Community Health Assessments and Community Health Improvement Plans for Accreditation Preparation Demonstration Sites

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The "Accreditation Preparation: Community Health Assessments (CHAs) and Community Health Improvement Plans (CHIPs) Demonstration Project" was in place from April 2011 through December 2012 and offered demonstration grants of $35,000 coupled with intensive training and technical assistance to 12 LHDs to undertake a community health improvement process that yields a high quality CHA and CHIP, two of the three accreditation prerequisites. NACCHO was pleased to offer this opportunity with support from the Robert Wood Johnson Foundation.

In addition to supporting general approaches to this work, the project supported several project-specific approaches to develop CHAs and CHIPS.

The project aimed to support all LHDs in their CHA/CHIP efforts. The CHA/CHIP Resource Center provides practical, customizable tools; resources, including the demonstration site CHA and CHIP examples; and webinar trainings to LHDs to assist them in completing a community health improvement process. Visit the CHA/CHIP Resource Center here.

In the Spotlight

CHA/CHIP Demonstration Site Final Reports Now Available

Each of the 12 demonstration sites wrote and submitted final reports at the end of the grant period that contain detailed information on their efforts to conduct the CHA and develop the CHIP with a particular focus on community engagement, partner collaboration and social determinants and health equity. Additionally, the reports highlight reflections and advice given by the health departments on their project-specific approach(es). Although lengthy, the reports contain rich information and are searchable via bookmarks within each document.

Edits were made to the reports by NACCHO to exclude individual names when they may not be otherwise publicly affiliated with the project and to ensure reports were useful to the public. Every effort was made to ensure the intent of the information was not altered.

The reports were written by the health departments and any views and contents expressed are not those of NACCHO. Demonstration project faculty are mentioned in some of the site reports as these individuals provided training and technical assistance to sites and any mention of these individuals or organizations or other consultants are not intended to be endorsements.

See below to access each site's report.

The CHA/CHIP Demonstration Sites

For more information about each demonstration site, and to access their final project reports, click on the demonstration site name to be directed to more information. See below for a map of the demonstration sites.

City of Austin Health and Human Services, TX

Gallatin City-County Health Department, MT

Norwalk Health Department, CT

Barry-Eaton District Health Department, MI

East Central Kansas Public Health Coalition, KS

Alachua County Health Department, FL

Kittitas County Health Department, WA

New Orleans Health Department, LA

Central Valley Health District, ND

Plumas County Public Health Agency, CA

San Francisco Department of Public Health, CA

Thomas Jefferson Health District, VA

CHA/CHIP Demonstration Sites Information

»	General Applicant - No project-specific approach
	Austin/Travis County Health and Human Services Department– Austin, TX Final Report Health Department Website City of Austin Health and Human Services (Austin/Travis County Health and Human Services; A/TCHHSD) is a city-county health department. A/TCHHSD reports that it serves approximately 1,024,266 people in urban, rural and suburban areas of the City of Austin and Travis County.

»	Approach 1: LHDs that co-lead the community health improvement process with a non-profit hospital(s)
	Gallatin City-County Health Department – Bozeman, MT Final Report Health Department Website Gallatin City-County Health Department (GCCHD) is a city-county health department. GCCHD reports that it serves approximately 90,000 people in primarily rural and suburban areas. Norwalk Health Department– Norwalk, CT Final Report Health Department Website Norwalk Health Department (NHD) is a city health department. NHD reports that it serves approximately 85,000 people in primarily urban and suburban areas.

