Third Annual
Public Health Summit 2013
CHA, CHIP, MAPP
WHAT DOES IT ALL MEAN?
BARBARA ILARDI, MPA, CDN
SUPERVISING PUBLIC HEALTH EDUCATOR
PUTNAM COUNTY DEPARTMENT OF HEALTH
What is Public Health?
 Public health is “what we as a society do collectively
to assure the conditions in which people can be
healthy.”1
 Health is more than the absence of illness; rather,
health is a “dynamic state of complete physical,
mental, spiritual, and social well-being.”2
1Institute
of Medicine Committee for the Study of the Future of Public Health. (1998).
2 World Health Organization. (1998).
What public health means to everybody…
Partners in Public Health
 In ensuring the public’s health, collective action
involves a variety of community organizations,
agencies, groups, and individuals.
 In order to create the conditions in which people can
be healthy, communities must collectively address
social, economic, environmental, and biological
factors.
Making the Invisible More Visible
Partners in Public Health
 Ensuring the public’s health is not just the
responsibility of healthcare providers and public
health officials. Improving the public’s health
requires the expertise of all those who live and work
in the community.
 That is why all of you have been invited here today!
PCDOH Vision Statement
“We will be recognized as bold and
innovative leaders, partnering with
our community in advocating for
public health.”
NYSDOH Requirements/PCDOH Accreditation
 NYSDOH requires Local Health Departments to
complete a Community Health Assessment (CHA)
and new for this year, a Community Health
Improvement Plan (CHIP)
 Both plans due: November 2013
What is a Community Health Assessment (CHA)?
 A CHA is a process that uses quantitative and
qualitative methods to systematically collect and
analyze data to understand health within a specific
community.
 The role of assessment is to identify factors that
threaten the health of a population and to determine
whether resources are available to effectively deal
with threats.
What is the Community Health
Improvement Plan (CHIP)?
 A CHIP is a long-term, systematic effort to address
public health problems on the basis of the results of
community health assessment activities and the
community health improvement process.
 This plan is used by health and other governmental
education and human service agencies, in
collaboration with community partners, to set
priorities and coordinate and target resources.
NYSDOH Requirements/PCDOH Accreditation
 The NYSDOH requires local health departments to
work with hospitals in their county to develop their
CHA/CHIP
 The PCDOH has a long history of working with the
PHC on Community Health Assessment activities
 The NYSDOH encourages local health departments
to engage with not only with hospitals but with
community partners as well
NYSDOH Requirements/PCDOH Accreditation
 PCDOH has made the commitment to apply for Public
Health Accreditation in 2014
 CHA and CHIP submission as well as a Strategic Plan are
all Accreditation requirements
 PCDOH embarked on using the MAPP process to
complete the CHA/CHIP
 Utilizing the MAPP process to complete the CHA and
CHIP is considered a “best practice” and will assist the
PCDOH in achieving Public Health Accreditation
MAPP Process
 MAPP, which stands for Mobilizing for Action
through Planning and Partnerships, provides the
framework for convening the variety of
organizations, groups, and individuals that comprise
the local public health system in order to create and
implement a Community Health Improvement Plan
(CHIP).
 MAPP is the quintessential process for conducting a
CHA and formulating a CHIP.
M.A.P.P Stands For:
 Mobilizing: Engaging the
community
 Action: Implementing a
health improvement plan
 Planning: Applying
strategic planning
concepts
 Partnerships: Involving
local public health
system and community
partners
MAPP PROCESS
 Through the MAPP process, communities can create
and implement a well-coordinated plan that uses
resources efficiency and effectively.
 Resulting community plans do not focus on one
agency or public health challenge; rather, MAPP
health improvement plans provide long-term
strategies that address the multiple factors that affect
health in a community.
What are the four MAPP Assessments?
 Community Themes and Strengths
Assessment
 Local Public Health System Assessment
 Community Health Status Assessment
 Forces of Change Assessment
Four MAPP ASSESSMENTS
Community Themes and Strengths Assessment
 PCDOH conducted an Online Survey this year
Four MAPP ASSESSMENTS
Local Public Health System Assessment (LPHSA)
 To be completed in-house by
PCDOH Staff
Four MAPP ASSESSMENTS
Community Health Status Assessment
 Information obtained today at Public Health Summit
will be used to update the Community Health
Assessment
Four MAPP ASSESSMENTS
Forces of Change Assessment
 To be completed later in this program
Community Health Improvement Plan
• When all four assessments are completed they will
inform the Community Health Improvement Plan
(CHIP)
In the illustrated "community roadmap," the process is shown moving
along a road that leads to "a healthier community."