The Progress of US Hospitals in Addressing Community Health Needs

Cramer, Geri Rosen; Singh, Sukhpal; Flaherty, Stephen; Young, Gary J.

doi:10.2105/ajph.2016.303570

Cited by 42 publications

(36 citation statements)

References 8 publications

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“…Of the 179 hospitals, 65% of the CHNAs included a term related to health equity, while only 35% of CHIPs did so, and only 9% of the organizations included an activity explicitly promoting health equity (24). Cramer et al used a much larger sample (n = 1,593) to analyze whether organizational or community characteristics were associated with progress toward CHNA implementation (68). One key finding of this analysis is that hospitals reporting high levels of CHNA implementation spent more on community health improvement, which connects the topics of process, content, and effect of CHNAs.…”

Section: Community Assessment: Contentmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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Section: Community Assessment: Contentmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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“…At stake, we argue, is whether hospitals will push further in addressing the social determinants of health and taking on a new role as an anchor of community development. Scholars have questioned the potential population health impact of CHNA requirements more generally, but there is reason to expect that the stakes are particularly high in rural settings such as Appalachia, who have the most to gain from hospital‐led evaluation to address the social determinants of health in local communities. In other words, if data‐driven programming becomes a centerpiece of hospital community health work in collaboration with relevant local partners, the CHNA requirement could have important consequences for rural communities.…”

Section: Discussionmentioning

confidence: 99%

The impact of the Affordable Care Act on hospital‐led community health evaluation in the U.S. Appalachian Ohio region

Franz

Skinner

Kelleher

2017

Evaluation Clinical Practice

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In recent years, policy developments in the United States have dramatically changed how nonprofit hospitals interact with surrounding communities. However, despite the importance of these changes encoded in Internal Revenue Service regulations, little is known about how these requirements have affected how nonprofit hospitals are approaching community health evaluation. We present qualitative findings from interviews with hospital employees and consultants overseeing preliminary rounds of community health needs assessments, as required by the Affordable Care Act. The sample comes from the Appalachian region of Ohio, an area targeted because of significant health challenges. Our findings suggest that the Affordable Care Act has led hospitals to formalize their processes, focus on developing an evidence base, cultivate local partnerships, and reflect on the role of the hospital in public health.

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“…These federal and state regulations have been designed to: (a) open healthcare systems to greater community input; (b) foster "greater collaboration between state and local health agencies and hospitals serving the region;" (4) and (c) leverage hospital resources to advance area population health (3). Yet effective implementation of these requirements is typically challenging both for hospitals and for the community organizations with which they seek to partner.…”

Section: Introductionmentioning

confidence: 99%

Leveraging Population Health Expertise to Enhance Community Benefit

Kaplan¹,

Gourevitch²

2020

Front. Public Health

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As the Internal Revenue Service strengthens the public health focus of community benefit regulations, and many states do the same with their tax codes, hospitals are being asked to look beyond patients in their delivery system to understand and address the needs of geographic areas. With the opportunities this affords come challenges to be addressed. The regulations' focus on population health is not limited to a defined clinical population-and the resulting emphasis on upstream determinants of health and community engagement is unfamiliar territory for many healthcare systems. At the same time, for many community residents and community-based organizations, large medical institutions can feel complicated to engage with or unwelcoming. And for neighborhoods that have experienced chronic underinvestment in upstream determinants of health-such as social services, housing and education-funds made available by hospitals through their community health improvement activities may seem insufficient and unreliable. Despite these regulatory requirements, many hospitals, focused as they are on managing patients in their delivery system, have not yet invested significantly in community health improvement. Moreover, although there are important exceptions, community health improvement projects have often lacked a strong evidence base, and true health system-community collaborations are relatively uncommon. This article describes how a large academic medical center tapped into the expertise of its population health research faculty to partner with local community-based organizations to oversee the community health needs assessment and to design, implement and evaluate a set of geographically based community-engaged health improvement projects. The resulting program offers a paradigm for health system investment in area-wide population health improvement.

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The Progress of US Hospitals in Addressing Community Health Needs

Abstract: Hospitals widely embraced the regulations to perform a CHNA. Less is known about how hospitals are moving forward to improve population health through the implementation of programs to meet identified community needs.

Cited by 42 publications

References 8 publications

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

The impact of the Affordable Care Act on hospital‐led community health evaluation in the U.S. Appalachian Ohio region

Leveraging Population Health Expertise to Enhance Community Benefit

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