⚠ COVID-19 INFORMATION: Resources, Vaccine Information

Community Health Needs Assessment & Implementation Strategy

Download the 2019 Community Health Needs Assessment report.

Since 2013, Lurie Children’s has completed a comprehensive collaborative Community Health Needs Assessment (CHNA) every three years, in accordance with Affordable Care Act. The CHNA is a systematic, data-driven approach to identify priority needs in our service areas and inform our community health strategy.

We do this in collaboration with the Alliance for Health Equity, a partnership of 30+ hospitals, seven local health departments, and 100+ community-based organizations working together to identify health priorities at the city and county level.

In addition to the CHNA, Lurie Children’s also takes steps to review and interpret findings specific to our service area as a pediatric hospital. We publish those findings in a separate CHNA report, which identifies the high-need areas for action and local assets we can support and leverage in our community health strategy.

The 2022 CHNA Report is currently under development and will be published here later this year. 

2019 CHNA Report Key Findings

The findings outlined below are interconnected and underscore the importance of “upstream” strategies that focus on the social influencers of health:

Social Influencers of Health

  • Because of state policy advances in the Medicaid program, only 4 percent of youth in Chicago are uninsured. This progress is significant, but challenges related to access to care, including proximity and quality remain.
  • Significant health inequities persist in Chicago for youth. Social influencers of health, including poverty, education, employment, housing/homelessness and food insecurity substantially contribute to the health status of youth in Chicago, and disproportionally affect youth living in disinvested neighborhoods. 

Prevalent Health Inequities

  • Infant mortality rates per 1,000 births ranged from 3.4 for whites to 12.7 for Black populations.
  • Approximately 15-20 percent of youth live with a serious mental or behavioral health condition and 50 percent do not receive the mental health care they need.
  • Mental and behavioral health services are the top concern for many individuals living in low/very low opportunity neighborhoods, driven largely by quality concerns, inadequate reimbursement, stigma and workforce shortages.
  • Unintentional injuries are the leading cause of death and a major cause of emergency department visits among children and adolescents, and infants and adolescents are the age groups with the highest unintentional injury death rates.
  • Although violence occurs in all communities, it disproportionately affects low-income communities of color and especially young Black boys and men. In 2017, young Black males were 13.7 times more likely to die from a firearm-related homicide than non-Black males in Chicago.