The National Organization of State Offices of Rural Health (NOSORH), with support
from the Federal Office of Rural Health Policy (FORHP), developed this fact sheet
for rural health stakeholders interested in systematically improving population health and
health equity in rural communities through a community health improvement process.
A community health improvement process supports rural planning based on identified
needs, engages the community and lays out a framework to ensure high impact planning
for community need. This compilation of resources provides clarification on the differences
between a Community Health Needs Assessment (CHNA) and a Community Health
Improvement Plan (CHIP) as components of the community health improvement process.
Though not an exhaustive list, it is intended to provide basic information and links to additional
information for greater detail. This information can be used by rural stakeholders to develop
and begin implementing a CHNA or CHIP.
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