 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 HospitalsPublic Health Dept.

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