The Progress of US Hospitals in Addressing Community Health Needs

Bibliographic Data

ID11026211
AuthorsGeri Rosen Cramer (Geri Rosen Cramer, Stephen Flaherty, and Gary J. Young are with the Bouvé College of Health Sciences and the Center for Health Policy and Healthcare Research at Northeastern University, Boston, MA. Gary J. Young is also with the D'Amore-McKim School of Business, Northeastern University. Simone R. Singh is with the Department of Health Management and Policy, University of Michigan, Ann Arbor.), Geri Cramer (Northeastern University), Simone R Singh (Geri Rosen Cramer, Stephen Flaherty, and Gary J. Young are with the Bouvé College of Health Sciences and the Center for Health Policy and Healthcare Research at Northeastern University, Boston, MA. Gary J. Young is also with the D'Amore-McKim School of Business, Northeastern University. Simone R. Singh is with the Department of Health Management and Policy, University of Michigan, Ann Arbor.), Stephen Flaherty (Geri Rosen Cramer, Stephen Flaherty, and Gary J. Young are with the Bouvé College of Health Sciences and the Center for Health Policy and Healthcare Research at Northeastern University, Boston, MA. Gary J. Young is also with the D'Amore-McKim School of Business, Northeastern University. Simone R. Singh is with the Department of Health Management and Policy, University of Michigan, Ann Arbor.), Gary J Young (0000-0002-4223-9971, Geri Rosen Cramer, Stephen Flaherty, and Gary J. Young are with the Bouvé College of Health Sciences and the Center for Health Policy and Healthcare Research at Northeastern University, Boston, MA. Gary J. Young is also with the D'Amore-McKim School of Business, Northeastern University. Simone R. Singh is with the Department of Health Management and Policy, University of Michigan, Ann Arbor.)
Year2017
Volume107
Issue2
Pages255-261
Publication date2017-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2016.303570
PMID27997238
OpenAlexW2566331559
LanguageEN
Citations received15
References cited8

Objectives. To identify how US tax-exempt hospitals are progressing in regard to community health needs assessment (CHNA) implementation following the Patient Protection and Affordable Care Act. Methods. We analyzed data on more than 1500 tax-exempt hospitals in 2013 to assess patterns in CHNA implementation and to determine whether a hospital’s institutional and community characteristics are associated with greater progress. Results. Our findings show wide variation among hospitals in CHNA implementation. Hospitals operating as part of a health system as well as hospitals participating in a Medicare accountable care organization showed greater progress in CHNA implementation whereas hospitals serving a greater proportion of uninsured showed less progress. We also found that hospitals reporting the highest level of CHNA implementation progress spent more on community health improvement. Conclusions. Hospitals widely embraced the regulations to perform a CHNA. Less is known about how hospitals are moving forward to improve population health through the implementation of programs to meet identified community needs

Environmental health · Family medicine · MEDLINE · Political science · Health Policy Implementation Science · Healthcare Policy and Management · Law · Medicine · Public Health Policies and Education · Gerontology

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