Health impact assessments in hospital community benefit: A multiple case study of the use of HIAs at Children’s Hospital Colorado
Objective: To explore the use of Health Impact Assessments (HIAs) within non-profit hospital community benefit activities.
Methods: We constructed case studies of three HIAs that were conducted in collaboration with Children’s Hospital Colorado as part of the hospital’s community benefit portfolio. These HIAs were part of a pilot that was funded by the Health Impact Project, a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts.
Results: HIAs provided Children’s Hospital Colorado with a transparent and systematic process for generating evidence-based recommendations with community and stakeholder feedback within the hospital’s community benefit activities. HIAs were used to generate recommendations to inform community benefit planning activities and to generate public policy recommendations to enhance child health. The case studies highlighted several issues that need to be addressed in order to further advance the use of HIA within hospital community benefit activities including: use of HIA on explicit health issues, hospital capacity for HIA, potentially broadening the scope of HIA recommendations, and the use of HIA to generate recommendations from broad priority areas.
Conclusion: HIAs can help meet the need for established, evidence-based, and stakeholder responsive tools and processes to be used within non-profit hospital community benefit activities. In meeting this need, the non-profit hospital community benefit area can potentially serve as a major institutional home for the practice of HIA. There is a need for additional research and practice innovation to further explore and refine the use of HIA within non-profit hospital community benefit activities.
Abbott, A. L. (2011). Community benefits and health reform: creating new links for public health and not-for-profit hospitals. J Public Health Manag Pract, 17(6), 524-529. doi: 10.1097/PHH.0b013e31822da124
Anderson, P. J., Yoder, S., Fogels, E., Krieger, G., & McLaughlin, J. (2013). The State of Alaska's early experience with institutionalization of health impact assessment. International Journal of Circumpolar Health, 72, 499-503. doi: Artn 2210110.3402/Ijch.V72i0.22101
Children's Hospital Colorado. (2016). Community Health Action Plan El Paso County.
Corrigan, J., Fisher, E., & Heiser, S. (2015). Hospital Community Benefit Programs Increasing Benefits to Communities. Jama-Journal of the American Medical Association, 313(12), 1211-1212. doi: 10.1001/jama.2015.0609
Dannenberg, A L. (2016). A Brief History of Health Impact Assessment in the United States. Chronicles of Health Impact Assessment, 1(1).
Health Affairs. (2016). Nonprofit Hospitals' Community Benefit Requirements. Health Policy Briefs. Retrieved December 13, 2016, from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=153
Leider, J. P., Tung, G. J., Lindrooth, R. C., Johnson, E. K., Hardy, R., & Castrucci, B. C. (2016). Establishing a Baseline: Community Benefit Spending by Not-for-Profit Hospitals Prior to Implementation of the Affordable Care Act. J Public Health Manag Pract. doi: 10.1097/PHH.0000000000000493
Massachusetts Department of Transportation. (2016). A Systematic Review of Health Impact Assessments on Housing Decisions and Guidance for Future Practice
National Research Council. (2011). Improving health in the United States: the role of health impact assessment: National Academies Press.
Rosenbaum, S., & Margulies, R. (2011). Tax-exempt hospitals and the Patient Protection and Affordable Care Act: implications for public health policy and practice. Public Health Rep, 126(2), 283-286.
Seattle and King County Public Health. (2017). Health Impact Assessment (HIA). Retrieved May 5, 2017, from http://www.kingcounty.gov/depts/health/environmental-health/healthy-communities/health-impact-assessment.aspx
The Pew Charitable Trusts. (2016). Health Impact Project. Retrieved October 4, 2016, from http://www.pewtrusts.org/en/projects/health-impact-project
Tung, G.J., & Williams, V.N. (2017). The Potential Role for Health Impact Assessments in Nonprofit Hospital Community Benefit Activities. J Public Health Manag Pract, In press.
Young, G. J., Chou, C. H., Alexander, J., Lee, S. Y., & Raver, E. (2013). Provision of community benefits by tax-exempt U.S. hospitals. N Engl J Med, 368(16), 1519-1527. doi: 10.1056/NEJMsa1210239
Copyright to works published in Chronicles of Health Impact Assessment is retained by the author(s). Articles published in this journal are licensed under a Creative Commons Attribution 4.0 International License.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process.