Community Health Needs Assessment Presentation

1. Community Health Needs Assessments
and Implementation Plan:
p
Our Approach
December 2011

2. CHC Continuum of Services
2

3. Our Client Locations
3
= Owned hospitals
= Managed hospitals
= Strategic Support Services Hospitals

4. Community Health Needs Assessment
Our E
O Experience
i
4
 We have conducted community health needs
assessments and implementation plans for our
Texas hospital clients for several years
 Not-for-profit hospital requirement
 Texas charity care & community benefit statute
 IRS proposed regulations are very similar to
Texas requirements

5. Community Health Needs Assessment
Background
B k d
5
 Patient Protection & Affordable Care Act
specifies four new requirements for not-for-profit
hospitals
 Conduct Community Health Needs Assessments
(CHNA) once every three years
 Specific regulations h
S ifi l i have not b
been fi li d b
finalized by
the Treasury Department
 IRS recently released Notice 2011-52
tl l d N ti 2011 52
 Describes specific provisions related to CHNA
requirements that the IRS anticipates will be in the
regulations

6. Community Health Needs Assessment
Background
B k d
6
IRS 2010 Form 990
Schedule H provides
additional indication
of the requirements

7. Community Health Needs Assessment
Our P
O Process
Step 1:
• Establish Parameters & Scope
Step 2:
• Collect & Analyze Data
Step 3:
• Obtain Input from Persons with Special Knowledge
Step 4:
• Document & Communicate Results
Step 5:
• Prioritize Community Need
Step 6:
• Develop Implementation Plan

8. The Process Step 1:
Establish Parameters & Scope
8
 Define and map service area of the community
served
 Geographic location ( y, county, metro area)
g p (city, y, )
 For some hospitals, could be a specific target
population or function served
 Our recommendation - Service area based on…
 Hospitals’ patient origin
 Available data sources
 Realistic capabilities of serving community needs
 Confirm methods of data collection and gathering
g g
input from community

9. The Process Step 2:
Collect & Analyze Data
9
 Conduct assessment of study area
 Demographics of study area
 Population
p g
growth by age and ethnicity
y g y
 Economic factors
 Access to healthcare
 Health status of study area
 Disease categories
 Communicable diseases
 Natality and children’s health
 Senior citizens
 Mortality

10. The Process Step 3:
Obtain Input – Specific Persons
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 Input from persons who represent the broad
interests of the community
 Persons with special knowledge of or expertise in
public health
 Federal, tribal, regional, state or local health
departments or agencies with information relevant to
the health needs of community served
 Leaders, representatives or members of medically
, p y
underserved, low-income and minority populations,
and populations with chronic disease needs in the
community served

11. The Process Step 3:
Obtain Input – Others (optional)
11
 Hospital may consult with other individuals or
organizations if relevant
 Types of Entities/Organizations  Examples we have consulted
 Local/regional government  Hospital district
health agencies  Regional education center
 Public health regions  School Superintendent
 Local insurance companies  School nurse director
 Local school districts and  Heart Association, Mental
universities Health Association, Diabetes
Association, etc.
 Health related entities
 Senior citizen center/Meals
 Community leaders
on Wheels
 Hospital advisory council
 FQHC physicians

12. The Process Step 4:
Document & Communicate Results
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 Document findings for:
 Methodology including sources/dates of data
 Description of collaboration with other organizations
p g
 Study area demographics
 Health status of study area
 Findings of interviews, including names and
credentials, and consumer focus groups findings
 Description of additional health services available in
the community
 Description of any information g p
p y gaps

13. The Process Step 5:
Prioritize Community Need
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 Work with hospitals to prioritize health needs
based on results from study
 Determine need priority based on
 Depth and breadth of the health need
 Other resources and organizations in the
community currently serving the need
 Hospitals’ abilities to serve the need
 Hospital service mix and capabilities
 Hospital resources

14. The Process Step 6:
Develop Implementation Plan
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 Adopt an Implementation Strategy
 A written plan that addresses each of the community
health needs indentified
 Describes how the hospital plans to meet the health need,
or
 Identifies the health need as one the hospital does not
p
intend to meet and explains why
 Must be tailored to a hospital’s specific programs,
resources and priorities
 Collaboration with related organizations is allowed in
developing an implementation strategy and/or
p g p gy
meeting a health need

15. The Process Step 6:
Develop Implementation Plan
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 Our Process – Develop with the hospitals…
 Measureable objectives
 Rationale for the objectives – including the
j g
prioritization of health needs which the hospital will
meet
 Implementation tactics
 Metrics for reporting progress
 Annual budget for activities
 Action plan outlining responsible parties and
timeframes

16. Adoption of Implementation Strategy Step 6:
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 How and when an implementation strategy is
adopted
 IRS will consider an implementation strategy as being
adopted on the date the implementation strategy is
approved by an authorized governing body (including
committees) of the hospital organization
 Implementation strategy must be adopted by the end
of the same taxable year in which it conducts that
CHNA

17. Making CHNA Widely Available
g y
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 Posting the written report of the CHNA on the
hospital facility’s website
 Posting o website o a o e e y, as long as
os g on ebs e of another entity, o g
there is either a link to the hospital’s CHNA or
the hospital facility provides the website address
where the document can be accessed
 The CHNA must remain available until such time
that a subsequent CHNA is made available

18. The Team
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 Cindy B. Matthews, Executive Vice President
B Matthews
 Mike E. Bowers, Senior Vice President
 Lisette N. Hudson, Marketing Manager
N Hudson
 Laura Schieber, Marketing Consultant
 Others at CHC as needed
Oth t d d

19. For More Information
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David Domingue, Director of Sales
Community Hospital Consulting
5801 Tennyson Parkway, Suite 550
Plano, TX 75074
972.943.6400
www.communityhospitalcorp.com
y p p
ddomingue@communityhospitalcorp.com