Abstract
Currently, Community Health Needs Assessment (CHNA) reports lack a standard structure, making it difficult to derive meaningful information. However, they have the potential to be a useful tool for analyzing pediatric outcomes, guiding resource allocation, and linking to Patient-Centered Outcomes Research Institute priorities. The objective was to evaluate the utility of CHNA for informing future pediatric, patient-centered outcomes research. The authors analyzed CHNA documents, published before July 1, 2016 by 61 nonprofit hospitals, focusing on 4 metropolitan areas in Florida: Miami, Orlando, Tampa, and Jacksonville. Out of 18 health priorities identified, access to care and obesity were universally recognized as the most urgent pediatric health needs across all hospital types and metropolitan regions. This analysis also yielded insights into key regional differences. The authors advocate that a major change in the CHNA format be implemented using a common set of domains to produce meaningful, interpretable, and comparable results that inform and guide patient-centered health outcomes research.
Highlights
A major aim of this study is to evaluate how the Community Health Needs Assessment (CHNA), collated from 4 metropolitan regions in Florida, can be used to identify critical pediatric health needs across these communities
This study explored linkages between CHNAs and Patient-Centered Outcomes Research Institute (PCORI) goals, with recommendations to better standardize the CHNA process
To evaluate the current health needs of Florida’s pediatric patients, CHNA reports were examined for all nonprofit hospitals providing pediatric care, including municipal hospitals
Summary
The optimal CHNA process attempts to align several different resources to achieve maximum community benefits.[3] Hospitals gather both qualitative and quantitative health data on their surrounding community. Quantitative data are gathered from secondary resources, such as local health departments, National Institutes of Health, Centers for Disease Control and Prevention, Census Bureau, and other large databases. Information obtained from these resources (eg, prevalence data, socioeconomic indicators) is prioritized and matched with a hospital’s strengths and capacity to determine the areas that can be impacted most significantly by applying public health resources.[3]
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