Introduction
What is a Community Health Improvement Plan (CHIP)?
A Community Health Improvement Plan (CHIP) is a strategic, action-oriented framework that identifies and addresses priority health issues within a specific community Developed through a collaborative process involving various partners and organizations, a CHIP outlines strategies and measures aimed at enhancing community health It serves as a guiding vision for community health improvement, helping organizations leverage resources, engage stakeholders, and set their own health priorities.
This Community Health Improvement Plan (CHIP) aims to enhance the commitment of key partner agencies in addressing specific health issues within the community By fostering sustained and focused efforts within this framework, a diverse array of public health partners and stakeholders will work collaboratively on assessment, planning, and action, ultimately leading to measurable improvements in community health over the coming years.
The upcoming phase focuses on the extensive execution of the action plan outlined in this CHIP, alongside the assessment and evaluation of both short-term and long-term outcomes and indicators associated with the CHIP.
The 2013 Community Health Improvement Plan (CHIP) aims to develop strategies within a six-month to three-year timeframe, emphasizing an iterative process that includes ongoing monitoring We will provide annual updates to this document in December 2013 and December 2014, with the next community health assessment scheduled for 2015.
How to Use this CHIP
The Community Health Improvement Plan (CHIP) serves as a dynamic strategic framework aimed at enhancing community health This adaptable document will evolve in response to changing conditions, resources, and external factors Developed through inclusive collaboration, it incorporates diverse perspectives to foster a unified approach Our goal is to improve the health and quality of life for everyone in our county—those who live, work, and play here.
We invite you to assess the priorities and goals outlined, reflect on the recommended intervention strategies, and explore ways to engage in this collective call to action, both individually and within your organizations For inquiries or to get involved, please reach out to Jimmy Hines, Health Director, at jhines@rpmhd.org or visit www.RPMHD.org, or contact Marjorie Vestal at marjorie.vestal@gmail.com.
Connection to the 2012 Community Health Assessment (CHA)
Community health assessment (CHA) serves as a crucial foundation for enhancing and promoting community health As both a process and a product, CHA plays an essential role in the ongoing improvement of community health It identifies key factors influencing population health and evaluates the availability of resources within the county to effectively address these factors.
The 2012 Polk County Community Health Assessment (CHA) aimed to deliver comprehensive data for the county and its partners to pinpoint significant health concerns The insights gathered and the identified priorities played a crucial role in shaping the county's health priorities, which are outlined in the Community Health Improvement Plan (CHIP).
WNC Healthy Impact is a collaborative initiative involving hospitals, health departments, and various partners in western North Carolina aimed at enhancing community health This ongoing effort includes conducting community health needs assessments throughout the region For more information on the goals and participants of this initiative, visit www.WNCHealthyImpact.com The project is guided by a steering committee, workgroups, local agency representatives, and a public health/data consulting team.
The Centers for Disease Control and Prevention (CDC) continues its long-standing dedication to improving the health and wellness of all Americans through the
Community Transformation Grant (CTG) Program
CTG is dedicated to designing and implementing community-level initiatives aimed at preventing chronic diseases like cancer, diabetes, and heart disease In Polk, the CTGP plans to enhance visibility for Farmer’s Markets and provide support for smoke-free policies to promote healthier lifestyles.
The Community Health Improvement Plan (CHIP) in North Carolina outlines the priority setting process as part of the Local Health Department's Community Health Assessment This plan serves to document the collaborative efforts involved in action planning following the establishment of priorities in each county, in alignment with guidance from National Public Health Accreditation standards.
Community Health Assessment Process
A Community Health Assessment (CHA) serves as a crucial foundation for enhancing the health of county residents It plays a vital role in the ongoing process of community health improvement by identifying key factors that influence the health of the population Additionally, CHA evaluates the availability of resources within the county to effectively address these health determinants.
A community health assessment (CHA) is both a process and a document that evaluates the current health status of a community, identifies changes since the last assessment, and highlights necessary improvements This comprehensive assessment involves collecting and analyzing diverse secondary data, including demographic, socioeconomic, and health statistics, alongside primary data from personal self-reports and public opinion gathered through surveys and listening sessions The resulting document summarizes all available evidence, serving as a vital resource until the next assessment Collectively, the CHA provides a foundation for prioritizing health needs and planning effective interventions for the community.
A random-sample survey conducted in our county for the community health assessment gathered responses from 200 community members about their health status, behaviors, interactions with clinical services, support for health-related policies, and quality of life factors This initiative involved collaboration with the Polk Fresh, Fit and Friendly Coalition, St Luke’s Hospital, and the Rutherford Polk McDowell Board of Health.
