Community Health Planning Proposal

The first file attached states which community to focus on. The second file attached is an example paper. Also at the bottom of the article are the health disparities I chose two as stated above the bottom pages have more information as well. The assigned community is 2019 Community Health Needs Assessment Kaiser Foundation Hospital: Fremont. Also, please be sure to take a look at the health disparities chosen. So it is Fremont, California and the health disparities chosen are

Community & Family Safety

The scenario is that a donor in the community wants to give you $1,000,000 to address a priority health need or issue in the area. As a community health Planner, you have been asked to write a 2-3-page, double-spaced, proposal to make a case for your assigned community to get the funds. You have been specifically assigned a Community Needs Assessment (CHNA), attached below.

The health disparities that need to be focused on are

Healthcare Access and DeliveryCommunity & Family Safety

The paper needs to include the following information (for easy readability, answer each question in a separate section within the paper):

An overview of the demographics (age, race, gender, etc.) and health needs for your specific assigned community.

Which health disparity or disparities will your proposal focus on and why? Choose a maximumof 2 health disparities within the community. Compare the health disparity statistics to either the state or county, in order to show if the prevalence rate is higher or lower compared to your assigned community.

For each health disparity that your paper will focus on (maximum 2), develop a strategy to include the 4 steps listed below. Be specific on how you plan on addressing each health disparity.

What will be done?

When will the implementation of the strategy occur?

Determine what success will look like if you are given $1,000,000 and how long are you anticipating the money will last? 6 months? 1 year? 3 years?

What financial controls will be put in place to ensure the donated money is being used appropriately to minimize fraud

2019 Community Health Needs Assessment
Kaiser Foundation Hospital: Fremont
License number: 140000053
Approved by Kaiser Foundation Hospital Board of Directors’ Community Health Committee
September 16, 2019
Kaiser Permanente Northern California Region Community Benefit
CHNA Report for KFH-Fremont
Contents
I. Introduction/background ………………………………………………………………………………………….. 1
A. About Kaiser Permanente (KP) ……………………………………………………………………………. 1
B. About Kaiser Permanente Community Health ………………………………………………………… 1
C. Purpose of the Community Health Needs Assessment (CHNA) Report …………………….. 2
D. Kaiser Permanente’s approach to Community Health Needs Assessment…………………. 2
II. Community served …………………………………………………………………………………………………. 3
A. Kaiser Permanente’s definition of community served ………………………………………………. 3
B. Map and description of community served …………………………………………………………….. 3
i. Map ………………………………………………………………………………………………………………… 3
ii. Geographic description of the community served …………………………………………………. 4
iii. Demographic profile of the community served …………………………………………………….. 4
III. Who was involved in the assessment? …………………………………………………………………….. 6
A. Identity of hospitals and other partner organizations that collaborated on the assessment
……………………………………………………………………………………………………………………………. 6
B. Identity and qualifications of consultants used to conduct the assessment…………………. 7
IV. Process and methods used to conduct the CHNA …………………………………………………….. 7
A. Secondary data………………………………………………………………………………………………….. 7
i. Sources and dates of secondary data used in the assessment ………………………………. 7
ii. Methodology for collection, interpretation, and analysis of secondary data ………………. 7
B. Community input ………………………………………………………………………………………………… 8
i. Description of who was consulted ………………………………………………………………………. 8
ii. Methodology for collection and interpretation ………………………………………………………. 8
C. Written comments………………………………………………………………………………………………. 9
D. Data limitations and information gaps …………………………………………………………………… 9
V. Identification and prioritization of the community’s health needs ………………………………… 10
A. Identifying community health needs ……………………………………………………………………. 10
i. Definition of “health need” ………………………………………………………………………………… 10
ii. Criteria and analytical methods used to identify the community health needs ………… 10
B. Process and criteria used for prioritization of health needs …………………………………….. 12
C. Prioritized description of all the community needs identified through the CHNA………… 13
D. Community resources potentially available to respond to the identified health needs … 17
Existing Health Care Facilities …………………………………………………………………………………… 18
Existing Clinics & Health Centers ………………………………………………………………………………. 18
VI. KFH-Fremont 2016 Implementation Strategy evaluation of impact …………………………….. 18
A. Purpose of 2016 Implementation Strategy evaluation of impact ……………………………… 18
B. 2016 Implementation Strategy evaluation of impact overview…………………………………. 19
C. 2016 Implementation Strategy evaluation of impact by health need ………………………… 21
VII. Appendix ………………………………………………………………………………………………………….. 24
Appendix A. Secondary data sources and dates ………………………………………………………. 25
i. Secondary sources from the KP CHNA Data Platform …………………………………………. 25
ii. Other secondary data sources …………………………………………………………………………. 26
Appendix B. Community Input Tracking Form ………………………………………………………….. 28
Appendix C. Community resources…………………………………………………………………………. 31
Appendix D. Health Need Profiles…………………………………………………………………………… 47
I. Introduction/background
A. About Kaiser Permanente (KP)
Founded in 1942 to serve employees of Kaiser Industries and opened to the public in 1945,
Kaiser Permanente is recognized as one of America’s leading health care providers and
nonprofit health plans. We were created to meet the challenge of providing American workers
with medical care during the Great Depression and World War II, when most people could not
afford to go to a doctor. Since our beginnings, we have been committed to helping shape the
future of health care. Among the innovations Kaiser Permanente has brought to U.S. health
care are:
•
•
•
Prepaid health plans, which spread the cost to make it more affordable
A focus on preventing illness and disease as much as on caring for the sick
An organized, coordinated system that puts as many services as possible under one
roof—all connected by an electronic medical record
Kaiser Permanente is an integrated health care delivery system comprised of Kaiser Foundation
Hospitals (KFH), Kaiser Foundation Health Plan (KFHP), and physicians in the Permanente
Medical Groups. Today we serve more than 12 million members in nine states and the District
of Columbia. Our mission is to provide high-quality, affordable health care services and to
improve the health of our members and the communities we serve.
Care for members and patients is focused on their Total Health and guided by their personal
physicians, specialists, and team of caregivers. Our expert and caring medical teams are
empowered and supported by industry-leading technology advances and tools for health
promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease
management. Kaiser Permanente is dedicated to care innovations, clinical research, health
education, and the support of community health.
B. About Kaiser Permanente Community Health
For more than 70 years, Kaiser Permanente has been dedicated to providing high-quality,
affordable health care services and to improving the health of our members and the
communities we serve. We believe good health is a fundamental right shared by all and we
recognize that good health extends beyond the doctor’s office and the hospital. It begins with
healthy environments: fresh fruits and vegetables in neighborhood stores, successful schools,
clean air, accessible parks, and safe playgrounds. Good health for the entire community
requires equity and social and economic well-being. These are the vital signs of healthy
communities.
Better health outcomes begin where health starts, in our communities. Like our approach to
medicine, our work in the community takes a prevention-focused, evidence-based approach.
