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Provides an efficient, non-intensive, low-cost process suitable for state professionals, consultants, or hospitals choosing self-directed implementation. 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Executive Overview  \n“The 2010 Affordable Care Act” requires that all 501(c)(3) hospitals conduct a community health needs assessment. The purpose of this template is to provide a relatively quick, non-intensive process to complete the requirement for rural hospitals. The template is designed for state level professionals such as state offices of rural health, state hospital associations, state cooperative extension agencies, health departments, or consultants to facilitate the process in rural hospitals at no or low cost to the hospitals. The template is also relatively easy to adopt if hospitals desire to conduct the assessment themselves. All data sources and materials for implementation are included, with additional assistance available from the National Center for Rural Health Works ([www.ruralhealthworks.org](www.ruralhealthworks.org)) .  \nAn overview of the template is presented in Figure 1. The facilitator and steering committee will oversee the entire process. The facilitator could be a hospital employee or an outside professional from a state agency or a consultant. The steering committee is a small group (three to five members) that will oversee the process. The steering committee members would typically be the hospital administrator, hospital marketing personnel, health department representative, hospital board member, or others identified by the hospital administrator. The responsibilities of the steering committee include:  \n• Activities Prior to Community Meeting \\#1  \n􀂾 Designate Medical Service Area  \n􀂾 Select/Invite Community Advisory Committee  \n􀂾 Hospital Services/Community Benefits  \n􀂾 Demographic & Economic Data Report  \n􀂾 Economic Impact Report  \n􀂾 Community Input Tool  \n• Activities Prior to Community Meeting \\#2  \n􀂾 Summary Report of Community Input Process  \n􀂾 Health Indicator/Health Outcome Data Report  \nFigure 1. Overview of Community Health Needs Assessment Template for a Two-Meeting Process  \n\n| Facilitator and Steering Committee\u003Cbr>• Responsibilities\u003Cbr>• Timeline |  |\n| --- | --- |\n|  |  |\n| Activities Prior to Community Meeting \\#1\u003Cbr>• Designate Medical Service Area\u003Cbr>• Select/Invite Community Advisory Committee\u003Cbr>• Hospital Services/Community Benefits\u003Cbr>• Demographic & Economic Data Report\u003Cbr>• Economic Impact Report\u003Cbr>• Community Input Tool |  |\n|  |  |\n| Activities Prior to Community Meeting \\#2\u003Cbr>• Summary Report of Community Input Process\u003Cbr>• Health Indicator/Health Outcome Data Report |  |\n|  |  |\n| Post-Meeting Activities\u003Cbr>• Publish Community Health Needs/Develop Action plan\u003Cbr>• Implement Action Plan with Partners Steering Committees may opt to have 3-4 meetings |  |\n\n| Community Advisory Committee\u003Cbr>• Number\u003Cbr>• Members\u003Cbr>• Responsibilities |  |\n| --- | --- |\n|  |  |\n| Community Meeting \\#1\u003Cbr>• Purpose and Responsibilities\u003Cbr>• Share Hospital Medical Service Area\u003Cbr>• Share Hospital Services/Community Benefits\u003Cbr>• Present Demographic & Economic Data Report/Discussion\u003Cbr>• Present Economic Impact Report/Discussion\u003Cbr>• Present Community Input Tool\u003Cbr>􀂾 Survey Questionnaire\u003Cbr>􀂾 Focus Groups |  |\n|  |  |\n| Community Meeting \\#2\u003Cbr>• Review Reports from Meeting \\#1\u003Cbr>• Present Community Input Process Results\u003Cbr>• Present Health Indicator/Health Outcome Data\u003Cbr>• List and Prioritize Community Health Needs\u003Cbr>• Develop Action Plan |  |\n\nPost-Meeting Activities  \n􀂾 Publish Community Health Needs/Develop Action plan  \n􀂾 Implement Action Plan with Partners  \nThe template proposes that two to four meetings b","cbCaiu7bbXUWEvV1","https://ap.wps.com/l/cbCaiu7bbXUWEvV1","pdf",101898,"English","# Executive Overview\n## Facilitator and Steering Committee\n## Timeline and Meeting Activities\n## Community Advisory Committee\n## Post-Meeting Activities","[{\"question\":\"Who is the intended user of this community health needs assessment template?\",\"answer\":\"State-level professionals, consultants, and rural hospital teams can use the template, including facilitators and steering committee members to support completion at no or low cost.\"},{\"question\":\"What roles does the facilitator and steering committee play?\",\"answer\":\"The facilitator and steering committee oversee the full process. The steering committee is a small group that manages key responsibilities such as planning, data reporting, and guiding outcomes from community input.\"},{\"question\":\"What outputs are generated from the two-meeting process?\",\"answer\":\"The process generates four products: the hospital’s economic impact, a demographic and economic data report, a health indicator/health outcome data report, and a summary of results from the community input process, culminating in an action plan.\"}]","COMMUNITY HEALTH NEEDS ASSESSMENT - Template for Community Health Needs Assessment - Action Plan | PDF",1789239247]