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What Works for Health: Policies and Programs to Improve Wisconsin's Health (Exit DHS)

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Community Health Improvement Assessment and Plans

An Overview of the Process

Links to Local Health Departments' Community Health Assessment or Community Health Plan Webpages

An Overview of the Process 

Since 1993, Wisconsin State Statutes have required communities throughout Wisconsin to develop and implement local health plans to address health conditions impacting their residents. This process has been referred to as the "Community Health Improvement Process"; named in part, due to the resulting health status changes in a community and the people who live there.

Local health departments are required by Wisconsin State Statutes Chapter 251.05 to:  (Exit DHS; PDF, 97 KB)

  1. Regularly and systematically collect, assemble, analyze, and make available information on the health of the community; including statistics on health status, community health needs, and epidemiological and other studies of health problems. 

  2. Develop public health policies and procedures for the community. 

  3. Involve key policymakers and the general public in determining and developing a community health improvement plan that includes actions to implement the services and functions specified under s. 250

  4. Submit data, as requested, to the local public health data system established by the department. 

Additional requirements in community health assessments and planning are found in Department of Health Services Administrative Rules Chapter DHS 140.04(Exit DHS; PDF, 51 KB)

To guide the discussion, a tool some have found helpful is the Healthiest Wisconsin 2020 (HW2020).  The Community Health Assessment is framed around the 12 health focus areas of HW2020 including information on local, state, and national morbidity, mortality, health behavior, social, and economic indicators.  Community data is compared to the national Healthy People 2020 and HW2020 goals.

A team of community representatives is formed to: 

  • Review health conditions and their modifiable risk factors which impact community residents. 
  • Identify community strengths and resources which can be built upon to address given health conditions. 
  • Prioritize health conditions which impact residents. 
  • Develop goals, measurable objectives, and implementation strategies to address the top health priorities. 
  • Incorporate health-plan goals and strategies into day-to-day activities of community partners. 
  • Annually review progress on goals, objectives, and strategies.

Community representatives should only review enough data to decide if the health priority is a top concern for their residents without over-burdening them with information that is better used in targeting implementation initiatives.

Community representatives determine variations to the process and information discussed. Depending on the community, template data may be augmented with data only found locally; including school and opinion surveys, environmental health programs, and local health providers.

 Links to Local Health Departments

To access information about the Local Health Departments in a particular Wisconsin county, click on the county in the map below. For printable listing of the local health departments and tribal health agencies, visit to the Wisconsin Local Health Department and Tribal Agency DHS webpage.

Kenosha County Racine County Walworth County Milwaukee County Waukesha County Jefferson County Washington County Ozaukee County Southeastern Region Rock County Dodge County Columbia County Dane County Adams County Green County Juneau County Sauk County Iowa County Lafayette County  County Grant County Crawford County Vernon County Southern Region Marquette County GreenLake County FondDuLac County Sheboygan County Waushara County Winnebago County Calumet County Manitowoc County Waupaca County Outagamie County Brown County Kewaunee County Door County Shawano County Menominee County Oconto County Marinette County Northeastern Region Florence County Forest County Langlade County Marathon County Portage County Wood County Lincoln County Taylor County Oneida County Price County Vilas County Sawyer County Iron County Ashland County Bayfield County Northern Region LaCrosse County Monroe County Jackson County Trempealeau County Buffalo County Clark County Eau Claire County Pepin County Pierce County Dunn County Chippewa County Saint Croix County Rusk County Barron County Polk County Burnett County Washburn County Douglas County Western Region Monroe County Map of Wisconsin Counties, with links to contact information about local health departments


(Links within this map may exit DHS)

 For more information on Community Health Improvement:  Assessments or Community Health Plans, please contact Jim Lawrence at (715) 365-2708 or

Last Revised: September 09, 2014