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Community Health Improvement

Community Health Improment Process

The Community Health Improvement Process (CHIP) brings together many diverse partners to improve the health of our community. They align their efforts and support each other for greater collective impact on the priorities identified through our Community Health Assessment.

CHIP collaborators work together to identify priority issues, develop and implement strategies for action, and establish accountability to ensure measurable health improvement, which is outlined in the form of a Community Health Improvement Plan. CHIP looks outside of the performance of an individual organization serving a specific segment of a community to the way in which the activities of many organizations contribute to community health improvement.

Buncombe County got a health ‘check-up’ in 2018 and the results are in! The report about the findings and what we need to focus on improving is found in Buncombe County’s most recent Community Health Assessment Report.

Community Health Assessment Priorities for 2018 - 2021:

  • Birth Outcomes & Infant Mortality: Significant disparities are present in birth outcomes, infant mortality and preconception health for Black and Latinx residents.
  • General Mental Health: General mental health, as well as Depression/Anxiety/Stress were top concerns identified by community leaders.

Buncombe County’s 2018 Community Health Assessment Report

The 2018 Community Health Assessment Report for Buncombe County includes health data that helps us understand which health issues are getting better or worse. We include survey results of a cross-section of adults living in Buncombe County, as well as opinions of leaders and those surveyed about what is affecting health and possible solutions.

Community Health Improvement Process for Selecting Health Priorities

Health and data experts from BC Health and Human Services, MAHEC, and Mission analyzed all of the data and with the help of a diverse team of advisors from the Community Health Improvement Process Advisory Board, identified the health priorities that we can improve -- if we work together.

Just like seeing your doctor, getting the test results back is only part of your “check-up”. The next, important step is deciding what you want to improve AND what actions it will take to make your health better. And that’s what our community is doing.

An Advisory Team of over 30 community leaders reviewed the areas of concern and made tough decisions to select health priorities based on the most concerning health problems that we think we can work together to improve. The health priorities were selected by reviewing the needs assessment results with the following criteria:

  • Relevance – Examined the severity, urgency, connection to other health issues and whether the disease affects people equally
  • Impact - Looked at availability of solutions and proven strategies that improve conditions, opportunities to build on current momentum to make health improvements and significance of consequences if we didn’t focus on the issue right now
  • Feasible – Identified whether there were resources and community will to successfully work together to make improvements

Buncombe County’s Health Priorities for 2018 - 2021

  • Infant Mortality Prevention – Buncombe County has seen an increase in number of infants who died in their first year of life. And almost twice as many African American babies die than white babies, making this a notable health disparity. This is a key community health indicator to help monitor improvements in women’s health, health equity, and poverty. Many important community initiatives are moving forward such as the Success Equation (poverty reduction); Community Centered Health Home (women’s health); Women and Children’s Safety Coalition (domestic & sexual abuse reduction); and Minority Health Project to Improve Chronic Disease Management (health equity).

Buncombe County CHIP Advisory selected the following quality of life conditions that will improve as a result of collective action that impacts our health priorities.

The RESULTS we are working together to achieve are:
Coming soon in fall 2019 following completion of the CHIP Action Plan.

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Locate & Contact

Community Health Improvement Process


Ginger Clough, MPH, BSN, RN
Health Promotions Supervisor
Health and Human Services
P: (828) 250-5436

Hours of Operation

Monday - Friday
8:00 a.m. to 5:00 p.m.

Mailing Address

Health & Human Services
PO Box 7407
Asheville, NC 28802

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