Resources for Implementing the Community Health Needs Assessment Process
The Affordable Care Act creates an opportunity for hospital organizations, numerous governmental public health agencies, and other stakeholders to accelerate community health improvement by conducting triennial community health needs assessments (CHNA) and adopting related implementation strategies that address priority health needs. Under the Affordable Care Act, hospital organizations satisfy their annual community benefit obligations by meeting those new requirements which are described in section 501(r)(3). In addition, hospital organizations have new requirements for reporting and for paying taxes.
Background on CHNA
- Logic models for community health improvement: current and desired framework.
- Best Practices for Community Health Needs Assessment and Implementation Strategy Development: archived webcasts from 2011 CDC public forum; PHI proceedings from CDC 2011 public forum
- World Health Organization Collaborating Centre for Community Health and Development at the University of Kansas: Recommended Practices for Enhancing Community Health Improvement
- Internal Revenue Code concerning CHNA: Section 501(r)(3)
- Community Health Needs Assessments for Charitable Hospitals, Proposed Rule
Principles to Guide a CHNA Process
- Principles to Consider for the Implementation of a Community Health Needs Assessment Process (June 2013), Sara Rosenbaum, JD, The George Washington University School of Public Health and Health Services, Department of Health Policy.
Community health improvement is effective when it embraces a series of basic principles that can apply in many different settings, including
- Multisector collaborations that support shared ownership of all phases of community health improvement, including assessment, planning, investment, implementation, and evaluation.
- Proactive, broad, and diverse community engagement to improve results.
- A hospital’s definition of community that encompasses both a significant enough area to allow for population-wide interventions and measurable results, and includes a targeted focus to address disparities among subpopulations.
- Maximum transparency to improve community engagement and accountability.
- Use of evidence-based interventions and encouragement of innovative practices with thorough evaluation.
- Evaluation to inform a continuous improvement process.
- Use of the highest quality data pooled from, and shared among, diverse public and private sources.
- Community Commons
- CHNA.org – The CHNA Toolkit
- Principles of Community Engagement (2nd ed.)
- Community Health Improvement Resources (from Missouri Department of Health and Senior Services)
- ASTHO State Health Improvement Plan (SHIP) Guidance
- Mobilizing for Action through Planning and Partnerships (MAPP)
- Institute of Medicine Video: Primary Care + Public Health in the Community
- Leading Health Indicators—Healthy People 2020
- Health Indicators Warehouse
- MMWR Health Disparities and Inequalities Report
- Behavioral Risk Factor Surveillance System
- Youth Risk Behavior Surveillance System
- County Health Rankings
- National Environmental Public Health Tracking Network
- Uniform Data System (UDS) Mapper