Template Implementation Plan v2.0: February 2015 www.wicommunityhealth.org
Wisconsin Community Health Improvement Plans and Processes (CHIPP) Infrastructure Improvement Project 14
Attachment 1:
Hospital and Public Health Department Requirements Related to Implementation Planning
Not-for-profit hospitals have particular requirements related to community health improvement. In terms of an
Implementation Strategy, those requirements include:
• Adopt a written Implementation Strategy to address the community health needs identified during the assessment.
• Describe how the hospital will address the needs including:
• The actions the hospital intends to take to address the needs (or indicates if the hospital does not intend to
address the need and explains why they will not be addressing the health need).
• The anticipated impact of these actions.
• The programs and resources the hospital plans to commit to address the health needs.
• Any planned collaboration between the hospital and other facilities or organizations in addressing the health
needs.
• If the hospital does not intend to address the need, describe why they will not be addressing the health need.
• Execute the implementation strategy.
Additionally, the hospital’s CHNA must include an evaluation of the impact of any actions that were taken to address the
significant health needs since the previous assessment.
[Note: While the IRS requirements for non-profit hospitals were reviewed and expertise was consulted, using this template
does not guarantee compliance with IRS requirements. Hospitals should consult with their community benefit (or other
appropriate) staff in order to determine whether or not a local plan meets the IRS requirements.]
Public health departments seeking national accreditation need to meet the specific requirements for an implementation plan
outlined in Public Health Accreditation Board (PHAB) Standard 5.2.2L and 5.2.3L. Those requirements include:
• Community health priorities, measurable objectives, improvement strategies and performance measures with
measurable and time-framed targets.
• Strategies should be evidence-based or promising practices (using sources such as the National Prevention
Strategy, Guide to Community Preventive Services, and Healthy People 2020).
• Strategies should consider the social determinants of health, causes of higher risks and worse health outcomes
in special populations, and health inequities.
• Policy changes needed to accomplish health objectives.
• Policy changes should address the causes of health inequities, including social and economic factors.
• Individuals and organizations who have accepted responsibility for implementing strategies.
• Measurable health outcomes or indicators to monitor progress.
• Alignment between the community health plan and the state and national priorities (and tribal where appropriate).
• Provide a report documenting the process of and progress toward implementing the community health improvement
plan. (See 5.2.3A)
[Note: While state and national experts familiar with the PHAB Standards reviewed and gave input on this tool, using this
template does not guarantee PHAB compliance. Only PHAB site reviewers during the accreditation review process can
determine whether or not a local plan meets the PHAB requirements.]