The 2010 Patient Protection and Affordable Care Act (ACA) requires not-for-profit hospitals, including Catholic hospitals, to engage in meaningful community assessment and collaboration efforts in order to maintain their tax-exempt status. Now that the ACA has been upheld by the U.S. Supreme Court, this paper argues that the requirements related to a more robust community engagement process should be embraced by Catholic not-for-profit hospitals and health systems. Apart from the legal requirements under ACA, an equally persuasive moral mandate to engage in community-level assessment and action exists in the ethical tradition of Catholic health care, particularly in the notions of the common good, preferential option for the poor, and subsidiarity. This paper examines the compelling nature of these moral norms in light of the dual goals of improving overall community health and reducing health disparities among vulnerable populations. It concludes with the examination of one model of community collaboration: Mobilizing for Action through Planning and Partnerships (MAPP).
Rosenbaum S, Kindig DA, Bao J, Byrnes MK, O'Laughlin C. Rosenbaum S, et al. Health Aff (Millwood). 2015 Jul;34(7):1225-33. doi: 10.1377/hlthaff.2014.1424. Epub 2015 Jun 17. Health Aff (Millwood). 2015. PMID: 26085486 Free PMC article.
Abbott AL. Abbott AL. J Public Health Manag Pract. 2011 Nov-Dec;17(6):524-9. doi: 10.1097/PHH.0b013e31822da124. J Public Health Manag Pract. 2011. PMID: 21964364
Keehan C. Keehan C. Origins. 2005 Jun 16;35(5):75-9. Origins. 2005. PMID: 16178107Burke JG, Truong S, Albert S, Steenrod J, Gibert C, Folb B, Saleh A, James E. Burke JG, et al. J Health Care Poor Underserved. 2014 Feb;25(1 Suppl):165-93. doi: 10.1353/hpu.2014.0058. J Health Care Poor Underserved. 2014. PMID: 24583495 Review.
Rubin DB, Singh SR, Young GJ. Rubin DB, et al. Annu Rev Public Health. 2015 Mar 18;36:545-57. doi: 10.1146/annurev-publhealth-031914-122357. Annu Rev Public Health. 2015. PMID: 25785895 Review.
Rozier MD. Rozier MD. Front Public Health. 2020 Mar 11;8:72. doi: 10.3389/fpubh.2020.00072. eCollection 2020. Front Public Health. 2020. PMID: 32219089 Free PMC article. Review.
Hall KS, Nadella SP, Zochowski MK, Patel D, Dalton VK. Hall KS, et al. J Womens Health (Larchmt). 2015 Sep;24(9):730-9. doi: 10.1089/jwh.2014.5175. Epub 2015 Jun 30. J Womens Health (Larchmt). 2015. PMID: 26125483 Free PMC article.