The Wholespire Partner Spotlight Series shines a light on the remarkable collaborations and impactful initiatives of our valued partners. In this series, we highlight the incredible work being done by organizations and individuals who share our vision and commitment to ensure an equitable South Carolina, where everyone has access to healthy choices.
We recently caught up with Erika Kirby, executive director of the BlueCross BlueShield of South Carolina Foundation. The Foundation has been a long-standing partner of Wholespire. Their partnership has enabled hundreds of communities to increase opportunities for healthy food choices and physical activity across the state.
What is the BlueCross BlueShield of South Carolina Foundation?
The BlueCross BlueShield of South Carolina Foundation (Foundation), an independent licensee of the Blue Cross Blue Shield Association, was established in early 2000 with a vision to bridge health and health care in South Carolina. Its mission and commitment remain steadfast to identifying and supporting solutions to address gaps in care and serving as a change agent to support innovation and value-added public-private partnerships.
The Foundation is South Carolina’s only statewide state-based philanthropic organization focused exclusively on improving health. Since its first grant was awarded in 2003, the Foundation has supported projects and efforts in all 46 counties.
The Foundation supports organizations and communities across South Carolina. Aside from grant support, how does the Foundation achieve its mission?
The Foundation is committed to creating value beyond traditional grantmaking. As a statewide health funder, the Foundation uses both its financial and non-financial assets to maximize its impact and create value for those we serve. Examples of how the Foundation’s service to South Carolina extends beyond traditional grantmaking and financial support:
We use our reputation to convene partners on key health issues.
We work with partners to minimize duplication and aim to increase coordination of organizations working to improve health, as well as to promote learning across communities and organizations.
Given our statewide footprint, we interact with a wide array of organizations and are aware of many health-related efforts occurring across South Carolina. With this information, we frequently make connections across stakeholders and across communities.
An example would be convening support for the South Carolina Social Determinants of Health Roadmap and engagement with the health-focused partners and members of the Alliance for Healthier South Carolina. While not directly health-focused, the Foundation is also a member and involved in SC’s state association of nonprofit organizations and the state grantmakers network to stay abreast of issues and opportunities for South Carolina.
One of your approaches is “Working Downstream and Upstream.” How does this approach impact health outcomes in SC?
The Foundation recognizes that South Carolina faces many complex health issues and has a unique position, given our statewide reach, to influence and lead the direction of initiatives to make an impact. Accordingly, the Foundation sees its role beyond a grantmaker to a change maker. Our values below convey our commitment to a diverse array of projects and approaches.
We support a continuum of approaches ranging from providing direct care for the economically vulnerable to advancing practice and policy, systems and environmental changes.
We prioritize efforts that will improve the health of future generations of South Carolinians.
We empower organizations to increase effectiveness towards improved health outcomes.
We support efforts that represent community and statewide priorities that are locally determined, culturally relevant and data-informed solutions.
We equip our partners to connect learning to action and use data for continuous improvement.
We are a catalytic partner, supporting organizations and programs as they gain sustainability by leveraging funds and we value innovative projects that can expand to multiple geographic areas in South Carolina.
The Foundation has the ability as a corporate philanthropic statewide health foundation to help discover, introduce, and advance new, different, or more effective ways to improve health and well-being and to improve the quality of health delivered to improve individual health outcomes.
As a statewide organization, we balance scaling solutions statewide to supporting strategies that can most effectively address local health needs. The Foundation seeks to listen to community needs, analyze, and evaluate data, and understand local community assets and challenges. We are also respected for our approach to develop relationships that foster honest dialogue. We listen, suggest, and in many instances, co-create mutually beneficial solutions.
This commitment to serving South Carolina is communicated to key stakeholders across the state and positions the Foundation as both a source of information, accelerating action, and working to find innovative solutions to best serve South Carolina.
What are the priorities of the Foundation for the next 3-5 years?
Most recently, we have intentionally woven together and overlayed our funding pillars of access to care, workforce, improving the quality of services, and investing in the health and well-being of South Carolina children and families with an additional emphasis in three health priorities of diabetes, oral health, and mental health.
The Foundation amplifies different areas of focus annually, mostly within these noted priorities. However, we are always keeping an eye out for innovative approaches not yet tried so we balance defined priorities to needs and opportunities as we hear from partners.
Over the years, the Foundation has supported Wholespire and its work. What do you think has made Wholespire a good partner?
The Foundation views its grantees as partners, leveraging their capacity to improve health across South Carolina. We invest in strong relationships with key organizations and design initiatives that build a network of trusted partners with which we can listen, learn, ask, and receive candid ‘on the ground’ check-ins – all towards advancing action and impact.
Would you like to share any other important details about the Foundation?
We recently held our inaugural regional grantee appreciation events. These events were created to recognize the contributions of each and the potential of all. Health is local and we wanted to give grantees the chance to strengthen relationships with each other. We see the possibility and power that the cross-pollination of ideas between grantees will lead to even more positive change in the communities they serve.
