In and effort to incorporate HIAs throughout the city decision-make process,the program established relationship with each City of Columbus devision responsible for land use development and transportation decisions.Checklists were developed for decision-makers to guide them in including health considerations.Decision points that used the checklists include preliminary design review for new developments and sites undergoing redevelopment,as well as initial review and project scoping for transportation planning projects,such as sidewalks,bike lanes and roads.In the 2011 pilot phase,65 percent of the recommendations from the HIA process were voluntarily accepted by project managers.