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Community Health Assessment
Health Department

What are the four MAPP Assessments?

Community Health Status Assessment (CHSA)

The Community Health Status Assessment provides quantitative (numerical) data on a broad array of health indicators, including quality of life, behavioral risk factors, and other measures that reflect a broad definition of health.

This assessment answers the questions:
  1. How healthy are our residents?
  2. What does the health status of our community look like?

CHSA identifies areas of issue or concern in data and also finds gaps in available data. This is used to ensure that the communities’ specific health issues are addressed.

Why is this important?

There are many sources of data available. Through this assessment, participants will work together to gather the data that is available and identify the most accurate, valid and recent sources. This will help to identify health issues in the community and also to find where there are missing gaps in previously collected data. This way, community health issues can be accurately captured and addressed in the County.

Our Community Health Status Assessment (CHSA) can be found under CHA/CHIP Resources.


Community Themes and Strengths Assessment (CTSA)

The Community Themes and Strengths Assessment provides qualitative information on how communities perceive their health and quality of life concerns as well as their knowledge of community resources and assets.  This assessment gathers the thoughts, opinions, and perceptions of the community in order to understand which issues are most important to the community.

This assessment answers the questions:
  1. What is important to our community?
  2. How is quality of life perceived in our community?
  3. What assets do we have that can be used to improve community health?
Why is this important?

While most data is usually quantitative (numerical), this assessment gathers data through thoughts, opinions and perceptions in and of the community. This type of data helps to identify issues and concerns in the communities that encompass Macomb County and provides a comprehensive review of how health is perceived.

Our Community Themes and Strengths Assessment (CTSA) can be found under CHA/CHIP Resources.


Forces of Change Assessment (FoCA)

The FoC Assessment focuses on identifying all the forces and associated opportunities and threats that can affect, either now or in the future, the community and local public health system. Forces can be trends, factors, or events.

This assessment answers the questions:
  1. What is occurring or might occur that affects the health of our community of the local public health system?
  2. What specific threats or opportunities are generated by these occurrences?

FoC identifies these forces that are or will be influencing the health and quality of life of the community. Forces are a broad all-encompassing category that includes trends, events and factors. Trends are patterns over time, such as migration in and out of a community, factors are discrete elements such as a community’s large ethnic population or proximity to a major waterway, events that are one-time occurrences such as a hospital closure or a natural disaster.

Why is this important?

Forces of Change Assessment helps to set the framework for other steps of the Community Health Assessment (CHA). Information gathered in this assessment on forces affecting the health of Macomb County can be used to determine how agencies identify strategic issues for the future and how these trends, events and factors can affect putting the strategic issues into action. This assessment activity ensures that strategic issues are relevant to the changing environment in Macomb County.

Our Forces of Change Assessment (FoCA) can be found under CHA/CHIP Resources.


Local Public Health System Assessment (LPHSA)

The Local Public Health System Assessment (LPHSA) is a measure of the local public health system overall, as comprised by all the individual entities that contribute to public health within a community. These entities include all public and private clinics, hospitals, emergency services, nonprofits, health insurance plans, health education programs, public and private schools, transportation, employment, and a host of related organizations. The LPHSA process compares public health system elements to the 10 Essential Services of Public Health, and will provide numerous benefits, including:

  • Improving organizational communications and collaborations
  • Exploring the interconnectedness of community health efforts.
  • Eliminating duplications in services.
  • Identifying system strengths and weaknesses.
  • Providing benchmarks for public health system and practice improvements.
This assessment answers the questions:
  1. What are the components, activities, competencies, and capacities of our local public health system?
  2. How are the Essential Services being provided to our community?
Why is this important?

The outcome of this assessment shows what the local public health system would look like if all organizations, groups and individuals in the community worked together to ensure that all essential services were delivered optimally. During this assessment the 10 essential public health services will be discussed and the group will determine how well the services are currently being delivered in Macomb County. This assessment helps to identify where there may be lacking services or an overabundance of services. LPHSA results in a list of challenges and opportunities among the Local Public Health Systems that will later be used to help plan and identify strategic issues.

Our Local Public Health System Assessment (LPHSA) can be found under CHA/CHIP Resources.