The Progress of US Hospitals in Addressing Community Health Needs.
Where this comes from
- Record sourced from PubMed, PMID 27997238.
- Also identified by DOI 10.2105/AJPH.2016.303570 and PMC identifier 5227938.
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Abstract
To identify how US tax-exempt hospitals are progressing in regard to community health needs assessment (CHNA) implementation following the Patient Protection and Affordable Care Act. We analyzed data on more than 1500 tax-exempt hospitals in 2013 to assess patterns in CHNA implementation and to determine whether a hospital's institutional and community characteristics are associated with greater progress. Our findings show wide variation among hospitals in CHNA implementation. Hospitals operating as part of a health system as well as hospitals participating in a Medicare accountable care organization showed greater progress in CHNA implementation whereas hospitals serving a greater proportion of uninsured showed less progress. We also found that hospitals reporting the highest level of CHNA implementation progress spent more on community health improvement. Hospitals widely embraced the regulations to perform a CHNA. Less is known about how hospitals are moving forward to improve population health through the implementation of programs to meet identified community needs.
Medical subject headings
- Community Health Planning
- Community Health Services
- Community-Institutional Relations
- Health Services Needs and Demand
- Needs Assessment