2020 State of the County's Health Report Scorecard - Swain County

 

This is the scorecard for our State of the County's Health Report.  

Swain County strives to enhance the lives of its citizens through knowledge and better health. Through the Swain County Health Department Community Health Assessment process, health priorities have been established by the community. Swain County in collaboration with WNC Healthy Impact and other community partners will work together to impact the health of our community with positive action and education.

The 2018 Community Health Assessment priority areas are:

  • Chronic Disease 
  • Substance Use 

The following CHIP Scorecard was created and submitted by March 1st, 2021 in order to meet the requirements for the Swain County State of the County Health Report (SOTCH).

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 SOTCH:

Chronic Disease - Long Term CHIP
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Alignment

Chronic Disease and the related result "Residents of Swain County are healthy, active, and thriving" are aligned with the following Healthy NC 2020 Focus Areas/ Objectives. 

  • Physical Activity and Nutrition
  • Chronic Disease
     

 

Experience & Importance

How would we experience residents of Swain County being healthy, active and thriving in our community?

Swain County would be healthier and happier byway of increased physical activity and positive nutritional intake, reducing obesity, chronic disease and food insecurity. According to community listening sessions, community members would experience the following if this result were true: 

  • Increase physical activity
  • More outdoor activity 
  • Increase life span
  • Increase healthy food options
  • Discount for farm to table in restaurants 
  • Decrease clinical access as a result of reduced chronic disease
  • Hear about chronic disease 
  • Smell less cigarette smoke
  • Hear more people communicating about healthy options 
  • Increase activity with primary care physicians 

 

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

The Community Wellness Action Team processed the community health assessment data in September and October of 2018 across several meetings. The Community Wellness Action Team was provided information about the relevance, impact, and fesibility around obesity and chronic disease, specifically looking at obesity, chronic disease, and food insecurity. The community members in attendance then unanimously voted to move forward with the chronic disease priority as a result of evaluating the primary and secondary community health data. 

Known risk factors (Healthy People 2020 website) for this issue are as follows: 

  • Built-in Environment
  • Socioeconomic Status
  • Educational Attainment 
 

 

Progress Made in 2019

 

The following progress was made in 2019 on our action plan interventions for Chronic Disease in Swain County

  • Swain Summits
    • The Swain Summits committee was formed in the beginning of 2019 to design, implement and maintain the community wide wellness program. The committee worked on all logistics of a wellness program available to the entire community. The logistics would include the following: a program name, logo, facebook page, advertisements, marketing strategies, flyers and postcards made then distributed, equipment purchased for biometric screenings, wellness challenges designed, educational videos created, an electronic platform purchased and created, volunteers gathered for health screenings, health screenings conducted, and maintenance of program. Program was launched in September of 2019 with 225 residents in Swain County participating in a health screening. The health screening included: 
      • Total Cholesterol -- Cholestech LDX Analyzer
      • Total Glucose -- Cholestech LDX Analyzer
      • Body Composition (weight, body fat, body mass, and water) -- Tanita Scale TBF 400 
      • Blood Pressure and Heart Rate 
      • Pre-Diabetes CDC Screening
      • A Health Risk Questionnaire (physical activity, nutrition, tobacco, and alcohol)

 

  • Swain School Nutrition Policy
    • School Health Advisory Counsel (SHAC) meets monthly
    • SHAC has discussed the policy
    • Swain School Nutrition Policy will be reviewed in spring 2020 by the Swain School Board

Additionally, the following progress was made in 2019 on Chronic Disease in Swain County.

  • Committee was formed to evaluate and explore options for expanding the Heart Health Fair to an Adult Health Fair to include Cancer Awareness and Screenings
  • Community Baby Shower was held in October for all expecting parents in Swain County, provided health information
  • The local Pathways and Greenways Committee has formed a sub-committee to plan and implement the second annual walkability study in the county
  • The Swain County Health Department was awarded a Breastfeeding Friendly Designation
Progress Made in 2020
 
 
 

The following progress was made in 2020 on our action plan interventions for Chronic Disease in Swain County

