Over the past 15+ years, there have been hundreds (if not thousands) of Community Health Needs Assessments (CHNAs), Community Health Assessments (CHAs) and Community Health Improvement Plans (CHIPs) done in the United States.  These CHNAs, CHAs and CHIPs are the foundation of efforts to improve community health, reduce disparities, and otherwise enhance the well-being of our communities, states, and nation.  The stronger the foundation, the greater the likelihood of achieving the aspirations of these plans and the community members who create them.


A first generation of CHAs, CHNAs and CHIPs were done largely out of a need to comply with various requirements.  They were often done in isolation, generating reports at the lowest cost and least amount of effort that was required. 

The second generation has raised the bar, often involving collaboration between the local health departments, hospitals, and a wider range of community members. 


While this demonstrates movement in the right direction, it should be seen as a start of the journey to elevate practices, techniques and tools for this important work, not as something we should be satisfied with. We believe now is the time for a third generation of practices.


The workshop will be the official launch of the Improving Population Health Learning Collaborative

In this learning collaborative, a growing group of organizations and individuals will share emerging examples of innovation and how those improvements are leading to more successful progress in developing and implementing health improvement plans.  Neither the workshop nor the learning collaborative are based on having all the details of the next generation of CHNAs, CHAs and CHIPs figured out, but there are many very promising practices and innovations that can be introduced as elements that can be integrated into a new set of practices.  We will be inviting any health departments, healthcare providers or other stakeholders who are on the forefront of developing and adopting new practices to share that via this learning community and future webinars and workshops.  

This workshop is based on the premise that it is important to examine and improve how these CHNAs, CHAs and CHIPs are done and how they can be better integrated with the numerous other assessments that are being done by other organizations in the same communities. It explores some of the most promising techniques and examples of how to significantly improve how CHNAs, CHAs and CHIPs can be done so that they support major improvements in addressing the social determinants of health as well as coordinated, pro-active care.  The workshop will demonstrate upgrades to common practices that bring many community partners together, across sectors, to co-create and implement robust, multi-faceted strategies to improve the well-being of community members.


 Participants will learn:

  • Definitions and attributes of a population health paradigm to change

  • How to conduct a game-changing population health assessment (methods, tools and data requirements)

  • Important differences between developing organizational strategies and community strategies.

  • How to harness the power of innovative partnerships and capitalize on new technologies to overcome obstacles to addressing complex social challenges.

  • Learn how evidence-based practices and tools from the strategy management field can improve collaboration and successful strategy implementation.

  • How a system-oriented approach that addresses social determinants of health and shared drivers of enhanced well-being can simultaneously address many health issues in a community.

  • Pathways to prioritizing equity and improving health for all.



Population Health Learning Collaborative: Inaugural Session

Understanding the Landscape of Challenges and Solutions to Advance a Culture of Health in Communities.

 Thursday May 23

  • Eastern Time: 12:30 to 6:30 PM

  • Central Time: 11:30 AM to 5:30 PM

  • Mountain Time:  10:30 Am to 4:30 PM

  • Pacific Time: 9:30 AM to 3:30 PM


(Times below are shown in Eastern Time)

12:30  Overview of the Workshop and Learning Collaborative

Bill Barberg, (InsightFormation, Inc.), Rick Thomas and Ron Deprez (Public Health Research Institute

12:45 Opening: The Importance of Moving Upstream

Rishi Manchanda  (HealthBegins)

1:05  Example of an Innovative Technology:  Streetwyze - Like Having a Fitbit for Neighborhoods (Learn More)

  Antwi Akom (Streetwyze)

1:35 Introduction to Population Health Assessments

Ron Deprez (Public Health Research Institute) and Rick Thomas  

2:25 Update from the 100 Million Healthier Lives Campaign including an introduction of Pathways to Population Heal

Soma Stout (100 Million Healthier Lives) and Tricia Bolender (Pathways to Population Health

2:40 Tour of HealthDoers Network and Hub

  Jessica Little (HealthDoers Network) and Jolie Ritzo (NRHI

2:50 Overview of an Open Source tool for transforming text from First Responders’ report into valuable new, timely data on the opioid crisis.

 Anna Kaplan (Cambridge Health Alliance)

3:00  Presentation / Demo by Dimensional Insight

George Dealy (Dimensional Insight

3:25  New Techniques and Tools for Developing and Managing your CHIP 

Bill Barberg (InsightFormation, Inc.)

3:55 Case Study: Weld County DPHE and North Colorado Health Alliance

Mark Wallace (North Colorado Health Alliance)    

4:10  Intro to the Inclusion Scorecard for Population Health

Maria Hernandez (Impact4Health)

4:25 Q and A on Strategy Mapping and Case Studies

Panel of the day’s speakers

4:35 Quality Improvement for Communities

Rishi Manchanda (HealthBegins)

5:30 to 6:30 Virtual Discussion Groups and Networking (or in-person networking if you’ve gather a group of stakeholders in your community)

Web-conference calls will bring interested people together to meet each other and further discuss topics from the day, including:

  • Making the Most of New Data Sources

  • Engaging Housing Stakeholders in Health Improvement

  • Innovations to Advance Equity

  • Promising Practices for Enhancing CHIPs

  • Ideas for the Population Health Learning Collaborative



Click below to sign up for the virtual workshop, free!

Workshop Speakers

Ron Deprez

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Dr. Deprez’s research, teaching and consultation work focus on the design and evaluation of health care programs and policies, health system innovations and health improvement strategies in particular for prevention and management of chronic health conditions.  He has taught the Health Policy and Management course in UNE’s graduate MPH degree program. Deprez, a graduate of Franklin and Marshall College, holds a PhD in Political Science from Rutgers University and an MPH from the Harvard School of Public Health.  He also holds a certificate in survey research methods from the Institute for Social Research, University of Michigan in Ann Arbor.

Dr. Deprez is an expert in chronic disease delivery systems—ranging from screening, detection, education, treatment and prevention for persons with diabetes, hypertension, heart disease, asthma, and COPD.  Dr. Deprez and his colleagues are leaders in the development of population-based healthcare needs assessment and planning technologies.  An example is the Community and Institutional Assessment Process (CIAP), a set of science-based planning tools for prioritizing and restructuring health services.  This system has been used successfully in health systems across the US and globally.   He has led over 90 community assessment and planning studies in the US and abroad.

His international experience includes health planning and consulting assignments in Mali, Saudi Arabia, The Gambia, Egypt, Ghana, Ethiopia, Tanzania, Zanzibar and China. In The Gambia, Dr. Deprez led the team using CIAP methodology to develop bed need and primary health care service requirements for the country. In Ghana he developed the Ghana Health Partnership—a collaboration with UNE, the University of Cape Coast and the Ghanaian government. Other examples of this work include an epidemiological assessment and planning for the Hajj a pilgrimage in Saudi Arabia; and, assessment and planning for primary care improvement in Zanzibar.

Bill Barberg


Bill Barberg is a globally recognized expert in Implementing Population Health Strategies and Improving Collective Impact so communities can harness their existing resources to address complex social challenges like the opioid crisis. Mr. Barberg uses this knowledge as an experienced speaker for organizations, communities, and coalitions striving to address complex  issues. He is also the author of the chapter, "Implementing Population Health Strategies" in the new, highly-acclaimed book, "Solving Population Health Problems through Collaboration" (Routledge, 2017).

Instead of expecting each community coalition to spend countless hours attempting to design a comprehensive strategy for topics like the opioid crisis or suicide prevention, Mr. Barberg has made substantial contributions toward building a series of open source strategy map templates which give guidance and direction to a broad spectrum of health and community organizations that are working to solve priority health issues.

In addition to the strategy map templates, Mr. Barberg launched the development of the Opioid Coalition Resource Hub, a free, open source, national resource for coalitions.  This resource hub is organized around the strategy map template and it equips many teams in a large coalition with information and tools they can use to begin working on a subset of the overall strategy without requiring a large grant or a new funding source. It makes it easy for people to find tools (most of which are freely shared) they can use to quickly take action. In her nomination, Ms. Baker notes, “In a time where resources are scarce, this timely tool helps coalitions to ‘get out in front of the problem.’"

As the guiding force behind the the Opioid Coalition Resource Hub, Mr. Barberg is well versed on the current research, programs, and solutions communities have successfully implemented to address the opioid crisis, balancing the need for evidence-based practices and the desire for innovative solutions.

