HNC 2030 Scorecard: Lincoln County

 

The Lincoln County Health Department is excited to share the Healthy NC 2030 Scorecard for Lincoln County. This Community Health Improvement Scorecard is an easy way to learn about some of the efforts currently underway in Lincoln County to address three health priorities identified in the 2019 Lincoln County Community Health Assessment (CHA): 

Substance Use

Access to Care/Health Services

Emergency Preparedness

While our community has been adversely impacted by the COVID-19 pandemic since March 2020, Lincoln County and our community partners are united in our efforts to support community health improvements to address these priorities. This Scorecard also serves as Lincoln County’s Community Health Improvement Plans (CHIPs), fulfilling the NC Local Health Department Accreditation requirement that local health departments submit two CHIPs following the CHA submission.  

The Scorecard also contains the annual Lincoln County State of the County Health reports (SOTCH).

  • Results - a picture of where we would like to be as our health improves
  • Indicators - Measurable and quantifiable data that gives reason to why a priority is of concern or improving.   
  • Organizations - Organizations, committees, and coaliations that help with programs and strategies that improve health priorities
  • Programs - activities that help improve the health priority
  • Performance Measures - show how those programs are making an impact.

 


Instructions:  Click anywhere on the scorecard to learn more about programs and partners that are working together to improve the health of Lincoln County. The letters below represent key components of the Scorecard.

 

Use the icons to expand items and the  icons to read more. This scorecard is not intended to be a complete list of all the programs and partners who are working on these issues in Lincoln County.  

 

COMMUNITY HEALTH ASSESSMENTS
CA
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Executive Summary
Priorities

Substance Use

Access to Care/Health Services

Emergency Preparedness

Substance Use
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Why Is This Important?
I
2020
32.5
2
141%
O
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

The mission of the Lincoln County Drug Prevention and Recovery Coalition is to engage professional and lay leaders from across the county to collaboratively develop and conduct programs that will:

  • Prevent the onset of addiction to controlled substances.
  • Assure the adoption of safe opioid prescribing practices.
  • Deliver comprehensive drug treatment and mental health services for all persons in need.
  • Deliver professional and community education in support of these outcomes.

Who We Serve

Everyone who lives, learns, and/or works in Lincoln County

How We Impact
  • Raise community awareness of opioid problems in Lincoln County
  • Raise community awareness of new policies/protocols that restrict opioid prescribing
  • Prepare prescribers to meet CDC- and State- required opioid policies and procedures
  • Prepare prescribers to manage patient resistance to new opioid policies/procedures
  • Document activities in Lincoln County for preventing and treating opioid use disorder
  • Develop a comprehensive data collection system to measure the impact of Coalition activities
  • Identify and plan activities to expand treatment and linkage needs
  • Reduce diversion of prescribed opioids to unintended users
  • Reduce stigma about chronic opioid addiction
  • Reduce community demand for opioids
  • Train and prepare the community to prevent opioid overdoses
COVID Impact 2020

Pre-COVID, the Lincoln County Substance Use Coalition spent a great amount of time creating a strategic plan for the coalition. The need for a strategic plan was brought up during a coalition meeting in late 2019. Each subcommittee met frequently to come up with a strategic plan and then all subcommittee strategic plans were compiled into one document to serve as a strategic plan for the entire coalition. Each subcommittee had wonderful plans and goals to achieve in 2020 and then COVID hit. Because of COVID, subcommittee meetings were put on hold and of course all planned activities were put on hold as well. Very little work has been done by the coalition to achieve the goals set in the strategic plan. The coalition is made up of several agencies and organizations in Lincoln County and most of us have had a major shift in job responsibilities and duties since COVID. We are hopeful to resume meetings soon whether it be in person or virtual, so that we can continue our work addressing the opioid crisis in Lincoln County. 

P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

Lincoln County Drug Prevention and Recovery Coalition and Lincoln County Health Department advocates with local pharmacies to install additional drug disposal boxes in their facilities.  

Who We Serve

Any person needing or wanting to dispose of medications properly and safely. 

 

How We Impact

Medication Disposal Dropboxes allow community members the opportunity to dispose of medications properly and safely. 

COVID Impact 2020

During the COVID pandemic, the Lincoln County Drug and Prevention Coalition discontinued their meetings for a large portion of the pandemic. This made the strategy difficult as lack of meetings prevented planning, implementing, and evaluating the strategy. COVID-19 also limited access to speak with managers of pharmacies to discuss placement of medication drop boxes in their facility. 

P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

Lincoln County Drug Prevention and Recovery Coalition partners with Lincoln County Government to develop a county-wide system for safely discarding needles and syringes.

Who We Serve

People who currently or formerly use drugs. 

How We Impact
  • Safe disposal of needles and syringes
  • Reduce transmission of HIV, Hepatitis C, and other blood-borne diseases. (Leads to reduction in medical costs)
  • Increase connection of current and former users to treatment
  • Increase connection of current and former users to important needs, such as food and housing assistance.
  • Provide educational material
COVID Impact 2020

During the COVID-19 pandemic, the Lincoln County Drug Prevention and Recovery Coaltion did not meet as planned. This prevented the coalition from being able to plan, implement, and evaluate any strategies when working with Lincoln County Government. 

Access to Care/Health Services
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Why Is This Important?

Health equity means giving patients the care they need when they need it. This is important because barriers to accessing health services can lead to unmet health needs, inability to get preventive services, and can result in hospitalizations that are preventable. Access to care impacts a person's overall physical, social, and mental health status and quality of life. 

P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

The Health and Wellness Resource Directory serves as a "one stop shop" for finding all available health and wellness resources in Lincoln County including but not limited to primary care physicians, dental care, pharmacies, and eye care centers.

Who We Serve

Everyone who lives, learns, and/or works in Lincoln County.

How We Impact

The Health and Wellness Resource Directory, if kept up to date, is a great resource for everyone who lives, learns, and/or works in Lincoln County to locate health care whether it be primary care, dental care, or behavioral health services in Lincoln County. 

CHA2019
P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

The Parks Prescription (ParkRx) Program was created out of the health and nature movement by The Golden Gate National Parks Consevancy in partnership with the National Park Service. The program works to have a collaboration between park and public land agencies, community partners, and healthcare providers. Through this collaboration, health or social service providesr encourage their patients/clients to spend more time outdoors. 

Who We Serve

Anyone

How We Impact

By encouraging patients/clients to spend more time outdoors, benefits are shown to improve mental, physical, and social health. 

COVID Impact 2020

Due to the COVID-19 pandemic, limited collaboration was able to be achieved between partners. This prevented the planning, implementing, and evaluation of this strategy to be completed. 

P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

The Preventive Health Screening Opportunities initiative provides connection to resources and education regarding recommended well-care visits and age appropriate preventive health and wellness screenings through community outreach events. 

Who We Serve

All community members.

How We Impact

The initiative raises awareness through education about the health benefits of well-care visits and age appropriate preventive health and wellness screenings, as well as connects citizens to various resources. By raising awareness and through connection of resources, overall health outcomes of the population will improve. 

Emergency Preparedness
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Why Is This Important?

Having access to fire prevention tools such as smoke alarms is important because having working smoke alarms in the home can help decrease the number of injuries and casualties from fire related calls. 

R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Why Is This Important?

This data breaks down the information to give a better understanding of why Preparedness is a top health priority. This data shows that approximately 35% of the total reports had buildings or structures without smoke detectors present. The ratio of Detectors Not Present and Detectors Present was at a ratio of 1:1.2. Given this information and if ratio stays the same, approximately 23 of the Undetermined Status detector reports could be added to the Detectors Not Present reports. This total would mean potentially 45% of smoke detector reportable incidents do not have detectors present. Lack of warning systems during a fire could lead to injury or even death.

  • Data numbers were given totaled from January 1st, 2017 through December 31, 2019*
I
2019
101
0
0%
I
2019
51
0
0%
P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do

Smoke Alarm Saturday is a one-day, North Carolina Department of Insurance initiative out of the Office of the State Fire Marshal, that aims to provide free smoke alarms to State residents who need them.  The local county Fire Marshal and/or local fire department(s) apply for the Smoke Alarm Saturday Grant annually. After acceptance of the grant, each fire department involved in the initiative receives:

  • Up to 54 smoke alarms
  • Home survey form
  • Waiver Form
  • Educational Materials
  • Door Hangers
  • Promotional Items
  • Sample press advisory (to promote the event)

Participating fire department(s) on the first Saturday in June, canvass their local area to educate and bring awareness on the importance of having working smoke detectors in their home. The fire department(s) will install smoke detectors as needed. 

Who We Serve

All Lincoln County residents, especially those without working smoke alarms in their home.

How We Impact

The Smoke Alarm initiative hopes to increase the number of working smoke alarms in Lincoln County homes and decrease the number of injuries and casualties from fire related calls. Educational materials on fire prevention and safety are also distributed to residents whether they receive a smoke alarm or not. 

COVID Impact 2020

COVID-19 had a minimal impact on the initiative. Some residents limited persons entering their home due to COVID-19. 

SOTCH REPORTS
S
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Progress on CHIPs

The sudden, unexpected, ever changing, and unpredictable COVID-19 pandemic made it very challenging to accomplish our goals set in our CHIPs. The last year, our CHIPS/SOTCH work was put on hold. No Partnership for Health Meetings, no direct work on our goals outlined in our CHIPS, and although it has been a rough year and many of our partners scope of work was shifted, I am proud of our program for: 

  • Adopting Results-Based Accountability
  • Transitioning CHIPS from paper-based to web-based documents
  • Setting up results, indicators, programs, and performance measures in Clear Impact Scorecard
  • Linking to the HNC 2030 Scorecard to create greater awareness of population accountability

 

Morbidity and Mortality Changes Since Last CHA

COVID-19 has however impacted morbidity and mortality rates in Lincoln County like it has in other North Carolina Counties. Lincoln County currently reports a total of 8,638 COVID cases. 8,379 of these cases have recovered and 76 of these cases are reported deaths. In regards to identified deaths for Lincoln County, 33 are related to congregate care facilities.

 

 

Emerging Issues Since Last CHA

Alcohol Use

Binge drinking has been shown to have negative effects on the body and mental state, and lead to an increased likelihood of alcohol-related unintentional injuries and death. In 2018, 17.1% of NC Region 4 BRFSS respondents indicated that they have binge drank in the past (even once), compared to 14.8% of NC (NC BRFSS, 2018). The percentage of Region 4 BRFSS and NC respondents reporting binge drinking (even once) has increased for 2018.(BRFSS, 2018). This reported increase of binge drinking regionally and at the state level indicates a need for improved education and prevention strategies regarding the negative consequences associated with alcohol abuse and binge drinking.

 

Personal Preparedness

According to structural fire data provided by the Lincoln County Fire Marshal’s Office, smoke detectors were present 55% of the time and operated correctly 84% of the time between 2017 and 2019 in Lincoln County. These numbers indicate a need for increased awareness and education regarding the importance of having a functional smoke detector in homes and businesses. 2019 CHO Survey respondents indicated that they were 68.5% likely to have both smoke detectors and carbon monoxide detectors in their homes, while 28.9% indicated that they only had smoke detectors in their homes. Between 2017 and 2019, there were 12 injuries and 5 casualties reported from fire related calls from all 12 fire departments in Lincoln County. Lincoln County fire departments have participated in Smoke Alarm Saturday, which is held on the first Saturday in June, in recent years. Smoke Alarm Saturday is a North Carolina Department of Insurance Initiative out of the Office of the State Fire Marshal that aims to provide free smoke alarms to Lincoln County residents who need them. The Smoke Alarm Saturday Initiative hopes to increase the number of working smoke alarms in homes and decrease the number of injuries and casualties from fire related calls, because even 1 death that could potentially be prevented is too many.

Health Services

55.13% of 2019 CHO Survey respondents believe there is good healthcare in Lincoln County when considering the cost, quality, and availability of healthcare in the county. A majority of respondents believe the service most needing improvement in Lincoln County is culturally appropriate health services.

 

 

 

 

 

New/Paused/Discontinued Initiatives Since Last CHA

 

Substance Abuse:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Substance Abuse strategy.

 

Þ Continuing Initiative: Medication disposal

             *The purpose of this intervention is for local pharmacies to install drug disposal boxes in their

             facilities for customers to safely dispose of needles and syringes.

Þ New Initiative: CATCH My Breath Curriculum

 

Emergency Preparedness:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Emergency Preparedness strategy.

 

Þ Continuing Initiative: Smoke Alarm Saturday

Þ New Initiative: Reporting System

*The purpose of this intervention is to develop a reporting system that providers like EMS, DSS, etc. could

Notify the fire department of the need for smoke detectors in specific households.

 

Health Services:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Health Services strategy.

 

Þ Continuing Initiative: Parks Rx intervention program.

* The purpose of this intervention is to increase the number of providers that prescribe their patients Park Rx prescriptions to encourage healthy outdoor activity, healthful eating and improve overall wellness to   positively impact chronic disease conditions (verses using prescription medications, when appropriate).

Þ New Initiative: Preventive Health screening opportunities

 

 

The Lincoln County Partnership for Health and the Lincoln County Board of Health chose and approved the initiatives that are being used to address the 2019 Community Health Assessment priorities.  Action plans were submitted to the state of NC in July 2020.

 

S
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
Progress on CHIPs

The 2019 Community Health Assement (CHA) determined that Lincoln County needed to address three community health priorities: Substance Use; Emergency Preparedeness; and Health Services. Each of these priorities had activites, or Programs, that were to improve and have an impact on the overall health of the community. These programs had measurable outcomes as Performance Measures to determine if the programs were on the right track. 

Due to COVID-19, accomplishing the goals set by the Community Health Improvement Plan and implementing programs was difficult. Many organizations were working with limited capacity. Coalition and committee meetings were put on hold. Most of the programs were not implemented or no progress was made and performance measures did not improve. Two notable changes in Programs were the Safe Syringe Access Program and Smoke Alarm Saturday. Lincoln County saw a loss of the Safe Syringe Access Program in 2021. Between 2019 and 2020, Smoke Alarm Saturday did see an increase of participation of fire department in the yearly event. Due to COVID-19, there was a decrease in 2021. 

Morbidity and Mortality Changes Since Last CHA

Over the past two years, response efforts and data collection in Lincoln County have been focused largely on COVID-19. At the time of this writing, Lincoln County reports 24,129 total cases. Of these cases, 162 are deaths and 23,959 people have recovered. 8 are active COVID-19 cases. The number of daily active has largely dropped after the surge of the Omicron Variant of the virus in late 2021. 

 Changes in Lincoln County's Mobidity and Mortality rates from 2019-2021 are located below.

Emerging Issues Since Last CHA

Alcohol Use

Binge drinking has been shown to have negative effects on the body and mental state, and lead to an increased likelihood of alcohol-related unintentional injuries and death. In 2018, 17.1% of NC Region 4 BRFSS respondents indicated that they have binge drank in the past (even once), compared to 14.8% of NC (NC BRFSS, 2018). The percentage of Region 4 BRFSS and NC respondents reporting binge drinking (even once) has increased for 2018.(BRFSS, 2018). This reported increase of binge drinking regionally and at the state level indicates a need for improved education and prevention strategies regarding the negative consequences associated with alcohol abuse and binge drinking.

 

Personal Preparedness

According to structural fire data provided by the Lincoln County Fire Marshal’s Office, smoke detectors were present 55% of the time and operated correctly 84% of the time between 2017 and 2019 in Lincoln County. These numbers indicate a need for increased awareness and education regarding the importance of having a functional smoke detector in homes and businesses. 2019 CHO Survey respondents indicated that they were 68.5% likely to have both smoke detectors and carbon monoxide detectors in their homes, while 28.9% indicated that they only had smoke detectors in their homes. Between 2017 and 2019, there were 12 injuries and 5 casualties reported from fire related calls from all 12 fire departments in Lincoln County. Lincoln County fire departments have participated in Smoke Alarm Saturday, which is held on the first Saturday in June, in recent years. Smoke Alarm Saturday is a North Carolina Department of Insurance Initiative out of the Office of the State Fire Marshal that aims to provide free smoke alarms to Lincoln County residents who need them. The Smoke Alarm Saturday Initiative hopes to increase the number of working smoke alarms in homes and decrease the number of injuries and casualties from fire related calls, because even 1 death that could potentially be prevented is too many.

 

Health Services

55.13% of 2019 CHO Survey respondents believe there is good healthcare in Lincoln County when considering the cost, quality, and availability of healthcare in the county. A majority of respondents believe the service most needing improvement in Lincoln County is culturally appropriate health services.

 

Issues Emerging From COVID-19

Unemployment - As with many other counties in North Carolina, Lincoln County was not immune to the issues that emerged from COVID-19. In March of 2020, the unemployment rate was 3.7% In April and May of 2020, the unemployment rate increased to 13.1% and 13.2% respectively. Lincoln County has since seen a decrease in the unemployment rate and was reported as 2.6% in December of 2021.

 

Food insecurities - Food insecurities have not improved. In 2019, 12% of Lincoln County residents lacked adequate access to food. In 2021, this had increased to 13%. COVID-19 resulted in the disruption of the United States food supply chain. Disruptions included: staff shortages; logistics and international transport of goods; and decrease in production at processing plants.

 

Homelessness - Lincoln County does a yearly Point-in-Time (PIT) count for homelessness in January of each year. This data is divided into "Sheltered" and "Unsheltered" categories. At this time, only the unsheltered data is available. Between January of 2019 and January of 2020, Lincoln County had a decrease from 14 to 10 persons in the unsheltered category. In January of 2021, this count had increased by 300% to 30 people. One of the reasons for an increase in unsheltered homelessness is due to COVID-19 restrictions on occupancy for shelters. Shelters had to decrease their numbers to allow for social distancing and to prevent the spread of COVID-19. The shelters did connect those who had to leave the shelter with resources, such as providing tents or connecting them with other resources within the county.  

New/Paused/Discontinued Initiatives Since Last CHA

Substance Abuse:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Substance Abuse strategy.

 

Þ Continuing Initiative: Medication disposal

             *The purpose of this intervention is for local pharmacies to install drug disposal boxes in their facilities for customers to safely dispose of needles and syringes. 

Þ New Initiative: CATCH My Breath Curriculum

     *The CATCH My Breath Curriculum was established in two schools to be taught prior to the COVID-19 pandemic. Schools starting remote learning and visitor access restrictions when students came back to                          school prevented the CATCH My Breath Curriculum from actually being taught. Strides have been made to implement the program back into the schools with the lessening of the COVID-19 restrictions. 

 

Emergency Preparedness:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Emergency Preparedness strategy.

 

Þ Continuing Initiative: Smoke Alarm Saturday

Þ New Initiative: Reporting System

*The purpose of this intervention is to develop a reporting system that providers like EMS, DSS, etc. could

Notify the fire department of the need for smoke detectors in specific households.

 

Health Services:

· The Lincoln County Partnership for Health chose to focus on two initiatives to positively impact the Health Services strategy.

 

Þ Continuing Initiative: Parks Rx intervention program.

* The purpose of this intervention is to increase the number of providers that prescribe their patients Park Rx prescriptions to encourage healthy outdoor activity, healthful eating and improve overall wellness to positively impact chronic disease conditions (verses using prescription medications, when appropriate).

Þ New Initiative: Preventive Health Screening Opportunities

*The Preventive Health Screening Opportunities initiative was to raise awareness about recommended well-care visits and age appropriate preventive health and wellness screenings to all community members through community outreach and education. Community  members would also be connected to resources as needed. 

 

 

The Lincoln County Partnership for Health and the Lincoln County Board of Health chose and approved the initiatives that are being used to address the 2019 Community Health Assessment priorities.  Action plans were submitted to the state of NC in July 2020.

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