Diana Silver, Ph.D., M.P.H., Beth C. Weitzman, Ph.D. The Robert Wood Johnson Foundation chose to intervene at the city level, rather than the neighborhood level, in the Urban Health Initiative. The citywide focus enabled created access to resources, data, and technical expertise and brought visibility. It shaped the roles and the activities undertaken. The study demonstrates that the decision to intervene at the city level provided increased opportunity to build political power and create meaningful changes in public and private systems. However, it impeded the community building more typically associated with CCIs and reduced attention to local cultural norms. From The Foundation Review (Vol. 1, Issue 1). Read the entire issue at www.foundationreview.org. #Non-ProfitsandFoundationsEvaluation