Historical Information: Best Practices for Community Health Needs Assessment and Implementation Strategy Development: A Review of Scientific Methods, Current Practices, and Future Potential

The Office of the Associate Director for Policy, Centers for Disease Control and Prevention (CDC) held the public forum “Best Practices for Community Health Needs Assessment and Implementation Strategy Development:A Review of Scientific Methods, Current Practices, and Future Potential” from July 11–13, 2011, in Atlanta, Georgia.

The forum featured presentations by expert panels and opportunities for participants to ask questions and make comments, all of which were video recorded and published in a proceedings: Best Practices for Community Health Needs Assessment and Implementation Strategy Development: A Review of Scientific Methods, Current Practices, and Future Potential—Report of Proceedings from a Public Forum and Interviews of Experts.

Welcome and Keynote Address
Monday, July 11, 2011

Dr. Chesley Richards, in the Office of the Associate Director for Policy, CDC delivers the welcome address, followed by brief remarks from Chris Giosa, Advisor to the Commissioner of the Tax-Exempt and Government Entities Division, in the Internal Revenue Service, Treasury. John W. Bluford, President and CEO of Truman Medical Centers, and Chairman of the Board of Trustees of the American Hospital Association then delivers the keynote address. Watch the video for the Welcome and Keynote Address.
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The State of Affairs in the Field
Monday, July 11, 2011

Dr. Steve Fawcett, Professor at the University of Kansas and Director of the KU Work Group for Community Health and Development, a World Health Organization Collaborating Centre, identifies a set of recommended practice areas and accompanying key tasks drawn from multiple community health needs assessment (CHNA) tools and resources, providing guidance for the practical application of the practice areas in the field. Watch the video for The State of Affairs in the Field.
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Shared Ownership and Accountability — Panel #1
Monday, July 11, 2011

Panelists Dr. Paul Halverson, Director and State Health Officer for the Arkansas Department of Health, and Mónica Escobar Lowell, Vice President of Community Relations for UMass Memorial Health Care, address the concept of shared ownership of the community health improvement process and how it is operationalized in the community. Watch the video for Shared Ownership and Accountability.
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Jurisdictions and Geographic Parameters — Panel #2
Monday, July 11, 2011

Panelists Dr. Karen Minyard, Executive Director of the Georgia Health Policy Center; Dr. Rebecca Slifkin, Director of the Office of Planning, Analysis, and Evaluation in the Health Resources and Services Administration; and José Camacho, Executive Director and General Counsel of the Texas Association of Community Health Centers, address issues in defining a “community” for the purposes of conducting a CHNA and jurisdictional issues that may arise from regional collaboration. Watch the video for Jurisdictions and Geographic Parameters.
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Data Platform: Scope and Transparency — Panel #3
Tuesday, July 12, 2011

Panelists Eileen Barsi, Director of Community Benefit for Catholic Healthcare West; Dr. Winston Wong, Medical Director of Community Benefit for Kaiser Permanente; and Dr. Julie Willems Van Dijk, Deputy Director for the County Health Roadmaps and the Community Engagement Director for the Mobilizing Action Toward Community Health (MATCH) team at the University of Wisconsin Population Health Institute, address issues in identifying and securing essential data sources; understanding challenges and opportunities in analysis and sharing of provider utilization data; collecting data on social determinants; and identifying concentrations of unmet needs (e.g., health disparities) in local communities. Watch the video for Data Platform: Scope and Transparency.
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Community Engagement — Panel #4
Tuesday, July 12, 2011

Panelists Jessica Curtis, Project Director of the Hospital Accountability Project at Community Catalyst; Michelle Lyn, Associate Director for the Duke Center for Community Research at Duke University Medical Center; and Dory Magasis Escobar, Director of Healthy Communities at St. Joseph Health System – Sonoma County (California), address the concept of community engagement in the broader community health improvement process, the potential roles of diverse stakeholders in data collection and analysis, and issues and opportunities in the identification and mobilization of community “assets.” Watch the video for Community Engagement.
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Stakeholder Roles and Contributions:Alignment Opportunities — Panel #5
Tuesday, July 12, 2011

Panelists Dr. Paul Hattis, Professor at Tufts University School of Medicine, and Dr. Brad Gray, Senior Fellow at the Urban Institute and Editor of The Milbank Quarterly, address alignment opportunities associated with national health reform; the unique characteristics, potential contributions, and expectations of teaching hospitals; and potential contributions and expectations of health professions education institutions. Watch the video for Stakeholder Roles and Contributions: Alignment Opportunities.
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Setting Priorities: Methodologies — Panel #6
Tuesday, July 12, 2011

