Community Health Improvement

The Healthy Lives Vibrant Futures Coalition (HLVF) addresses top health concerns for Cascade County. Every three years a Community Health Needs Assessment survey is conducted to identify top health priorities. The survey consists of 31 questions focusing on health concerns, for the Cascade County regional area (additional questions may be added in future years). Once the survey is complete, HLVF compiles a Community Health Assessment to explain the collected data and address top priority areas.  They then present that data to the public and utilize community feedback to develop a Community Health Improvement Plan. 

View the 2017 Community Health Improvement Plan, the 2019 Community Health Assessment, and the 2020 Community Health Improvement Plan. The 2020 Community Health Improvement Plan is being finalized.

Health Concerns

The main health concerns to emerge from recent surveys are:

  1. Access to health care
  2. Alcohol & substance abuse
  3. Child abuse & neglect
  4. Obesity/overweight

Healthy Lives Vibrant Futures Coalition (HLVF)

HLVF creates objectives for each identified issue as part of the Community Health Improvement Plan (CHIP). Steering committee members help ensure that their agencies are implementing the strategies outlined in the CHIP. Many local agencies are already actively working towards improving the issues listed in the CHIP, and the priority area committees give organizations an opportunity to share their progress, pool resources, and determine what further action can be taken to improve the health of our community.

HLVF is comprised of representatives from:

  • Alliance for Youth
  • Benefis Health System
  • Cascade City-County Health Department
  • Alluvion Health
  • Great Falls Clinic
  • Get Fit Great Falls
  • United Way of Cascade County
  • Indian Family Health Center
  • Many more organizations!

Community Health Needs


A similar community health improvement process took place in 2011. View the 2011 Community Health Assessment (PDF) and 2011 CHIP (PDF).

A steering committee oversaw the implementation of the 2011 CHIP


The 2013 Community Health Needs Assessment (PDF) identified three priority health issues. The steering committee formulated a plan to improve and sets goals, objectives, and strategies for each issue. The issues were chosen by individuals representing local agencies and organizations are:

  • Access to health care
  • Healthy weight
  • Substance abuse


In 2015, child abuse and neglect emerged as a top health concern and was added as a fourth priority area to be included in the Community Health Improvement Plan. Learn more about these issues and the objectives and strategies pursued by community agencies by reviewing the 2017 to 2019 Community Health Improvement Plan (PDF).


Another Community Health Needs Assessment was conducted in 2018. The four public heath priorities above continue to be the primary goals for improving public health in Cascade County, as outlined in the 2020 Community Health Improvement Plan.

Local Committees & Coalitions for Action

Several local committees and coalitions meet regularly and work towards improving the health and safety of Cascade County's residents. CCHD and partnering agencies and organizations involved in the Community Health Improvement process have staff members that sit on and actively take part in these groups. View a list of these committees and coalitions (PDF) and learn more about what they work to accomplish.