Robeson County Health Department Strategic Plan · strategic planning overview, Ms. Jones and Ms. Proctor defined the SWOT analysis, and explained how this analytical tool is used

2016-2019

Robeson County Health Department Strategic Plan

Strategic Planning Team

Jason Allison

Animal Shelter Manager

Sharon Branch

Program Support Supervisor

Barbie Britt

Women’s Health Manager

Heidi Bruce

Billing Manager

Traci Bruce

Finance Director

Cindy Council

Environmental Health Director

Amanda Cummings

Licensed Clinical Social Worker

Darlene Gold

Nurse Family Partnership

Supervisor

Niakeya Jones

Health Education Director

Kim Leggett

Home Health Director

Whitney McFarland

Health Promotion Coordinator

Yulonda McLean

Personnel Director

Monica McVicker

Nutrition Director

Melissa Packer

Assistant Health Director

Anecia Proctor

Health Education Intern

Beth Rowell

Nursing Director

Michael Sampson

Computer Systems Administrator

Brenda Wilkerson

WIC Support Supervisor

Health Director

and

Robeson County Board of

Health

Our Mission:

Our mission is for all residents to

achieve the highest level of health

possible through:

Identifying and reducing health

risks;

Detecting, investigating and

preventing the spread of disease;

Promoting healthy lifestyles and a

safe and healthy environment;

Promoting the availability and

accessibility of health care

services through the private

sector; and

Providing quality health services

to those in need.

Our History:

First 4 health departments were

established in Jefferson County,

Kentucky (1908); Guilford County,

North Carolina (1911); Yakima

County, Washington (1911) and

Robeson County, North

Carolina (1912).

First 3 counties had cities with

populations > 2,500 in 1910, thus

qualifying them as urban by 1910

Census Bureau standards.

Robeson County, with Lumberton

as its largest town (2,230 pop. in

1910), was defined as rural. Thus,

the Robeson County Health

Department was the first rural

health department established

in NC.

The Oldest Rural Health Department in the

Nation and One of the Most Comprehensive

in North Carolina

Our Services

We offer many clinical services for those seeking care for infectious and communicable diseases; women’s health including

care related to pregnancy; child, adolescent and adult health; as well as home health and case management. We also offer a

wide array of targeted and universal evidence-based health education initiatives, as well as home visitation programs that

positively impact both children and families, such as Nurse Family Partnership (NFP).

Mission, History, Services

http://www.hmdb.org/PhotoFullSize.asp?PhotoID=15706

http://www.hmdb.org/PhotoFullSize.asp?PhotoID=15706

County Overview

Largest county in North Carolina (950 square miles)

10% smaller than the state of Rhode Island

Midpoint between Boston and Miami

134,760 residents

One of the nation’s most racially and culturally diverse rural counties

Over 70% of the total population is minority or of Hispanic Ethnicity:

39% Native American, 36% White, 24% Black, 9% Hispanic

Home of the Lumbee Tribe – Which is the largest tribe in North

Carolina, the largest tribe east of the Mississippi River, and the 9th

largest tribe in the nation.

Lumbee Homecoming, Established in 1968, is an Annual Celebration

of Tribal History, Culture, Survival, and Success.

County Health Snapshot

Ranked 100th out of North Carolina’s 100 counties in health outcomes

29% adult smokers

39% adults obese

34% physically inactive

2,170:1 – persons per primary care physician

4,650:1 – persons per dentist

510:1 – persons per mental health provider

25% uninsured

35% poverty – poorest county in N.C.

47% children in poverty

54% children in single parent households

Health Outcomes Obesity Diabetes Heart Disease Cancer Rate per 100,000

Region 31.27% 11.18% 6.27% 74.1

Robeson County 39% 14.8% 4.82% 72.1

North Carolina 28.91% 9.94% 4.61% 73.9

United States 27.29% 8.95% 4.33% 64.9

Strategic Planning Process

Our strategic planning process was facilitated by Health Education Director Niakeya Jones, along with Anecia Proctor,

Health Education Intern from UNC Pembroke. During our initial planning meeting, Ms. Jones and Ms. Proctor provided a

presentation to our agency’s Management Team, which defined “why” a strategic plan is essential for the agency to function

effectively and efficiently. Ms. Jones and Ms. Proctor also discussed the intent of the strategic plan – which is to bring focus

and direction to the work of our health department. Management Team members were reminded that the strategic plan is

directed at both the operations of the agency and its efforts to improve the health of our community. Team members were

also reminded that the strategic plan should be updated or revised on a regular basis – and at least annually. Following the

strategic planning overview, Ms. Jones and Ms. Proctor defined the SWOT analysis, and explained how this analytical tool is

used for the identification and categorization of internal and external factors which influence the health department’s efforts

to improve our community’s health. Management Team members then discussed what they felt were our agency’s

Strengths, Weaknesses, Opportunities and Threats. Our Health Education intern then compiled the team’s responses in

each of the four categories.

The same overview of strategic planning and the SWOT analysis was also conducted by the Health Education Director and

intern during a Board of Health meeting. Interestingly there were many similarities in the responses of the two groups;

however, many of the responses were categorized differently (i.e., there were areas where our Management Team felt we

were weak; and the Board of Health saw these areas as strengths.)

