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A mixed-methods approach to conducting Internal Revenue Service-compliant community health needs assessments: a case example for nonprofit hospital leaders

机译:进行符合国税局要求的社区卫生需求评估的混合方法:非营利性医院领导者的案例

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Background: The Patient Protection and Affordable Care Act created new requirements for nonprofit hospitals to conduct a Community Health Needs Assessment (CHNA) at least once every 3 years, with a significant tax penalty for noncompliance. While some resources exist to help nonprofit hospital leaders conduct various aspects of a CHNA, few reflect the new Internal Revenue Service requirements. Methods: Many different models of CHNAs have emerged over the years. Although each has its unique features, the essential elements of a CHNA include engaging stakeholders, defining the community, gathering sufficient representative data, prioritizing information, and reporting results. In this paper, we expand upon this basic approach by offering a practical step-by-step guide to conducting CHNAs that meets new Internal Revenue Service regulations. Results: We developed and tested this methodology in partnership with several nonprofit hospital systems in Northeast Ohio, USA. In this paper, we discuss our use of the methodology and identify recommendations for other nonprofit hospital leaders. Conclusion: The methodology presented in this paper is a cost-effective approach to satisfying new CHNA requirements and nonprofit hospital leaders should consider using it or modifying it to fit their unique needs.
机译:背景:《患者保护和负担得起的医疗法案》为非营利性医院提出了新要求,要求其至少每3年进行一次社区健康需求评估(CHNA),并对不合规行为处以高额罚款。尽管存在一些资源可以帮助非营利性医院负责人开展CHNA的各个方面,但很少有资源可以反映出国税局的新要求。方法:多年来,出现了许多不同的CHNA模型。尽管每种方法都有其独特的功能,但CHNA的基本要素包括吸引利益相关者,定义社区,收集足够的代表性数据,确定信息的优先级并报告结果。在本文中,我们通过提供符合新的国税局法规的实用CHNA逐步指南,扩展了这种基本方法。结果:我们与美国东北俄亥俄州的多家非营利性医院系统合作开发并测试了该方法。在本文中,我们讨论了该方法的使用,并为其他非营利性医院负责人提出了建议。结论:本文介绍的方法是满足CHNA新要求的一种经济有效的方法,非营利性医院的领导者应考虑使用或对其进行修改以满足其独特需求。

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