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Initiatives

Related Information

HAP Testimony
On preventing opioid addiction and related deaths (Oct 2015)


Fact Sheet
On PA hospital community benefit during 2014


Potential Vendor Contact Information
Potential vendors who have the capabilities to undertake a community health needs assessment project


Sample Request for Proposal for Vendor
Sample request for proposal for vendor to address community health needs assessment


Sample Request for Proposal
Sample request for proposal for community health needs assessment


Apple 2 Book
A guide for implementing community health improvement programs


Apple Book
A guide for assessing and improving health status


Collaborative Community Health Needs Assessment and Implementation
A presentation on facilitating collaboration, identifying next steps, and building a case for leadership (Nov 2014)


CHNA Round #2
New opportunities to collaborate on community health needs assessments (Oct 2014)


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Pennsylvania Hospitals Identify Population Health Needs through Community Health Needs Assessments

Community health needs assessments are being used by a majority of hospitals to assess population health needs. The process uses quantitative and qualitative methods to collect and analyze data to understand health within a specific community.

Once completed, community health needs assessment data informs hospital and community decisions about how to approach community health problems, and develop, implement, and evaluate improvement plans. 

 

HAP has produced an interactive state map to help outline life expectancy growth trends from 1980-2014.

 

Affordable Care Act Requirements

Hospitals often work with other community organizations that have shared goals when undertaking a community health needs assessment. 

Hospitals must adopt plans to meet the health needs identified, make the plans available to the public, and measure the success of the plans. For tax years beginning after March 23, 2012, hospitals must describe on their Form 990 how they are addressing these needs. 

If they can’t meet certain needs, they must explain why. Any hospital that fails to meet the Affordable Care Act requirements for community health needs assessments is subject to a $50,000 excise tax. 

Internal Revenue Service Requirements

The Affordable Care Act implements the needs assessment requirement through changes in the Internal Revenue Code. The Internal Revenue Service's Schedule H form and instructions address how not-for-profit hospitals report community health needs assessment activities on their Form 990. Additionally, Schedule H, Part V, incorporates the requirements of the Internal Revenue Code Section 501(r) as contained in the Affordable Care Act. 

Addressing Food Insecurity

Collaborative Opportunities to Advance Community Health (COACH) is an initiative sponsored by The Hospital and Healthsystem Association of Pennsylvania that brings together hospital/health system, public health, and community partners to address community health needs in southeastern Pennsylvania.

Facilitated by the Health Care Improvement Foundation since its September 2015 launch, COACH has provided a structure for participants to explore collaborative implementation strategies as hospitals/health systems complete the current round of community health needs assessments and implementation plans mandated by the Affordable Care Act.

COACH participants have been working toward consensus on shared strategy(ies) for collective adoption and inclusion in implementation plans that were submitted during November 2016.

Through a structured process, COACH participants have prioritized strategies addressing healthy food access and access to care/services in order to promote chronic disease prevention and management.

Resources

Community Health Needs Assessment Resources

The Affordable Care Act requires tax-exempt hospitals to complete community health needs assessments at least once every three years and to adopt implementation strategies to meet the needs identified. This requirement is effective during tax years beginning after March 23, 2012, and is subject to a penalty of a $50,000 excise tax for failure to comply. 

Listed below are resources to assist hospitals and health systems with meeting the community health needs assessment requirement. 

Community Information Resources: 

University of Pittsburgh Community Health Needs Resources
Resources to help through all stages of the cycle 

County Health Profiles  UPDATED
The 2015 County Health Profiles are a series of 68 individual data listings for various health-related subject areas—one for each county and one for the commonwealth

PA Department of Health Resources 
Interactive health statistics web tool with a county assessment module

Pennsylvania Health Care Cost Containment Resources
This interactive county health profile allows the user to generate statewide or county-specific reports on inpatient hospital utilization

Public Health Management Corporation (Southeast PA Region)
Provides up-to-date and reliable community-level health and social service data

County Health Rankings
Health rankings for most U.S. counties based on certain measures of population health 

U.S. Census Bureau - State & County QuickFacts
Facts about people, business, and geography - data for all states and counties, and for cities and towns with more than 25,000 people 

City-Data.com
Complete profiles of all U.S. cities including geographical data, state profiles, crime data, cost of living, housing, local poverty details, and more 

Pennsylvania Uniform Crime Reporting System
Crime statistics information 

Community Health Needs Assessment Tool Kits: 

Assessing and Addressing Community Health Needs
Helps not-for-profit health care organizations strengthen their assessment and community benefit planning processes 

Association for Community Health Improvement
A guide for planning, leading, and using community health assessments to improve the health of communities, including a model assessment process 

CDC’s Healthy Communities Program 
Helps community teams/coalitions develop their community action plan, provides assessment process, and helps define and prioritize areas of improvement

The Community Tool Box
A global resource for free information on essential skills for building healthy communities

Related News

November 20, 2017

PA Launches New Website to Connect Patients to Community Based Services and Supports

The Wolf Administration has launched the Pennsylvania Link to Community Care website, which seeks to connect older Pennsylvanians and individuals with a disability or behavioral health need to services and supports available in their community.


November 15, 2017

Individual Mandate Repeal Included in U.S. Senate Tax Reform Legislation

The U.S. Senate Finance Committee has included policy in the Tax Cuts and Jobs Act that would, in effect, repeal the Affordable Care Act’s individual mandate by eliminating the penalty that individuals who do not maintain health coverage must pay.


November 15, 2017

Diabetes Admissions in Pennsylvania Up 13% Since 2000

Between 2000 and 2016, Pennsylvania hospital admissions with a principal diagnosis of diabetes have grown from 21,528 to 24,283—a 13 percent increase—according to a research brief released today by the Pennsylvania Health Care Cost Containment Council (PHC4). In-hospital mortality for patients hospitalized for diabetes declined from 1.5 percent during 2000, to 0.5 percent during 2016.


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Related Blogs

August 11, 2017

Tackling the high price of medications in PA: Why target 340B, a program for vulnerable patients and hospitals?

Pennsylvanians, like all Americans, are concerned about how much they pay for prescription drugs. Taking the right medication in the right way is crucial to the health of many Americans. About half of us take prescription medications of some kind. But how are we to take our medications if we cannot afford to pay for them?

June 06, 2017

Overdose Survivors in the ER: Seizing Opportunity within Tragedy

Hospital emergency rooms across the state are working to realize the potential for opportunity within the tragedy of Pennsylvania’s opioid epidemic. While caring for overdose survivors rescued from death, emergency rooms are working to foster connections that could help those patients recover their lives.

April 25, 2017

My double life in education and health care: Do we want equality or equity?


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