Community Health Needs Assessment

The National Center for Rural Health Works has provide community health needs assessment for many years. The “OLD” process is the Community Health Engagement Process (CHEP) and is still a very viable assessment tool. CHEP is illustrated below with attachments that explain the process in detail and the products developed with this tool.

With the passing of “The Patient Protection and Affordable Care Act” in 2010, all 501(c)(3) hospitals (not-for-profit or non-profit hospitals) must conduct a community health needs assessment (CHNA) process to meet the U.S. Department of Treasury and Internal Revenue Service (IRS) rules. The “NEW” process is a more streamlined process, referred to as the Community Health Needs Assessment (CHNA) toolkit. The CHNA toolkit was developed over the last year by the National Center. The CHNA toolkit is illustrated below in detail. The CHNA toolkit will enable hospitals to conduct the process themselves or allow other organizations to facilitate the process for the hospitals. The CHNA toolkit includes the documents for each product in their original formats, i.e., Microsoft Word, Excel, and/or Powerpoint, in order for the documents to be easily utilized and replicated.

Either process may be utilized and can fulfill the new legislative requirements. CHEP has more detailed products, typically more meetings, and derives community input through a phone survey conducted by an outside contractor (higher costs). The CHNA toolkit has more streamlined products, fewer meetings, and options for community input that include focus groups or surveys. The analysis of the community input method is typically performed locally to avoid the high costs of a telephone survey.

If you have any problems utilizing this webpage, please contact Cheryl St. Clair or Fred Eilrich through email or call 405-744-6083, or 9824, or 9814.

Community Health Engagement Process (CHEP) –
“OLD” Health Assessment Template

CHEP is described in the attached brochure:

Overview of Community Health Engagement Process

An example of each of the products developed through the CHEP process (example from St. James Parish, Louisiana) are included below:

Economic Impact Study (PowerPoint)
Health Services Directory
Data and Information Study (PowerPoint)
Health Survey Results (Phone Survey) (PowerPoint)
Primary Care and Specialty Physicians

Community Health Needs Assessment Toolkit (CHNA toolkit) -
“NEW” Health Assessment Toolkit

The entire CHNA toolkit explanation with examples (all in Adobe Acrobat format) is included here:

CHNA toolkit – All Text and All Appendices May 2012 – (Adobe Acrobat format)

This document is 325 pages and includes the entire CHNA toolkit explanation in Adobe Acrobat format. The original documents for the diagrams and the appendices will be included below for convenience in duplicating and replicating the process.

The CHNA toolkit (in Adobe Acrobat format) has been broken into parts for your convenience here:

CHNA toolkit – Executive Overview (5-page summary) May 2012 (Adobe Acrobat format)
CHNA toolkit – Text with NO Appendices May 2012 – (Adobe Acrobat format)
CHNA toolkit – Appendices with NO Text May 2012 – (Adobe Acrobat format)

The “CHNA toolkit – Executive Overview” attachment is a short five-page summary of the CHNA toolkit. The second document, “CHNA toolkit – Text with NO Appendices” is 47 pages and includes only the text explaining the CHNA toolkit. The third document, “CHNA toolkit – Appendices with NO Text,” is 278 pages and includes only the appendices and not the explanatory chapters.

Below are the individual components of the CHNA toolkit. Documents necessary to utilize the toolkit are included in their original format; i.e., Microsoft Word, Excel, and/or Powerpoint, for anyone to download and utilize to develop the studies/products. This will enable users to easily replicate any of the studies/products.

Diagram of Process

Diagram of 3-Meeting CHNA process May 2012 (MS Word format)

Appendix A – National Advisory Team Members

National Advisory Team Members – (Adobe Acrobat format)

Appendix B – Contact Informaton – State Offices of Rural Health (SORHs)

Contact Information – State Offices of Rural Health (SORHs) - (Adobe Acrobat format)

Appendix C – Contact Information – State Hospital Associations

Contact Information – State Hospital Associations (Adobe Acrobat format)

Appendix D – Community Advisory Committee – Potential Committee Members and Example Invitation Letters

Potential Community Advisory Committee Members (MS Word format)
Example Community Leader Invitation Letter (MS Word format)

Appendix E – Powerpoint – Overview of CHNA Process

Powerpoint – Overview of CHNA Process – (MS Powerpoint format)

Handouts 2 per page – Powerpoint – Overview of CHNA Process (Adobe Acrobat format)

Appendix F – Example Medical Service Area

Example Map of Hospital Medical Service Area (MS Word format)

Appendix G – Example Overview of Hospital Services/Community Benefits

Example of Hospital Services/Community Benefits – (Adobe Acrobat format)

