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NC State Health Improvement Plan Scorecard

This Scorecard supports the 2022 State Health Improvement Plan (NC SHIP). Health departments and their partners link their local Scorecards to the Healthy North Carolina 2030 Scorecard (HNC 2030) to track progress and capture the collective impact on 21 population health indicators.  HNC 2030 and NC SHIP use a population health framework with a health equity lens and disparity focus. Results-based accountability drives the decennial plan using data driven, disciplined thinking.  While population level indicators are monitored at the state level, local health departments monitor community priorities with performance with three simple measures: How much did you do? How well did you do it? Is anyone better off?

The 2022 NC SHIP, HNC 2030, and state and local Scorecards can be viewed/downloaded from N.C. State Center for Health Statistics website: https://schs.dph.ncdhhs.gov/units/ldas/hnc.htm 


Scorecard is supported by the Foundation For Health Leadership & Innovation with grant support from The Duke Endowment.

 

 

NORTH CAROLINA STATE HEALTH IMPROVEMENT PLAN: A TEN YEAR PLAN
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Time Period
Current Actual Value
Current Trend
Baseline % Change
Structure of the NC SHIP Community Council

The NC SHIP Community Council provides oversight on policy initiatives for the 21 HNC 2030 indicators throughout the decade (2020- 2030):  

  • Convenes annually in July
  • Comprised of 11 working groups (six clusters of similar HNC 2030 indicators and five stand-alone indicators)
  • Each working group has a minimum of three co-leads
  • Co-leads must include at least one DHHS representative, one or more community advocate, and one or more partnering agency, institution, non-DHHS representative
  • All designated co-leads constitute the NC SHIP Community Council 

In May 2022, NC DHHS designated co-leads leads for each indicator.  The DHHS co-leads meet on June 7, 2022 to nominate the non-DHHS co-leads and community advocates.

DHHS CO-LEADS

  • Poverty & Unemployment - Carla West
  • Severe Housing Problems - Erika Walsh
  • Short-Term Suspensions, Adverse Childhood Experiences, Third Grade Reading Proficiency - Gerri Matson
  • Access to Exercise Opportunities, Limited Access to Healthy Foods, Sugar Sweetened Beverage Consumption - Tish Singletary
  • Excessive Drinking, Drug Overdose Deaths, Suicide - Glorina Stallworth
  • Life Expectancy - Audrey Edmisten
  • Tobacco Use - Sally Herndon
  • HIV Diagnosis - Victoria Mobley
  • Teen Births, Early Prenatal Care, Infant Mortality - Kelly Kimple
  • Uninsured  & Primary Care Clinicians - Mark Snuggs
  • Incarceration - Anita Wilson-Merrit

The  NC SHIP Community Council meets July 2022 to:

  • Prioritize proposed policy intiatives for strategic planning
  • Schedule work group meetings for 2022-2023
  • Discuss/recruit additional work group members to assist with strategic planning

Strategic planning for prioritized policies will be tracked in the NC SHIP Scorecard by the NC SHIP Community Engagement Coordinator.

 

HNC 2030 Priorities

Healthy North Carolina (HNC 2030) provides the foundation for the NC State Health Improvement Plan.  Using the Robert Wood Johnson-County Health Ranking's Population Health Framework,  planners apportioned the number and type of indicators used in the model. 

The quality of our life and how long we live is dependent upon four types of factors: 

  • Health Behaviors (about 40%),
  • Clinical Care (about 20%),
  • Physical Envionment (about 10%), and
  • Social and Economic factors (about 40%).

HNC 2030 addresses 21 wicked problems based upon the above allocation:

  • 6 Indicators for Health Behaviors
  • 4 Indicators for Clinicare Care
  • 3 Indicators for Physical Environment
  • 6 Indicators for Social and Economic 
  • 2 Overarching Indicators

This Scorecard tracks policy initiatives specific to the 21 headline indicators highlighted in HNC 2030 and the NC State Health Improvement Plan.

 

Healthy People 2030 Priorities

Healthy People 2030 is our nation's plan that focuses on eight global outcome measures that impact overall health and well-being. In addition to the global measures, there are 355 core objectives that have 10 year targets.

Healthy North Carolina 2030 tracks 21 indicators with 10 year targets. NC's 21 indicators are aligned with Healthy People 2030, with two exceptions that were of specific interest to North Carolinians (Sugar-Sweetened Beverage Consumption and Short-term School Suspensions),

 

Read more at: https://health.gov/healthypeople 

Local Health Department and Tribal Priorities

   

In North Carolina, all local health departments and the Eastern Band of Cherokee Indians have individual instances of Scorecard.  Their Scorecards align with HNC 2030 and the NC State Health Improvement Plan.  State, Tribal, and Local Department Scorecards can be viewed from the State Center for Health Statistics website: COMING JULY 2022

SOCIAL AND ECONOMIC FACTORS
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Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies

PROPOSED POLICY INITIATIVES IN THE 2022 NC SHIP

  • Create and expand legislation and advocate with employers to provide paid family medical leave, earned paid sick leave, kin care, and safe
  • days for all caregivers
  • Ease negative impact of “benefits cliffs” caused by reductions in benefits, by increasing phase-out periods
  • Eliminate taxation on sanitary products including menstrual supplies, diapers, and breastfeeding supplies
  • Expand Medicaid eligibility
  • Expand the availability and amount of childcare subsidies to reflect the cost of care more adequately
  • Raise the minimum wage to $15.00 per hour
  • Restore the North Carolina Earned Income Tax Credit
  • Support “early college while in high school” programs, such as REaCH and SEarCH
Partners

Partners or potential partners that may be able to help us achieve this result:

Child Care Services Association (CCSA)        https://www.childcareservices.org/

Communities in Partnership (CIP)                 https://communitiesinpartnership.org/

Cooperative Christian Ministry                      https://cooperativeministry.com/

Crisis Assistance Ministry                                https://www.crisisassistance.org/

End Poverty Durham                                        https://endpovertydurham.org/

Equity Before Birth                                           https://www.equitybeforebirth.com/

NC Raise Up                                                       https://www.ncraiseup.org/fed-up

GreenLight Fund- Charlotte                            https://greenlightfund.org/sites/charlotte/

Latin American Coalition                                 https://latinamericancoalition.org/

Mary Reynolds Babcock Foundation             https://www.mrbf.org/

NAACP                                                                 https://naacp.org/

NCCARE360                                                        https://nccare360.org/

NC Early Childhood Foundation (NCECF)      https://buildthefoundation.org/

NC Community Action Association                https://www.nccaa.net/

NC Early Education Coalition                          https://ncearlyeducationcoalition.org/

NC DHHS Office of Economic Opportunity   https://www.ncdhhs.gov/divisions/office-economic-opportunity

NC Justice Center                                              https://www.ncjustice.org/

NC Coalition Against Domestic Violence       https://nccadv.org/

NC Department of Commerce                        https://www.nccommerce.com/

NC Network of Grantmakers (NCNG)             https://ncgrantmakers.org/

NC Poor People’s Campaign                             https://ppc-nc.org/

The Duke Endowment                                       https://www.dukeendowment.org/program-areas/overview

Z. Smith Reynolds Foundation                         https://www.zsr.org/

Action Plan
PROGRAMS, POLICIES, and PRACTICE
P
Time Period
Current Actual Value
Current Trend
Baseline % Change
What We Do
Who We Serve
How We Impact
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

Care4Carolina                                                                                            https://care4carolina.com/all-resources/

Green Opportunities (GO)                                                                      https://www.greenopportunities.org/jobtraining/

Hinton Rural Life Center                                                                          https://www.hintoncenter.org/

Just Economics of Western NC (JE)                                                       https://www.justeconomicswnc.org/issues/living-wage/

NCCARE360                                                                                               https://nccare360.org/

NC Association of County Directors of Social Services (NCACDSS)  https://www.ncacdss.org 

Open Integration Coalition (OIC), Inc.                                                  https://www.oic-inc.com/

Raising Wages NC                                                                                    https://raisingwagesnc.org/our-coalition

 

What Works
I
2020
6.4%
1
31%
I
2020
6.3%
1
19%
I
2020
6.6%
1
43%
I
2020
8.0%
1
-5%
I
2020
13.6%
1
8%
I
2020
28.0%
1
-5%
I
2020
9.4%
1
3%
I
2020
10.1%
1
-3%
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

Center for Racial Equity in Education (CREED)                                        https://www.creed-nc.org/

Color of Education                                                                                       https://colorofeducation.org/

Made in Durham                                                                                          https://madeindurham.org/

Public School Forum of North Carolina                                                    https://www.ncforum.org/

Racial Equity Institute, LLC                                                                         https://www.racialequityinstitute.com/

Southern Coalition for Social Justice-Youth Justice Project (CYFCP)   https://southerncoalition.org/youth-justice-project/

The Center for Youth, Family, & Community Partnerships                   https://cyfcp.uncg.edu/

Village of Wisdom                                                                                       https://www.villageofwisdom.org/

Working to Extend Anti-Racist Education (we are)                               https://www.weare-nc.org/

What Works
P
Time Period
Current Actual Value
Current Trend
Baseline % Change
Why Is This Important?
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

Durham County NC Criminal Justice Resource Center          https://www.dconc.gov/county-departments/departments-a-e/criminal-justice-resource-

Growing Change, Inc                                                                   https://www.growingchange.org/

Leading Into New Communities (LINC), Inc.                            https://lincnc.org/

National Council of Juvenile & Family Court Judges (NCJFCJ)

            Trauma-Informed Courts                                                https://www.ncjfcj.org/child-welfare-and-juvenile-law/trauma-informed-courts/

NC Department of Public Instruction (NC DPI)                       https://www.dpi.nc.gov/data-reports/discipline-alp-and-dropout-data

NC Harm Reduction Coalition (NCHRC)                                   https://www.nchrc.org/

NC Judicial Branch- School Justice Partnership                      https://www.nccourts.gov/programs/school-justice-partnership

NC Justice Academy                                                                    https://ncdoj.gov/ncja/

NC Task Force for Racial Equity in Criminal Justice (TREC)   https://ncdoj.gov/trec/

Wash Away Unemployment                                                     https://www.wash-away.org/

What Works
I
2022
317
2
-24%
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

 

Center for Child & Family Health                                                        https://www.ccfhnc.org/

Kellin Foundation                                                                                   https://www.kellinfoundation.org/

NCCJ                                                                                                         https://www.nccjtriad.org/programs/

NC DHHS Division of Child Development and Early Education      https://ncchildcare.ncdhhs.gov/

NC Academy of Family Physicians                                                       https://www.ncafp.com/

NC Child Treatment Program                                                               https://www.ncchildtreatmentprogram.org/

NC Homeless Education Program                                                        https://hepnc.uncg.edu/

NC Infant and Young Child Mental Health Association (NCIMHA) https://www.ncimha.org/

NC Judicial Branch- Chief Justice’s Task Force on ACEs                   

          https://www.nccourts.gov/commissions/chief-justices-task-force-on-aces-informed-courts

NC Area Health Education Centers (NC AHEC)                                 https://www.ncahec.net/

NC Pediatric Society                                                                              https://www.ncpeds.org/

North Carolina Psychological Foundation                                         https://www.ncpsychology.org/

Our Children’s Place of Coastal Horizons Center                             https://coastalhorizons.org/

Parenting Inside Out                                                                             http://www.parentinginsideout.org/

The Impact of Racism on Child & Adolescent Health                   

         https://publications.aap.org/pediatrics/article/144/2/e20191765/38466/The-Impact-of-Racism-on-Child-and-Adolescent?autologincheck=redirected                                                                                                   

The National Child Traumatic Stress Network (NCTSN)

         Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS)

          https://www.nctsn.org/interventions/structured- psychotherapy-adolescents-responding-chronic-stress  

The North Carolina Partnership for Children, Inc.- Smart Start      https://www.smartstart.org/

Together for Resilient Youth (T.R.Y.)                                                     https://try4resilience.org/

Wellness Recovery Action Plan (WRAP)                                             https://www.wellnessrecoveryactionplan.com/wrap-can-help/youth-children/

Winer Family Foundation                                                                     https://www.wffcharlotte.org/

 

What Works
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

Augustine Literacy Project (ALP)-Charlotte    https://alpcharlotte.org/

Book Harvest NC                                                 https://bookharvest.org/

Dolly Parton’s Imagination Library                   https://imaginationlibrary.com/category/imagination-library/united-states/

NC DHHS Early Childhood Action Plan            https://www.ncdhhs.gov/about/department-initiatives/early-childhood/early-childhood-action-plan

NC DHHS North Carolina Prekindergarten Program (NC Pre-K) 

                                                                               https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/North-Carolina-Pre-Kindergarten-NC-Pre-K

North Carolina Early Childhood Foundation- Pathways to Grade-Level Reading

                                                                               https://buildthefoundation.org/initiative/pathways-to-grade-level-reading/

North Carolina Department of Public Instruction- Migrant Education Program

                                                                               https://www.dpi.nc.gov/districts-schools/federal-program-monitoring/migrant-education

North Carolina Early Learning Network (NC-ELN)    https://nceln.fpg.unc.edu/north-carolina-early-learning-network-nc-eln

North Carolina Head Start State Collaboration Office (NCHSSCO)

                                                                               https://eclkc.ohs.acf.hhs.gov/programs/north-carolina-head-start-collaboration-office

Peletah Academic Center for Excellence (P.A.C.E.) Ministry      https://www.peletahministries.com/pace/

Reach Out and Read                                                                         https://www.rorcarolinas.org/about-us/

Richmond County Public Schools – Child Find Campaign          https://www.richmond-county.k12.va.us/Content2/childfind

The NC Partnership for Children, Inc.- Smart Start                     https://www.smartstart.org/

What Works
PHYSICAL ENVIRONMENT
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

American Association of Retired Persons (AARP) Livable Communities        https://www.aarp.org/livable-communities/

Boys & Girls Clubs of North Carolina                                                                    https://www.ncclubs.org/

Boy Scouts of America-East Carolina Council                                                      https://www.eccbsa.org/  *several councils across the state

Brenner FIT®- WakeHealth                                                                                     https://www.wakehealth.edu/Specialty/b/Brenner-FIT

Bull City Fit                                                                                                                https://www.bullcityfit.org/

Children’s Healthy Weight Research (CHWR)-

          UNC Center for Health Promotion & Disease Prevention                       https://chwr.web.unc.edu/

Children Wellness Initiative Network (WIN)- Walk Cabarrus                            https://walkcabarrus.com/our-mission/

Durham Parks & Recreation (DPR)                                                                         https://www.dprplaymore.org/

Eat Smart Move More North Carolina                                                                   https://www.eatsmartmovemorenc.com/

Girl Scouts- North Carolina Coastal Pines                                                             https://www.nccoastalpines.org/

Go NAPSACC (Nutrition & Physical Activity Self-Assessment for Child Care)  https://gonapsacc.org/

Kids in Parks- TRACK Trails                                                                                        https://www.kidsinparks.com/blog-topics/track-trails

Lumber River Council of Governments                                                                  https://www.lumberrivercog.org/

National Recreation and Park Association                                                            https://www.nrpa.org/

NC Council of Churches                                                                                            https://www.ncchurches.org/

NC State Design National Learning Initiative                                                         https://naturalearning.org/

NC State Extension- Faithful Families                                                                     https://ncstepstohealth.ces.ncsu.edu/faithful-families/

North Carolina Department of Transportation- Great Trails State Plan, Safe Routes to School Program, Let’s Go NC!

                  https://www.ncdot.gov/Pages/default.aspx

                  https://www.ncdot.gov/divisions/bike-ped/great-trails-state/Pages/default.aspx

                  https://www.ncdot.gov/initiatives-policies/safety/safe-routes-school/Pages/default.aspx

North Carolina Recreation and Park Association (NCRPA)-                              https://www.ncrpa.net/

The North Carolina Partnership for Children, Inc.- Smart Start                       https://www.smartstart.org/

The Duke Endowment                                                                                            https://www.dukeendowment.org/

The Trust For Public Land                                                                                       https://www.tpl.org/

The Walking Classroom                                                                                          https://www.thewalkingclassroom.org/

Vision Zero Network                                                                                               https://visionzeronetwork.org/

 

What Works
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

NC Council of Churches                                                                                  https://www.ncchurches.org/

NC State Cooperative Extension                                                                     https://www.ces.ncsu.edu/categories/agriculture-food/local-foods/

NC State University Institute for Emerging Issues                                          https://iei.ncsu.edu/

NC Alliance for Health (NCAH)                                                                       https://www.ncallianceforhealth.org/healthy-food-access/

NC Department of Agriculture & Consumer Services                                    http://www.ncagr.gov/

NC Local Food Council (NCLFC)                                                                     https://www.nclocalfoodcouncil.org/

Reinvestment Partners                                                                                    https://reinvestmentpartners.org/

Senior Farmer’s Market Nutrition Program (SFMNP)- USDA Food & Nutrition Service

                                                                                                                        https://www.fns.usda.gov/sfmnp/senior-farmers-market-nutrition-program

The Corner Farmers Market/The Grove Street People’s Market                     https://nfmd.org/nc/greensboro/1010404

Green for Greens Fund                                                                                   https://green4greens.org/markets/

The Food Bank of Central & Eastern NC                                                        https://foodbankcenc.org/

UNC Center for Health Promotion and Disease Prevention                          https://hpdp.unc.edu/research/healthy-food-access/

 

 

What Works
R
Time Period
Current Actual Value
Current Trend
Baseline % Change
Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

NC Council of Churches                                                                                             https://www.ncchurches.org/

NC State Cooperative Extension                                                                              https://www.ces.ncsu.edu/categories/agriculture-food/local-foods/

NC State University Institute for Emerging Issues                                                https://iei.ncsu.edu/

NC Alliance for Health (NCAH)                                                                                 https://www.ncallianceforhealth.org/healthy-food-access/

NC Department of Agriculture & Consumer Services                                          http://www.ncagr.gov/

NC Local Food Council (NCLFC)                                                                               https://www.nclocalfoodcouncil.org/

Reinvestment Partners                                                                                             https://reinvestmentpartners.org/

Senior Farmer’s Market Nutrition Program (SFMNP)- USDA Food & Nutrition Service

                        https://www.fns.usda.gov/sfmnp/senior-farmers-market-nutrition-program

The Corner Farmers Market/The Grove Street People’s Market                      https://nfmd.org/nc/greensboro/1010404

Green for Greens Fund                                                                                            https://green4greens.org/markets/

The Food Bank of Central & Eastern NC                                                               https://foodbankcenc.org/

UNC Center for Health Promotion and Disease Prevention                             https://hpdp.unc.edu/research/healthy-food-access/

 

What Works
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Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

CASA (Court Appointed Special Advocates)                           https://www.casanc.org/

Crisis Assistance Ministry                                                          https://www.crisisassistance.org/

Episcopal Farmworker Ministry                                                https://episcopalfarmworkerministry.org/

Habitat for Humanity of North Carolina                                  https://habitatnc.org/

Legal Aid of North Carolina                                                       https://www.legalaidnc.org/

NC DHHS Housing and Home Improvement Assistance

          https://www.ncdhhs.gov/assistance/low-income-services/housing-home-improvement-assistance

Neighborhood Assistance Corporation of America               https://www.naca.com/

NC Housing Coalition                                                                  https://nchousing.org/

NC Housing Finance Agency                                 https://www.nchfa.com/

NC Voluntary Organizations Active in Disaster- Long-Term Recovery Groups (LTRGs) & Community Organizations in Active Disaster (COADs)                https://www.ncvoad.org/coads-ltrgs/

 

Reinvestment Partners-Hotel to Home              

https://reinvestmentpartners.org/

https://reinvestmentpartners.org/what-we-do/hotel-to-home.html

UNC-Greensboro Center for Housing and Community Studies          https://chcs.uncg.edu/

 

What Works
HEALTH BEHAVIORS
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Partners or potential partners that may be able to help us achieve this result:

 

What Works
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Partners or potential partners that may be able to help us achieve this result:

 

What Works
Progress on CHIP
Morbidity and Mortality Changes Since Last CHA
Emerging Issues Since Last CHA
New/Paused/Discontinued Initiatives Since Last CHA
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Partners or potential partners that may be able to help us achieve this result:

 

What Works
CLINICAL CARE
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Partners

Partners or potential partners that may be able to help us achieve this result:

 

What Works
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Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

 

What Works
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Policies
Partners

Partners or potential partners that may be able to help us achieve this result:

 

What Works
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Partners

Partners or potential partners that may be able to help us achieve this result:

 

What Works
HEALTH OUTCOMES

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy