3. 3
About Kaiser Permanente
Nationwide
Nation’s largest nonprofit health
plan
Integrated health care delivery
system
8.5 million members
14,000+ physicians
140,000+ employees
8 regions in 9 states and D.C.
32 hospitals and med centers
430+ medical offices
$37 billion annually
Description:
People:
Facilities:
Revenue:
CO
OR
CA
GA
OH
VA
MD
DC
HI
WA
5. Deploying Kaiser Permanente Assets for Total Health
1
Neighborhood /
Community
Society
Individual /
Family
Home / School /
Worksite
Community
Health
Initiatives
Environmental
Stewardship
Clinical Prevention
Access to Social
and Economic
Supports
Health Education
Public Education
Worksite
Wellness
Public Policy
Research
Physical and Mental Health Care
Walking
Promotion
Deploying All Kaiser Assets for Total Health
Purchasing and
Employment
Practices
7. Community Health Needs
Assessment Background
The Patient Protection and Affordable Care Act
(ACA) of 2010
Nonprofit hospital organizations required to
conduce a Community Health Needs Assessment
(CHNA) once every 3 years.
Required input from individuals in the community,
including:
public health experts,
residents, representatives or leaders
low-income, minority and medically underserved
populations and individuals with chronic disease
8. Purpose of the CHNA
Identify needs and resources in the community.
Adjust the needs assessment and planning
processes to better serve the community.
Adjust and improve the strategies and activities that
enrich the health of communities served by Kaiser.
Increase transparency and leverage community
assets.
9. Kaiser Permanente Community Health
Needs Assessment Process Map
worked together to establish an approach for implementing the new federally legislated CHNA.
From data collection and analysis to the identification of prioritized needs and the development
of an implementation strategy, the intent was to develop a rigorous process that would yield
meaningful results.
10. Methodology Overview
Methods Participants
Secondary Data
Sources
State & County data, Census data,
literature review
Focus Groups Service and education providers,
community leaders, and community
members (5 focus groups, avg. 40
people total)
Key Stakeholder
Interviews
Service and education providers and
community leaders (15 people total)
Online Survey Food assistance agencies (7 orgs total)
Community Forums Same participants in the focus groups
and key stakeholder interviews (3 w/ 39
participants total)
12. Mobilizing Action Toward Community
Health (MATCH)
National, state, and county/local
data.
Almost 100 national common
indicators closely aligned with
MATCH model
Demographics
Social & Economic Factors
Health Behavior
Physical Environment
Clinical Care
Health Outcomes
CHNA data platform
Literature review
14. Focus Groups and Key Stakeholder
Interviews
Stakeholders represented broad interests in the
community:
Special knowledge of or expertise in public health
Federal, tribal, regional, state or local health
departments or agencies
Leaders, representatives or residents of medically
underserved, low-income, minority populations and
those with chronic diseases
Other sources – consumer advocates, community-
based organizations, academic experts, local
government officials, health care providers or
private business
15. Focus Groups and Key Stakeholder
Interviews (Con’t)
Interviews and focus groups conducted by 2 staff
members and audio-recorded.
Interviews mostly in-person, but a few over the
phone.
Discussion questions in broad categories:
Health needs
Health barriers
Health assets
Qualitative data analyzed using a modified content
analysis to determine general themes & using
specific quotes.
17. Identifying Community Health
Needs
Secondary and primary data were analyzed.
Criteria to identify health needs:
Data indicators fare worse than Healthy People
2020 objectives and/or state averages
Health issues must be substantially mentioned by
at least 2 primary data sources
Health issues may be worsening over time
The possible links to other health issues
Many subpopulations impacted by the health issue
10-18 health needs identified throughout medical
centers
18. Process & Criteria for Prioritization
Community forums gathered stakeholders in the
same room to discuss and prioritize health needs
Two key prioritization methods:
Nominal Group Planning Process – deep
discussion around identified health needs
Simplex Method – quantitatively gathered
individual input via a close-ended survey for each
health need
Health need criteria – Severity and Trend
Severity and Trend scores were averaged and
composite scores was calculated to prioritize
the list of health needs.
19. Example –
Prioritized List for
Fontana Medical
Center
health need with secondary data and community input from the CHNA process, can
found in in Appendix A. The health need profiles also include data from both KFH-On
MCSA and San Bernardino County for comparison purposes.
Rank Health Need Severity Trends
Fontana
MCSA
Total
San
Bernardin
County
Total
1 Economic Instability 3.53 3.64 7.17 6.98
2 Mental Health 3.42 3.62 7.03 6.98
3 Health Care Access 3.58 3.33 6.92 6.76
4 Diabetes 3.28 3.52 6.80 6.62
5 Substance Use 3.27 3.33 6.61 6.75
6 Service Infrastructure 3.24 3.35 6.59 6.27
7 Overweight/ Obesity 3.12 3.15 6.27 6.31
8 Oral Health 2.96 3.30 6.26 6.42
9 Community Violence 2.77 3.09 5.86 6.07
10
Cardiovascular
Disease
2.79 2.90 5.69 5.68
11 Teen Pregnancy 2.62 2.82 5.44 5.31
12 HIV/AIDS & STDs 2.52 2.77 5.29 5.24
13 Cancer 2.40 2.87 5.27 5.32
14 Asthma 2.40 2.78 5.18 5.33
15
Prenatal/ Perinatal
Health
2.72 2.42 5.14 5.00
16 Hepatitis 2.18 2.36 4.55 4.68
21. Report was created which included:
Data and information about the
community
Methodology
Assets & resources in the
community
Profiles of each health need
Secondary data
Community input
Views about health issue
Populations/ areas most
affected
Challenges
Community assets
Community Health Needs
Assessment Report
22. Implementation Strategy Phase
Using the information gathered from the needs assessment to develop implementation goals,
strategies, and expected health outcomes for the next 3 years.
23. Resources
Kaiser Community Health Needs
Assessments (CHNA) and
Implementation Strategy Plans (IS)
http://share.kaiserpermanente.org/a
rticle/community-health-needs-
assessments/