  • Swain Summits
    • Swain Summits Program started with in September of 2019. In March of 2020 the program evaluated the progress of those already participating, as well as, being open for enrollment to new members. Swain Summits conducted three public health screenings and three private health screenings during the month of March 2020. 
    • Swain Summits Program started with 233 participants in September of 2019. In September of 2020, 71 participants completed their year end evaluation through private health screenings.  In September of 2020, Swain Summits also held open  enrollment to new Swain Summit members. 
      • 310 pounds were lost since September 2019
      • 61% decreased or maintained body fat
      • 212.4 pounds in fat lost since September 2019
      • 51% improved or maintained their cholesterol levels since September 2019
      • 48% improved or maintained their glucose levels since September 2019
      • 59% improved or maintained their health score since September 2019
      • 15% increased meeting 150 minutes of physical activity a week
      • 16% increased coping with stress positively
      • 12% increased comsuming two to three cups of vegetables per day
      • 7% increase in consuming six ounces of whole grains regularly
      • 8% decreased adding salt to food regularly
      • 1% decrease in consuming processed sugars regularly
  • Swain School Nutrition Policy
    • School Health Advisory Council (SHAC) met monthly until the COVID-19 Pandemic
    • SHAC has paused all discussion on the policy until further notice
    • Swain School Nutrition Policy has been paused and will be taken to the Swain School Board for review at an undetermined time

Additionally, the following progress was made in 2020 on Chronic Disease in Swain County.

  • 4th Annual Health Fair was held on February 4, 2020 with 88 people in attendance
  • Heart Health Lunch and Learn provided by Swain Community Hospital with 30 people in attendance
  • Innovations Mammogram Bus was hosted at the Swain County Health Department on February 4, 2020 and July 21, 2020
I
2018
13.7%
1
-5%
I
2018
23.0%
1
21%
S
Time
Period
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Actual
Value
Current
Target
Value
Current
Trend
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What Is It?

Many of us in the community are working toward a healthier and happier Swain County. Together, we are trying to reduce chronic disease through our high obesity rates.  Swain County Health Department and Swain Community Hospital aim to increase physical activity, nutrition, and mental health through worksite wellness. Why worksite wellness? We spend over 60% of our time at work. We currently provide an employee wellness program to over 100 employees in the Swain County Public School System, and as of the 2018-2019 school year, saw a total of 371-pounds in weight loss, with an average of 6 pounds per person, and a health score increase of roughly 600 points total, averaging 8 points per person.  We want to expand the program to include businesses and employees of the county alike, 18 and older, helping to work toward a healthier and happier Swain. Would you be interested in participating in the program?

Swain Summits was identified by the Community Wellness Action Team (C-WAT) as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in obesity as it realtes to chronic disease in our community. This is a brand new program in our community.

The priority population/customers for Swain Summits are all residents in Swain County over the age of 18 years old, and Swain Summits aims to make a difference at the individual and county level. Implementation will take place in September housed by Swain Community Hospital and Swain County Health Department.

This addresses health disparties in the following ways:

  • Health assessments aid in connection to healthcare and provide free health screenings to the public that includes cholesterol and glucose
  • Lifestyle change program will aid in Diabetes education and awareness to impact diabetes 
  • Physical activity education and challenges will be aimed to help obesity, heart disease, and diabetes 
  • Nutrition education and challenges will be aimed to help obesity, food insecurity, heart disease, diabetes, and COPD
  • Stress management/mental health education and challenges will be aimed to help obesity and heart disease
Partners

The partners for Swain Summits includes:

Agency

Person

Role

Swain County Helath Dept Trish Hipgrave Collaborate
Swain Community Hospital Chelsea Burrell  Collaborate
Mountain Wise Nan Kramer Support
Swain County Extension Office Dee Decker Support

 

 

Work Plan

 

Activity 

Resources Needed 

Agency/Person Responsible 

Target Completion Date 

Health Screening

Cholestech LDX, Tanita scale, blood pressure cuff, height, and health quesionnaires.

