The Iowa Department of Public Health offers the majority of these resources on their website, and we have included IDPH’s Guides as well as additional resources and templates for your use here.

CHNA & HIP Guide Summary

CHNA & HIP Guide Complete

Step 1: Adopt a Planning Structure

Timeline Sample

Planning Resources

Step 2: Identify & Engage Stakeholders as Partners

Invitation Letters

Stakeholder Engagement Resource SAMPLES

Step 3: Identify & Secure Resources


Step 4: Identify Data that Describes Community Health Status & Needs

Data Resources

County Data Links from IDPH

Maps of Health Needs by Iowa Public Health Focus Area
Healthy Behaviors

Nutrition and Weight Status: HP 2020 Category that includes needs relating to nutrition, obesity, and the overweight population.

Family Planning and Education: Includes needs in family planning, reproductive health, and responsible sexual behavior education.

Mental Health: Includes needs relating to mental illnesses, emotional and mental well being, and needs relating to specific disorders. This crosses over with Health Infrastructure as it includes needs such as a lack of mental health providers, limited availability of services, and the ability to meet mental health needs.

Environmental Health

Lead Poisoning: Includes needs related to childhood lead poisoning, screening, and lead abatement.

Water Quality: Includes needs relating to drinking water, surface water, septic infrastructure, and well testing and capping.

Prevent Injuries

Child Abuse and Child Safety: Includes needs related to intentional violence against children, physical abuse, and child safety.

Motor Vehicle Accidents: Includes needs relating to motor vehicle accident prevention, fatalities, operating vehicles while intoxicated, and distracted driving.

Prevent Epidemics

STD, HIV/AIDS: Includes needs related to sexual health, sexually transmitted diseases, and HIV/AIDS diagnoses and treatment.

Immunization: Includes needs in childhood immunizations, adult immunizations, and multicultural health immunization.

Emergency Response

Network Infrastructure and Communication: Includes needs related to narrow band radio conversion, communication plans, and other infrastructure needs.

Personnel and Volunteers: Includes needs related to lack of volunteers, human resource capacity, and training of staff in emergency response.

Health Infrastructure

Access to Health Services-Transportation: Includes needs pertaining to lack of transportation and its impact on health care access.

Access to Health Services-Insurance: Includes needs of lack of insurance, the underinsured, or access to health insurance.

Step 5: Analyze the Data & Develop a CHNA Summary

Step 6: Review Factors that are Important for Health & Well-Being (Priority Setting)

Step 7: Document Stakeholder Discussion & Invite Broader Community Participation & Input

Step 8: Develop the Action Plan/Health Improvement Plan (HIP)


  • County Health Rankings and Roadmaps ACTION CENTER – What works for health Each step on the Action Cycle is a critical piece of making communities healthier. There is a guide for each step that describes key activities within each step and provides suggested tools, resources, and additional reading. You can start at Assess or enter the cycle at any step. Work Together and Communicate sit outside because they are needed throughout the Cycle. At the core of the Action Cycle are people from all walks of life because we know we can make our communities healthier if we all get involved. Roadmaps to Health Coaching is available to provide local leaders with direct support in using Action Center tools and guidance to advance health.
  • Community Tool Box: University of Kansas resource provides tips and tools for taking action in communities.
  • Diet, Obesity, and Weight Stigma Reports and Policy Briefs: The Rudd Center, Yale University clearinghouse for resources related to nutrition and obesity.
  • Diet, Obesity, and Weight: Recommended Community Strategies and Measurements to Prevent Obesity – CDC’s comprehensive recommendations to promote healthy eating and active living and reduce the prevalence of obesity.
  • Disability Resources Database: A free information and referral service for Iowans with disabilities and their families and service providers. Provides information over the phone or by email about agencies and organizations that serve Iowans with disabilities.
  • Healthy People 2020: Get started implementing Healthy People 2020 in your community with tools and resources for planning a successful public health intervention. Whether you are new to the field or just brushing up on your knowledge, the Program Planning section of Tools & Resources walks you through the basics of planning, implementing, and tracking your public health program.
  • Population Health Driver Diagram: Steps to achieve health objectives using a tree diagram framework.
  • Primary Care & Public Health Integration: A 13-Minute Video Resource from the Institute of Medicine (IoM).
  • Sexual Health Education Toolkit: Videos, community resources, lesson plans, and fact sheets to promote wellness developed by the Sexual Health Alliance of Linn and Johnson Counties.
  • What Works for Health: Comprehensive information from the County Health Rankings initiative to help communities select and implement evidence-informed policies, programs, and systems change. The identified policies and programs are organized by specific health factors of interest (e.g., alcohol use under “Health Behaviors,” access to care under “Clinical Care,” community safety under “Social and Economic Factors,” etc.), or by the primary user (e.g., by community leader, health care professional, government official, educator).

Step 9: Implement, Track Progress, & Sustain the Process

Step 10: Establish & Implement a Communication Plan

Step 11: Evaluate Goals, Objectives, Strategies, & the Communication Plan

IDPH CHNA & HIP Reporting Tool (with instructions)

** Revised February 13, 2015 **


Community Health Needs Assessment (CHNA)