»	Approach 3: Two or more LHDs with a formal agreement to share services who jointly conduct the community health improvement process
	East Central Kansas Public Health Coalition, KS Final Report Lyon County Health Department - Emporia, KS Lyon County Health Department will jointly undertake the community health improvement process with seven LHDs that are described below. Lyon County Health Department (LCHD) is a county health department. LCHD reports that it serves approximately 35,000 people in primarily semi-urban areas. Partnering LHD 1: Chase County Health Department - Cottonwood Falls, KS Chase County Health Department (CCHD) is a county health department. CCHD reports that it serves approximately 2,800 people primarily in frontier areas. Partnering LHD 2: Coffey County Health Department - Burlington, KS Coffey County Health Department (CCHD1) is a county health department. CCHD1 reports that it serves approximately 8,701 people primarily in rural areas. Partnering LHD 3: Greenwood County Health Department - Eureka, KS Greenwood County Health Department (GCHD) is a county health department. GCHD reports that it serves approximately 6,666 people primarily in rural areas. Partnering LHD 4: Franklin County Health Department - Ottawa, KS Franklin County Health Department (FCHD) is a county health department. FCHD reports that it serves approximately 26,400 people primarily in semi-urban areas. Partnering LHD 5: Morris County Health Department - Council Grove, KS Morris County Health Department (MCHD) is a county health department. MCHD reports that it serves approximately 6,104 people primarily in rural areas. Partnering LHD 6: Osage County Health Department - Lyndon, KS Osage County Health Department (OCHD) is a county health department. OCHD reports that it serves approximately 16,135 people primarily in rural areas. Partnering LHD 7: Wabaunsee County Health Department - Alma, KS Wabaunsee County Health Department (WCHD) is a county health department. WCHD reports that it serves approximately 7,053 people primarily in rural areas. Healthy! Capital Counties, MI Final Report Healthy! Capital Counties Collaborative Website Barry-Eaton District Health Department will jointly undertake the community health improvement process with two LHDs that are described below. Barry-Eaton District Health Department (BEDHD) is a district health department serving two counties. BEDHD reports that it serves approximately 164,511 people in Eaton County and 106,077 in Barry County in urban, rural and suburban areas. Partnering LHD 1: Ingham County Health Department - Lansing, MI Ingham County Health Department (ICHD) is a county health department. ICHD reports that it serves approximately 280,895 people in urban and suburban areas. Partnering LHD 2: Mid-Michigan District Health Department - Stanton, MI Mid-Michigan District Health Department (MMDHD) is a district health department that serves three counties. MMDHD reports that it serves approximately 180,400 people total and 75,382 in Clinton County in rural and suburban areas.

»	Approach 5: LHDs that receive assistance in undertaking the community health improvement process from academic institutions
	Alachua County Health Department – Gainesville, FL Final Report Health Department Website Alachua County Health Department (ACHD) is a county health department and part of Florida's centralized public health system. ACHD reports that it serves approximately 248,855 people in primarily urban and rural areas. Kittitas County Public Health Department- Ellensburg, WA Final Report Health Department Website Kittitas County Public Health Department (KCPHD) is a county health department. KCPHD reports that it serves approximately 40,500 people in primarily rural areas.

»	Approach 6: LHDs that partner with a public health institute in the community health improvement process
	New Orleans Health Department– New Orleans, LA Final Report Health Department Website New Orleans Health Department (NOHD) is a city health department. NOHD reports that it serves approximately 343,829 people in primarily urban areas.

»	Multiple project-specific approaches The following LHDs have chosen to fulfill multiple project-specific approaches in undertaking their community health improvement process
	Central Valley Health District – Jamestown, ND Final Report Health Department Website Approach 1: LHDs that co-lead the community health improvement process with a non-profit hospital; and Approach 2: Regional or district LHDs in which the CHA and CHIP reflect the needs of all governmental jurisdictions. Central Valley Health District (CVHD) is a district LHD serving two counties. CVHD reports that it serves approximately 23,090 people in primarily rural areas. Plumas County Public Health Agency - Quincy, CA Final Report Health Department Website Approach 1: LHDs that co-lead the community health improvement process with multiple non-profit hospitals; Approach 4: LHDs that collaborate with a tribe in its jurisdiction; and Approach 5: LHDs that receive assistance in undertaking the community health improvement process from academic institutions. Plumas County Public Health Agency (PCPHA) is a county health department. PCPHA reports that it serves approximately 20,000 people in primarily rural and frontier areas. San Francisco Department of Public Health - San Francisco, CA Final Report Health Department Website Approach 1: LHDs that co-lead the community health improvement process with multiple non-profit hospitals; and Approach 5: LHDs that receive assistance in undertaking the community health improvement process from academic institutions. San Francisco Department of Public Health (SFDPH) is a city-county health department. SFDPH reports that it serves approximately 815,000 people in primarily urban areas. Thomas Jefferson Health District - Charlottesville, VA Final Report Health Department Website Approach 2: Regional or district LHDs in which the CHA and CHIP reflect the needs of all governmental jurisdictions; and Approach 5: LHDs that receive assistance in undertaking the community health improvement process from academic institutions. Thomas Jefferson Health District (TJHD) is a district health department serving five counties. TJHD reports that it serves approximately 234,712 people in urban, suburban and rural areas.

To access the CHAs and CHIPs from the demonstration sites, visit the examples tab on the CHA/CHIP Resource Center.

Map of CHA/CHIP Demonstration Sites