Download or read book Evaluating Hospital Community Benefit and Community Health Improvement Requirements written by Shelly Johnson (Ph. D.) and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Internal Revenue Service's (IRS) hospital community benefit standard aims to improve the community's health, it is a test the IRS uses to determine whether a hospital is organized and operated for the charitable purpose of promoting health. Participation in this program is required of all not-for-profit hospitals in the US, who spend billions of dollars annually in community benefit in place of taxes. Hospitals must annually submit IRS form 990 Schedule H and are required to report costs associated with their provision of community benefit spending. In addition, a hospital must conduct community health needs assessment (CHNA) and implementation plan (IP) every three years; list their health improvement activities and spending under the community health improvement category on the Schedule H IRS form. With annual spending of billions of dollars and minimal research, this is an opportunity to research whether these dollars are doing what the original law intended - to impact the community's health. To determine impact, County Health Rankings & Roadmaps (CHR&R) measures nearly every county's health in all 50 states and produces annual health outcomes and health factors scores. This dissertation aims to analyze the relationship between hospital community benefit spending and CHR&R scores, whether there is any difference between hospitals in Medicaid expansion states and non-expansion states in community benefit spending and explore a single hospital in a health award-winning community CHNA and IP. The study sample is rural, general acute care, not-for-profit hospitals in the US from a matched peer county group using the CHR&R county peer group 59. This study identified a weak, negative relationship between hospital community benefit spending and the CHR&R Outcomes scores (r=-.29, N=240) and a weak, positive relationship between hospital community health improvement spending and CHR&R Outcomes scores (r=.15, N=240). There is a weak, positive relationship between hospital community health improvement spending and CHR&R Factor scores (r=.29, N=240). Six counties at the individual county level had statistically significant findings between community benefit spending and CHR&R scores. This study identified a weak, negative relationship between hospital community benefit spending and the CHR&R Outcomes scores (r=-.29, N=240) and a weak, positive relationship between hospital community health improvement spending and CHR&R Outcomes scores (r=.15, N=240). There is a weak, positive relationship between hospital community health improvement spending and CHR&R Factor scores (r=.29, N=240). Six counties at the individual county level had statistically significant findings between community benefit spending and CHR&R scores. And lastly, in the Robert Wood Johnson Culture of Health award-winning community of Salinas, California, the sample hospital Salinas Valley Memorial Health System's CHNA and IP did meet the minimum IRS requirements. Still, they fell short of the best practices for community change found in the literature. The IP listed sources and was evidence-based; however, it was programmatic, not creating change at the system, policy, or environment level.
Download or read book Improving Health in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 1997-05-21 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Download or read book Hospitals Benefit to the Community Research Policy and Evaluation written by Connie J. Evashwick and published by Frontiers Media SA. This book was released on 2020-10-08 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: This eBook is a collection of articles from a Frontiers Research Topic. Frontiers Research Topics are very popular trademarks of the Frontiers Journals Series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area! Find out more on how to host your own Frontiers Research Topic or contribute to one as an author by contacting the Frontiers Editorial Office: frontiersin.org/about/contact.
Download or read book The Development and Management of Community Benefit Insight written by Alexa Ortiz and published by RTI Press. This book was released on 2022-07-14 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Community Benefit Insight (CBI) is a publicly available, web-based resource that aggregates US-based nonprofit hospital community benefit spending data reported to the Internal Revenue Service (IRS) from 2010 through 2019. CBI aims to display these data within a clear, approachable interface, making information easy for a user to find and interpret. By making these data available and accessible, CBI can help inform conversations and partnerships between nonprofit hospitals and community stakeholders. This paper provides an overview of the development of the infrastructure that supports CBI’s capabilities; how IRS-released community benefit spending data are prepared and maintained for CBI’s use; and how the tool is currently used, promoted, and evaluated to better meet user needs.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book A Guide for Planning and Reporting Community Benefit written by and published by . This book was released on 2015-10-09 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of this updated publication, A Guide for Planning and Reporting Community Benefit,is to help not-for-profit, mission-driven health care organizations develop, improve and accurately report on their community benefit programs. More specifically, it will help organizations:* Identify community health needs and plan to address those needs.* Make prudent choices for using scarce resources and evaluate the impact of those resources.* Understand the characteristics of programs and activities that are and are not reportable as community benefit.* Budget proactively for community benefit programs and activities.* Use standardized accounting and reporting approaches.* Build and strengthen relationships in the community for community health improvement.* Demonstrate accountability and transparency to their communities.
Download or read book Community Benefit Hindering Or Improving Community Health written by Mark Patrick Martz and published by . This book was released on 2013 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, under the provisions set forth by a policy known as community benefit, nonprofit hospitals receive special tax exemptions from government in exchange for providing a wide range of health care services to the communities in which they are located. In recent years, nonprofit hospitals have claimed billions of dollars as community benefit justifying their tax-exempt status. However, growing criticism by numerous stakeholders has questioned the extent to which the level of community benefit claimed by nonprofit hospitals reflects the exemptions they receive. In addition, a dearth of research exists to understand the relationship between community benefit claims and the impact they have on improving the health of communities. In an effort to better understand the relationship between community benefit claims, tax status, and community health outcomes this study examines the community benefit policies of a nonprofit healthcare system representing hospitals in California, Nevada, and Arizona. It does so by reviewing materials produced by the system, her hospitals, vested stakeholders, and government that have shaped the development, implementation, and assessment of community benefit policy processes. Findings of the study suggest that the majority of nonprofit hospital community benefit claims are consumed by shortfalls reported between costs associated with providing care to Medicare and Medicaid patients and the compensation nonprofit hospitals receive from government. Results of the study also demonstrate that community benefit policies do positively impact the health of communities. However, future community benefit policies need to be refined to include measures that capture the magnitude of community health improvement if the relationship between policy and health outcomes is to be fully realized.
Download or read book What s In What s Out written by Amanda Glassman and published by Brookings Institution Press. This book was released on 2017-10-10 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly. What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.
Download or read book Health Care Facilities and the Parish written by and published by . This book was released on 1989-01-01 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was developed to help community benefit leaders in health care organizations evaluate and report the impact of their community benefit efforts with a focus on evaluating community health improvement programs. While the content is primarily geared to staff members who work in the area of community benefit, it can also be used by others who need to understand how to assess evaluation findings and use those findings in their work.
Download or read book Vital Signs written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-26 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans? Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set. If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans.
Download or read book In the Nation s Compelling Interest written by Institute of Medicine and published by National Academies Press. This book was released on 2004-06-29 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.
Download or read book Community based Participatory Research written by United States. Agency for Healthcare Research and Quality and published by . This book was released on 2004 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nonprofit Hospitals Variation in Standards and Guidance Limits Comparison of How Hospitals Meet Community Benefit Requirements written by and published by DIANE Publishing. This book was released on with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Systems Practices for the Care of Socially At Risk Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-07 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
Download or read book Disease Control Priorities Third Edition Volume 2 written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Download or read book American Federalism in Practice written by Michael Doonan and published by Brookings Institution Press. This book was released on 2013-08-30 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today’s overheated political environment. Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children’s Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act. “Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government,” the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.
Download or read book Marketer s Guide to Community Benefit Reporting and IRS Form 990h written by Patsy Matheny and published by HC Pro, Inc.. This book was released on 2009-07-14 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Marketer's Guide to Community Benefit Reporting and IRS Form 990H Patsy Matheny, LLC Put the pieces of your organization's community benefit story together. It's the marketing department's responsibility to deliver a consistent, ongoing message that demonstrates an organization's commitment to improving the community's health status. A Marketer's Guide to Community Benefit Reporting and IRS Form 990H shows healthcare marketers how to gather data effectively from every corner of their organizations and how to use this information to promote their good deeds through tailored messages to multiple audiences on an ongoing basis. This book and CD-ROM package will explain: What qualifies as a community benefit activity. How to align community benefit activity with market strategy, mission, and values. How to tell your organization's community benefit story in a clear, compelling way. How to benchmark your community benefit activities. Complete with tools, sample essays, and other resources, A Marketer's Guide to Community Benefit Reporting and IRS Form 990H will help healthcare organizations stay competitive and avoid risking negative public and media attention. Who will benefit from this book? Anyone responsible for collecting, organizing, reporting, and championing community benefit activity, including: marketing, advertising, public relations, and community relations directors, VPs, and professionals; chief marketing officers, CEOs, CFOs, and marketing consultants.