The local review and analysis of data focuses on prioritizing health issues while promoting and organizing a Health Forum to present Community Health Assessment (CHA) data to the public This initiative aims to facilitate the selection of health priorities Over the next four years, these collaborative groups will work together to develop and implement Community Health Improvement Plans (CHIPs).
A Community Health Forum was held at Isothermal
Community College, Polk Campus, on January 17, 2013 The
Polk County Community at large was presented with the CHA information contained in this report Breakout sessions were held to get community input in the following areas:
Chronic Disease including: Diabetes, High Blood Pressure,
Obesity, High Cholesterol, Healthy Eating and Active Living,
Substance Abuse including Tobacco, Economy and Health,
Access to Care Moving forward, Community partners realized that “Economy and Health” did not have a leader and therefore could not be addressed at this time
Chapter 3 – Priority One: Reduce Diabetes
Polk County faces a significant burden from preventable health issues such as heart disease, lung diseases, obesity, and diabetes To address these challenges, our Community Health Improvement Plan (CHIP) aims to encourage the adoption of healthy lifestyle changes among residents.
While we have chosen to focus on diabetes reduction, we see that our strategies will also result in a reduction in obesity, heart disease, stroke, lung disease and more.
Diverse settings for health interventions enhance our collective impact in achieving our objectives Collaborating with individuals, groups, families, and institutions is essential to effectively reach our goals.
Promoting breastfeeding throughout the lifespan is crucial, as it offers significant health benefits for infants Research shows that breastfeeding reduces the risk of childhood overweight and obesity Infants who are not breastfed face a higher likelihood of becoming overweight or obese compared to their breastfed counterparts.
Polk Fit Action Team has created a Walking Paths and Trails
Map to promote active lifestyles Our plan includes expanding the reach of the map and integrating it into medical and community settings.
Through enhancing farmers markets, we intend to increase consumption of fresh local fruits and vegetables
With policy level work, we will increase smoke-free community college campuses thus reducing the harmful
Walking has tremendous health benefits
Find a quiet road to explore, walking can be a central component of your fitness routine
Try for 30 minutes each day
What can walking do for you?• Improve health of heart and lungs
Explore the Polk Walking Paths and Trails Map to discover local trails that promote health and wellness Access the map at http://www.polkfitfreshandfriendly.org/uploads/1/0/8/7/10875927/mapfinal.pdf Addressing the effects of secondhand smoke and linking individuals to essential health resources is crucial for achieving our health improvement goals.
Spotlight on Success: Growing Cycle
Polk County, spanning 200 square miles, boasts over 300 farms that significantly contribute to its thriving agricultural economy Farmers in the area cultivate a diverse range of crops, including Christmas trees, hay, corn, soybeans, and sweet potatoes, alongside livestock such as dairy, beef, and pork The county is characterized by small family farms, many of which are organic and under 50 acres in size The picturesque farms along the scenic back roads enhance the region's tourism appeal, showcasing the natural beauty of Polk County's agricultural landscape.
Despite the abundance of agricultural products in Polk County, the nutritional health of its residents is concerning, with only 11% of adults meeting the recommended daily intake of fruits and vegetables This low consumption is closely associated with the rising rates of diabetes in the area To combat this issue, the local health department has implemented a strategy to boost attendance at farmer's markets, collaborating with the Polk County office of the North Carolina Cooperative Extension Service to promote healthier eating habits among the community.
The Extension Service plays a vital role in promoting fresh produce consumption by leveraging its strong relationships with local farmers It not only provides essential training for farmers but also highlights the link between agriculture and health through initiatives like Healthy Cooking classes Recognizing that physical activity is crucial for a healthy lifestyle, Polk County Extension agent Jimmi Buell proposed a creative strategy to integrate nutrition and fitness by connecting fresh produce with road biking, a popular sport in the region.
The Growing Cycle Tour, inspired by the Appalachian Sustainable Agriculture Project's annual farm tour, offers a unique biking experience through Polk County's scenic landscapes Participants bike approximately 10 miles between farms, allowing them to sample fresh produce, meet local farmers, and engage in farm activities while learning about agricultural production Launched in 2012, this tour enhances the traditional farm tour by promoting sustainability and community involvement.
The 2013 Growing Cycle Tour, starting at Parker-Binns Winery, features a scenic 37-mile route that includes two farmers' markets, four farms, and an additional winery While the tour is not overly strenuous, the hilly terrain may pose a challenge for inexperienced cyclists Participants can explore a variety of farm products, such as pasture-raised rabbits, chickens, cheese, grass-fed heritage turkeys, and fresh raspberries, along with dairy and meat from goat and bison farms The tour also highlights local wines, including Chardonnay, Merlot, and Cabernet Sauvignon, produced at the vineyard Concluding the experience, guests enjoy a farm-to-table meal featuring locally sourced ingredients, including pizza baked in a brick oven and topped with onsite-made pesto, complemented by peach ice cream crafted from local orchard peaches.
The 2012 Growing Cycle Tour attracted 25 participants, and this year's event is anticipated to sell out While it is primarily a bike tour, organizer Buell emphasizes that it is fundamentally a "foodie tour," showcasing the diverse range of farm products cultivated in this small county of Western North Carolina.
Buell began riding to improve her fitness and lose weight, and she aims for the tour to transform participants' eating habits while raising awareness of the connection between nutrition, physical activity, and wellness Additionally, the tour fosters community by connecting local bike enthusiasts with farmers who produce their food Polk County's farms enhance the area's beauty and have the potential to improve residents' health The Growing Cycle Farm Tour represents a significant effort to merge the county's key resources for the betterment of community health.
Increase Access to Fresh Fruit and Vegetables
Goal: Reduce Diabetes 5% per year by increasing consumption of Fresh Fruits and
Source: State Indicator Report on Fruits and Vegetables
2009 Centers for Disease Control and Prevention. www.fruitsandveggiesmatter.gov/indicatorreport
Evidence Base: North Carolina’s Plan to Address Obesity
Type of Change: community, policy
Lead: Polk Agricultural Development Center – Farmers
Collaborating: Community Transformation Grant Project, NC Cooperative
Supporting: All members of the PF3 Health Coalition
Example: By December 2014, increase the number of visitors to local Farmers Markets
Indicator: A 5% increase over 2013 visitors as measured by Farmers Market
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Staff time Increase knowledge of how to prepare local fresh produce
Increased signage CTG providing funding for signs
More awareness of farmers markets
Signs in place, direct feedback from visitors to farmers markets
CTG to develop photovoice project to help tell story of need for change staff time and volunteers; photo equipment and supplies
Photovoice display to use with stakeholder communication
Review of deliverable By December 2015
Strategy Objective #2: Increase fruit and vegetable consumption in Polk county through increasing sales at Farmers Markets.
Indicator: Volume of sales of fruits and vegetables at Farmers Markets.
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Farmers Markets CTG Staff time More Awareness, more patronage Sales records 12/13
EBT capacity, Mill Funds for operation, Increased sales from EBT Sales records 12/15
Spring Ag Center staff time to manage, bookkeeping
Incentives to use EBT Funds to purchase incentives, staff to coordinate
Increased sales from EBT Sales records 12/15
Extension gives incentives to spend with vendors
Staff time, funds to purchase incentives
Increased sales Coupons turned in 6/13
Spring Ag Center sponsor Farm Tour
Staff time, partnering farms Produce sales, new customers for farmers Sales records 6/13
Increase Physical Activity
Goal: Reduce diabetes through increasing opportunities to be physically active
Sources: Families Eating Smart and Moving More http://www.eatsmartmovemorenc.com/FamiliesESMM/FamiliesESMM.html http://www.polkfitfreshandfriendly.org/uploads/1/0/8/7/10875927/mapfinal.pdf
Evidence Base: Environmental and Policy Approaches to
Increase Physical Activity: Creation of or Enhanced
Access to Places for Physical Activity Combined with
Activities www.thecommunityguide.org/pa/environmenta l-policy/improvingaccess.html
Lead:Community Transformation Grant Program
Strategy Objective #1: By December 2014, Update, Print, Promote and
Indicator:Number of Maps Distributed to Stakeholders
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Stakeholders to gain input to
CTG Staff time, Partners time Input gained for map updates Minutes from meetings October 2013
Maps Volunteer time PF3 members, CTG staff Trail maps will include new Verify new copy of map December 2013 time messages, updated addresses
Print Maps Budget $1000 Maps printed Maps printed December 2013
Partners Volunteer time PF3 members, CTG staff time
Maps Distributed to 6 locations Partners verify receipt of Maps March 2014
Partners staff time Maps given to target population
Partners track distribution to clients/the public
Partners promote Maps on line/websites
Partners staff time Maps promoted Verify link to map on websites December 2015
Increase Breastfeeding
Goal: Reduce Diabetes by Increasing Breastfeeding Initiations
Rationale: The health effects of breastfeeding infants are well documented
Breastfeeding decreases many risks, including childhood overweight and obesity Children who are not breastfed are more likely to be overweight and obese than those who are breastfed
Source: Breastfeeding Report Card 2012, United States.
Evidence Base : www.cdc.gov/brastfeeding/data/reportcard2.htm.
Type of Change: Individual, Family Likely to address disparities.
Lead: Rutherford Polk McDowell District Health Department
Supporting: NC Cooperative Extension, Polk Wellness
By December 31, 2015, North Carolina aims to boost the breastfeeding rate among infants to 75%, with 50% of infants being breastfed for a minimum of six months.
