Making Good Things Happen


A blog that informs our clients about real world topics related to what we do as Scale Strategic Solutions!

Community Health Needs Assessment 2021 Findings

The regional Community Health Needs Assessment (CHNA) is conducted every three years to better understand the needs and opportunities to increase health outcomes in our area. The CHNA identifies the top health conditions in the community, the root causes of unmet community health needs, and the barriers to healthcare services.


The Health Collaborative in partnership with the Greater Dayton Area Hospital Association coordinated the CHNA across 26 counties, 36 hospitals, and 22 health departments in Ohio, southeast Indiana, and northern Kentucky. Measurement Resources Company led the 2021 study, and Scale Strategic Solutions served as a subcontractor to Measurement Resources Company to conduct focus groups and interviews to assist in collecting data for the CNHA.


The three most prevalent health conditions in the region, according to the findings were:


·       Cardiovascular related conditions, such as hypertension

·       Mental Health related conditions, such as depression and anxiety

·       Arthritis/Osteoporosis


The three most untreated health conditions were found to include:


·       Vision

·       Dental

·       Allergy


The health conditions that were most impacted by Social Determinants of Health (SDOH) include the following:


·       Cardiovascular conditions

·       Mental Health

·       Vision

·       Lung/ Respiratory Health

·       Diabetes


SDOH factors that most impacted health in the region include:


·       Economic Stability (e.g., housing, food security, financial ability to pay bills)

·       Neighborhood and Built Environment (e.g., access to transportation, parks, outdoor activities, stable phone, and internet services)

·       Education Access and Quality (perception of schools, availability of childcare)

·       Social and Community Connectedness (Having someone to talk to and feeling connected to the community)

·       Healthcare Access and Quality (Perception of quality of health care available, cultural relevancy of health care, ease of finding desired health care, ease of navigating healthcare costs)


The structural barriers in the region’s healthcare system are:


·       Competition across healthcare organizations/systems

·       Workloads and caseloads are high

·       Lack of effective clinical-community linkages

·       Language barriers and cultural differences

·       High cost of services

·       Limited workforce

·       Inflexible and restricted funding structures and/or investment in community

·       Lack of culturally relevant communication strategies and services across providers

·       Limited implementation of DEI practices within organizations

·       Community member distrust in the healthcare ecosystem (providers, insurers, pharmacies, etc.)

·       Limited implementation of best practices of trauma-informed care


The systemic barriers to community health were found to be:


·       Structural racism

·       High-cost healthcare system

·       Structural divide between healthcare system, holistic wellness providers, and social service providers


To read more details about the assessment or the full results and recommendations, check out https://healthcollab.org/community-health-needs-assessment/.

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In today’s data-driven world, local health departments (LHDs) play a critical role in shaping community health and advancing equity. Yet, to do this effectively, they need more than just national trends, they need access to localized, granular data that reflects the real conditions on the ground.  Data sharing is not only a technical challenge but a strategic community-focused practice. When LHDs collaborate with community organizations such as schools, hospitals, social service agencies and law enforcement, they unlock new pathways to address public health challenges more effectively. Local data allows communities to identify emerging health threats, evaluate the impact of programs, and understand how the Social Determinants of Health influence well-being. Scale Strategic Solutions, in partnership with D.E.E.P. Consultants and Strategik513, is proud to announce the development of a robust, strategic roadmap designed to support public health professionals in leveraging data to improve population health outcomes and reduce disparities. Our team of subject matter experts collaborated closely with the National Association of County and City Health Officials (NACCHO) and local health departments to gain firsthand insights into the challenges and opportunities surrounding data sharing practices. This discovery process informed the creation of two key resources aimed at building data capacity in the field. The "Increasing Data Sharing Capacity for Local Health Departments" asynchronous training, alongside the complementary Data Sharing Resource Guide , are now available on NACCHO University , the organization’s online learning platform. At Scale, we are committed to advancing the culture of data sharing within public health ecosystems. These resources were developed to meet practitioners where they are, offering flexible, high-impact tools to drive meaningful improvements in health equity and data-driven decision-making. If your organization is interested in learning more or would benefit from a customized training solution tailored to your specific data sharing needs, we invite you to contact us . Together, we can empower local health leaders with the tools and knowledge needed to transform data into action.
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