The best health outcomes for individuals and communities will follow from a clear vision of the current health needs of individuals and communities, i.e., neighborhoods. CALTCHA proposes to see Californians' health needs clearly by synthesizing data provided by the formal disciplines of public health and epidemiology and by systematic assessment of the lived experiences of neighborhood residents. These periodic neighborhood-centered assessments must identify health care resources and deficits and the social determinants of health in neighborhoods with a careful eye to disparate impacts of neighborhood conditions on racial, ethnic, and at-risk lower-income populations to recognize these disparities, emphasize and prioritize funding and resources to mitigate them.
600.1 Data collected by public and non-profit health-related assessments, including neighborhood assessments and assessments of service efficacy, shall flow to the Office of Health Equity in the Department of Public Health to be summarized and publicly reported to the Board biannually by the Secretary. Coordinating with County Health Departments and Neighborhood Health Assemblies shall use these data to identify and meet needs, interdict fraud, and document social health outcomes and improvements.
600.2 Uniform Computer Electronic Billing System and Electronic Patient Record System: The Secretary shall create a uniform computerized electronic billing and patient record system, integrating established electronic systems where possible. This system shall have the capacity to identify outlier billing and fraud and to securely aggregate data on California's health.
600.3 Each County Health Officer will conduct an annual Community Health Assessment (CHA) – integrating neighborhood health assessments - emphasizing underserved communities, including Tribal communities, rural communities, lowwealth, racially or ethnically segregated communities, and low population immigrant farm communities. Needs identified by the CHA will provide the basis for budgets presented by county and local health officers to the CALTCHA Board.
600.3.1 Neighborhood Liaison Offices, in coordination with Neighborhood Health Assemblies, will participate in planned community campaigns to assess community health, directly engaging community members in the process of strengthening their own health and pool of relevant, accessible resources.
600.3.2 Community Health Assessments shall also integrate data:
600.3.2.1 found in federally mandated triennial Community Health Assessment Report (CHAR) as defined by the Affordable Care Act
600.3.2.2 from Joint Commission on the Accreditation of Hospitals evaluations and hospital safety "grading.
600.3.2.3 on precise locations of community health care facilities
600.3.2.4 on wait times for health services and staffing adequacy
600.3.2.5 on medical errors, quality indices, and patient satisfaction
600.4 CALTCHA will prioritize individualized preventive primary care services within neighborhoods, and health education and awareness campaigns specific to neighborhoods and derived from neighborhood assessments.
600.5 The County Health Officer, with the County Professional & Technical Advisory Board's input and the Community Neighborhood Health Assemblies, will present an annual Community Health Improvement Plan - integrated with and based on the findings and data of the annual Community Health Assessment – to the Board. The plan will include health data, locations of health care facilities and services, environmental threats, business, and economic assets, housing and land-use practices that contribute to health disparity, and other data on determinants of health.
600.6 County Health Officers will annually report public health data and action plans to the Legislature based on the data from the Community Health Assessments and priorities from Community Health Improvement Plan to ensure the integration of health service needs and realities in all related policy decisions for CA.