GCC Health & Medical Question

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.

The CHNA identifies the priority health needs of a specific geographic area. You are to develop a proposal for getting the funds from this concerned donor.

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.

  1. Which health disparity or disparities will your proposal focus on and why? Choose a maximum of 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.
  2. 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?Who is going to be the lead and work on it?When will the implementation of the strategy occur?How will success be measured (Develop a Metric to measure anticipated targeted improvement compared to the baseline, if available).
  3. 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?
  4. What financial controls will be put in place to ensure the donated money is being used appropriately to minimize fraud?

I have uploaded a file of my Community Needs Assessment (CHNA), please go based on that!

2019 Community Health Needs Assessment
Kaiser Foundation Hospital: Downey Medical Center
License number: 930000078
Approved by Kaiser Foundation Hospitals Board of Director’s Community Health Committee
September 16, 2019
Kaiser Permanente Southern California Region Community Benefit
CHNA Report for KFH-Downey
I. Introduction/background
A. About Kaiser Permanente (KP)
B. About Kaiser Permanente Community Health
C. Purpose of the Community Health Needs Assessment (CHNA) Report
D. Kaiser Permanente’s approach to Community Health Needs Assessment
II. Community served
A. Kaiser Permanente’s definition of community served
B. Map and description of community served
i. Map
ii. Geographic description of the community served
iii. Demographic profile of the community served
iv. Severely under-resourced communities
III. Who was involved in the assessment?
A. Identity of hospitals and other partner organizations that collaborated on the assessment
B. Identity and qualifications of consultants used to conduct the assessment
IV. Process and methods used to conduct the CHNA
A. Secondary data
i. Sources and dates of secondary data used in the assessment
ii. Methodology for collection, interpretation, and analysis of secondary data
B. Community input
i. Description of who was consulted
ii. Methodology for collection and interpretation
C. Written comments
D. Data limitations and information gaps
V. Identification and prioritization of the community’s health needs
A. Identifying community health needs
i. Definition of “health need”
ii. Criteria and analytical methods used to identify the community health needs
B. Process and criteria used for prioritization of health needs
C. Prioritized description of all the community needs identified through the CHNA
D. Community resources potentially available to respond to the identified health needs
VI. KFH-Downey 2016 Implementation Strategy evaluation of impact
A. Purpose of 2016 Implementation Strategy evaluation of impact
B. 2016 Implementation Strategy evaluation of impact overview
C. 2016 Implementation Strategy evaluation of impact by health need
VII. Appendices
Appendix A. Secondary data sources and dates
i. Secondary sources from the KP CHNA Data Platform
ii. Additional sources
Appendix B. Community input tracking form
Appendix C. Health Need Profiles
Appendix D. Community resources
Appendix E. Strategic Lines of Inquiry for Community Engagement
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 healthcare. Among the innovations Kaiser Permanente has brought to U.S. health care

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
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:

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
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
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 includes 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 120 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, hospitals operating in the Southern California
Region utilized the Southern California Public Health Alliance’s Healthy Places Index Platform,
which includes approximately 80 publicly available community health indicators with resolution
at the census tract level.
In addition to reviewing and analyzing secondary data, each KFH facility, individually or with a
collaborative, collected primary data through key informant interviews, focus groups, and
surveys. 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.
Each 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
In conjunction with this report, KFH-Downey 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
B. Map and description of community served
i. Map
Figure A – KFH-Downey Service Area
ii. Geographic description of the community served
The KFH-Downey service area includes Artesia, Bell, Bell Gardens, Bellflower, Cerritos,
Commerce, Compton, Cudahy, Downey, Florence-Graham, Hawaiian Gardens, Huntington
Park, Lakewood, Lynwood, Maywood, North Long Beach, Norwalk, Paramount, Pico Rivera,
Santa Fe Springs, South Gate, portions of South Los Angeles, Vernon, Watts, Whittier, and
Willowbrook. The service area consists of portions of Service Planning Area’s (SPA’s) 6 and 7
in Los Angeles County.
iii. Demographic profile of the community served
The following table includes race, ethnicity, and additional socioeconomic data for the KFHDowney service area. Please note that ‘race’ categories indicate ‘non-Hispanic’ population
percentage for Asian, Black, Native American/Alaska Native, Pacific Islander/Native Hawaiian,
Some Other race, Multiple Races, and White. ‘Hispanic/Latino’ indicates total population
percentage reporting as Hispanic/Latino.
Table 1. Demographic profile: KFH-Downey1
Total Population
Living in Poverty (

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