Following the Management Team and Board of Health meetings, the Health Education Director and intern compiled the input

collected from both groups as they related to each of the four SWOT categories. During a follow-up meeting of our

Management Team, the results of the two analyses were shared. Each team member was provided a summary sheet; and

then asked to rank what he/she felt were our agency's “top 3” Strengths, Weaknesses, Opportunities, and Threats. The

following instructions were provided to team members - “In each of the 4 categories (Strengths, Weaknesses, Opportunities,

and Threats), rank the top 3 priorities based upon the following: (1) Magnitude: How many persons does the problem

affect, either actually or potentially? (2) Seriousness of the Consequences: What degree of disability or premature death

occurs because of the problem? What are the potential burdens to the community, such as economic or social burdens? and

(3) Feasibility of Correcting: Is the problem amendable to interventions?”

The Health Ed. Director and intern then tallied the rankings, which allowed them to narrow the 3 selections in each

category down to the 1 most commonly selected Strength, Weakness, Opportunity and Threat; and during another follow-

up Management Team meeting, each member was given a sheet with the feedback now narrowed to 1 item in each

category. Team members were asked to provide in writing “3 strategies” pertaining to the selected Strength, Weakness,

Opportunity, and Threat.

A thorough analysis of feedback provided by both Management Team and Board of Health members indicated that our

intrinsic strategic plan goals, based upon the consensus of the groups, are as follows; (1) Improve marketing of our public

health agency and the services we provide (i.e. “People don’t know what we do; we don’t sell ourselves.”); (2) Improve

efforts to secure increased funding (i.e. “Convince the county to give us more $ money”; “Research and apply for more

grants.”); (3) Improve efforts to generate revenue (i.e. accounts receivable); and (4) Improve communication among staff,

as well as with our consumers (i.e. “If we provide services in a friendly manner; word of mouth will help us reach greater

numbers of persons in need of our services”).

Another Management/Strategic Planning Team meeting was conducted for the purpose of developing objectives and

activities relative to the aforementioned intrinsic goals. We agreed that our that our strategic plan should also encompass

the 2 priority areas (Obesity and Substance Misuse/Abuse) cited in the 2014 CHA. These 2 priorities are cited in our

strategic plan as impact goals.

Update: Our 2016-2019 strategic plan initially incorporated the 2014 CHA priorities (obesity and substance

misuse). Since then, we have incorporated the 2017 CHA, which resulted in the addition of a 3rd priority area

(Social Determinants of Health/Education).

Strategic Planning Process Continued

SWOT Analysis – Includes Management/Strategic Planning Team and Board of Health

Responses Strengths:

Latest technology

Electronic Medical Records

More patient education and technology

Marketing/contact in the community/visibility

Strong relationship with hospital and other health

care organizations

Relationship with UNCP Nursing Program

Grant writing

Outstanding Board, strong leadership

Diversity, energy (employees)

Variety of services/Available to everyone

Open to trying new things

Home health

ADA program

County cars and Child Health bus

Prescription medicine drop

Forms online

Weaknesses:

People don’t know “what we do…need to stress

more…market ourselves more”; “we don’t “sell ourselves”

Public awareness using social media

Website (access to public, as well as employees –

example: employees’ access to policies, other employee

updates)

Patient waiting times

Hard to get appointments

Funding and staffing

Communication without alienation

Opportunities:

LARCS

Grant funds

EBT cards for WIC

Walking trails

Policies (i.e. smoke free/tobacco free multi-unit

housing, municipalities)

Naloxone Initiative (education)

Bill re: needle exchange program

Alerts, via phone and text messages

Using computers to stay aware

Threats:

Lack of funding

Funding for Medicaid/Medicaid reform

Sliding fee schedule (difficult to generate revenue)

Less staff

Competitive salaries

Need for more marketing

People abusing or taking advantage of our services

Unrecognized potential health threats, such as Zika Virus

Primary care

Immunization Rates

Flu Shots offered at pharmacies, etc.

2014 Community Health Assessment

Every three years, Robeson County completes a comprehensive community health assessment (CHA). The assessment process is a collaborative effort involving the Robeson County Health Department, Southeastern Health and the Healthy Robeson Task Force; which is inclusive more than 40 non-profit, government, faith-based, education, media, and business organizations. Working with our partners, the assessment included collecting information from opinion surveys, listening tours, and other data that addresses community health needs an resources. When our strategic plan was initially drafted, findings of the 2014 CHA were incorporated into our goal setting. Since then, we have completed the 2017 CHA; thus resulting in both familiar and new priorities. Our 2016-2019 strategic plan now reflects focus areas/goals based upon both the 2014 and 2017 assessments and corresponding action plans.

Leading Causes of Death Heart Disease, Cancer, Alzheimer’s Disease,

Diabetes & Cerebrovascular Disease

Priority Health Issues Chronic Disease, Illegal Drug Use, Prescription

Drug Abuse, Obesity, Gangs/Violence

Priority Risk Factors Job Opportunities, Healthier Food Choices,

Additional Health Services, Wellness, Recreational

Facilities/Safe Places to Walk and Play

Leading Factors Affecting Families Seeking

Medical Treatment

Lack of Insurance, Wait Too Long at Doctor’s

Office, Transportation, Fear/Not Ready to Face the

Problem, No Appointments Available

Barriers Impacting Quality of Health Care Economic, Literacy, Age, Race, Language

2014 CHA Priorities: Focus: Chronic

Disease

Management &

Prevention

Priority 2: Substance Misuse

& Abuse

Priority 1: Obesity

Physical

Activity

Nutrition Tobacco Prescription

Drugs

Alcohol

Strategic Goals (2014 CHA)

Chronic Disease Prevention

Increase the percentage of Robeson

County residents who are physically active

Substance Misuse

Decrease prescription drug misuse among

Robeson County residents

Objective 1: Implement a community-wide campaign to promote physical activity.

Activities Lead Entity Partners Timeframe

October 2016-December 2019

Media, community

presentations,

worksites, churches,

schools

Robeson

Community

College Adult

Basic Education

Program,

Robeson Road

Runners,

Department of

Social Services,

Housing

Authority,

Robesonian

newspaper,

Robeson County

Health

Department and

Southeastern

Health Public

Information

Officers

2016

• Worksite Wellness Programs – Local

Industries (including Campbell Soup,

Mountaire Farms, Prestage Foods, Smithfield

Foods)

• Girls on the Run local middle schools

• Innovative Approaches Grant - Recreational

Activities for Children and Youth with Special

Health Care Needs

• FFESMM (Robeson County churches and

regional churches via Obesity, Diabetes Heart

Disease and Stroke Prevention (ODHDSP)

Grant

• Annual UNCP Wellness Fair for students and

community

2017 same as above

2018 same as above

2019

Goal 1: Chronic Disease Prevention/Increase the percentage of Robeson County

residents who are physically active (2014 CHA)

Objective 2: Enhance infrastructure that supports physical activity among adults and

children

Activities Lead Entity Partners Timeframe


Develop community trails

(walking and bicycling) and

promote use to increase

physical activity

Healthy Robeson Task Force Community residents,

community organizations

and citizen groups (i.e.,

walking groups; bicycling,

running and outdoor clubs),

Robeson Road Runners,

Public and Private land

owners, community leaders,

local businesses, local

media, health care

providers, Robeson County

Health Department, Parks

and Recreations Dept.,

Dept. of Transportation,

government agencies, law

enforcement agencies, trail

planning design and

construction experts, local

and state policy makers

2016

• International Walk and Bike

to School Day events in

Robeson and NC Region 8

counties

• ODHDSP NC Region 8 –

worksites, faith-based,

community – assistance

with trails (development

and signage)

2017 same as above

2018 same as above

2019

Goal 1: Chronic Disease Prevention/Increase the percentage of Robeson County

residents who are physically active (2014 CHA)

Objective 1: Educate residents regarding prescription and illicit drug overdose and the

associated risks

Activities Lead Agencies Partners Timeframe

October 2016-December

2019

Enhance knowledge, via youth

rallies, regarding prescription

and illicit drug use and the

associated risks

Southeastern Health and

Robeson County Health

Department

Robeson County Substance

Abuse Coalition, Robeson

County Sheriff’s Department,

Lumberton Police

Department, Safe Kids

Coalition, Public Schools of

Robeson County, Robeson

Health Care Corporation

Project Graduation – 2016,

2017, 2018

“Keys to Life” programs at

local high schools

Local “Stories of Recovery”

panel presentation conducted

during 2017 annual Board of

Health meeting

Youth Leadership Training

Middle and High Schools –

2018

2019

Goal 2: Decrease prescription substance misuse among Robeson County residents

(2014 CHA)

Objective 2: Enhance the communication skills of medical providers and pharmacists to

encourage discussions about prescription drug abuse with patients during

routine office visits


Provide routine training

opportunities for medical

providers and pharmacists



Department


Abuse Coalition, Project

Lazarus


• 2016

• 2017

• “Call to Action” –

Roundtable Discussions

with providers,

pharmacists, law

enforcement, EMS,

community

• 2018 same as above

• 2019

Goal 2: Decrease the percentage of prescription substance misuse among Robeson

County residents (2014 CHA)

Objective 3: Focus on a campaign regarding proper storage and disposal of medications (prescription and

non-prescription)



Track and report number of

requests for home medication

lock boxes



Department



County Safe Kids Coalition,

Lumberton Police Department,

Robeson County Sheriff’s

Department

Conduct take-back events (i.e.

Operation Medicine Drop) twice

annually (spring and fall)



Department






Department

• 2016, 2017, 2018 – Operation

Medicine Drop conducted

• 2019

Track number of pills returned

at take-back events (i.e.

Operation Medicine Drop) and

disposed of at Robeson County

Sheriff’s Department



Department






Department

• 2016 - 110,962 pills (no fall

take back event conducted

due to Hurricane Matthew)

• 2017 - 269,273 pills (2

events)

• 2018 – 46,387.5 pills (spring

event; fall event TBA)

• 2019

Update: Placement of

Medication Drop Boxes

• 2018 – 2 community

pharmacies (Brisson Drug in

St. Pauls and Lumberton

Drug; 2 Robeson Health Care

Pharmacy sites; 2 at


Dept.; 1 at Red Springs

Police Department



Objective 4: Require all Robeson County providers and pharmacists to utilize the

Controlled Substance Reporting System (CSRS) when requiring controlled

substances (schedule 2-5)


Develop and implement a

policy enforcing utilization of

CSRS



Department


Abuse Coalition


• Ongoing promotion of NC

Controlled Substance

Reporting System



2017 Community Health Assessment

Based on the responses received in the 2017 community health assessment, three priority areas were

identified: obesity, substance misuse, and social determinants of health (education). Efforts to address

chronic diseases and substance misuse are a continuation (and expansion) of efforts that began in 2014.