Indicator: Number breastfed www.cdc.gov/brastfeeding/data/reportcard2.htm North
Carolina’s Obesity Prevention Plan Objective 3B.
Resources Needed (who? how much?)
Anticipated Result (what will happen?)
Result Verification (how will you know?)
Target Date (by when?) Increasing percentage of WIC mothers breastfeeding
Peer counselor Staff training and staff time, More promotion, more evidence based programming and education
Training attendance records, staff time records December 2013
RPMHD task force participation increase, including clinicians
More clinician involvement, attendance records
Increase Lactation Medical staff training Increased awareness of Attendance records, December 2015
Consulting in medical settings and promotion, flyers, website, referral system risks of not breastfeeding and benefits of referral system records
Events to promote world Breastfeeding
Promotional materials, volunteer time Increase awareness of peer counseling program More referrals to peer counseling, number of contacts made, number reached through media
Breastfeeding support group Staff, space for meetings Mothers will attend and gain support Mothers will attend December 2015
Diabetes Education, Management & Prevention
Goal: Reduce Percentage of Diabetes by 5% per year
Source: NC’s Plan to Address Obesity
Evidence Base : Healthy North Carolina 2020: A Better State of Health
Type of Change: individual, family, community
Collaborating: St Luke’s Hospital, NC Cooperative Extension
Supporting: Polk Fit Action Team
Strategy Objective #1: Increase Diabetes Education and Self-management Indicator: Number of classes offered in Polk by partners, number attending
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Staff Time – Polk Wellness, St Luke’s, NC Cooperative Ext
Self-management will increase among target population
Home Demonstrations and plant exchanges in
NC Cooperative Ext staff time, trained volunteers to do home demonstrations
Plant exchanges and information gained about growing food
Healthy Cooking and food preservation
Staff time NC Cooperative Extension Gain knowledge of healthy food preparation and food preservation
Record number of classes and number attendees 6/13, 8/1/13, 6/14,
Options at Hospital Staff time St Luke’s kitchen Increased nutrition, reduced diabetes risks Evaluations from patients and staff 12/13
Substance use and abuse significantly contribute to mortality and disability rates in North Carolina Drug addiction is a persistent health issue, with individuals facing a heightened risk of premature death, additional health complications, injuries, and disabilities due to substance dependence.
Preventing substance misuse and abuse is essential, as it poses significant challenges for families and the broader community in Polk County By addressing and reducing illicit drug use, we can also decrease crime rates and minimize motor vehicle accidents and fatalities.
A Communities That Care Survey was conducted at Polk
In 2008, a survey was conducted regarding knowledge, behaviors, and attitudes toward alcohol, tobacco, and other drug use among high school students Plans are underway to repeat this survey or conduct a new one to update and analyze current data on these critical issues.
From Communities That Care Survey in 2008:
Polk County High School students recorded lifetime prevalence-of-use rates for alcohol (51.5%), cigarettes
Other lifetime prevalence rates ranged from 0.5% for
LSD/Psychedelics to 6.9% for inhalants
A study found that 10.0% of surveyed students reported lifetime use of illicit drugs other than marijuana, while there were no instances of lifetime methamphetamine or heroin use.
Polk County High School students reported the highest past-
30-day prevalence-of- use rates for alcohol (23.6%), cigarettes (14.4%), smokeless tobacco (9.0%) and marijuana
Focusing prevention planning in high risk and low protection areas could be especially beneficial.
By becoming more involved with their communities, young people are more likely to develop healthy norms that reduce the risk of involvement in antisocial behavior.
Tobacco use is the leading preventable cause of death and disease in the United States, resulting in around 443,000 deaths annually from tobacco-related illnesses For every individual who dies due to tobacco, 20 others endure at least one serious tobacco-related health issue Additionally, the economic burden of tobacco use significantly impacts the US healthcare system.
Tobacco use incurs $193 billion each year in direct medical costs and lost productivity Preventing tobacco use and assisting individuals in quitting can significantly enhance the health and quality of life for Americans across all age groups Quitting smoking greatly lowers the risk of disease and premature death, with the most substantial benefits seen in those who stop at younger ages; however, the advantages of quitting tobacco are evident at any age.
The risk of engaging in drug use and other dangerous behaviors increases when risk factors, such as the belief that drugs are harmless, are present, while protective factors, like parental support, can significantly reduce this likelihood Early intervention through education and support is crucial in preventing children from turning to drugs and alcohol For those already using substances, outpatient treatment plays a vital role in preventing further decline into addiction and associated crises.
ARP Prevention Services collaborates with schools, human service organizations, businesses, and communities to offer technical and programming support aimed at minimizing risk factors and enhancing protective factors This comprehensive approach fosters overall physical, mental, emotional, and spiritual wellness.
