As a final note, it is important to remember the context in which HIAs are conducted when considering the recommendations phase. The recommendations should be provided in the final HIA report and should document available supporting evidence, stakeholder input, and a health-management plan, which should do the following: If no recommendations are made in the HIA report, an explicit rationale should be provided for the decision not to include them. The final HIA report should document the following: In addition to a final report, stand-alone executive summaries or fact sheets can help to disseminate and communicate the findings and recommendations of an HIA to various key audiences. In general, the baseline profile focuses on health issues and health determinants that may be affected by the proposal rather than on attempting to provide a complete assessment of community health. In practice, the categories are rarely used consistently, and a single HIA often encompasses a blend of various approaches to stakeholder engagement and participation, analytic methods, and interactions with the formal decision-making process. That issue is discussed at greater length in Chapter 4. Thus, the assessment phase is separated from the management phase, as recommended elsewhere (NRC 1983). Health Impact Assessment on Policies Reducing Vehicle Miles Traveled in Oregon Metropolitan Areas. and transmitted securely. Retrieved fromhttps://www.chausa.org/communitybenefit/assessing-and-addressing-community-health-needs At the center of the model are patients, families and community members, who should be engaged at every step. Integrating human health into environmental impact assessment: An unrealized opportunity for environmental health and justice. The entire decision-making process is appropriately not described in the final report; however, the reader is not told whether the HIA team prepared a scoping report or whether it presented the findings of the scoping stage. Practice implications include better understanding of different models and requirements by health departments, hospitals, and others involved in assessment and planning to improve cross-sector collaboration, collective impact, and community health. Discuss what entity has the authority or ability to implement each measure and document any commitments to do so. A number of corporations and professional associations, such as the International Committee on Mining and Metals and the International Association of Oil and Gas Producers, have guidance for HIA, but relatively few completed industry-led HIAs or environmental, social, and health impact assessments are available on the Internet or on public Web sites that catalog HIA activity. Reporting: Legislation on Paid Sick Days. Morgan RK. The HIA report states that scoping was done by the HIA team and involved desk-based research and a web and postal survey. Vol. An explicit statement of data sources, methods, assumptions, and uncertainty is essential, but uncertainty does not negate the value of the information. Advisory, steering, and technical oversight committees are also commonly convened during scoping. Any logic models or scoping tables that were completed should also be included. Example of a logic framework that maps out the possible causal pathways by which health effects might occur. Practice Standards for Health Impact Assessment (HIA), Version 1. An evaluation report should be produced at the conclusion of the HIA that includes the following: Few HIA evaluation data have been published in the United States and relatively few elsewhere. New surveys to address data gaps or questions specific to the proposal in question are also common in comprehensive HIAs. The associations between expected disturbances and changes in health were then analyzed in more depth to look at the alternatives proposed for the expansion and at the cumulative effects of oil exploration and extraction. This chapter has described HIA categories, defined HIA, discussed current HIA practice, noted variations in practice, and provided the committees conclusions regarding each step of the HIA process. It was not possible to derive mortality rates for demographic subgroups. Describes data sources and analytic methods and methods used to engage stakeholders. The choice of what to evaluate will reflect the specific social, political, and policy context of the decision; the needs, interests, and questions of stakeholders and decision-makers; and the health status of the affected population. Because the biologists on the EIS team were uncertain of the degree to which subsistence harvests might be favorably or adversely affected, the HIA did not attempt to make quantitative estimates of the probability or intensity of the impact.
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