Panelists Dr. Steven Teutsch, Chief Science Officer of the Los Angeles County Department of Public Health, and Dr. Leslie Beitsch, Associate Dean for Health Affairs at Florida State University College of Medicine, address the purpose of priority setting; what criteria, processes, and tools can be used under different circumstances; and the ways evidence should guide decision-making. Watch the video for Setting Priorities: Methodologies.
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Setting Priorities: Selection Processes, Collaboration, and Accountability — Panel #7
Tuesday, July 12, 2011

Panelists Dr. Tom Wolff, Principal at Tom Wolff and Associates; Vondie Woodbury, Director of Community Benefit at Trinity Health; and Dr. Peggy Honoré, Director of the Public Health System, Finance, and Quality Program in the Office of Assistant Secretary for Health, HHS, address issues in the selection of participants in the priority setting process; the scope of content issues to be considered; and challenges and opportunities associated with comprehensive approaches. Watch the video for Setting Priorities: Selection Processes, Collaboration, and Accountability.
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Monitoring and Evaluation — Panel #8
Tuesday, July 12, 2011

Panelists Dr. James Walton, Vice President of Health Equity and Chief Health Equity Officer at Baylor Health Care System; Dr. Catherine Kinney, Principal at Kinney and Associates; and Dr. Chris Fulcher, Co-Director of the Center for Applied Research and Environmental Systems (CARES) at the University of Missouri-Columbia, identify collaborative evaluation opportunities for hospitals, health departments, and other stakeholders; potential “audiences” in evaluation; and ways CHNA and the monitoring and evaluation processes are linked. Watch the video for Monitoring and Evaluation.
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Institutional Governance and Oversight — Panel #9
Wednesday, July 13, 2011

Panelists Dr. Lawrence Prybil, Associate Dean of the University of Kentucky College of Public Health; Elissa Bassler, CEO of the Illinois Public Health Institute; and Mark Huber, Vice President of Social Responsibility at Aurora Health Care, identify internal oversight mechanisms and internal management and operational structures necessary to ensure meaningful institutional engagement in the community health improvement process. Watch the video for Institutional Governance and Oversight.
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Strategic Investment and Funding Patterns — Panel #10
Wednesday, July 13, 2011

Panelists Judy Darnell, Director of Public Policy for United Ways of California, and Dr. Gary D. Nelson, President of the Healthcare Georgia Foundation, identify what changes in federal and state policy are needed to support investment in comprehensive approaches to community health improvement and the potential roles of private sector philanthropy in facilitating a more strategic approach to community health improvement. Watch the video for Strategic Investment and Funding Patterns.
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Shared Accountability and Regional Governance — Panel #11
Wednesday, July 13, 2011

Panelists Gregory Dent, President and CEO of Community Health Works, and Gene Matthews, Director of the Southeastern Regional Center of the Public Health Law Network, identify potential benefits of regional partnerships between hospitals, health departments, and other stakeholders; options in securing stakeholder financial commitments for implementation; and mechanisms for local/regional accountability. Watch the video for Shared Accountability and Regional Governance.
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Reporting and Compliance: State Level Oversight — Panel #12
Wednesday, July 13, 2011

Panelists Donna Folkemer, Senior Policy Analyst at The Hilltop Institute at UMBC; Lois Johnson, Assistant Attorney General for Massachusetts; and Dr. Gianfranco Pezzino, Senior Fellow at the Kansas Health Institute, identify essential elements of public reporting processes, optimal roles of public sector oversight at the state and federal level, creative alternatives to public agency oversight to encourage desired institutional behavior, and challenges and opportunities in coordinating public sector agency roles. Watch the video for Reporting and Compliance: State Level Oversight.
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Reporting and Compliance: Local and Regional Dynamics — Panel #13
Wednesday, July 13, 2011

Panelists Dr. Kaye Bender, President and CEO of the Public Health Accreditation Board; Gerald M. Griffith, a health law attorney and partner at Jones Day; and Claudia Lennhoff, Executive Director of Champaign County Health Care Consumers, address key issues for local hospitals in meeting national and state reporting requirements and local public health agencies in meeting national and state accreditation standards and the role of local officials, advocacy groups, and the general public. Watch the video for Reporting and Compliance: Local and Regional Dynamics.
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