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Related Information

HAP Testimony
On preventing opioid addiction and related deaths (Oct 2015)

Fact Sheet
On PA hospital community benefit during 2014

Potential Vendor Contact Information
Potential vendors who have the capabilities to undertake a community health needs assessment project

Sample Request for Proposal for Vendor
Sample request for proposal for vendor to address community health needs assessment

Sample Request for Proposal
Sample request for proposal for community health needs assessment

Apple 2 Book
A guide for implementing community health improvement programs

Apple Book
A guide for assessing and improving health status

Collaborative Community Health Needs Assessment and Implementation
A presentation on facilitating collaboration, identifying next steps, and building a case for leadership (Nov 2014)

CHNA Round #2
New opportunities to collaborate on community health needs assessments (Oct 2014)

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Pennsylvania Hospitals Identify Population Health Needs through Community Health Needs Assessments

Community health needs assessments are being used by a majority of hospitals to assess population health needs. The process uses quantitative and qualitative methods to collect and analyze data to understand health within a specific community.

Once completed, community health needs assessment data informs hospital and community decisions about how to approach community health problems, and develop, implement, and evaluate improvement plans. 


HAP has produced an interactive state map to help outline life expectancy growth trends from 1980-2014.


Affordable Care Act Requirements

Hospitals often work with other community organizations that have shared goals when undertaking a community health needs assessment. 

Hospitals must adopt plans to meet the health needs identified, make the plans available to the public, and measure the success of the plans. For tax years beginning after March 23, 2012, hospitals must describe on their Form 990 how they are addressing these needs. 

If they can’t meet certain needs, they must explain why. Any hospital that fails to meet the Affordable Care Act requirements for community health needs assessments is subject to a $50,000 excise tax. 

Multi-facility/Regional Community Health Needs Assessments (CHNA)

During the fall of 2017, after receiving multiple inquiries from members about the next round of Affordable Care Act required CHNAs, HAP issued a Request for Proposal (RFP) to select vendors to facilitate multi-facility and/or regional CHNAs. In such an initiative, neighboring hospitals in close proximity or having overlapping service areas, could work with a vendor to meet the core requirements around data collection, focus group interviews, surveys, and data analysis, which are necessary for creating a cost conscious, comprehensive CHNA. The RFP identifies member discount pricing and previous experience with creating collaborative CHNAs as core requirements.

Following review of the RFP responses, HAP has selected two vendors that best meet our criteria—Baker Tilly and Tripp Umbach.

In addition to these firms’ significant experience in designing collaborative CHNAs, both organizations have offices in Pennsylvania.

To learn more about how this type of CHNA may benefit your organization, please contact the following representatives to set up an introductory call:

Internal Revenue Service Requirements

The Affordable Care Act implements the needs assessment requirement through changes in the Internal Revenue Code. The Internal Revenue Service's Schedule H form and instructions address how not-for-profit hospitals report community health needs assessment activities on their Form 990. Additionally, Schedule H, Part V, incorporates the requirements of the Internal Revenue Code Section 501(r) as contained in the Affordable Care Act. 

Addressing Food Insecurity

Collaborative Opportunities to Advance Community Health (COACH) is an initiative sponsored by The Hospital and Healthsystem Association of Pennsylvania that brings together hospital/health system, public health, and community partners to address community health needs in southeastern Pennsylvania.

Facilitated by the Health Care Improvement Foundation since its September 2015 launch, COACH has provided a structure for participants to explore collaborative implementation strategies as hospitals/health systems complete the current round of community health needs assessments and implementation plans mandated by the Affordable Care Act.

COACH participants have been working toward consensus on shared strategy(ies) for collective adoption and inclusion in implementation plans that were submitted during November 2016.

Through a structured process, COACH participants have prioritized strategies addressing healthy food access and access to care/services in order to promote chronic disease prevention and management.


Community Health Needs Assessment Resources

The Affordable Care Act requires tax-exempt hospitals to complete community health needs assessments at least once every three years and to adopt implementation strategies to meet the needs identified. This requirement is effective during tax years beginning after March 23, 2012, and is subject to a penalty of a $50,000 excise tax for failure to comply. 

Listed below are resources to assist hospitals and health systems with meeting the community health needs assessment requirement. 

Community Information Resources: 

University of Pittsburgh Community Health Needs Resources
Resources to help through all stages of the cycle 

County Health Profiles  UPDATED
The 2015 County Health Profiles are a series of 68 individual data listings for various health-related subject areas—one for each county and one for the commonwealth

PA Department of Health Resources 
Interactive health statistics web tool with a county assessment module

Pennsylvania Health Care Cost Containment Resources
This interactive county health profile allows the user to generate statewide or county-specific reports on inpatient hospital utilization

Public Health Management Corporation (Southeast PA Region)
Provides up-to-date and reliable community-level health and social service data

County Health Rankings
Health rankings for most U.S. counties based on certain measures of population health 

U.S. Census Bureau - State & County QuickFacts
Facts about people, business, and geography - data for all states and counties, and for cities and towns with more than 25,000 people 

Complete profiles of all U.S. cities including geographical data, state profiles, crime data, cost of living, housing, local poverty details, and more 

Pennsylvania Uniform Crime Reporting System
Crime statistics information 

Community Health Needs Assessment Tool Kits: 

Assessing and Addressing Community Health Needs
Helps not-for-profit health care organizations strengthen their assessment and community benefit planning processes 

Association for Community Health Improvement
A guide for planning, leading, and using community health assessments to improve the health of communities, including a model assessment process 

CDC’s Healthy Communities Program 
Helps community teams/coalitions develop their community action plan, provides assessment process, and helps define and prioritize areas of improvement

The Community Tool Box
A global resource for free information on essential skills for building healthy communities

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March 13, 2018

Organ Donation Legislation Considered in House Committee

Today, the Pennsylvania House Judiciary Committee passed legislation regarding organ donation laws. Senate Bill 108, sponsored by Senator John Sabatina (D-Philadelphia) and Senate Bill 180, sponsored by Senator Stewart Greenleaf (R-Montgomery), were both voted out of the committee as amended.

March 06, 2018

House Committee Hears from Top Health and Human Services Officials about State Budget

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February 21, 2018

Health Care Spending Associated with Obesity Grows 29% from 2001 to 2015

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February 19, 2018

PA Rural Hospital Leaders Speak at National Conference: “The Triple Aim is the right thing to do”

August 11, 2017

Tackling the high price of medications in PA: Why target 340B, a program for vulnerable patients and hospitals?

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June 06, 2017

Overdose Survivors in the ER: Seizing Opportunity within Tragedy

Hospital emergency rooms across the state are working to realize the potential for opportunity within the tragedy of Pennsylvania’s opioid epidemic. While caring for overdose survivors rescued from death, emergency rooms are working to foster connections that could help those patients recover their lives.

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