Monday, December 19, 2016

January Update

Holiday Greetings to the CHIP Advisory Board and Partners from your Leadership Team!

We have a unique model in Buncombe County that we are particularly proud of, energized by, and thankful to be a part of. Every North Carolina health department is required to produce a community health assessment (CHA) and subsequent action plan. Most accomplish this with the help of a local coalition. In our county and region, we chose to broaden our perspective with the Community Health Improvement Process (CHIP) and to assure an intentional connection with our health systems across our region. The result is called WNC Healthy Impact, which is the foundation of our CHIP structure and is the organizational effort that brought hospitals and health departments across a 16-county region together in a very intentional way to orchestrate a model CHA/CHIP process. 

Additionally, Buncombe County Health and Human Services (BCHHS) holds a unique contract with MAHEC that supports the Health Improvement Specialists.  This partnership with MAHEC has enabled the community health improvement process to be richer and farther reaching, as well as to build a stronger connection between community health and health care. BCHHS has had a longstanding relationship with our Mission partners around the CHA/CHIP and that has only grown stronger through Healthy Impact and the HHS-MAHEC partnership. The CHIP Leadership Team is a reflection of the HHS, MAHEC, Mission partnership working closely with the elected Chair and Co-Chair of the Advisory Board.  We are proud of our model and hope you are as well.

The leadership team will be undertaking a strategic planning process in January. Remaining a strong, relevant and productive coalition requires periodic assessment of ourselves. Much like the strategic planning session the CHIP Advisory did in 2015, this will focus on the leadership team in an effort to continue to improve effectiveness and advisory board leadership.

We are also pleased to introduce Zo Mpofu, pictured lower front left. Zo is one of the latest additions to Health and Human Services, sitting in Public Health and reporting to the Health Director, Jan Shepard.  Zo will serve as a Program Consultant for the CHA/CHIP process. Zo will also sit on the CHIP 
Leadership Team and you will see her at CHIP Advisory Board meetings. She will work closely with our Health Improvement Specialists and MAHEC as we continue through our CHA/CHIP cycle.  You will meet Zo and learn more about her at our next CHIP board meeting.  We are also pleased to report that the second round of interviews is underway for the Health Improvement Specialist position and we expect to have our new team member on board by mid January or early February.

We will not meet as a full board in January on 1/5/17, so please take that meeting off your calendar. The leadership team will communicate with the full board after the strategic planning session.

We wish to thank all of you for your dedication to community health improvement. We have had a productive year in which each of you have contributed greatly. The process of community health improvement is not a quick one, and your tireless efforts to remain engaged is remarkable. Have a wonderful holiday season and we look forward to seeing you in 2017!

Respectfully,

Jan, Zo, Sonya, Allison, Stephanie, and Frank

Monday, November 28, 2016

December Update

Dear Community Partners and Key Stakeholders,

The Monday before Thanksgiving is Public Health Thank you Day, a day to recognize and celebrate public health professionals. While likely only a small number of you consider yourselves public health professionals, we believe that every one of you are a part of driving public health efforts in our community. YOU are public health and we want to make sure that you know how very much we value your partnership in this work. Thank you for all you do!

A timely thank you "post-election" is for your support in educating and getting the spreading the word about the Asheville Bond Referendum which passed by a huge margin. We'll keep you posted as projects related to our CHIP work begin to unfold. Details on what is included in the Bond can still be found on the City's Bond information page.

Today is "Giving Tuesday" the global day dedicated to giving back. This month Engage and Support come together in that we hope you will find a way to give back to our community while also supporting the work of our partners.  We apologize if we have left any organizations or opportunities off and ask that you send us information that we can add to the lists.


Interviews are underway for the Health Improvement Position vacated by Deborah's move to United Way and we expect to fill this position by the end of the year.  If you have questions about the work around our Substance Abuse or Infant Mortality priority work, feel free to contact Deanna or myself.  We have a transition plan in place and if all goes as expected, we should not loose any momentum in this work.  The position is still opened until filled, so if you know of a good candidate please let us. You can find the information on our Support page.

In Learn we have posted the link to a 2-part series from the American Public Health Association on the Impact of Race on Health and Well-being. WNC Healthy Impact also has another upcoming Getting to Results on using the RBA framework in January.

And once again, don't forget that our Facebook Page for more timely information. Please like our page if you haven't already and share our posts.

