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Advancing Community Hospitals



Community Health Needs Assessment and Implementation Strategy


With the passing of the Patient Protection and Affordable Care Act, hospitals have faced many changes. The federal health reform legislation includes four new requirements for not-for-profit, charitable hospitals. As stated within the regulations, not-for-profit hospitals must:

  • Conduct a Community Health Needs Assessment (CHNA) once every three years and develop a plan to meet the health needs of the community;
  • Implement and communicate a charity care policy;
  • Limit charges to patients eligible for charity care to the lowest amount charged to individuals with insurance; and
  • Use aggressive collection efforts only after exhausting attempts to determine eligibility for charity care.

 Our CHNA Process


For Community Health Needs Assessments, specific regulations have been finalized as of December 29, 2014. CHC abides by the finalized regulations for our CHNA and implementation plan reports by including the following elements:

  • Description of the hospital’s mission, vision, values, services and biographical information; 
  • Definition and analysis of study area demographics and health status, including a review of state and local data; 
  • Community input from persons with special knowledge of public health and leaders or members of medically underserved, low-income or minority populations; 
  • Facilitation of prioritization process to determine most significant needs; 
  • Listing of prioritized health needs of the community from facilitated process; 
  • An implementation strategy that describes how the hospital plans to meet the health need, or identifies the health need as one the hospital does not intend to meet and explains why; 
  • Description of resources available in the community to meet identified needs; 
  • Description of any information gaps; 
  • Evaluation of impact of any actions that were taken, since the hospital facility finished conducting its immediately preceding CHNA; and 
  • Description of how to provide feedback to facility on existing CHNA and Implementation Plan.

The federal guidelines require that the Community Health Needs Assessment and Implementation Plan be adopted by an authorized governing body of the hospital before the last day of the taxable year or previous two taxable years. If needed, the Implementation Plan has an additional four and a half months for adoption after the end of the taxable year in which the hospital facility is required to complete its CHNA report.


Want to learn more?

  • Download a PDF that outlines our Community Health Needs Assessment and Implementation Strategy process.
  • Contact David Domingue, Senior Vice President of Business Development at (972) 943-6451 or fill out the contact form.

We help hospital leaders develop a shared vision and actionable strategy to yield immediate and future results.

Advancing Community Hospitals