Priority Two – Reduce Substance Abuse and
We envision a community where healthy and life-enhancing behaviors are the norm.
Reducing smoking rates will improve health outcomes and extend life expectancy
1 By December 2015, decrease the number of adults who are current smokers from 21.4% to 19.9% 2012 Healthy Impact Survey:
Related Healthy NC 2020 Objective: Decrease the number of adults who are current smokers NC 2020 target: 15%
2 By December 2015, decrease the percentage of high school students reporting lifetime cigarette smoking from 31.7% to 25% Communities that Care Survey
Prevent and reduce rates of drug addiction and misuse of illicit drugs.
3 Reduce the percentage of individuals’ aged 12 and older reporting any illicit drug use in the past 30 days.
Related Healthy NC 2020 Objective: Reduce the percentage of individuals’ aged 12 and older reporting any illicit drug use in the past 30 days.
Strategy 1 – Adopt Policy for Smokefree College Campus
Goal: Reduce percentage of current smokers
Source:www.surgeongeneral.gov/library/secondhandsmoke/factsheets/factsheet4ht ml
Evidence Base : Office of the Surgeon General The health consequences of involuntary exposure to tobacco smoke
Collaborating: Community Transformation Grant Program
Supporting: Rutherford Polk McDowell Health District
Strategy Objective #1: By December 2014, develop a student led movement leading to new policy.
Indicator: Draft of Policy for Board consideration
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Teen tobacco cessation facilitator training
CTG staff time, volunteers Facilitators will be trained Training attendance records 9/13
Find and educate allies CTG staff time, volunteers Allies will join efforts Contacts list 12/14
Provide resources on how to quit, posters on quitting
Educational materials and Posters will be displayed
Plan in place Verify plan 12/14
Order signs Signs delivered and ready to erect
Make an implementation plan CTG staff time, volunteers Plan in place Verify plan 12/14
Make an enforcement plan CTG staff time, volunteers Plan in place Verify plan 12/14
Strategy Objective #2: By December 2014, gain support for Smoke-free Policy from College Board of Directors
Indicator: New smoke-free campus policy accepted
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Gain approval to present plan for
100% Tobacco Free campus to Trustees
Board Trustees time Approval Approval verified 12/14
Work with ICC staff to further develop plan
RPMHD and CTG staff time
Plan improved and ready Verify plan 12/14
Organize advisory committee CTG staff time, volunteers Find and educate allies List of Committee members 12/14
Draft Policy RPMHD and CTG staff time
Policy will be drafted Verify 12/14
RPMHD staff time, Board Trustees time
Policy will be accepted Policy on record at ICC –
Goal: Reduce percentage of current smokers and pregnant women who smoke
Source:http://www.uspreventiveservicestaskforce.org/uspstf/uspstbac2.ht m#supporting
Evidence Base : US Preventive Services Task Force
Type of Change: Individual, Family
Collaborating: Rutherford Polk McDowell Health District, WIC, NFP
Supporting: Community Transformation Grant Program
Strategy Objective #1: Screen & Refer smoking clients to local cessation services
Indicator: Number of smoking clients referred, number of classes offered locally
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
NFP creates awareness of smoking risks
Staff time, educational material Client motivated to enroll in class Enrollment record, self- report 12/13, 12/14, 12/15
NFP makes referral to local program Staff time, local cessation classes Client enrolled Enrollment record 12/14, 12/14
Client attends classes Transportation, affordable fee structure Client attends and completes program Enrollment records 12/14
Staff time, incentives, Good programs
Client reduces use Self-report and ETO report 12/14
NFP follows up with client
Staff time Improved birth outcomes ETO and NFP quarterly reports
Strategy 3 – Promote NC Quit Line
Goal: Reduce percentage of current smokers and pregnant women who smoke
Source:www.thecommunityguide.org/tobacco/cessation/providerremindere du.html
Evidence Base : CDC Increasing tobacco use cessation
Type of Change: Community, individual
Lead: Rutherford Polk McDowell Health District
Collaborating: St Luke’s Hospital, Polk Wellness Center
Strategy Objective #1:By December 2015, launch countywide campaign to create awareness of Quit Line and smoking cessation classes
Indicator: Number of partners involved in Quit Line and smoking cessation promotion will increase by 1 community partner per year
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Partners will refer smokers to quit line
Staff time Smokers will use Quit line Self-report December 2013
WIC counselors will refer smokers to quit line
Staff time Smokers will use Quit line Self-report December 2013
Physicians will refer smokers to quit line Staff time Smokers will use Quit line Self-report December 2013
NFP includes smoking cessation info on calendar
Staff time Increased awareness of smoking cessation resources
Strategy 4 – Increase Community Capacity for Prevention
Goal: Reduce illicit drug use Reduce underage drinking.
