2019 Community Health Improvement Plan (e-CHIP)- Polk County

 

The 2018 Community Health Assessment priority areas are:

  •  Mental Health
  •  Healthy Eating, Active Living

The following CHIP Scorecard was created and submitted on September 2nd, 2019 in order to meet the requirements for the Polk County Long and/ or Short Term Community Health Improvement Plans.

Clear Impact Scorecard™ is a strategy and performance management software that is accessible through a web browser and designed to support collaboration both inside and outside organizations. WNC Healthy Impact is using Clear Impact Scorecard™ to support the development of electronic CHIPs, SOTCH Reports and Hospital Implementation Strategy scorecards in communities across the region.

Scorecard helps communities organize their community health improvement efforts:

  • Develop and communicate shared vision
  • Define clear measures of progress
  • Share data internally or with partners
  • Simplify the way you collect, monitor and report data on your results

The following resources were used/reviewed in order to complete the CHIP:

Mental Health - Long Term CHIP
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Alignment

Mental Health and the related result are aligned with the following Healthy NC 2020 Focus Areas/ Objectives

  • Mental Health 
Experience and Importance

How would we experience access to mental health resources in a timely and effective manner in our community?

Polk County's desire is to improve mental health within it's community. Mental health is not soley how a person thinks, feels, or behaves. A person's mental health can affect many aspects of their life including their ability to deal with stress, resilency levels, and their ability to build sustaining relationships. The desire for Polk County is to have a community full of members who have a zest for living, self-confident, a sense of contentment, and the ability to bouce back from adversity. We hope for community with readily available resources available that anyone can access stigma free. 

 

What information led to the selection of this health issue and related result?

Mental Health was selected because it affects many different areas of an individual’s wellbeing including their physical health. A healthy community encompasses all aspects of health and although much progress has been made in this area, many local leaders agree that much is still to be done. Supporting data of this health priority includes the percentage of adults reporting more than 7 days of poor mental health, dissatisfaction with life, opiate use and suicide rates.   As part of the Healthy North Carolina 2020 focus area for Mental Health, we will be using the objective to "Decrease the average number of poor mental health days among adults in the past 30 days" as an indicator for this priority area.

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What Is It?

Suicide Prevention Gatekeeper Training was identified by the community as an action, that when combined with other actions in our community, has a reasonable chance of making a difference in the number of residents who report they did not receive mental health care or counseling that was needed in the past year in our community. This is a new strategy in our community. Examples of gatekeeper trainings include QPR (Question, Persuade, and Refer), and ASIST.

The priority population for this strategy is low-income and/or geriatric populations, and the strategy aims to make a difference at the community, organizational, and individual levels. Implementation will take place within the community at various organizations who will benefit the most such as our first responders, Health and Human Service departments, homeless shelters, senior centers, and safety net organizations.  

One of the main focuses for this strategy is to eliminate the obstacles to optimal health that our priority populations may experience. By ensuring staff on the first line are adequately equipped to handle crisis, we are ensuring all community members are provided with the resources they need.  

Partners
The partners for this strategy include:
Agency
Person
Role
Polk County Health and Human Services Agency- Public Health Division
Haley Suskauer
Lead 
Polk County Wellness Coalition
Jessica Raines
Collaborate
Thermal Belt Outreach
George Alley
Support
St. Luke's Hospital
Michelle Fortune
Collaborate
Polk County Health and Human Services Agency
Joshua Kennedy
Collaborate
Polk County Health and Human Services Agency- Social Services Division
Kim Wilson
Support
Polk County Health and Human Services Agency- Senior Services Division
Donna Carson
Support
Work Plan
 

 

Activity 

Resources Needed 

Agency/Person Responsible 

Target Completion Date 

Host an annual community discussion/event focused on suicide prevention and resources available.

Event space, flyers, vendors

Polk County Wellness Coalition- Haley Suskauer

November 15th, 2019, ongoing

Research and decide on type of gatekeeper training most organizations are interested in.               

Computer, Telephone

Polk County Health and Human Services Agency/ Haley Suskauer

January 15th, 2019

Gather an initial list of 5 organizations willing to send at least one staff member to a gatekeeper training.

Computer, telephone

Polk County Wellness Coalition- Behavioral Health POD Leader or Polk County HHS Agency

March 15th, 2020

Decide if trainings will be held locally or if attendees will need to go outside of the county.

