The "Story Behind the Curve" helps us understand why the data on heart disease mortality rates 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 are work in our community and beyond that influence this issue in our community.

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

Partners in our Community Health Improvement Process:

• WNC Healthy Impact
• MountainWise of Macon County

Partners With a Role in Helping Our Community Do Better on This Issue:

We are keeping an eye on heart disease mortality rates as a way of telling how we are doing as a community in addressing heart disease and build a community where Maconians live long, active, and happy lives. We have also identified other data that is not currently available, but that we would like to develop to help us monitor progress on this result:

• Smoking rates
• Number of people in sporting teams, recreation, and gym memberships

he following actions have been identified by our Heart Disease Task Force and community members as ideas for what can work for our community to make a difference on heart disease.

(A) Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on heart disease.

• "Civil officer" training/ education on smoking policies and enforcement
• Social media campaign that promotes healthy lifestyles (ex. Snapchat, QR codes, hashtags)
• Establish sliding fee scales at gyms
• "Local Healthy Food Options" campaign (ex. Taste of Macon County")
• Tobacco/ E-Cig risks campaign (ex. media blitz and events)
• Measured walking paths and maps initiative (throughout county and at businesses)
• Public/ community classes/ programs free through Parks and Recreation
• Risk factor educational campaign
• Promote physical activity/ exercise and how to get started
• Connect and facilitate relationship building with Farmers Markets and Food Banks
• Healthy food policy development with organizations and businesses
• Healthy food flyers/ brochures/ education initiative
• Civic organizations sponsor health events
• Monthly "heart health" nights at restaurants

(B) 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 heart disease.

• Angel Medical Center's Passport to Wellness program for community and staff to get people to understand the importance of health screenings
• Ladies Night Out and Men's Night Out program on heart health
• Macon County employees wear red in February in recognition of National Heart Health Month.

(C) Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on heart disease.

• National Public Health Improvement Initiative- New Mexico Department of Public Health
• National Diabetes Prevention
• Results Based Accountability (RBA) Approach to Collaborative Action Planning Process

Task force members brain stormed a list of action items using the Results Based Accountability process. The priority action item(s) was then voted on based on its value if the action items matched the values of the community, if they were specific or well defined enough to implement, if the action item had high leverage or a strong impact, and if the action item was feasible. The action item(s) with the most votes was to provide free community classes through to recreation center.