Sincerely,

Deanna, and Terri
CHIP Health Improvement Specialists

Tuesday, October 25, 2016

November CHIP Update

Dear Community Partners and Key Stakeholders,

In October, many of us had the privilege to attend Pisgah Legal Services Poverty Forum. Marian Wright Edelman, founder of the Children's Defense Fund spoke on Ending Child Poverty Now. This powerful event reminds us that, with close to 1 in 5 of children in Buncombe County living in poverty, all of our work is intricately connected to child poverty. In a
 Mountain Xpress article covering the event, Advisory Board member Jaclyn Kiger highlights our CHIP process as on of the creative ways our community is addressing the health impact of child poverty. 

Ms. Edleman underscores the heart of our work in her remarks that “American children in poverty didn’t ask to be born,” she said. They didn’t choose their parents or their neighborhoods... And because of where they live, they attend poorer schools, have fewer safe places to play and are less likely to have a nurturing relationship with a caregiver after school. They get less exercise and have less access to nutritious food because their neighborhoods likely don’t have grocery stores or restaurants that serve healthy food. In addition, their homes are more likely to have mold, lead and other contaminants that make them sick or sicker.


If you missed the event, the Asheville Channel taped Ms. Edelman remarks and you can view the video.

In particular as we approach the 2nd Tuesday in November, Ms. Edleman reminds us that The best, most practical solution to poverty in America lies with the voters...Get to the voting booth, she said. Your vote connects right to children. So much is riding on this.

As we move toward making the blog our "go-to" resource for all things CHIP. You will now find a link to the CHIP Advisory meeting agenda and materials on the righthand menu bar. The calendar also includes our meeting dates with a link to the agenda and materials. As we identify future meeting topics they will also be noted on our calendar (this will be discussed at our upcoming CHIP Advisory meeting). Workgroup meetings are also listed. If you have events you would like to include on the calendar, please contact Terri to post.
Now that everyone is beginning to explore the scorecard, we've been asked about how the scorecard shows the progress being made toward addressing our priorities. This is mostly shown via data which doesn't change frequently. The Action Plan section of the scorecard is a little unweldy to use and doesn't provide much detail and we want to keep narrative sections short. We've now added links to the Priority area blogsites for discussion on the progress of the workgroups. You can also find them listed on the right-hand menu bar. Please note these blogs are updated on an "as needed" basis and content may change more or less frequently than the main CHIP page.

It is both with congratulations and sadness that we announce Deborah Calhoun's move to United Way as the Community Partnerships Director! Deborah has been an amazing and talented part of our HIS team and we will miss her tremendously! However, we know that her role at United Way will allow for opportunities to work together and her experience with CHIP may provide the foundation for possibilities that we haven't yet considered. Therefore our Support request for this month, is for you to help us find a talented new CHIP Health Improvement Specialist! We expect the position to be posted shortly. However, the Job Description is found on our Support page as well as a link to the MAHEC employment opportunities webpage.

Please take a few minutes to read our additional Update featured sections this month to find out what you can do to share information that supports our CHIP priorities and partners.

This months
 Engage continues to focus on the City of Asheville Bond Referendum on the November Ballot with funding slated to support critical affordable housing, transportation and recreation needs. We also focus on the general election. To echo Ms. Edelman, our votes connect back to our children. So do whatever you can to help get to the polls those who may have difficulty voting or not be inclined to do so and our page includes some helpful hints as well as the 2016 Voter Guide.

In
 Learn you'll find an upcoming training later this week on how to use the Community Resiliency Model (CRM) to address physiological reactions to stress and trauma. You'll also have an opportunity to learn about a global resiliency effort at a film screening of When I Was Young I Said I Would Be Happy, A transformational story of 12 Rwandan genocide survivors. The event will support a Mt. Kilmanjaro climb and efforts to raise awareness and take steps to end the cycle of generational trauma while creating new patterns of peaceful living. Finally, we have posted information on a pre-recorded 3-part series on health equity by the Community Health Institute that appears to be quite comprehensive.

As always, check our the Resources You Can Use Page space has several new resources this month including two that can inform your work around equity issues, and resources from the Food Research Council on ending hunger and from CDC on policies to address social determinants of health.

