# Community Health

*/Departments/Community_Health*

## Neighborhood

### Related (delivered by)

- [Nutrition Program Design Process](/Processes/Nutrition_Program_Design_Process) — delivered by · Processes
- [Instruct individuals, families, or other groups on topics such as health education, disease preventi...](/Tasks/Instruct_individuals,_families,_or_other_groups_on_topics_such_as_health_education,_disease_preventi...) — delivered by · Tasks
- [Develop and present health education and promotion programs, such as training workshops, conferences...](/Tasks/Develop_and_present_health_education_and_promotion_programs,_such_as_training_workshops,_conferences...) — delivered by · Tasks
- [Offer health promotion or prevention activities, such as training people to use blood pressure devic...](/Tasks/Offer_health_promotion_or_prevention_activities,_such_as_training_people_to_use_blood_pressure_devic...) — delivered by · Tasks
- [Confer with schools, state authorities, or community groups to develop health standards or programs.](/Tasks/Confer_with_schools,_state_authorities,_or_community_groups_to_develop_health_standards_or_programs.) — delivered by · Tasks
- [Collaborate with health specialists and civic groups to determine community health needs and the ava...](/Tasks/Collaborate_with_health_specialists_and_civic_groups_to_determine_community_health_needs_and_the_ava...) — delivered by · Tasks
- [Deliver speeches on diet, nutrition, or health to promote healthy eating habits and illness preventi...](/Tasks/Deliver_speeches_on_diet,_nutrition,_or_health_to_promote_healthy_eating_habits_and_illness_preventi...) — delivered by · Tasks
- [Refer community members to needed health services.](/Tasks/Refer_community_members_to_needed_health_services.) — delivered by · Tasks
- [Plan and conduct programs to combat social problems, prevent substance abuse, or improve community h...](/Tasks/Plan_and_conduct_programs_to_combat_social_problems,_prevent_substance_abuse,_or_improve_community_h...) — delivered by · Tasks
- [Identify the particular health care needs of individuals in a community or target area.](/Tasks/Identify_the_particular_health_care_needs_of_individuals_in_a_community_or_target_area.) — delivered by · Tasks
- [Advise clients or community groups to ensure parental understanding of the importance of childhood i...](/Tasks/Advise_clients_or_community_groups_to_ensure_parental_understanding_of_the_importance_of_childhood_i...) — delivered by · Tasks
- [Advise clients or community groups on issues related to sanitation or hygiene, such as flossing or h...](/Tasks/Advise_clients_or_community_groups_on_issues_related_to_sanitation_or_hygiene,_such_as_flossing_or_h...) — delivered by · Tasks
- [Advise clients or community groups on issues related to risk or prevention of conditions, such as le...](/Tasks/Advise_clients_or_community_groups_on_issues_related_to_risk_or_prevention_of_conditions,_such_as_le...) — delivered by · Tasks
- [Monitor nutrition related activities of individuals or groups.](/Activities/Monitor_nutrition_related_activities_of_individuals_or_groups.) — delivered by · Activities
