The HTC initiative began in fall 2013 with a series of conversations between St. John’s Medical Center (SJMC) and Teton County Public Health (TCPH). Federal Affordable Care Act legislation mandated that all hospitals wishing to maintain 501(c)(3) status participate in a community health needs assessment and create an implementation plan based upon the results; SJMC fell subject to these requirements. At the same time, TCPH was mobilizing to collect data and update their biennial health assessment of the county’s population.
The MAPP Framework
SJMC and TCPH decided to combine their efforts into a large comprehensive assessment utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) framework as depicted below. The MAPP framework was developed by the National Association of County and City Health Officials in the late 1990s as a response to the Institute of Medicine calling for more active community involvement in public health performance monitoring. Since that time, MAPP’s ensuing iterations have been used by communities nationwide as an evidence-based model for assessing population health status and developing community health improvement plans.
MAPP allowed HTC to address the social determinants of health while also evaluating vital statistics, demographics, health behaviors, disease morbidity, and disease mortality. The six phases of MAPP are:
- Organize for Success
- The Four MAPP Assessments
– Community Health Status Assessment
– Community Themes & Strengths Assessment
– Forces of Change Assessment
– Local Public Health Status Assessment
- Identification of Strategic Issues
- Formulation of Goals & Strategies
- The Action Cycle
From Data Collection to Action
The first three phases of MAPP were completed in spring 2015, at which time the 2015 Community Health Needs Assessment (CHNA) report was released to the public. The CHNA findings indicated that while Teton County is very healthy in certain categories, there is still work to be done in other areas. A list of the top 10 primary health needs in Teton County was then developed by the HTC Steering Committee, which is a diverse advisory committee made up of over 30 community stakeholders. Steering Committee members determined the primary health issues with a weighted voting system.
The HTC coalition then transitioned into the action phase of the initiative. Community-wide Action Plans for impacting our top 10 identified health needs were developed with guidance from 10 topic-oriented Action Groups. The Action Plans were published as the Community Health Improvement Plan (CHIP) in December 2015; this document also includes the strategic framework that will guide the action phase of the HTC initiative.
HTC will focus on supporting the efforts of its Action Groups for 2016 & 2017; an updated CHNA will be conducted in 2018.