2022 NC SHIP Policy/Program Scorecard

The NC SHIP Policy/Program Scorecard monitors the progress of the NC State Health Improvement Plan (NC SHIP) by tracking the proposed state-level policy/program recommendations to improve the quality of life for North Carolinians.  The policy recommendations stem from the decennial plan Healthy North Carolina 2030 and the 2022 NC State Health Improvement Plan. 

The HNC 2030 Scorecard tracks population indicators for the 21 wicked problems identified in Healthy North Carolina 2030.

Scorecards are based on Results-Based Accountability, a data-driven framework using common language and disciplined thinking to monitor local and state initiatives. 

Health departments, health care systems, non-profit organizations and their partners can  link their individual Scorecards to the the Healthy North Carolina 2030 Scorecard (HNC 2030) to capture the collective impact on 21 population health indicators.  

The 2022 NC State Health Improvement Plan, HNC 2030, and state and local Scorecards can be can be viewed/downloaded from the NC 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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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 16 working groups (three clusters of similar HNC 2030 indicators and 16 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 advocates, and one or more partnering agency, institution, or non-DHHS representatives
  • All designated co-leads constitute the NC SHIP Community Council

Calendar of Events

  • May 2022: NC DHHS designated co-leads leads for each indicator  
  • June 7, 2022: DHHS co-leads review the proposed policy initiatives in the 2022 NC SHIP in preparation for the annual NC SHIP Community Council meeting
  • July 2022:  NC SHIP Community Council Program Manager hired
  • July 19, 2022: Inaugural Meeting of the NC SHIP Community Council

The  2022 NC SHIP Community Council met July 19, 2022 to 

  • Complete recruitment and engagement of NC SHIP Community Council members
  • Review proposed policy intiatives 
  • Schedule work group meetings for 2022-2023
  • Discuss/recruit additional work group members to assist with strategic planning

2022-2023 COMMUNITY COUNCIL STRUCTURE

NC STATE HEALTH IMPROVEMENT PLAN COMMUNITY COUNCIL MEMBERS (2022-2023)

INDICATORS

NC DHHS

CO-LEAD

NON-DHHS PARTNER

CO-LEAD

COMMUNITY

CO-LEAD

Poverty
Unemployment

Carla West

Fenaba Addo

*

Short-Term Suspensions
Adverse Childhood Experiences
Third Grade Reading Proficiency

Gerri Mattson

Laura Gerald, Mary Mathew, & Mebane Boyd

Wanda Boone, Letha Muhammad, & Jessica Lowery Clark

Incarceration

Anita Wilson-Merritt

 Rick Glazier

Jennifer C. Jackson

Access to Exercise Opportunities

Tish Singletary

Jayne McBurney & Alice Ammerman

Rachel Poehlman

Limited Access to Healthy Food

Tish Singletary

Jayne McBurney & Alice Ammerman

Brandon Teal

Severe Housing Problems

Stephanie Williams

Stephen Sills

Pat Macfoy

Drug Overdose Deaths

Mary Beth Cox & Alyssa Kitlas

*

*

Tobacco Use

Sally Herndon

Ronny Bell

Delton Russell

Excessive Drinking

Mary Beth Cox & Fisher Charlton

Mina Cook

Jennifer Matthews

Sugar-Sweetened Beverage Consumption

Tish Singletary

Jayne McBurney & Alice Ammerman

Fiorella Horna 

HIV Diagnosis

Victoria Mobley

Chelsea Golden, Hannah Demeritt, Matt Jenkins, & Veleria Levy 

JeaNelle Plummer & Jeffrey Long

Teen Births
Early Prenatal Care
Infant Mortality

Kelly Kimple

Annette Carrington, Brittany Garner, & Velma Taormina

*

Uninsured

Mark Snuggs

Chris Shanks

Randy Jordan

Primary Care Clinicians

Mark Snuggs

Anshita Chaturvedi

Randy Jordan

Suicide 

Glorina Stallworth & Anne Geissinger

Catherine English

SueAnn Pilgreen

Life Expectancy

Heather Carter

Amy Lanou

Martha Zimmerman

*PENDING ACCEPTANCE  (Updated September 14, 2022) 

Strategic planning for prioritized policies will be tracked in the NC SHIP Scorecard by the NC SHIP Community Council Program Manager.

HNC2030 Priorities

HNC2030 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 2030with 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 

2022-2023 Meeting Schedule

2022-2023 NC STATE HEALTH IMPROVEMENT PLAN COMMUNITY COUNCIL MEETING SCHEDULE

  • There are 16 work groups across the 21 indicators. Meeting schedules are included below by work group and were updated on October 31, 2022 (*indicates pending confirmation). 
  • The meeting schedule for the NC SHIP Community Council is also available on the State Center for Health Statistics website at https://schs.dph.ncdhhs.gov/units/ldas/hnc.htm
  • Public participation is welcome. For more information on how to attend the virtual meetings, please email Ashley Rink at ashley.rink@dhhs.nc.gov or HNC2030@dhhs.nc.gov.

Poverty and Unemployment

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 23, 2022

8:00 AM

9:00 AM

Co-Lead Planning Meeting

Monday

September 12, 2022 

1:30 PM

2:00 PM

Co-Lead Planning Meeting

*

*

*

*

Work Group Meeting

 

Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency

Day

Date

Start Time

End Time

Meeting Type

Monday

August 15, 2022

2:00 PM

4:00 PM

Co-Lead Planning Meeting

Wednesday

October 19, 2022

9:00 AM

11:00 AM

Work Group Meeting

Thursday

December 1, 2022

12:30 PM

1:30 PM

Third Grade Reading Proficiency

Friday

December 9, 2022

9:00 AM

10:00 AM

Short-Term Suspensions

Monday

December 12, 2022

12:30 PM

1:30 PM

Adverse Childhood Experiences

 

Incarceration

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 16, 2022

10:00 AM

12:00 PM

Co-Lead Planning Meeting

Tuesday

October 18, 2022

10:00 AM

12:00 PM

Work Group Meeting

Tuesday

December 13, 2022

10:00 AM

12:00 PM

Work Group Meeting

 

Access to Exercise Opportunities

Day

Date

Start Time

End Time

Meeting Type

Thursday

August 25, 2022

9:00 AM

12:00 PM

Co-Lead Planning Meeting

Thursday

October 20, 2022

10:00 AM

11:00 AM

Co-Lead Planning Meeting

Monday

December 5, 2022

10:00 AM

12:00 PM

Work Group Meeting

Monday

April 24, 2023

10:00 AM

12:00 PM

Work Group Meeting

 

Limited Access to Healthy Food

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 9, 2022

9:00 AM

11:00 AM

Co-Lead Planning Meeting

Tuesday

November 1, 2022

1:00 PM

3:00 PM

Work Group Meeting

Monday

January 9, 2023

1:00 PM

3:00 PM

Work Group Meeting

Monday

May 15, 2023

1:00 PM

3:00 PM

Work Group Meeting

 

Severe Housing Problems

Day

Date

Start Time

End Time

Meeting Type

Friday

August 26, 2022

11:00 AM

12:00 PM

Co-Lead Planning Meeting

Tuesday

August 30, 2022

4:30 PM

6:30 PM

Work Group Meeting

Tuesday

October 25, 2022* (Being rescheduled)

4:30 PM

6:30 PM

Work Group Meeting

Tuesday

January 3, 2023

4:30 PM

6:30 PM

Work Group Meeting

Tuesday

February 28, 2023

4:30 PM

6:30 PM

Work Group Meeting

Tuesday

April 25, 2023

4:30 PM

6:30 PM

Work Group Meeting

Tuesday

June 27, 2023

4:30 PM

6:30 PM

Work Group Meeting

 

Drug Overdose Deaths (NC NC Opioid and Prescription Drug Abuse Advisory Committee  )