Trish Hipgrave and Chelsea Burrell 

Swain County Health Department and Swain Community Hospital

 September, 2019

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Swain Summits 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 through the health screenings, through the following performance measures;

  • Weight
  • Body Fat Percentage
  • Cholesterol
  • Glucose
  • Health scores 

 

Sustainability Plan:

The following is our sustainability plan for Swain Summits: 

  • Sustainability Component 1:
    • During year 1 of Swain Summits, MountainWise is helping to fund the strategy through an ARC grant for two years. The ARC grant is being used to get the program up and running through assistance with tools needed (i.e. Cholestech LDX, Tanita scale, tablecloths, sandwhich boards, and flyers for promotion); Swain County Health Department will store and maintain the supplies provided by the ARC grant. Further, in-kind is being used for leaders of the program for the first year of the program. Swain Community Hospital is providing the sponsorship funding for incentives in the program. 

 

  • Sustainability Component 2: 
    • Swain Summits will continue after the ARC grant funding has ended. Swain County Health Department and Swain Community Hospital will continue to provide leadership via job responsibilites to the program. Swain Community Hospital will supply materials for the Cholestech LDX moving forward, and continue to sponsor the program for incentives. 
PM
2020
71
1
-70%
PM
2020
188
1
1%
PM
2020
39%
1
10%
PM
2020
184
1
3%
PM
2020
112
1
9%
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Actual
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Current
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What Is It?

Many of us in the community are working toward a healthier and happier Swain County. Together, we are trying to reduce chronic disease through our high obesity rates.  Swain County Health Department and Swain Community Hospital are working to increase quality nutrition among children in our schools. The School Health Advisory Committee (SHAC) have been advocating for a new sugar policy within the schools but have been unsuccessful thus far. The Community Wellness Action Team wants to assist in passing and implementing the sugar nutrition policy in all Swain County schools, helping to work toward a healthier and happier Swain County. 

Swain Schools Nutrition Policy was identified by the Community Wellness Action Team as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in obesity as it relates to chronic disease in our community. This is a new strategy in our community.

The priority population/customers for this Swain schools nutrition policy are each of the school systems in Swain County, and the nutrition policy aims to make a difference at the individual and community level. Implementation will take place in meetings and presentations.

The strategy impacts obesity as it relates to chronic disease in the following ways:

  • Nutrition (i.e. sugar consumption) provided in the school systems among students
  • Obesity rates among children up to 18 years of age
Partners

The partners for this Swain Schools Nutrition Policy include:

Agency

Person

Role

Swain Community Hospital Chelsea Burrell

Collaborate

Swain County Schools Jennifer Brown Collaborate
Swain County Extension Office Dee Decker Support
Work Plan
Activity Resources Needed Agency/Person Responsible Target Completion Date
C-WAT members will attend SHAC meetings Organizations Support C-WAT September 3, 2019
Swain County Health Department Dietician to connect with Swain Schools Nutritionist N/A Swain County Health Department September, 2019
C-WAT members will draft a policy proposal for SHAC C-WAT members C-WAT Spring 2020
Sugar is a drug education to school system representatives C-WAT members and SHAC C-WAT Summer 2020
Present proposal to school board for approval C-WAT members and SHAC support C-WAT and SHAC Summer 2020

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Swain Schools Nutrition Policy 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 Swain Schools Nutrition Policy: 

  • Sustainability Component 1: 
    • The Swain Schools Nutrition Policy is not being funded nor does it need to be funded. The sustainability will be the continued pursuit of the policy change until it is passed and implemented successfully. 
      • Goal for the policy change will be before the 2020-2021 academic year starts. 
PM
Oct 2019
1
3
0%
Substance Use - Long Term CHIP
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Alignment

Substance use and the related result "Residents of Swain County are healthy, safe, and thriving" are aligned with the following Healthy NC 2020 Focus Areas/ Objectives

  • Subtance Abuse
  • Tobacco Use
Experience & Importance

How would we experience residents of Swain County being healthy, safe and thriving in our community?

Swain County would be healthier and happier byway of deduction of substance abuse/misuse. According to community listening sessions, community members would experience the following: 

  • No needles
  • More physical activity
  • More treatment 
  • More participation in commuity 
  • Happier 
  • No cigarette butts 
  • Less funds being used 
  • Empowered by discussion 
  • Less smoke pollution 
  • Not holding breath to go in buildings
  • Not hearing about overdoses
  • More communication 

 

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

The Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County processed the community health assessment data in September and October of 2018 across several meetings. Both groups were provided information about the relevance, impact, and fesibility around substance abuse/misuse, specifically looking at opioid, tobacco, and alcohol data. The community members in attendance then unianimously voted to move forward with the substance abuse priority as a result of evaluating the primary and secondary community health data. 

