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DHHS DPH SCHS Branches and Programs Local Data Analysis and Support Community Health Improvement Plans and SOTCH Reports

SCHS: LDAS: Community Health Improvement Plans (CHIPs) and State of the County Health (SOTCH) Reports

LDAS has responsibility for the review and approval of all community health assessments (CHAs), community health improvement plans (CHIPs), and state of the county health (SOTCH) reports submitted for local health department accreditation. The CHA-CHIP-SOTCH cycle occurs every three-four years.

Local health departments (LHDs) are required to use Clear Impact ScorecardTM software to track progress on the priorities identified in the community health assessment. Scorecard is based on the Results-Based AccountabilityTM (RBA) framework as described in Trying Hard is Not Good Enough: How to Produce Measurable Improvements for Customers and Communities, by Mark Friedman (2005).

CHIPs are in a continuous state of development and annually reviewed by LDAS at the start of the cycle (September) and thereafter with submission of the SOTCH report (March).

Training and Technical Assistance

  • LHD staff who use Scorecard should receive RBA training, which is available through North Carolina AHEC.
  • Scorecard School is offered twice a year in January (prior to submission of the SOTCH report) and in July (prior to submission of a new CHIP).
  • Technical assistance with CHIPs, SOTCH, and Scorecard is available upon request.
  • The Healthy North Carolina Resource Center ([email protected]) provides assistance with county level population health data.
  • The Scorecard How To Guide (PDF, 4.9 MB) for implementing Clear Impact Scorecard outlines technical aspects of the software.
  • CHIP Program Search Tool

Local Health Department Guidelines

Local Health Department and Tribal Community Health Improvement Plans/SOTCH Reports in Scorecard

Scorecard technology allows consumers to view community health improvement plans as they are being created and updated in local communities. Community health plans are living documents. Browse through this list of active CHIPs to see how local/tribal health departments align with the HNC 2030 indicators.

  Community Health Improvement Plans - Updated 05/13/26

North Carolina Data Portal

North Carolina Data Portal

Last Modified: May 13, 2026