The ACA provides in the law that 501(c) (3) hospitals must:◦ Conduct a CHNA at least once every 3 years◦ Include in the assessment information from:

“persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health” (ACA §9007(a), I.R.C. §501(r)(3)(B))

◦ Make the assessment widely available to the community

The ACA also provides that hospitals must:◦ Develop an implementation strategy

(Community Benefit Plan) to meet the needs of the CHNA

◦ Describe needs not addressed by the plan

◦ Explain why those needs are not being addressed

• Standards for National Public Health Agency Accreditation require every 5 years:◦ a Community Health Needs Assessment◦ a Community Health Improvement Plan (CHIP)◦ a Department Strategic Plan

DOH is a resource for hospitals to use our data as a foundation for hospital CHNA

CHNA conducted every 3 years

Community Benefit Plan required every 3 years

Benefit plan includes strategies to address needs

Required to meet community benefit regulations

Collaboration with public health, community stakeholders, and consumers required

Use of secondary data strongly encouraged

Definition of Community flexible

CHNA conducted every 5 years

CHIP required every 5 years

CHIP includes strategies to address needs

Required to meet agency accreditation standards

Collaboration with community stakeholders, e.g., health systems, and consumers required

Use of primary and secondary data required

Definition of Community defined

NFP Hospitals Public Health Dept.

MAPP provides a framework for:• Stakeholder collaboration • Comprehensive CHNAs• Unique Community Benefit/CHIP• Systemic approach to improve health outcomes