CHNA indicators are only included in the benchmark reports when the methodology used to calculate the statistic *exactly matches* the Healthy People 2020 data methodology. This typically requires that CHNA reports draw their data from the same source as HP 2020, or at a minimum use the same data processing techniques. Because the CHNA tool provides the most-current, most-granular data available for each indicator, this often resulted in incomparable statistics.
For example, the HP 2020 objective AHS-1, Increase the proportion of persons with health insurance uses national-level data from the Centers for Disease Control and Prevention (CDC), National Health Interview Survey (NHIS) to determine the nation’s baseline statistic and target objective. The CHNA platform reports the same statistic – percentage of total population with health insurance – but using public use micro area (PUMA) level results from the U.S. Census Bureau’s American Community Survey (ACS). While the NHIS provides just one statistic to represent the nation (83.2 percent of persons had medical insurance in 2008), ACS data can be broken out for smaller geographic areas within a state or county, to provide a better picture of local area health. Because data collection techniques yield different across the datasets, the CHNA indicator is not benchmarked to the HP 2020 objective.