Advancing the State of the Art in Community Benefit

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Project Home		Implementation and Evaluation Tools
Introduction		Model Programs
Core Principles		Model Institutional Policies
Performance Measures		Partner Resources
Content Categories and Accounting Guidelines		Project Funders
National Advisory Committee		Project Contacts
ASACB Program Evaluation and User's Guide		Glossary

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ASACB Core Principles

A central objective in the demonstration is to utilize a more strategic approach to program planning and implementation.  This strategic approach is guided by a commitment to five ASACB Core Principles.  A description for each ASACB Core Principle follows:

Core Principle #1

Emphasis on Disproportionate Unmet Health-Related Needs (DUHN)

All services, activities and donations to be counted as community benefit will include outreach and design elements that ensure access for communities with disproportionate unmet health-related needs.  Communities with DUHN meet one of two criteria:

• High prevalence or severity for a particular health concern to be addressed by a program activity, or
• Evidence that residents are faced with multiple health problems and have limited access to health care.

Programs should focus on vulnerable populations who lack access to health care because of financial, language/culture, legal or transportation barriers, and/or who possess physical or mental disabilities.

Core Principle #2

Emphasis on Primary Prevention

Increase program activities that address the underlying causes of persistent health problems with the goal to improve health status and quality of life.

Primary prevention refers to three types of activities:

• Health promotion – develop healthy lifestyles among the general population
• Disease prevention – focus on those identified as at risk for health problems
• Health protection – create a healthier environment that will support healthy behaviors (changing social and physical environmental conditions)

Core Principle #3

Build a Seamless Continuum of Care

This core principle calls for linkages between clinical services and community health improvement activities.  The intent is for community health improvement activities to yield measurable impacts on health status and quality of life.

An important strategy is the engagement of clinicians in the design and implementation of community-based program activities.  A key objective is to reduce the demand for ER and inpatient treatment of preventable illnesses.  This is accomplished by developing evidence-based links between community health improvement activities and clinical service delivery. 

Core Principle #4

Build Community Capacity

This principle focuses on the targeting of charitable resources to mobilize and build the capacity of existing community assets.  Community capacity can be increased by enhancing existing programs, developing new ones, allocating financial resources, materials, expertise and advocacy to build on what exists in the community. 

The goal of this principle is to enhance the effectiveness and viability of community based organizations, reduce duplication of effort, and provide the basis for shared advocacy and joint action to address the structural problems in a community.

Core Principle #5

Emphasis on Collaborative Governance

Here the emphasis is on a collaborative approach to the governance and management of community benefit activities.  Collaboration with community stakeholders is a natural outgrowth of a community capacity building approach to program development.  Hospital representative identify potential community partners and develop a collaborative relationship that involves coordination of activities, sharing of resources and skills, and sharing risks.  Collaborative governance involves an ongoing engagement of diverse community members as active partners.