- [Teach classes or otherwise disseminate medical or dental health information to school groups, commun...](/Tasks/Teach_classes_or_otherwise_disseminate_medical_or_dental_health_information_to_school_groups,_commun...) — delivered by · Tasks
- [Identify culturally specific beliefs and practices affecting health status and access to services fo...](/Tasks/Identify_culturally_specific_beliefs_and_practices_affecting_health_status_and_access_to_services_fo...) — delivered by · Tasks
- [Perform vision screening of children in schools or community health centers.](/Tasks/Perform_vision_screening_of_children_in_schools_or_community_health_centers.) — delivered by · Tasks
- [Perform post-partum health assessments of mothers and babies at regular intervals.](/Tasks/Perform_post-partum_health_assessments_of_mothers_and_babies_at_regular_intervals.) — delivered by · Tasks
- [Attend community meetings or health fairs to understand community issues or build relationships with...](/Tasks/Attend_community_meetings_or_health_fairs_to_understand_community_issues_or_build_relationships_with...) — delivered by · Tasks
- [Educate clients or community members about mental or physical illness, abuse, medication, or availab...](/Tasks/Educate_clients_or_community_members_about_mental_or_physical_illness,_abuse,_medication,_or_availab...) — delivered by · Tasks
- [Develop, implement, or evaluate programs such as outreach activities, community mental health progra...](/Tasks/Develop,_implement,_or_evaluate_programs_such_as_outreach_activities,_community_mental_health_progra...) — delivered by · Tasks
- [Observe clients' food selections and recommend alternate economical and nutritional food choices.](/Tasks/Observe_clients'_food_selections_and_recommend_alternate_economical_and_nutritional_food_choices.) — delivered by · Tasks
- [Gather information about community mental health needs or resources that could be used in conjunctio...](/Tasks/Gather_information_about_community_mental_health_needs_or_resources_that_could_be_used_in_conjunctio...) — delivered by · Tasks
- [Advise clients or community groups on health issues.](/Activities/Advise_clients_or_community_groups_on_health_issues.) — delivered by · Activities
- [Provide feedback to health service providers regarding improving service accessibility or acceptabil...](/Tasks/Provide_feedback_to_health_service_providers_regarding_improving_service_accessibility_or_acceptabil...) — delivered by · Tasks
- [Teach proper eating habits and personal hygiene.](/Tasks/Teach_proper_eating_habits_and_personal_hygiene.) — delivered by · Tasks
- [Plan or conduct programs to prevent substance abuse, combat social problems, or improve health or co...](/Tasks/Plan_or_conduct_programs_to_prevent_substance_abuse,_combat_social_problems,_or_improve_health_or_co...) — delivered by · Tasks
- [Conduct dental health clinics for community groups to augment services of dentist.](/Tasks/Conduct_dental_health_clinics_for_community_groups_to_augment_services_of_dentist.) — delivered by · Tasks
- [Develop intervention programs](/Processes/Develop_intervention_programs) — delivered by · Processes