And once again, don't forget that our
Facebook Page is where we provide more timely information.
Please share your needs for support, resources and information to help us all be successful in our work together! Update items should be emailed to Terri the 3rd week of the month. However, items can be added to the blog or facebook at any time. Also note, just like any public blog, you are free to use the comment space below each post to share additional information or opinions.


Sincerely,

Deborah, Deanna, and Terri
CHIP Health Improvement Specialists

Tuesday, October 4, 2016

October CHIP Update

Dear Community Partners and Key Stakeholders,

Moving into Fall, the CHIP scorecard has been "softly" launched and we encourage you to begin using it as a resource. Many of the work groups have received some orientation of scorecard function and the CHIP Advisory Council will receive a short orientation at our October Meeting. We're really pleased with the brief tutorial on the site created about our amazing summer intern Hannah Rackers and we encourage you to spend a few minutes familiarizing yourself with the scorecard navigation.

We continue to work on refining our communication processes. This month we will begin to post CHIP Advisory Council meeting agendas on our blog. Next month you will receive a link to the agenda with your meeting reminder rather than an attachment as we move toward making the blog our "go-to" resource for all things CHIP. We will also begin to include future meeting topics on our CHIP calendar. If there are upcoming events, resources, job postings etc... please contact Terri to post. Also note, just like any public blog, you are free to use the comment space below each post.

Just a reminder that last month we created blog-sites for each priority group to allow for increased internal communication and sharing. Note that these are public and you are welcome to visit them to find out more about the priority work and you'll find them listed on the right-hand menu bar. Also, these blogs will be updated on an "as needed" basis and content may change more or less frequently than the main CHIP page.  


Please take a few minutes to read our Update featured sections this month to find out what you can do to share information that supports our CHIP priorities and partners.
This month we have 2 new Engage opportunities.  The first is the City of Asheville Bond Referendum on the November Ballot with funding slated crto support critical affordable housing, transportation and recreation needs. The second is an opportunity to learn and provide input into the City's beginning Comprehensive Plan process.

In Learn you'll find information about workshops to learn how to use the Results Based Accountability framework that is central to our CHIP process, to inform your work and how to use the  Community Resiliancy Model (CRM) to address physiological reactions to stress and trauma.


Support includes information on how to support Buncombe County Partnership for Children and Pisgah Legal Services while hearing two amazing speakers, Juni Liu of the Fred Rogers Center and Marian Wright Edeleman of the Children's Defense Fund. It also provides information on how to support those you serve through a connection to short term childcare at the YWCA.

Our Resources You Can Use Page space has several new resources this month including two that can inform your work around equity issues, and resources from the Food Research Council on ending hunger and from CDC on policies to address social determinants of health.

And once again, don't forget that our Facebook Page is where we provide more timely information.

As always, please let us know how we can continue to build and improve ways to communicate and share in ways that help us be successful in our work together!


Sincerely,

Deborah, Deanna, and Terri
CHIP Health Improvement Specialists

Tuesday, August 30, 2016

September CHIP Update

Dear Community Partners and Key Stakeholders,

As we mentioned in August, the CHIP scorecard is very close to being complete and we cannot wait to share it with you! As a reminder, if you need access to scorecard data, information generated from our work group process so far, or other priority information, please feel free to contact us. 

As work continues to unfold around our CHIP priorities, there is a need to insure increased communication and sharing within workgroups as well as to archive information. To allow that to happen we have established a blogsite for each priority to group. You can access each blog via the links on the right-hand menu bar.

Please take a few minutes to read our Update featured sections this month to find out what you can do to share information that supports our CHIP priorities and partners.
  • This month we have 2 continuing and 1 new Engage opportunities. 
    • The City of Asheville Bond Referendum is now on the November Ballot with funding slated to critical affordable housing, transportation and recreation needs.
    • Open Streets Asheville takes place September 18th and is looking for volunteers.  We also need continued support in spreading the word and encouraging people to attend.
    • NC Child, Children First/Communities In Schools, and the Success Equation invite you to join a community discussion focused on building economic opportunity for children across North Carolina. These discussions will inform the development of a package of statewide policy solutions, the North Carolina Children’s Opportunity Agenda. 
  • In Learn you'll find training in Results Based Accountability, Tobacco Prevention Advocacy for youth and Racial Equity as well as a 3 part NY Times series on ACES. 
  • Support includes an October 9th fundraiser and learning opportunity for Buncombe County Partnership for Children entitled "What would Mr. Rogers do"?
Don't forget that our Facebook Page is where we provide more timely information.  Like our page if you haven't yet. And if you need to refer back to information from the monthly Updates you can find everything on our blog.

