The Community Has Spoken and the Health Needs are Clear in San Mateo and Santa Clara Counties

ASR worked with non-profit hospitals across San Mateo and Santa Clara Counties to conduct a Community Health Needs Assessment (CHNA) to determine the most pressing health needs in those regions, and how best to respond to those needs. 

ASR used a three-step approach to complete the CHNAs with Kaiser Foundation Hospitals in the South Bay and San Mateo areas, El Camino Hospital, Lucile Packard Children’s Hospital, Stanford Hospital, and other hospital members of the Santa Clara County Community Benefit Coalition. The CHNA is required by the federal government every three years as part of the Affordable Care Act.  

The first step in the CHNA process was that ASR received extensive secondary data and collected additional data about health and wellness in the regions. Data came from a wide range of sources, including a publically available data platform from Kaiser Permanente (www.chna.org/kp). Second, ASR collected qualitative research in the form of 18 key informant interviews with local health experts and 30 focus groups with residents and community service providers which revealed a high degree of consensus about the local health needs across all cities and both counties. Physical health needs included obesity, diabetes, cardiovascular and heart diseases, oral health, birth outcomes, respiratory conditions, infectious diseases, cancers, and Alzheimer’s disease.  Mental health needs were also top on the list, and included stress and depression, substance abuse, and the impact of violence on health. The third step in the CHNA process was to help each county prioritize health needs to address with community benefit investments, which include community grants, collaborative work at the systems level, and in-kind contributions. 

CHNA reports will be made available on the hospital websites between July and December 2013.