership team, community coalitions, contractors, and County staff. CTG activities represent an expansion of the County’s Healthy Works (Communities Putting Prevention to Work) program, that supported the County’s Live Well San Diego Building Better Health Initiative.

The County distributed over 50% of the total CTG award directly to governmental and non-governmental community partners through standard HHSA procurement processes.  

News and Updates

For more information on CTG interventions and procurements, click here: CTG Summary.

For a history of CTG updates, click here: CTG Updates


Healthy Works Community Transformation Grant Leadership Team

The CTG Leadership Team is an advisory body on CTG efforts. It consists of 28 members who offer multi-sectoral representation. For a list of members of the CTG Leadership Team, please go to this document. 

Below you will find a meeting schedule and links to supporting documents.

Date Agenda and Minutes Additional Documents
Nov. 10, 2011 Agenda  
Mar. 28, 2012 Agenda | Minutes
Jun. 29, 2012 Agenda | Minutes  
Sept. 12, 2012 Agenda
Dec. 12, 2012 Agenda | Minutes
Mar. 15, 2013 Agenda | Minutes
June Action Institute Agenda
Sept. 12, 2013 Agenda | Minutes
Jun. 19, 2014 Agenda