Maine Shared Health Needs Assessment & Planning Process (SHNAPP) Project March 2015 Update

Maine Shared Health Needs Assessment & Planning Process (SHNAPP) Project March 2015 Update

SHNAPP Mission

To create the framework and approach for a shared health needs assessment (SHNA) that addresses community benefit reporting needs of hospitals, supports state and local public health accreditation efforts, and provides valuable population health assessment data for a wide variety of organizations concerned with the health of Maine’s communities and citizens.
 
Representatives from non-profit hospitals completing community benefit reporting, community health needs assessments, and implementation strategies are encouraged to participate in the SHNAPP Project.
 
SHNAPP Objectives

  • Create triennial SHNA with state-level and community-level reports
  • Implement a consistent community engagement process for hospitals and public health agencies to incorporate in health needs assessment reporting and health planning deliverables
  • Ensure the SHNAPP Project is sustainable:
    • Create infrastructure to support triennial SHNA
    • Identify & maintain funding sources
    • Use local, state, & national platforms to educate agencies about SHNAPP
 
SHNAPP Details
  • In June 2014, MaineCDC, Central Maine Healthcare (CMHC), Eastern Maine Healthcare Systems (EMHS), MaineGeneral (MG), and MaineHealth (MH) signed a Memorandum of Understanding (in effect until the end of 2019) committing resources to hire a SHNAPP Project Director and carry out the 2016 Shared Health Needs Assessment.
  • Community engagement using SHNA reports for local and regional planning purposes is a critical part of the needs assessment and health improvement planning process. For the purposes of the SHNAPP Project, it has been defined through the requirements of the IRS rules and Public Health Accreditation Board (PHAB) standards and measures. For some, working with “community” means engaging community partners at the organizational or agency level and for others, it entails working with individual community members. Both ways of engaging satisfy the IRS and PHAB. Input from community members and organizations is needed to achieve the following objectives:
    • Ensure broad interests of the local community are represented;
    • Obtain input on identifying significant health needs based on review of SHNA data;
    • Solicit feedback on prioritizing significant health needs;
    • Identify local assets and resources that potentially may address local health priorities;
    • Document details from above activities for use by MaineCDC District Liaisons and representatives from SHNAPP signatory hospitals.
 
LINK: Internal Revenue Service, Federal Register: Community Health Needs Assessments for Charitable Hospitals - http://federalregister.gov/a/2014-30525
 
LINK: Public Health Accreditation Board Standards & Measures ver 1.5 - http://www.google.com/url?url=http://www.phaboard.org/wp-content/uploads/SM-Version-1.5-Board-adopted-FINAL-01-24-2014.docx.pdf&rct=j&frm=1&q=&esrc=s&sa=U&ei=v4zTVKGTA436ggTvp4GgDw&ved=0CBoQFjAB&usg=AFQjCNEs-LNr_uJqVPUpEK60c6mFvvobZw

SHNAPP Timeline of Activities for 2016 Reports and Health Improvement Plans
 

Activity		 Apr.
'15		 May
'15		 Jun.
'15		 Jul.
'15		 Aug.
'15		 Sep.
'15		 Oct.
'15		 Nov.
'15		 Dec.
'15		 Jan.
'16		 Feb.
'16		 Mar.
'16		 Apr.
'16		 May
'16		 Jun.
'16		 Jul.
'16		 Aug.
'16		 Sep.
'16
SHNAPP Vendor writes SHNAs  
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CE planning  
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CE input locally            
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CMHC/St. Mary’s* & MG prepare ISs                    
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CMHC/St. Mary’s & MG plans due to IRS                            
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EMHS & MH prepare ISs                    
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EMHS & MH plans due to IRS                                  
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Notes  
Maine CDC Responsible for State Health Assessment (done 9/2015) and SHIP (done 7/2016); DPHIPs will be coordinated with HIPs associated with hospital fiscal years within respective Public Health Districts
*St. Mary’s St. Mary’s Hospital is on a calendar year fiscal year but works jointly with CMHC to create a joint HIP and will have process completed by 7/2016 even though it does not need to be approved/adopted until 12/2016
After HIP completion SHA, SHIP, and Hospital SHNAs will be posted publicly and available for on-going public comment; Community members are invited to participate actively in these planning and implementation processes.

CE = Community Engagement; IS = Implementation Strategy; HIP = Health Improvement Plan
 
Indicator Domains within the 2016 Shared Health Needs Assessment (SHNA)
161 Indicators included in SHNA
[Number of indicators within the domain]
 
 
Demographics [5]
SES measures [7]
General Health Status [4]
Mortality [4]
Access [5]
Oral Health [3]
Maternal and Child Health
  • Reproductive Health [5]
  • Children with Special Needs [1]
Injury
  • Intentional Injury [9]
  • Unintentional Injury [7]
Health Care Quality [2]
Environmental Health [4]
 		 Chronic Disease
  • Cardiovascular Health [10]
  • Respiratory [7]
  • Cancer [19]
  • Diabetes [10]
Infectious Disease [8]
  • Immunization [6]
  • STD/HIV [6]
Occupational Health [2]
Emergency Preparedness [1]
Substance Abuse [14]
Mental Health [8]
Tobacco Use [4]
Physical Activity, Nutrition, & Weight [10]
 
For a list of all indicators, follow the link to 2016 Maine SHNA Indicators.
 
For more information contact: Jayne Harper, SHNAPP Project Director
MaineGeneral Prevention Center                          P: 861-5264
149 North Street, Room 157                                 M: 542-9996
Waterville, ME 04901                                           Jayne.Harper@mainegeneral.org