Community Hospital Alliance of Tennessee Health Needs Patsy - - PowerPoint PPT Presentation

Community Health Needs Assessments

New Requirements and Affordable Solutions

Policy Update

Deryk Van Brunt, DrPH

President and Chairman, Healthy Communities Institute Associate Clinical Professor, UC Berkeley School of Public Health

Patsy Matheny

Community Benefit Consultant

LaDonna McDaniel-Merville

Vice President Hospital Alliance of Tennessee

• Overview of why this topic is important
• Policy Update
• Introduction to Healthy Communities Institute
• Product Overview:

HCI Community Health Needs Assessment System

• Live Demonstration
• Questions and Discussion

Today’s Agenda

• Community assessments provide data needed for community benefit program

planning and evaluation, grants, sponsorships

• Patient Protection and Affordable Care Act *
• At least once every three years:

 Conduct assessment and publish report  Develop written implementation strategy adopted by the Board  Must be completed by end of tax year beginning after March 23, 2012 or prior

two years

• Include input from persons who:

 Represent the broad interest of the community  Have public health knowledge or expertise

• Make assessment widely available to the public
• Failure to comply results in excise tax penalty of $50,000 per year per facility

Why This Topic is Important

*IRS
No(ce
2011‐52,
released
7/7/2011,
provides
clarifica(on
on
provisions

Additional Reporting Requirements with IRS:

Form 990 filings Attach copy of adopted Implementation Strategy Form 990 Schedule H

• Part VI 2.“Needs assessment. Describe how the organization assesses the

health care needs of the communities it serves.”

• Part V, Section B Facility Information (optional for 2010 and 2011 tax year)

Policy Update

Healthy Communities Institute Overview

• Mission

‒

Improve the health, vitality and environmental sustainability of communities, counties and states

• Headquarters

‒

Berkeley, California

• Problem/Solution

‒

Lots of decentralized data

‒

Centralize, make understandable, lead to informed action

• Products

‒

Provide community indicator dashboards and best practice sharing tools for local communities

• Healthy Communities Network (HCN)
• Community Health Needs Assessment (CHNA) System
• National Relationships / Awards / Coverage

‒

VHA and CHA National Agreements

‒

HHS Healthy People 2020 Award

‒

30 million+ lives in the United States

Partners

HCI Team

• Kevin Patrick, MD, Professor UCSD, Editor In Chief

American Journal of Preventive Medicine

• Ambassador Kevin Moley, U.S. Ambassador to

United Nations 2001-06, Assistant Secretary HHS

• Len Duhl, MD, Professor UC Berkeley,

Co-Founder Healthy Cities Movement

• Linda Neuhauser, PhD, Clinical Professor, School of

Public Health, Co-PI Health Research for Action, UC Berkeley

• Nick Beard, MD, MS, CMO, VP Marketing

PricewaterhouseCoopers, IDX/GE; Professor, Oregon Health & Science Univ.

• Julia Walsh, MD, Adjunct Professor,

School of Public Health, UC Berkeley

• Larry Leisure, Global Healthcare Practice Leader

Accenture, CRO Kaiser Permanente

• Dr. David Holbrooke, Founder PerSe Techs,

Board Advisor McGill University Med. Sch.

• Hans Ploos Van Amstel, CFO Levi Strauss
• David Warthen, Founder Ask Jeeves
• Deryk Van Brunt, DrPH, President

‒

Associate Clinical Professor, UC Berkeley; CEO, eMedicine; COO HealthCentral

• Marcos Athanasoulis, DrPH, CTO

‒

Director IT, Harvard Medical School; VP Engineering RelayHealth; CTO HealthCentral.com

• Florence Reinisch, VP Content &

Research/Client Services, MPH

‒

Research Dir, CA Health Department

• Sheila Baxter, MPH, Business Development

‒

WHO, UCSF, Kaiser Permanente

• Megan Yee, MPH, Business Development,

‒

Accenture, Hewlett-Packard, John Muir Health, Kaiser Permanente

• Kathi deFremery, MBA, Director of Finance

‒

Finance Director, Center for Volunteer & Non-profit Leadership

Management Team Advisors

• Strategic Planning, PHAB, HP 2020, HC Reform, IRS 990...

