Abstract
<p><strong>Objective:</strong> To explore the use of Health Impact Assessments (HIAs) within non-profit hospital community benefit activities.</p><p><strong>Methods:</strong> We constructed case studies of three HIAs that were conducted in collaboration with Children’s Hospital Colorado as part of the hospital’s community benefit portfolio. These HIAs were part of a pilot that was funded by the Health Impact Project, a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts.</p><p><strong>Results:</strong> HIAs provided Children’s Hospital Colorado with a transparent and systematic process for generating evidence-based recommendations with community and stakeholder feedback within the hospital’s community benefit activities. HIAs were used to generate recommendations to inform community benefit planning activities and to generate public policy recommendations to enhance child health. The case studies highlighted several issues that need to be addressed in order to further advance the use of HIA within hospital community benefit activities including: use of HIA on explicit health issues, hospital capacity for HIA, potentially broadening the scope of HIA recommendations, and the use of HIA to generate recommendations from broad priority areas.</p><p><strong>Conclusion: </strong>HIAs can help meet the need for established, evidence-based, and stakeholder responsive tools and processes to be used within non-profit hospital community benefit activities. In meeting this need, the non-profit hospital community benefit area can potentially serve as a major institutional home for the practice of HIA. There is a need for additional research and practice innovation to further explore and refine the use of HIA within non-profit hospital community benefit activities. </p>
Highlights
The use of Health Impact Assessments (HIAs) in the United States (US) has grown rapidly over the last decade (Dannenberg, 2016)
We present perspectives of community stakeholders shared on the HIA process, followed by perspectives shared by Children’s Hospital Colorado staff on the utility of the specific HIA within the community benefit context
HIAs or HIA-like processes can potentially help meet the need for established, evidence-based, and stakeholder responsive tools and processes to be used within nonprofit hospital community benefit activities
Summary
The use of Health Impact Assessments (HIAs) in the United States (US) has grown rapidly over the last decade (Dannenberg, 2016). Two other interesting examples of HIA institutionalization are the Massachusetts Healthy Transportation Compact and the funding of HIAs in Alaska through the state’s natural resources permitting process (Anderson, Yoder, Fogels, Krieger, & McLaughlin, 2013; Massachusetts Department of Transportation, 2016). Both of these examples represent important advancements in the institutionalization of HIAs in the US.
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