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Methodology and Process for 2019 CHNA

2019 Methodology & Process


The planning process for the East Tennessee Children’s Hospital 2019 Ccommunity Health Needs Assessment began in January of 2018.

An internal team was formed to identify and approve resources and timelines for conducting the necessary steps for completion. The committee included the members of the administrative and community benefits teams.

This group built a time line for collecting resources and conducting community interviews and surveys. The internal team used a modified version of the MAPP (Mobilizing for Action through Planning and Partnerships) process. This process is commonly used to assist community health organizations during the needs assessment process. The MAPP process provided the framework for Children’s Hospital to organize, visualize, assess, strategize, formulate goals and to take action.

Gathering & Analyzing Information

Key Informant Interviews

Interviews were conducted by members of East Tennessee Children’s Hospital’s administrative team, which included two physician leaders. Each interview was conducted using a uniform script (see Appendix B). Summary findings of the Key Informant Interviews can be found in Appendix C.

Similar to previous assessments, key informants were identified (see Appendix A) using the following criteria:

  • Those with special knowledge of or expertise in public health
  • At least one state, local, tribal, or regional government public health department (or equivalent department or agency) or State Office of Rural Health with knowledge, information, or expertise relevant to the health needs of that community
  • Members of medically underserved, low-income, and minority populations in the community served by the hospital facility, or individual or organizations serving or representing the interest of such populations
  • Members of medically underserved populations include populations experiencing health disparities or at risk of not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial or other barriers

Focus Groups

Six focus groups were conducted by evaluators from the College of Social Work Office of Research and Public Service (SWORPS) at the University of Tennessee. The demographics and findings of this process are included in Appendix D. The focus groups were conducted with:

  1. East Tennessee Children’s Hospital Family Advisory Council
  2. Regional coordinated school directors
  3. Regional Health Department directors
  4. Primary care physicians
  5. East Tennessee Children’s Hospital Board of Directors
  6. East Tennessee Children’s Hospital management team

Community Survey

A survey for the general population was created to gain input from community residents and key stakeholders about the top health needs and priorities of children in our community. A survey was promoted by providing a survey link on the hospital’s website and social media outlets to encourage people to take a few minutes to complete an online, confidential survey.

A complete reporting of the survey results can be found in Appendix E.