Computer, telephone

Polk County Health and Human Services Agency/ Josh Kennedy

April 30th, 2020

Send schedules out for trainings to committed organizations

Computer, telephone

Polk County Health and Human Services Agency/ Haley Suskauer

June 15th, 2020

Follow up with initial 5 organizations to evaluate their experience at training and using their gatekeeper training

Computer, phone

Polk County Wellness Coalition/ Behavioral Health POD Leader

August 15th, 2020

Send event info for gatekeeper trainings to Wellness Coalition listserv to increase awareness and access

Computer

Polk County Wellness Coalition

Ongoing

 
 
For future years, we will focus on expanding these training offerings to other organizations that can benefit. 
 
 
 
Evaluation & Sustainability
 

 

Evaluation Plan:

We plan to evaluate the impact of this strategy through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures. Our evaluation activities will be tracked in the Work Plan table, above. Impacts will be presented to key partners to discuss what is working and what is not working.

Sustainability Plan:

The following is our sustainability plan for this strategy: 

  • Sustainability Component 1: Use program measures to ensure ongoing effectiveness and demonstrate success to key community stakeholders.
    • We will provide quarterly reports to key stakeholders to ensure successes are known. 
  • Sustainability Component 2: Identify champions who strongly support our strategy.
    • As successes arise, we will use these as avenues to identify champions of our strategies to help build support among our community members and organizations.
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What Is It?

Community Crisis Services Plan was identified by community leaders and members as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in mental health in our community. This is an ongoing program in our community.

Polk County feels it's necessary to review the current Community Crisis Services Plans in relation to involuntary commitments to ensure the community is making the biggest impact. Necessary improvements have been identified and will be the main objectives over the course of the next several years. Priority will focus on course of action when a patient in crisis is identified.

The priority population for this strategy are those who are struggling with mental health challenges at the highest rates including geriatric and low income populations, and this strategy aims to make a difference at the organizational/policy level. Implementation will take place in the community and at organizations that may experience a community crisis.

This strategy will also focus on mental health disparities. It is our goal for the new plan to help increase access for all Polk County residents.

Partners
 

 

The partners for this strategy include:
Agency
Person
Role
Polk County Health and Human Services Agency- Public Health, Transportation, Social Services, Senior Services, and Vetaran Services divisions.
Joshua Kennedy
Lead
St. Luke's Hospital
Michelle Fortune
Collaborate
St. Luke's Hospital
Kathy Hefner
Collaborate
VAYA Health
Angela Garner
Collaborate
Polk County Health and Human Services- Public Health Division
Haley Suskauer
Support
NC Courts System/County Magistrate Office
Mark West
Support
Polk County Sheriff's Department
Tim Wright
Support
Polk County Health and Human Services- Social Services Division
Kim Wilson
Support
Blue Ridge Health- Polk
Sandra McGriff
Support
Work Plan
 
Activity 
Resources Needed 
Agency/Person Responsible 
Target Completion Date 
Complete ongoing meetings to discuss policy implementation            
Meeting space
Polk County Health and Human Services/ Josh Kennedy
Ongoing/ No completion date
Update Polk County Board of Health and Commisssioners on progress and recommendations
Meeting space
Polk County Health and Human Services and VAYA
January 2019
Increase awareness of Mobile Crisis Services by providing at least 3 resource presentations to organizations through the Hear2Help program.
Meeting space
Polk County Wellness Coaltion/ Buffy Ashmore
June 2nd, 2020
Create a written plan for distribution to leaders
Paper, Computer
Polk County Wellness Coalition
August, 2020
Increase awareness of plan within county departments by providing a written plan for department leaders
Meeting space
Polk County Health and Human Services Agency
December 15th, 2020
Complete an annual meeting with county officials to re-evaluate and edit Community Crisis Services Plan.
Meeting space
Polk County Health and Human Services Agency
January 15th, 2021, ongoing annually 
Please note this is a proposed workplan that will be presented to the group. This is a long-term project that may require edits to the above workplan depending on input from the groups involved.
Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of this strategy through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures.  Our evaluation activities will be tracked in the Work Plan table, above. 

Sustainability Plan:

The following is our sustainability plan for this strategy: 

  • Sustainability Component 1: Use performance measures to ensure ongoing effectiveness and demonstrate success to local government officials and other key stakeholders.
    • By tracking our progress through our performance measures, we will be able to provide evidence for sustaining our efforts to local government officials. We can provide evidence of our successes at County Commissioner Meetings and local forums.
  • Sustainability Component 2: Communicate and engage diverse community leaders and organizations.
    • By engaging diverse community leaders such as our church leaders, we will be able increase community awareness and support for our efforts to identify champions to help sustain our efforts.

 

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What Is It?

High Utilizer Community Group was identified by healthcare leaders and the Polk County Mental Health Advisory Committee as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in mental health in our community. This is a new program in our community.

