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Rural Health
Resources by Topic: Needs assessment methods and resources

Engaging Tribal Nations of North Dakota in Conducting Community Health Assessments
Outlines the purpose and process of conducting a community health assessment (CHA) for Native American communities. Covers tribal public health policy and governance, community engagement in CHAs, steps for planning a CHA, working with data, and preparing a tribal community health improvement plan.
Date: 01/2017
Sponsoring organizations: American Indian Public Health Resource Center, North Dakota Department of Health and Human Services
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Improving Community Health through Hospital Community Benefit Spending: Charting a Path to Reform
Provides background on the origin and importance of nonprofit hospital community benefit spending, and explains the difference between community building and community benefit activities. Examines policy options that the IRS could use to enhance community benefit spending focused on improving social determinants of health community-wide. Includes rural-specific statistics and multiple comparisons of items identified in community health needs assessments (CHNAs).
Author(s): Sara Rosenbaum, Maureen Byrnes, Sara Rothenberg, Rachel Gunsalus
Date: 12/2016
Sponsoring organizations: George Washington University Milken Institute School of Public Health Department of Health Policy and Management, Milken Institute School of Public Health
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State Office of Rural Health Roadmap for Working with Vulnerable Hospitals
Toolkit designed to assist State Offices of Rural Health (SORHs) when working with vulnerable hospitals and communities. Outlines the types of technical assistance (TA) that SORHs may provide before and after hospital closures and includes resources to help SORHs facilitate that assistance. Provides a self-assessment to help SORHs determine their capacity and select the appropriate levels of TA, as well as sample Critical Access Hospital needs assessments and benchmarking reports.
Date: 10/2016
Sponsoring organization: National Organization of State Offices of Rural Health
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Conducting Community Health Needs Assessments: A Ten-Step Process
Outlines a 10-step process for conducting community health needs assessments centered around a broad-based Community Group. Based on a model developed by the National Center for Rural Health Works.
Date: 05/2016
Sponsoring organization: University of North Dakota Center for Rural Health
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Leveraging University-Community Partnerships in Rural Georgia: A Community Health Needs Assessment Template for Hospitals
Reports on a University of Georgia project where students and faculty conducted a community health needs assessment (CHNA) for a rural hospital. Provides a detailed, step-by-step description of the process used.
Author(s): Ayanna Robinson, Sabrina T. Cherry, Michelle Elliott, Marsha Davis, Grace Bagwell Adams
Citation: Journal of the Georgia Public Health Association, 5(4), 365-372
Date: 2016
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The Journey to Meet Emerging Community Benefit Requirements in a Rural Hospital: A Case Study
Historical review of relationships between government and nonprofit community hospitals, and case study of legislative mandates and community benefit requirements as applied by a small hospital in rural northern Indiana. Includes statistics with breakdowns comparing Wabash County Health with national benchmarks for selected health outcomes.
Author(s): Allison V. Sabin, Pamela F. Levin
Citation: Online Journal of Issues in Nursing, 21(1)
Date: 10/2015
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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals
Informs the efforts of state Flex Programs to support Critical Access Hospitals in conducting collaborative Community Health Needs Assessments. The results of these assessments can be used by hospitals as well as state Flex Programs to inform their ongoing strategic initiatives.
Author(s): John A. Gale, Andrew F. Coburn, Helen E. Newton
Date: 05/2014
Sponsoring organization: Flex Monitoring Team
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Community Health Needs Assessment Toolkit
Designed to help rural hospitals conduct a community health needs assessment, which is a requirement for all 501(c)(3) hospitals.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair
Date: 05/2012
Sponsoring organizations: National Center for Rural Health Works, Oklahoma Office of Rural Health
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Best Practices for Community Health Needs Assessment and Implementation Strategy Development: A Review of Scientific Methods, Current Practices, and Future Potential
Discusses how public health and non-profit hospitals can work together to assess community health and plan for improvement. Addresses reasons rural hospitals and public health can benefit from working together. Based on a July 2011 public forum convened by the Centers for Disease Control and Prevention.
Author(s): Kevin Barnett
Date: 02/2012
Sponsoring organization: Public Health Institute
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New Medical School Engages Rural Communities to Conduct Regional Health Assessment
Describes how a medical school in rural Pennsylvania partnered with local communities to inform the school's curriculum and research agenda.
Author(s): Mariana Garrettson, Vera Walline, Janelle Heisler, Janet Townsend
Citation: Family Medicine, 42(10), 693-701
Date: 11/2010
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