Engaging the Community in New Approaches to Healthy Housing (ECNAHH) in Cleveland addressed health issues in one of the poorest communities in the country. Many in the community have unhealthy and unsafe housing, which contributed to health conditions such as lead poisoning, asthma, and chronic obstructive pulmonary disease (COPD). ECNAHH improved asthma and lead poisoning outcomes related to unhealthy housing. By focusing on prevention-based housing maintenance and targeted home interventions, ECNAHH reduced health hazards in the home. ECNAHH tactics included: adding more properties within the Healthy Homes Zone (HHZ); expanding enforcement of rental registry, code violations and environmental hazards; implementing a home hazard intervention program for homeowners and landlords; and using shared data to target properties, conduct home assessments, and request city inspections.