2016 Avery County Community Health Assessment AVERY COUNTY COMMUNITY HEALTH ASSESSMENT ACKNOWLEDGEMENTS This document was developed by Avery County Health Department, in partnership with Health Carolinians as part of a local community health assessment process. We would like to thank and acknowledge several agencies and individuals for their contributions and support in conducting this health assessment: NAME, AGENCY, AND CONTACT INFORMATION Jessica Farley Toe River Health District Health Carolinians of Avery County 861 Greenwood Road Phone: 828-765-2239 Chair Spruce Pine, NC 28777 [email protected] Andrew Brown Toe River Health District Appalachian State University Intern 861 Greenwood Road Phone: 828-208-3234 Spruce Pine, NC 28777 [email protected] Gregory Bing Lees McRae College Avery County Public Health Dept 191 Main Street Phone: 863-884-3129 Intern Banner Elk, NC 28604 [email protected] Bobbie Willard Avery County Cooperative Extension Area Agent 805 Cranberry Street Phone: 828-733-8270 Newland, NC 28657 [email protected] Twila Ingwersen Avery County Schools ACS School Nurse 775 Cranberry Street Phone: 828-733-6006 Newland, NC 28675 [email protected] Rita Smith Lees McRae College Athletic Trainer 191 Main Street East Phone: 828-898-5241 Banner Elk, NC 28604 [email protected] Ruthie Styles Blue Ridge Partnership for Children Community Development Specialist PO Box 1455, Phone: 828-733-2899 Newland, NC 28657 [email protected] Gretchen Summerville Western Youth Network, Inc. Prevention Consultant 155 WYN Way Phone: 828-264-5174 Boone, NC 28607 [email protected] Diane Creek Toe River Health District Health Director 861 Greenwood Road Phone: 828-765-2239 Spruce Pine, NC 28777 [email protected] Deb Gragg Avery County Health Department Nursing Supervisor 545 Schultz Circle Phone: 828-733-6031 PO Box 345 [email protected] Newland, NC 28657 Tiffany Moon OASIS, Inc.: Opposing Abuse with Outreach Coordinator Service, Information, and Shelter Phone: 828-264-1532 PO Box 1591 [email protected] Boone, NC 28607 Kim Cashett Northwestern Regional Housing Family Self-Sufficiency Program Authority Phone: 828-268-5422 Coordinator 869 Hwy 105 Extension [email protected] Boone, NC 28607 Susan Marlowe Access Care of the Blue Ridge Community Project Manager 439 Hospital Drive Phone:828-265-1339 Linville, NC 28646 [email protected] Robbie Willis Avery County Parks and Recreation 2 Director P.O. Box 883 Phone: 828-733-8266 Newland, NC 28657 [email protected] Carmen Lacey Cannon Memorial Hospital CEO 434 Hospital Dr Phone: 828-737-7832 Linville, NC 28646 [email protected] Bob Wilson Daymark Recovery Services Healthcare Director 360 Beech Street Phone: 828-733-9462 Newland, NC 28657 [email protected] Veronica Timbers Smokey Mountain Center Community Based Clinician 379 New Market Blvd Phone: 828-265-5315 Boone, NC 28607 [email protected] Alice Salthouse High Country Community Care CEO 448 Cranberry Street Phone: 828-737-0221 Newland, NC 28657 [email protected] Candace Jones Appalachian Regional Healthcare System Phone: 828-268-8960 Community Outreach 210 Deerfield Road 828-263-2135 Boone, NC 28607 [email protected] Trey Oakley Avery County YMCA CEO PO Box 707 Phone: 828-737-5500 436 Hospital Drive [email protected] Linville, NC 28646 Shelia Bauer Avery County YMCA Wellness Director PO Box 707 Phone: 828-737-5500 436 Hospital Drive [email protected] Linville, NC 28646 Brenda Reece High Country Caregiver Foundation: Area Agents Area Agency on Aging Phone: 828-265-3643 PO Box 3356 [email protected] 468 New Market Blvd. Boone, NC 28607 Brian Whitfield Appalachian Healthcare Project Director PO Box 767 Phone: 828-737-7725 Linville, NC 28646 [email protected] Amber Westall Briggs A-M-Y Library Office Regional Library Director 150 Library Place Phone: 828-733-9393 Newland, NC 28657 [email protected] Amy Greene Dept. of Social Services Child Protective Services Supervisor PO Box 309 Phone: 828-733-8253 175 Linville Street [email protected] Newland, NC 28657 Kimberly Garner Maternal & Child Health Initiative Phone: (828) 264-4995 ext. 3105 MCHI Program Coordinator Program (828) 457-2110 Appalachian District Health Department [email protected] Brandy Miller Triple P Expansion Coordinator Phone: (828)-457-5081 (828) 264-4995 x3151 Marisa Schorr [email protected] MCHI Business Administrator & Program Evaluation Coordinator Phone: (828) 264-4995 x3104 [email protected] Pandy Pass High Country Community Health Patient Resource Specialist 448 Cranberry Street Phone: 828-737-0221 Newland, NC 28657 [email protected] 3 Marcella Bradford AccessCare of the Blue Ridge Case Manager 439 Hospital Drive Phone: 828-265-1339 Linville, NC 28646 [email protected] Nicole Hiegel High Country Aging Aging Services Coordinator 468 New Market Blvd. Phone: 828-265-5434 x113 Boone, NC 28607 [email protected] 4 TABLE OF CONTENTS Avery County 2016 CHA Executive Summary .............................................................................. 7 Purpose and Process .................................................................................................................... 7 Data Summary ............................................................................................................................. 7 Community .............................................................................................................................. 7 Health Outcomes ..................................................................................................................... 8 Populations at risk ................................................................................................................... 9 Health Priorities........................................................................................................................... 8 Health Priority 1 ...................................................................................................................... 9 Health Priority 2 ...................................................................................................................... 9 Health Priority 3 ...................................................................................................................... 9 Health Priority 4 ...................................................................................................................... 9 Next Steps ................................................................................................................................... 9 Chapter 1 – Community Health Assessment Process ................................................................... 10 Purpose ...................................................................................................................................... 10 Definition of Community ...................................................................................................... 10 Data Collection .......................................................................................................................... 10 Core Dataset Collection ......................................................................................................... 10 Additional Community-Level Data ....................................................................................... 11 Health Resources Inventory ................................................................................................... 11 Community Input & Engagement ............................................................................................. 11 At-Risk & Vulnerable Populations ........................................................................................... 11 Chapter 2 – Avery County ............................................................................................................ 13 Location and Geography ........................................................................................................... 13 History ....................................................................................................................................... 13 Population.................................................................................................................................. 14 Chapter 3 – A Healthy Avery County........................................................................................... 16 Elements of a Healthy Community ........................................................................................... 17 Community Assets .................................................................................................................... 17 Chapter 4 – Social & Economic Factors ....................................................................................... 18 Income ....................................................................................................................................... 18 Employment .............................................................................................................................. 18 Education ................................................................................................................................... 19 Community 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