We go beyond traditional corporate philanthropy or grantmaking to pair financial resources with
medical research, physician expertise, and clinical practices. Our community health strategy
focuses on three areas:
KFH-FREMONT 2019 COMMUNITY HEALTH NEEDS ASSESSMENT
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•
•
•
Ensuring health access by providing individuals served at KP or by our safety net
partners with integrated clinical and social services;
Improving conditions for health and equity by engaging members, communities, and
Kaiser Permanente’s workforce and assets; and
Advancing the future of community health by innovating with technology and social
solutions.
For many years, we’ve worked side-by-side with other organizations to address serious public
health issues such as obesity, access to care, and violence. And we’ve conducted Community
Health Needs Assessments to better understand each community’s unique needs and
resources. The CHNA process informs our community investments and helps us develop
strategies aimed at making long-term, sustainable change—and it allows us to deepen the
strong relationships we have with other organizations that are working to improve community
health.
C. Purpose of the Community Health Needs Assessment (CHNA) Report
The Patient Protection and Affordable Care Act (ACA), enacted on March 23, 2010, included
new requirements for nonprofit hospitals in order to maintain their tax-exempt status. The
provision was the subject of final regulations providing guidance on the requirements of section
501(r) of the Internal Revenue Code. Included in the new regulations is a requirement that all
nonprofit hospitals must conduct a community health needs assessment (CHNA) and develop
an implementation strategy (IS) every three years (http://www.gpo.gov/fdsys/pkg/FR-2014-1231/pdf/2014-30525.pdf). The required written IS plan is set forth in a separate written document.
Both the CHNA Report and the IS for each Kaiser Foundation Hospital facility are available
publicly at https://www.kp.org/chna.
D. Kaiser Permanente’s approach to Community Health Needs Assessment
Kaiser Permanente has conducted CHNAs for many years, often as part of long-standing
community collaboratives. The new federal CHNA requirements have provided an opportunity to
revisit our needs assessment and strategic planning processes with an eye toward enhanced
compliance and transparency and leveraging emerging technologies. Our intention is to
develop and implement a transparent, rigorous, and whenever possible, collaborative approach
to understanding the needs and assets in our communities. 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.
Kaiser Permanente’s innovative approach to CHNAs include the development of a free, webbased CHNA data platform that is available to the public. The data platform provides access to
a core set of approximately 130 publicly available indicators to understand health through a
framework that includes social and economic factors, health behaviors, physical environment,
clinical care, and health outcomes.
In addition to reviewing the secondary data available through the CHNA data platform, and in
some cases other local sources, the KFH facility, with a collaborative, collected primary data
KFH-FREMONT 2019 COMMUNITY HEALTH NEEDS ASSESSMENT
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through key informant interviews and focus groups. Primary data collection consisted of
reaching out to local public health experts, community leaders, and residents to identify issues
that most impacted the health of the community. The CHNA process also included an
identification of existing community assets and resources to address the health needs.
The hospital/collaborative developed a set of criteria to determine what constitutes a health
need in their community. Once all the community health needs were identified, they were
prioritized, based on identified criteria. This process resulted in a complete list of prioritized
community health needs. The process and the outcome of the CHNA are described in this
report.
In conjunction with this report, KFH-Fremont will develop an implementation strategy for the
priority health needs the hospital will address. These strategies will build on Kaiser
Permanente’s assets and resources, as well as evidence-based strategies, wherever possible.
The Implementation Strategy will be filed with the Internal Revenue Service using Form 990
Schedule H. Both the CHNA and the Implementation Strategy, once they are finalized, will be
posted publicly on our website, https://www.kp.org/chna.
II. Community served
A. Kaiser Permanente’s definition of community served
Kaiser Permanente defines the community served by a hospital as those individuals residing
within its hospital service area. A hospital service area includes all residents in a defined
geographic area surrounding the hospital and does not exclude low-income or underserved
populations.
B. Map and description of community served
i. Map
KFH-FREMONT 2019 COMMUNITY HEALTH NEEDS ASSESSMENT
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KFH-Fremont Service Area
ii. Geographic description of the community served
The KFH-Fremont service area covers the southern part of the Alameda County. The cities
served include Fremont, Newark, and the southern part of Union City. The map above shows
the service area which also includes unincorporated areas.
iii. Demographic profile of the community served
The KFH-Fremont service area is racially and ethnically diverse, with over half of residents
(52%) identifying as Asian and nearly 17% identifying as Hispanic or Latinx. Overall, the service
area reports lower rates of people living in poverty and uninsured than the state average (6%
versus 16%; and 6% versus 13%, respectively).
KFH-FREMONT 2019 COMMUNITY HEALTH NEEDS ASSESSMENT
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Demographic profile: KFH-Fremont
Race/ethnicity
Total Population
Asian
Black
Native American/Alaska Native
Pacific Islander/Native
Hawaiian
Some other race
Multiple races
White
Hispanic/Latinx
51.7%
3.5%
0.5%
Socioeconomic Data
Living in poverty (