Known risk factors for this issue are as follows: 

  • Family
  • Social Networks
  • Peer Pressure 
  • Income Level
  • Educational Attainment 

For results 2018 Swain County CHA, Chapter 8, pg. 36-38

Progress Made in 2019

The following progress was made in 2019 on our action plan interventions for Substance Use in Swain County

  • Narcan Distribution 
    • Applied for the Highlands Cashiers Health Foundation grant in 2019 for Narcan kits, training, and campaigns. 
  • Swain Summits
    • Please see listed items for Swain Summit progress under the Chronic Disease priority result. For the Substance Use priority and result, Swain Summits has included question items in relation to tobacco and alcohol usage within the Health Risk Questionnaire. There was also quitline information provided in the packets distribtued during the health screening. 
  • Lockbox and Dropbox Campaign
    • Applied and received funding from the Great Smokies Health Foundation in 2019 for purchasing of lockboxes and promoting dropboxes through campaigns. Previously established two separate dropboxes within the community during the last CHA cycle. 
    • Distribution of lockboxes to community members. 
    • Distributed lockboxes during four separate events -- Medicine Takeback in October of 2019, two Community Baby Showers in 2019, and a Child Health Fair in 2019. 
    • Facebook, newspaper and radio education on the importance of using a lockboxes as well as where to obtain a lockbox if needed or wanted. 
  • Quitline
    • Distributed quitline information during four separate events in 2019 -- Medicine Takeback in October, two Community Baby Showers, and a Child Health Fair. 
    • All patients at the health department and WIC office are provided quitline information as pertinent. 
  • Tobacco Free Spaces
    • Swain County adopted new tobacco free parks and recreation ordinance prohibiting all tobacco products on campuses. 
    • Swain County Health Department became a tobacco free campus, including the purchasing of new signs that include e-cigarettes and vape products. 
    • Public Health Educator presented on the benefits of becoming a tobacco free campus to the Department of Social Services, working toward adding another location to tobacco free spaces in Swain County. 

Additionally, the following progress was made in 2019 on Substance Use in Swain County.

  • Alcohol -- prom campaign in April 
Progress Made in 2020
  • Lockbox and Dropbox Campaign
    • Applied and received funding from the Great Smokies Health Foundation in 2020 for purchasing of lockboxes and promoting medication dropboxes through campaigns.  
    • Distribution of lockboxes to community members through the Swain County Health Department
    • Distribution of lockboxes to community members through the 4th Annual Adult Health Fair, February 2020. 
    • No other events were held in 2020 due to the COVID-19 pandemic.
    • Facebook, newspaper and radio education on the importance of using a lockboxes, as well as, where to obtain a lockbox if needed or wanted. 
  • Quitline
    • Distributed quitline information during the 4th Annual Adult Health Fair, February 2020.
    • All patients at the health department and WIC office are provided quitline information as pertinent. 
    • Swain County Health Department selective staff attended 5 A's Tobacco Cessation training, June 2020. 
  • Tobacco Free Spaces 
    • Public Health Educator followed-up with the Department of Social Services on becoming a tobacco free campus.
    • Public Health Educator discussed and followed-up with the new Department of Social Servies on becoming a tobacco free campus. 
  • Syringe Initiative 
    • Applied and received funding from the Great Smokies Health Foundation in 2019 and 2020 for purchase of syringe dropbox and promoting medication and syringe dropboxes through campaigns (newspaper and billboard). Previously established two separate medication dropboxes within the community during the last CHA cycle. 
    • Implemented a syringe dropbox at the Swain County Courthouse, August 2020.
  • Swain Summits
    • Please see listed items for Swain Summit progress under the Chronic Disease priority result. For the Substance Use priority and result, Swain Summits has included question items in relation to tobacco and alcohol usage within the Health Risk Questionnaire. There was also quitline information provided in the packets distribtued during the health screening. 
I
2018
22.5%
12.0%
2
-22%
S
Time
Period
Current
Actual
Value
Current
Target
Value
Current
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What Is It?

