272941 Assessing and responding to community health needs in the PPACA Era: An integrated system's approach from Kaiser Permanente Community Benefit

Wednesday, June 27, 2012 : 11:30 AM - 11:50 AM

Jean Nudelman, MPH , Community Benefit Program, Kaiser Permanente, Oakland, CA
     
The Patient Protection and Affordable Care Act (PPACA) requires all not-for-profit hospitals to conduct a community health needs assessment (CHNA) every three years and to adopt an implementation strategy to meet the identified needs. While California-based not-for-profit hospitals have had to comply with a similar requirement as part of SB 697, for most hospitals this will be a significant new undertaking. Hospitals will need to define their community served, identify opportunities for collaboration, develop processes for gathering and interpreting data, and apply criteria for prioritizing and addressing community health needs.

Addressing the needs of our communities aligns with Kaiser Permanente's mission to improve the health of the communities we serve. However, as an integrated hospital system comprised of a health plan, hospitals and a physician group, KP is facing unique challenges and opportunities to meeting these hospital-based CHNA requirements. KP operates approximately 40 hospitals, each of which provides community benefit to their local communities and also operates as part of a larger integrated system. In addition, KP as a system supports allowable community benefit programs such as work force development and research, which address needs that do not traditionally show up in hospital-based needs assessments. Meeting the new requirements presents an important opportunity for KP as an integrated system, to review and refine our approach community benefit and to better assess and meet the needs of the communities we serve. Kaiser Permanente has developed a unique approach, and tools including shared indicators and a web based data platform that we are making available to our communities to support meeting these requirements leading to improving the health of our communities.

Learning Areas:
Public health or related research

Learning Objectives:
1. Describe generally the new requirement, set forth in PPACA, of not-for-profit hospitals to conduct a community health needs assessment every three years. 2. Articulate some key components of the regulation including required data to be collected, input from community members and public health experts, and publicizing results. 3. Describe potential challenges for hospitals to meet these requirements and opportunities for collaboration 4. Analyze Kaiser Permanente's unique resources, challenges, and strategies, as an integrated system, to interpret and meet the new requirements.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am responsible for Kaiser Permanente's Northern California Region's contributions programs, which provided over $20 million in grants to community partners in 2012. I lead the Kaiser Permanente's region strategy for developing,implementing and using community health needs assessment to enhance the health of the communities served by Kaiser Permanente.I was trained as a community health planner, and have extensive experience in community based health planning in public and private health organizations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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