Day

Date

Start Time

End Time

Meeting Type

Monday

August 22, 2022

1:00 PM

2:30 PM

Syringe Services Programs Advisory Group Meeting

Friday 

December 9, 2022

NC Opioid and Prescription Drug Abuse Advisory Committee (OPDAAC) Meeting

 

Tobacco Use

Day

Date

Start Time

End Time

Meeting Type

Friday

August 12, 2022

8:00 AM

8:45 AM

Co-Lead Planning Meeting

Friday

August 26, 2022

1:00 PM

2:30 PM

Work Group Meeting

Friday

October 14, 2022

1:00 PM

2:30 PM

Work Group Meeting

Friday

December 9, 2022

1:00 PM

2:30 PM

Work Group Meeting

Friday

February 10, 2023

1:00 PM

2:30 PM

Work Group Meeting

Friday

April 14, 2023

1:00 PM

2:30 PM

Work Group Meeting

Friday

June 9, 2023

1:00 PM

2:30 PM

Work Group Meeting

 

Excessive Drinking (North Carolina State Excessive Alcohol Advisory Committee (NCSEAAC))

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 23, 2022

2:00 PM

3:00 PM

Co-Lead Planning Meeting

Thursday

October 27, 2022

1:00 PM

3:00 PM

Advisory Committee Meeting

Thursday

November 17, 2022

12:00 PM

2:00 PM

Steering Committee Meeting

Thursday

January 26, 2023

1:00 PM

3:00 PM

Advisory Committee Meeting

Thursday

April 27, 2023

1:00 PM

3:00 PM

Advisory Committee Meeting

 

Sugar-Sweetened Beverage Consumption

Day

Date

Start Time

End Time

Meeting Type

Monday

August 22, 2022

10:00 AM

12:00 PM

Co-Lead Planning Meeting

Monday

October 10, 2022

1:00 PM

3:00 PM

Work Group Meeting

Monday

January 23, 2023

1:00 PM

3:00 PM

Work Group Meeting

Monday

May 1, 2023

1:00 PM

3:00 PM

Work Group Meeting

 

HIV Diagnosis

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 30, 2022

2:00 PM

2:30 PM

Co-Lead Planning Meeting

Wednesday

August 31, 2022

10:00 AM

11:00 AM

Co-Lead Planning Meeting

*

*

*

*

Work Group Meeting

 

Teen Births, Early Prenatal Care, and Infant Mortality

Day

Date

Start Time

End Time

Meeting Type

Wednesday

August 10, 2022

3:00 PM

4:00 PM

Co-Lead Planning Meeting

Wednesday

August 31, 2022

12:00 PM

2:00 PM

Perinatal Health Equity Collective (PHEC) Meeting

Thursday

September 22, 2022

9:00 AM

10:00 AM

PHEC Policy Workgroup Meeting

Thursday

October 27, 2022

2:00 PM

3:00 PM

PHEC Policy Workgroup Meeting

 

Uninsured

Day

Date

Start Time

End Time

Meeting Type

Monday

August 15, 2022

1:00 PM

2:45 PM

Work Group Meeting

Monday

September 12, 2022 

4:00 PM 

4:30 PM

Co-Lead Planning Meeting

Monday

October 17, 2022

10:00 AM

11:45 AM

Work Group Meeting

Monday

January 23, 2023

10:00 AM

11:45 AM

Work Group Meeting

Monday

April 17, 2023

10:00 AM

11:45 AM

Work Group Meeting

 

Primary Care Clinicians

Day

Date

Start Time

End Time

Meeting Type

Monday

August 15, 2022

3:00 PM

4:45 PM

Work Group Meeting

Monday

September 12, 2022 

4:30 PM 

5:00 PM

Co-Lead Planning Meeting

Monday

October 17, 2022

3:00 PM

4:45 PM

Work Group Meeting

Monday

January 23, 2023

3:00 PM

4:45 PM

Work Group Meeting

Monday

April 17, 2023

3:00 PM

4:45 PM

Work Group Meeting

 

Suicide (Comprehensive Suicide Advisory Prevention Council)

Day

Date

Start Time

End Time

Meeting Type

Wednesday

August 10, 2022

10:00 AM

11:30 AM

Comprehensive Suicide Advisory Prevention Council Meeting

Wednesday

November 9, 2022

10:00 AM

11:30 AM

Comprehensive Suicide Advisory Prevention Council Meeting

 

Life Expectancy

Day

Date

Start Time

End Time

Meeting Type

Tuesday

August 16, 2022

10:00 AM

12:00 PM

Work Group Meeting

Tuesday

November 8, 2022

10:00 AM

12:00 PM

Work Group Meeting

Tuesday

February 14, 2023

10:00 AM

12:00 PM

Work Group Meeting

Tuesday

May 9, 2023

10:00 AM

12:00 PM

Work Group Meeting

 

Policy/Program Status

THE POLICY/PROGRAM ADVOCACY CYCLE

  • The NC SHIP Policy/Program Scorecard monitors the status of state-level policies/ programs proposed by the NC SHIP Community Council and its partners to improve the quality of life for North Carolinians.   
  • The dashboard is updated semi-annually to reflect the status of the proposed policy as it moves along the continuum from proposed to full adoption and evaluation. 
  • Each policy/program is tracked numerically according to defining criteria for each stage of development.  The five stages are: 1) Proposed, 2) Designed, 3) Adopted, 4) Implemented, and 5) Evaluated.
  • The monitoring period is January 2021 through December 2029.
  • The status value is found in the note field under each policy/program

1 - Proposed

Proposed policies/programs developed in a two-year process (2020-2022) are identified.  The NC SHIP Community Council prioritize which policies/programs receive the most attention.  Working with stakeholders, community members, and established advocacy groups, the NC SHIP Community Council defines the scope of work annually in July.

2 - Designed

At this stage, strategic planning occurs for each of the prioritized policies/programs. Lead organizations are identified, and an action plan is developed for the next 12 months.  Activities include setting objectives, identifying the cost and estimating the effect of solutions, choosing from a list of solutions and proposing precise language of policies or details of a program. 

3 - Adopted

Once a policy/program has been fully designed, the NC SHIP Community Council advances to adoption.  In adoption, the program/policy has support. It can involve one or a combination of: legislative approval, executive approval, seeking consent through consultation with interest groups, and referenda. 

 4 - Implemented

Policies/programs are implemented when an institution, organization, government agency, or legislative body takes responsibility for implementation. The organization demonstrates that it has the resources the resources (such as staffing, money and legal authority) to do so, and makes sure that policy/program decisions are carried out as planned.

5 - Evaluated.

During the last stage of policy advocacy, the effect of policy/program is evaluated. This includes assessing the extent to which the policy/program was successful, if the policy decision was the correct one; if it was implemented correctly and, if so, had the desired effect.  

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Why Is This Important?
NC SHIP WORK GROUPS
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Meeting Notes

September 12, 2022, 1:30 to 2:00 pm, Co-Lead Planning Meeting

Co-Leads: Fenaba Addo and Carla West

Discussion:

  • Discussed updates on potential work group members the co-leads had contacted. 
  • Continued discussions on potential work group members and next steps.

August 23, 2022, 8:30 to 9:00 am, Co-Lead Planning Meeting

Co-Leads: Fenaba Addo, L.A. Jones (absent), and Carla West

Discussion:

  • Decision made to reschedule the meeting and for that meeting to be an opportunity for the co-leads to plan and organize for the first work group meeting.
  • Discussed co-leads contacting potential work group members and continuing to add to the list.
  • Discussed inviting established groups and partners and then asking them if they would recommend program participants.
  • Reviewed NC SHIP Community Council work groups are tasked with prioritizing/ selecting policies they would like to work on for the year, identifying strategies, and creating an action plan.
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Meeting Notes

October 19, 2022, 9:00 to 11:00 am, Work Group Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Gerri Mattson, Jessica Lowery Clark, Laura Gerald, Letha Muhammad, Mary Mathew, Mebane Boyd (Absent), Wanda Boone

Work Group Members Present: Amber Pierce, Amber Robinson, Carlton Powell, Crystal Kelly, Crystal Taylor, Dawn Meskil, Devonya Govan-Hunt, Dr. Ronda Taylor Bullock, Elizabeth DeKonty, James E. Ford, Jess Bousquette, Karen Fairley, Kella Hatcher, Micha James, Morgan Forrester Ray, Na’im Akbar, Reverend Paul Robeson, Paula Wilkins, Peter Rawitsch, Rebecca Swofford, Stacie Kinlaw, Susanne Schmal, Trina Stephens, Trishana Jones, Vichi Jagannathan,

Discussion:

  • Reviewed purpose of the work group, grounding/group norms, and overview Healthy North Carolina 2030 and North Carolina State Health Improvement Plan (NC SHIP).
  • Divided into breakout sessions for Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency to review, discuss, and prioritize policies. Prioritized policies by indicator breakout session are included below.
  • Shared next steps were for the work group to complete asset mapping for each of the prioritized policies. The indicators will meet separately going forward and will discuss strategies and action planning at the December meetings. Work group members are welcome to join multiple indicator groups.

Indicator 3: Short-Term Suspensions Breakout Session

  • Co-Leads Present: Dr. Laura Gerald and Dr. Gerri Mattson
  • Work Group Members Present: Carlton Powell, Crystal Kelly, Dawn Meskil, Devonya Govan-Hunt, James E. Ford, Karen Fairley, Reverend Paul Robeson, Peter Rawitsch, Dr. Ronda Taylor Bullock, Vichi Jagannathan
  • Prioritized Policies:
    • Disrupt the school-to-prison pipeline, beginning with early childhood programs by reducing the use of school suspensions and expulsions and increasing the use of counseling services and community-based programs and initiatives
    • Include suspension rate in measures of school quality
    • Increase racial, ethnic, gender, and disability status diversity among school and childcare leadership and staff and the institutions that train them

August 15, 2022, 2:00 to 4:00 pm, Co-Lead Planning Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Wanda Boone, Mebane Boyd, Laura Gerald, Jessica Lowery Clark, Mary Mathew, Gerri Mattson, and Letha Muhammad

Discussion:

  • Set ground rules and norms for the co-leads and work group.
  • Reviewed the proposed policy initiatives from the NC SHIP for Indicator 3: Short-Term Suspensions, Indicator 5: Adverse Childhood Experiences, and Indicator 6: Third Grade Reading Proficiency. Identified questions and discussed recommended revisions.
  • Planned for work group meetings, including meeting structure and first meeting agenda topics.
2022-23
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Meeting Notes

October 18, 2022, 10:00 to 12:00 pm, Work Group Meeting

Co-Leads: Anita Wilson-Merritt; Absent: Jennifer C. Jackson; Rick Glazier

Attendees: Arthur Campbell, Gary Junker, Evan Ashkin, Nicole Sullivan, Marie Evitt

Discussion:

  • Provided a brief overview of the North Carolina State Health Improvement Plan (NC SHIP). Reviewed roles and responsibilities for work group members. Shared that the Co-Leads had prioritized 6 of the 10 proposed policies.
  • Discussed each of the prioritized policies, including related resources, programs, funding, partners, and clarifications needed to move the policies forward. 

August 16, 2022, 10:00 to 12:00 pm, Co-Lead Planning Meeting 

Co-Leads: Anita Wilson-Merritt and Jennifer C. Jackson; Rick Glazier (Absent)

Discussion:

  • Reviewed NC SHIP proposed policies/programs and prioritized 6 of 10 policies. 
    • Ensure access to behavioral health treatment, adequate medical care, and stable housing for those returning from incarceration
    • Expand existing or creating community Medication Assisted Treatment programs for people with substance use disorder detained in correctional facilities
    • Improve access to treatment for substance use disorders, physical illnesses, and mental illnesses
    • Improve conditions in jails and prisons to reduce harmful impact of incarceration and foster successful reintegration into the community
    • Increase access to multi-systemic therapy for juvenile offenders
    • Invest in public health alternatives to traditional law enforcement and sentencing, particularly for behavioral health issues
  • Reviewed list of potential work group members for the work group meeting on October 18, 2022.  
  • Planned to add behavioral health representation. 
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Meeting Notes

October 19, 2022, 9:00 to 11:00 am, Work Group Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Gerri Mattson, Jessica Lowery Clark, Laura Gerald, Letha Muhammad, Mary Mathew, Mebane Boyd (Absent), Wanda Boone

Work Group Members Present: Amber Pierce, Amber Robinson, Carlton Powell, Crystal Kelly, Crystal Taylor, Dawn Meskil, Devonya Govan-Hunt, Dr. Ronda Taylor Bullock, Elizabeth DeKonty, James E. Ford, Jess Bousquette, Karen Fairley, Kella Hatcher, Micha James, Morgan Forrester Ray, Na’im Akbar, Reverend Paul Robeson, Paula Wilkins, Peter Rawitsch, Rebecca Swofford, Stacie Kinlaw, Susanne Schmal, Trina Stephens, Trishana Jones, Vichi Jagannathan,

Discussion:

  • Reviewed purpose of the work group, grounding/group norms, and overview Healthy North Carolina 2030 and North Carolina State Health Improvement Plan (NC SHIP).
  • Divided into breakout sessions for Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency to review, discuss, and prioritize policies. Prioritized policies by indicator breakout session are included below.
  • Shared next steps were for the work group to complete asset mapping for each of the prioritized policies. The indicators will meet separately going forward and will discuss strategies and action planning at the December meetings. Work group members are welcome to join multiple indicator groups.

Indicator 5: Adverse Childhood Experiences Breakout Session

  • Co-Leads Present: Wanda Boone
  • Work Group Members Present: Crystal Taylor, Jess Bousquette, Kella Hatcher, Na’im Akbar, Rebecca Swofford, Stacie Kinlaw, Susanne Schmal, Trina Stephens, Amber Robinson, Elizabeth DeKonty, Micha James, Morgan Forrester Ray, Trishana Jones
  • Prioritized Policies:
    • Expand community and domestic violence prevention programs
    • Increase access to children’s mental health services by expanding mental health services in primary care, schools, and specialty care
    • Increase minimum wage and employment opportunities

August 15, 2022, 2:00 to 4:00 pm, Co-Lead Planning Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Wanda Boone, Mebane Boyd, Laura Gerald, Jessica Lowery Clark, Mary Mathew, Gerri Mattson, and Letha Muhammad

Discussion:

  • Set ground rules and norms for the co-leads and work group.
  • Reviewed the proposed policy initiatives from the NC SHIP for Indicator 3: Short-Term Suspensions, Indicator 5: Adverse Childhood Experiences, and Indicator 6: Third Grade Reading Proficiency. Identified questions and discussed recommended revisions.
  • Planned for work group meetings, including meeting structure and first meeting agenda topics.
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Meeting Notes

December 1, 2022, 12:30 to 1:30 pm, Work Group Meeting

Co-Leads: Mary Mathew, Jessica Lowery Clark, Gerri Mattson

Work Group Members Present: Muffy Grant, Rhiannon Chavis-Wanson, Amber Pierce, Paula Wilkins

Discussion:

  • Shared and discussed ideas for new work group members.
  • Reviewed policies prioritized during the work group meeting on October 19, 2022, and updated rankings. The work group felt all the proposed policies were important and prioritized the policies they felt they could make progress on by July 2023.
    • Increase access to evidence-based home visiting and parenting education, early intervention, and early literacy programs
    • Reinforce the talent pipeline for early educators for children from birth through third grade by increasing compensation through dedicated funding, ensuring pay parity, and sustaining investments in training and professional development
  • Established the following action steps:
    • Share any ideas for new group members with Jessica and Mary.
    • Invite state and local organization leaders to the next meeting to understand current efforts for evidence-based home visiting and parenting education, early intervention, and early literacy programs. These conversations will be used to help with finalizing priorities and asset mapping.
  • Scheduled next work group meeting for Thursday, January 19, 2023, from 12:30 to 2:00 pm. 

October 19, 2022, 9:00 to 11:00 am, Work Group Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Gerri Mattson, Jessica Lowery Clark, Laura Gerald, Letha Muhammad, Mary Mathew, Mebane Boyd (Absent), Wanda Boone

Work Group Members Present: Amber Pierce, Amber Robinson, Carlton Powell, Crystal Kelly, Crystal Taylor, Dawn Meskil, Devonya Govan-Hunt, Dr. Ronda Taylor Bullock, Elizabeth DeKonty, James E. Ford, Jess Bousquette, Karen Fairley, Kella Hatcher, Micha James, Morgan Forrester Ray, Na’im Akbar, Reverend Paul Robeson, Paula Wilkins, Peter Rawitsch, Rebecca Swofford, Stacie Kinlaw, Susanne Schmal, Trina Stephens, Trishana Jones, Vichi Jagannathan,

Discussion:

  • Reviewed purpose of the work group, grounding/group norms, and overview Healthy North Carolina 2030 and North Carolina State Health Improvement Plan (NC SHIP).
  • Divided into breakout sessions for Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency to review, discuss, and prioritize policies. Prioritized policies by indicator breakout session are included below.
  • Shared next steps were for the work group to complete asset mapping for each of the prioritized policies. The indicators will meet separately going forward and will discuss strategies and action planning at the December meetings. Work group members are welcome to join multiple indicator groups.

Indicator 6: Third Grade Reading Proficiency Breakout Session

  • Co-Leads Present: Mary Mathew and Jessica Lowery Clark
  • Work Group Members Present: Amber Pierce and Paula Wilkins
  • Prioritized Policies:
    • Increase access to evidence-based parenting (including fatherhood programs), early intervention, and home visiting programs
    • Reinforce the talent pipeline for early educators for children from birth through third grade by increasing compensation through dedicated funding, ensuring pay parity, and sustaining investments in training and professional development

August 15, 2022, 2:00 to 4:00 pm, Co-Lead Planning Meeting (Short-Term Suspensions, Adverse Childhood Experiences, and Third Grade Reading Proficiency)

Co-Leads: Wanda Boone, Mebane Boyd, Laura Gerald, Jessica Lowery Clark, Mary Mathew, Gerri Mattson, and Letha Muhammad

Discussion:

  • Set ground rules and norms for the co-leads and work group.
  • Reviewed the proposed policy initiatives from the NC SHIP for Indicator 3: Short-Term Suspensions, Indicator 5: Adverse Childhood Experiences, and Indicator 6: Third Grade Reading Proficiency. Identified questions and discussed recommended revisions.
  • Planned for work group meetings, including meeting structure and first meeting agenda topics.
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August 25, 2022, 9:00 to 10:45 am, Co-Lead Planning Meeting

Co-Leads: Alice Ammerman, Jayne McBurney, Rachel Poehlman, and Tish Singletary

Discussion:

  • Discussed and added to the list of potential work group members. 
  • Idenfited process for prioritizing the proposed policy intiaitives and discussed that the policies for Indicator 7: Access to Exercise Opportunities were more infrastructure related. 
  • Set next work group meeting dates. 
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November 1, 2022, 1:00 to 3:00 pm, Work Group Meeting

Co-Leads: Alice Ammerman, Brandon Teal, Jayne McBurney, and Tish Singletary

Attendees: Amanda Hege, Dawn Daly Mack, Gideon Adams, Jennifer Bailey, Konnie Tran, Morgan Cooper, Renee Harvey, Robyn Stout, Tracey Bates

Discussion:

  • Reviewed the purpose of the meeting was to review the proposed policy initiatives/ strategies to prioritize them, discuss what others are doing in this space, and revise and add to the policies as needed.
  • Provided an overview of the NC SHIP Community Council and Healthy North Carolina 2030.
  • Reviewed and discussed the policy initiatives for Limited Access to Healthy Food. For each of the proposed policy initiatives, the work group had in-depth discussions about current related programs, strategies, and organizations working in those spaces. 
  • Planned for work group members to rank each of the proposed policy initiatives in follow-up to the meeting. The next meeting for the Limited Access to Healthy Food Work Group is Monday, January 9, 2023, 1:00 to 3:00 pm. 

August 9, 2022, 9:00 to 11:00 am, Co-Lead Planning Meeting

Co-Leads: Alice Ammerman, Jayne McBurney, Tish Singletary, and Brandon Teal (absent)

Discussion:

  • Discussed and added to the list of potential work group members.
  • Reviewed proposed policy initiatives from the NC SHIP for Indicator 8: Limited Access to Healthy Food and identified process for prioritization.
  • Set next work group meeting dates.
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October 25, 2022, 4:30 to 4:50 pm, Work Group Meeting

Co-Leads: Pat Macfoy and Stephanie Williams; Stephen Sill (Absent)

Work Group Members Present: None

Discussion:

  • Reviewed responsibilities of community co-lead.
  • Planned for rescheduling this work group meeting in November. The new meeting date is to be determined.

August 30, 2022, 4:30 to 6:30 pm, Work Group Meeting

Co-Leads: Pat Macfoy, Stephen Sill, and Stephanie Williams

Work Group Members Present: Antonio Blow, Jennifer Olson, and Stefanie Ledwell

Discussion:

August 26, 2022, 11:00 to 12:00 pm, Co-Lead Planning Meeting

Co-Leads: Pat Mcfoy, Stephen Sill, and Stephanie Williams

Discussion: 

  • Set agenda for first work group meeting on August 30, 2022.  An overview of the NC SHIP Community Council will be provided. Dr. Sills will provide context around Housing & Health based on some of the research he has completed. The proposed policy initiatives for Indicator 9: Severe Housing Problems will be reviewed and prioritized. 
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October 21, 2022, Update

  • The Co-Leads revisited the best way to incorporate the HNC 2030/NC SHIP work in the overdose space and decided that the NC Opioid and Prescription Drug Abuse Advisory Committee (OPDAAC) is a better home for this work instead of the Syringe Services Programs Advisory Group.
  • The OPDAAC is an existing statewide advisory group responsible for the development of and implementation of the existing statewide action plan. One of the main goals of the action plan is to reduce the number of overdose deaths.
  • OPDAAC resources, including past meeting presentations and the statewide action plan are available at https://www.ncdhhs.gov/about/department-initiatives/overdose-epidemic/nc-opioid-and-prescription-drug-abuse-advisory-committee.

August 22, 2022, 1:00 to 2:30 pm, Syringe Services Programs Advisory Group Meeting

Co-Leads: Alyssa Kitlas and Mary Beth Cox (Absent)

Discussion: 

  • Provided overview of the NC SHIP and next steps. At the next Syringe Services Programs Advisory Group meeting on September 26, 2022, the group plans to  discuss the prioritized policy initiatives and finalize plan for the coming year's work. Prior to that meeting, the Co-Leads will do preliminary prioritizing of the policy initiatives. 
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October 14, 2022, 1:00 to 2:30 pm, Work Group Meeting

Co-Leads: Delton Russell, Ronny Bell, and Sally Herndon

Work Group Members Present: Ann Staples, Anna Bess Brown, Antoinette Stein, Ashley Curtice, Beverly Gray, Carla Alston Daye, Carleen Crawford, Dana Painter, David Willard, Ellen Essick, Erin McLain, Ernest Watts, Faith Samples, Heather Burkhardt, Jim Martin, Joyce Swetlick, Juliana Wilson, Julie Kokocha, Kearston Ingraham, Kim Bayha, Kim Caldwell, Kim Canady, Kimberly McDonald, Kyle Smith, Leah M Ranney, Les Spell, Mary Ward, Meghan Kissell, Morgan Wittman Gramann, Natalie Thompson, Ray Riordan, Richard Peters, Rita Krosner, Sanquis Graham, Sarah Arthur, Sarah Jacobson, Steph Gans, Steph Trilling, Susanne Schmal, Tenika Walker, Tiffany Munday, Vera Reinstein, Viviana Martinez

Discussion:

  • Reviewed results of policy prioritization survey. All the policies, including the ones added at the August work group meeting, will be prioritized as the work group recognized that all are intertwined. All the policies will be added to the NC SHIP Policy Scorecard and included in the 2023 NC SHIP. None of the policies will be deferred.
    • Raise state minimum sales age from 18 to 21 and establish a tobacco retailer permitting system to protect NC youth. (19 votes)
    • Increase the price of tobacco products by raising the current state tax on cigarettes and increase other tobacco products taxes to parallel levels (17 votes)
    • Expand Medicaid eligibility to include coverage for all tobacco cessation treatment without barriers. This includes Medicaid coverage of group counseling for tobacco treatment. (11 votes)
    • Fund comprehensive state tobacco control programs to levels recommended by Centers for Disease Control and Prevention (CDC). (10 votes)
    • Remove state preemption of local government regulations on the sale, promotion, distribution, and display of tobacco products. (10 votes)
    • Implement state and local tobacco-free and smoke-free air policies that include electronic cigarettes (8 votes)
    • Expand the accessibility of tobacco use treatment for Medicaid beneficiaries into more settings and modalities, with a broader array of providers. (6 votes)
    • Increase number of paid staff at the state/local level to conduct comprehensive tobacco control programs (4 votes)
    • Support Tobacco Treatment Specialist Training for historically marginalized communities (4 votes)
    • Increase access to treatment based on the N.C. Tobacco Treatment Standard of Care, to include counseling and FDA-approved medications (3 votes)
    • Enforce the federal law that calls for smoke-free multi-unit public housing and promote smoke-free multi-unit affordable housing. (3 votes)
    • Revise zoning ordinances to control placement of shops that sell tobacco, limiting the number of these shops per area and ensuring they are placed a safe distance from children’s areas. (3 votes)
    • Provide nicotine replacement options and services to the uninsured and underinsured (2 votes)
    • Explore seeking reimbursements for Certified Tobacco Treatment Specialists (CTTS) for their work in providing standard of care tobacco treatment - counseling and tobacco treatment medications under the supervision of a prescriber (2 votes)
    • Recommend an electronic cigarette policy for restaurants and bars (2 votes)
    • Ensure Medicaid reimbursement for provision of tobacco cessation counseling and treatment for parents in any pediatric setting, not just during a tobacco-related sick visits. (2 votes)
    • Increase the number of tobacco-free public parks (1 vote)
    • Explore policy strategies to prohibit the sale of tobacco products in pharmacies. (1 vote)
  • Received updates from workgroup members on relevant work they were doing, successes, and challenges.
  • Jim Martin, Director of Policy and Programs with the Tobacco Prevention and Control Branch, provided a presentation on protecting our kids from vaping and nicotine addiction by establishing a tobacco retailer permitting system and raising the minimum legal age to purchase tobacco from 18 to 21.
  • Discussed next steps and input for future meetings.

August 26, 2022, 1:00 to 2:30 pm, Work Group Meeting

Co-Leads: Ronny Bell, Sally Herndon, and Delton Russell (Absent)

Work Group Members Present: Ami McGarity, Ann Staples, Anna Bess Brown, Antoinette Stein, Aubrey Cuthbertson, Beverly Gray, Carleen Crawford, Charlene Sampson, Courtney Heck, David Willard, Elizabeth Brewington, Ellen Essick, Erin McLain, Erin Sutfin, Ernie Watts, Faith Samples, Jarret Stone, Jim Martin, Joshua Batten, Joyce Swetlick, Juliana Wilson, Julie Kokocha, Kearston Ingraham, Kim Bayha, Kim Caldwell, Kim Sumrell, Kimbery Canady, Kyle Smith, Larissa Williams, Leah Ranney, Lu McCraw, Mary Ward, Molly Monath, Morgan Wittman Gramann, Natalie Thompson, Nicole Johnson, Ray Riordan, Richard Peters, Rita Krosner, Ronda Doward, Sanquis Graham, Sarah Jacobson, Steph Gans, Steph Trilling, Susanne Schmal, Tenika Walker, Teresa Beardsley, Terri Bell, Tiffany Thigpen, Tobin Lee, Vera Reinstein, Viviana Martinez

Discussion: 

  • Built connections with work group members present. Everyone asked to share their name, organization, their work with tobacco control, where they were from, and their favorite restaurant from their early days.
  • Reviewed result statement, targets and baselines for youth and adult tobacco use, and proposed policy initiatives for Indicator 11: Tobacco Use. 
  • Discussed recommendations for additional policies and questions from work group members. Two additional policy initiatives were added: 
    • Ensure Medicaid reimbursement for provision of tobacco cessation counseling and treatment for parents in any pediatric setting, not just during a tobacco-related sick visits.
    • Expand the accessibility of tobacco use treatment for Medicaid beneficiaries into more settings and modalities, with a broader array of providers.
  • Asked work group members to submit their top three policy priorities by end of day on Friday, September 9, 2022. 
  • Set schedule for meetings. The work group will meet every other month on the second Friday from 1:00 to 2:30 pm. 

August 12, 2022, 8:00 to 8:45 am, Co-Lead Planning Meeting

Co-Leads: Ronny Bell, Sally Herndon, and Delton Russell

Discussion:

  • Discussed potential revisions to the proposed policy initiatives from the NC SHIP for Indicator 11: Tobacco Use.
  • Reviewed list for gaps in potential work group members.
  • Planned agenda for first work group meeting on August 26, 2022.
  • Identified process for prioritizing the proposed policy initiatives.
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October 27, 2022, 1:00 to 2:30 pm, North Carolina State Excessive Alcohol Advisory Committee (NCSEAAC)

Co-Leads: Fisher Charlton, Mina Cook, Mary Beth Cox, and Jennifer Matthews

Attendees: Al Kopak, Amy Hendricks, Angela Maxwell, Anna Godwin, Ashlie Smith, Carolina Pruitt, Dylan Ellerbee, Elizabeth Montgomery, Erin Jamieson Day, Gayane Chambles, Glorina Stallworth, Gretchen Summerville, J Hack, Jane McDonald, Jeff Hill, Jessica Dicken, Julia Sherman, Kim Wagoner, Lauren Borchert, Melinda Pankratz, Mike Dolan Fliss, Miranda Poe, Samantha Luu, Scott Proescholdbell, Ty Lautenschlager

Discussion:

  • Launched the NC State Excessive Alcohol Advisory Committee. Provided an overview of the NC State Health Improvement Plan (NC SHIP) and Healthy North Carolina 2030 (HNC 2030), including the proposed policy initiatives.
  • Reviewed the history, goals, and committee structure. Reviewed purpose and goals of committee:
    • Network and collaborate with partners across the state
    • Discuss excessive alcohol use topics of interest
    • Develop a statewide plan for excessive alcohol use and its related harms
  • Connected with partners to gain insight into the work being done across the state.
    • Reviewed related statewide action plans, including the NC Early Childhood Action Plan and NC Opioid and Substance Use Action Plan.
    • Identified ideas or focus areas that should be incorporated into the statewide action plan.
  • Identified topic areas of interest for future meetings. The next NC State Excessive Alcohol Use Advisory Group Meetings:
    • NC State Excessive Alcohol Steering Committee: November 17, 2022
    • NC State Excessive Alcohol Advisory Committee: January 26, 2023
    • NC State Excessive Alcohol Advisory Committee: April 27, 2023

August 23, 2022, 2:00 to 3:00 pm, Co-Lead Planning Meeting

Co-Leads: Fisher Charlton, Mina Cook, Mary Beth Cox, and Jennifer Matthews

Discussion:

  • Identified list of potential work group members to invite to first work group meeting on October 27, 2022.
  • Scheduled a follow-up meeting with smaller steering committee for November 17, 2022.
  • Planned to develop an action plan and focus on developing resources for locals around social districts (in reference to the policy initiative, “Consider local ordinances related to the sale and consumption of alcohol at local events”).
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October 10, 2022, 1:00 to 3:00 pm, Work Group Meeting

Co-Leads: Alice Ammerman, Jayne McBurney, and Tish Singletary; Absent: Fiorella Horna

Attendees: Courtney Ramsey-Coleman, Mary Anne Burghardt, Sarah Blanton, Sarah Tomlinson, Susanne Schmal, Yasmine Shepard, and Zachary Brian

Discussion:

  • Reviewed the purpose of the meeting was to review the proposed policy initiatives from the North Carolina State Health Improvement Plan (NC SHIP), identify which were most important to focus on, share what the Community Council does, discuss partners to add to the work group, and review the next meetings. 
  • Provided an overview of the NC SHIP Community Council and Healthy North Carolina 2030.
  • Reviewed and discussed the policy initiatives for sugar-sweetened beverage (SSB) consumption. The highest priorities discussed included:
    • Integrate “Rethink Your Drink” DCD and SNAP-Ed toolkit into school curricula, promoting water as healthy alternative to sweetened beverages
    • Access to safe clean water
    • Implementing healthy choice beverages in vending machines at parks
    • “Price point pain” including who gets what to sell sugar-sweetened beverage products (excise taxes, sales taxes, etc.) 
  • Identified additional partners and/or agencies to invite to join the work group and provide additional information on the priority areas.

August 22, 2022, 10:00 to 12:00 pm, Co-Lead Planning Meeting

Co-Leads: Alice Ammerman, Fiorella Horna, Jayne McBurney, and Tish Singletary

Discussion:

  • Discussed and added to the list of potential work group members.
  • Reviewed proposed policy initiatives from the NC SHIP for Indicator 13: Sugar-Sweetened Beverage Consumption and discussed the process for prioritization.
  • Reviewed next work group meeting dates.
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November 21, 2022, Large Group Member Meeting

Attendees: Matt Martin, Cameron Pruette, Allison Rice, Hannah Demeritt, Matt Jenkins, JeaNelle Plummer, Jeff Thomas, Veleria Levy, Victoria Mobley

Discussion

  • Finalized which objective(s) each group member would focus on with smaller group.
  • Directed members to plan to meet with smaller groups for more focused work on their identified objectives.
  • Changed bi-monthly large group meeting cadence to monthly to allow time for smaller group work. Each small group will document meeting date, summary of discussion, and any action items on shared google document for tracking by larger group.
  • Scheduled next Large Group Meeting for Monday, December 5, 2022, from 3:00 to 4:30 pm.

November 7, 2022, 3:00 to 4:30 pm, Work Group Meeting

Attendees: Matt Jenkins, Hannah Demeritt, JeaNelle Plummer, Bernard Davis, Jeff Thomas, Alicia Diggs, Allison Rice, Brittan Joseph, Matt Martin, Veleria Levy, Victoria Mobley

Members not in attendance: Jeffrey Long, Chelsea Golden, Cameron Pruette, Ester Ross, Morgan Hopley

Discussion: 

  • Reviewed the HIV Diagnosis policy/program objectives discussed during the Co-Lead meeting and gathered feedback from larger group on feasibility of each objective.
  • Settled on the final policy/program objectives the group will work on over the next several months and brainstormed potential action items to pursue for each objective.
    1. Improve provider comfort with incorporating sexual health assessments into routine healthcare services
    2. Identify barriers to HIV post exposure prophylaxis being delivered by pharmacists
    3. Expand affordable housing programs for persons living with HIV
    4. Increase the number of harm reduction programs, including needle exchange programs
    5. Expand North Carolina’s provider network for HIV care and prevention services
    6. Increase the number of people who know their HIV status and are linked to prevention or treatment services through high impact, coordinated interventions
    7. Increase access to pre-exposure prophylaxis (PrEP) for individuals at high risk for HIV transmission
    8. Identify and address gaps in HIV healthcare access for formerly incarcerated populations
    9. Understand the impact of NC’s Medicaid Managed Care Plans on health outcomes for CMS clients living with HIV
  • Established the following action items: 
    • Each group member was asked to review the final objectives and identify 1-3 objectives they would like to take the lead on.
    • Next NC SHIP HIV Diagnosis Work Group  meeting will be on November 21, 2022. 

August 31, 2022, 10:00 to 11:00 am, Co-Lead Meeting

Co-Leads Present: Matt Jenkins, Hannah Demeritt, Chelsea Golden, JeaNelle Plummer, Jeffrey Long, Veleria Levy, Victoria Mobley

Discussion:

  • Reviewed the HIV Diagnosis policy/program recommendations to identify work that is already ongoing across the state and prioritize the objectives by feasibility.
  • Action items from the meeting included:
    • Identify which objectives should be prioritized and which are important, but additional information is needed to determine the feasibility of taking them on during the year.
    • Schedule the first larger work group meeting in the next 2 weeks.

August 30, 2022, 2:00 to 2:30 pm, Co-Lead Planning Meeting

Co-Leads Present: Veleria Levy and Victoria Mobley

Discussion:

  • Discussed expectations for the NC SHIP effort and next steps. 
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October 27, 2022, 2:00 to 3:00 pm, PHEC Policy Workgroup Meeting

Attendees: Elizabeth Hudgins, Morgan Forrester Ray, Kelly Kimple, Brittany Garner, Jessica Johnson, Sarah Verbiest, Erin McClain, Belinda Pettiford, Susan Gutierrez, Jill Sergison, Velma Taormina, Kaylan Szafranski, David DiMatteo, Karen Saxer, Kella Hatcher

Discussion:

  • Elizabeth Hudgins shared the NC Pediatric Society’s 2022 Policy Agenda and their anticipated policy agenda for 2023.
  • Dr. Kelly Kimple shared the NC State Health Improvement Plan (NC SHIP) priorities and Perinatal Health Strategic Plan alignment. The workgroup discussed potential policy areas to focus on for the teen births, early prenatal care, and infant mortality indicators.

September 22, 2022, 9:00 to 10:00 am, PHEC Policy Workgroup Meeting

Discussion:

  • MomsRising and the March of Dime’s shared their anticipated policy agendas and alignment with the 2022-2026 Perinatal Health Strategic Plan. 
  • The Policy Workgroup meeting in October 2022 will include presentations from the NC Pediatric Society and the NC SHIP, along with their alignment with the Perinatal Health Strategic Plan.

September 16, 2022, Update

  • The Co-Leads were invited to join the Perinatal Health Equity Collective’s Policy Workgroup to begin discussing policy strategies that are supported by both the NC SHIP and the 2022-2026 Perinatal Health Strategic Plan. Additional members that have been engaged in NC SHIP work will be invited to attend future workgroup meetings

August 10, 2022, 3:00 to 4:00 pm, Co-Lead Planning Meeting

Co-Leads: Annette Carrington, Brittany Garner, Kelly Kimple, and Velma Taormina

Discussion:

  • Agreed to combine all three indicators, Teen Births, Early Prenatal Care, and Infant Mortality, into one group and that all three indicators could fall under the Perinatal Health Equity Collective.
  • Discussed potential work group members and community co-leads.
  • Determined need to contact the Perinatal Health Equity Collective (PHEC) to ask about including this group in their Policy Work Group. Kelly Kimple to contact the PHEC.
  • Invited potential work group members contacted to attend the Perinatal Health Equity Collective (PHEC) meeting on August 31, 2022. This meeting would be an opportunity to learn more about the PHEC.
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October 17, 2022, 10:00 to 11:45 am, Work Group Meeting

Co-Leads: Randy Jordan, Chris Shank, and Mark Snuggs

Attendees: Abby Emanuelson, Anshita Chaturvedi, April Cook, Elizabeth Byrum, Honey Estrada, Hugh Tilson, Jessica Alexander, Richard Hudspeth, Sally Wilson, William Massengill, Zenobia Edwards

Presenters: Brieanne Lyda-McDonald and Mark DeHaven

Discussions:

  • Received the following presentations:
    • Brieanne Lyda-McDonald, MSPH-MPH, Project Director, NCIOM (staffed Healthy North Carolina 2030), shared how and why the Healthy North Carolina 2030 uninsured indicators was selected. 
    • Mark DeHaven, PhD, Dean W. Colvard Distinguished Professor, College of Health and Human Services, UNC Charlotte; Director, Academy for Research on Community Health, Engagement and Services (ARCHES), shared about the UCITY Family Zone: A Community Health Science Approach.
  • Reviewed approved policy priorities and related strategies and action plans. Discussed questions and clarifications needed to move forward.
    • Expand Medicaid eligibility criteria. It was suggested that this policy priority be paired with "expanding Medicaid" until such time as Medicaid expansion is approved by the General Assembly. The Division of Medicaid was identified as a state agency that should be contacted about developing strategies and action plans around the Medicaid eligibility issue and Care4Carolina about the Medicaid expansion issue.
    • Expand community health workers to empower communities to ensure all individuals can access healthcare. Received input that a better definition of what is a community health worker is needed for this policy priority to have value. The question of whether the presence of CHWs needed to be expanded or sustained or both was also explored. The state's Community Health Workers association and the relevant section of the NC Office of Rural Health were identified as good resources to further explore strategies and action plans for this policy priority.
    • Leverage community benefit dollars from Medicaid Transformation to meet the needs of the uninsured. It was suggested that two themes were conflated: Community benefit dollars from hospitals and new funds invested through Medicaid Transformation that might be used indirectly to benefit the uninsured (i.e., Health Opportunity pilot programs). It was suggested that the Division of Medicaid was the best place to start. NCHA might be the best source on hospital-based community benefit. Strategies and action plans cannot be developed until this policy priority is better understood.
    • Determine need in communities for more health clinics to serve the uninsured. While this policy priority is clear, the question of whether more clinics are needed should be paired with a proposed policy of how to best extend the reach and sustain existing safety-net programs for the uninsured. It was suggested that NCCHCA and NCAFCC are good resources for this topic. 
    • Increase the number of bilingual healthcare and insurance providers and staff. Targeting who within the state government or otherwise might be addressing this issue needs to be determined. It was suggested that provider associations and groups seem to be in the forefront for fostering this type of training. The relevance of having bilingual insurance providers as a priority was also questioned as it seems that market forces would address this issue. This topic needs more exploration and discussion before strategies and action plans can be pursued.
  • Reviewed proposed policies.
    • Improve data collection about the uninsured. It was acknowledged that an absence of measurable and reliable data was an issue in developing policies for the uninsured. Further discussion on this topic is merited.
    • Extending the reach of existing safety-net programs for the uninsured. Safety-net providers indicated that the existing safety-net covers all 100 counties.  There may still be pockets where primary care requires excessive travel, but the infrastructure for a competent safety-net system already exists and could expand if properly funded. There is a provider distribution and recruitment and retention problem, that is not answered by simply creating new clinic sites.

September 12, 2022, 4:00 to 4:30 pm, Co-Lead Planning Meeting

Co-Leads: Randy Jordan, Chris Shank, and Mark Snuggs

Others Present: Rebecca Hayes

Discussion:

  • Decided to advance 5 existing policy priorities for future consideration and consider 1 policy priority for further development.
    • Current Policy Priorities
      • Expand Medicaid eligibility criteria
      • Expand community health workers to empower communities to ensure all individuals can access healthcare
      • Leverage community benefit dollars from Medicaid Transformation to meet the needs of the uninsured
      • Determine need in communities for more health clinics to serve the uninsured
      • Increase the number of bilingual healthcare and insurance providers and staff
    • Proposed Policy Priorities to be Developed
      • Improve data collection about the uninsured to assist in health policy planning (e.g., how many uninsured currently have a medical home)
  • Discussed continuing to review the policy priorities as work continues to assure that each priority has a reasonable expectation of making progress. All the policy priorities will be reviewed at the next work group meeting and any new policy priorities will be considered.
  • Discussed making inquiries of relevant state agencies and stakeholders to request their proposals regarding strategies and action plans for each priority.
  • Finalized the meeting schedule for the Uninsured Work Group. The next meetings will be from 10:00 to 11:45 am on October 17, January 23, and April 17.

August 15, 2022, 1:00 to 3:00 pm, Work Group Meeting

Co-Leads: Randy Jordan, Chris Shank, and Mark Snuggs

Work Group Members & Others Present: Abby Emanuelson, Alice Salthouse, Anshita Chaturvedi, April Cook, Brandy Bynum Dawson, Charlene Green, Don Holloman, Erica Palmer Smith, Honey Estrada, John Resendes, Kathy Hodges, Katye Griffin, Khristian Curry, Kristen Spaduzzi, Richard Hudspeth, Sally Wilson, Savannah Junkins, Torie Keeton, William Massengill, Jr., and Zenobia Edwards

Discussion: 

  • Received the following special presentations: 
    • Medicaid Expansion – Abby Emanuelson, Care4Carolina 
    • Remaining Gaps in Care for the Uninsured – Randy Jordan
      • oral health, behavioral health, specialty care, geographic distribution of these services (Persistent Rural Problem), health care coverage expansion needs,  medical home gaps, social service gaps, undocumented people, data collection gap
      • Who owns the problems?
    • Connections to Care – Kathy Hodges and Khristian Curry, Office of Rural Health, CHW Program
  • Reviewed 7 proposed policies and advanced 6 of 7 policies for strategic planning. Refer to proposed policies tagged Uninsured below. 
    • Expand Medicaid eligibility criteria (10 votes)
    • Expand community health workers to empower communities to ensure all individuals can access healthcare (9 votes)
    • Leverage community benefit dollars from Medicaid Transformation to meet the needs of the uninsured (9 votes)
    • Determine need for more community health clinics by employing data analysts (7 votes)
    • Increase the number of bilingual healthcare and insurance providers and staff (3 votes)
    • Increase publicity and navigator funding to provide instruction and access for open enrollment (1 vote)
    • Support bans or limitations on short-term health plans (0 votes)
  • Discussed possibility of new policies related to: 
    • Capacity to serve more patients by expanding the reach of existing programs
    • Designating ownership of the wicked problem – no health care
    • Expanding data collection on uninsured
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October 17, 2022, 3:00 to 4:45 pm, Work Group Meeting

Co-Leads: Anshita Chaturvedi, Randy Jordan, and Mark Snuggs

Attendees: Alice Salthouse, Chris Shank, Christopher Ray Vann, Elizabeth Hudgins, Gregg Griggs, Hugh Tilson, Kristen Spaduzzi, Savannah Junkins

Presenter: Adam Zolotor

Discussion:

  • Received the following presentation:
    • Adam Zolotor, M.D., provided an overview of Healthy North Carolina 2030 process and current efforts to expand primary care clinician services.
  • Reviewed approved policy priorities and related strategies and action plans. Discussed questions and clarifications needed to move forward.
    • Expand Medicaid to support viability of primary care clinicians. Making progress on this policy priority was considered preeminent in achieving a long-term solution on the primary care crisis. Primary care cannot be sustained, particularly in rural NC under the current rate structure.
    • Increased funding for provider loan repayment programs. This policy was also considered a high priority, although retention rates in rural settings are relatively low from loan repayment programs. There was discussion about the value of scholarships for primary care providers as opposed to loans. Scholarship recipients who failed to serve in rural settings, could have their scholarships revert to loans. Also, loan or scholarship programs should be available for physician assistants and nurse practitioners as they by far represent the fastest growing resource for primary care in rural communities.
    • Solutions for healthcare workforce challenges. There was a suggestion that this issue should be referred to a group that was already conducting strategic planning on workforce training. Additional discussions are needed to determine whether this policy priority should be retained.
    • Expand medical school training on practice in rural communities. Adam Zolotor from NC AHEC presented data that suggested the retention rate for preceptorships and other forms of experience-based training in rural communities were better than expected. A variety of such programs were identified, and it was suggested that investing in this type of training of primary care physicians, physician assistants and nurse practitioners might be the best short-term solution to rural workforce issues. HOSA and middle and high school programs offering students exposure to healthcare were also considered good longer-term solutions to increasing the rural healthcare workforce. There seemed to be consensus that this policy priority would be a worthy third priority if the list extended to 3 priorities.

August 15, 2022, 3:00 to 5:00 pm, Work Group Meeting

Co-Leads: Anshita Chaturvedi, Randy Jordan, and Mark Snuggs

Work Group Members & Others Present: Alice Pollard, Alice Salthouse, Brian Toomey, Charlene Green, Chris Shank, Christopher Ray Vann, Don Holloman, Elizabeth Hudgins, Gregg Griggs, Karen Gliarmis, Kathy Dail, Katye Griffin, Kristen Spaduzzi, Savannah Junkins, and Shaunna Herrman

Discussion:

  • Received presentation from Karen Gliarmis (Substitution for Stephanie Nantz). 
  • Reviewed 14 proposed policies and advanced 4 of 14 policies for strategic planning; 8 policies were deferred/not selected as priorities and 2 policies were removed. Refer to proposed policies tagged Primary Care Clinicians below. 
    • Advanced:
      • Expand Medicaid to support financial viability of primary care providers serving low-income patients (8 votes)
      • Support increased funding for provider loan repayment programs that incentivize primary care providers to practice in medically underserved areas (4 votes)
      • Develop long-term solutions to healthcare workforce challenges with a particular emphasis on increasing the number of North Carolina health care providers from historically marginalized populations (3 votes)
      • Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas (1 vote)
    • Deferred: (All of the following received 0 votes)
      • Assess recruitment strategies used by colleges and universities that focus on rural needs
      • Ensure highspeed Internet access to support access to telehealth, electronic health records and controlled substance reporting system sites 
      • Grow NCCARE360 by adding more health systems, payers, providers 
      • Increase patient access and provide for adequate compensation for consultations with specialists 
      • Increase requirement for number of rural health clinical rotations for physician assistants (PAs) and Advanced Practice Nurses (APNs) 
      • Increase telehealth primary care initiatives in rural areas 
      • Increase the number of residency positions in rural areas 
      • Support pipeline programs in rural areas to encourage high school and college students to pursue careers in medicine and primary care 
    • Removed: (All of the following received 0 votes)
      • Invest in rural economies
      • Review and optimize middle and high school career and tutoring programs to augment math and science skills
2022-23
WG
Time
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Current
Actual
Value
Current
Trend
Baseline
% Change
Meeting Notes

August 10, 2022, 10:00 to 11:30 am, Comprehensive Suicide Advisory Prevention Council Meeting

Co-Leads: Catherine English, Anne Geissinger, Sue Pilgreen, and Glorina Stallworth

Discussion:

  • Discussed the proposed policy initiatives from the NC SHIP for Indicator 19: Suicide Rate, and then prioritized 6 of the 13 policies. The prioritized policies were then ranked as follows, with number 1 being most important.
  1. Implement policies targeted to decrease access to lethal means
  2. Increase programs that provide mental health services and support for LGBTQ youth
  3. Increase programs that provide mental health services and support for military veterans
  4. Create trauma-informed schools with access to mental health providers
  5. Modernization of data systems
  6. Expand rapid access to crisis services, including implementing the national 988 number  
  • Reviewed work currently being done by the Division of Public Health to assist with identifying where to focus efforts throughout the year.
2022-23
WG
Time
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Current
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Value
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% Change
Meeting Notes

November 8, 2022, 10:00 to 12:00 pm, Work Group Meeting

Co-Leads: Heather Carter, Amy Lanou, and Martha Zimmerman

Work Group Members Present: Brandie Garner, Divya Venkataganesan, Ellen Schneider, Jenni Danai, Jennifer Teague, Phillip Gibson, Heather Burkhardt

Discussion:

  • Received presentation about radon from Phillip Gibson, NC Radon Program Coordinator with the Division of Health Service Regulation, with the North Carolina Department of Health and Human Services.
  • Discussed revisions to the policy recommendations from the NC SHIP for radon.
  • Decided to not prioritize the proposed policies related to data infrastructure and metrics. The work group’s priority areas include falls prevention, dementia care and brain health, and radon.
  • Reviewed the next meeting discussion topics. The next meetings are scheduled for:
    • February 14, 2023, from 10:00 am to 12:00 pm–Focus on Falls Prevention
    • May 9, 2023, from 10:00 am to 12:00 pm– Focus on Dementia Care and Brain Health

August 16, 2022, 10:00 to 12:00 pm, Work Group Meeting

Co-Leads: Heather Carter, Amy Lanou, and Martha Zimmerman

Work Group Members Present: Ellen Schneider and Jeff Jones

Discussion:

  • Prioritized policies from the NC SHIP for Indicator 21: Life Expectancy related to falls prevention, dementia care, and radon. Began revising the falls prevention and dementia care policies.
  • Discussed decision-makers and key influencers that should be invited to join in the work group.
  • Determined additional information was needed on the policies about radon and data infrastructure/ metrics. Planned to discuss both further at next work group meeting on November 8, 2022.  
Prioritized Policies
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Why Is This Important?
SOCIAL AND ECONOMIC
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Lead Organization(s)
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Current
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% Change
Lead Organization(s)
2022 Action Plan
PHYSICAL ENVIRONMENT
PP
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Lead Organization(s)
2022 Action Plan
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Lead Organization(s)
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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% Change
Lead Organization(s)
2022 Action Plan
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Baseline
% Change
Lead Organization(s)
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PP
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Baseline
% Change
Lead Organization(s)
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HEALTH BEHAVIORS
PP
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Value
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
Policy/Program Status
PP
Time
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Current
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Baseline
% Change
Lead Organization(s)
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Policy/Program Status
PP
Time
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Current
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Current
Actual
Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
P
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
What We Do
Who We Serve
How We Impact
PP
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
CLINICAL CARE
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Lead Organization(s)
2022 Action Plan
PP
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% Change
Lead Organization(s)
2022 Action Plan
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Current
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Value
Current
Trend
Baseline
% Change
What We Do
Who We Serve
How We Impact
PP
Time
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Actual
Value
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
HEALTH OUTCOMES
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
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Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
Proposed Policies being Reviewed
R
Time
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Baseline
% Change
Why Is This Important?
SOCIAL AND ECONOMIC
PP
Time
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Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
Policy/Program Status
PP
Time
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Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Actual
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Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
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Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
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Current
Actual
Value
Current
Trend
Baseline
% Change
Lead Organization(s)
2022 Action Plan
PP
Time
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Current
Actual
Value
Current
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Baseline
% Change
Lead Organization(s)
2022 Action Plan