Source:www.samhsa.gov/about/siDocs/introduction.pdf
Evidence Base : NIDA InfoFacts: treatment approaches for drug addiction Type of Change: Community, individual
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
ARP staff time, school staff time School staff will gain prevention skills and common prevention language.
Attendance records and evaluations, select members will serve as communicators within community
Deliver Dev Assets training to Parks and
Youth Organizations leaders time, ARP staff time
Youth leaders will gain prevention skills and common prevention language,
Attendance records and evaluations, select members will serve as communicators within community
Deliver Dev Assets training to Ministerial
ARP staff time, minister’s time
Ministers will receive training & will gain prevention skills and common prevention language, ,
Attendance records and evaluations, select members will serve as communicators within community
Develop community action team to work with new prevention language and skills together
ARP Staff time, partners time Partners will improve prevention skills, share information and practice new common language
Action Team meeting attendance records and minutes
Collaborating: Polk County Schools, Ministerial Alliance, Parks and
Supporting: Rutherford Polk McDowell Health, Community Transformation Program
Strategy Objective #1: By December 2015, enhancement of protective factors through increasing training and communication among community partners
Indicator: Number of partnering agencies receiving training in substance abuse prevention will increase by one community partnering agency per year.
In the coming months and years, we will collaborate with various community partners to enhance the Community Health Improvement Plan (CHIP) in Polk County This CHIP will serve as a vital tool for partner organizations to fulfill specific reporting requirements related to their roles and responsibilities, including those of our health department and local hospitals Additionally, it will guide the strategic planning efforts of agencies throughout the county where applicable.
This CHIP will be widely disseminated electronically to partner organizations and used as a community roadmap to monitor and evaluate our collective efforts
Dissemination of this CHIP will also include making it publicly available on the
Rutherford Polk McDowell District Health Department website (www.rpmhd.org), the WNC Healthy Impact website (www.WNCHealthyImpact.com) and local libraries
The CHIP report will be revised to establish the foundation for the annual State of the County’s Health Report, which is set to be released to the public in December 2013.
NACCHO’s CHA/CHIP Resource Center http://www.naccho.org/topics/infrastructure/CHAIP/index.cfm
Wisconsin Association of Local Health Departments and Boards http://www.walhdab.org/NewCHIPPResources.htm
NC Division of Public Health Community Health Assessment Resource Site http://publichealth.nc.gov/lhd/cha/resources.htm
Template Implementation Plan v 1.0; 6/2012 Wisconsin CHIPP Infrastructure
Improvement Project *Revised 7/2012 for NACCHO CHA/CHIP Project
NC DPH Community Health Assessment Guide Book http://publichealth.nc.gov/lhd/cha/docs/guidebook/CHA-
Connecticut DPH Guide and Template for Comprehensive Health Improvement Planning http://www.ct.gov/dph/lib/dph/state_health_planning/planning_guide_v2- 1_2009.pdf
Bexar County CHIP http://www.bcchip.org/#!home/mainPage
Sedgwick County CHIP http://www.sedgwickcounty.org/healthdept/communityhealthpriorities_2010.pdf Kane County CHIP Executive Summary http://kanehealth.com/chip.htm
Kane County full CHIP http://kanehealth.com/chip.htm
[Counties: insert additional details used in determining EBIs, researching the issues,etc.]
In three years, the CHIP's initiatives will significantly enhance health outcomes in our county, addressing key health priorities effectively By 2016, we envision a community where improved access to healthcare services, increased health education, and successful prevention programs lead to a measurable reduction in chronic diseases Success will be characterized by higher rates of immunization, better management of health conditions, and a healthier population overall, demonstrating the positive impact of our strategic health interventions.
Description of what the collaborative action team wants to accomplish by addressing the specific health priority.
Strategy Also known as interventions or approaches which will address priority health issues.
Goal The impact of the work you anticipate for a specific strategy
Objectives outline the desired outcomes and specific changes anticipated within a defined timeframe They should adhere to the SMART criteria—Specific, Measurable, Achievable, Realistic, and Time-bound Each strategy may encompass multiple objectives that align with the associated goals.
Indicators Measurements used to determine whether the objectives were met They answer the question: how will I know if the objective was accomplished?
Activities Key components of the strategy needed to achieve the objective for the strategy
Resources Needed Description of what your community will need (staff time, materials, resources, etc.) to implement the specific activity
Results Also ‘impacts, outputs, and outcomes’ It’s what happens as a result of the completion of specific activities
Result Verification How you will know that results have been achieved for specific activities
Target Date The date results will be verified
In this role, an organization takes the initiative to ensure that a particular issue is effectively addressed, assuming responsibility for creating the necessary resources and a comprehensive plan to advance the cause It prioritizes both daily operations and long-term objectives to progress towards its goals, while also enlisting support from others for specific tasks.
