We sought a better understanding of how nonprofit hospitals are fulfilling the community health needs assessment (CHNA) provision 2010 Patient Protection and Affordable Care Act to conduct CHNAs develop CHNA implementation strategies reports.Through an Internet search estimated 179 in Texas conducted between December 1, 2013, January 5, 2014, we identified reviewed 95 reports. evaluated scored reports with specific criteria. analyzed hospital-related other report characteristics understand...

Derived from various health care policies and initiatives, the concept of population has been newly adopted by medicine. In particular, it suggested that Patient Protection Affordable Care Act provision requires nonprofit hospitals to conduct a community needs assessment (CHNA) implement strategies address priorities potential improve health. A mixed methods study design was used examine for improvements occur through Internal Revenue Service (IRS)-mandated hospital CHNA planning processes....

Nonprofit hospitals are exempt from paying taxes. To maintain this status, they must provide benefit to the community serve. In an attempt improve accountability these communities and federal government, Patient Protection Affordable Care Act of 2010 includes a provision that requires all nonprofit conduct health needs assessment (CHNA) implement strategies address identified priorities every 3 years. This Act's provision, operationalized by regulation developed enforced Internal Revenue...

An eight-member team of the Teaching Working Group Association Schools and Programs Public Health Scholarship Learning Task Force created a call to action advancing use evidence-based strategies for public health education. The goal this article is threefold, assess briefly current status teaching in health, strengthen case using practices courses, propose educators engage along continuum teaching. In article, we define (EBT) proposes that EBT demonstrated by: student mastery specific...

Community health assessment and community improvement planning are continuous, systematic processes for assessing addressing needs in a community. Since there different models to guide planning, as well variety of organizations agencies that carry out these activities, may be confusion choosing among approaches. By examining the various components models, we able identify areas coordination, ways maximize collaboration, strategies further improve health. We identified 11 common across 18...

Providers in rural areas face challenges to increasing health care access, reducing costs, and improving quality outcomes. One promising model is expanding paramedic roles include non- emergency home visits patients. Employing a comparative case study, this paper describes three Emergency Medical Services (EMS)- based coordination programs that provide services rural, underserved patients, who frequently use EMS/emergency departments. Across the sites, four major themes emerged: (1) shift...

The lack of formal public health infrastructure and trained professionals in rural areas has a deleterious impact on populations for various issues. purpose this article is to: (1) suggest strategy regularly used by the authors that encourages relationship building serves as catalyst communities to work together initiate make changes based local assets dynamics; (2) provide descriptive overview strategy; (3) an illustrative case, using Rural Ready Communities project, which been used.The...

Public health in the United States has long been challenged by budget cuts and a declining workforce. The COVID-19 pandemic exposed vulnerabilities left years of neglecting this crucial frontline defense against emerging infectious diseases. In early days pandemic, University Texas Medical Branch Galveston County Health District (GCHD) partnered to bolster County's public response. We mobilized interprofessional teams students provided training implement projects identified GCHD as necessary...

Recognizing the need to prepare broader workforce of responders plan and respond consequences public health emergencies, School Rural Public Health at Texas A&M University Science Center launched a self-supporting, continuing education initiative in March 2003, designed offer training individuals throughout with responsibility for emergency planning, preparedness, response. The Training Initiative Emergency Response (T-TIER) fosters integration collaboration key organizations disciplines,...

Introduction Care coordination can improve healthcare quality and reduce costs. The objective of this study was to provide a qualitative understanding the most helpful services as experienced by patients receiving these emergent hospital use. Methods Using case methodology, we conducted focus group conversations with 51 care semi-structured interviews 29 coordinators at nine sites throughout Texas. team performed constant comparative analysis, beginning start codes based on prior research....

Revised accreditation criteria from the Council on Education for Public Health (CEPH) in 2016 prompted schools and programs of public health to shift their master (MPH) core curricula. Our objective was provide data revisions MPH curricula at CEPH-accredited other descriptive statistics curriculum required courses as 2023.

Mixed evidence of care management effectiveness raises questions about how these services are provided in practice. This study evaluates nine provider settings using elements from two prominent models: The Chronic Care Model and the Transitions Program. Staff interviews addressed organizational community resources. Patients were also surveyed their experiences. generally indicated actively managing own care. However, patient interactions with managers fell below recommended levels. suggests...