Factors Affecting the Progress of Community Health Assessment and Improvement Activities in Kansas

Wetta, Ruth; Dong, Frank; LaClair, Barbara J.; Pezzino, Gianfranco; Orr, Shirley A.

doi:10.1097/phh.0000000000000086

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…Data from Florida suggest that while CHAs were a fairly ubiquitous activity for LHDs (due to statutory requirements), producing a written CHIP was far less common (21 % of LHDs as of 2007), with the majority of LHDs reporting low or moderate capacity for implementing strategies from a CHA [ 6 ]. Similar patterns were observed in Kansas [ 7 ].…”

Section: Introductionsupporting

confidence: 85%

“…Partnering to complete a CHA or CHIP is a relatively common way in which LHDs work with community organizations [ 10 ]. Those partnerships are perceived as very important to overall CHA or CHIP activities [ 7 ]. In general, partnerships to complete a CHA or implement a CHIP involve a wider array of partners than other forms of LHD partnerships [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Partnership capacity for community health improvement plan implementation: findings from a social network analysis

2016

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BackgroundMany health departments collaborate with community organizations on community health improvement processes. While a number of resources exist to plan and implement a community health improvement plan (CHIP), little empirical evidence exists on how to leverage and expand partnerships when implementing a CHIP. The purpose of this study was to identify characteristics of the network involved in implementing the CHIP in one large community. The aims of this analysis are to: 1) identify essential network partners (and thereby highlight potential network gaps), 2) gauge current levels of partner involvement, 3) understand and effectively leverage network resources, and 4) enable a data-driven approach for future collaborative network improvements.MethodsWe collected primary data via survey from n = 41 organizations involved in the Health Improvement Partnership of Maricopa County (HIPMC), in Arizona. Using the previously validated Program to Analyze, Record, and Track Networks to Enhance Relationships (PARTNER) tool, organizations provided information on existing ties with other coalition members, including frequency and depth of partnership and eight categories of perceived value/trust of each current partner organization.ResultsThe coalition’s overall network had a density score of 30 %, degree centralization score of 73 %, and trust score of 81 %. Network maps are presented to identify existing relationships between HIPMC members according to partnership frequency and intensity, duration of involvement in the coalition, and self-reported contributions to the coalition. Overall, number of ties and other partnership measures were positively correlated with an organization’s perceived value and trustworthiness as rated by other coalition members.ConclusionsOur study presents a novel use of social network analysis methods to evaluate the coalition of organizations involved in implementing a CHIP in an urban community. The large coalition had relatively low network density but high degree centralization—meaning key organizations link organizations otherwise not tightly partnering. Coalition members rated each other highly on trust, a positive sign for future partnership development efforts. Examination of network maps reveal key organizations that can be targeted for future partnership facilitation and expansion. Future network data collection will enable exploration of longitudinal trends and exploration of network characteristics versus health behavior, status, and outcome changes.

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Section: Introductionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Partnership capacity for community health improvement plan implementation: findings from a social network analysis

2016

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“…In particular, this method was a rapid and efficient means of incorporating the perspectives and preferences of many of the priority populations for the Local Health Integration Network such as those who are not housed or those who do not speak any of the official languages. Time and expense are often cited as a reason to not engage broadly with priority populations, and true community based participatory research methods are often labor, time, and resource intensive to do well [ 42 , 44 ]. Concept mapping activities could be a means to overcome these barriers.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the short time frame, researchers managed to engage widely throughout the community, reaching out to several hundred residents and service providers within the area, as a result of a targeted recruitment process. Usually when communities are consulted, residents are asked to come to a meeting to provide input, severely limiting the population providing feedback [ 42 , 44 ]. In our case, community animators went to the community, to places where residents lived, worked, shopped, and received services.…”

Section: Discussionmentioning

confidence: 99%

“One program that could improve health in this neighbourhood is ____?” using concept mapping to engage communities as part of a health and human services needs assessment

