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Key findings from the last four years of County Health Rankings and other national reports.

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Specific Assessment Requirements

If members of your multi-sector team are planning to use your assessment effort to meet requirements related to the Affordable Care Act Provisions and Community Benefits or Public Health Accreditation, you may want to review additional resources.

Affordable Care Act Provisions Regarding Tax-Exempt Hospitals: Not-for-profit hospitals are now required to conduct a community health needs assessment at least once every three years. These assessments must use public data, engage community stakeholders and result in an implementation plan. Implementation plans must account for how current needs and ongoing gaps will be addressed. Use The Hilltop Institute’s Community Benefit State Law Profiles to learn more about your state’s community benefit law.

Assessing and Addressing Community Health Needs, developed by the Catholic Health Association, is a comprehensive guide to community health assessments. It incorporates requirements from both the 2010 Patient Protection and Affordable Care Act (PPACA) and the Internal Revenue Services.

Principles to Consider for the Implementation of a Community Health Needs Assessment Process identifies guiding principles to inform the implementation of the Affordable Care Act’s community health needs assessment provisions applicable to not-for-profit hospitals that seek federal tax-exempt status.

Public Health Accreditation uses standards and measures developed after a thorough process of study, vetting and testing. The governmental entity that has the primary statutory or legal responsibility for public health in a tribe, state, territory, or at the local level is eligible to apply for accreditation. Domain 1 (pp. 13-59) of the Public Health Accreditation Board’s Standards & Measures Version 1.5 document discusses the accreditation requirements related to assessment.

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