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Accreditation Preparation: Community Health Assessment and Community Health Improvement Plan Prerequisites Demonstration Project

Resource Center for Community Health Assessments and Community Health Improvement Plans

The Resource Center for Community Health Assessments and Community Health Improvement Plans (CHA/CHIP Resource Center) provides practical, customizable tools; resources, including CHA and CHIP examples and case studies; and webinar trainings to LHDs to assist them in completing a community health improvement process. The CHA/CHIP Resource Center is updated regularly. More >>

CHA/CHIP Demonstration Sites

The 12 CHA/CHIP Demonstration Sites completed a community health improvement process between July 2011 and December 2012. More information about these sites can be found here.


NACCHO funded 12 local health department (LHD) demonstration sites to engage in a robust community health improvement process that yielded two of the three accreditation prerequisites: a community health assessment (CHA) and a community health improvement plan (CHIP). NACCHO offered this opportunity with support from the Robert Wood Johnson Foundation.

The competitively selected demonstration sites received $35,000 in grant funding to complete the CHA and CHIP over an 18-month period (July 2011–December 2012). All sites must intend to apply for accreditation after December 2012, but before December 31, 2014. 

This grant opportunity intended to generate exemplary CHAs and CHIPs that provide examples of robust and comprehensive processes and actionable plans. Key features of this work include the following:

1. Engaging community members and local public health system partners in a meaningful way, including non-traditional partners that are specifically identified to help address the social determinants of health.

2. Addressing the social determinants of health. Social and economic factors such as education and employment can affect health directly and indirectly. To truly improve the health of whole communities, it is vital that community health improvement processes and the CHAs and CHIPs that are generated address the social determinants of health. 

3. Using quality improvement (QI) and quality planning techniques, which will help further move the sites toward a culture of QI in their LHDs. 

Comprehensive in-person and Web-based training and technical assistance was provided to help sites engage in the community health improvement process and develop CHAs and CHIPs that embody all of the key features and meet all project expectations.

Within the cohort of demonstration sites, NACCHO  supported at least one each of the following approaches:   

  • LHDs that co-lead the process with a non-profit hospital(s);
  • Two or more LHDs with a history of formally sharing services that engage in a joint improvement process;
  • Regional or district LHDs;
  • LHDs that collaborate with a tribe(s);
  • LHDs that partner with an academic institution (e.g., schools or programs of public health, nursing or medicine; CDC-funded Prevention Research Center; HRSA-funded public health training center; etc.) to assist their process; and
  • LHDs that partner with a public health institute to assist their process.

Click here to learn more about the Community Health Assessment and Community Health Improvement Planning for Accreditation Preparation Project.