CHA CHIP has more than a 30-year history in Iowa and represents vital local action to promote and protect the health of Iowans. At least every five years, local public health assures a community-wide process takes place to identify the most important factors affecting health in the community and to plan strategies to build on strengths and work on gaps. These CHA CHIP discussions form the foundation for statewide planning and action to improve the health of all who live, work and play in Iowa.

Federal requirements for nonprofit hospitals to conduct community health needs assessments every three years present an opportunity for hospitals and local public health to join forces to identify needs and craft strategies for meeting them. Working together can result in greater collaboration between hospitals and local public health and an initiation of new partnerships. Both groups in the health system stand to gain from the relationship. Even more important, the community benefits when data, resources, and expertise are shared to attain the common goal of a healthier community.

CHA CHIP Reporting and Guide

An overview of the CHA CHIP process and reporting timelines for local public health. It is important to note that the CHA CHIP program is currently being redeveloped.

Step-by-Step CHA CHIP Guide

The following CHA CHIP guide consists of basic steps and tools for community assessment and planning. Key elements include an analysis of community health needs and assets and developing a set of priorities and objectives for taking action. The process calls for community-wide participation in shaping decisions about improving the community’s health and mobilizing support and resources. The basic steps in the guide are consistent with the assessment and planning requirements in the Public Health Accreditation Board (PHAB) Public Health Standards (Domains 1 and 5) and IRS requirements for tax-exempt hospitals based on Section 501(r)(3) of the Patient Protection and Affordable Care Act . However, additional documentation is required to demonstrate compliance with PHAB and IRS requirements. See the documents referenced above for specific documentation requirements.

CHA CHIP - Resources

Resources for Developing, Implementing, Tracking, and Evaluating Health Improvement Strategies 

  • Community Tool Box: University of Kansas resource provides tips and tools for taking action in communities and evaluating progress.
  • Guide to Community Preventive Services: Learn how this CDC guide can help hospitals, public health agencies, and other stakeholders make decisions about adopting evidence-based strategies for improving community health.
  • 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).