Community Healthcare Impact Indices™ (CHII™)
Community Healthcare Impact Indices™ (CHII™) is a standardized transparency framework for reporting healthcare delivery using aggregated, non-identifiable operational data. CHII™ organizes care activity into four objective indices: contribution, reach, effective reach (barrier-adjusted), and geographic coverage.
CHII™ exists to make healthcare delivery visible in community terms beyond traditional financial reporting. It creates shared language around what was delivered, who was reached, how access barriers were navigated, and where care occurred.
CHII™ does not evaluate clinical outcomes, rank providers, or measure treatment effectiveness. It is a transparency and reporting framework, not a performance or quality scoring system.
Community Contribution Index
Represents the annualized documented value of healthcare services delivered during the measurement period, derived from standard billing and documentation records.
- Reflects: verified service activity (aggregated)
- Does not reflect: outcomes or patient-level finance
Patient Reach Index
Counts unique individuals served during the reporting period. PRI™ establishes base access volume without diagnoses or outcome claims.
- Reflects: unique individuals served
- Does not reflect: complexity or effectiveness
Effective Reach Index
Adjusts patient reach for objective access and experience friction, including wait time and patient-reported experience indicators, without making outcome claims.
- Derived from: PRI™ + access efficiency signals
- Purpose: reflect real-world delivery through barriers
Community Coverage Index
Represents the number of distinct communities reached during the measurement period. State-specific variants (e.g., TCCI™) may be used.
- Reflects: geographic distribution of care
- Optional: percent coverage context
- Aggregated data only (no PHI)
- Non-diagnostic reporting
- No outcome or performance claims
- Time-bound reporting
- Repeatable from routine operational data
- Minimum: CCI™ + PRI™
- Standard: CCI™ + PRI™ + ERI™
- Full: CCI™ + PRI™ + ERI™ + CCI-G™
- Select reporting period
- Aggregate documented services
- Count unique individuals
- Apply access indicators
- Count communities
- Publish with attribution
Community
The work presented here reflects a community-centered approach to mental health care, transparency, and coordination. Each component serves a distinct role while operating within a shared philosophy of accessibility, accountability, and evidence-based practice.
Tennessee’s Provider™
Tennessee’s Provider™ is a community-recognized professional role focused on serving mental health needs across Tennessee through accessible, patient-centered psychiatric care. The role emphasizes trust, continuity, and alignment with community priorities.
Community Healthcare Impact Indices™ (CHII™)
CHII™ is a transparency framework designed to document healthcare delivery using objective, aggregated operational data across four dimensions: contribution, reach, barrier-adjusted reach, and geographic coverage—without reporting diagnoses or clinical outcomes.
The Community Standard™
Community Standard™ is a community-centered framework for coordinating support across healthcare, housing stability, recovery pathways, and essential resources. It is designed to reduce fragmentation through shared structure and local adaptation.