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Consolidated Agreement FY23 Page 5 of 28 8) Components of the CHIP may persist across CHA-CHIP cycles when: a) the health problem persists and continues to be a priority; and b) new interventions are needed; and/or c) the interventions need to be expanded to a new target population. c. A state of the county or district health report (SOTCH) during each interim year between community assessments as follows: 1) The SOTCH is due by the first Monday in March in years when a CHA is not submitted. 2) The SOTCH shall be submitted via the web-based software, Clear Impact Scorecard. 3) The SOTCH shall include: a) progress made on each performance measure in the CHIP; b) morbidity and mortality changes since the last CHA; c) emerging issues since the last CHA; and d) new,paused, and/or discontinued initiatives since the last CHA. 2. LHD shall make a written request for any variances in submission of CHA, CHIP, and SOTCH documents in advance of the required date of submission. Emails may be sent to the Director, Community Health Assessment, State Center for Health Statistics at cha.sotch@dhhs.nc.gov. 3. For LHD accreditation, all instances of Clear Impact Scorecard must be linked to the HNC 2030 Scorecard licensed by the Foundation for Health Leadership & Innovation (FHLI). 4. Refer to guidance: https://schs.dph.ncdhhs.gov/units/ldas/cha.htm. II. NCDHHS RESPONSIBILITIES A. Training, Consultation, and Support l. DCFW and DPH shall provide training to LHD for LHD's response to this Consolidated Agreement and to the Agreement Addenda. Upon request, consultation will be provided by DCFW and/or DPH to LHD. 2. DCFW and/or DPH shall provide coordination and support for the education and training for the public health workforce, including developing training opportunities at the Section/Branch/Program level to achieve health equity,promote inclusion of all populations affected by health disparities (including racial/ethnic minority groups and persons with disabilities), and ensure all staff, clinical and non-clinical, have opportunities for training focused on health equity, health disparities, and/or social determinants of health to support individual competencies and organizational capacity to promote health equity. 3. DCFW and DPH shall provide leadership for liaison activities between NCDHHS and LHD for general problem solving and technical support around areas addressed within this Consolidated Agreement. 4. DPH shall provide high-level consultation, technical assistance, and advice to local health directors and teams via the Local and Community Support (LCS) Section. For more information, contact the DPH Deputy Director/LCS Section Chief. Broad content areas include, but are not limited to: a. Board Relations; b. Management Teams and Staffing; c. Policy Development; d. Program Planning and Implementation;