NACCHO Performance Improvement Technical Assistance Teleconference Series October 2011

2 Please mute your lines The phone lines are open so that attendees can ask questions, but please mute your lines during the presentation portions of the call If your phone doesn’t have a mute function, press STAR (*) 6 to mute through the ReadyTalk system. If you have a question and would like to unmute, please press STAR (*) 7

3 Your Questions Collaborations How can we align our CHA work with the assessment work of hospitals, United Way, and other local, state, and national initiatives? How can we structure our partnerships/coalitions to lead CHA and CHIP Initiatives? Non-profit hospitals should be our primary partners, but they are unwilling to put forth any actual work to complete a CHA because they think our process is overkill. All they really want to do is complete some data forms and have a focus group or two to meet their requirements. Is there any way that the CHA requirements for public health and that for the hospitals can be the same? Are there "best practices" examples of collaborating with hospitals within the community in a MAPP process with results that satisfied the hospital's needs for Community Health Benefit and the HD's needs for accreditation especially in communities with more than one hospital partner?

4 Your Questions Data Sources & Collection What are common data sources we can use for our CHA? The CDC has recommended a CHANGE tool for assessment. Is this interchangeable with NPHPS? Have the Community Needs Assessments been "crosswalked" with the MAPP assessments? What are the differences, if so?

5 Community Health Assessments A community health assessment is a process that uses quantitative and qualitative methods to systematically collect and analyze data to understand health within a specific community. An ideal assessment includes information on risk factors, quality of life, mortality, morbidity, community assets, forces of change, social determinants of health and health inequity, and information on how well the public health system provides essential services. Community health assessment data inform community decision- making, the prioritization of health problems, and the development, implementation, and evaluation of community health improvement plans.

6 Common Elements in CHA Models 1)Develop an assessment plan 2)Engage the community 3)Define the population 4)Identify community health indicators that align with your community’s vision or goals 5)Collect data 6)Analyze data 7)Identify health priorities 8)Report results

7 1)Ask your partners what their individual interests are? What do they need to get out of an assessment process? What requirements are they seeking to meet? 2)Identify common ground. Articulate a shared vision or goal. 3)Design a process that is focused on the shared vision or goal while accommodating at least some individual interests. 4)Identify set of indicators that align with common vision or goal and that can meet at least some individual interests. 5)Identify existing data available among all partners to avoid unnecessary data collection. 6)Divide and conquer. Assign roles and responsibilities based on organizational assets and strengths. Avoid duplication of effort. Working Collaboratively with System Partners

8 1)One lead organization 2)One facilitating organization 3)Partnership led process 4)Organize by steps in the process 5)Hire consultant who consults with partnership, lead organization, or facilitating organization Structuring Partnerships and Coalitions

9 Talk about the benefits Economies of scale Improve system efficiencies Reduce redundancies One comprehensive assessment can meet several types of requirements No one entity can fully address issues identified by assessments Funders award effective partnerships Collective action results in more collective gain

10 Effective communication Plan ahead Think carefully about roles and responsibilities Craft tailored messages, articulate a win-win Leverage people with established relationships to engage partners Use their language

11 Common Sources of CHA Data 1)Local, state, national databases County Health Rankings State vital records 2)Previously conducted health assessments or reports United Way CHA Hospital CHNA Community Health Centers 3)Partners who have access to data through their organizations County government agencies such as courts, police, schools, libraries, parks, city planners Non-profit organizations Managed care organizations Universities and colleges Chamber of Commerce

What policy choices or critical challenges must we address in order for us to fully achieve our vision? CHSA: What health conditions exist in our community? CTSA: Why do health conditions exist? CTSA: What assets do we have? LPHSA: What system strengths can we leverage? LPHSA: What system weaknesses have to be improved? FOCA: What forces affect how we respond?

13 Resources ure/accreditation/prerequisites.cfmhttp:// ure/accreditation/prerequisites.cfm

14 Next Call Save the date for Thursday, November 10 at 2:00PM ET for the next call in the Performance Improvement Technical Assistance Teleconference Series. Visit teleconference-series.cfm for more information. teleconference-series.cfm

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