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Community Health Assessment

A Community Health Needs Assessment (CHNA) is a systematic, data-driven approach to identifying barriers and gaps in services and resources that improve the health and well-being of community residents. The CHNA process assists Cone Health in aligning its resources, programs and strategies with the priority needs of the community.

Why We Conducted The CHNA

The CHNA is a tool that we will use to:

  • Improve the health of community residents in the primary service areas of Alamance, Guilford, and Rockingham counties.  The CHNA helps assure the community that we are working to improve the health of the community in the most effective way possible.
  • Align Cone Health’s community benefit resources with the prioritized needs of the community.  The implementation plan outlines the action steps, the timeline, and the expected outcomes from our investment.   
  • Meet the new IRS requirement for tax-exempt hospitals to conduct a CHNA and, based on its results, develop an implementation plan to meet the community health needs identified through the assessment.  Cone Health will conduct the CHNA every three years. 

The CHNA process consisted of data analysis, prioritization of needs and the development of implementation plans. 

Community Health Needs

We created a list of community health needs based on our review and analysis of relevant health statistics, priorities and needs from various data produced by state, local, and private entities. The CHNA team of hospital and community leaders  prioritized the needs based on size and seriousness of the need, and the anticipated effectiveness of programs to address the need.   We also looked at the needs from the standpoint of determining if a positive outcome is possible given the resources, assets and expertise that exists in the community and at Cone Health. The prioritization process identified the following community health needs:

The CHNA team then developed implementation plans to address the priority needs. The implementation plans identified goals, objectives, a timeline, and those who are responsible for the implementation of the strategies. Implementation strategies span Cone Health’s next three fiscal years, from 2014 to 2016.


The Plans

Alamance County

Alamance Regional Medical Center partnered with the Alamance County Health Department, United Way and Healthy Alamance in Alamance County.

Guilford County

Cone Health partnered with the Guilford County Department of Public Health, Cone Health Foundation, High Point Regional Health System and UNCG’s Center for Social, Community and Health Research and Evaluation in Guilford County.

Rockingham County

We partnered with the Rockingham County Health Department, the Rockingham County Healthcare Alliance and Morehead Memorial Hospital to conduct a joint CHNA for Rockingham County.

Next Steps

Progress on these plans will be evaluated twice a year. The next CHNA process will begin in 2016.