Newly added to our Resources You Can Use Page space is the Community Commons website data platform that supports mapping and reporting capabilities to help understand community data. 

Please let us know how we can continue to build and improve ways to communicate and share in ways that help us be successful in our work together!

Sincerely,

Deborah, Deanna, and Terri
CHIP Health Improvement Specialists

Tuesday, August 2, 2016

August CHIP Update

Dear Community Partners and Key Stakeholders,


July finds the CHIP staff refining action plans and following up on data and research needs resulting from those work groups that are actively meeting "under the CHIP umbrella" and preparing for the Talk to Action meeting around Intimate Partner Violence scheduled for August.  Work in our community around the Substance Abuse priority is happening at several tables with HIS staff actively participating and working to best determine how we can support and align this work. For a summary on work group activities and progress to date, please visit our CHIP Priority Work Groups page.

The CHIP scorecard is very close to being complete and we cannot wait to share it with you! The completion and "launch" plan includes a review by Buncombe County HHS and MAHEC leadership, the CHIP Advisory Board and local data experts.  The Advisory Board does not have a regular meeting in August, so likely the full launch will not take place until September.  If you are part of a CHIP work group, you will continue to get "sneak peeks" as we ask for your feedback on data and content.  If you need access to data, information that has been generated from our work group process so far, or content related to "what works" to address our priority areas, please feel free to contact us and we can share the current draft of the scorecard if that would be helpful. Just a reminder that the lead each priority area is as follows:
·        Preventing & Improving Diabetes Self-Management
Deanna LaMotte
·         Increasing Food Security
Terri March
·         Reducing Infant Mortality
Deborah Calhoun
·         Reducing Intimate Partner Violence
Deanna LaMotte
·         Reducing Substance Abuse
Deborah Calhoun
·         Increasing Safe Transportation & Recreation
Terri March

Please take a few minutes to read our Update featured sections this month to find out what you can do to share information that supports our CHIP priorities and partners.
This month's featured opportunity to Engage is around the proposed City of Asheville bond referendum. Regardless of where you live, many of those who's lives you touch are greatly impacted by lack of affordable housing and transportation.  When we have housing and transportation that is affordable and accessible for working families, we reap the benefits by living in neighborhoods that are safe, inclusive, and where all children can thrive. Educate yourself about what this bond will address, it's pros and cons and become part of the conversation. 

Given Adverse Childhood Experiences and Equity are the lens through which we view our priorities, in Learn we strongly encourage you to attend one of the upcoming events with Sharon Wise, speaking about trauma and resiliency or the The 2016 Diversity Summit. Newly added is information on Racial Equity Institute's Training in Historical and Institutional Racism and how you can register to attend this training on September 14-18th.

Partnership Support this month includes continued opportunities to contribute to the school supply drive and lots of fun ways to support Buncombe County Greenways and ASAP.  In addition there are lots of opportunities to participate in hosting a health, play or community-building active at the September 18th Open Streets Asheville.  Please consider and help us spread the work.  We are also still looking for sponsors. 

Don't forget that our Facebook Page is where we provide more timely information.  Like our page if you haven't yet. And if you need to refer back to information from the monthly Updates you can find everything on our blog.

Newly added to our Resources You Can Use Page space is a one-pager that provides a simple overview of Buncombe County's CHIP structure and process.  We encourage you to download and share it as you talk about our shared work.  We are slowing building this resource page as we come across articles, information, toolkits and such that can support our work.  If you have something you would like to see added to this page, please send us the information to include it.

Please let us know how we can continue to build and improve ways to communicate and share in ways that help us be successful in our work together!

