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- Rural Health Information Hub: Trainings for Mental Health Providers and Community Members
- National Council for Mental Wellbeing: Trauma-informed, Resilience-oriented, Equity-focused Systems
- Institute for Diversity in Health Management, Health Research & Educational Trust: Becoming a Culturally Competent Health Care Organization
- Institute for Health Improvement: Behavioral Health
- Journal of Administration and Policy in Mental Health: Improving Community-Based Mental Health Care for Children: Translating Knowledge Into Action
- Substance Abuse and Mental Health Services Administration: Expanding Access to and Use of Behavioral Health Services for People Experiencing Homelessness
- National Council for Mental Wellbeing: Advancing Integration of General Health in Behavioral Health Settings: A Continuum-Based Framework
Community Health Needs Assessments
A community health needs assessment describes the community a hospital serves and identifies the health needs of the population.
It involves a systematic collection and analysis of data to provide the necessary information for decision-making. In the Patient Protection and Affordable Care Act, passed in March 2010, nonprofit hospitals are mandated to conduct a CHNA every three years and adopt an implementation strategy to meet the community health needs identified in the assessment.
CHNA Templates
*Topic-specific CHNA Improvement Plan Templates can be located in the drop-down menus below.
Top 10 Priority Health Issues
Identified by Missouri Hospitals and Community Health Resources
In 2023, MHA embarked on a journey to review CHNAs for all member hospitals that are required to complete this process. In the last three years ending in 2022, 71 hospitals met requirements to complete a CHNA and post it on their website. MHA’s comprehensive CHNA review process identified 10 priority health issues. These health issues are highly prevalent and cause significant health burdens to Missouri residents. Resources to implement successful community programs to address the issues are available below.
Also available are hospital-specific top priority health issues and links to CHNA documents for Missouri hospitals.
- Substance Abuse and Mental Health Services Administration: Substance Use Treatment for Older Adults
- National Council for Mental Wellbeing: The Comprehensive Healthcare Integration (CHI) Framework
- Substance Abuse and Mental Health Services Administration: Useful Resources on Opioid Overdose Prevention
- Substance Abuse and Mental Health Services Administration: Medications for Substance Use Disorders
- Substance Abuse and Mental Health Services Administration: Screening, Brief Intervention, and Referral to Treatment (SBIRT) Resources
- Substance Abuse and Mental Health Services Administration: Useful Resources on Medication-Assisted Treatment
- Substance Abuse and Mental Health Services Administration: Evidence-Based Practices Resource Center
- Centers for Disease Control and Prevention: Overweight and Obesity Resources
- Centers for Disease Control and Prevention: Prevention Strategies and Guidelines
- Healthy People 2030: Evidence-Based Resources Related to Overweight and Obesity
- Centers for Disease Control and Prevention: Recommended Community Strategies and Measurements to Prevent Obesity in the United States
- U.S. Department of Agriculture: Overweight and Obesity Resources
- The Community Guide: Physical Activity Interventions
- Centers for Disease Control and Prevention: Community Efforts to Prevent Obesity
- Agency for Healthcare Research and Quality: Chartbook on Access to Health Care
- Healthy People 2030: Health Care Access and Quality – Evidence-Based Strategies
- Rural Health Information Hub: Healthcare Access in Rural Communities
- The Ochsner Journal: Technology Meets Healthcare: Distance Learning and Telehealth
- County Health Rankings & Roadmaps: Access to Care
- National Library of Medicine: 2021 National Healthcare Quality and Disparities Report: Access to Healthcare and Disparities in Access
- American Hospital Association: The Importance of Health Coverage
- Healthy People 2030: Diabetes Evidence-Based Resources
- Centers for Disease Control and Prevention: Diabetes 2021 Report Card
- The Community Guide: Diabetes Interventions
- Center for Health Law and Policy Innovation of Harvard Law School: Beating Type 2 Diabetes: Best Practices for States
- John Hopkins Medicine: Diabetes Self-Management Patient Education Materials
- Centers for Disease Control and Prevention: Living with Diabetes
- Institute for Healthcare Improvement: Chronic Care Management
- CDC National Center for Chronic Disease Prevention and Health Promotion: Chronic Diseases Tools and Resources
- America’s Health Insurance Plans Foundation: Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs
- CDC National Center for Chronic Disease Prevention and Health Promotion: Advancing Health Equity in Chronic Disease Prevention and Management
- CDC National Center for Chronic Disease Prevention and Health Promotion: Self-Management Education: Managing Any Chronic Conditions
- Georgetown University: Disease Management Programs: Improving Health While Reducing Costs?
