How was the 2025 CHNA created? 

The 2025 CHNA was created using a collaborative, data and community-informed framework from the National Association of County and City Health Officials (NACCHO) called Mobilizing for Action through Planning and Partnerships (MAPP) 2.0 that brought together local organizations, experts, and community members to better understand the health needs and priorities of Frederick County residents.

Our CHNA Steering Committee and Data and Assessment Team were open to the public and provided leadership and direction for the assessment, ensuring alignment with our community’s needs and the MAPP 2.0 framework.

Primary data sources included a comprehensive Community Health Survey, 5 focus groups, and 5 Root Causes Surveys. Secondary data included over 40 health indicators complied from a range of state and federal sources, covering categories such as length of life, physical environment, and socioeconomic factors.

The Community Health Survey received 2,441 responses. Focus groups composed of:

• Residents who identify as LGBTQIA+

• Residents who identify as “often” or “always” lonely or isolated and have household income of $75,000 or less, with diverse race and ethnicity

• Residents who are parents/guardians of a child under the age of 18 and have a place to live today but are worried about losing it in the future

• Residents who identify as Hispanic or Latino/a who speak English as a second language and are age 30 or younger

• Residents who identify as Black or African American.

The updated MAPP 2.0 framework placed greater emphasis on identifying root causes of health issues. This process also prioritized community voice, and as a result, the 2025 CHNA included more community input than ever before to ensure the findings reflected the true needs, lived experiences, and priorities of our community!