A Community Health Assessment or CHA refers to a systematic process that assesses and identifies key health needs and issues of a specific community. While a CHA does not provide a comprehensive review of all data, it can provide community organizations and members an overview of the health of their community, their needs, and help identify resources to address those needs. It is a snapshot of the community providing data on population level indicators related to many aspects of health. From this data, communities are able to prioritize strategies and activities that can improve health.
Local public health departments are required to conduct a CHA every five years and use this information as a guide with community partners to address health needs. Hospitals as a provision under the Affordable Care Act are required to conduct a Community Health Needs Assessment (CHNA) and adopt implementation strategies based on the CHNA every three years. In most communities, hospitals and local public health departments work together to conduct a community health assessment in collaboration with the communities they serve.
Community organizations are also interested in information from a CHA and can use it to inform their specific community plans (economic and workforce development plans, strategic plans, etc.).
Information included in a CHA is obtained through a variety of systematic, comprehensive data collection and analysis processes. Various methods are used to collect data and information from the community, and this information is then analyzed to determine the top health needs in the community.
Information can be obtained using:
• Surveys to community members and community organizations
• Interviews with community members and representatives of community service organizations
• Focus groups or community conversations
• Information from core data sets
A variety of information is collected, compiled and analyzed for a CHA. This can include information about:
• Demographics or the make-up of a community (total population including % of women and men; age groups; race; etc.)
• Social and economic makeup of the community (education, income and employment levels, etc.)
• Birth and death rate data
• Disability and injury
• Community safety (violence, racism, etc.)
• Health behaviors (tobacco use, alcohol and other substances, nutrition, physical activity, etc.)
• The physical and natural environment of the community (air and water quality, opportunities to access recreational areas, transportation etc.)
• Health care and public health systems
• Health disparities and health inequities
Aside from local health departments and health care systems, many community partners can find value in this Community Health Assessment. Using the results, partners can begin to address public health issues affecting their communities. The following are a few examples of those community partners:
• Businesses
• Community coalitions
• Faith based organizations
• Law enforcement agencies
•Local municipalities
• Neighborhood associations
• Residents
• Schools and higher education institutions
• Service organizations
• Other governmental agencies