- McKinsey & Company: How to Design a Successful Disease-Management Program
- American Hospital Association: The Value Initiative: Framing the Issue of Affordable Health Care
- HealthCare.Gov: How to Enroll in SHOP Insurance
- (Centers for Medicare & Medicaid Services: Health Insurance Marketplace
- Association of Diabetes Care and Education Specialists: Tools for Healthcare Savings from ADCES
- Medicaid.gov: Basic Health Program
- Health Resource and Services Administration: Get Affordable Health Care
- Missouri Hospital Association: Comprehensive COVID-19 Resources
- State of Missouri Disability Portal: Long COVID Information and Resources
- Missouri Department of Mental Health: MOHelpNow COVID-19 Information
- NIH National Library of Medicine: Long COVID and its Management
- Centers for Disease Control and Prevention: Post-COVID Conditions: Information for Healthcare Providers
- Promoting Cardiovascular Health in the Developing World: Reducing the Burden of Cardiovascular Disease: Intervention Approaches
- Centers for Disease Control and Prevention: A Public Health Action Plan to Prevent Heart Disease and Stroke
- Centers for Disease Control and Prevention: A Public Health Action Plan to Prevent Heart Disease and Stroke
- American Heart Association: Public Policy Approaches to the Prevention of Heart Disease and Stroke
- Substance Abuse and Mental Health Services Administration: Homelessness Programs and Resources
- U.S. Department of Housing and Urban Development: HUD Resource Locator
- Substance Abuse and Mental Health Services Administration: 100,000 Homes Campaign: A Success Story
- National Alliance to End Homelessness: Housing First
- Substance Abuse and Mental Health Services Administration: Homelessness Resources: Housing and Shelter
Implementation
A CHNA Implementation Plan is a systematic process involving the community that identifies and analyzes community health needs, as well as community assets and resources, to plan and act upon priority community health needs. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and target resources. It is critical for developing policies and defining actions to target efforts that promote health.
The implementation plan should define the vision for the health of the community through a collaborative process, and should address the gamut of strengths, weaknesses, challenges, and opportunities that exist to improve the health status of the community. Provisions under Section 501(r), added to the code by the ACA, imposes requirements on 501(c)(3) organizations that operate one or more hospital facilities (hospital organizations). These hospitals must now conduct a CHNA and adopt an implementation strategy that meets the needs identified at least once every three years. The CHNA requirements are effective for tax years beginning after March 23, 2012. In addition, hospitals must complete an IRS Schedule H (Form 990) annually to provide information on the activities and policies of, and community benefit provided by, the hospital. The implementation plan should be updated as community needs and priorities change, hospital resources change or based on evaluation results.
Contact An Expert
Stephen Njenga
For hospitals needing additional services, such as primary and secondary data collection and analysis, facilitation of community input, survey design, writing the assessment, and development of an implementation plan, customized services are available through Quality Works, a subsidiary of MHA. CHNA support services are affordable, flexible and adapted to your needs. Prices range from hourly rates to package pricing.
The exploreMOhealth website is one of the most unique health-related datasets in the country, offering both county- and ZIP code-level data. Data is the key to diagnosing and addressing some of our region’s most pressing health issues, and by making this information available to the public, both organizations are furthering their missions to improve health and the health care system.
Health Equity Dashboards
MHA developed a suite of four health equity-focused dashboards that offer previously unavailable granularity in health outcomes, health factors and social determinants of health for finite population segments and geographic areas in Missouri.