‒

Many different data systems coming out…

‒

Communities want to “see” how they are doing on health and quality of life measures

‒

Strategic planning, local report cards, local requests for data, etc.

‒

It’s more than data – it’s about evidence-based change

‒

Want to connect people in the community to resources

• Many Organizations Today Conduct Health Assessments

‒

Hire consultants, or internal team

‒

Commission a static report

‒

Out of date when published

‒

Distribution is low

‒

Does not lead to informed action and community engagement

Current Status: The Data Problem

HCI CHNA System: Capabilities and Benefits

Based On Change Theory

• 75-100 indicators
• Color coded
• Constantly updated
• 1800+ in database
• Programs & policies
• Evaluation-based
• Form working groups
• Set local goals
• Manage

achievement of

• bjectives
• HP 2020 tracker
• Local priorities

tracker

• Comparative

and longitudinal evaluation Community Dashboard Promising Practices Collaboration Centers Evaluation &Tracking

A “Living” Needs Assessment to understand what is and is not working. Move from data gathering to informed action:

• Strategic planning
• HC Reform, IRS 990

Requirements, SB 697, healthcare reform

• PHAB assessments
• MAPP programs
• Link to GIS and data

warehouse systems Promotes public health and community development best practice sharing Brings stakeholders together, develop local goals, drive community engagement, facilitate communication to form and manage working groups Track progress to goals:

• HP 2020 goals
• Locally defined goals

• Assessing the health of communities – Dashboard
• Identifying areas of need – Dashboard, color coding, search by disparities, etc. (link

to GIS Maps and data warehouses)

• Collaborating on initiatives – Collaboration Centers
• Measuring outcomes – Priority Tracker, HP 2020 Tracker, allows for locally defined

goals, etc.

• Linking to systems/Identifying community resources – link to United Way 211,

Trilogy; allows for all related content (services, programs, indicators, GIS maps, reports, etc.) of the community to be added to the system

• Provides excellent PR opportunity – highly visible
• Engage stakeholders in community – to improve health status
• Helps meet standards: HC Reform, Federal 990, PHAB, HP 2020, MAPP, etc.
• Enables policy and program change – tied to research and evaluation
• Helps stakeholders move from data gathering – to informed evidence-based action!

Benefits for Coalitions, Hospitals, Health Departments and the Community

Let’s go online to view a live example!

HCI CHNA Demonstration

 Assess Health of Community  Get input from community and experts  Adopt strategy  Make it publicly available

IRS 990 and HCR Requirements

Needs Assessment

HCI CHNA System Regulations Checklist

 Assess Health of Community  Get input from community and experts  Adopt strategy  Make it publicly available

IRS 990 and HCR Requirements

Needs Assessment

HCI CHNA System Regulations Checklist

Priority Areas

 Assess Health of Community  Get input from community and experts  Adopt strategy  Make it publicly available

IRS 990 and HCR Requirements

Needs Assessment

HCI CHNA System Regulations Checklist

Priority Areas Promising Practices

 Assess Health of Community  Get input from community and experts  Adopt strategy  Make it publicly available

IRS 990 and HCR Requirements

Needs Assessment

HCI CHNA System Regulations Checklist

Priority Areas Promising Practices HCI CHNA

Mar 2012 Oct 2011

9 months 6 months 3 months

Sep 2012 Sep 2013

2 months

Jan 2012

Requirements Deadlines are Fast Approaching

Target Completion Form Internal Team Identify Partnerships Contracting Process HCI CHNA System Implementation Get Input from Community and Experts Adopt an Implementation Strategy

Start!

12 months Average Timeline

Two ways to participate using your control panel:

Questions and Discussion

Text us your question using this box Raise your hand by clicking this icon

Community Health Needs Assessments

New Requirements and Affordable Solutions

Policy Update

Thank You!

For more information:

• West/Central:

Sheila Baxter

sheila@healthycities.org

• East:

Megan Yee

megan@healthycities.org