Policy Update LaDonna McDaniel-Merville Vice President Community Hospital Alliance of Tennessee Health Needs Patsy Matheny Assessments Community Benefit Consultant New Requirements and Deryk Van Brunt, DrPH President and Chairman, Affordable Solutions Healthy Communities Institute Associate Clinical Professor, UC Berkeley School of Public Health
Today’s Agenda • 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
Why This Topic is Important • 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 *IRS No(ce 2011‐52, released 7/7/2011, provides clarifica(on on provisions
Policy Update 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)
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 Management Team Advisors • Deryk Van Brunt, DrPH, President Associate Clinical Professor, UC Berkeley; • Kevin Patrick, MD, Professor UCSD, Editor In Chief ‒ American Journal of Preventive Medicine CEO, eMedicine; COO HealthCentral • Ambassador Kevin Moley, U.S. Ambassador to • Marcos Athanasoulis, DrPH, CTO United Nations 2001-06, Assistant Secretary HHS Director IT, Harvard Medical School; VP Engineering ‒ • Len Duhl, MD, Professor UC Berkeley, RelayHealth; CTO HealthCentral.com Co-Founder Healthy Cities Movement • Florence Reinisch, VP Content & • Linda Neuhauser, PhD, Clinical Professor, School of Research/Client Services, MPH Public Health, Co-PI Health Research for Action, UC Berkeley Research Dir, CA Health Department ‒ • Nick Beard, MD, MS, CMO, VP Marketing • Sheila Baxter, MPH, Business Development PricewaterhouseCoopers, IDX/GE; WHO, UCSF, Kaiser Permanente ‒ Professor, Oregon Health & Science Univ. • Megan Yee, MPH, Business Development, • Julia Walsh, MD, Adjunct Professor, School of Public Health, UC Berkeley Accenture, Hewlett-Packard, ‒ John Muir Health, Kaiser Permanente • Larry Leisure, Global Healthcare Practice Leader Accenture, CRO Kaiser Permanente • Kathi deFremery, MBA, Director of Finance • Dr. David Holbrooke, Founder PerSe Techs, Finance Director, Center for Volunteer & Non-profit ‒ Board Advisor McGill University Med. Sch. Leadership • Hans Ploos Van Amstel, CFO Levi Strauss • David Warthen, Founder Ask Jeeves
Current Status: The Data Problem • 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 ‒
HCI CHNA System: Capabilities and Benefits Community Promising Collaboration Evaluation Dashboard Practices Centers &Tracking • 75-100 indicators • 1800+ in database • Form working groups • HP 2020 tracker • Color coded • Programs & policies • Set local goals • Local priorities tracker • Constantly updated • Evaluation-based • Manage achievement of • Comparative A “Living” Needs Assessment objectives and longitudinal to understand what is and is not working. evaluation Move from data gathering to Promotes public health and Brings stakeholders together, Track progress to goals: informed action: community development best develop local goals, drive • HP 2020 goals • Strategic planning practice sharing community engagement, • Locally defined goals • HC Reform, IRS 990 facilitate communication to Requirements, SB 697, healthcare reform form and manage working • PHAB assessments groups • MAPP programs • Link to GIS and data warehouse systems Based On Change Theory
Benefits for Coalitions, Hospitals, Health Departments and the Community • 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!
HCI CHNA Demonstration Let’s go online to view a live example!
HCI CHNA System Regulations Checklist IRS 990 and HCR Requirements Assess Health of Needs Community Assessment Get input from community and experts Adopt strategy Make it publicly available
HCI CHNA System Regulations Checklist IRS 990 and HCR Requirements Assess Health of Needs Community Assessment Get input from Priority community and Areas experts Adopt strategy Make it publicly available
HCI CHNA System Regulations Checklist IRS 990 and HCR Requirements Assess Health of Needs Community Assessment Get input from Priority community and Areas experts Promising Adopt strategy Practices Make it publicly available
HCI CHNA System Regulations Checklist IRS 990 and HCR Requirements Assess Health of Needs Community Assessment Get input from Priority community and Areas experts Promising Adopt strategy Practices Make it publicly HCI available CHNA
Requirements Deadlines are Fast Approaching Form Internal Team Identify Partnerships Average Timeline Contracting Process HCI CHNA System 3 months Implementation Get Input from Community and Experts Adopt an Implementation Strategy 2 months 6 months Target Completion Start! 12 months 9 months Oct 2011 Jan 2012 Sep 2013 Sep 2012 Mar 2012
Questions and Discussion Two ways to participate using your control panel: Raise your hand by Text us your question clicking this icon using this box
Thank You! Policy Update Community Health For more information: •West/Central: Needs Assessments Sheila Baxter sheila@healthycities.org New Requirements and Affordable Solutions •East: Megan Yee megan@healthycities.org
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