1. A two-county collaborative community health assessment Sharon Heuer, Salem Health Rachel Posnick, Marion County Pam Hutchinson, Marion County Katrina Rothenberger, Polk County

2. 1 CCO: Willamette Valley Community Health 1 ELH: Early Learning Hub, Inc. 4 Hospitals Marion County 323,614 Polk County 76,794 Landscape

3. Approach Early 2015 Marion and Polk Counties agreed to conduct a collaborative CHA through Use of the MAPP Framework Form a steering committee of representatives from 10 partner agencies Cross-jurisdictional use of the Marion County Epidemiologist

4. MAPP Framework

5. Our Partners

6. Successes and Challenges Community Forums CHA Report Transition from the collaborative CHA to a stronger alignment between CHIPs for the two counties and CCO Increased involvement and ownership of partner agencies in the CHA & CHIP Process

7. Alignment of CHIP Indicators Timeliness of Prenatal Care Depression Screening Obesity Prevention Tobacco Prevention

8. Alignment with PHAB

9. Federal Regulations The Affordable Care Act (ACA), enacted in 2010, sets forth requirements for nonprofit hospitals under § 501(r) of the Internal Revenue Code. There are a number of regulations for tax-exempt hospitals, which include requirements for hospitals to: Conduct a Community Health Needs Assessment (CHNA) every three years, identify significant health needs, and develop an Implementation Strategy to address the needs identified by the CHNA.

10. Community Health Needs Assessment Traditional Hospital Community Health Assessments – Hire consultants, or internal team – Commission a static report – Distribution is low, rarely leads to informed action and community engagement The Collaborative Approach Quickly moves a community from assessment to informed action Essential for Community benefit planning A framework for collaboration and evaluation

11. Let’s Take a Look http://www.salemhealth.org Caring for the Community

12. Contact Information  Sharon Heuer, Salem Health sharon.heuer@salemhealth.org  Rachel Posnick, Marion County rposnick@co.marion.or.us  Pam Hutchinson, Marion County phutchinson@co.marion.or.us  Katrina Rothenberger, Polk County rothenberger.katrina@co.polk.or.us