The priority populations for this program are high utilizers of the current healthcare system, uninsured or under-insured, and low-income, and the program aims to make a difference at the individual, interpersonal, organizational, and policy level. Implementation will take place in local healthcare facilities. High utilizers are identified as those who need mental health services, but conditions may be hindered by complex physical, behavioral, and social needs which may not be served through the current fragmented healthcare system. By identifying this population, we will be able to engage them more effectively to meet their needs. Our community realizes that improving health requires more than clinical care, and successful interventions depend heavily on incorporation of social services and educational programs alongside of clinical care.

This strategy will focus on ensuring all community members have access to mental health resources. It will identify those who may not be receiving the adequate services needed and provide an avenue to ensure they begin receiving those services. This is a long-term program with planning for 5-10 years. By sustaining this community group, we will be able to continually evaluate the resource needs of our highest utilizers.

 

Partners
The partners for this program include:
Agency
Person
Role
St. Lukes Hospital
Kathy Hefner
Lead
Thermal Belt Outreach
Michelle Reedy
Support
Polk County Health and Human Services Agency
Joshua Kennedy
Collaborative
Polk County Wellness Coalition
Haley Suskauer
Support
VAYA Health
Angie Gardner
Support
RHA
Don Killian
Support
Family Preservation Services Joe Youchak Support
The Free Clinics Judy Long Support
Work Plan
Activity 
Resources Needed 
Agency/Person Responsible 
Target Completion Date 
Suggest strategy to Polk County Wellness Coalition- Behavioral Health POD Meeting space  Polk County  October, 2019
Brainstorm agencies who need to have a presence at the High Utilizer Group meetings                 
Organization Input
Collaboration
December, 2019
Gather input from other regional meeting conveners to ensure meetings are HIPAA compliant
Sample BAAs, organizational input
VAYA Health, St. Lukes Hospital
March, 2020
Reach out to agencies to discuss what they would like to see accomplished at these meetings.
Organization Input
Polk County Health and Human Services Agency/ St Lukes Hospital
May, 2020
Work through a process flow for meetings
Resources from similar groups who are already meeting regionally
St. Lukes Hospital
June, 2020
* Please note this is a proposed workplan that will be presented to the group. This is a long-term project that may require edits to the above workplan depending on input from the groups involved.
Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of the High Utilizer Group through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures.  Our evaluation activities will be tracked in the Work Plan table, above. 

Sustainability Plan:

The following is our sustainability plan for the High Utilizer Group: 

  • Sustainability Component: Use program performance measures to ensure ongoing effectiveness and demonstrate successes to key stakeholders.
    • Regular data reports to the High Utilizer Group will allow us to strengthen our support for involvement from key organizations.

 

Healthy Eating, Active Living- Short Term Chip
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Why Is This Important?

Much work has already been done to improve this priority including healthy food access, community gardens, "walkability" and "bikeability", and community plans to improve recreation areas. Regular physical activity among children and adults reduces the risk of many health issues including chronic diseases such as diabetes, heart disease, stroke and obesity. Consistent exercise and the consumption of a healthy diet can lead to a host of benefits including better sleep, decreased depression risk, increased energy, happiness, health, and even a longer life. In order for us to make a dramatic difference in the way Polk County community members' look and feel, we believe it's crucial to have access to exercise and nutritional foods. 

Alignment

Healthy Eating and Active Living and the related result are aligned with the following Healthy NC 2020 Focus Areas/ Objectives

  • Physical Activity and Nutrition
Experience and Importance

How would we experience increased access to healthy foods and exercise in our community?

Polk County's desire is to increase access to healthy foods and encourage more community members to lead active lifestyles. With this desired result, community members would experience better health outcomes allowing them to enjoy life to the fullest. All community members would have access to healthy, local foods provided by farmers markets and/or community gardens.

 

What information led to the selection of this health issue and related result?

Every three years, our community reflects on the current status of the community's health. This is a moment for key stakeholders to join forces and evaluate what is working and what areas need improvement. In September 2018, the community spent time understanding the data and uncovering what issues were most important to tackle. After presenting a list of key issues to tackle, our partners voted on which issues were their top areas of concern. This process, often called health issue prioritization, is an opportunity for various community stakeholders to agree on which health issues we can all tackle and make the most impact on our community's health. Nearly one-fifth (19.4%) of Polk County residents state they have experienced food insecurity and only 4.3% indication they are consuming five or more servings of fruits and vegetables per day. Only 30% of Polk County residents meet recommended physical activity guidelines (WNC Healthy Impact Community Health Survey, 2018).   