Lock Box and Drop Box Campaign was identified by the Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in substance misuse in our community. This is an ongoing program in our community.

This program is ongoing as it is currently effective in Swain County and needs to be expanded to reach more of the population.

The priority population/customers for this Lock Box and Drop Box Campaign are organizations that are willing to establish a Drop Box and community members interested in a Lock Box, and the Lock Box and Drop Box Campaign aims to make a difference at the community level. Implementation will take place in the community.

Misuse often impacts rates of violence, injuries and certain diseases so people who are using substances are at a disadvantage when it comes to overall health.  

Partners

The partners for this strategy include:

Agency

Person

Role

Coalition for a Safe and Drug Free Swain County Trish Hipgrave

Lead

Swain County Health Department  Amber Frost

Collaborate and Support

Swain Communty Hospital Chelsea Burrell  Collaborate and Support

 

 

Work Plan
Activity Resources Needed Agency/Person Responsible Target Completion Date
Lock Box Distribution Lock Boxes Swain County Health Department Continuous
Drop Box Distribution Drop Boxes The Coalition for a Safe and Drug Free Swain County  Continuous

 

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Lock Box and Drop Box Campaigns 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. 

 

Sustainability Plan:

The following is our sustainability plan for [insert program type]: 

  • Sustainability Component 1:
    • Establishing consistent funding through grants for a financial base to consistently have Lock Boxes available to the public as well as Drop Boxes in the community.
    • Increasing community awareness on the issue and demonstrating the value of the program to the public as well as keystakeholders. 
Tobacco
S
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Value
Current
Target
Value
Current
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% Change
What Is It?

Quitline was identified by the Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in substance misuse in our community. This is an ongoing program in our community.

The quitline is an ongoing strategy that is effective in probing people to stop smoking. The strategy will hopefully reach more people within the community to reduce tobacco usage. 

The priority population/customers for Quitline are individuals who use tobacco products within the community, and Quitline aims to make a difference at the individual and commuity level. Implementation will take place in the community.

Misuse often impacts rates of violence, injuries and certain diseases so people who are using substances are at a disadvantage when it comes to overall health.  

Partners

The partners for this strategy include:

Agency

Person

Role

Coalition for a Safe and Drug Free Swain County Trish Hipgrave

Lead

Swain County Health Department  Amber Frost

Collaborate and Support

Swain Communty Hospital Chelsea Burrell  Collaborate and Support
Work Plan
Activity Resources Needed Agency/Person Responsible Target Completion Date
Educate HD's Clinical staff, WIC staff and Coalition members on Quitline Services Quitline Summary of Services Swain County Health Department 8/1/2019

 

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Quitline 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. 

 

Sustainability Plan:

The following is our sustainability plan for Quitline: 

  • Sustainability Component 1:
    • It is a free program provided by the state, all funding for the program is state funding, meaning we do not need to establish consistent funding to sustain.
    • We will be able to sustain the use of the strategy by utilizing it more via referrals. 
S
Time
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What Is It?

Narcan Community Distribution was identified by the Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in substance misuse in our community. This is an ongoing program in our community.

The current narcan community distribution is effective within Swain County and needs to be expanded to a new target population reaching more community members and saving more lives. 

The priority population/customers for the narcan community distribution are select community members who want to be trained in narcan use, and the community narcan distribution aims to make a difference at the community level. Implementation will take place in the community.

Misuse often impacts rates of violence, injuries and certain diseases so people who are using substances are at a disadvantage when it comes to overall health.  

Partners

The partners for this strategy include:

Agency

Person

Role

Coalition for a Safe and Drug Free Swain County Trish Hipgrave

Lead

Swain County Health Department  Amber Frost

Collaborate and Support

Swain Communty Hospital Chelsea Burrell  Collaborate and Support
Work Plan
Activity Resources Needed Agency/Person Responsible Target Completion Date
Narcan Distribution Narcan The Coalition for a Safe and Drug Free Swain County 

Ongoing

Narcan Use Narcan  EMS, The Coalition for a Safe and Drug Free Swain County, and Community Members Ongoing 

 

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of community narcan distribution 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.  

