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Consolidated Agreement FY2 l Page4 of27 <br />c. Assessments and Plans <br />1. The LHD shall provide to the Director of Community Health Assessment, State Center for Health <br />Statistics or designee: <br />a) A comprehensive community health assessment (CHA) at least every four years, for each <br />county or health district. The CHA shall be a collaborative effort with local partners inclusive <br />of hospitals, businesses, community partners, and the local community health coalitions and <br />shall include the collection and analysis of primary data at the county and district level (if <br />such exists), secondary data from the State Center for Health Statistics (SCHS) and other <br />sources, and an assessment and analysis of community resources. The CHA shall identify a <br />list of community health problems based on the assessment. Each identified problem shall be <br />prioritized and described in the narrative. The CHA will include data analysis of those <br />indicators listed in the Accreditation Self-Assessment Inventory, Benchmark 1, Activity 1.1. <br />The CHA is due on the first Monday in March following the year of assessment. Refer to <br />CHA tools at https://publichealth.nc.gov/lhd/index.htm <br />b) Community Health Improvement Plans (CHIPs) no later than six months after the completion <br />of the comprehensive community health assessment (CHA). The CHIPs are due by the first <br />Monday in September following the year of assessment. <br />1) A CHIP is written for each of two prioritized health problems. <br />2) One CHIP can be short term in nature (focus for 1-3 years), but the second CHIP <br />must be long term (focus for 5-10 years). <br />3) Each CHIP shall use best evidence interventions targeting health behaviors, the <br />physical environment, social and economic factors, and/or clinical care. <br />4) The long-term CHIP must utilize Healthy North Carolina 2030 (HNC 2030) <br />indicators or other evidence-based health status indicators. <br />5) The long-term CHIP shall include short-term and long-term interventions with a goal <br />of improving population health indicators (morbidity and mortality). <br />6) The long-term CHIP could potentially persist for several CHA cycles. With each <br />CHA cycle, the CHIP must be updated to demonstrate that: <br />a. the health problem persists and continues to be a priority <br />b. the current interventions are effective, or that new interventions are needed, <br />and <br />c. the interventions need to be expanded to a new target pop~lation. <br />7) All CHIPs shall include a plan for staffing, training, implementation, monitoring, <br />evaluating, and sustaining. <br />c) The LHD shall provide a state of the county or district health report (SOTCH) during each of <br />the interim years between community assessments. The SOTCH shall include progress made <br />on each CHIP evaluation measure. The SOTCH is due by the first Monday in March during <br />the years a CHA is not submitted. <br />d) The LHD shall make requests for variances in submission of CHA, CHIPs, and SOTCH <br />documents in writing in advance of the required date of submission. Emails may be sent to <br />the Director, Community Health Assessment, State Center for Health Statistics <br />cha.sotch@dhhs.nc.gov. <br />DocuSign Envelope ID: B7CC8492-1A0C-48C3-B890-562DC3D404A4