Latest Community Health Needs Assessment (CHNA) and Community Health Implementation Plan (CHIP) Reports
We combined our 2019 CHNA with our 2020-2022 CHIP to address the health equity challenges and solutions our communities face. In our 2019 CHNA, we worked with community partners to identify how Rush University Medical Center and Rush Oak Park Hospital, as part of the Rush University System for Health, are building health equity and working to create healthier communities. Rush Copley Medical Center, another core part of our Rush University System for Health, worked with its community partners and data and community input from the areas it serves to develop its own CHNA and CHIP focused on health equity.
Our 2020-2022 CHIP continues to focus on the goals outlined in the 2017 CHIP and adds one new goal that focuses on maternal and child health outcomes. Many of the strategies remain the same; however, we've also added new ones and adjusted others based on our findings.
Past CHNA Reports
- Learn more from our CHNA about the communities Rush serves
- 2013 CHNA report, which laid the foundation for this work
- CHNA for 2017–2019
Past CHIP Report
Rush’s efforts in the community are driven by our CHIP. We developed the plan in partnership with community members; Rush faculty, students and staff; our colleagues in the Center for Community Health Equity; and the Alliance for Health Equity. Together, we identified the following main needs in the Rush service area. This is where we focus our community benefits spending and other resources, according to the strategies outlined under each.
- Reducing inequities caused by the social, economic and structural determinants of health
The World Health Organization defines the social, economic and structural determinants of health as “the conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions of daily life.” At Rush, we use the following strategies to fight inequities in these determinants:
- Improving educational attainment
- Identifying, measuring and mitigating the social determinants of health among those at risk
- Participating in regional community health improvement collaboratives
- Improving access to mental and behavioral health services
People who live in neighborhoods where poverty is concentrated are more likely to suffer the psychological effects of trauma caused by abuse, neglect, family dysfunction, violence, discrimination, racism, poverty and substance use. We are addressing the consequences of trauma — and improving the health outcomes of people who’ve lived through it — in the following ways:
- Creating mental health screening tools and referral programs in school-based health centers and faith-based organizations
- Expanding access to other screenings and services
- Preventing and reducing chronic disease
Chronic diseases and conditions such as heart disease, stroke, cancer, diabetes, respiratory disease and obesity are some of the health conditions that commonly affect people in Rush’s service area. These diseases are costly to treat — but they are also among the most preventable health problems. We use the following strategies for preventing them:
- Reducing risk factors through assessments, disease management programs and improved access to healthy food
- Expanding free and subsidized breast cancer screening, diagnosis and treatment programs for women without health insurance
- Developing and delivering community services to help people stop smoking
- Increasing access to care and community services
Factors that affect people’s access to quality health care include whether they have health insurance, the affordability of care and the availability of services. We’re helping more people have access to care in the following ways:
- Expanding access to primary care medical homes for people without insurance and for others without medical homes
- Implementing adverse childhood event screenings and referrals at school-based health centers
- Expanding access to insurance
Past Community Benefits Report (CBR)
- Rush’s Community Benefits Summary for 2017 is a report on work guided by the 2017-2019 CHIP. Rush invested $335 million in community benefits in 2017 across a range of efforts, including research, donations, Medicare/Medicaid programs, Charity Care and more.
Additional Health Equity Reports
- Anchor Mission Playbook explains Rush's role as an anchor institution and shares the approach behind Rush's Anchor Mission Strategy
- What We Heard: Coming Together to Improve Health and Wellness on the West Side is a report that arose from a January 2017 meeting and 21 community conversations about health disparities and other inequities with stakeholders who work, live and congregate on the West Side. The foundational document of West Side United, this report summarizes the opportunities for improving health on the West Side and the feedback community members provided about the collaborative’s proposed goals.
- 2018 Health Equity Report: Patient Care Through An Equity Lens* examines who visits Rush for care, the conditions that bring people through our doors and how their outcomes reflect public health trends around health disparities that are largely related to race and ethnicity. This report, the first of its kind for Rush, is a launchpad for our work to continue improving the equitable delivery of health care to the communities we serve.
*Resources in the following list were used to inform the 2018 Health Equity Report: Patient Care Through An Equity Lens:
- Rush patient maps
- Technical notes (includes definitions, methods information, project operationalization details)
To learn more about health equity nationwide and in Chicago, visit the following:
- Healthy Chicago 2.0: Partnering to Improve Health Equity 2016 - 2020
- Institute for Healthcare Improvement videos:
- Metropolitan Planning Council report: The Cost of Segregation
- Robert Wood Johnson Foundation report: What Is Health Equity?
For more information about our CHNA, CHIP or CBR, please contact:
Manager, Health and Community Benefit
System Manager, Community Health and Benefits