Take a look at the Foundation’s website for impact stories and highlights as well as the Foundation’s new team members.
Getting multiple organizations with different missions on the same page isn’t an easy task. It takes a lot of coordination, planning and communication. But, Healthy Palmetto, the coalition responsible for implementing the healthy eating and active living portion of the SC State Health Improvement Plan, seems to be doing the right things. With financial support from Wholespire, they recently released their annual report indicating the progress being made by organizations on the ground across all six priority areas. You can see more detailed data and information by downloading the Health Palmetto Annual Report.
Improve Outdoor Environments for Early Care and Education
Grow Outdoors SC is transforming early childhood outdoor spaces into diverse, naturalized environments that spark play and learning.
South Carolina hospitals invested in Grow Outdoors SC for their child care facilities.
Prioritize Physical Activity in Schools
SCDHEC and its partners are improving student health by enhancing physical education and creating more opportunities for physical activity before, during, and after school.
Fifty-eight (58) schools in South Carolina received the 2023 America’s Healthiest Schools award for bolstering physical education and activity.
Promote Trail Connectivity
The South Carolina Trails Coalition is increasing trail connectivity in the state and promoting the use of trails through increased knowledge and outreach.
The SC Trails Coalition formed and developed a strategic plan.
Two-hundred-seventy-five (275) new trails have been added to SCTrails.net.
SCDHEC is expanding awareness of the benefits and services of the Women, Infants, and Children (WIC) program to increase enrollment of eligible participants.
A new online app to make it easier for families to pre-apply for WIC was launched. The app streamlines enrollment and recertification processes for families.
Increase Senior Enrollment in SNAP
The SC Department on Aging and SC Thrive are increasing enrollment of eligible older adults in SNAP through community-based outreach.
Over 139,00 SC residents 51 years of age or older who are eligible for SNAP are receiving SNAP benefits.
The SNAP for Seniors Toolkit was created and those assisting seniors to apply for SNAP benefits were trained. Updates to the toolkit are currently in process and will be released soon.
Increase Access to Healthy Food
The SC Food Policy Council is strengthening local food systems in South Carolina, addressing food insecurity through the health care system by expanding screening and referral tools and resources and exploring strategies to address community design for physical activity and access to healthy food.
Seven (7) local food policy councils received support from USC SNAP-Ed in partnership with the SC Food Policy Council. Multiple organizations in South Carolina received USDA funding to establish produce prescription programs.
Multiple organizations in South Carolina received USDA funding to establish produce prescription programs.
Active People, Healthy Nation Walkability Action Institute was held in South Carolina in 2023. Five (5) local communities received training and developed action plans to address walkability/moveability through community planning and design.
We have an opportunity to help move a proactive child wellness bill through the SC House, but we need your help! House Bill 5022 seeks to give all public school students free breakfast and lunch each school day and to extend the lunch period to at least 30 minutes each day. Learn more about the bill on our watchlist.
We’ve made it easy for you to take action. Simply click on the button below and complete the online form. Hit “Send Email” and a prepopulated message about H.5022 will be sent to your state representative.
Each community will receive financial assistance from The Duke Endowment and technical support from the South Carolina Hospital Association and the South Carolina Office of Rural Health. The coalitions will serve to strengthen local infrastructure and community engagement to measurably improve population health around chronic prevention issues like unhealthy weight, diabetes, and heart disease.
“We are beyond excited for Wholespire Richland County, the communities it serves and the possibilities this substantial funding will support,” said Meg Stanley, executive director at Wholespire. “Co-Chairs Robin Cooper and Wanda Austin have done an incredible job navigating through the challenges coalitions often face and positioning the chapter for success.”
In the HPHC model, diverse community organizations collaborate to address systemic conditions that have led to poor health outcomes by implementing evidence-based interventions and sustaining them through policy, systems, and environmental changes. At the end of a one-year readiness phase, each coalition can reapply for up to five more years of funding to support implementation and policy change.
Nestled between Oconee State Park and Lake Keowee in Oconee County, students at Tamassee-Salem Elementary School are reaping the benefits of active pathways, also known as sensory pathways, and blacktop games, and so are community members. In 2022, former Physical Education Teacher Leah Ryan made it her mission to give the students, teachers and community an outlet for brain breaks and fun physical activity. She applied for a Wholespire Healthy Eating and Active Living Mini-Grant and got it!
Sensory pathways have become a popular tool for school administrators and teachers to help students stimulate their cognitive activity with movement. They are a series of visual cues on the ground that guide students along a particular path. From jumping, leaping, and walking a line, students follow the guided paths for a fun break between classes, during indoor recess and other ways teachers choose to incorporate them into their lesson plan.
In his letter of support, Tamassee-Salem Elementary School Principal Bobby Norizan said, “What I love about this initiative is that it is sustainable, and simply put, it is something that will help make physical activity more enjoyable. We have several families use our walking track outside of school hours, but I feel like we will be providing more opportunities other than simply walking the track if we are able to add the active pathway activities.”
Principal Norizan said, “The Four Square games not only provide an opportunity for physical activity but also opportunities for students to socially interact within the rules during active play, which is vital regarding the developmental growth of their students.”
Tamassee-Salem Elementary School received funding for the purchase of reusable stencil kits and paint. They leveraged 12 hours of volunteer time to place and paint the pathways. Pathways were placed on the walking path, a paved sidewalk that circles the school. Four Square games were placed in the recess area.
Mrs. Ryan said in her application, “A couple of teachers use the path as a brain break for their students. This active pathway will encourage more teachers to take their students outside more, and students will get to benefit from the open play. I teach students how to play Four Square in my physical education class. It is an easily accessible and simple game to play. Having the courts will give students access to a physically active game they can play at recess.”
Community members in Tamassee and Salem who use the walking path for physical activity benefit from the active pathways too. The School District of Oconee County adopted an Open Community Use Policy, which allows community members to use outdoor recreational facilities on school grounds for physical activity and play. Now, children aren’t the only ones who can jump, leap and walk a line as they navigate the path. Adults can too!
Physical activity is not just a vital component of a healthy lifestyle; it also plays a crucial role in academic success and overall well-being, especially in the school environment. More and more school administrators and teachers are emphasizing the integration of physical activity into the daily lives of students. Administrators and teachers at rural Tamassee-Salem Elementary School are part of the growing innovation in creating healthier school environments.
COLUMBIA, S.C. – The South Carolina Department of Health and Environmental Control (DHEC), in partnership with the University of South Carolina and the BlueCross® BlueShield® of South Carolina Foundation, has released a new SC FitnessGram data report, revealing a steady decline in student health throughout the COVID-19 pandemic.
The SC FitnessGram assessment is a comprehensive physical fitness test that evaluates various components of fitness, including aerobic capacity, muscular strength, flexibility, and body composition. The test is administered by school PE teachers in grades 2, 5, 8, and high school in participating schools across South Carolina.
In keeping with the declines in health noted in the study, participation in the study also declined from 64 districts in 2018-19 to just 52 in 2020-21, and of those 52 districts, only 21 districts had high-enough student participation data to be considered responsive. This study reflects data from those districts, which represent 48,154 students, 58% of whom qualify as living in poverty according to the U.S. Census Bureau.
The report shows the percentage of children in the “Healthy Weight Category” decreased from 65% pre-pandemic to 59% post-pandemic, and the percentage of students in the “Healthy Fitness Zone” for cardiorespiratory fitness (i.e., heart and lung function) declined from 60% pre-pandemic to 51% post-pandemic.
There were also several disparities present in the data:
A disproportionate number of Black and Hispanic children scored lower on all testing than their White peers;
Students living in poverty are less likely to achieve the Healthy Fitness Zone; and
The percentage of students in the Healthy Fitness Zone decreases from elementary to middle to high school.
“This stark decline when students are not in the school setting, particularly for marginalized populations, proves that students are much more physically active when attending school in person,” said Dr. Brannon Traxler, DHEC public health director. “These numbers show us just how important the role of public schools is to our children’s overall health, and schools should continue to promote physical activity before, during, and after school. We have a lot of ground to make up.”
Dr. Russ Pate of the USC Arnold School of Public Health and his team at the Children’s Physical Activity Research Group has been analyzing the SC FitnessGram data since its inception in 2014 and producing statewide reports of the data annually.
“These findings add to the growing body of evidence showing that the COVID pandemic harmed children’s health by depriving them of the physical activity that they normally receive in the school setting,” Pate said.
According to the American Academy of Pediatrics, healthy children are less likely to develop chronic health conditions such as diabetes, high blood pressure and heart disease at a young age. The health of children also has a direct impact on academic capabilities. Children who are within a healthy weight range tend to have better memory, attention spans and self-esteem compared to those who are overweight or obese.
Breonna Mealing, SC FitnessGram Coordinator, said the connection of childhood health to the workforce of tomorrow can’t be underestimated.
“Even within the Career and Technical Education offerings for South Carolina students, there are many jobs that require physical fitness such as construction, the military, manufacturing, transportation and corrections,” Mealing said. “While offering these pathways to our students is important, equally as important is ensuring students are physically capable to take on those jobs once they graduate.”
The critical data SC FitnessGram produces each year is used to support programs and policies in public schools that will improve the health of our children. However, schools alone cannot bear all of the burden.
“We are calling on not only schools, but community organizations, parents, community members, and students themselves to play a role in the movement for daily physical activity,” Mealing said. “Not everyone can do everything, but everyone can do something.”
Visit SC FitnessGram at scdhec.gov/fitnessgram for the full data report and summary and to learn more about how you can support the movement to support students’ health from head to heart.
