Community Health Improvement

NNPHI and its member public health institutes (PHIs) are engaged in numerous Community Health Assessment (CHA) and Community Health Improvement (CHIP) initiatives with a broad range of partners, including public health departments, hospitals, and community-based organizations. As trusted conveners with expertise in facilitation, data collection and synthesis, and partner engagement, PHIs are ideally situated to provide support to a range of organizations in their collaborative CHA/CHIP efforts. 



Community Health Improvement Capacity Building Webinars and Case Studies

This series of webinars and case studies developed in collaboration with the NNPHI Community Health Improvement Work Group aims to build the capacity of public health institutes to use specific community health improvement tools and techniques.

  • Rapid Regional Community Health Assessment: A Gulf Coast Case Study (PDF, 1,771 KB)
    May 2014. NNPHI and LPHI.
    This case study focuses on a rapid regional community health assessment process developed and implemented by the Louisiana Public Health Institute (LPHI) to inform funding and resource allocation decisions for community health centers in the Gulf Coast region following the Deep Water Horizon oil spill in 2010. The rapid timeline and regional scope of this project were determined by the Deep Water Horizon medical benefits class action settlement administered by the Federal District Court for the Eastern District of Louisiana, requiring LPHI to think outside the box in adapting standard community health improvement tools and processes. View archived webinar presentation of case study.
  • CASPER Methods for Community Health Assessments: A North Carolina Case Study (PDF, 1,805 KB)
    June 2014, NNPHI and NCIPH.
    This case study focuses on the Community Assessment for Public Health Emergency Response (CASPER) method for primary data collection utilized by the North Carolina Institute for Public Health (NCIPH) to inform the public health needs identified in Community Health Assessments (CHAs). NCIPH has also developed a mobile app for collecting the data that will be available to the public in Spring 2015. View archived webinar presentation of case study.
  • CHI Collaborative Handbook and CHI Template: A Kansas Case Study (PDF, 1,800 KB)
    August 2014, NNPHI and KHI.
    This case study focuses on the Community Health Improvement (CHIP) Collaborative Handbook and CHIP Template developed by the Kansas Health Institute (KHI) by adapting tools developed by other public health institutes. The case study also details how the tools have been used by a local health department in their community health improvement efforts.  View archived webinar presentation of case study.
Other NNPHI Webinars
  • Needs Assessments: Opportunities for Collaboration across Multiple Stakeholders (Web)
    July 2014. NNPHI, National Partnership for Action to End Health Disparities, and the Community Action Partnership.
    This webinar provides an overview of the key elements of assessments used by Community Action Agencies, hospitals and public health programs to inform community benefits and services programs. Specifically, the presenters on the webinar discuss commonalities and differences in the outcomes and applications of the different assessments, the degree to which health equity concerns are captured by these assessments, and opportunities for improved coordination between users of both assessments.


Other NNPHI Publications


  • The Story of the Atlanta Regional Collaborative for Health Improvement (ARCHI): Chapter 1
     (PDF, 1,035 KB)
    March 2013. Georgia Health Policy Center.
    The Atlanta Regional Collaborative for Health Improvement (ARCHI) formed in the spring of 2011 with the intention of creating a common understanding of the most pressing health issues in the metro region, developing priority issues, and building toward a collective implementation and investment strategy. With the potential to be more efficient and effective, collaborative assessment can lay the groundwork for collective priority setting and investment to achieve maximum impact. This report details some of the collaborative work done to date.
  • Supporting Alignment and Accountability in Community Health Improvement: The Development and Piloting of a Regional Data-Sharing System. (6,360 KB)
    April 2014. Public Health Institute.
    A report from the Public Health Institute has examined over 40 CHNAs and Implementation Strategies of tax-exempt hospitals with a focus on how community has been defined; how community stakeholders have been engaged in assessment, planning, and implementation; how priorities have been set; and the content and geographic focus of implementation strategies.  Funded by CDC through a cooperative agreement with NNPHI, the project has included a series of convenings and inquiry focusing on the improvement of community health improvement practices.   This report (Kevin Barnett is lead author) examines publicly-available CHNAs and Implementation Strategies, suggests tools and templates for aligning assessments, and reviews enhancements to a Vulnerable Populations Footprint tool (available at for easily identifying where health disparities are concentrated. 
  • NNPHI's Public Health Performance Improvement Toolkit: CHA and CHIP
    Tools, samples, presentations, and other resources to support your CHA and CHIP process.
  • Principles to Consider for the Implementation of a Community Health Needs Assessment Process (PDF, 458 KB)
    June 2013. Sarah Rosenbaum, J.D., The George Washington University.
    This document identifies guiding principles to inform the implementation of the Affordable Care Act’s community health needs assessment provisions applicable to not-for-profit hospitals that seek federal tax-exempt status. These principles offer a pathway for hospitals, public health entities and other interested parties to work collaboratively to address the health needs of their communities.
  • Community Health Assessment and Improvement Planning in Kansas (Web) 
    December 23, 3013. Kansas Health Institute.
    This issue brief and a report released by the Kansas Health Institute summarize the results of a Public Health Services & Systems Research (PHSSR) funded study on CHA/CHIP experiences and outcomes in Kansas between 2012 and 2013. One finding from the study was that many CHA/CHIP activities had already been initiated in Kansas communities, and though few processes were complete, most were able to identify positive impacts of their CHA/CHIP work to date.
  • Leveraging Multi-Sector Investments: New Opportunities to leverage the Health and Vitality of Communities (Web)
    January 2014. Health Resources in Action.
    This Policy and Practice report by Health Resources in Action points out that the economic and community development sectors share much in common with the public health and medical care sectors. It amplifies an understanding of each other's needs and responsibilities, and identifies opportunities to more effectively work together to build healthier communities.
  • Using Community Health Data to Advance Public Health in Rural Areas (PDF, 467 KB)
    April 2013. Public Health Management Corporation.
    Presentation at Rural Health Conference on Public Health Management Corporation’s capabilities for community health needs assessments and how the recently completed assessments for 28 hospitals for Delaware Valley Healthcare Council can serve as a model for rural hospitals to meet the Affordable Care Act requirements.
  • Community Health Assessment, Part 1 (PDF, 1675 KB)
    April 23, 2012. NNPHI.
    Presentation on NNPHI's work and impact in CHA/CHIP, including how NNPHI and its members are building national partnerships for CHA/CHIP.
  • Community Health Assessment (CHA) Webinar (PDF, 833 KB)
    May 14, 2012. Health Resources in Action.
    Examples of how member institutes Health Resources in Action, North Carolina Institute for Public Health, Georgia Health Policy Center, and Louisiana Public Health Institute are playing significant roles in the CHA field. 
  • Bell County Community Needs Coalition: 2010 Community Health Assessment (PDF, 623 KB)
    May 23, 2012. Texas Health Institute and Bell County Indigent Health Services Department.
    Presentation on how CHA data were used to help the county, hospitals, human service organizations, employers, schools, and other stakeholders to better understand the health and human services concerns of Bell County residents, prioritize the issues, and identify resources for addressing them.


To learn more about Community Health Improvement and connect with public health institutes with expertise, contact NNPHI at


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