Healthy Eating and Active Living also closely aligns with the Healthy NC 2020 focus area for Physical Activity and Nutrition. With our proposed strategies, we hope to help move the needle on the objective to increase the percentage of adults meeting CDC aerobic recommendations to the 2020 target of 60.6% (Healthy NC 2020, 2019).

I
2018
36%
1
32%
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Actual
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What Is It?

Polk County FIT Challenge was identified by our Wellness Coalition as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in obesity levels in our community. This is an ongoing program in our community.

This is the third year that our community will focus on the Polk County FIT Challenge. This program has been extremely effective in encouraging community members to become active and live a healthy lifestyle. This year, we will focus on making the program simpler for community members to participate and propose strategies for them to stay active after the FIT Challenge is over. This program will also add nutritional education and guidance to accompany the active living component. The nutritional education and guidance will include a focus on raising awareness of local Farmers Markets' and the healthy options available. Increasing access and awareness to Farmers' Markets has been shown to have a positive impact on Physical Activity and Nutrition.

The priority populations for this program are seniors and youth, and the program aims to make a difference at the individual level. Implementation will take place in the community.

We hope this program will address the socioeconomic disparities associated with health. The FIT Challenge will provide free guidance for healthy eating and active living for all community members to address the poorer health outcomes that are often associated with lower socioeconomic population groups.

 

Partners

The partners for this program include:

Agency

Person

Role

Polk County Wellness Coaltion- Active Living POD

Buffy Ashmore

Lead

Polk County Senior Services

Julie Jolley

Collaborate

Polk County Health and Human Services- Public Health Division

Haley Suskauer

Collaborative

Sunny View Clubhouse

Jessica Raines

Collaborative, Target Population Representative

Cooperative Extension

Jimmi Buell

Support, Target Population Representative

Polk County Parks and Recreation

Jerry Stansland

Support

Polk County Wellness Coalition

Meghan Young

Support

Blue Ridge Health- Polk

Sandra McGriff

Support

Tryon Town

Jaime Carpenter

Support

Polk County Health and Human Services Agency

Joshua Kennedy

Support

Work Plan

Activity 

Resources Needed 

Agency/Person Responsible 

Target Completion Date 

Schedule a FIT Challenge/ Active Living POD meeting                 

Meeting space, email

Polk County Wellness Coalition/ Buffy Ashmore

August 30th, 2019- ongoing

Schedule FIT Challenge kickoff event

Kickoff facility, funds for marketing, volunteers

Polk County Health and Human Services Agency- Public Health Division/ Haley Suskauer

September 6th, 2019

Start weekly leader announcements

email, challenge runner software

Polk County Wellness Coalition/ Buffy Ashmore

October 1st, 2019- ongoing

Send a weekly recipe to challenge participants

email, nutritionist guidance

Cooperative Extension/ Polk County Wellness Coalition

October 1st, 2019- ongoing

Schedule Closing/ Award event

email, funds, event space, awards

Polk County Wellness Coalition

October 1st, 2019

Begin sending monthly Farmers' Market awareness flyers with information about transportation options to improve access

Computer

Polk County Wellness Coalition

October, 2019

Email monthly reminders and tips for Healthy Eating and Active Living 

Computer

Polk County Wellness Coalition

October, ongoing

Brainstorm locations to start community gardens for FIT Challenge participants

Meeting space

Polk County Wellness Coalition

December. ongoing

Connect with Cooperative Extension for guidance with community gardens

Meeting Space

Polk County Wellness Coalition

January, 2020

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of the FIT Challenge through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures. Our evaluation activities will be tracked in the Work Plan table, above. 

Sustainability Plan:

The following is our sustainability plan for the FIT challenge: 

  • Sustainability Component 1: Increase community awareness of event
    • By increasing our marketing efforts, we hope to increase awareness of the FIT challenge in the community to gain support for continuing the program in future years.
  • Sustainability Component 2: Communicate and engage diverse community organizations.
    • We hope to improve participation within faith-based communities and schools to develop additional champions for the FIT Challenge. These champions will be able to communicate the value of this program to community leaders and potential funders.

 

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Current
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What Is It?

Polk County Senior Games/Clinics was identified by community partners as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in obesity rates in our community. This is a new program in our community.

The priority population/customers for this program are our geriatric population, and the program aims to make a difference at the individual level. Implementation will take place within the community and at local organizations.

Polk County Senior Games/Clinics will provide a year-around health promotion and wellness education program that will be availiable to all seniors in Polk County. Polk County Senior Games/Clinics will include activities for both mental and physical health and promote physical activities within the workplace.  Evidence shows that promoting the adoption of physical activity in worksites, we can have a significant impact on Physical Activity and Nutrition. Local organizations like St Luke's Hospital will be supporting our efforts by encouraging their employees and team members to become involved with this program.

