1. National Public Health Performance Standards Local Assessment Instrument Essential Service: 1 Monitor Health Status to Identify Community Health Problems

2. Essential Service Model Standard: Population-Based Community Health Assessment 1: Monitor Health Status to Identify Community Health Problems 1.1

3. Model Standard: Awareness Was everyone aware of the assessment? Does everyone have access to the community health assessment? 1.1 Population Based Community Health Assessment

4. Model Standard: Involvement How many of you have participated in the assessment? 1.1 Population Based Community Health Assessment

5. Model Standard: Frequency How often is the community health assessment completed? How often do updates to the community health assessment occur? 1.1 Population Based Community Health Assessment

6. Model Standard: Quality and Comprehensiveness Which data sets are included in the community health assessment? How is the community health assessment used to monitor progress toward: Local health priorities? State health priorities? Healthy People 2020 national objectives? How well does the community health assessment examine data over time to track trends? How are the data helping identify health inequities? 1.1 Population Based Community Health Assessment

7. Model Standard: Usability How accessible to the general public are the community health assessment results? How is the community health assessment distributed to the community? How is the community health assessment used to inform health policy and planning decisions? 1.1 Population Based Community Health Assessment

8. No Activity Minimal Moderate Significant Optimal 1.1.1 At what level does the local public health system conduct regular community health assessments?

9. No Activity Minimal Moderate Significant Optimal 1.1.2 At what level does the local public health system update the community health assessment with current information continuously?

10. No Activity Minimal Moderate Significant Optimal 1.1.3 At what level does the local public health system promote the use of the community health assessment among members and partners?

11. Essential Service Model Standard: Current Technology to Manage and Communicate Population Health Data 1: Monitor Health Status to Identify Community Health Problems 1.2

12. Model Standard: Awareness What technology is available to local public health system partners to support health profile databases? 1.2 Current Technology to Manage and Communicate Population Health Data

13. Model Standard: Quality and Comprehensiveness How does the local public health system use technology to support community health assessment databases? At what level does the local public health system have access to and include geocoded health data? At that level within the community are the data available? How does the local public health system use geographic information systems(GIS)? How does the local public health system use computer-generated graphics? 1.2 Current Technology to Manage and Communicate Population Health Data

14. No Activity Minimal Moderate Significant Optimal 1.2.1 At what level does the local public health system use the best available technology and methods to display data on the public’s health?

15. No Activity Minimal Moderate Significant Optimal 1.2.2 At what level does the local public health system analyze health data, including geographic information, to see where health problems exist?

16. No Activity Minimal Moderate Significant Optimal 1.2.3 At what level does the local public health system use computer software to create charts, graphs and maps to display complex public health data (trends over time, sub-population analyses, etc.)?

17. Essential Service Model Standard: Maintaining Population Health Registries 1: Monitor Health Status to Identify Community Health Problems 1.3

18. Model Standard: Involvement Which population health registries are contributed to and/or maintained within the local public health system? What partners contribute to and/or maintain population health registries? 1.3: Maintaining Population Health Registries

19. Model Standard: Frequency How often are the data used by the local public health system for such activities? Have they been used in the past year? 1.3: Maintaining Population Health Registries

20. Model Standard: Quality What specific standards are in place for data collection? What established processes are there for reporting health events to the registries? Are they followed? What, if any, systems are in place to ensure accurate, timely and unduplicated reporting? 1.3: Maintaining Population Health Registries

21. Model Standard: Usability How are population health registries used by the local public health system? 1.3: Maintaining Population Health Registries

22. No Activity Minimal Moderate Significant Optimal 1.3.1 At what level does the local public health system collect timely data consistent with current standards on specific health concerns in order to provide the data to population health registries?

23. No Activity Minimal Moderate Significant Optimal 1.3.2 At what level does the local public health system use information from population health registries in community health assessments or other analyses?