Overview of the Most Commonly Identified Public Health Needs and Strategies in a Nationally Representative Sample of Nonprofit Hospitals

Franz, Berkeley; Cronin, Cory E.; Yeager, Valerie A.; Burns, Ashlyn; Singh, Sukhpal

doi:10.1177/10775587221135365

Cited by 9 publications

(17 citation statements)

References 31 publications

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“…However, hospital engagement of environmental pollution, as measured in this study, has not reached full actualization with regard to planning and action to address pollution. The literature reveals that for hospitals having identified community health needs related to social determinants, many do not go on to address these needs 19,45,46. The drop-off from identification to action on environmental pollution-related community health needs was absolute in our study.…”

Section: Discussionmentioning

confidence: 64%

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NYS Nonprofit Hospital Assessment and Response to Environmental Pollution as Community Health Need: Prevalence in Community Benefit Practices

Valentine

Jacelon

Cavanagh

2023

Journal of Public Health Management and Practice

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Context: Given the impact of environmental pollution on health and health inequity, there may be substantial value in integrating assessment and response to pollution into nonprofit hospital community benefit processes. Such hospital engagement has not yet been studied. Objectives: We take a preliminary step of inquiry in investigating if nonprofit hospitals in New York State (NYS) assess, identify, or respond to environmental pollution as part of community benefit processes. Design: This study is of retrospective, observational design. Data were abstracted from community health needs reports (2015-2017), associated implementation plans, and related IRS (Internal Revenue Service) filings from a randomly geographically stratified selection of NYS nonprofit hospitals. Participants: The sample includes 53 hospitals from 23 counties. The sampling frame consists of NYS nonspecialty private nonprofit hospitals. Main Outcome Measures: Dichotomous findings for the following: (1) engagement of environmental pollution in the process of assessment of community health needs; (2) environmental pollution concern identified as a priority community health need; (3) strategic planning present to address pollution identified as community health need; and (4) action taken on same. Results: We found that 60.5% (95% confidence interval [CI], 0.46-0.74) of hospitals evidenced some form of assessment of environmental pollution and 18.9% (95% CI, 0.09-0.32) identified pollution as a priority community health need. However, no hospital went on to take independent or collaborative planning or action to address pollution. In additional analysis, we found that social justice in hospital mission was a positive predictor of assessment of environmental pollution. Conclusions: For NYS hospitals, we found a substantial presence of assessment and identification of pollution as a community health concern. Our finding of the absence of response to environmental pollution represents a gap in community benefit implementation. This indicates a yet untaken opportunity to address racial and economic environmental health injustices and to improve population health.

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Section: Discussionmentioning

confidence: 64%

“…The literature reveals that for hospitals having identified community health needs related to social determinants, many do not go on to address these needs. 19,45,46 The drop-off from identification to action on environmental pollutionrelated community health needs was absolute in our study.…”

Section: Implications For Policy and Practicementioning

confidence: 61%

NYS Nonprofit Hospital Assessment and Response to Environmental Pollution as Community Health Need: Prevalence in Community Benefit Practices

Valentine

Jacelon

Cavanagh

2023

Journal of Public Health Management and Practice

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“…11 Previous studies on hospital community health needs assessments suggest that 69% of hospitals are identifying SDOH as a top need in their community and 67% adopted at least one program to address SDOH in their most recent implementation strategy. 12 Nonetheless, our findings indicate that even if hospitals are developing new CBAs in response to community needs, they may not be shifting investments toward these activities.…”

Section: Discussionmentioning

confidence: 75%

Trends in the Provision of Community-Building Activities by Nonprofit Hospitals, 2010-2019

Singh

Cronin

Puro

et al. 2023

Journal of Public Health Management and Practice

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As part of their annual tax report, nonprofit hospitals are asked to report their community-building activities (CBAs); yet, little is known to date about hospitals' spending on such activities. CBAs are activities that improve community health by addressing the upstream factors and social determinants that impact health. Using data from Internal Revenue Service Form 990 Schedule H, this study used descriptive statistics to examine trends in the provision of CBAs by nonprofit hospitals between 2010 and 2019. While the number of hospitals reporting any CBA spending remained relatively stable at around 60%, the share of total operating expenditures that hospitals contributed to CBAs decreased from 0.04% in 2010 to 0.02% in 2019. Despite the increasing attention paid by policy makers and the public to the contributions that hospitals make to the health of their communities, nonprofit hospitals have not made corresponding efforts to increase their spending on CBAs.

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“…14 These reports describe investments in the communities hospitals serve, and include a Community Health Needs Assessment (CHNA) and Implementation Plan (IP). As described in detail elsewhere, 15,16 our methodology involved constructing a 20% random sample, stratified by state, of all US nonprofit community hospitals (n = 613) from the American Hospital Association's 2018 Annual Survey Database 17 and pulling CHNA and IPs from hospital Web sites. If reports were not available, we contacted hospitals by telephone and email (n = 125).…”

Section: Data Sourcementioning

confidence: 99%

Initiatives to Support the Transition of Patients With Substance Use Disorders From Acute Care to Community-based Services Among a National Sample of Nonprofit Hospitals

Krawczyk,

Rivera,

Chang

et al. 2023

J Addict Med

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Background Hospitals are a key touchpoint to reach patients with substance use disorders (SUDs) and link them with ongoing community-based services. Although there are many acute care interventions to initiate SUD treatment in hospital settings, less is known about what services are offered to transition patients to ongoing care after discharge. In this study, we explore what SUD care transition strategies are offered across nonprofit US hospitals. Methods We analyzed administrative documents from a national sample of US hospitals that indicated SUD as a top 5 significant community need in their Community Health Needs Assessment reports (2019–2021). Data were coded and categorized based on the nature of described services. We used data on hospitals and characteristics of surrounding counties to identify factors associated with hospitals' endorsement of transition interventions for SUD. Results Of 613 included hospitals, 313 prioritized SUD as a significant community need. Fifty-three of these hospitals (17%) offered acute care interventions to support patients' transition to community-based SUD services. Most (68%) of the 53 hospitals described transition strategies without further detail, 23% described scheduling appointments before discharge, and 11% described discussing treatment options before discharge. No hospital characteristics were associated with offering transition interventions, but such hospitals were more likely to be in the Northeast, in counties with higher median income, and states that expanded Medicaid. Conclusions Despite high need, most US hospitals are not offering interventions to link patients with SUD from acute to community care. Efforts to increase acute care interventions for SUD should identify and implement best practices to support care continuity.

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Overview of the Most Commonly Identified Public Health Needs and Strategies in a Nationally Representative Sample of Nonprofit Hospitals

Cited by 9 publications

References 31 publications

NYS Nonprofit Hospital Assessment and Response to Environmental Pollution as Community Health Need: Prevalence in Community Benefit Practices

NYS Nonprofit Hospital Assessment and Response to Environmental Pollution as Community Health Need: Prevalence in Community Benefit Practices

Trends in the Provision of Community-Building Activities by Nonprofit Hospitals, 2010-2019

Initiatives to Support the Transition of Patients With Substance Use Disorders From Acute Care to Community-based Services Among a National Sample of Nonprofit Hospitals

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