Review of CHNA and Implementation Plan Resource Guide for CAHs

The Affordable Care Act requires all nonprofit hospitals to develop a Community Health Needs Assessment (CHNA) to identify high priority community health needs and an Implementation Plan to address these needs. Although considerable progress has been made in meeting most or all of the Internal Revenue Service (IRS) requirements for the CHNA and Implementation Plans, some Critical Access Hospitals (CAHs) have experienced difficulties in meeting all the requirements. The purpose of this webinar is to review a resource guide developed to provide resources and best practices that will provide clear information about how to both develop the CHNA and the steps for preparing the Implementation Plan.


Funding for this course was provided by the Health Resources Services Administration, Rural Hospital Flexibility Program (Catalog of Federal Domestic Assistance (CFDA) 93.241).

Target Audience

  • Hospital leadership
  • Population health or CHNA leads
  • Public health professionals
  • Interested community partners

Learning Objectives

  • Identify the general requirements for CHNAs and Implementation Plans that must be met by all nonprofit hospitals
  • Demonstrate utilization of resources to support completion and successful alignment with IRS requirements
  • Discuss the value of establishing collaborative partnerships with local public health departments and community-based organizations
  • Review public health Community Health Assessment and Community Health Improvement Plan (CHIP) reporting resources
Course summary
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David Palm, PhD, Associate Professor, Department of Health Services Research and Administration and Director, Center for Health Policy College of Public Health, University of Nebraska Medical Center 

David teaches courses in strategic planning and health policy and has conducted several evaluation projects, including an examination of the CHNA and implementation plans of all non-profit hospitals in Nebraska. He received a bachelor’s degree in business administration from Augustana University, a master’s degree in economics from the University of Wyoming and a doctorate in economics from the University of Nebraska-Lincoln.


Becky Nowachek, MPH, Population Health Advisor, Division of Public Health, Iowa Health and Human Services

Becky started her role as Population Health Advisor on September 29, 2023. Prior to being a Population Health Advisor, Becky was a Community Health Consultant for the Local Public Health Services Program with the Division of Public Health where she provided technical assistance to Local Public Health Agencies and Local Boards of Health in Eastern Iowa.

No continuing education is provided for this course. The user will receive a certificate of completion upon completing the course.

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Please register to take this pre-recorded webinar course. There is no registration fee.