community health needs

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Module9CommunityHealthNeedsAssessmentWorksheet.docx

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Community Health Needs Assessment

The information in your local hospital’s CHNA should help you complete this assignment.

· Click here to learn about the CHNA and what hospitals are required to include

· Then Google search for your local hospital's CHNA latest report

· If you do not have a local hospital system or can’t locate a CHNA report, use this link to find the closest one to you. (You can also copy and paste: https://data.cms.gov/provider-data/dataset/xubh-q36u ).

ASSESSMENT

City and State:
Zip Code:
Name of the hospital used:
Year of assessment (use most recent):
Link for the CHNA report used (make sure this link is accessible to faculty/people outside of the organization):

Top 3 health needs identified:

Top 3 Health Needs

Top 3 healthcare disparities/inequities (if not explicit, infer from your community needs and list them):

Top 3 Healthcare Disparities/Inequities

Based on the data you’ve gathered above, name 3 vulnerable populations that you are likely to care for:

Vulnerable Populations

What social determinants of health could be contributing to the identified health needs and healthcare disparities? Identify 3 per need based on economics, environment, education, race, religious minority, cultural minority, cognitive load, access to food, transportation, etc.

Top 3 Health Needs	Social Determinant of Health 1	Social Determinant of Health 2	Social Determinant of Health 3
1.
2.
3.

Historical Context

Use the table below to answer the following prompts:

· What Indigenous communities first lived on the land where your community resides? Use: https://native-land.ca/

· Briefly (2-3 bullet points) describe one historic event that had a lasting impact on your community (i.e., closing of an industry that was a major employer; a natural disaster; red lining; wave of immigration or migration). Does this event continue to impact the health of the community today?

· Are there any historical events that community members are particularly proud of?

Indigenous community(ies) that first lived on the land:
One impactful historic event (2-3 bullet points to describe):
Continued impact? How so?
Historical event(s) community takes pride in:

Access To Care

Local Transportation

· What are the options for local transportation, and can people access healthcare facilities through public transportation? Buses, Trains, Subways, Taxi, Uber, etc.

· How much does public transportation cost?

· Are there any discount programs for low-income women/pregnant individuals to access transportation to healthcare visits?

Options for local transportation to clinics/hospital:
Average cost of transportation to nearest clinic/hospital:
Discount programs/aid available? If so, what kind? Insert N/A if not applicable.

Health Insurance

Did your state participate in Medicaid Expansion?	Yes/No
Can people access the healthcare.gov marketplace for low-cost insurance in the community?	Yes/No
If so, what’s the lowest costing plan available when accessing healthcare.gov for your state? Insert N/A if unable to view plans; do not insert your personal data. Definitions for reference: · Monthly premium x12 months: The amount you pay to your insurance company each month to have health insurance. · Deductible: How much you have to spend for covered health services before your insurance company pays anything (except free preventive services) · Copayments and coinsurance: Payments you make to your health care provider each time you get care, like $20 for a doctor visit or 30% of hospital charges. · Out-of-pocket maximum: The most you have to spend for covered services in a year. After you reach this amount, the insurance company pays 100% for covered services.
How long does Medicaid coverage remain in place after birth?
What is the percentage of uninsured people in your state or community? // Use https://www.countyhealthrankings.org/ and enter your zip code // Scroll down to “Additional clinical care” and click the + button to see additional information

PLANNING

Environmental Conditions and Disaster Plan

· Use 1-2 websites to gather information for this section (maximum of 2). Try searching for the key phrase: “ disaster preparedness plan” + your city (i.e., disaster preparedness plan Louisville).

Use the table below to answer these prompts:

· What are 2 local environmental conditions or emergencies that might impact access to care and how? (i.e., poor road conditions or lack of road systems; regular flash flooding)

· What agency handles public health emergencies/ pandemic preparedness? Note this might not be the same as the agency that handles environmental disasters.

· What is your community’s disaster communication plan in the event of an emergency? (i.e., how are people notified of an impending emergency)

Website(s) used (max 2):	1.	2. (optional)
1-2 local environmental conditions or emergencies that might impact access to care and how?	1.	2. (optional)
What agency/agencies handle public health emergencies/pandemic preparedness?	1.	2. (optional)
Disaster communication plan:	1. (insert website/social media link) (wireless emergency alert - phones)	2. (optional)

INTERVENTION

Recommendations for Health Equity

What health services could an APRN provide support or advocate for to help vulnerable communities in your area? Identify 3 in the table below.

Partnerships are an essential part of implementing any public health plan. Who would you partner with? What sectors are involved?

Think BIG. What is a policy that could impact this intervention?

You can use your CHNA to see if there are recommendations for interventions in the Community Health Implementation Plan (CHIP) if yours has one.

The County Health Ranking & Roadmaps at https://www.countyhealthrankings.org/ also has great resources for taking action/interventions as well as partnerships.

POLICY: Include a link to a current policy (preferably local/state), policy issue/brief, or an idea for a policy you have that is not currently in place. Provide a brief synopsis of it.

Intervention for vulnerable communities (list 3):	Who would you partner with? What partner organizations could you collaborate with?	What sectors should be involved? (i.e. healthcare, public, private, etc.)	Describe what policies currently are or could impact this intervention? (1-3 bullet points)
1.
2.
3.

EVALUATION

How are you hoping these interventions would make an impact on your community? Who decides what success would look like in your community? Be sure to consider perspectives of patients and direct impact on them, not just “statistical” success.

How would you evaluate if your proposed interventions are working? (i.e., survey of a specific population, data collection and analysis - be specific of what type of data, etc.)

Proposed intervention (one per column)

Example: free diabetes medication for patients with type 2 diabetes

(replace with intervention 1)

(replace with intervention 2)

(replace with intervention 3)

Examples of what success for this intervention would look like (list 2-3 bullet points):

· Improved labs (glucose, HgbA1c)

· Improved consistency or compliance with taking medication

Method of evaluation (i.e., data collection, surveys, testing, etc.):

· Testing: reduction of HgbA1c in patients in the county

· Survey: patient reports greater adherence to taking meds

Rev. 9/24

SUMMARY

Well done! Now that you’ve completed an introductory level community assessment, fill in the summary table below. This will help you see the big picture of what you’ve accomplished.

ASSESSMENT	PLANNING	INTERVENTION	EVALUATION
Top 3 Health Needs	List who would you collaborate with to address this?	One recommended intervention for vulnerable population(s)	Method of evaluation for the intervention
1.
2.
3.