Phase 3, Community Health Status Assessment (CHSA)
According to NAACHO’s MAPP User Handbook:
“Completing the CHSA answers the following questions:
- “How healthy is the community?
- What does the health status of the community look like?” (NACCHO, 2013)
There are seven steps to completing the CHSA:
- “Step One: Create a Sub-Committee
- Step Two: Create a List of Indicators
- Step Three: Collect Data for Community Selected Indicators
- Step Four: Organize and Analyze Data
- Step Five: Compile and Disseminate Results
- Step Six: Create a System to Monitor Indicators Over Time
- Step Seven: Create a List of Challenges and Opportunities
- Step Eight: Share Results With Community” (NACCHO, 2013)
Students will complete the following steps of Phase Three, the CHSA:
-
Step One: Create a Sub-Committee
- Identify five positions found within the organizations identified as your MAPP Steering Committee who would make excellent members of the CHSA sub-committee (from page 54 of the MAPP User Handbook). Keep the following in mind when identifying positions:
- “The sub-committee should include members who
- Have access to data;
- Can analyze data;
- Can create a system for managing data;
- Have an interest in data.” (NACCHO, 2013)
- Step Three: Collect Data for Community Selected Indicators
- Present and discuss the status and epidemiology of the following (students should note that some of the information has already been researched for the Community Description). Use the most recent year data is available. Complete the CHSA Data Template and include it as an appendix in your paper:
- Birth rate
- Age-adjusted death rate including the leading causes of death
- Injury/violence/crime rate
- Behavioral risk factors (look to the state Behavioral Risk Factor Surveillance System for data – BRFSS), provide five of the following:
- Alcohol use
- Cardiovascular Disease
- Diabetes
- Nutrition
- Physical Activity
- Tobacco
- Weight Control
- Social determinants affecting health
- Economic Stability
- 100% and 200% of poverty levels
- Unemployment rate
- % housing rent vs. owned
- Education
- % high school, college and post college graduates
- Health and Health Care
- % Uninsured
- % using Medicaid
- Ratio of patients to primary care physicians (PCPs)
- Economic Stability
- Step Seven: Create a List of Challenges and Opportunities
- A narrative description of the highlights of the above information should be included in the body of the paper where a table of the requested data should be placed into an appendix. Be sure to highlight rates that the MAPP Steering Committee should seriously consider. Refer to page 60 of the MAPP User Handbook for a list of questions to help summarize the data researched for the CHSA.
Your paper should be typed, up to five (5) pages in length, and follow the APA Style which includes using a cover page, one inch margins, double spaced, and 12 inch Times New Roman font with a reference page.
Suggestions for Data Sources:
- State databases
- U.S. Census Bureau American Community Survey: www.census.gov/acs/www
- County Health Rankings: www.countyhealthrankings.org
- Community Commons’ Community Health Needs Assessment Toolkit: http://www.communitycommons.org/collections/Community-Health-Needs-Assessments
- Healthy People 2020: www.healthypeople.gov
- America’s Health Rankings, http://www.americashealthrankings.org
Applied:
PH Competency #3: Demonstrate competencies in biostatistics, epidemiology, and research methods in the community health analysis and plan.