Partners

The partners for this program include:

Agency

Person

Role

Polk County Health and Human Services Agency- Senior Services Division

Julie Jolley

Lead

Polk County Health and Human Services Agency- Public Health Division

Haley Suskauer

Support

Tryon Fine Arts Center

Michelle Fleming

Collaborate

Polk County Wellness Coalition

Buffy Ashmore

Collaborate

Polk County Library

Wanangwa Hartwell

Support

Polk County Parks and Recreation

Jerry Stansland

Support

Tryon Painters and Sculptors

Marilyn Doheny

Support

Area Agency on Aging

Laura Lynch

Support

Polk County Local Government- Maintenance Department

Jason Jolley

Support

Work Plan

 

Activity 

Resources Needed 

Agency/Person Responsible 

Target Completion Date 

Schedule Senior Games/Clinic Kickoff Event                 

Event space/ food/music/ laptops to complete sign ups

Polk County Health and Human Services Agency/ Julie Jolley and Haley Suskauer

September 10th, 2019

Begin marketing by providing flyers to at least 10 organizations who serve the geriatric population

Flyers, staff time for delivering, county vehicle

Senior Games Steering Committee

October 1st, 2019, ongoing

Schedule ongoing Senior Games/Clinics Committee Meetings

Meeting space

Julie Jolley

Ongoing

Develop year-long Senior Games Clinic schedule

Clinic facilities, volunteers, equipment

Senior Games Committee- Julie Jolley (lead)

January 15th, 2020

Schedule closing ceremonies.

Event space, funds, food, music, awards

Senior Games Committee- Julie Jolley (lead)

February 15th, 2020 

Evaluate strengths and areas of improvements

Meeting Space

Senior Games Committee- Donna Carson (lead)

June 15th, 2020- continue for each consecutive year

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Senior Games/Clinics through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures.  Our evaluation activities will be tracked in the Work Plan table, above. 

Sustainability Plan:

The following is our sustainability plan for this program: 

  • Sustainability Component 1: Establishing a consistent financial base for the program
    • We plan to use program performance measures to demostrate success to local funders to ensure continued support.
  • Sustainability Component 2: Increasing support within the senior population
    •  We plan to use our data to plan ongoing clinics to gain additional support within the geriatric community.

 

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Current
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What Is It?

Polk County Smart Options was identified by community leaders as an action, that when combined with other actions in our community, has a reasonable chance of making a difference in Healthy Eating and Active Living in our community. This is a new program in our community.

Polk County Smart Options will be a policy for local restaurants to follow in order to identify healthy menu options that can be considered Polk County Smart Options

The priority population for this program is all Polk county residents, and the program aims to make a difference at the policy and environmental level. Implementation will take place in local restaurants and farmer's markets.

This program will increase access and knowledge around healthy food options available to community members. Increasing access to healthy food choices has shown to make significant impacts on the Physical Activity and Nutrition focus area.

Partners

The partners for this program include:

Agency

Person

Role

Polk County Wellness Coalition- Healthy Eating POD

Entire group

Lead

Polk County Health and Human Services Agency

Haley Suskauer

Collaborate

Polk County Health and Human Services Agency- Public Health Division

WIC Director

Support

Polk County Local Government

Polk County Senior Business Specialist

Support

Work Plan

Activity 

Resources Needed 

Agency/Person Responsible 

Target Completion Date 

Explore what possible policies look like.                 

Computer

Polk County Wellness Coalition, Polk County Health and Human Services Agency (WIC Director)

11/01/2019

Decide how restaurants can identify Polk County Smart Options on their menus

Meeting space

Polk County Wellness Coalition

12/01/2019

Create list of local restaurants to reach out for partnership

Meeting space

Polk County Wellness Coalition

12/15/2019

Create a proposal to present to local restaurants

Meeting space, computer

Polk County Wellness Coalition, Polk County Health and Human Services Agency

01/15/2020

Brainstorm how to incorporate local farmers markets

Meeting space

Polk County Wellness Coalition

01/15/2020

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Polk County Smart Options program through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures. Our evaluation activities will be tracked in the Work Plan table, above. 

Sustainability Plan:

The following is our sustainability plan for this program: 

  • Sustainability Component: Increase community awareness of program and demostrate successes
    • In order to ensure this program is successful, we will communicate the need for the program to raise awareness. By raising awareness, we hope other restaurants will join as community supporters and adopt the program.

 

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy