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CCO Community Health Improvement Plans


Community health assessments (CHAs) identify key health needs and issues through systematic, comprehensive data collection and analysis. Community health improvement plans (CHPs) are long-term, systematic efforts to address community health issues, needs and priorities based on the results of community health assessment activities and the community health improvement plan process. Both CHAs and CHPs require significant partner, stakeholder, and community engagement. General definitions and information about CHAs and CHPs are available on the CDC Public Health Systems & Best Practices website.


CCOs are required, per Oregon Revised Statue and CCO contract, to complete a CHP, based on a CHA, at least every five years. CCOs are also required to submit annual CHP progress reports. CCOs are also required to submit supplemental questionnaires along with their CHA, CHP and CHP progress reports. Full questionnaire templates are available on the Guidance and Training webpage.


The OHA Transformation Center has relevant guidance, training and upcoming technical assistance opportunities for CCOs, as well as any required questionnaires.

CCO CHA and CHP Submissions

CCOs completed their first CHAs and CHPs in 2014 and all CCOs have since completed at least one additional CHA and CHP. Local public health authorities (LPHAs) may also develop and implement CHAs and CHPs, while nonprofit hospitals develop a similar community health needs assessment (CHNA) and implementation strategy.

To encourage collaboration and highlight alignment across current plans, the Office of Rural Health partnered with the OHA Transformation Center and OHA Public Health Division to create an interactive story map that links to the most recent CHNAs, CHAs and CHPs for each Oregon county. Please contact Rose Locklear with the Office of Rural Health at with story map feedback or questions.

Health assessment and improvement plans are available here:


2018 Senate Bill 902 Report on CCOs' Community Health Improvement Plans: Services to Children and Adolescents


If you have questions please contact Tom Cogswell (

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