The "Story Behind the Curve" helps us understand why the data on life expectancy is the way that it is in our community. When we understand the root causes of our community problems, we have a better chance of finding the right solutions, together.

What's Helping? These are the positive forces at work in our community and beyond that influence this issue in our community.

• Access to healthy foods through local assistance programs- Nearly 74% of adult survey respondents would know where to go to access emergency food services if needed (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 324]).  

• Access to free outdoor fitness opportunities- An increasing number of adults reported meeting physical activity recommendations, 26.8% (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 82]).  

• Self-reported incidence declined for several chronic conditions- Fewer adults reported heart disease (8.1%) or stroke (3.9%).  (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 12]); (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 13])

• A decreasing number of adults, 18.3%, reported lacking health care insurance coverage (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 86]).  

What's Hurting? These are the negative forces at work in our community and beyond that influence this issue in our community.

• An increasing number of adults report experiencing food insecurity (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 77]).  

• Over 41% of adults have a body mass index that is considered obese.  (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 84])

• Self-reported binge drinking among adults increased to over 17%.  (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 337])

• Cigarette and vaping use have both increased among adults.  The prevalence is 17.3% and 13.7%, respectively (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 25]); (2024 WNC Healthy Impact Community Health Survey, WNC Health Network, Inc. [Item 26]).  

Partners in our Community Health Improvement Process:  You can name and list your team structure and participating agencies in your CHIP process here or simply insert a link if you keep that information on a website. You can also link to partner websites like we have done for the WNC Healthy Impact item listed below. Confirm with your team members that they wish to be listed.

•  

• Partner 2

• WNC Healthy Impact

Partners with a Role in Helping Our Community Do Better on This Issue: [Guidance: you can begin this list with the Whole Distance Exercise, but make sure you have asked key community partners who might not have been present for the exercise to contribute to this. WNC Healthy Impact evidence-based interventions tool recommendation: do not list an organization/agency/individual on this public facing e-CHIP without talking with them and confirming that they would like to be listed. Offer to link to a website or publication that gives more information about partner organizations.]

• Senior service organizations

• Partner 2

• Partner 3

This section will include:

• Process for Selecting Priority Programs/ Strategies

• Partner ideas of what works to do better, based on Story Behind the Curve and Partners/ Who has a role to play to do better, from a Whole Distance exercise.

• What is currently working in your community 

• Evidence-based strategies 

  • Include evidence-based strategies (including from CDC HI-5 Interventions, CDC Community Health Improvement Navigator, CDC 6/18 Initiative, CDC The Community Guide, County Health Rankings – What Works for Health, and Healthy People 2030 – Evidence-based resources); promising practices in the community; and/or innovative suggestions from stakeholders and residents most affected by the issue.

  • WNCHI evidence-based strategies tool

• What people most affected by the issue think would work 

Process for Selecting Priority Program/ Strategies

In this section, write a brief paragraph or include bullets to describe your process to get to the programs/ strategies listed in this Scorecard. Describe process and criterion used to select 3 strategies. Criterion to consider: Can we feasibly implement a strategy? (based on resources available, community will, etc.) Is the strategy high-leverage (i.e. significant impact for small or moderate effort vs. small impact for large effort)? Does this strategy align with our community values?  Can you produce a specific action for the strategy? Does the strategy address one or more of the root-causes of the issue that you uncovered in your exploration of the “Story Behind the Indicators”? 

The sample headings and text below will help organize this information.

The following actions have been identified by our [team/coalition/partners] and community members as ideas for what can work for our community to make a difference on [name health issue].

Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on [name health issue].

• Action/Approach 1

• Action/Approach 2

• Action/Approach 3

• Action/Approach 4

• Action/Approach 5

What is Currently Working in Our Community These are actions and approaches that are currently in place in our community to make a difference on [name health issue].

• Action/Approach 1

• Action/Approach 2

• Action/Approach 3

• Action/Approach 4

• Action/Approach 5 [Guidance: you can insert links to websites with more information on current actions and approaches in your community]

Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on [name health issue].

What Community Members Most Affected by [name health issue] Say These are the actions and approaches recommended by members of our community who are most affected by [name health issue].

• Action/Approach 1

• Action/Approach 2

• Action/Approach 3

Recommended tools for selecting priority strategies: Strategy Prioritization Worksheet; Identifying Priority Strategies Worksheet.