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健康的北帕索

优先考虑 健康 Needs

Though there may be many significant health needs in your community, your hospital might only have the capacity to address a subset of these needs. To successfully prioritize the significant health needs, establish criteria to determine a priority health need and implement a process to systematically apply those criteria.

Step 1: Set Criteria for 优先考虑d 健康 Needs

Establish which criteria participants should use to prioritize health needs before you begin. Here are some examples of criteria that can be used to prioritize:

  • Alignment with facility’s strengths/priorities/mission
  • Magnitude - number of people impacted by problem
  • Severity - the rate or risk of morbidity and mortality
  • Opportunity to intervene at prevention level
  • Opportunity for partnership
  • Addresses disparities of subgroups
  • Existing resources and programs to address problem
  • Solution could impact multiple problems
  • Feasibility of intervention
  • Availability of evidence-based approaches
  • Importance of problem to community
  • Economic burden on community
  • Consequences of not intervening
  • Evaluation results on the impact of actions taken to address the health need since your immediately preceding CHNA

Important Note for Hospitals:
The IRS requires that community input must be taken into consideration for prioritizing significant health needs from the following three groups: a) at least one representative of a state, regional or local governmental health department with knowledge of the health needs of the community; b) members of medically underserved, 低收入, and minority populations in the community served by the hospital facility, or individuals or organizations serving or representing the interests of such populations; and c) written comments received on the hospital facility's most recently conducted CHNA and most recently adopted implementation strategy.

IRS 社区 健康 Needs 评估ment Rule 12/31/14

Step 2: Explore and Choose Prioritization Method

The following prioritization methods are examples of the types of different processes for you and your community to use.

点方法/ DOTMOCRACY

Quick and simple method that works well with 一大群人. Individuals are given a set number of dots (stickers) and vote for the needs that they believe meet the established criteria.

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MULTI-VOTING技术

伟大的方法 narrow a lot of options down to a few by allowing individuals to vote for a set number of topics in each round. After each round is completed, only the top results are included in the next round.

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NOMINAL GROUP TECHNIQUE

理想的方法 small groups of decision makers who have a deep knowledge of selection criteria. This method includes generating topics, 记录的话题, discussing topics and then voting on topics.

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战略网

使用的好方法 只有两个标准 and with groups of decision makers who have a deep knowledge of the criteria and the issues. The strategy grid allows decision makers to focus on topics that will have the best results.

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优先级矩阵

有利于 small to medium sized groups who are using multiple criteria to select priorities. In this method participants systematically analyze each priority based on the criteria.

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成对比较

An 先进的方法 where participants compare pairs of health needs based on different criteria using a matrix.

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HANLON方法

A 复杂的方法 that incorporates baseline data into an objective analysis of the criteria and the different health needs.

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其他有用的资源

Sample prioritization worksheet from the CDC
思维的工具

Tips for the Final Report

Make sure to document the prioritization process and criteria that you used and include the results.

从美国国税局

These proposed regulations require the CHNA report to include prioritized description of the significant health needs of the community identified through the CHNA, along with a description of the process and criteria used in identifying certain health needs as significant and prioritizing those significant health needs.

IRS 社区 健康 Needs 评估ment Rule 12/31/14

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