The data for this Performance Measure will be collected in partnership with community organizations awarded funding and contracts for implementing early screening programs in Buncombe County for chronic disease (diabetes and heart disease).

https://www.ifpha.org/

**NOTE: The data included in this Performance Measure will not include all Bucombe County Community Health Workers providing chronic diseaes prevention and early screening, as there is no formal collection system or database to provide that level of population health outcomes. 

The “story behind the measure” is a compilation of narrative from lived experiences shared during community listening sessions on the 2021 CHA health focus areas and cross-cutting results related to dismantling white supremacy culture and creating trauma-informed systems for a resilient community. The included “story” narrative below focuses more broadly on the systemic factors in the community environment in which programs operate and function. As programs and performance measures begin and/or strengthen, there will be organic opportunities for direct narrative collection to occur from program staff providing implementation and from community members engaged in the program’s services.

What's Helping What We Do? These are the positive forces at work in our strategy/ program that influence how much we do or how well we do it.

• Meeting people where they live 

• Community health workers are connectors to rural and underserved communities - they have trust and rapport

• Improving education, training, and screening helps community health workers serve the community better

What's Hurting What We Do? These are the negative forces at work in our strategy/program that influence how much we do or how well we do it.

• Loss of funding for community health workers after COVID-19 means less people in those roles 

• High caseloads increases risk for burnout with community health workers