Community Health Assessments and Improvement Plans

A Community Health Assessment is a state, tribal, local, or territorial health assessment that identifies critical health needs through data collection and analysis. The assessment results in a Community Health Improvement Plan to address public health concerns identified in the assessment.

Common acronyms related to this topic

CHA – Community health assessment
CHNA – Community health needs assessment
CHIP – Community health improvement plan
SHA – State health assessment
SHIP – State health improvement plan

The comprehensive community health improvement process includes two major phases: a CHA and a CHIP. The CHA and CHIP are rooted in the principles of health equity and community engagement. They help identify and address priority health issues in a community.

The CHA refers to a state, tribal, local, or territorial health assessment that identifies critical health needs and other issues through data collection and analysis.

The CHIP uses the results of the CHA to develop, with the help of community partners, a long-term plan to address public health concerns in a community.

Since 1993, Wisconsin State Statutes have required Wisconsin communities to develop and implement local health plans to address health conditions affecting their residents advancing the health and wellbeing of their communities.

Local health departments are required by Wis. Stat. ch. 251.05 to:

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.
Develop public health policies and procedures for the community.
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 Wis Stat. § 250.
Submit data, as requested, to the local public health data system established by the department.

Additional requirements in CHAs and CHIPs are found in Wis. Admin. Code ch. DHS 140.04.

Under the authority of Wis. Stat. § 251.20(1) and Wis. Admin. Code Ch. DHS 140, the Department of Health Services (DHS), Division of Public Health, must formally review operations of all local health departments. The Division of Public Health conducts reviews of local health departments at least every five years to verify that a minimum level of public health services is provided or arranged for throughout the state. The division also designates health departments serving residents above the minimum as Level II or Level III health departments. More information can be found on the Wisconsin Local Public Health: Requirement Updates page.

The State Health Assessment (SHA) and State Health Improvement Plan (SHIP) can be a helpful resource to support the development of CHAs and CHIPs.

The CHA could be framed around the same kinds of qualitative and quantitative data and indicators as the SHA, including information on local, state, and national social and economic, morbidity, mortality, and health behavior indicators.

Priority areas, strategies, actions, and metrics for the CHIP could be organized similarly as in the SHIP, particularly where natural alignment already exists.

Community data could also be compared to the national Healthy People objectives.

Just like CHAs and CHIPs have requirements of Wis. Admin. Code ch. DHS 140, which specifies the required services for Levels I, II, and III local health departments, these foundational documents are requirements of national public health accreditation and are included in the PHAB standards and measures for both initial accreditation and reaccreditation.

Per best practice and PHAB requirements, the CHA and CHIP processes are completed at least every five years.

The requirements for CHA documents are outlined in Domain 1, Standard 1.1 for both initial accreditation and reaccreditation in the PHAB Standards and Measures Version 2022.

The requirements for CHIP documents are outlined in Domain 5, Standard 2.2 for initial accreditation and Domain 5, Standard 2.1 for reaccreditation in the PHAB Standards and Measures Version 2022.

The National Association of County and City Health Officials (NACCHO) provides the following resource:

NACCHO Mobilizing for Action through Planning and Partnerships

The completion of a CHA and CHIP is an extensive process of community engagement and data collection. Data collection includes both primary and secondary data and both quantitative and qualitative data.

The resources below are designed to make finding and accessing secondary data easier. These resources are intended to be comprehensive, which means they include more indicators than would be relevant or required for any single CHA-CHIP. Many public health practitioners may find it useful to choose a subset of indicators based on community input they have gathered during primary qualitative or quantitative data collection.

CHA-CHIP Indicator List – The CHA-CHIP Indicator List (Excel) is a curated list of state, federal, and other data sources. View the accompanying Frequently Asked Questions (PDF) document for more details on how to use the CHA-CHIP Indicator list.
Wisconsin Local Community Dataset – The Wisconsin Local Community Dataset takes many of the indicators from the “Community Conditions” tab of the CHA-CHIP Indicator List and brings the data into one excel-formatted dataset. The dataset includes:
- Over 800 indicators across a wide array of topics, including housing, economic and employment, education, health care access, child care, transportation, and other social and community data.
- Data at the national, state, county, census tract, and county subdivision level where available.
  To download the Wisconsin Local Community Dataset, the accompanying data dictionary, and the user guide, visit the Structural and Social Determinants of Health (SDoH) data webpage.

Don’t see, or aren’t sure of, the data you are looking for? Contact the Division of Public Health’s Data Resource Center.

Email: DHSDPHDataResourceCenter@dhs.wisconsin.gov
Phone: 608-267-0233

Community Health Assessments and Improvement Plans

Common acronyms related to this topic

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Common acronyms related to this topic

What is a CHA and CHIP?

Why is a CHA and CHIP completed?

How are CHAs and CHIPs connected to the SHA and SHIP?

How do CHAs and CHIPs connect to national public health performance standards or Public Health Accreditation Board (PHAB) standards and measures?

Are there any National Process Models to follow?

Where can I start to find data for a CHA or CHIP?

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