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The HPHD fulfills the certified local health department function and provides public health services for two
independent counties and four independent cities: James City County, York County, the City of Hampton, the City
of Newport News, the City of Poquoson, and the City of Williamsburg (see Exhibit 1).
The Process
The 2022 Community Health Assessment (CHA) process was a
coordinated effort with local health systems. What originally began in
2015 as a process of community health assessment and planning, in
service of our missions and in response to federal requirements,
developed into an ongoing collaborative partnership of community
stakeholders dedicated to improving the health of our region. This
year, we were also joined by the Three Rivers Health District.
Assessing the health status and needs of a population at the local
level is an important role for public health, particularly when used to
supplement readily available state and national data. To fulfill this
function, in the Spring of 2021, HPHD began the collective process of
planning to conduct the 2022 Community Health Assessment Survey.
A workgroup, consisting of HPHD personnel, representatives from the
four major health systems (Bon Secours Health System, Sentara Healthcare, Riverside Health System, and
Children’s Hospital of the Kings Daughters (CHKD)), and the Three Rivers Health District, developed and
implemented a joint survey for community members and professional stakeholders. Sharing ownership with our
healthcare partners, and another health district, allowed us to expand our reach and give greater alignment to the
work needed to address the significant health needs in the community. The joint 2022 CHA provides a
comprehensive overview of our community’s health status. Where available, we can explore disparities in health
status, identify community strengths, and areas for improvement.
Part I. Community Health Assessment
This section presents summary findings from our recent efforts to assess community health needs. The CHA defines
health in the broadest sense and recognizes numerous factors at multiple levels to include: Health behaviors (e.g. alcohol
and drug use), clinical care (e.g. access to care), socioeconomic factors (e.g. education, insurance), and the physical
environment (e.g. housing). These factors contribute significantly to the overall health, well-being, and quality-of-life for
people who live, work, and play in our communities.
The 2022 CHA also recognizes the impact of the COVID-19 pandemic on the overall health and well-being of our
communities. COVID-19 has brought inequities to the forefront of Public Health, as it has unequally affected our racial and
ethnic minority populations while negatively affecting multiple aspects of the lives of all individuals, families, and
communities. Additionally, COVID-19 vaccine hesitancy significantly contributes to the overall health and well-being of our
population. This report addresses these factors in the broadest sense so that we may better address inequities and
combat health misinformation, which are both serious threats to public health.
HPHD is committed to addressing social determinants of health (SDOH), promoting diversity and inclusion, and achieving
health equity to improve the health and well-being of our communities. Recognizing the need to move away from
safety-net clinical care and broaden public health service beyond traditional programs and services is important to
successfully achieving this. In alignment with this Public Health 3.0 model, HPHD will continue to collaborate strategically
with community partners and use data to drive our actionable improvement recommendations. In doing so, the goal is to
begin to drive community health improvement in this ever evolving landscape of population health.
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