Case StudyListen and Be Ready to Shift: How Racial Equity and Community Leadership Launched “Communities of Opportunity”Wysen, Kirsten MHSAAuthor Information Health Policy and Planning, Public Health—Seattle & King County, Seattle, Washington; and Center for Advanced Study in the Behavioral Sciences at Stanford University, Stanford, California. Correspondence: Kirsten Wysen, MHSA, Health Policy and Planning, Public Health—Seattle & King County, 401 5th Ave, Ste 1300, Seattle, WA 98103 ([email protected]). The author gratefully acknowledges support from the Center for Advanced Study in the Behavioral Sciences (CASBS) at Stanford University as a 2018-2019 Policy Fellow, as well as ongoing support from Public Health—Seattle & King County. Great appreciation is extended to Communities of Opportunity partners throughout King County for inspiration, education, and friendship. The author declares no conflicts of interest. Journal of Public Health Management and Practice: January/February 2021 - Volume 27 - Issue 1 - p E48-E56 doi: 10.1097/PHH.0000000000001048 Buy Metrics Abstract Multisector partnerships that put racial equity and community leadership at their center can create pathways to healthy communities. With funding from the Seattle Foundation and King County government, Communities of Opportunity was launched in 2014 to close gaps by place and by race in health outcomes and in measures of 3 social determinants—employment, housing, and social environment. The initiative is governed by a multisector partnership with community leaders in the majority. Relationships and decisions made during Communities of Opportunity's early years led to an expansion of the work from a $1 million per year place-based focus to an $8 million per year policy and system change enterprise. The initiative now funds 68 nonprofits to improve racial equity by increasing community capacity, investing in leadership development, and making policy changes. A committed group of community leaders worked with the funders to create an innovative structure that redresses past and current racial injustices and supports local leaders acting on ambitious priorities. A shared analysis of structural racism in the past and the present can deepen relationships and increase local government and funder credibility. When health departments and funders create the space for community leadership, initiatives can have broader reach and greater sustainability. We are in the early stages of developing the evidence base for improving community health equity and further work is needed to identify and disseminate successful processes and interventions. © 2019 Wolters Kluwer Health, Inc. All rights reserved.