2. Status of CHA
• Completed and released a community health status report.
• Partnered with our Hospitals to work together for a
comprehensive CHA and for the CHIP.
• Preparing to perform last three MAPP assessments:
– Forces of Change Assessment (3 hour meeting): Focuses on
the identification of forces such as legislation, technology and
other impending changes that affect the health of our
community. January 2013
– Community Themes and Strengths Assessment (2 hour
meeting): Provides insight into the thoughts, opinions and
concerns of the community. February 2013
– Local Public Health System Performance Assessment (all day
event): Identifies capacity and capability of the local public
health system. March 2013
3. Status of CHA
• What we have learned:
– A community health assessment must be done in
partnership with outside agencies
• And that it is continuous
– Internal DOH CHA committee must represent all
Divisions within a Health Department
• Environmental data was absent from our CHA process
– Community requesting analysis of data at a smaller
geographic area than County level
– Difficult to complete a CHA when data isn’t easily
accessible
4. Tools Utilized
• Community Health Status report:
– Health Status Interview (2169 interviews)
– MICH State accreditation requirements for a CHA
• Mo. Vital records
• BRFSS
• State Cancer Registry
• Mo PAS
• Bureau of the Census
– Utilized outside expertise for sub-county analysis
5. Tools Utilizing
• Mobilizing for Action through Planning and
Partnership Framework:
– Forces of Change assessment
– Community Themes and Strengths assessment
– Local Public Health System Assessment
• Environmental Health Status Profile
– Fairfax County Virginia Health Status Profile
– Our own indicators from our Community Health
Status report and internal End of year program
reports
6. Barriers & Steps to Overcome
• Externally
– Accessing data/Local and State Data workgroup
• Internally
– Each Division must have access to data analysis
expertise /PHAB domain gap analysis
– Lack of personnel to continuously monitor and
update the CHA
7. What We Will Do Differently the Next
Time
(Our Recommendations)
• We will start using the MAPP process from the
beginning
– LPHSPA instrument is key
• We will have an internal and external CHA
committee representing all divisions
• Organizing internal structure by having the
appropriate staff involved
