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Community Health Improvement Plan (CHIP)

Clatsop County Rural Health Coalition – Framework
Our Coalition would like to emphasize that health equity and Limited English Proficiency (LEP) considerations are embedded across all priority areas. 

Priority Area 1: Improve Access to Primary Care and Behavioral Health Services

Goal: Increase equitable access to primary care, public health services, and mental and behavioral health resources to improve overall community health outcomes.

Objectives & Strategies:

1.1 Expand Primary Care Access

  • Increase the total number of primary care visits within a 12-month period through expanded capacity, improved referral pathways, and outreach to underserved populations.

  • Identify and address barriers related to language access, transportation, workforce availability, and health literacy.

 

1.2 Increase Community Awareness of Public Health Resources

  • Provide culturally and linguistically appropriate education to community members regarding available services, including reproductive health, vaccination programs, SUD/AUD services, WIC, and food insecurity resources.

  • Implement education sessions for both healthcare providers and community stakeholders to improve coordination and referral processes.

 

1.3 Strengthen Mental and Behavioral Health Access

  • Expand access to mental health and substance use disorder treatment through coordinated care models and cross-sector partnerships, including culturally and linguistically responsive services. 

  • Improve screening, referral, and follow-up processes across Coalition partner organizations.

Priority Area 2: Increase Access to Preventative Care and Early Detection

Goal: Improve utilization of preventative services and early detection strategies to reduce preventable disease burden and health disparities.

Objectives & Strategies:

2.1 Improve Immunization Rates

  • Increase childhood vaccination rates using targeted outreach, community education, and coordinated vaccination events. (Establish and monitor baseline vaccination rates for Clatsop County (2025 data) and track annual progress.)

2.2 Expand Cancer Prevention and Screening

  • Implement coordinated, community-wide cancer prevention initiatives focused on education and early detection that are culturally and linguistically responsive.

  • Increase screening rates for breast, colorectal, and prostate cancer through provider engagement, community outreach, and reduced access barriers.

 

Priority Area 3: Address Social Drivers of Health

Goal: Improve health outcomes by addressing key social drivers that influence access to care and overall wellbeing.

 

Objectives & Strategies:

3.1 Reduce Food Insecurity

  • Strengthening collaboration with Coalition Members and community partners such as Clatsop Community Action (CCA) Food Bank and the Public Health Department (WIC). Measure: (Increase enrollment of eligible community members in WIC and other nutrition assistance programs.)

  • Utilize SDOH screening tools to track patients who screen positive for food insecurity and measure successful connections to community resources. (Improve percent of patients who screen positive and who are being connected with resources.)

3.2 Improve Transportation Access

  • Collect and analyze data related to transportation barriers impacting access to healthcare and social services.

  • Develop collaborative strategies with Coalition partners to address identified transportation gaps.

3.3 Expand Childcare Access

  • Support initiatives that increase childcare availability for children ages 0–2. (Measure: Collaborate with regional partners to reduce Clatsop County’s designation as a childcare desert as defined by State of Oregon.)

Cross-Cutting Principles (Applied Across All Priority Areas)

  • Advance health equity through culturally and linguistically responsive strategies.

  • Integrate Limited English Proficiency (LEP) considerations into outreach, service delivery, and evaluation.

  • Utilize shared data and performance metrics to guide continuous improvement that will be shared with our community. 

  • Advance and deepen cross-sector partnerships to maximize community impact with a focused commitment to culturally and linguistically specific partner organizations

© 2025 by the Clatsop Rural Health Coalition

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