Measuring the Community Orientation of Nonprofit Hospitals’ Implementation Strategies under the Affordable Care Act’s Expanded Community Benefit Regulations
Henry Stabler, MPH
HSRP&A Doctoral Candidate
Division of Health Policy & Management
Hear Henry Stabler’s work-in-progress research on the development of five measures describing different domains of nonprofit hospitals’ (NPHs) implementation strategies using publicly available CHNA and implementation strategies. Stabler demonstrates how these five measures can be aggregated into a composite index measure that characterizes the ‘community orientation’ of hospitals and their chosen strategies.
The Affordable Care Act expanded the community benefit requirements of U.S. NPHs. Under the enhanced regulations, all NPHs must partner with community stakeholders (medically underserved populations; state/local health agencies) every three years to conduct community health needs assessments (CHNAs) and create implementation plans that addresses identified health issues. These regulations rest on policymakers’ assumptions that more expansive networks of involved community stakeholders will engender a more participative, community-oriented role for NPHs, while also providing needed resources to advance community health. Yet, despite significant public investment, we know very little about the interventions chosen by NPHs to address their communities’ most pressing health issues, and whether NPHs have become more community-oriented in how they choose to address health in their communities.