What Challenges Do Nonprofit Hospitals Face in Taking on Community Health Needs Assessments? A Qualitative Study From Appalachian Ohio

Skinner, Daniel; Franz, Berkeley; Kelleher, Kelly J.

doi:10.1111/jrh.12246

Cited by 12 publications

(11 citation statements)

References 22 publications

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“…The author found group think to be particularly strong in rural communities where people know each other well (23), which may signal an important risk to be aware of in those instances where strong community health networks exist. Skinner et al found through interviews representing 21 hospitals in Appalachia that rural hospitals struggle to hire staff for their CHNA process and often lack the resources to address the needs once they are identified (60). Sabin and Levin also provide a case study of a rural hospital meeting community benefit requirements and conclude that collaboration and identifying existing community assets are key to a successful program (61).…”

Section: Key Conclusion Related To Community Benefitmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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Section: Key Conclusion Related To Community Benefitmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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“…This may be especially true if resource-intensive strategies to address health concerns are evaluated and seen to have a larger impact. Small (and largely rural) sites may not have the ability to replicate successes of large hospitals due to lack of resources (19).…”

Section: Discussionmentioning

confidence: 99%

The Importance of Individual-Site and System-Wide Community Health Needs Assessments

Bias

Abildso

Sarkees

2020

Front. Public Health

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In order to fulfill the Patient Protection and Affordable Care Act's Community Health Needs Assessment requirements, hospital systems sometimes vary in detail between individual hospital sites or locations and performing an assessment for the entire system. This article examines needs assessments and their accompanying implementation plans across a large university hospital system and finds support for conducting assessments at the local site-level but evidence that system-wide approaches may also have significant benefits, especially at the implementation phase. It suggests a hybrid approach to the needs assessment process where systems and their individual hospitals work together to maximize health benefits to the communities served.

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“…From this still developing literature, it is known that hospitals have faced barriers to adopting population health models, including building a rationale for increased expenditures on social supports and services that address nonmedical factors, developing metrics to demonstrate financial and population health impact, and cultivating trust among community members. 11,12 Still, there is evidence that hospitals are successfully engaging community-based partners to carry out population health work and that the ACA's new requirements have encouraged collaboration between hospitals, local communitybased organizations, and local health departments. 13,14 For example, a recent study found that the majority of public health departments are partnering with local hospitals to carry out Community Health Needs Assessments (CHNAs) and plan population health programming.…”

Section: Introductionmentioning

confidence: 99%

Expanding the Population Health Workforce: Strategic Priorities of Hospital Organizations in the United States

Cronin

Franz

Schuller

2021

Population Health Management

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The role of hospital contributions to population health is a topic increasingly worthy of attention in the years since the Affordable Care Act. To explore how hospitals themselves consider their role as population health leaders, the authors analyzed data from the 2015 American Hospital Association Annual Population Health Survey, which asks organizations about which strategic priorities should be expanded in order to strengthen their organization's population health workforce. Descriptive statistics for the study sample of 1418 hospitals show that physicians were the most commonly ranked priority, followed by behavioral health professionals. Using multivariate analysis, the professional roles identified were grouped into 5 categories: behavioral health, clinical, data collection, business functions, and social supports and services. Doing so revealed that different types of hospitals were more likely to identify different types of roles as more important. Larger hospitals were more likely than others to identify behavioral health and clinical roles. For-profit hospitals were less likely to prioritize data collection and social determinants than their nonprofit peers. These findings provide important insight for public health professionals regarding the staffing priorities of hospitals within their communities. Many population health programs may not be moving beyond traditional clinical expertise to engage the upstream determinants of health in their communities.

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What Challenges Do Nonprofit Hospitals Face in Taking on Community Health Needs Assessments? A Qualitative Study From Appalachian Ohio

Cited by 12 publications

References 22 publications

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

The Importance of Individual-Site and System-Wide Community Health Needs Assessments

Expanding the Population Health Workforce: Strategic Priorities of Hospital Organizations in the United States

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