scholarly journals Joint Community Health Needs Assessments as a Path for Coordinating Community-Wide Health Improvement Efforts Between Hospitals and Local Health Departments

2018 ◽  
Vol 108 (5) ◽  
pp. 676-682 ◽  
Author(s):  
Erik L. Carlton ◽  
Simone Rauscher Singh
2019 ◽  
Vol 16 (9) ◽  
pp. 772-779 ◽  
Author(s):  
Meera Sreedhara ◽  
Karin Valentine Goins ◽  
Christine Frisard ◽  
Milagros C. Rosal ◽  
Stephenie C. Lemon

Background: Local health departments (LHDs) are increasingly involved in Community Health Improvement Plans (CHIPs), a collaborative planning process that represents an opportunity for prioritizing physical activity. We determined the proportion of LHDs reporting active transportation strategies in CHIPs and associations between LHD characteristics and such strategies. Methods: A national probability survey of US LHDs (<500,000 residents; 30.2% response rate) was conducted in 2017 (n = 162). LHDs reported the inclusion of 8 active transportation strategies in a CHIP. We calculated the proportion of LHDs reporting each strategy. Multivariate logistic regression models determined the associations between LHD characteristics and inclusion of strategies in a CHIP. Inverse probability weights were applied for each stratum. Results: 45.6% of US LHDs reported participating in a CHIP with ≥1 active transportation strategy. Proportions for specific strategies ranged from 22.3% (Safe Routes to School) to 4.1% (Transit-Oriented Development). Achieving national accreditation (odds ratio [OR] = 3.67; 95% confidence interval [CI], 1.11–12.05), pursuing accreditation (OR = 3.40; 95% CI, 1.25–9.22), using credible resources (OR = 5.25; 95% CI, 1.77–15.56), and collaborating on a Community Health Assessment (OR = 4.48; 95% CI, 1.23–16.29) were associated with including a strategy in a CHIP after adjusting for covariates. Conclusions: CHIPs are untapped tools, but national accreditation, using credible resources, and Community Health Assessment collaboration may support strategic planning efforts to improve physical activity.


Public Health ◽  
2018 ◽  
Vol 162 ◽  
pp. 118-125
Author(s):  
K. Ellis Hilts ◽  
J. Xia ◽  
V.A. Yeager ◽  
A.O. Ferdinand ◽  
N. Menachemi

2020 ◽  
Vol 2020 (1) ◽  
pp. 14116
Author(s):  
Geri Cramer ◽  
Gary J Young ◽  
Jean Mcguire ◽  
Simone Singh ◽  
Daniel Kim

2010 ◽  
Vol 35 (3) ◽  
pp. 285-293 ◽  
Author(s):  
Elizabeth Ablah ◽  
Kelly S. Konda ◽  
Kurt Konda ◽  
Mollie Melbourne ◽  
Julie Nelson Ingoglia ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Geri Rosen Cramer ◽  
Gary J. Young ◽  
Simone Singh ◽  
Jean McGuire ◽  
Daniel Kim

Abstract Background The Patient Protection and Affordable Care Act of 2010 (ACA) encouraged nonprofit hospitals to collaborate with local public health experts in the conduct of community health needs assessments (CHNAs) for the larger goal of improving community health. Yet, little is known about whether collaborations between local health departments and hospitals may be beneficial to community health. In this study, we investigated whether individuals residing in communities with stronger collaboration between nonprofit hospitals and local public health departments (LHDs) reported healthier behaviors. We further explored whether social capital acts as a moderating factor of these relationships. Methods We used multilevel cross-sectional models, controlling for both individual and community-level factors to explore LHD-hospital collaboration (measured in the National Association of County and City Health Officials (NACCHO) Forces of Change Survey), in relation to individual-level health behaviors in 56,826 adults living in 32 metropolitan and micropolitan statistical areas, captured through the 2015 Behavioral Risk Factor Surveillance System (BRFSS) SMART dataset. Nine health behaviors were examined including vigorous exercise, eating fruits and vegetables, smoking and binge drinking. Social capital, measured using an index developed by the Northeast Regional Center for Rural Development, was also explored as an effect modifier of these relationships. Results Stronger collaboration between nonprofit hospitals and LHDs was associated with not smoking (odds ratio, OR 1.32, 95% CI 1.11 to 1.58), eating vegetables daily (OR 1.29; 95% CI 1.06 to 1.57), and vigorous exercise (OR 1.17; 95% CI 1.05 to 1.30). The presence of higher social capital also strengthened the relationships between LHD-hospital collaborations and wearing a seatbelt (p for interaction = 0.01) and general exercise (p for interaction = 0.03). Conclusions Stronger collaboration between nonprofit hospitals and LHDs was positively associated with healthier individual-level behaviors. Social capital may also play a moderating role in improving individual and population health.


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