An organization in a collaborative role dedicates itself to making substantial contributions towards addressing key issues This may include offering support in planning, gathering data, or formulating policy alternatives Additionally, it actively engages in the ongoing development of strategies aimed at achieving the desired objectives.
Supporting An organization in this role commits to help with specific circumscribed tasks when asked These tasks might include attending meetings or writing letters of
Adopt Policy for Smokefree College Campus
Goal: Reduce percentage of current smokers
Source:www.surgeongeneral.gov/library/secondhandsmoke/factsheets/factsheet4ht ml
Evidence Base : Office of the Surgeon General The health consequences of involuntary exposure to tobacco smoke
Collaborating: Community Transformation Grant Program
Supporting: Rutherford Polk McDowell Health District
Strategy Objective #1: By December 2014, develop a student led movement leading to new policy.
Indicator: Draft of Policy for Board consideration
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Teen tobacco cessation facilitator training
CTG staff time, volunteers Facilitators will be trained Training attendance records 9/13
Find and educate allies CTG staff time, volunteers Allies will join efforts Contacts list 12/14
Provide resources on how to quit, posters on quitting
Educational materials and Posters will be displayed
Plan in place Verify plan 12/14
Order signs Signs delivered and ready to erect
Make an implementation plan CTG staff time, volunteers Plan in place Verify plan 12/14
Make an enforcement plan CTG staff time, volunteers Plan in place Verify plan 12/14
Strategy Objective #2: By December 2014, gain support for Smoke-free Policy from College Board of Directors
Indicator: New smoke-free campus policy accepted
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Gain approval to present plan for
100% Tobacco Free campus to Trustees
Board Trustees time Approval Approval verified 12/14
Work with ICC staff to further develop plan
RPMHD and CTG staff time
Plan improved and ready Verify plan 12/14
Organize advisory committee CTG staff time, volunteers Find and educate allies List of Committee members 12/14
Draft Policy RPMHD and CTG staff time
Policy will be drafted Verify 12/14
RPMHD staff time, Board Trustees time
Policy will be accepted Policy on record at ICC –
Smoking Cessation Referrals
Goal: Reduce percentage of current smokers and pregnant women who smoke
Source:http://www.uspreventiveservicestaskforce.org/uspstf/uspstbac2.ht m#supporting
Evidence Base : US Preventive Services Task Force
Type of Change: Individual, Family
Collaborating: Rutherford Polk McDowell Health District, WIC, NFP
Supporting: Community Transformation Grant Program
Strategy Objective #1: Screen & Refer smoking clients to local cessation services
Indicator: Number of smoking clients referred, number of classes offered locally
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
NFP creates awareness of smoking risks
Staff time, educational material Client motivated to enroll in class Enrollment record, self- report 12/13, 12/14, 12/15
NFP makes referral to local program Staff time, local cessation classes Client enrolled Enrollment record 12/14, 12/14
Client attends classes Transportation, affordable fee structure Client attends and completes program Enrollment records 12/14
Staff time, incentives, Good programs
Client reduces use Self-report and ETO report 12/14
NFP follows up with client
Staff time Improved birth outcomes ETO and NFP quarterly reports
Promote NC Quit Line
Goal: Reduce percentage of current smokers and pregnant women who smoke
Source:www.thecommunityguide.org/tobacco/cessation/providerremindere du.html
Evidence Base : CDC Increasing tobacco use cessation
Type of Change: Community, individual
Lead: Rutherford Polk McDowell Health District
Collaborating: St Luke’s Hospital, Polk Wellness Center
Strategy Objective #1:By December 2015, launch countywide campaign to create awareness of Quit Line and smoking cessation classes
Indicator: Number of partners involved in Quit Line and smoking cessation promotion will increase by 1 community partner per year
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
Partners will refer smokers to quit line
Staff time Smokers will use Quit line Self-report December 2013
WIC counselors will refer smokers to quit line
Staff time Smokers will use Quit line Self-report December 2013
Physicians will refer smokers to quit line Staff time Smokers will use Quit line Self-report December 2013
NFP includes smoking cessation info on calendar
Staff time Increased awareness of smoking cessation resources
Increase Community Capacity for Prevention
Goal: Reduce illicit drug use Reduce underage drinking.
Source:www.samhsa.gov/about/siDocs/introduction.pdf
Evidence Base : NIDA InfoFacts: treatment approaches for drug addiction Type of Change: Community, individual
(who? how much?) Anticipated Result
(what will happen?) Result Verification
(how will you know?) Target Date
ARP staff time, school staff time School staff will gain prevention skills and common prevention language.
