Abstract
Nonprofit hospitals have the potential to be strong partners in community-based projects. Since the Affordable Care Act was passed in 2010, hospitals have new requirements to engage communities in identifying health needs and developing new community health programs. In this chapter, by Berkeley Franz, Daniel Skinner, and Danielle Dukes, a case study approach is used to explore how hospitals are developing new partnerships and the challenges they face in fostering relationships with the communities where they are located. Potential strategies will be suggested for improving communication between hospital employees and community members in the planning of community-based projects.
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References
American Hospital Association. (2019). Fast Facts on U.S. Hospitals, 2019. https://www.aha.org/statistics/fast-facts-us-hospitals
Beatty, K. E., Wilson, K. D., Ciecior, A., & Stringer, L. (2015). Collaboration among Missouri nonprofit hospitals and local health departments: Content analysis of community health needs assessments. American Journal of Public Health, 105(S2), S337–S344.
Borak, J., Salipante-Zaidel, C., Slade, M. D., & Fields, C. A. (2012). Mortality disparities in Appalachia: Reassessment of major risk factors. Journal of Occupational and Environmental Medicine, 54(2), 146–156.
Burke, J. G., Truong, S., Albert, S., Steenrod, J., Gibert, C., Folb, B., et al. (2014). What can be learned from the types of community benefit programs that hospitals already have in place? Journal of Healthcare for the Poor and Underserved, 25(1 Suppl), 165–193.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative data analysis. London, UK: Sage.
Evashwick, C. J. (2013). Hospitals & community benefit: New demands, new approaches. Chicago, IL: Health Administration Press.
Folkemer, D. C., Spicer, L. A., Mueller, C. H., Somerville, M. H., Brow, A. L. R., Milligan, C. J., & Boddie-Willis, C. L. (2011). Hospital community benefits after the ACA: The emerging federal framework. The Hilltop Institute Issue Brief, January.
Foucault, M. (1973). The birth of the clinic (A. M. Sheridan, Trans.). New York, NY: Vintage.
Franklin, B., & Seavey, O. (2008). Autobiography and other writings. Oxford: Oxford University Press.
Gollust, S., & Lynch, J. (2011). Who deserves health care? The effects of causal attributions and group cues on public attitudes about responsibility for health care costs. Journal of Health Politics, Policy and Law, 36(6), 1061–1095.
Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York, NY: Anchor Books.
Halverson, J. A., & Bischak, G. (2008). Underlying socioeconomic factors influencing health disparities in the Appalachian region. Washington, DC: Appalachian Regional Commission. Available at: http://www.arc.gov/assets/research_reports/socioeconomicfactorsinfluencinghealthdisparitiesinappalachianregion5.pdf
Hendryx, M. (2009). Mortality from heart, respiratory, and kidney disease in coal mining areas of Appalachia. International Archives of Occupational and Environmental Health, 82(2), 243–249.
Hendryx, M., & Ahern, M. M. (2009). Mortality in Appalachian coal mining regions: The value of statistical life lost. Public Health Reports, 124(4), 541–550.
Internal Revenue Service. (2018). Private letter ruling: Certified mail -return receipt. Dallas, TX: Tax Exempt and Government Entities Division. Available at: https://www.irs.gov/pub/irs-wd/201829017.pdf
Internal Revenue Service. (2013). Community health needs assessments for charitable hospitals. Federal Register, available at: https://www.federalregister.gov/articles/2013/04/05/2013-07959/community-health-needs-assessments-for-charitable-hospitals
Jacobs, L. R., & Skocpol, T. (2012). Health care reform and American politics: What everyone needs to know. Oxford, UK: Oxford University Press.
Kaufman, B. G., Thomas, S. R., Randolph, R. K., Perry, J. R., Thompson, K. W., Holmes, G. M., et al. (2016). The rising rate of rural hospital closures. Journal of Rural Health, 32(1), 35–43.
Kluegel, J., & Smith, E. R. (1986). Beliefs about inequality. New York, NY: Aldine de Gruyter.
Lavin, C. (2008). The politics of responsibility. Urbana, IL: University of Illinois Press.
Ludke, R. L., & Obermiller, P. J. (Eds.). (2012). Appalachian health and well-being. Lexington, KY: University of Kentucky Press.
Morrone, M., Kruse, N. A., & Chadwick, A. E. (2014). Environmental and health disparities in Appalachian Ohio: Perceptions and realities. Journal of Health Disparities Research and Practice, 7(5), 67–81.
National Rural Health Association. (2016). What’s different about rural health care? http://www.ruralhealthweb.org/go/left/about-rural-health
Peacock, M., Bissell, P., & Owen, J. (2014). Dependency denied: Health inequalities in the neo-liberal era. Social Science and Medicine, 118, 173–180.
Pennel, C. L., McLeroy, K. R., Burdine, J. N., & Mataritta-Cascante, D. (2015). Nonprofit hospitals’ approach to community health needs assessment. American Journal of Public Health., 105(3), e103–e113.
Resnik, D. B. (2007). Responsibility for health: Personal, social, and environmental. Journal of Medical Ethics, 33(8), 444–445.
Rosenbaum, S. (2015). Additional requirements for charitable hospitals: Final rules on community health needs assessments and financial assistance. Health Affairs Blog, 23.
Rosenbaum, S. (2016). Hospital community benefit spending: Leaning in on the social determinants of health, 94(2), 251–254.
Smith, L., & Hollorman, C. H. (2011). Health status and access to health care services: A comparison between Ohio’s rural non-Appalachian and Appalachian families. Family and Community Health, 34(2), 102–110.
Starr, P. (1982). The social transformation of American medicine: The rise of a sovereign profession and the making of a vast industry. New York: Basic Books.
Starr, P. (2013). Remedy and reaction: The peculiar American struggle over health care reform. New Haven, CT: Yale University Press.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage Publications.
Thornton, R. L. J., Glover, C. M., Cené, C. W., Glik, D. C., Henderson, J. A., & Williams, D. R. (2016). Evaluating strategies for reducing health disparities by addressing the social determinants of health. Health Affairs. (Project Hope),, 35(8), 1416–1423.
Walker, D., & Myrick, F. (2006). Grounded theory: An exploration of process and procedure. Qualitative Health Research, 16(4), 547–559.
Wewers, M. E., Katz, M., Fickle, D., & Paskett, E. D. (2006). Risky behaviors among Ohio Appalachian adults. Preventing Chronic Disease, 3, 1–8.
Wilson, K. D., Mohr, L. B., Beatty, K. E., & Ciecior, A. (2014). Describing the continuum of collaboration among local health departments with hospitals around the community health assessments. Journal of Public Health Management and Practice, 20(6), 617–625.
Young, G. J., Chou, C., Alexander, J., Lee, S. D., & Raver, E. (2013). Provision of community benefits by tax-exempt U.S. hospitals. The New England Journal of Medicine, 368, 1519–1527.
Younis, M. Z. (2013). A comparison study of urban and small rural hospitals financial and economic performance. Online Journal of Rural Nursing and Health Care, 3(1), 38–48.
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Franz, B., Skinner, D., Dukes, D. (2019). Is the Affordable Care Act Encouraging Hospitals to Engage their Communities? Experiences from Appalachian Ohio. In: Arxer, S., Murphy, J. (eds) Community-Based Health Interventions in an Institutional Context. International Perspectives on Social Policy, Administration, and Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-24654-9_8
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