Community Benefit: Planning

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Community Benefit Planning Evaluation
1100 am session
2
Basic Steps in Community Benefit Planning and
Implementation
Determining What Counts
Building a Sustainable Infrastructure
Interrelated Interdependent Simultaneous
Accounting For Costs
Planning
Evaluating
Communicating
3
Basic Steps in Community Benefit Planning and
Implementation
Determining What Counts
Building a Sustainable Infrastructure
Interrelated Interdependent Simultaneous
Accounting For Costs
Planning
Evaluating
Communicating
4
Planning
5
Assess Needs and Assets

• Guidelines
• Form an assessment and planning work group
• Define community and scope of assessment
• Review and analyze available information
• Collect new information
• Assess community strengths

6
Form Workgroup Define Community
DefineCommunity

Assessment Planning Workgroup

• Geographic area
• Population subgroups
• Underserved areas
• Hospital targeted areas

• External
• Consumers
• Community organizations
• Public health
• Universities
• Business
• Foundations
• Others

• Internal
• Community benefit lead
• Information management
• Clinical staff
• Strategic planning
• Communications
• Board member
• Finance
• Others

Community Input
7
Collect Information (examples)

• Regulatory
• JCAHO
• NCQA/HEDIS
• Medicare QIO
• Medicaid Contracting
• Section 330 Requirements

• Secondary Data
• Past Assessments
• Health Department
• United Way
• Healthy People 2010
• Small area variation data

• Primary Data
• Surveys
• Questionnaires
• Interviews
• Forums
• Focus groups

• Organization Focus
• Medical Residency
• Programs
• Board focus
• Capital plans

State laws? Statewide/local coalitions? Politician
s interest? Business initiatives?
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Assess Community Strengths
What resources are available? skills,
partnerships, money

• Businesses
• Schools
• Churches
• Block clubs
• Parks
• Other health care providers

• Cultural groups
• Colleges and universities
• Government organizations
• Grassroots organizations
• Seniors

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Link with Organization Strategies
Clinical
Community Benefit Programs
Human Resources
Identified Community Needs
Finance
Link to Hospital Operations
Public Relations/ Marketing
Ancillary Services
10
Set Priorities

• Guidelines
• Review findings for problems, gaps, and potential
  indicators
• Identify priorities among problems

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Analyze and Prioritize

• Popular Methodologies
• Nominal Group Technique
• Brainstorming
• Storyboarding
• Force Field Analysis
• Fishbone (cause and effect) analysis
• 2 X 2 Matrix
• Process Mapping
• Multi Voting
• Value Analysis

• Basic Questions
• Importance of problem to community
• Scope of the problem
• Seriousness of the problem
• Effect on community if service offered
• Limiting factors
• Resources available
• Community-wide initiative or
• Organization sponsored initiative

12
Analyze and Prioritize
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Develop Plans

• Guidelines
• Participate in community-wide plans
• Develop a facility community benefit plan
• Develop an action plan for each program
• Make responsiveness to community needs part of
  the organizations plan

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Community Benefit Plan

• A community benefit plan is a document usually
  produced in conjunction with the health care
  organizations annual strategic plan that
  explicitly details how an organization intends to
  fulfill both its mission of community service and
  its charitable, tax-exempt purpose.
• It includes a description of community benefit
  priorities, programs, staffing and resources.

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Community Benefit Plan Template

• Mission Statement
• Geographic area and target population
• Assessment of community health needs and goals
• Problems organization will address directly and
  those addressed in collaboration with others
• Program goals and objectives
• Evaluation methodology
• Committed resources
• Invite community input

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Basic Steps in Community Benefit Planning and
Implementation
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Evaluating

• Guidelines
• Evaluate the overall structure of the community
  benefit program
• Evaluate how each program is carried out
• Evaluate the effectiveness of individual
  community benefit programs
• Evaluate the effectiveness of the overall
  community benefit program

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Evaluation
Evolving to Look at Impact Not Just Outcomes
Evaluation helps sustain a community benefit
program providing data for planning,
Communicating, and decision making
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Overall Program Evaluation
Organizational commitment?
Accountability of leaders staff?
Is the community benefit program working toward
its overall goals? Are the right problems being
addressed? Is the organization doing enough? Do
others view the organization as a community
benefit?
Internal policies?
Successful community partnerships?
Updated community needs assessment?
Adequate human and financial resources?
Short and long term goals in place?
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Individual Program Evaluation
Does the program Target a specific need? Continue
to be needed? Accomplish its purpose? Address
root causes of problems?
Outputs Number of classes Number of
volunteers Number of encounters Number of people
served
Outcomes/Impact Improved conditions Changed
behavior Increased skill Health improvement
Outcome Timelines Initial Intermediate Long-term
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Tools

• New resource
• Results-Based Accountability
• How to Make a Real Difference In Your Community
• Mark Friedman, Fiscal Policy Studies Institute