Healthy People 2020 and Social Determinants of Health

NACCHO's partnership with Healthy People 2020 (HP 2020) is designed to support and increase the use of HP 2020 among local health departments (LHDs), non-profit hospitals, and other organizations related to community health assessment and improvement planning. All programmatic activities will be designed to support the HP 2020 ten-year agenda for improving the Nation's health.

With fewer resources and staff, many LHDs face significant challenges in providing essential services that ensure the health and safety of their communities. The HP 2020 approach offers an evidence-based, easy-to-use tool designed to aid LHDs and other organizations in community health assessment work.

The HP 2020-NACCHO Partnership is sponsored by the U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion.

The Community Health Improvement Matrix (CHIM) was developed to gain a better understanding of the current state of Local Health Department's Community Health Improvement Plans and Non-profit Hospital's Implementation Plans in relation to Social Determinants of Health. For more information on the Matrix and related resources. The Model can facilitate collaboration between local health departments and non-profit hospitals on planning improvement/implementation activities, designating appropriate leads and addressing the social determinants of health.

Overview of the Community Health Improvement Model

Community Health Improvement Matrix: Research Brief 

Community Health Improvement Model Template 

Online resources for assessing and measuring Social Determinants of Health

NACCHO has compiled a set of resources to support LHDs seeking answers to commonly asked questions about how to select indicators, access data, and map social determinants of health.

Tips for Transitioning from Healthy People 2010 to 2020

HP 2020 builds upon four previous Healthy People publications. However, there are major differences between HP 2010 and HP 2020, resulting in some confusion over many of the HP 2020 targets and delayed uptake of HP 2020 as a resource for community health assessment and improvement planning at the state and local level. This document lists strategies on how best to use the HP2020 framework, and transitioning from HP 2010 to HP 2020. View the document here.

Exercise: Social Determinants of Health in your community

This exercise can be used to assist you in determining if the types of data you have that describe health in your community are indicators of social inequities, institutional power, neighborhood conditions, risk behaviors, disease & injury, or mortality using the BARHII model.

Resources for Social Determinants of Health Indicators

When thinking about the social determinants of health, there are several perspectives you may take as you pursue data collection for the assessment component of your improvement process. This resource provides a brief description of key steps you may want to consider or take and provides a list of indicators you may want to consider using in your CHA to examine the social determinants of health.

NACCHO is continually developing stories from the field about health departments conducting a community health assessment and developing a community health improvement plan using Healthy People 2020. Check back often as new stories will be posted periodically.

NACCHO Annual 2013Audio-visual clips from five local health department on the use of Healthy People in community health assessment and improvement planning. Recorded during NACCHO's 2013 Annual Conference in Dallas, voices from Georgia, Florida, Kansas, Kentucky and Montana are included.

Plumas County Public Health Agency Collaborative CHA and CHIP: A look at how three hospitals, one local health department, and a tribal health clinic in this small, rural county are navigating past organizational mistrust, competing priorities, and strong intra-community identities to examine their community's health status and take action to improve health and well-being.

San Francisco Department of Public Health Collaborative CHA and CHIP: With collective impact as their primary goal, take a look at how eight hospitals, one local health department, and many other partners are working to identify the salient issues in their CHNA and taking action to improve the health of San Franciscans in implementing their CHIP.

Norwalk Health Department Collaborative CHA and CHIPA look at a strengths-based partnership between the local health department and the hospital in Norwalk, Connecticut, that embodies nearly seamless co-leadership of a community health improvement process yielding a community health (needs) assessment and CHIP. For this group, their ability to recognize their strengths and limitations is the foundation of their work.

NACCHO Annual 2013 Preconference SessionThe Florida Department of Health in Miami-Dade County used Healthy People in various Performance Improvement efforts, including strategic planning, quality improvement, accreditation, community health assessment and community health improvement planning. Recorded during NACCHO's 2013 Annual Conference in Dallas.

Using Healthy People 2020 to collaborate on assessment and planning: A look at the dynamic processes of community engagement and partnership efforts using the Mobilizing for Action through Planning and Partnerships (MAPP) framework. The Cobb & Douglas Public Health presentation  focuses on building strong relationships with schools, organizations, businesses and key decision-makers in the community to support “Healthier Lives. Healthier Communities."

Healthy! Capital Counties Collaborative CHA and CHIPIn the Greater Capital Area of Michigan, three local health departments and four hospital systems collaborated to complete a regional CHA and CHIP that emphasized addressing the root causes of poor health outcomes. Here is a look at how they worked together and how they're moving forward to take action to improve health.

Gallatin City-County Health Department Collaborative CHA and CHIP: A look at how a local health department and local hospital in Bozeman, Montana are working together to apply community health assessment results to improve health in a rural and large area in the heart of the Rocky Mountains.

NACCHO Annual 2013 Preconference Session: The Yellowstone County, MT local health department doing business as Riverstone Health, together with St. Vincent's Healthcare and Billings Clinic, used Healthy People in community health assessment and community health improvement planning activities for a community with both rural and urban challenges. Recorded during NACCHO's 2013 Annual Conference in Dallas.

Community Indicators Consortium: 2014 IMPACT Summit: A look at Cuyahoga County’s (Ohio) social justice approach to their collaborative community health improvement process, and how, as a result, they are addressing health inequities in the community. – Presentation recorded during the Community Indicators Consortium: 2014 IMPACT Summit, Washington, DC.

A look at how one community in Portland, Oregon is collaborating with four local health departments and 14 non-profit hospitals to conduct a regional community health needs assessment.

Hospitals, Public Health Creating Community ValuePractical Tools for Moving Into Implementation: Background on  Wisconsin (WI) communities are conducting the community health improvement process under the WI statutory requirement for health departments to develop a community health improvement plan and process (CHIPP) and an in depth look at two rural counties where hospitals and public health are collaborating in their CHIPP efforts.

Recently, NACCHO convened partners and leaders from the local, state and national level for a working meeting on moving forward community health (needs) assessment and improvement planning as a field to assure the conditions in which people can be healthy. Materials and resources from the meeting can be found below. 

Resources

Presentations

Provisions of the Patient Protection and Affordable Care Act (ACA) require each non-profit hospital facility in the United States to conduct a community health needs assessment (CHNA) and adopt an implementation strategy to meet identified community health needs. In conducting the CHNA, non-profit hospitals are required to take into account input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health.

NACCHO is committed to helping local health departments (LHDs) strategically align their community health assessment efforts with other assessment initiatives such as those of non-profit hospitals. The resources below provide information to help LHDs and non-profit hospitals utilize Healthy People 2020 (HP 2020) to conduct collaborative community health assessment and improvement processes.

The reports, webinars, and other tools listed below provide information to help local health departments (LHDs), non-profit hospitals, and other organizations conduct collaborative community health assessment and improvement processes using Healthy People 2020 (HP 2020).

 Presentations

The Community Health Improvement Matrix: an effective tool for implementation planning: These PowerPoint slides are taken from a presentation given at the Association for Community Health Improvement's 2015 Annual meeting. Presenters Barbara Laymon, Lead Program Analyst at NACCHO, Reena Chudgar, Program Analyst at NACCHO and Ed Gerado from Bon Secours Health System. The Healthy People 2020 Social Determinants of Health framework using the Community Health Improvement Matrix is highlighted.

Healthy People 2020: Local Action Leading to Better Health and Well-Being: These PowerPoint slides are from a presentation given by Barbara Laymon, Lead Program Analyst at NACCHO, at the American Public Health Association 2013 Annual meeting. The presentation was part of a session on Healthy People 2020: Addressing social determinants to achieve health equity.

Performance Improvement through Healthy People: These Powerpoint slides outline the application of the Healthy People framework to various aspects of performance improvement, including accreditation, quality improvement, performance management, community health assessment, community health improvement planning and agency strategic planning.

Social Determinants of Health in Community Health Assessment and Improvement Planning: These PowerPoint slides are taken from a presentation given at the Association for Community Health Improvement's 2014 Annual meeting. Presenters Barbara Laymon, Lead Program Analyst at NACCHO and Reena Chudgar, Program Analyst at NACCHO. The Healthy People 2020 Social Determinants of Health framework is highlighted.

Introduction to the Social Determinants of Health and Health Inequities: Click here to access the presentation slides.

Reports

Healthy People and MAPP: Survey Findings on Connections, Collaborations, and Challenges: NACCHO surveyed the 434 participants of the Mobilizing for Action through Planning and Partnerships (MAPP) social network site regarding their use of MAPP and HP 2020. This 18-page report describes the current MAPP activity of participants, their views of the impact of MAPP on community health assessment processes and health outcomes, and information regarding the use of HP 2020 within community health assessment activities.

HP2020 in assessment and planning 

How To Use Healthy People in Your Assessment and Planning Efforts. Community health assessment and improvement planning can be overwhelming, but HP 2020 can make it easier. NACCHO created a series of short videos, each under three minutes, to showcase how elements of HP 2020 can assist assessment and planning activities. There are five videos total, including topics such as:

Archived Webinar: Considering Health Equity in Community Health Improvement Planning

This 60 minute webinar is part of NACCHO''s Performance Improvement Technical Assistance Webinar Series and includes information on the importance of social justice in CHA and CHIP work, types of information necessary for assessing and addressing health inequities, tools for understanding and measuring health inequities as part of a community health improvement process, and more.

  • Watch the free archived recording of this webinar.
  • Access the presentation slides.