Sincerely,

Deborah, Deanna, and Terri
CHIP Health Improvement Specialist

Thursday, July 7, 2016

July CHIP Update

Dear Community Partners and Key Stakeholders,

It's hard to believe that we identified new CHIP priorities a little more than 5 months ago! Highlights of this month include:
  • A second round of meetings with work groups around Food Security, Access to Safe Transportation and Recreation and Infant Mortality. Workgroups now have clearly established Results, have revisited data and identified more meaningful indicators to guide our work. And while there is a lot of process work on the front end of established working groups and direction for these next 3 years, some clear strategies are beginning to emerge.
  • CHIP staff are working with community partners already convened around Substance Abuse and Intimate Partner Violence to identify the best role to provide value and support in moving these priorities forward.
For more details visit our CHIP Priority Work Groups - Spring / Summer 2016.
  • We are on track to launch the CHIP Scorecard in late summer and CHIP Advisory can expect to preview and provide input at the next regular Advisory Council Meeting. Because of special events in August, there may be an opportunity to preview prior to the September meeting. 
A reminder to CHIP Advisory council that we are taking a brief July summer break from our monthly meetings, so please remove our July meeting from your calendars. Our August meeting date has been changed to August 16th at 8:30 to allow us to host a special presentation from Sharon Wise, a nationally-recognized trauma expert, to engage the community in a different conversation about wrap-around services and trauma-informed care as part of the community celebration of the opening of the Family Justice Center. The CHIP Advisory Committee has been offered an opportunity to host Sharon during her visit. To match her schedule, our August meeting date will be Tuesday, August 16th at 8:30 a.m. at MAHEC. Please mark the date on your calendar and plan not to miss this special opportunity. Sharon will speak for an hour and entertain questions for the last half hour of our time together. Feel free to invite other representatives from your agency to share in this experience. Sharon will also make a presentation to Mission Health caregivers on “Hope, Recovery, and Resiliency” at 8:00 a.m. on Wednesday, August 17th at 8:00 a.m. in the Glenn Theatre of the Owen Heart Center on the Mission campus. You are also invited to attend that presentation. During the remainder of her visit, Sharon will be on hand at the opening of the Family Justice Center and will give a presentation to the women who participate in A Room at the Inn. Read more...

Want to know actions that you can take today to support work in the community around CHIP Priorities? Here are 3 steps you can take today!
  1. Help promote Asheville's inaugural Open Streets and consider how you can get involved!Open Streets Asheville launches on September 19th! Click here to learn about increasing awareness and support for access to safe and active transportation that meets the needs of all our community. We specifically need help to identify financial sponsors, volunteers and activity partners! Help spread the word by following us on Facebook and Twitter!
  2. Increase awareness about food security in Buncombe County.Children First Communities in Schools' Success Equation initiative is focusing this month's advocacy messaging around Food Security. Click here to sign up for their Action Alerts. You can follow their Success Equation Facebook page to share their weekly message feeds!
  3. Help struggling families make the budget stretch by providing the school supplies their children needs to be successful.The United Way has a School Supply Drive underway. Please help spread the word and consider making a contribution
You can also read more on our Get Involved Page.

Spread the word and help out community partners!
The Asheville Area Chamber of Commerce has launched a survey to help determine how the business community can best participate in addressing housing affordability.Please help ensure that this survey gets out as broadly as possible and the Chamber is able to hear from diverse voices across the area.
Children First Communities in Schools is hiring a Coordinator for our long-time, highly respected Project POWER/AmeriCorps program. Please help get the word out. Click here for the full job description and details on applying.
For more details and how you can participate visit our Partnership Support Page
Several additional ways for you to increase your understanding of health disparities and social determinants of Health
The 2016 Diversity Conversation: Transforming Healthcare Equality to Equity is happening on August 19th.  Be on the lookout for information on additional opportunities for CHIP partners to learn more from keynote speaker Arthur James
We also want to draw your attention to a recent New York Times piece on the critical importance of Early Childhood Education.  
Also a reminder to Like our Facebook Page so you won't miss more timely information

Friday, May 13, 2016

May CHIP Update


Dear Community Partners and Key Stakeholders,

The Spring continues to be busy! We completed 2 additional Talk to Action meetings in April around the CHIP priorities Infant Mortality and Diabetes. Over 80 community members and 7 Advisory Council members have participated. For a more detailed update visit our Spring Talk to Action Updates page.

We are also excited to introduce our newest team member, Deanna LaMotte. Deanna joins our team TODAY after 3 years coordinating Triple P--Positive Parenting Program, a public-health approach to parenting support and child abuse prevention, in Buncombe County. She brings a passion for Community-Based Participatory Research and an Adverse Childhood Experiences (ACEs) lens to all her work. To learn more about Deanna, visit our CHIP Staff Page.

