Currently our resource page includes information to support Community Health Needs Assessment and Health Improvement Plans and increasing the collaborative efforts amongst diverse stakeholders within a community.

The following is a combined resource guide and toolkit adopted from various sources including: Iowa Department of Public Health, CDC ADP Resources, Scott County Public Health in Iowa, QCHI – Quad City Health Initiative (coalition), County Health Rankings and Roadmaps at the University of Wisconsin, and Community Commons a project of University of Missouri.


As provisions of the Affordable Care Act require each non-profit hospital facility in the US to conduct a community health needs assessment (CHNA) and adopt an implementation strategy to meet identified community health needs, we believe that a collaborative approach to fulfilling this requirement is advantageous. It is our understanding that in conducting the CHNA, non-profit hospitals are required to take into account input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. We believe that it is important and cost-effective to strategically align our community health assessment efforts with other assessment initiatives such as those of non-profit hospitals. We have access to resources that will provide information about how best to conduct a collaborative community health assessment.

The requirement to conduct a CHNA presents an opportunity for collaboration between local health departments (LHDs) and hospitals or hospital organizations to (1) conduct and disseminate results of health assessments; (2) identify historically marginalized communities and unmet needs; (3) plan and implement local strategies to improve the health of communities; (4) support evaluation efforts ; (5) assist in advocacy efforts to assure the implementation of effective programs; and (6) strengthen emergency preparedness response and recovery by aligning hospital and LHD planning.

Many local health departments and hospitals have successfully conducted collaborative community health assessments independent from external requirements. Hospitals, LHDs, and other community partners can pool resources to conduct comprehensive community health assessments that benefit multiple stakeholders and the community-at-large. The ACA CHNA requirement provides additional incentive for communities with existing partnerships to build upon their collaborative work and incentive for communities without a history of collaborative community health assessment to begin working together.

Resources from the Association on Community Health Improvement:

Find Additional Resources on these pages:

Community Health Needs Assessment and Health Improvement Plan (CHNA & HIP) Guide

Best Practices for Community Health Needs Assessment and Implementation Strategy Development: A Review of Scientific Methods, Current Practices, and Future Potential

Additional Resources: IDPH Guides

Data Resources

About CHNA Toolkit