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Community Health Needs Assessment

Helping to achieve a healthier community

It is with great pleasure that we present the results of our 2019 Community Health Needs Assessment. The following document is the result of a robust process that included surveys, public health data, listening sessions and interviews with many community members. Our hospitals are proud of our work together in Clatsop County, and prouder still to serve you. Through listening and partnership, our hospitals will use this assessment as the basis for our community benefit activities and community health improvement plans over the next three years to address the key areas of identified need:

  • Access to Care: Primary Care.
  • Access to Care: Behavioral Health.
  • Social Determinants of Health: Adverse Childhood Experiences/Trauma.

Please read on to learn more about each of these areas.

What is a Community Health Needs Assessment?

As a tax-exempt hospital, Columbia Memorial Hospital is required by the Patient Protection and Affordable Care Act to conduct what is called a Community Health Needs Assessment (CHNA). This is a study that collects information to help us, and our community health partners, better understand the most common and challenging health issues in our region and work together on a plan that best addresses the findings and achieves the goal of becoming a healthier community.

Read the most recent CHNA. This document informs our decisions when creating our strategic plan and community benefits plan. The CHNA is conducted not only to fulfill the requirement of the Patient Protection and Affordable Care Act of 2010 (H.R.3590) for nonprofit hospitals, but also in response to the CMH mission "To provide excellence, leadership and compassion in the enhancement of health for those we serve."

Turning information into action

CMH cares for our community inside our walls and out in the community. Here are just a few of the initiatives CMH is part of that demonstrate how the information from the CHNA is helping to transform and improve health care in our region. Read CMH's "2020-2022 Community Health Implementation Plan."

Improving Access to Care: Primary Care

2020–2022 strategy: Close care gaps and increase screening.

  • Grow telehealth capacity and reach (Service Growth).
  • Improve early screening rates for lung cancer and prostate cancer (Strengthen Quality).
  • For children, youth and adolescents, identify screening tools, create the processes and put systems into place to screen for trauma/ACEs, vaping, obesity, depression, bullying and physical violence, and to refer to services as needed. (Strengthen Quality).
  • Evaluate food prescription programs and other strategies designed to provide fruits and vegetables and other healthy foods to children and adults who cannot afford to buy them (Strengthen Quality).

Improving Access to Care: Behavioral Health Care

2020–2022 strategies:

  • Improve screening rates for depression and referrals to behavioral health consultants as indicated (Strengthen Quality).
  • Recruit clinical staff with prescribing abilities to support all primary care providers (Strengthen Quality).

Improving Social Determinants of Health: Adverse Childhood

2020–2022 strategies:

  • Increase screening for trauma in primary care and pediatrics, improve rate of referrals to Behavioral Health services (Strengthen Quality).
  • Roll out education to CMH staff around trauma-informed care approaches (Strengthen Quality).
  • Resource Desk implementation at Seaside Clinic (Strengthen Quality).
  • Partnership with CCA to staff a resource desk at another location (Strengthen Quality).
  • Assist children and families in the community with the resources and skills needed to adapt well when faced with difficulty experiences.