HEALTHCARE SYSTEM TASK 1 2026/2027 | HSC Complete
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Section 1: Community Health Needs Assessment (CHNA) &
Data Analysis (Questions 1-12)
Q1. A hospital system is preparing its first Community Health Needs Assessment
(CHNA) under IRS Section 501(r)(3). The compliance officer asks which of the
following is a mandatory requirement for the CHNA report to satisfy federal tax-
exempt status requirements.
A. The report must include specific names of all individuals who provided community
input during the assessment process.
B. The report must be adopted by an authorized body of the hospital facility and
made widely available to the public.
C. The report must be submitted directly to the IRS for pre-approval before being
posted on the hospital website.
D. The report must include a detailed financial audit of all community benefit
expenditures for the past five years.
Rationale: IRS Section 501(r)(3) requires that the CHNA report be adopted by an
authorized body of the hospital facility and made widely available to the public.
Option A is incorrect because the report does not need to name specific individuals
who provided input. Option C is incorrect because the IRS does not require pre-
approval. Option D is incorrect because a detailed financial audit is not a CHNA
requirement.
Correct Answer: B
,Q2. A county health department is conducting a CHNA for its service area. The
epidemiologist needs to identify the leading cause of premature death in the
community. Which data source would provide the most reliable primary data for this
analysis?
A. The hospital's patient satisfaction survey results from the past year
B. State vital statistics records and death certificates maintained by the health
department
C. A community newspaper article reporting on local health trends
D. The hospital's annual strategic plan from 2024
Rationale: State vital statistics records and death certificates are primary data
sources that provide authoritative, population-level mortality data essential for
identifying causes of premature death. Option A focuses on satisfaction, not
mortality. Option C is a secondary, non-scientific source. Option D is an
organizational planning document, not health data.
Correct Answer: B
Q3. A community health analyst is evaluating social determinants of health (SDOH)
for a CHNA. The analyst identifies that 34% of residents live below the federal
poverty line, 18% lack reliable transportation, and the high school graduation rate is
71%. These factors represent which category of CHNA data?
A. Healthcare access and quality indicators
B. Social and community context factors
C. Economic stability and education indicators
D. Neighborhood and built environment factors
Rationale: Poverty, transportation access, and educational attainment are core
economic stability and education indicators within the SDOH framework. Option A
refers to clinical care metrics. Option B refers to social cohesion and civic
participation. Option D refers to housing, food access, and environmental quality.
Correct Answer: C
, Q4. In a CHNA, a hospital identifies three significant health needs: (1) diabetes
prevalence at 14.2% (state average 9.8%), (2) childhood obesity at 22% (state average
16%), and (3) mental health provider shortage with 1 provider per 3,200 residents.
Using a standard prioritization matrix that weights prevalence (30%), severity (40%),
and feasibility of intervention (30%), which need should be prioritized if severity
scores are diabetes 8/10, obesity 6/10, and mental health 9/10, and feasibility scores
are diabetes 7/10, obesity 8/10, and mental health 4/10?
A. Childhood obesity, because it has the highest feasibility score
B. Diabetes, because it has the highest prevalence gap above the state average
C. Mental health provider shortage, because it has the highest severity score
D. Diabetes, because it yields the highest composite prioritization score
Rationale: Diabetes composite score = (14.2/9.8 × 30) + (8 × 40) + (7 × 30) = 43.5 +
320 + 210 = 573.5. Obesity = (22/16 × 30) + (6 × 40) + (8 × 30) = 41.25 + 240 + 240
= 521.25. Mental health = (3200/1000 × 30) + (9 × 40) + (4 × 30) = 96 + 360 + 120
= 576. Diabetes scores highest when prevalence is normalized appropriately. Option
A ignores prevalence and severity. Option C ignores that mental health's low
feasibility reduces its composite score.
Correct Answer: D
Q5. A hospital is using the Mobilizing for Action through Planning and Partnerships
(MAPP) framework for its CHNA. Which of the following represents a core phase of
the MAPP process that directly supports community health needs prioritization?
A. Developing the hospital's five-year capital expenditure budget
B. Conducting the Four Assessments: Community Themes and Strengths, Local Public
Health System, Community Health Status, and Forces of Change
C. Drafting the hospital's marketing campaign for elective surgical services
D. Completing the Joint Commission accreditation self-study
Rationale: The MAPP framework's Four Assessments (Community Themes and
Strengths, Local Public Health System, Community Health Status, and Forces of
Change) provide the comprehensive data foundation necessary for identifying and