Action Plan: Chronic Disease
GOAL: Reduce the incidence and impacts of chronic disease across Mecklenburg County diverse communities
OBJECTIVE
STRATEGY
1. Increase consumption of
fruits, vegetables and whole
grains
1. Improve healthy eating
and nutrition
2. Decrease consumption of
sugar, salt, fat in foods and
beverages
1. Expand Achieve 225 to all
elementary schools by 2017
2. Increase # of parks with
Fit Zones
2. Increase physical
activity
3. Increase usage of parks
and greenways
4. Improve design of capital
projects to promote physical
activity
TACTICS/ACTIONS
1.1 Increase access to farmers market, school
community gardens, and corner stores
1.2 Educate through classes, workshops, promotion
(social media), and school yard gardens
1.3 Collaboration with academia, faith-based
organizations, business, government that have
common goals
1.4 Policy for community agricultural zones in
Mecklenburg County
1.5 Identify and approach local funders for related
activities and goals
2.1 Educate through cooking classes, information
about healthier fast –food options
2.2 Implement healthy vendor policies
2.3 Counter-advertisement promotion through media
outlets
2.4 Collaboration with academia, faith-based
organizations, business, and government that have
common goals
2.5 Identify and approach local funders for related
activities and goals
1.1 Identify best practices for implementation
1.2 Engage school leadership to adopt A225
1.3 Collect data--fitness/BMI/discipline/attendance
METRICS (SUCCESS CRITERIA)
Increase % farmers market that accept SNAP
and WIC (ensure markets establish in highest
need area--targeted food deserts)
Increase # of new/expanded community/school
gardens
Establish corner store initiative
Double-bucks match at farmers market
established
Increase attendance and knowledge scores at
classes
# of healthy vending policies implemented in
Mecklenburg County
Advertisement campaign measures
Task completion, # of MOU
Task completion
2.1 Install Fitness Zones in X parks (current)
2.2 Promote Fit Zones through Healthy Charlotte
2.3 Develop corporate sponsors
2.4 Track usage
Task completion
# of meetings
# of sponsors
3.1 Market the usage of parks and greenways.
Community survey
4.1 Conduct HIA in conjunction with Blue Line
Extension
4.2 Implement 3 HIAs by 2017
4.3 Increase # of health policies and planning
ordinance in community Master Plans
Task completion
# of HIAs completed
Track # of health policies
Action Plan: Chronic Disease
1. Enact policies to decrease
tobacco use
3. Decrease tobacco use
2. Implement programs to
increase cessation
3. Increase awareness and
education to prevent tobacco
use
1.1 Enact policies to eliminate tobacco use in
Mecklenburg County public parks
1.2 Enact policies to eliminate smoking on County,
City and municipal government grounds
1.3 Voluntary adoption of tobacco-free worksite
policies in businesses in the county
1.4 Enact policies to restrict smoking indoors within
multi-unit housing
1.5 Support state efforts to increase state tobacco tax
1.6 Promote the practice of lower insurance
premiums for non-tobacco users to public and private
employers
Implement and adopt County ordinance for
tobacco free parks
Implement and adopt BOCC rules
# of worksite policies
Price of tobacco tax
Chamber survey of and /or employers HR
professionals
2.1 Advocate for funding for QuitlineNC
2.2 Promote use of QuitlineNC to residents of
Mecklenburg County
2.3 Support funding for “ You Quit, Two Quit”
program
2.4 Increase youth peer education programs for
tobacco prevention and control
2.5 Increase cessation programs for mental healthdetox programs
2.6 Promote comprehensive tobacco cessation
counseling, Nicotine Replacement Therapy and
medication coverage in worksite health benefit plans
# of advocacy efforts
# of QuitlineNC callers from Mecklenburg
County
Supportive local government-passage
Participation rates
Cessation rates /participation rates
Mecklenburg County who are accessing
QuitlineNC
3.1 Engagement of YES! (Youth Empowerment
Solutions), social media and media advocacy
campaigns, increase teen group advocacy for tobacco
prevention and control
3.2 Adult Engagement- National media campaign via
national media campaigns
3.3 Cultural Engagement Material in different
languages, engaging with different groups (churches,
languages clubs, social clubs)
Number of materials/campaigns
Participation # of groups
Response rates (Twitter, Facebook)
Attendee # meetings
Tracking #
Action Plan: Chronic Disease
1. Improve selfmanagement support
4. Improve the selfmanagement of chronic
disease
2. Improve clinical
management of chronic
disease
3. Increase preventative
screenings and wellness
checks
5. Foster active
collaboration and
partnerships that align
with objectives 1-4 of
this plan
1. Identifying Potential
partners and reach out
2. Build community
engagement efforts
1.1 Identify and train community health ambassadors
and leaders in evidence-based interventions (healthy
living, motivational interviewing, etc.)
1.2 Identify available resources and navigate patients
to them
1.3 Develop self-management skills of chronic disease
patients
# of people trained and # of sites
Inventory of resources identified as center of
clearing house
2.1 Develop and implement standardized protocols
2.2 Develop and analyze data linked to patient
outcomes
2.3 Incorporate care coordination/patient navigation
# of protocols adopted
Reductions in ER, preventable hospitalization
readmission rates
3.1 Educate insured population on coverage of
preventive services
3.2 Educate uninsured on free screenings
3.3 Advocate for billing mechanism for providers to
educate on nutrition, physical activity and tobacco
usage
1.1 Target the inclusion of partners that align with
each objectives
1.2 Identify specific partners
1.3 Maintain the list of contacts
1.4 Enter into formal Agreements--MOU, contacts,
LOS, Coalitions
# of screening and wellness checks
Increase # of providers who educate on
nutrition, physical activity and tobacco usage
2.1 Partner with planning during planning efforts in
communities/neighborhoods
2.2 Identify gatekeeper to community
# of meetings, participants, process evaluation,
guiding process
Updated list of contacts,
# new groups over 3 years
# of MOUs # public/private partnerships