Assignment Overview:
*You are to complete a community health needs assessment (CHNA) for Hillsboro County utilizing the information contained in Case 1 of the Middleboro CASEBOOK. A CHNA answers the question: What are the primary healthcare needs and issues facing this county?

*You are encouraged to seek outside data to benchmark local data to state and national data/trends. For purposes of benchmarks, assume that Hillsboro County is located in Pennsylvania. Selected Excel tables of data from the case are provide in Moodle.

*Your submission is APA format.

The following questions will guide the development of your CHNA:
1-Nursing Home Need Study
National statistics indicate that approximately 3.9 percent of the population 65 or older is in nursing homes. Historically, nursing homes in Hillsboro County have an average occupancy of 94 percent. Does Hillsboro County currently have a sufficient number of nursing home beds? Are additional nursing home beds needed as of today and/or by 2020? If yes, indicate where in Hillsboro County you recommend any additional nursing home beds be located.

2-Physician Type Analyses
We need a comprehensive understanding of the number and type of physicians in Hillsboro County. Address each of the following questions and provide appropriate quantitative justification to support your conclusions and recommendations. Based on available national statistics (e.g., physician population ratios), does Hillsboro County have an excess or shortage of physicians? Excluding hospital-based specialties (e.g., pathologists), what medical specialties (e.g., general internal medicine) are in excess of national standards? As of 2014, how many additional physicians are needed in what specific medical specialties? Assess the significance of your findings on the health and healthcare services in Hillsboro County.

3-Health Needs Study
We need an analysis of the health needs in Hillsboro County. Please address each of the following questions and provide appropriate quantitative justification to support your conclusions and recommendations:
1.Assess Hillsboro County’s mortality statistics (Tables 1.17 and 1.18). Is Hillsboro County experiencing “excess” mortality associated with specific causes of death? Are Hillsboro County’s causes of death in accordance with or significantly different than disease-specific national rates and specific trends?
2.Compare the health insurance coverage in Hillsboro County with national statistics. Is Hillsboro County similar or different than the overall United States?
3.Assess the significance of your findings on the health and healthcare services in Hillsboro County.