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Consolidated Agreement FY 18 Page 2 of 33 8. The Department shall provide to the State a copy of any rules adopted or rescinded by the Local Board of Health pursuant to G.S. 130A-39 and Public Health Ordinances adopted by the County Commissioners, within 30 days of adoption or recision. These rules and ordinances are to be sent to the Local Technical Assistance and Training Branch (LTAT). 9. The Department shall have policies related to conflict of interest, and policies and procedures for Human Subjects Clearance. Each staff member shall receive a copy of these policies. 10. The Department shall provide to the Local Technical Assistance and Training (LTAT) Branch Head or designee: a. A comprehensive community health assessment (CHA), prepared at least once every four years and provided by the first Monday of March, for each county or health district. The CHA should be a collaborative effort with local partners such as hospitals, community partners, and the local Healthy Carolinians Partnership (if such exists), and shall include collection of primary data at the county or district level, and secondary data from the State Center for Health Statistics and other sources. The CHA shall include a list of community health problems based on the assessment and an analysis of the data. Each identified problem shall be prioritized and described in the narrative. The CHA will include data analysis of those indicators listed in the Accreditation Self -Assessment Inventory, Benchmark 1, Activity 1.1. b. An action plan, due no later than the first Monday in September following the completion of the comprehensive community health assessment (CHA) in March. The action plan incorporates three community health problems identified in the CHA process as three priorities. An action plan is written for each priority. 1) Two of the three priorities must be from the 13 Healthy North Carolina 2020 (HNC 2020) focus areas. Each of the two priorities from the 13 HCNC 2020 focus areas must implement two new evidence -based strategies (EBS) each time they are identified as one of the three priorities. If the Department desires to continue implementing an EBS associated with the previous CHA cycle, the Department must show evidence that it is expanding the target population and must request an exception. Requests for exceptions shall be made to the LTAT Branch Head or designee. All EBS shall include a plan for staffing, training, implementation, monitoring and evaluation. 2) The third priority requires an action plan but the intervention or interventions are not required to be evidence -based. Only one intervention is required. c. A state of the county or district health report (SOTCH) for each of the interim years between community assessments. The SOTCH is due by the first Monday of March in years when the CHA is not provided. d. Refer to CHA tools at hM://vublichealth.nc.gov/lhd/cha/resources.htm. 11. The Department shall provide formal training for its Board of Health (BOH). The LTAT Branch shall notify the Department no later than April 30 of the name of the contractor who can provide this training during the upcoming fiscal year. First priority should be given to training newly appointed members with the ultimate goal of having all BOH members trained as time and resources allow. Continuing education updates on topics of special interest are strongly encouraged after general board member orientation has been provided for all BOH Members. 12. The Department shall provide Network and Internet access at its facilities (or to the county network where desired) at a minimum speed of a full T 1 line in order to: