As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Leadership Manual includes this customizable template, Community Needs Assessment Survey Tool/Questionnaire. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Community Needs Assessment Survey Tool/Questionnaire:

	COMMUNITY NEEDS ASSESSMENT SURVEY TOOL/QUESTIONNAIRE Community Leaders: Name of Organization Leader is Representing: Community Leader Completing Survey: Date of Survey: 1. As a leader in , you have a familiarity with the needs of the community as a whole. In your experience, what do you feel are the current community healthcare needs? List the community populations most affected by these needs: 2. Looking toward the future, over the next three to five 3-5 years, what do you feel are emerging healthcare needs for the community? 3. Are there any healthcare needs of the community that are...
Second excerpt:
	...populations most affected by these unmet needs: 4. Are there any barriers specific to the community that prevent individuals from accessing healthcare resources or getting healthcare needs met? List the barrier, unmet healthcare need and corresponding population: 5. Which do you feel are the most effective community healthcare and related agencies currently available to the public? 6. Are there any prevention/wellness directions you would like to see implemented within the community? 7....