Leading Causes of Death Heart Disease, Cancer/Stroke/Cerebrovascular

Disease, Homicide/Violence, Diabetes

Priority Health Issues Chronic Disease, Prescription Drug Abuse, Illegal

Drug Abuse, Alcohol Abuse, Obesity

Priority Risk Factors Job Opportunities, Healthier Food Options, Mental

Health Services, Recreation Facilities, Safe Places

to Walk/Play

Leading Factors Affecting Families Seeking

Medical Treatment

Unable to Pay, Lack of Insurance, Fear, Lack of

Knowledge/Understanding of Need, No

Appointments Available

Barriers Impacting Quality of Health Care Economic, Literacy, Race, Sex/Gender, Language

Barrier

2017 CHA Priorities: Focus:

Chronic Disease

Management & Prevention

Priority 2:

Substance Misuse/

Mental Health

Priority 1:

Obesity

Physical

Activity

Nutrition Tobacco

Prescription

Drugs

Alcohol

Priority 3:

Social Determinants

Of Health

Education

Strategic Goals (2017 CHA)

Chronic Disease Prevention and

Management – Obesity Prevention

Substance Misuse/

Mental Health

Social Determinants of Health

County: Robeson Period Covered: 2017-2020 Partnership/Health Steering Committee, if applicable: Healthy Robeson Task Force Community Health Priority identified in the most recent CHA: yes(Chronic Disease number one priority) Local Community Objective: (Working description/name of community objective) Chronic Disease Prevention (check one): New x Ongoing (addressed in previous Action Plan)

Baseline Data: (State measure/numerical value. Include date and source of current information): 23.3- 24% of population reports having at least one chronic health condition(BRFSS Data, 2015) 24.2% dies from cardiovascular disease, 19% from cancer, 5.0% from diabetes and all of which have been linked to lifestyle behaviors such as physical inactivity and nutrition(North Carolina State Center for Health Statistics, 2015).

For continuing objective provide the updated information: (State measure/numerical value. Include date and source of current information): For Columbus residents, 24.2% died of cardiovascular disease in 2015 and 19% die from cancer (NC State Center for Health Statistics/not age adjusted)

Healthy NC 2020 Objective that most closely aligns with focus area chosen below: Reduce the cardiovascular disease mortality Population(s) Describe the local target population that will be impacted by this community objective: Chronic Disease and Obesity objectives will be focused on minority

populations in the county due to the following statistics provided by the CDC(2016):

Heart Disease rates among African Americans is 188.4, 190.5 among American Indians compared to 161.5 of Whites

A comparison of rates by race reveals that black women and men have much higher coronary heart disease (CHD) death rates in the 45–74 age group than women and men of the three other races.

• A higher percentage of black women (37.9%) than white women (19.4%) died before age 75 as a result of CHD, as did black men (61.5%) compared with white men (41.5%).

• The same black-white difference was seen among women and men who died of stroke: a higher percentage of black women (39%) died of stroke before age 75 compared with white women (17.3%) as did black men (60.7%) compared to white men (31.1%).

A. Total number of persons in the target population specific to this action plan: 63.3% of population; 25.11 % African American and 38.02% American Indian(approx. number= 83,000, 33,500 African Americans, 50920 American Indians)

B. Total number of persons in the target population to be reached by this action plan: 500 African American adults and American Indians

C. Calculate the impact of this action plan: 1% of minority populations in the county, including African Americans and American Indians

(Total # in B divided by total # in A) X 100% = of the target population reached by the action plan.)

Goal 1: Chronic Disease Prevention and Management/Obesity Prevention

(2017 CHA)

Strategy/Intervention(s) Strategy/Intervention Goal(s) Implementation

Venue(s)

Resources Utilized/Needed

for Implementation

Name of Intervention: Chronic Disease Self

Management (Stanford University)

Community Strengths/Assets: Many of these

workshops have been implemented in Robeson

County faith organizations, and 2 Master

Trainers are available to assist with workshops

S.M.A.R.T Goals: By May 31 2020 - 4 Chronic

Disease Self-Management workshops will take

place among African American and American

Indian (2 at each) local faith organizations.

Target

Population(s):

African

American adults

Venue: faith

organization

Resources Needed: Monies to

support Chronic Disease Self-

Management workshop

materials, including participant

books; staff time

Name of Intervention: Faithful Families

Diabetes Prevention Program

Community Strengths/Assets: 2 individuals have

been trained in the Faithful Families

Curriculum, and this program has also been

delivered at faith organizations

S.M.A.R.T Goals: By May 31 2020 Faithful

Families workshops will be held at 2 African

American and 2 American Indian faith

organization.

• September 2018 - Completed

Faithful Families 9 week program

at St. Joseph’s Miracle Revival

Center in Red Springs.

• East Lumberton Church of God

currently on waiting list.

• Additional churches in Robeson

seeking to implement Nutrition and

Beverage Standards.

Target

Population(s):

African

American

Adults

Venue: faith

organization

Resources Needed: monies

will be needed to support the

implementation of Faithful

Families to purchase

supplies/materials for the

classes; staff time

County: Robeson Period Covered: 2017-2020 Partnership/Health Steering Committee, if applicable: Healthy Robeson Task Force Community Health Priority identified in the most recent CHA: yes(Substance Abuse recognized as number 2 concern of residents) Local Community Objective: (Working description/name of community objective) Substance Abuse (check one): New x Ongoing (addressed in previous Action Plan)

Baseline Data: (State measure/numerical value. Include date and source of current information): Robeson County has an average of 113.3 opioids(pills) per resident and statewide average is 78.3; Robeson has 147.6 opioid prescriptions per resident with statewide average 1.06; Robeson had 11 overdose deaths in 2017 as of July 2017(all data North Carolina State Center for Health Statistics, 2017)

For continuing objective provide the updated information: (State measure/numerical value. Include date and source of current information):

Healthy NC 2020 Objective that most closely aligns with focus area chosen below: Reduce the unintentional poisoning mortality rate (per

100,000 population).

Describe the local target population that will be impacted by this community objective:

A. Total number of persons in the target population specific to this action plan: approx. 45% of Robeson residents are between the ages of 18 and 65=49,500

B. Total number of persons in the target population to be reached by this action plan: 4950

C. Calculate the impact of this action plan:

(Total # in B divided by total # in A) X 100% = of the target population reached by the action plan.) 10% Healthy North Carolina 2020 Focus Area Addressed: Each of the two CHA priorities selected for submission must have a corresponding Healthy NC 2020 focus area that aligns with your local community objectives.

Check below the applicable Healthy NC 2020 focus area(s) for this action plan. For more detailed information and explanation of each focus area, please visit the following websites: http://publichealth.nc.gov/hnc2020/foesummary.htm AND http://publichealth.nc.gov/hnc2020/

Goal 2: Substance Misuse/Mental Health (2017 CHA)


Venue(s)Resources Utilized/Needed

for Implementation

Name of Intervention: Family Drug Treatment

Court

Community Strengths/Assets: Work around

substance abuse prevention has occurred for the

past 5 years

S.M.A.R.T Goals: By May 31 2020, approx.

500 individuals will have been reached through

the family drug treatment court program in

Robeson county

Target

Population(s):

Robeson

residents over

the age of 18

Venue: judicial

Resources Needed: assistance

from Robeson Healthcare

Corporation, Robeson

Department of Social

Services, Robeson County

law enforcement, Healthy

Robeson Task Force

Name of Intervention: Increase the number of

drug takeback events

S.M.A.R.T Goals: By May 31, 2020 4

takeback events will have occurred

2018 Update – Spring “Operation

Medicine Drop” take-back event

resulted in 46387.5 (61.85 lbs.) pills

collected.

Fall “Operation Medicine Drop” event

conducted on October 25, 2018; and

final count of pills collected not yet

available.

Target

Population(s):

Community at

large

Venue:

Robeson Law

Enforcement

Resources Needed:

Resources from

Lockyourmeds.org; Robeson

County Safekids, Local Law

Enforcement,

Goal 3: Social Determinants of Health – Improving Education, Resources and

Collaboration (2017 CHA)

County: Robeson Period Covered: 2017-2020 Partnership/Health Steering Committee, if applicable: Healthy Robeson Community Health Priority identified in the most recent CHA: Determinants of Health (Education) Local Community Objective: (Working description/name of community objective) Improving Education, Resources and Collaboration (check one): x New Ongoing (addressed in previous Action Plan)

Baseline Data: (State measure/numerical value. Include date and source of current information): 2016 US Census Data indicates that 30.6% of Robeson residents live in poverty; 72.9 % are high school graduates; 2015 USDA data indicates that Robeson is persistently poor, for both adults and children

For continuing objective provide the updated information: (State measure/numerical value. Include date and source of current information):

Healthy NC 2020 Objective that most closely aligns with focus area chosen below: Increase the four-year high school graduation rate; Decrease the percentage of people living in poverty

Population(s)

Describe the local target population that will be impacted by this community objective: Middle and high school students enrolled in Robeson County Public Schools, School Administrators, Local Public Health Officials, Board of Education, Robeson Community College

A. Total number of persons in the target population specific to this action plan: 25% of the population are under the age of 18(approx.)

B. Total number of persons in the target population to be reached by this action plan: 420 middle school students; Purnell Swett High School 10th graders= estimated 425 students

C. Calculate the impact of this action plan:

(Total # in B divided by total # in A) X 100% =3% of the target population reached by the action plan.) Healthy North Carolina 2020 Focus Area Addressed: Each of the two CHA priorities selected for submission must have a corresponding Healthy NC 2020 focus area that aligns with your local community objectives.

Check below the applicable Healthy NC 2020 focus area(s) for this action plan. For more detailed information and explanation of each focus area, please visit the following websites: http://publichealth.nc.gov/hnc2020/foesummary.htm AND http://publichealth.nc.gov/hnc2020/


Venue(s)

Resources Utilized/Needed for

Implementation

Name of Intervention: WhyTry Resilience-

EVIDENCED BASED Strategy

Community Strengths/Assets: Communities in School of

Robeson County has Student Support Specialists in

schools already placed; grant funded program

S.M.A.R.T Goals: By May 31, 2018 420 middle

school students will have participated in the “WhyTry”

Resilience Program

12 sessions using the WhyTry EBS

concluded in May 2018, with 450

children impacted. Funding for

implementation via a GSK Ribbon of

Hope Grant. Grant funds should allow

for EBS implementation over next 2

years.

Target

Population(s):

Middle School

Students, Robeson

County

Venue: 7 Middle

Schools

Resources Needed: Why Try

Training completed by staff located

in the 7 middle schools and

adequate time to implement the

program; continued grant support;

parental and community

involvement

Name of Intervention: Jobs for America’s

Graduates(JAG)- EVIDENCED BASED Strategy

Community Strengths/Assets: A certified teacher will

be trained in the JAG program and will be supported by

Communities in Schools of Robeson County; grant

funded program

S.M.A.R.T Goals: By May 31, 2019 Rising 10th

graders at Purnell Swett High School will(estimated

400 students) will have completed the JAG program

Erica Freeman, JAG instructor at

Purnell Swett High, will mentor 25

students for support – post H.S.

graduation.

Target

Population(s):

rising 10th graders

Venue: Purnell

Swett High School,

Pembroke

Resources Needed: JAG Program

training for one certified teacher;

adequate time to implement the

program; continued grant support;

parental and community

involvement

Name of Intervention: Supplementary Strategy(not

evidenced based) Single Stop at Robeson Community

College

S.M.A.R.T Goals: By May 31, 2019 Robeson

Community College will implement a Single Stop

Program

Single Stop Resource Center At

Robeson Community College -

initiated September 2018 – RCHD

Health Education Staff present at RCC

bi-weekly (on Tuesdays and

Wednesdays)

Target

Population(s):

Robeson

Community

College Students,

Staff, Community

Members

Resources Needed: Single Stop

will serve as a resource center for

students, staff and community

members to provide information

regarding community support

services from non-profits,

community agencies/organizations,

etc.

Participation from various

organizations will be necessary to

provide the Robeson Community

College Community with accurate

and timely resources and support

services

Name of Intervention: Supplementary Strategy(not

evidenced based)Joint Partnership established with

Board of Education, Board of Health, Robeson

Community College

S.M.A.R.T Goals: By May 31, 2020 Robeson County

Board of Education, Board of Health, Robeson

Community College will hold a joint meeting and

establish a plan of action to collaborate

Target

Population(s):

Board members

representing 3

Resources Needed: Time and

dedication provided by all board

members; facilitator to guide

discussions for a common future

Strategic Goals (Intrinsic)

Improve marketing of our public health

agency and services provided

Secure increased funding for public health

programs

Improve efforts to generate increased revenue

from services provided

Improve communication among our staff, as

well as with our consumers

Objective 1: Update the health department’s website

Activities Lead Person(s) Partners Timeframe

Survey RCHD Management

Team and Staff regarding

existing website (to assess their

opinions regarding

format/design, content,

accuracy, timeliness of

information, ease of access, etc.)

Whitney McFarland, RCHD


Michael Sampson, RCHD


RCHD Management Team,

Program Coordinators

October 2016- December 2016

• Completed 2016

Select a Consumer Review

Panel and survey panelists to

assess their opinions as to

whether or not RCHD’s current

website user-friendly.







January 2017-February 2017

• Health Education Staff with

assistance from Health

Career Connection summer

interns 2017

Evaluate feedback from

Management Team, Staff, and

Consumer Review Panel







March 2017

• Health Education Staff with

assistance from Health

Career Connection summer

interns 2017

Coordinate with qualified UNC-

Pembroke intern to update

RCHD website in accordance

with assessment findings





UNC-Pembroke Department of

Health Education/student

internship Coordinator

April 2017

• Health Ed. Staff,

Management Team, Beasley

Media Group collaborated

on design, development,

content

Maintain newly website to

include program updates,

changes in fee schedules,

special announcements, etc.







• Ongoing updates

Goal 1: Improve marketing of our public health agency and services provided

Objective 2: Utilize social media as a marketing tool


Review/seek clarification on

Robeson County Government’s

policy restricting the use of

social media in county

departments.


Computer Systems

Administrator

Terry Buchanan, Robeson

County Director of Computer

Operations

January 2017

• Completed

Inquire/visit with other local

health departments/human

service agencies to gain insight

as to their use of social media

and its effectiveness in

community health education

and increased service

utilization

Niakeya Jones, RCHD Health

Education Director; Whitney

McFarland, RCHD Health

Promotion Coordinator; Melissa

Packer, RCHD Assistant

Health Director

Computer Systems Staff and

Health Education staff from

health department’s within our

region and state

January – March 2017

• Completed

Following county policy review

and inquiries with other

health/human service

agencies, begin using social

media as a public health

marketing tool, if applicable.


Education Director; Whitney

McFarland, RCHD Health

Promotion Coordinator; Melissa

Packer, RCHD Assistant

Health Director; RCHD

Program Directors


Computer Systems

Administrator; Terry Buchanan,

Robeson County Director of

Computer Operations

June 2017-ongoing

• Agency’s

Media/Marketing/

Communications Policy

Updated in Spring 2018 to

include social media

• Health Department

Facebook Page

established in Spring 2018

• 2019 -


Objective 3: Encourage our in-house providers to refer their patients to other

services located within our health department


Update and distribute

program referral form to

be used by all “in-house”

providers

Beth Rowell, RCHD

Patient Care Director;

Ann Hall, RCHD Patient

Care Program Assistant

RCHD Clinic and Non-

Clinic Staff; Contract

Clinical Staff (i.e.

Pediatric Primary Care

Providers from

Lumberton Children’s

Clinic; OB Providers from

Southeastern Health)

January 2017

• ongoing

Nurse Family Partnership

Program “pilot” central

intake form

Darlene Gold, NFP

Supervisor (Robeson

and Columbus counties)

All NFP staff January 2017 - ongoing

• 2018 – Development

of Home Visiting

Referral Decision

Tree in Progress

Ensure that every new

public health employee is

fully oriented to our

health department (i.e.,

“Public Health 101”

presentation that

includes mission, core

functions, essential

services, governance,

etc.)

