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URochester Medicine / Center for Community Health & Prevention / Health Policy / Community Health Improvement Workgroup

Community Health Improvement Workgroup

Mission: To improve the health and wellness of individuals and families of Monroe County by addressing prioritized needs and inequities through sustainable systems change built on collaboration and supported by shared resources.

The Community Health Improvement Workgroup of Monroe County (CHIW) provides remarkable examples of how leaders from hospitals and the community can collaborate to improve the health of the population.

There are two primary hospital systems in the region, each operating two hospitals in Monroe County. Every three years, through a process mandated by the Affordable Care Act and the New York State Department of Health, non-profit hospitals, and the health department conduct a Community Health Needs Assessment (CHNA) to determine areas of community health concern. In addition, a Community Health Improvement Plan (CHIP) is developed every three years to address the health needs of the County.

Infographic titled "2025–27 Monroe County Community Health Improvement Plan" featuring a circular wheel centered on the statement, "Everyone has the opportunity to attain their highest level of health." The wheel highlights three priority areas: Economic Stability, Healthy Births, and Mental Wellness. Each section includes strategies such as employment, social needs screening, and RMAPI Partnership (Economic Stability); doulas, exploring root causes, and home visitation (Healthy Births); and social prescribing, mindfulness programs, and social connections (Mental Wellness). The inner ring identifies the corresponding goals: Decrease Poverty & Its Health Impact, Decrease Maternal Mortality, and Decrease Stress & Anxiety. Around the wheel are key community statistics: 13.1% of Monroe County residents and 27% of Rochester residents live in poverty; 26.5 of every 100,000 births result in the death of the birthing person, with Black women experiencing a rate three times higher; and 13.5% of residents experience frequent mental distress.

CHIW teamIn Monroe County, the CHIW meets monthly, and brings together leaders from hospitals, health departments, and community agencies to prioritize community health needs. The CHIW has been meeting monthly since 2000.

Membership List - Organizations

The CHIW offers a Mini-Grant program that awards and supports community-based agencies working in tandem with the goals of the CHIP. The CHIW partners with mini-grant awardees, and other community-based organizations, to work collaboratively for the mutual benefit of all groups, and ultimately for the benefit of the residents of Monroe County.

Updates from the CHIW and other community health efforts in Monroe County can be found in the CHIW newsletters

Upcoming Meetings

The CHIW typically meets on the third Monday of every month at 3:30 p.m. Meetings are currently being held remotely.

Please contact Morgan McDonald, MPH, senior health project specialist, for information on attending.

To learn more about the Monroe County Community Health Improvement Plan and to see current and previous plans, please visit the Commitment to Community web page. For more information regarding the Community Health Improvement Workgroup and to be added to the mailing list for upcoming meetings, contact Morgan


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