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Section 6. The Institute of Medicine's Community Health Improvement Process (CHIP)

What is a CHIP?

___A CHIP is a Community Health Improvement Process that can also be used for building a healthy community.

___CHIP is slightly different from other similar processes in that it incorporates accountability into the planning, implementation, and evaluation of the community health efforts it fosters.

Why use a CHIP?

___It takes a community perspective.

___It’s inclusive and participatory.

___It demands a comprehensive view of health.

___It sees equity as key.

___It’s flexible.

___It builds in accountability.

___It builds in performance monitoring.

___It can incorporate or fit in with other models.

___It sees the process as ongoing and long-term.

Who should be part of a CHIP?

___Those who are directly affected by the issue at hand.

___Those whose lives or jobs will be affected by the CHIP effort.

___Change agents.

___Influential people.

___Community members at large.

How do you implement a CHIP?

___Incorporate IOM’s general guidelines.

  • Define health broadly.
  • Develop specific quantitative measures and hold responsible groups accountable to them.
  • Balance long- and short-term goals.
  • Include all stakeholders and other potential contributors to the work in assessment, planning, and implementation.
  • A CHIP should be centered in a community health coalition or similar entity.
  • State and local public health agencies should assure that a community health improvement process is in place in all communities.
  • State health agencies, in cooperation and collaboration with local health departments, should assure the availability of community-level data needed for health profiles.
  • States and the federal government should require that appropriate private entities report standard data on their enrolled populations, to facilitate the CHIP.

___Form an inclusive, participatory coalition or coordinating group, or tie into one that already exists.

___Do your research.

___Identify the issue(s) you’re going to work on.

___Analyze the issue(s) carefully.

___Take stock of potential resources, particularly those already available in the community.

___Develop a strategic plan and action plans to carry it out.

___Agree on who will be accountable for which parts of the plan.

___Work out how accountability will be monitored.

___Implement your strategy.

___Monitor both the process and the outcomes of your effort.

___Maintain your gains.

___Start the cycle again, with another issue.