Appendix H – Powerpoint – Typical Impact of Rural Hospital on Local Economy

Powerpoint – Typical Impact of Rural Hospital on Local Economy - (MS Powerpoint format)

Handout 2 per page – Typical Impact of RuralHospital on Local Economy – (Adobe Acrobat format)

Appendix I – Example Economic Impact Study

Steps for Preparing Economic Impact Study – (Adobe Acrobat format)

Data Collection Form (BLANK) for Economic Impact Study (MS Excel format)

Completed Data Collection Form for Economic Impact – (MS Exel format)

Powerpoint – How to do IMPLAN data – (MS Powerpoint format)

Handout 2 per page – How to do IMPLAN Data - (Adobe Acrobat format)

IMPLAN Price Sheet 2010 data – (Adobe Acrobat format)

Example Spreadsheet – Building Economic Impact Tables – (MS Excel format)

Example Economic Impact Study – (MS Word format)

Example GENERIC Economic Impact Study – (MS Word format)

Appendix J – Example Community Health Survey Questionnaire

Example Community Health Questionnaire – (MS Excel format)

Example Survey Instructions to Community Advisory Committee – (MS Word format)

Example GENERIC Health Survey Questionnaire – (MS Excel format)

Detailed Instructions on How to Do the Community Health Survey Questionnaire – (Adobe Acrobat format)

Appendix K – Example Focus Group Questions

Example – Focus Group Questions – (Adobe Acrobat format)

Appendix L – Agendas and Powerpoints for Meetings #1, #2, and #3

Meeting #1 Example Agenda – (MS Word format)

Powerpoint – Meeting #1 Example Presentation – (MS Powerpoint format)

Handouts 2 per page – Powerpoint – Meeting #1 Example Presentation – (Adobe Acrobat format)

Meeting #2 Example Agenda – (MS Word format)

Powerpoint – Meeting #2 Example Presentation – (MS Powerpoint format)

Handouts 2 per page – Powerpoint – Meeting #2 Example Presentation – (Adobe Acrobat format)

Meeting #3 Example Agenda – (MS Word format)

Powerpoint – Meeting #3 Example Presentation – (MS Powerpoint forma)

Handouts 2 per page – Powerpoint – Meeting #3 Presentation – (Adobe Acrobat format)

Appendix M – Example Demographic and Economic Data Report

Example – Build Demographic and Economic Data in Excel – (MS Excel format)

Example of Cover for Demographic and Economic Data Report – (MS Word format)

Example – Final Demographic and Economic Data Report in Adobe – (Adobe Acrobat format)

Appendix N – Example Community Health Indicators/Health Outcomes Report

Instructions for Health Indicators/Health Outcomes Report – (Adobe Acrobat format)

Example – Build Health Indicators/Health Outcome Tables in Excel – (MS Excel format)

Example – Cover for Health Indicators/Health Outcomes Report – (MS Word format)

Example – Final Report for Health Indicators/Health Outcomes in Adobe – (Adobe Acrobat format)

Appendix O – Example of Community Input Summary Report (Health Survey Questionnaire)

Example Community Health Survey Questionnaire – (MS Excel format)

Example GENERIC Health Survey Questionnaire (MS Excel format)

Instructions on How to Analyze Community Health Survey Questionnaires – (Adobe Acrobat format)

Example – Excel Format for Analyzing Survey Results – (MS Excel format)

Example – Cover for Community Health Survey Summary Report (MS Word format)

Example – Final Summary Report of Community Health Survey Results – (Adobe Acrobat format)

Appendix P – Example of Summary of Community Health Needs and Recommended Implementation Strategies – To be submitted to Hospital

Example – Table to Summarize Community Needs, Implementation Strategies and Responsibilities  – (MS Word format)

Example – Community Needs Assessment Recommendations – (Adobe Acrobat format)

Appendix Q – CHNA Reporting to Public and IRS (U.S. Department of Treasury)

Example – Suggested Final Report – (MS Excel format)

IRS Form 990 – (Adobe Acrobat format)

IRS Form 990 Schedule H – (Adobe Acrobat format)

Example CHNA Community Summary Report (Adobe Acrobat format)

Optional Report – Physician Study

Example – Physician Study Primary Care and Specialties – (Adobe Acrobat format)

Powerpoint – Example – Physician Study Primary Care and Specialties – (MS Powerpoint format)

Optional Report – Health Resource Directory

Example – Health Resource Directory – (MS Word format)

Example – Cover for Health Resource Directory – (MS Word format)

If you have any problems utilizing this webpage or accessing the CHNA template components, please contact Cheryl St. Clair or Fred Eilrich through email or call 405-744-6083 or 9824.