A community health assessment gives organizations, stakeholders and residents comprehensive information about the community’s current health status, assets, needs, and issues



The 2019 Cuyahoga County Community Health Assessment (CHA) represents a powerful collaboration between Better Health Partnership, Case Western Reserve University School of Medicine, the Cleveland Department of Public Health, the Cuyahoga County Board of Health, the Health Improvement Partnership-Cuyahoga (HIP-Cuyahoga), The MetroHealth System, Southwest General Health Center, St. Vincent Charity Medical Center, The Center for Health Affairs, United Way of Greater Cleveland and University Hospitals.


Moving from Separate Health Assessments toward

Greater Collaboration for Health Improvement

The opportunity for all in Cuyahoga County to achieve their full health potential depends upon long-term collaboration among diverse individuals and organizations.


In 2018, HIP-Cuyahoga partners committed their time and resources to bridging public health and clinical care by conducting the first joint community health assessment of its kind in Cuyahoga County. This joint assessment represented a new, more effective and collaborative approach to identifying and addressing the health needs and assets of our community.

This shift in the way health assessments are conducted is a deliberate and strategic approach to working together more effectively and efficiently. It also demonstrates a clear commitment to aligning health improvement planning efforts locally and at the state level, to address health inequities that continue to plague our county. In 2019, we expanded our partnership among hospitals, public health, social service and other stakeholders to conduct a more comprehensive Community Health Assessment (CHA). This collaborative CHA will be used to collectively design a community health improvement plan (CHIP) and implementation strategy for the next three years. This plan will focus on equity-grounded approaches to address the most pressing health issues for Cuyahoga County.


In Cuyahoga County We Know That:

A tremendous wealth of community assets and healthcare resources exist in Cuyahoga County, yet stark differences in health are experienced by our residents.  The conditions that shape health such as financial resources, access to healthy food, and safe and affordable housing, are not spread equitably across the county, resulting in significant differences in health outcomes, life expectancy and infant mortality.  These differences are shaped by long-standing systems and structures that impact the conditions in which residents live, learn, work and play.


Social Factors and Conditions That Shape Health

  • Structural racism
  • Trust
  • Poverty
  • Food Insecurity
  • Transportation


Health Behaviors, Mental Health and Health Outcomes

  • Tobacco use
  • Lack of physical activity
  • Flu vaccination rates
  • Cardiovascular disease
  • Diabetes
  • Childhood asthma
  • Opioids
  • Homicide/violence
  • Lead poisoning



  • Infant mortality
  • Life Expectancy
  • Mortality rates from disease

View Select Data Slides


Top Health Needs in 2019

Eliminating Structural Racism

Enhancing Trust and Trustworthiness

  • Between hospital, public health systems and residents
  • Between healthcare providers and patients
  • Between social service agencies, community stakeholders and hospitals

Addressing Community Conditions such as Poverty and its Effects

Enhancing Mental Health and Reducing Substance Abuse

Reducing Chronic Illness and its Effects