At a recent gathering of health coalition leaders, Mr Barberg was presented the 2018 Health System Transformation Award from Communities Joined in Action (CJA). CJA is a national membership organization of local and regional community health collaboratives, all of which are committed to better health for all people at less cost. The Health System Transformation Award "recognizes an individual, organization or community health coalition/collaborative that has demonstrated a breakthrough model that achieves better health outcomes, reduces inequities, promotes a culture of health—and is adaptable in other settings."

Rick Thomas


Rick Thomas is associate professor of preventative medicine at the University of Tennessee Health Science Center.

Mark Wallace

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Public health -- primary care -- health care innovation

Experienced health care leader in public health, primary care, graduate medical education, delivery system integration, electronic health records, non-profit health care and community collaboration.

George Dealy

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As Vice President of Healthcare Solutions, George sets the direction for Dimensional Insight’s healthcare solutions product line and leads the product development team. He is passionate about the possibilities for applying analytics technology to healthcare in ways that will improve the well-being of both individuals and entire populations.  George’s 25 years of experience in information technology, including senior roles in business development, product management and professional services, give him a unique perspective on the challenges of assimilating new technologies into organizations and industries.

George received his bachelor’s degree in applied economics from Cornell University and his master’s degree in computer science from Union College. He is also a Certified Professional in Healthcare Information and Management Systems (CPHIMS) and a CHIME Foundation Certified Healthcare Executive (CFCHE).

Maria Hernandez

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Key Strengths: Inclusive Leadership, Governance, Ethics, Strategy, Culture Transformations, Organizational Development, and Talent Optimization

Healthcare and Public Health Experience: Population Health Strategy, Upstream Social Determinants of Health, Program Design and Evaluation, Community Health Outreach for High Risk Populations

Antwi Akom

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Founding Director, Social Innovation and Urban Opportunity Lab (SOUL)

Dr. Rishi Manchanda


President and Founder

Dr. Rishi Manchanda is a physician, author, and health care leader who has spent more than a decade developing novel strategies to improve health in resource-poor communities. He has served as director of social medicine for a network of community health centers in South-Central Los Angeles, as the lead primary care physician for homeless veterans at the Greater Los Angeles VA, and as chief medical officer for a self-insured employer with a large rural immigrant workforce. In his 2013 TED Book, The Upstream Doctors, he introduced readers to the upstreamists, a new model of healthcare workers who improve care by addressing patients' health-related social needs, such as food, financial, and housing insecurity. The book has become recommended reading in medical schools and universities across the world.

Dr. Somava Stout

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Soma Stout, MD, MS is the Executive External Lead for Health Improvement for the Institute for Healthcare Improvement and serves as Executive Lead of 100 Million Healthier Lives, which brings together hundreds of partners across communities to support 100 million people globally to live healthier lives by 2020. She also directs the Innovation Fellows Program at the Harvard Medical School Center for Primary Care and is Lead Transformation Adviser at the Cambridge Health Alliance (CHA).

Tricia Bolender


Tricia Bolender is a senior quality improvement advisor, partnering with governments, nonprofits, foundations, and Fortune 500 companies globally to accelerate affordable access to high-quality health care through systems change and improvement.

Jolie Ritzo

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Senior Manager, HealthDoers Platform and Programs

NRHI member Opioid Affinity Group, staffs the Public Policy Committee, develops curriculum, and plans virtual and in-person events (topics include: healthcare affordability, health equity, quality improvement, practice transformation, population health, price transparency, reducing unnecessary services, and stakeholder engagement). She supports the bi-directional exchange of national and regional content across the member network and provides oversight of the HealthDoers Open Community and Community Management program.

Jessica Little

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Director of HealthDoers Network

NRHI most recently from Martin’s Point Healthcare where she spent 4.5 years leading program development and project management within the health management department. Programs were focused on identification, stratification, intervention and success measurement for patients with chronic conditions, high risk medical conditions and behavioral health conditions. Program goals focused on patient experience, improved health outcomes and medical expense management. In this role she was also responsible for management of a team of health coaches and operations staff, development of effectiveness reporting and presentation to key stakeholders, vendor implementation and management, and contract management. In addition to her experience at Martin’s Point, Jessica has direct healthcare experience as a registered dietitian and sales professional for clinical nutrition products. Jessica is also the co-owner of Magnolia Fitness, a barre and yoga studio where she is responsible for operations, budget, marketing and class instruction.