Attendance records and evaluations, select members will serve as communicators within community
Deliver Dev Assets training to Parks and
Youth Organizations leaders time, ARP staff time
Youth leaders will gain prevention skills and common prevention language,
Attendance records and evaluations, select members will serve as communicators within community
Deliver Dev Assets training to Ministerial
ARP staff time, minister’s time
Ministers will receive training & will gain prevention skills and common prevention language, ,
Attendance records and evaluations, select members will serve as communicators within community
Develop community action team to work with new prevention language and skills together
ARP Staff time, partners time Partners will improve prevention skills, share information and practice new common language
Action Team meeting attendance records and minutes
Collaborating: Polk County Schools, Ministerial Alliance, Parks and
Supporting: Rutherford Polk McDowell Health, Community Transformation Program
Strategy Objective #1: By December 2015, enhancement of protective factors through increasing training and communication among community partners
Indicator: Number of partnering agencies receiving training in substance abuse prevention will increase by one community partnering agency per year.
Next Steps
In the coming months and years, we will collaborate with various community partners to refine the Community Health Improvement Plan (CHIP) for Polk County This CHIP will serve as a framework for partner organizations to fulfill agency-specific reporting requirements, such as those of our health department and local hospitals, while also guiding strategic planning efforts across the county where relevant.
This CHIP will be widely disseminated electronically to partner organizations and used as a community roadmap to monitor and evaluate our collective efforts
Dissemination of this CHIP will also include making it publicly available on the
Rutherford Polk McDowell District Health Department website (www.rpmhd.org), the WNC Healthy Impact website (www.WNCHealthyImpact.com) and local libraries
The CHIP report will be revised to serve as the foundation for the annual State of the County’s Health Report, which is set to be submitted and made publicly accessible in December 2013.
NACCHO’s CHA/CHIP Resource Center http://www.naccho.org/topics/infrastructure/CHAIP/index.cfm
Wisconsin Association of Local Health Departments and Boards http://www.walhdab.org/NewCHIPPResources.htm
NC Division of Public Health Community Health Assessment Resource Site http://publichealth.nc.gov/lhd/cha/resources.htm
Template Implementation Plan v 1.0; 6/2012 Wisconsin CHIPP Infrastructure
Improvement Project *Revised 7/2012 for NACCHO CHA/CHIP Project
NC DPH Community Health Assessment Guide Book http://publichealth.nc.gov/lhd/cha/docs/guidebook/CHA-
Connecticut DPH Guide and Template for Comprehensive Health Improvement Planning http://www.ct.gov/dph/lib/dph/state_health_planning/planning_guide_v2- 1_2009.pdf
Bexar County CHIP http://www.bcchip.org/#!home/mainPage
Sedgwick County CHIP http://www.sedgwickcounty.org/healthdept/communityhealthpriorities_2010.pdf Kane County CHIP Executive Summary http://kanehealth.com/chip.htm
Kane County full CHIP http://kanehealth.com/chip.htm
[Counties: insert additional details used in determining EBIs, researching the issues,etc.]
By 2016, the CHIP initiative will significantly enhance health outcomes in our county by addressing key health priorities Success will be measured through improved access to healthcare services, increased community engagement in health programs, and a notable reduction in chronic disease rates Additionally, we envision strengthened partnerships among local organizations, leading to a more coordinated approach to health promotion Ultimately, the impact of CHIP will result in a healthier, more informed community that actively participates in their well-being.
Description of what the collaborative action team wants to accomplish by addressing the specific health priority.
Strategy Also known as interventions or approaches which will address priority health issues.
Goal The impact of the work you anticipate for a specific strategy
Objectives outline the desired outcomes and specific changes anticipated within a defined timeframe To ensure effectiveness, objectives should adhere to the SMART criteria: Specific, Measurable, Achievable, Realistic, and Time-Specific Additionally, it is possible to establish multiple objectives for each strategy and its corresponding goal.
Indicators Measurements used to determine whether the objectives were met They answer the question: how will I know if the objective was accomplished?
Activities Key components of the strategy needed to achieve the objective for the strategy
Resources Needed Description of what your community will need (staff time, materials, resources, etc.) to implement the specific activity
Results Also ‘impacts, outputs, and outcomes’ It’s what happens as a result of the completion of specific activities
Result Verification How you will know that results have been achieved for specific activities
Target Date The date results will be verified
An organization in a leadership role is dedicated to addressing key issues by taking responsibility for developing essential resources, including a comprehensive action plan It prioritizes both daily operations and long-term objectives to achieve its goals and actively seeks assistance from others for specific tasks to ensure progress.
An organization in a collaborative role actively contributes to advancing important issues by providing substantial support, which may include planning, data collection, and policy development Additionally, it engages consistently in strategic discussions to further its objectives.
Supporting An organization in this role commits to help with specific circumscribed tasks when asked These tasks might include attending meetings or writing letters of