We are pleased to announce that the Reinvestment Fund and the Robert Wood Johnson Foundation have selected the city of Asheville to take part in the new Invest Health initiative, which aims to improve health in low-income neighborhoods in 50 cities across the nation. 

Asheville was selected from more than 180 teams from 170 communities that applied to the initiative, and is formed of a five-member team: North Carolina Center for Health and Wellness at UNC Asheville, City of Asheville, Self-Help Credit Union, MAHEC, and the Housing Authority of the City of Asheville.  Stacey Millet and Deborah Calhoun have served as a key partners in initial planning efforts and in developing the application, with the NC Center for Health and Wellness serving as the anchor organization. The project will span 18 months, beginning with a national kick-off meeting on June 7.  
Click here to view the article in the Asheville Citizen-Times

Please take a few minutes to read our Update featured sections this month to find out what you can do to share information that supports our CHIP priorities and partners.
This month's Get Involved Action is to learn more about our CHIP communication tools and how you can share information with our partners. Visit our Communication Tools Page for details on what's currently available and how to use them. In particular, we now have a Facebook Page! Take a minute to check it out and Like Us. Also take a moment to bookmark our Buncombe CHIP Blog. Note all our page links are found on the right-hand navigation bar so you can easily find what you are looking for.

Partnership Support this month includes a number of job. The Support Page will be updated each month. However, as long as an event or announcement is still relevant it will remain on the page.

Finally, our Resources You Can Use Page features A New Way to Talk About the Social Determinants of Health from the Robert Wood Johnson Foundation which provides research and guidance on how to create more compelling, effective and persuasive messages that resonate across the political spectrum. You'll also resources from the April CHIP Advisory Council presentation on Food Security as well as documents from the April CHIP Update. We will continue to catalog resources in this space.

Please let us know how we can continue to build and improve ways to communicate and share in ways that help us be successful in our work together!

Sincerely,

Deborah, Deanna, and Terri
CHIP Health Improvement Specialist

Tuesday, April 5, 2016

April 2016 Monthly Update

Dear Community Partners and Key Stakeholders,

Here are April's key take-aways for Partnership Support, Staying Informed, Getting Involved and Resources You Can Use!

Partnership Support
The Beaucatcher Greenway project is a very important for our community and recent misinformation has been spread that may lead to possible termination or delays of the project. This project is part of the River-to-Ridge Connector, which would link the French Broad River and River Arts District to downtown Asheville and Beaucatcher Mountain via a continuous multi-access corridor that sits very near to Mission Hospital and adjacent to the most disadvantaged census track in the City of Asheville. This would pass near or through urban neighborhoods, several apartment complexes, connecting to 30 acres of urban forest overlooking the city above McCormick Field.  This is one part of the Greenways Master Plan which has been passed by City Council, and has been under development for 20 years.  The Beaucatcher greenway was approved by the city in 2010 and design began in 2013.  This would be a 1.25-mile greenway when completed.
From a public health standpoint, as providers and advocates, please inform yourself on the project and consider giving it your support.

A public comment period on the Beaucatcher Greenway will take place before the Asheville City Council meeting on April 12th.  To provide comment, you will need to sign-in. Comments are limited to 3 minutes unless you are commenting on behalf of others present, in which you be will allowed 10 minutes.

Additional links:

Get Involved
Spread the word or participate in one of our Talk to Action meetings this spring.  Details are found on the Talk to Action - Spring2016 blog page.  We also provide an update of the March 23rd Talk to Action on Food Security & Safe and Accessible Transportation and Recreation. 

Stay Informed
There is ample evidence that greenways can increase physical activity and have a positive impact on obesity, chronic disease and mental health. However, when you google greenways and health benefits you mostly end up with links to information on any number of City and County greenway systems with a few bullets on the health benefits or dense academic articles.  Trust for Public Lands has created a comprehensive but very readable report on the health benefits of parks and greenways. 
https://www.tpl.org/sites/default/files/cloud.tpl.org/pubs/benefits_HealthBenefitsReport.pdf

Resources You Can Use
This is a tremendous resource and we encourage you to spend a few minutes reviewing the contents so you can quickly refer to it for data needs in the future.  We also want to share a link to the press release on the CHA release as well as the coverage of the CHA and CHIP in the Mountain Xpress.