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Community Health Assessments:
Requirements and Models
April 25, 2013
Community Health Assessments:
Requirements and Models
April 25, 2013
Gianfranco Pezzino
Senior Fellow
Kansas Health Institute
Intro to Community Health Assessments
Intro to Community Health Assessments
Why are we here? PHAB pre-requisites for accreditation:
CHA, CHIP and strategic plan IRS reporting standards call for a CHNA
every 3 years Both call for collaboration
PHAB requirements PHAB requirements
PHAB MeasuresStandard 1.1: Participate in or conduct a collaborative process resulting in a comprehensive community health assessment
“A community health assessment is a collaborative process of collecting and analyzing data and information for use in educating and mobilizing communities, developing priorities, garnering resources, and planning actions to improve the population’s health.”
IRS RegulationsIRS Regulations
Notice 2011-52 (July 2011) Reg 106499 (April 5, 2013)
“Section 501(r)(3) requires a hospital organization to conduct a CHNA at least once every three years and adopt an implementation strategy to meet the community health needs identified through the CHNA. The CHNA must take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health.”
Collaboration: Opportunities and Challenges
Collaboration: Opportunities and Challenges
Introduce Crosswalk Document
Models: Why Bother?Models: Why Bother?
PHAB Measure 1.1.1:
The health department must provide documentation of the collaborative process [….]. The process used may be an accepted state or national model; a model from the public, private, or business sector; or other participatory process model.
Models: Why Bother?Models: Why Bother?
PHAB Measure 1.1.1:
The health department must provide documentation of the collaborative process [….]. The process used may be an accepted state or national model; a model from the public, private, or business sector; or other participatory process model.
CHNA GuidelinesCHNA Guidelines
(1) A description of the community served by the hospital facility
(2) A description of the process and methods used to conduct the assessment
(3) A description of how the hospital organization took into account input from persons who represent the broad interests of the community served by the hospital facility
(4) A prioritized description of all of the community health needs identified through the CHNA, as well as a description of the process and criteria used in prioritizing such health needs.
(5) A description of the existing health care facilities and other resources within the community available to meet the community health needs identified through the CHNA.
What is a “model”?What is a “model”?
An accepted state or national model from the public, private, or business sector.
A locally developed model A model made up of parts of multiple
models is also acceptable
Common Community Health Improvement Process ModelsCommon Community Health
Improvement Process Models PRECEDE-PROCEED (1970s) Assessment Protocol for Excellence in Public Health (APEX
PH) (1991) Protocol for Assessing Community Excellence in
Environmental Health (PACE EH) (2000) Mobilizing for Action through Planning and Partnerships
(MAPP) (2001) Healthy People 2020 Association for Community Health Improvement (ACHI)
Toolkit (more hospital-focused) Assessing and Addressing Community Health Needs
(ACHA) State-specific models/frameworks See Page 8 of the handbook
Adapted from: NACCHO, June 2012
MAPP Framework: 6 stepsMAPP Framework: 6 steps Organize for Success Visioning The Assessments
Community Themes and Strengths Local Public Health System Community Health Status Forces of Change
Strategic Issues Goals and Strategies Action Cycle
• Planning• Implementation• Evaluation
HP 2020 – MAP-ITHP 2020 – MAP-IT
Mobilize partners. Assess the needs of your community. Create and implement a plan to reach
Healthy People 2020 objectives. Track your community’s progress.
Catholic Health AssociationCatholic Health Association
1. Plan and prepare for the assessment.
2. Determine the purpose and scope of the CHA.
3. Identify data that describes the health and needs of the community.
4. Understand and interpret the data.
5. Define and validate priorities.
6. Document and communicate results
Similarities Similarities
Many! Overall process
• Planning => Data => Priorities => Communication
Emphasis on community engagement Often more emphasis on assessment
than on improvement plan and strategic plan
DifferencesDifferences
Focus, e.g.: CHANGE = chronic disease NPHPSP = PH system PACE-EH = environmental health
Focus and audience may affect some steps E.g., CHA “community” = focus on
service area