HNC 2030 Scorecard: Swain County

 

            

Swain County strives to enhance the lives of its citizens through knowledge and better health. In the Swain County Health Department Community Health Assessment process the community has established two health priorities. In collaboration with WNC Healthy Impact and other community partners, Swain County will continue to work together to impact the health of its community with positive action and education.

The 2021 Community Health Assessment priority areas are continuations of the 2018 CHA long-term priorities:

  • Chronic Disease 
  • Substance Use 

The following Community Health Improvement Plan (CHIP) Scorecard was created and submitted by September 12th, 2022, to meet the Swain County Long Term Community Health Plan requirements.

A key to navigating this scorecard: 

The following resources were used/reviewed to complete this scorecard:

Community Health Assessment
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Executive Summary

The executive summary can be found on pp. 4-6 of the CHA Report.

CHA Priorities

The 2021 Community Health Assessment priority areas are continuations of the 2018 CHA long-term priorities:

  • Chronic Disease 
  • Substance Use 
Chronic Disease
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HNC2030 Alignment

Chronic Disease and the related result "Residents of Swain County are healthy, active, and thriving" are aligned with the following Healthy NC 2030 health indicators and desired results. 

  • Access to Exercise Opportunities - Increase physical activity
  • Sugar-Sweetened Beverage Consumption - Reduce Overweight and Obesity
     

 

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 by reducing obesity, chronic disease, and food insecurity. According to community key informant sessions, listening sessions, and digital surveys, community members would experience the following if "Residents of Swain County are healthy, active, and thriving" were reached: 

  • Increased physical activity
  • More outdoor activity 
  • Increased life span
  • Increased healthy food options
  • Decreased visits to a primary care provider as a result of reduced chronic disease
  • Hearing more people communicating about healthy options 

 

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

The Swain County Health Department, in conjunction with Swain Community Hospital, processed the community health assessment data in August and September of 2021. Information was gathered regarding the relevance, impact of chronic disease, and the feasibility of decreasing chronic disease. Community members unanimously voted to continue with the long-term priority of Chronic Disease. 

Known risk factors (Healthy People 2030 website) for this issue are as follows: 

  • Built-in Environment
  • Low Socioeconomic Status
  • Low Educational Attainment 
 

 

Partners with a Role to Play

Partners include:

  • Swain County Health Department
  • Swain Community Hospital
  • Mountain Wise
  • Eat Smart, Move More North Carolina
What Works to Do Better and Process

The following actions have been identified as ideas for what can work for our community to make a difference in chronic disease.

Actions and Approaches Identified by Our Partners: Our partners think these actions and approaches can make a difference in chronic disease.

  • Worksite Wellness -- Swain Summits
  • Eat Smart, Move More, Prevent Diabetes Program

 

What is currently working in our community: These actions and approaches are now in place in our community to make a difference in chronic disease.

  • Worksite wellness programs (i.e., Swain Summits)
  • Access to gym facilities
  • Increase in health awareness 
  • Community health assessments
  • Mammography Bus
  • Dental Grants 

 

Evidence-Based Strategies: These are actions and approaches that have been shown to make a difference in obesity as it relates to chronic disease.

Name of Strategy Reviewed

Level of Intervention 

Worksite Wellness

Organizational

Eat Smart, Move More, Prevent Diabetes Program

Organizational

 

Process for Selecting Priority Strategies

The Community Wellness Action Team (C-WAT) reviewed the community health assessment data in September and October 2018. Following those meetings, the whole distance exercise was completed by walking through the results-based accountability format in selecting actionable items. The whole distance exercise was conducted over two meetings. The group worked through the exercise and landed on the "what will work". Each group member in attendance voted on a strategy that met the three identifiable principles -- data power, proxy power, and communication power. In 2021, worksite wellness was voted to be continued as a priority strategy. It was also voted to add promoting Eat Smart, Move More, Prevent Diabetes Online as a new priority strategy. 

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2019
35.4%
2
8%
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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 health programs, like Swain Summits.  Swain Summits is a community and worksite wellness program.  Swain County Health Department aims to increase physical activity, nutrition, and mental health through worksite wellness. Why worksite wellness? We spend over 60% of our time at work and we want to help work toward a healthier and happier Swain. 

Swain Summits was identified by the Community Wellness Action Team (C-WAT) as an action in 2019, that when combined with other actions in our community, has a reasonable chance of making a difference in chronic disease 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. 

This addresses health disparities in the following ways:

  • Health assessments aid in connection to healthcare and provide free health screenings to the public that includes cholesterol and A1C
  • Physical activity education and challenges will be aimed to help obesity, heart disease, and diabetes 
  • Nutrition education and challenges will be aimed to decrease obesity, food insecurity, heart disease, diabetes  
  • Stress management/mental health education and challenges will be aimed to decrease obesity and heart disease
Partners

The partners for Swain Summits include:

Agency

Role

Swain County Health Dept Lead
Great Smokies Health Foundation Support

 

 

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What Is It?

Eat Smart, Move More, Prevent Diabetes Online Program is a statewide program to prevent obesity and associated chronic illnesses, such as Diabetes. Implementing North Carolina’s Obesity Prevention Plan promotes healthy nutritional choices, increased movement, and obtaining optimal body weight. This organization works to help communities, schools, and businesses have easy access to healthy food and physical activity. They desire to create an environment where nutritious food choices and exercise are easy for all North Carolinians. Their online program contains many resources pertaining to the community, education, and healthcare in relation to fitness and nutritional health—various educational resources regarding food choices, workouts, and other health-related issues.

Eat Smart, Move More, Prevent Diabetes Online Program was identified by the Community Wellness Action Team (C-WAT) as an action in 2021, that when combined with other actions in our community, has a reasonable chance of making a difference in chronic disease in our community. 

The priority population/customers for Eat Smart, Move More, Prevent Diabetes Online Program are all residents in Swain County over the age of 18 years old, and Eat Smart, Move More, Prevent Diabetes Online Program aims to make a difference at the individual and county level. 

Partners

The partners for this strategy include:

Agency

Person

Role

Swain County Health Department 

Trish Hipgrave

Lead

Eat Smart, Move More, Prevent Diabetes Online Program

State Representative 

Collaborate and Support

 

Substance Use
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HNC2030 Alignment

Substance Misuse and the related result "Residents of Swain County are healthy, safe, and thriving" are aligned with the following Healthy NC 2030 health indicators and desired results. 

  • Drug Overdose Deaths - Decrease Drug Overdose Deaths
  • Tobacco Use - Decrease 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 by way of deduction of substance abuse/misuse. According to previous years' community listening sessions, community members would experience the following: 

  • No needles
  • More treatment 
  • More participation in the community 
  • No cigarette butts 
  • Fewer funds being used 
  • Empowered by discussion 
  • Less smoke pollution 
  • Not holding breath to go into buildings
  • Not hearing about overdoses
  • More communication 

 

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

The Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County processed the community health assessment data. Both groups were provided information about the relevance, impact, and feasibility around substance misuse, specifically looking at opioid, tobacco, and alcohol data. The community members in attendance then unanimously voted to move forward with the substance abuse priority as a result of evaluating the primary and secondary community health data. These being long-term issues they are being continued in 2021. 

Known risk factors for this issue are as follows: 

  • Family
  • Social Networks
  • Peer Pressure 
  • Income Level
  • Educational Attainment 
Partners with a Role to Play

Partners include:

  • Swain County Health Department
  • Coalition for a Safe and Drug Free Swain County
  • Mountain Wise
  • Swain Community Hospital
  • QuitlineNC
What Works to Do Better and Process

The following actions have been identified as ideas for what can work for our community to make a difference in Substance use.

Actions and Approaches Identified by Our Partners: Our partners think these actions and approaches can make a difference in Substance use.

  • Lock Box / DropBox Campaigns
  • Quitline

What is currently working in our community: These actions and approaches are now in place in our community to make a difference in Substance use.

  • Lox Box Distribution
  • Naloxone Distribution
  • Medication Drop Boxes
  • Syringe Drop Box
  • Quitline Promotion

Evidence-Based Strategies: These are actions and approaches that have been shown to make a difference in obesity as it relates to chronic disease.

Name of Strategy Reviewed

Level of Intervention 

Quitline

Organizational

Lock Your Meds Campaign

Organizational

 

Process for Selecting Priority Strategies

The Community Wellness Action Team (C-WAT) reviewed the community health assessment data in September and October 2018. Following those meetings, the whole distance exercise was completed by walking through the results-based accountability format in selecting actionable items. The whole distance exercise was conducted over two meetings. The group worked through the exercise and landed on the "what will work". Each group member in attendance voted on a strategy that met the three identifiable principles -- data power, proxy power, and communication power. In 2021, Lock Box / DropBox Campaigns and Quitline were voted to be continued as priority strategies.

I
2019
21.2
1
57%
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2021
18.2%
15.0%
3
-37%
FHLI-NC
HNC2030
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2019
22.9%
2
-4%
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What Is It?

LockBox and DropBox Campaigns were identified by the Community Wellness Action Team and the Coalition for a Safe and Drug Free Swain County as an initiative in 2019. It will be continued in 2022 as an action, when combined with other actions in our community, 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 for these LockBox and DropBox Campaigns are organizations that are willing to establish a DropBox and community members interested in a LockBox. LockBox and DropBox Campaigns aim to make a difference at the community level. Implementation is ongoing 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

Beth Young

Lead

Swain County Health Department 

Trish Hipgrave

Collaborate and Support

Tobacco
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What Is It?

Promoting Quitline was identified by the Community Wellness Action Team and the Coalition for Safe and Drug-Free Swain County as an initiative in 2019. It will be continued in 2022 to encourage community members to stop using tobacco products. Quitline provides over-the-phone counseling and education 24 hours a day and Nicotine products to help with side effects associated with the cessation of tobacco use. These services are beneficial for the youth because it gives them support without retribution. This campaign aims to reduce tobacco use and, therefore, reduce the adverse health effects associated with it, including morbidity or mortality.

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 at a community level

Partners

The partners for this strategy include:

Agency

Person

Role

Coalition for a Safe and Drug Free Swain County

Tobin Lee

Lead

Swain County Health Department 

Trish Hipgrave

Collaborate and Support

SOTCH Reports
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Progress on CHIP
Morbidity and Mortality Changes Since Last CHA
New Initiatives and Community Changes
New and Emerging Issues
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Progress on CHIP
Morbidity and Mortality Changes Since Last CHA
New Initiatives and Community Changes
New and Emerging Issues
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy