Nonprofit hospitals-approach to community health needs assessment

Cara Pennel, Kenneth R. McLeroy, James N. Burdine, David Matarrita-Cascante

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Objectives. We sought a better understanding of how nonprofit hospitals are fulfilling the community health needs assessment (CHNA) provision of the 2010 Patient Protection and Affordable Care Act to conduct CHNAs and develop CHNA and implementation strategies reports.

Methods. Through an Internet search of an estimated 179 nonprofit hospitals in Texas conducted between December 1, 2013, and January 5, 2014, we identified and reviewed 95 CHNA and implementation strategies reports. We evaluated and scored reports with specific criteria. We analyzed hospital-related and other report characteristics to understand relationships with report quality.

Results. There was wide-ranging diversity in CHNA approaches and report quality. Consultant-led CHNA processes and collaboration with local health departments were associated with higher-quality reports.

Conclusions. At the time of this study, the Internal Revenue Service had not yet issued the final regulations for the CHNA requirement. This provides an opportunity to strengthen the CHNA guidance for the final regulations, clarify the purpose of the assessment and planning process and reports, and better align assessment and planning activities through a public health framework.

Original languageEnglish (US)
Pages (from-to)e103-e113
JournalAmerican Journal of Public Health
Volume105
Issue number3
DOIs
StatePublished - Mar 1 2015
Externally publishedYes

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Needs Assessment
Health
Patient Protection and Affordable Care Act
Process Assessment (Health Care)
Time and Motion Studies
Consultants
Internet
Public Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Nonprofit hospitals-approach to community health needs assessment. / Pennel, Cara; McLeroy, Kenneth R.; Burdine, James N.; Matarrita-Cascante, David.

In: American Journal of Public Health, Vol. 105, No. 3, 01.03.2015, p. e103-e113.

Research output: Contribution to journalArticle

Pennel, Cara ; McLeroy, Kenneth R. ; Burdine, James N. ; Matarrita-Cascante, David. / Nonprofit hospitals-approach to community health needs assessment. In: American Journal of Public Health. 2015 ; Vol. 105, No. 3. pp. e103-e113.
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