Community Health Improvement Planning
I have a bunch of pieces related to this, many within the rubric of a recommendation that DC could create a world class public health infused hospital and health and wellness program "East of the River", which I wrote about in a bunch of pieces in 2017.
-- "Ordinary versus Extraordinary Planning around the rebuilding of the United Medical Center in Southeast Washington DC | Part One: Rearticulating the system of health and wellness care East of the River"
-- "Part Two: Creating a graduate health and biotechnology research initiative on the St. Elizabeths campus"
-- "Part three: the potential for donations around an expanded program"
-- "Revisiting East of the River medical care: United Medical Center"
-- "Update on DC's plans to build a new United Medical Center," 2018
A couple months ago, DC's Mayor announced a "health task force." ("Mayor Bowser Establishes Commission to Help Transform Health Care Delivery," press release). Frankly they should start with my writings...
This piece, a kind of follow up, discusses how the Affordable Care Act requires that hospitals create community health impact assessments. The ones I've read are so general as to be worthless, and that is the case for the documents I've read that have been produced within DC.
-- "Another example of a failure to do public capital planning in DC: Council votes to stop funding United Medical Center," 2019
While following up today on something else, I came across the Monroe County Nutrition Workgroup in Wisconsin, which is part of the county's public health system and also is connected to Cooperative Extension.
And that led to the county's Community Health Assessment and Improvement Plan, which is referred to as a CHIP or Community Health Improvement Plan. According to the forward of the plan:
The Wisconsin Association of Local Health Departments and Boards, along with the University of Wisconsin Population Health Institute’s County Health Rankings & Roadmaps, partnered to develop the Wisconsin CHIPP Infrastructure Improvement Project.There are plenty of writings about community health assessments of various sorts. DC has a formal process too:
-- Community Health Needs Assessment, DC Department of Health
But given the example of the cessation of the DC Cancer (Support Services) Consortium discussed in a recent Washington City Paper cover story, "The Collapse of the DC Cancer Consortium Left Gaps in D.C.'s Cancer Care Network," as well as the problems in implementing opioid abuse interdiction programs ("DC opioid crisis: Overdose initiatives still in planning stages," Washington Post), and the decision by the Department of Disability Services to shift a key support program from Georgetown University to a firm with a lot of DC contracts, but many of them around maintenance and construction ("Backlash intensifies over DC plan to end disabilities services contract," Post), I suppose like a lot of the city's planning documents, there is a major disconnect between planning and implementation let alone a sense of urgency to act.