### Measured by

- [Screening Coverage](/Metrics/Screening_Coverage) — measured by · Metrics
- [Avoidable Admission Rate](/Metrics/Avoidable_Admission_Rate) — measured by · Metrics
- [Care Gap Closure Rate](/Metrics/Care_Gap_Closure_Rate) — measured by · Metrics
- [Health Education Reach](/Metrics/Health_Education_Reach) — measured by · Metrics

### Processes it runs

- [Stratify patient populations based on risk criteria](/Processes/Stratify_patient_populations_based_on_risk_criteria) — runs · Processes
- [Care Coordination and Referral](/Processes/Care_Coordination_and_Referral) — runs · Processes
- [Health Education Program Delivery](/Processes/Health_Education_Program_Delivery) — runs · Processes
- [Preventive Screening Outreach](/Processes/Preventive_Screening_Outreach) — runs · Processes
- [Community Health Needs Assessment](/Processes/Community_Health_Needs_Assessment) — runs · Processes

### Problems this exposes

- [risk-stratification the team rebuilds from claims/EHR extracts never drives the screening-outreach prioritization the same team runs](/Problems/risk-stratification_the_team_rebuilds_from_claims%2FEHR_extracts_never_drives_the_screening-outreach_prioritization_the_same_team_runs) — exposes problem · Problems
- [triennial 501(r) CHNA community input the team gathers is never reconciled into the funded program portfolio the same team delivers](/Problems/triennial_501(r)_CHNA_community_input_the_team_gathers_is_never_reconciled_into_the_funded_program_portfolio_the_same_team_delivers) — exposes problem · Problems
- [social-determinant referrals the team sends lack closed-loop confirmation against the care-navigation eligibility the same team re-screens each encounter](/Problems/social-determinant_referrals_the_team_sends_lack_closed-loop_confirmation_against_the_care-navigation_eligibility_the_same_team_re-screens_each_encounter) — exposes problem · Problems
- [health-education curriculum delivered without linking participant behavior-change to the grant logic model](/Problems/health-education_curriculum_delivered_without_linking_participant_behavior-change_to_the_grant_logic_model) — exposes problem · Problems
- [triennial Community Health Needs Assessment (501(r)) community input never reconciled into the funded program portfolio](/Problems/triennial_Community_Health_Needs_Assessment_(501(r))_community_input_never_reconciled_into_the_funded_program_portfolio) — exposes problem · Problems
- [care-navigation resource eligibility re-screened each encounter because benefit status isn't shared across navigators](/Problems/care-navigation_resource_eligibility_re-screened_each_encounter_because_benefit_status_isn't_shared_across_navigators) — exposes problem · Problems
- [social-determinant referrals to housing/food resources lack closed-loop confirmation](/Problems/social-determinant_referrals_to_housing%2Ffood_resources_lack_closed-loop_confirmation) — exposes problem · Problems
- [language-access and interpreter coordination tracked outside the scheduling system](/Problems/language-access_and_interpreter_coordination_tracked_outside_the_scheduling_system) — exposes problem · Problems
- [outreach to no-show and lapsed patients prioritized without predictive engagement signal](/Problems/outreach_to_no-show_and_lapsed_patients_prioritized_without_predictive_engagement_signal) — exposes problem · Problems
- [population risk-stratification across panels rebuilt manually from claims and EHR extracts](/Problems/population_risk-stratification_across_panels_rebuilt_manually_from_claims_and_EHR_extracts) — exposes problem · Problems
- [community health worker visit notes captured on paper, delaying care-plan updates](/Problems/community_health_worker_visit_notes_captured_on_paper,_delaying_care-plan_updates) — exposes problem · Problems
- [grant-funded program outcome reporting to funders assembled by hand each period](/Problems/grant-funded_program_outcome_reporting_to_funders_assembled_by_hand_each_period) — exposes problem · Problems
- [CHW home-visit notes captured on paper forms, re-keyed into the registry days later](/Problems/CHW_home-visit_notes_captured_on_paper_forms,_re-keyed_into_the_registry_days_later) — exposes problem · Problems
- [grant-required encounter metrics (UDS measures) reconciled by hand across multiple program logs](/Problems/grant-required_encounter_metrics_(UDS_measures)_reconciled_by_hand_across_multiple_program_logs) — exposes problem · Problems
- [panel outreach for overdue screenings prioritized by spreadsheet, not by risk or no-show history](/Problems/panel_outreach_for_overdue_screenings_prioritized_by_spreadsheet,_not_by_risk_or_no-show_history) — exposes problem · Problems
- [sliding-fee eligibility re-verification lapses tracked manually across enrolled households](/Problems/sliding-fee_eligibility_re-verification_lapses_tracked_manually_across_enrolled_households) — exposes problem · Problems
- [social-determinant referrals (food, housing) sent to partner agencies with no closed-loop confirmation](/Problems/social-determinant_referrals_(food,_housing)_sent_to_partner_agencies_with_no_closed-loop_confirmation) — exposes problem · Problems
- [Referral Loop Closure](/Problems/Referral_Loop_Closure) — exposes problem · Problems

### Staff

- [Outreach Program Manager](/JobTypes/Outreach_Program_Manager) — staff · JobTypes
- [Health Educator](/JobTypes/Health_Educator) — staff · JobTypes
- [Population Health Coordinator](/JobTypes/Population_Health_Coordinator) — staff · JobTypes
- [Public Health Nurse](/JobTypes/Public_Health_Nurse) — staff · JobTypes
- [Community Health Worker](/JobTypes/Community_Health_Worker) — staff · JobTypes

### Part of

- [Federally Qualified Health Center](/CompanyTypes/Federally_Qualified_Health_Center) — part of · CompanyTypes
- [Public Health Agency](/CompanyTypes/Public_Health_Agency) — part of · CompanyTypes
- [Hospital System](/CompanyTypes/Hospital_System) — part of · CompanyTypes