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Institute of Medicine’s Community Health Improvement Process (CHIP)

Understand the Institute of Medicine's CHIP, a comprehensive process incorporating accountability into community health improvement efforts. Learn how to implement a CHIP effectively.

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Institute of Medicine’s Community Health Improvement Process (CHIP)

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  1. Institute of Medicine’s Community Health Improvement Process (CHIP)

  2. 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 improvement efforts it fosters.

  3. 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.

  4. 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.

  5. 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.

  6. How do you implement a CHIP?(continued) • Incorporate IOM’s general guidelines (continued): • 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.

  7. How do you implement a CHIP?(continued) • 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.

  8. How do you implement a CHIP?(continued) • 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.

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