A provision of the Affordable Care Act requires all tax-exempt hospitals to perform a community health needs assessments (CHNA) every three years, and to subsequently design and plan to address those needs. The goal was to use this community-centered approach to improve population health by focusing resources towards data and prevention. We saw an opportunity to pool resources and strategies even further by having nonprofit hospitals share their CHNAs and plans to find areas of synergy and avoid duplicated efforts.
Co-convened with the Chicago Department of Public Health, the collaborative brought together representatives from 22 charitable hospitals and hospital systems in the city. The members formed workgroups to focus on different areas of collaboration.
The Access to Care workgroup partnered with the Lyft rideshare program, National MedTrans Network, and Kaiser Health to pilot multiple models for providing non-emergency medical transportation services to both Medicaid members and those who are either uninsured or have coverage with no transportation benefits. The effort ultimately expanded to improve medical transportation at multiple Chicago hospitals. A workgroup exploring housing solutions as a community health improvement tool met with senior executives from 15 hospitals/health systems and the city’s health commissioner to develop a strategy. And the Data workgroup made population health data available at the hospital service-area level for what we believe is the first time in the U.S. As a result, hospitals can review, through profiles available at the Chicago Health Atlas, a range of indicators specific to the area they serve, including those related to access to care, birth outcomes, causes of hospitalization, and premature death.
The Healthy Chicago Hospital Collaborative was made possible by generous support from the Otho S.A. Sprague Memorial Institute and the Polk Bros Foundation. In 2016, the collaborative merged with the Health Impact Collaborative of Cook County, operated by the Illinois Public Health Institute.
- City of Chicago announcement
- Document: Chicago Hospitals and the ACA: More Opportunities for Prevention (2015)
- Document: Housing Solutions as a Community Health Improvement Strategy (2016)
- HCHC Fall 2016 newsletter (describes housing, Lyft and data projects)
- Smart Chicago: Chicago Health Atlas Updates (2016)
- Illinois Public Health Institute on the merger of Health Impact Collaborative of Cook County and the Healthy Chicago Hospital Collaborative