Community Health Improvement Plan Review Checklist

Community Health Improvement Plan Review Checklist

Community Health Improvement Plan Review Checklist

For community health improvement plan guidance, visit:

Review Characteristics / Found on Page(s) / Not Found / Notes
Dated within past five years[1] / ☐ /
Includes full name of community health board or local health department on cover[2] / ☐ /
Describes jurisdiction for which the plan is created[3] / ☐ /
Describes health inequities in the jurisdiction for which the plan is created[4] / ☐ /
Names (e.g., MAPP, etc.[5]) and/or describes process used to complete planning[6] / ☐ /
Lists community stakeholders[7] who participated in planning process[8] / ☐ /
Documents that community health assessment information was shared with participants[9] / ☐ /
Lists issues and themes identified by stakeholders in the community[10] / ☐ /
Identifies community assets and resources[11] / ☐ /
Describes how community was engaged throughout the planning process[12] / ☐ /
Describes a process to set health priorities[13] / ☐ /
Describes the desired measureable outcomes or indicators of health improvement and priorities for action[14] / ☐ /
Describes consideration of addressing social determinants of health, causes of higher health risks and poorer health outcomes of specific populations, and health inequities[15] / ☐ /
Describes policy changes needed to accomplish health objectives[16] / ☐ /
Lists individuals and organizations that have accepted responsibilities for implementing strategies[17] / ☐ /
Demonstrates consideration of state and national priorities[18] / ☐ /
Includes justification for why each issue is a priority[19] / ☐ /
Includes at least one priority aimed at addressing a social determinant of health that arose based on health inequities that were identified in the jurisdiction[20] / ☐ /

1

[1]Public Health Accreditation Board (PHAB) Measures 5.2.2 Documentation Guidance #1.
Minnesota Statute.

[2]National Association of County and City Health Officials (NACCHO) Recommended CHA/CHIP Characteristics Checklist.

[3]PHAB Standard 5.2.

[4]NACCHO Recommended CHA/CHIP Characteristics Checklist.

[5]Models suggested by PHAB include: MAPP, Healthy Cities/Communities.
Other tools that could be adapted include: Community Asset Mapping, MDH Model, NPHPSP, Healthy People 2020, PACE-EH. Community health boards can use a blend of these or a process of their own design.

[6]PHAB Measure 5.2.1 Documentation Guidance #1.

[7]Community health boards should identify at least three sectors, in addition to public health. MDH strongly encourages community health boards to collaborate with non-profit hospitalswho are required to conduct a community health needs assessment and adopt an implementation strategy.

[8]PHAB Measure 5.2.1 Documentation Guidance #1a.

[9]PHAB Measure 5.2.1 Documentation Guidance #1b.

[10]PHAB Measure 5.2.1 Documentation Guidance #1c.

[11]PHAB Measure 5.2.1 Documentation Guidance #1d.

[12]Minnesota Department of Health (MDH) Local Public Health Assessment and Planning Guidance.

[13]PHAB Measure 5.2.1 Documentation Guidance #1e.

[14]PHAB Measure 5.2.2 Documentation Guidance #1a.

[15]Ibid.

[16]PHAB Measure 5.2.2 Documentation Guidance #1b.

[17]PHAB Measure 5.2.2 Documentation Guidance #1c.

[18]PHAB Measure 5.2.2 Documentation Guidance #1d.

[19]NACCHO Recommended CHA/CHIP Characteristics Checklist.
MDH Local Public Health Assessment and Planning Guidance.

[20]PHAB Measure 5.2.2 Documentation Guidance #1a.
NACCHO Recommended CHA/CHIP Characteristics Checklist.