2013 Interactive Community Health Needs Assessment
Nov 6, 2013
This report guides the District of Columbia Healthy Communities Collaborative's decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The community health needs assessment described in this report includes quantitative analysis of existing demographic, health status, and hospital service use data for the District of Columbia, as well as analysis of current stakeholder perspectives, health policy, and investment priorities.
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The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District.
Sociodemographic Characteristics and Trends in the District
Health and Health Risk Behaviors in the District
Access to and Use of Health Services
Top 20 Primary Conditions for Inpatient and ED Discharges (2007-2011 rankings)
Health and Social Determinants Focus Group Protocols
District of Columbia Hospitals and Community Health Centers
The research described in this report was sponsored by the DC Healthy Communities Collaborative, and was conducted in RAND Health, a division of the RAND Corporation.
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