Community Health Needs Assessment
For years, many Minnesota hospitals and health
systems conducted formal or informal assessments of their communities’
needs and completing a Community Health Needs Assessment (CHNA) is a
federal requirement for private, non-profit hospitals. Part of the
Patient Protection and Affordable Care Act (ACA), the Community Health
Needs Assessment is additional criteria for hospitals to maintain their
tax-exempt, 501(c)(3) status. This requirement applies for tax years
beginning after March 23, 2012.
A hospital must complete a CHNA at least every three years with input
from the broader community, including public health experts. Hospitals
are then asked to describe how they are addressing needs identified in
the community health needs assessment as well as identify any needs not
being addressed and explain why not. CHNAs must be made widely
available, including through information on form 990s.
MHA has collected and analyzed 84 CHNAs from hospitals across the state. View MHA’s preliminary summary and a table showing highest priority community health needs. Individual hospitals' CHNAs can be found below by expanding the box below.
MHA reached four key conclusions based on the priority needs that each
hospital identified and intends to address in the years ahead:
Identifying and prioritizing
health needs are very community-centric activities, and each hospital and
its community sets their priorities and areas of focus in their own way.
- Despite Minnesota’s
nation-leading health care delivery system, securing access to care
remains a significant and high priority for many communities. Out of the
84 CHNAs, 33 indicated ensuring or increasing access to care and 15
specifically noted access to primary or specialty health care services are
among the most significant priorities in their community.
- Promoting wellness and
reducing obesity and its corresponding chronic diseases are nearly
ubiquitous needs that hospitals and communities across the state hope to
- Mental health and substance
abuse services are commonly identified as some of the most pressing needs
of communities of all sizes, locations and demographics. The growing
strains on current mental and behavioral health systems are no longer
regarded as sustainable, and 45 of the 84 CHNAs documented mental health
as a high priority and 27 noted forms of substance abuse areas as high
MHA plans to release additional reports and analysis from its CHNA
collection in the future.
MHA staff is available to offer assistance to hospitals in performing the CHNA. Please contact Kristin Loncorich, MHA director of government relations, 651-603-3526.
Click to expand the box below to view Minnesota hospitals' Community Health Needs Assessments.