Velonis

Molnár

Lee-Foon

et al. 2018

BMC Health Serv Res

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BackgroundThis paper presents the findings of a rapid needs assessment conducted at the request of the local health authority responsible for health care services, the Toronto Central Local Health Integration Network (Ontario, Canada), to inform health and social service planning.MethodsWe utilized concept mapping methodology to facilitate engagement with diverse stakeholders–more than 300 community members and service providers–with a focus on hard to reach populations. Key informant interviews with service providers were used to augment findings.ResultsParticipants identified 48 unique services or service approaches they believed would improve the health of residents in the area, including those addressing health care, mental health and addictions, youth, families, people experiencing homelessness, seniors, general social services, and services targeting specific populations. While service providers consistently identified a critical need for mental health and addiction services, community members placed greater importance on the social determinants of health including access to housing, job placement supports and training and service accessibility. Both groups agreed that services and programs for seniors and people experiencing homelessness would be highly important.ConclusionOur study provides a unique example of using concept mapping as a tool to aid a rapid service gap analysis and community engagement in a metropolitan area. The findings also reinforce the importance of working cross-sectorally, using a Health in All Policies approach when planning services for underserved populations.

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“…18 Previous studies have described strategies that hospitals could use to engage community members in CHNAs and described variation in the depth of community member engagement. 15,19,[20][21][22] More specifically, Pennel et al 21 reviewed 95 CHNAs published by nonprofit hospitals in Texas in 2013 and found that those hospitals generally engaged community members in some parts of the CHNA process but reported that stakeholders representing the community lacked diversity. In a detailed examination of 3 nonprofit hospital CHNA processes, Bias et al 23 found that community members highlighted additional needs not previously identified by hospital leadership teams, suggesting that CHNA processes that do not include a representative sample of the community risk failing to identify important needs.…”

mentioning

confidence: 99%

Community Engagement in Nonprofit Hospital Community Health Needs Assessments and Implementation Plans

Burns

Yeager

Cronin

et al. 2022

Journal of Public Health Management and Practice

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Context: Nonprofit hospitals are required to provide community benefits in exchange for their tax-exempt status. This includes a community health needs assessment (CHNA) to identify community needs and an implementation plan (IP) with strategies to address top needs every 3 years. In addition, hospitals are required to engage community members in these assessments. Objective: The objective of this study was to explore community engagement and representation in CHNAs and IPs. Design: The researchers conducted a content analysis of CHNAs and IPs from a nationally representative sample of 503 nonprofit hospitals between 2018 and 2021. Main Outcome Measures: For CHNAs, a coding sheet was used to record the types of community members engaged by hospitals. For IPs, the team coded whether community engagement was reported at all and then performed an in-depth analysis to identify categories of community members, engagement methods used, and roles of community input. Finally, frequencies of categories across IPs were quantified. Results: Eighty-nine percent of hospitals (n = 449) engaged community members in their CHNA, but only 14% (n = 71) engaged community members in their IP. An in-depth look at these IPs found that hospitals engaged underserved/minority populations, low-income populations, high school students, public health experts, and stakeholder organizations. Community members were involved in multiple steps, including brainstorming ideas, narrowing down needs, developing strategies, and reacting to proposed strategies. Conclusions: Although IPs are intended to benefit the community, there is a lack of community involvement reported in IPs. Hospitals may need incentives, resources, and personnel support to ensure representation of community members throughout the entire CHNA and IP process.

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Factors Affecting the Progress of Community Health Assessment and Improvement Activities in Kansas

Cited by 9 publications

References 12 publications

Partnership capacity for community health improvement plan implementation: findings from a social network analysis

Partnership capacity for community health improvement plan implementation: findings from a social network analysis

“One program that could improve health in this neighbourhood is ____?” using concept mapping to engage communities as part of a health and human services needs assessment

Community Engagement in Nonprofit Hospital Community Health Needs Assessments and Implementation Plans

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