The Association of State and Territorial Health Officials (ASTHO) and NOSORH collaborated on an issue brief about community health needs assessments (CHNAs). This issue brief provides an overview of the requirements and standards for some rural hospitals and health departments to conduct CHNAs. These exercises can help stakeholders to identify and address health problems in rural communities. They are also an opportunity for health systems and health departments to collaborate on similar activities that may be mandated by separate authorities and for them to leverage their requirements to become a means of addressing population health challenges in rural areas. The issue brief includes several state-specific examples of how these partnerships can be created and maintained at the state and local levels.

NOSORH would like to thank the following individuals for their participation in the interview process and for sharing their state-specific examples: Margaret Brockman (NE), Lara Brooks (OK), Natalie Claiborne (MT), Joyce Hospodar (AZ), and Karen Madden (NY).

In addition, ASTHO has updated the Primary Care Office Manual. The 2017 Primary Care Office Directors Manual provides essential information on the roles, responsibilities, and timelines for deliverables of PCO work. Although the PCO Manual was created with newly-hired PCO staff in mind, its reference materials can also be of use to veteran PCO directors and staff. This update reflects a number of recent changes to PCO work and responsibilities, including new reporting processes and deadlines, new informational resources, and federal agency reorganizations.

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