 

Sustainability Plan:

The following is our sustainability plan for community narcan distribution: 

  • Sustainability Component 1:
    • Establishing a consistent financial base for the program via grant funding -- working toward a full-time staff member to adequately address narcan distribution and training as well as funding for the narcan itself to distribute. 
      • Using program measures to ensure continued effectiveness within the community and demonstrate success to funders and other key stakeholders
S
Time
Period
Current
Actual
Value
Current
Target
Value
Current
Trend
Baseline
% Change
What Is It?

Tobacco Free Spaces was identified by the Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in substance misuse in our community. This is an ongoing program in our community.

This program is ongoing and needs to be expanded into all policy across the county.

The priority population/customers for this Tobacco Free Spaces are community members in Swain County, and the Tobacco Free Spaces aims to make a difference at the individual and community level.

Misuse often impacts rates of violence, injuries and certain diseases so people who are using substances are at a disadvantage when it comes to overall health.  

Partners

The partners for this Tobacco Free Spaces include:

Agency

Person

Role

Coalition for a Safe and Drug Free Swain County Trish Hipgrave

Lead

Swain County Health Department  Amber Frost

Collaboratea and Support

Swain Community Hospital  Chelsea Burrell

Collaborate and Support

Work Plan
Activity Resources Needed Agency/Person Responsible Target Completion Date
Policy changes to make Swain County and Bryson City tobacco free. Support The Coalition for a Safe and Drug Free Swain County, Swain County Health Department, and Swain County Community Hospital Continuous

 

Evaluation & Sustainability

Evaluation Plan:

We plan to evaluate the impact of Tobacco Free Spaces 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. 

 

Sustainability Plan:

The following is our sustainability plan for Tobacco Free Spaces: 

  • Sustainability Component 1:
    • Identifying champions who strongly support the program 
    • Demonstrating success to key stakeholders, communicating and engaging community leaders and organizations
    • Establishing a grant to help with Tobacco Free Space signage across the city and county
How Much
PM
2020
2
0
0%
S
Time
Period
Current
Actual
Value
Current
Target
Value
Current
Trend
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% Change
What Is It?

Please see our Chronic Disease Priority 

New and Emerging Issues and Initiatives
R
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Progress Made in 2019

Alcohol in Swain County has been reevaluated and has emerged to be an ongoing issue. 

Progress Made in 2020

Food Insecurity

COVID-19 pandemic has brought the increased prevelance of food insecurity as an emerging issue of food insecurity.

  • The Swain County Health Department received a $10,000 Needs Immediately Met, or NIMble, grant from Nantahala Health Foundation to support the objectives of the departments' In-Home Aide and Chore program, which includes alleviating food insecurities for Swain County seniors. 

    “The Swain County Health Department is so grateful for the partnership with Nantahala Health Foundation and their $10,000 Needs Immediately Met Grant funding for 2020. Due to COVID-19 the Health Department was unable to hold its usual fundraisers for their 8th annual holiday giving. The Health Department is using this funding to help alleviate food insecurity for twenty-five In-Home Aide and Chore clients. We are grateful to be able to help those who may need a little extra support this holiday season” said Alison Cochran, Swain County Health Director.

    “Nantahala Health Foundation is thrilled to partner with the Swain County Health Department on this valuable project,” Lori Bailey, NHF’s executive director, said. “Addressing the needs of seniors not only provides a much-needed service, it has been one of our priority areas from our foundation’s beginning.”

R
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Progress Made in 2019

The following are new initiatives or changes in our community in 2019:

  • NC Med-Assist - FREE Over the Counter (OTC) Medicine Give Away Day on Saturday, September 21st. The event was open to all Swain County residents and their families needing OTC medication. 700 Swain County residents were served.

The following are recurring initiatives in our community in 2019:

  • 3rd annual Heart Health Event 
  • Diabetes Prevention Program is on-going 
  • Restoration Community Garden is on-going
Progress Made in 2020

The following are new initiatives or changes in our community in 2020:

  • NC Med-Assist - FREE Over the Counter (OTC) Medicine Give Away Day on Saturday, October 17th. The event was open to all Swain County residents and their families needing OTC medication. 803 Swain County residents were served.

The following are recurring initiatives in our community in 2020:

  • 4th Annual Heart Health Event (now known as Adult Health Fair)
  • Diabetes Prevention Program is on-going 
R
Time
Period
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Progress Made in 2020

Timeline for COVID-19 Pandemic 

  • March 10, 2020 Governor Cooper’s Executive Order 116 Declaration of state of emergency to coordinate response and protective actions to prevent the spread of COVID-19 - state
  • March 14, 2020 Governor Cooper’s Executive Order 117  - Closes K-12 schools– state
  • March 17,  2020 Governor Cooper’s Executive Order 118 – Closes restaurants and bars – state
  • March 17, 2020 Declaration of Local State of Emergency-county
  • March 20, 2020 Employee Rights released from federal government
  • March 23, 2020 BOC Supplement to Declaration of Local State of Emergency recommending the temporary closure of businesses related to non-essential travel of non-resident individuals in Swain County; has been rescinded
  • March 27, 2020 Supplement to Declaration of Local State of Emergency-county.
  • March 27, 2020 Amendment to Supplement to Declaration of Local State of Emergency-county
  • March 27, 2020 Governor's Stay at Home Order 121- state
  • March 27, 2020 FAQ Fact Sheet for Executive Order-state
  • March 27, 2020 Health Department Press Release (1st positive case for Part-time resident in Swain County)- county
  • March 30, 2020 Supplement to Declaration of Local State of Emergency-county
  • April 7, 2020 Supplement to Declaration of Local State of Emergency-county
  • April 9, 2020 Governor Cooper's Executive Order 131- state
  • April 9, 2020 FAQs for Executive Order 131-state
  • April 22, 2020 Public Assistance Benefits-state
  • April 23, 2020 Governor Cooper's Stay
  • At Home Orders Extended Executive Order 135- state
  • May 4th, 2020 Supplement to Declaration of Local State of Emergency-county
  • May 5, 2020 Governor Cooper's Phase One Executive Order 138-state
  • May 5, 2020 FAQs for Executive Order 138-state
  • May 5, 2020 What's new in Phase One-state
  • May 18, 2020 Swain County Health Department Community Intervention Implementation Annex COVID-19 Developed - county
  • May 20, 2020 Governor Cooper's Safer at Home Phase Two Executive Order 141- state
  • May 20, 2020 FAQs for Executive Order 141-state
  • May 20, 2020 What's new in Phase Two-state
  • June 24, 2020 Governor Cooper's Safer at Home Phase Two Executive  Order 147- state
  • July 16, 2020 Governor Cooper's Safer at Home Phase Two Executive Order 152- state
  • August 5, 2020 Governor Cooper's Safer at Home Phase Two Executive  Order 155- state
  • September 1, 2020 Governor Cooper's Safer at Home Phase 2.5 Executive Order 163- state
  • September 1, 2020 FAQs for Executive Order 163- state
  • September 1, 2020 What's new in Safer at Home Phase 2.5- state
  • September 30, 2020 Governor Cooper's Safer at Home Phase Three Executive Order 169- state
  • September 30, 2020 FAQs for Executive Order 169- state
  • September 30, 2020 What's new in Safer at Home Phase Three Executive Order 169- state
  • October 21, 2020 Executive Order 170, November 10, 2020 Executive Order 176, November 23, 2020 Executive Order 180 all extend Phase Three (Executive Order 180 increases face covering requirements to inside with non - household members regardless of distance) - state
  • December 8, 2020 Executive Order 181 modified stay at home order - state

 

Additional Information

  • The Swain County Health Department in partnership with Smoky Mountain Urgent Care and Swain County Emergency Manangement have held free COVID-19 drive thru testing events:
    • September 12, 2020
    • November 23, 2020
  • Swain County Health Department disseminated information to the Swain County Community via Facebook for state and county government mandates and ordinances.
  • Swain County Health Department used Center for Disease Control, North Carolina Department of Health and Human Service, World Health Organization and their own to inform the public of COVID-19 through the entire pandemic through Facebook.
  • COVID-19 has caused many Swain County Programs to pause programs and/or initiatives. 
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