2021-169-E Health-NC DHHS FY22 consolidated agreement

Browse Search

DocuSign Envelope ID:B749018F-351A-4D6F-9FC5-C2EB21856524 Consolidated Agreement FY22 Page 4 of 27 7. LHDs shall be responsible to report all privacy and security breaches that may affect DPH data and surveillance systems to DPH as soon as possible but no later than 24 hours from discovery of the breach. This may include but is not limited to Ransomware attacks, malicious code execution, or network breaches. LHDs access to DPH data and surveillance systems may be limited or turned off until proof of remediation is supplied by the LHD. c. Assessments and Plans 1. The LHD shall provide to the Director of Community Health Assessment, State Center for Health Statistics or designee: a) A comprehensive community health assessment (CHA) at least every four years, for each county or health district. The CHA shall be a collaborative effort with local partners inclusive of hospitals,businesses, community partners, and the local community health coalitions and shall include the collection and analysis of primary data at the county and district level (if such exists), secondary data from the State Center for Health Statistics (SCHS) and other sources, and an assessment and analysis of community resources. The CHA shall identify a list of community health problems based on the assessment. Each identified problem shall be prioritized and described in the narrative. The CHA will include data analysis of those indicators listed in the Accreditation Self-Assessment Inventory, Benchmark 1, Activity 1.1. The CHA is due on the first Monday in March following the year of assessment. Community Health Improvement Plans (CHIPS), which shall be submitted no later than six months after the completion of the comprehensive community health assessment(CHA). CHIPs are due by the first Monday in September following the year of assessment. 1) The CHIP shall address a minimum of two priorities identified in the most recent community health assessment. 2) The CHIP shall be data driven and use results-based accountability to focus on both population and program accountability. Specifically, results, indicators, programs, and performance measures must be included. 3) The CHIP shall be aligned with the Healthy North Carolina 2030 indicators and use best evidence interventions targeting health behaviors, the physical environment, social and economic factors, and/or clinical care. 4) The CHIP shall be updated at least annually and monitor performance. 5) CHIPs can persist across CHA-CHIP cycles when: a. the health problem persists and continues to be a priority; b. new interventions are needed; and/or c. the interventions need to be expanded to a new target population. 6) The LHD shall use the web-based software Clear Impact Scorecard for submitting the CHIP for approval. a. The LHD shall provide a state of the county or district health report (SOTCH) during each interim year between community assessments. The SOTCH is due by the first Monday in March in years when a CHA is not submitted. 1. The LHD shall use Clear Impact Scorecard for the SOTCH. 2. The SOTCH shall include progress made on each performance measure in the CHIP. b) The LHD shall make a written request for any variances in submission of CHAs, CHIPs, and SOTCH documents in advance of the required date of submission. Emails may be sent to the Director, Community Health Assessment, State Center for Health Statistics at cha.sotch@dhhs.nc.gov. c) Refer to guidance: hM2s:Hschs.dph.ncdhhs.gov/units/ldas/cha.htm.