Yulonda McLean, RCHD

Personnel Director;

Kimberly Maynor,

Personnel Assistant

RCHD Program

Managers

January 2017 - ongoing

Goal 1: Improve marketing of our public health agency and the services we provide

Objective 4: Better utilization of our agency’s electronic message board


Assess existing

equipment to

locate/correct any

existing “glitches”

resulting in poor

functionality. Correct

“equipment issues”; thus

allowing new messages

to be easily uploaded.

Michael Sampson,

RCHD Computer

Information Systems

Director

County IT staff, if

applicable

October 2016- ongoing

RCHD Management

Team will ensure that IT

and Health Ed. Staff are

provided updated

messaging, as well

provided desired

timeframe for message

“start” and “stop” dates.

RCHD Program

Managers

Michael Sampson,

RCHD Computer

Information Systems

Director; Whitney

McFarland, RCHD

Health Promotion

Coordinator

October 2016- ongoing

Goal 1: Improve marketing of our public health agency and the services we provide


Objective 5: Promote public health programs through the use of

local/regional paid media campaigns, as well as “free”

public awareness opportunities


Develop/pilot/implement new Robeson

County Health Department logo

Niakeya Jones, RCHD

Health Education Director;

Melissa Packer, RCHD

Assistant Health Director;

RCHD Health Education

Staff

RCHD

Management

Team; Marketing

Professional;

Graphic

Designers

January 2017-

June 2017

• Incomplete

as of

summer

2018

Develop/pilot/implement Robeson

County Health Department marketing

“catch phrase”

Niakeya Jones, RCHD





Staff

RCHD

Management

Team; Marketing

Professional;

Graphic

Designers

January 2017-

June 2017

• Incomplete

as of

summer

2018

Regularly review, and update when

applicable, RCHD “Media, Marketing

and Communications Policy”

Niakeya Jones, RCHD





Staff

RCHD

Management

Team

October 2016-

ongoing

• Policy

revised

Spring 2018

Objective 5 Continued: Promote public health programs through the use of local/regional

paid media campaigns, as well as no-cost public awareness

opportunities


Utilize media funding available through Region 8

Obesity, Diabetes, Heart Disease, Stroke Prevention

Program (ODHDSP) to purchase/place diabetes and

hypertension awareness billboards throughout the

region; develop radio campaigns to educate

consumers region-wide regarding diabetes and

hypertension; maintain “Live It NC” website and

newsletters, etcetera.

Elisabeth Baynard, Community

Health Systems Coordinator,

ODHDSP Region 8; Travis Greer,

Worksite-Faith Coordinator,

ODHDSP Region 8

Regional health care

providers, worksites,

churches, and other

partners representing

Bladen, Brunswick,

Columbus, Duplin,

New Hanover Onslow,

Pender, Robeson and

Sampson Counties

October 2016-

December 2019

• Accomplished

• Billboards

• Radio

• Website

• Newsletters

• Years 2016,

2017, 2018

Work with NC DHHS Media Buyer to purchase radio

and TV ads, within our media market, focusing on

tobacco use and breastfeeding promotion

Beth Rowell, RCHD Patient Care

Director; Melissa Packer, RCHD

Assistant Health Director; Niakeya

Jones, RCHD Health Education

Director; Ernest Watts, Region 8

Tobacco Control Manager

NC DHHS/Improving

Community Outcomes

for Maternal and Child

Health Initiative

(ICO4MCH)

Accomplished• ICO4MCH

media

campaigns

(LARC, CEASE,

Breastfeeding

2016)

• LARC

billboards 2016,

2017, 2018

• Native

American youth

tobacco social

media

campaign 2018

• Ongoing media

coverage – NC

Region 8

Tobacco

Prevention


Objective 5 Continued: Promote public health programs through the use of local/regional

paid media campaigns, as well as no-cost public awareness

opportunities


Collaborate with Southeastern Health to apply for

“Healthy People, Healthy Carolinians” funding through

The Duke Endowment. If awarded, funds will be used

to hire Healthy Robeson Task Force Coordinator and

Marketing Coordinator.


Education Director; Elizabeth Hunt,

Lekisha Hammonds, Phillip

Richardson – Southeastern Health

Healthy Robeson Task

Force

January 2017-

ongoing

• Funding

Awarded

• Evidence-

Based

Strategies

Selected

• Health

Department

serves on

HPHC Core

Team

Maintain biweekly public health column in local daily

newspaper

Bill Smith, RCHD Health Director RCHD Management

Team

October 2016-

ongoing

Dedicate greater attention to submitting award

nominations for public health staff/programs/partners

worthy of recognition.

Melissa Packer, Assistant Health

Director; Bill Smith, RCHD Health

Director

RCHD Management

Team

October 2016-

ongoing

• September

2017 Wolfe

Mini Grant

awarded for

“Project

PHOTO” –

obesity

simulation

software and

nutrition

education

campaign


Objective 1: Establish an agency grant writing team and increase # of grant funding

opportunities pursued


Carefully review RFA’s/ RFP’s to

assess applicability and approach

(i.e. Identify strategies and

collaborations necessary to fulfill

funding stipulations)

Melissa Packer, RCHD Assistant

Health Director

RCHD Management Team October 2016-ongoing

Ensure that grant writing team

members are selected according to

their area of expertise as it relates

to specific grant(s) applied for


Health Director


Make assignments and set firm

deadlines when collecting specific

information/data needed to meet

each component of the completed

funding proposal


Health Director


• MAP grant awarded 2017

• Wolfe mini grant awarded

2017

• ICO4MCH expansion grant

awarded 2018

• Community Health Grant

awarded 2018

• REACH grant submitted July

2018; grantees to be notified

in September 2018

• Wolfe mini grant submitted

July 2018; grantees to be

notified in September 2018

• AP3 RFA to be released

August 2018

• Innovative Approaches RFA

to be released October 2018

2019

Goal 2: Secure increased funding for public health programs

Objective 2: Advocate for county administrators to increase annual funding allocation to public

health department


Develop a public health

consumer advocacy group;

encourage representatives from

the group to share their personal

stories/testimonies as to how

local public health department

services have positively

impacted the heath and

wellbeing of themselves, their

children and families, etc.

