Community Health Needs Assessment & Health Improvement Planning (CHNA & HIP)
At least every five years, local boards of health lead a community-wide discussion with stakeholders and residents about their community’s health needs. After identifying needs in the community, the next step is to identify objectives and strategies to address those needs. The process, Community Health Needs Assessment and Health Improvement Plan (CHNA & HIP) is a fundamental element in statewide planning. CHNA & HIP has more than a 20-year history in Iowa and represents local action to promote and protect the health of Iowans.
Federal requirements for nonprofit hospitals to conduct community health needs assessments present an opportunity for hospitals and local boards of health/local public health agencies to join forces to identify needs and craft strategies for meeting them. Working together can result in greater collaboration between hospitals and local public health departments and an initiation of new partnerships. Both groups in the health system stand to gain from the relationship. Even more important, the community benefits when data, resources, and expertise are shared to attain the common goal of a healthier community.
To integrate Iowa’s established community health needs assessment process for local boards of health with the new federal requirements for nonprofit hospitals, the Iowa Department of Public Health has developed the following position statement, which describes the department's commitment to encouraging a collaborative process, and an FAQ document about steps being taken to support this collaboration.
Resources for Implementation and Measuring Progress
- Community Tool Box: University of Kansas resource provides tips and tools for taking action in communities.
- Diet, Obesity, and Weight Stigma Reports and Policy Briefs: The Rudd Center, Yale University clearinghouse for resources related to nutrition and obesity.
- Diet, Obesity, and Weight: Recommended Community Strategies and Measurements to Prevent Obesity - CDC’s comprehensive recommendations to promote healthy eating and active living and reduce the prevalence of obesity.
- Disability Resources Database: A free information and referral service for Iowans with disabilities and their families and service providers. Provides information over the phone or by email about agencies and organizations that serve Iowans with disabilities.
- Guide to Community Preventive Services: For information on Using the Guide to Community Preventive Services.pdf, view this slide presentation on how the CDC guide can help hospitals, public health agencies, and other stakeholders make decisions about adopting evidence-based strategies for improving their communities’ health.
- Healthy People 2020: Get started implementing Healthy People 2020 in your community with tools and resources for planning a successful public health intervention. Whether you are new to the field or just brushing up on your knowledge, the Program Planning section of Tools & Resources walks you through the basics of planning, implementing, and tracking your public health program.
- Population Health Driver Diagram: Steps to achieve health objectives using a tree diagram framework.
- Sexual Health Education Toolkit: Videos, community resources, lesson plans, and fact sheets to promote wellness developed by the Sexual Health Alliance of Linn and Johnson Counties.
- What Works for Health: Comprehensive information from the County Health Rankings initiative to help communities select and implement evidence-informed policies, programs, and systems change. The identified policies and programs are organized by specific health factors of interest (e.g., alcohol use under “Health Behaviors,” access to care under “Clinical Care,” community safety under “Social and Economic Factors,” etc.), or by the primary user (e.g., by community leader, health care professional, government official, educator).
- What Works? Strategies to Improve Rural Health provides proven and innovative solutions communities can implement locally to improve health behaviors, clinical care, the physical environment, and the social & economic circumstances that affect health.
- BRFSS Data by County
- CHNA.org: a free web-based platform that combines a broad array of publicly available data into one site to assist with community health needs assessments.
- County Health Rankings: A snapshot of how where we live, learn, work, and play influences health. Use the Find Your Peer County tool to identify counties with similar demographic, social, and economic indicators. Then, use the compare counties feature to explore the health factors and outcomes across counties in your peer group.
- Disability and Health Surveillance: A series of reports from the Iowa Department of Public Health on the health status and well-being of Iowans living with disabilities.
- Diversity Explosion: The cultural generation gap mapped. Information from the Brookings Institute
- Environmental Health: Data by County/Location from the Environmental Protection Agency (EPA)
- Falls in Iowa (2010-2014) by County: Hospitalizations and deaths information on the IDPH Falls Prevention for Iowa homepage.
- Healthiest Communities: Public health data analysis tool from the Aetna Foundation and U.S. News & World Report ranking the healthiest communities based on 80 indicators spanning the following topics: community vitality, equity, economy, education, environment, food and nutrition, health, housing, infrastructure and public safety.
- Health Professional Shortage Areas by State & County: Find Health Resources and Services Administration (HRSA)-designated state and county shortage areas of primary medical care, dental, or mental health providers (see search instructions).
- Iowa Community Indicators Program: Iowa State University. Contains indicators of poverty, participation in food and nutrition assistance programs, and other food-related health and economic measures.
- Iowa Health Fact Book
- Iowa Kids Count: Trends in the well-being of Iowa children.
- Iowa Public Health Tracking Portal: Iowa Department of Public Health centralized source for public health data.
- Sexual Health: County adolescent sexual health fact sheets from Eyes Open Iowa.
- Substance Use and Abuse: Adult and youth data and trends on consumption and consequences for alcohol, tobacco, and other drugs. Includes Iowa Youth Survey, BRFSS, and Treatment Admissions.
- U.S. Census Bureau State & County QuickFacts: Fast, easy access to facts about all states and counties, and for cities and towns with more than 5,000 people.