RCHD Health Education Team RCHD Management Team January 2017-ongoing

No Progress as of 2018

Provide assistance to consumer

advocates to ensure they are

included on county

administrators’ meeting

calendars/agendas

RCHD Management Team RCHD Management Team January 2017-ongoing


Provide assistance to consumer

advocates by proofing

notes/handouts, etc. that are

shared during presentations to

administrators/stakeholders

RCHD Management Team RCHD Management Team January 2017-ongoing


Goal 2: Secure increased funding for public health programs

Objective 3: Look at funding sources other than grants

Activities Lead Person Partners Timeframe

Establish a separate

Foundation

Management Team TBD July 2017-ongoing

No updates

Seek contributions from

charitable organizations


No updates

Encourage businesses to

“buy in” to the mission and

vision of public health – and

donate funds annually


No updates

Facilitate better business

negotiation skills for RCHD

Management Team staff


No updates

Goal 2: Secure increased funding for existing and new programs

Objective 1: Increase fees for services provided


Annual

review/adjustments to

agency fee schedule(s)

Heidi Bruce, RCHD

Billing/Contracts

Manager

RCHD Management

Team; Robeson County

Board of Health

2016-2019 (Annually)

Comparison of fees to

neighboring counties of

similar socioeconomic

status

Heidi Bruce, RCHD

Billing/Contracts

Manager

RCHD Management


Board of Health


Set fees based on our

costs for providing the

service(s)

Heidi Bruce, RCHD

Billing/Contracts

Manager

RCHD Management


Board of Health


Goal 3: Improve efforts to generate increased revenue

Objective 2: Provide more reimbursable services

Activities Lead Person Partners Timeframe

Seek reimbursement

for patients served

via our ADA

recognized Diabetes

Education Program

Monica McVicker,

RCHD Nutrition Director

Traci Bruce, RCHD

Finance Director; Heidi

Bruce, RCHD Billing

Manager; and third

party pay source(s)


Ongoing

Seek reimbursement

for patients served

via our Medical

Nutrition Therapy

Program

Monica McVicker,

RCHD Nutrition Director

Traci Bruce, RCHD


Bruce, RCHD Billing

Manager; and third

party pay source(s)


Ongoing

Seek reimbursement

for patients served

via our Maternity

ultrasounds –

contract with hospital

Barbie Britt, RCHD

Women’s Health

Supervisor

Traci Bruce, RCHD


Bruce, RCHD Billing

Manager; and third

party pay source(s)


Ongoing


Objective 3: Improve follow up regarding delinquent patient accounts


Use business

model/require payment

before service is

provided

Sharon Branch, RCHD

Program Support

Supervisor; Heidi Bruce,

RCHD Billing Manager

RCHD Management

Support Staff (Patient

Registration and

Eligibility)

October 2016-ongoing

Reiterate to patients their

outstanding balances

(Note: BOH approves

Bad-Debt write off

annually; however

patient’s outstanding

balance is reinstated

when patient again visits

health department for

services)

Sharon Branch, RCHD

Program Support



RCHD Management


Registration and

Eligibility)


Contract with a collection

agency to seek payment on

delinquent accounts

Bill Smith, RCHD Health

Director; Traci Bruce,

RCHD Finance Director

Robeson County

Administrators


Enhance efforts to collect

fees for services such as

TB skin tests and

immunizations

Sharon Branch, RCHD

Program Support



RCHD Management


Registration and

Eligibility)



Objective 1: Customer satisfaction surveys


Suggestion box for

consumers

Sharon Branch; RCHD

Program Support

Supervisor

RCHD Management

Team


Ensure every public

health program will

complete patient

satisfaction surveys twice

each year

RCHD Program

Managers

RCHD Consumers October 2016-ongoing

Create link on website for

customer satisfaction

survey/comments section

Michael Sampson,

RCHD Computer

Systems Administrator

RCHD Management

Team; RCHD Consumers


On a regular basis,

review consumer input

and provide and share

feedback during agency

Management Team

meetings

Whitney McFarland;

RCHD Health Promotion

Coordinator

RCHD Management

Team


Utilize consumer input to

improve service delivery

and patients’ satisfaction

with services.

RCHD Management

Team

RCHD Consumers October 2016-ongoing

Goal 4: Improve communication among staff, as well as with our consumers

Objective 2: Improve communication among staff


Ensure all staff are up to

date on management team

meeting minutes

Yulonda McLean,

Personnel Director;

Kimberly Maynor,

Personnel Assistant

Program management ongoing

Include an Employee Page

on Website (drop box) and

maintain current

information, policies, etc.

Michael Sampson,

Computer Systems

Administrator

Yulonda McLean,

Personnel Director;

Kimberly Maynor,

Personnel Assistant

ongoing

Goal 4: Improve communication among staff, as well as with our consumers

Documents

Robeson County Health Department Strategic Plan · strategic planning overview, Ms. Jones and Ms. Proctor defined the SWOT analysis, and explained how this analytical tool is used