Okaloosa County BOCC — 2013 meeting #1143 (date undetermined) — 2-2 County Health Department — reading text

Budget Revenue Report - Departments (Requested) Date: 7/3/2013 2nd Prior Year ist Prior Year Current Year Current Year Base % Account Title Actual Actual Original Budget 6 mos Actual Request +/- +/- 412 COUNTY PUBLIC HEALTH FUND 1550R CHD REVENUE 311100 AD VALOREM TAXES-CURRENT $798,322.82 $799,655.49 $664,599.00 $597,965.18 $634,435.00 ($30,164.00) (4.5%) 311200 AD VALOREM TAXES-DELINQ $1,583.89 $2,534.19 $2,000.00 $1,554.25 $2,000.00 $0.00 0.0% TAXES © "$709,006.71 $802,180.68 $666,509.00 $590,519.43 $636,435.00 . ($30,164.00) (4.5%) 361101 INTEREST ON TIME DEPOSITS $11,230.48 $97.28 $2,500.00 $792.16 $2,000.00 ($500.00) (20.0%) 361104 STATE INVESTMENT POOL INT $316.70 $141.95 $1,000.00 $50.75 $1,000.00 $0.00 0.0% 361400 GAIN OR (LOSS) SALE INVST ($2,726.13) ($798.15) $0.00 $24.19 $0.00 $0.00 NA 369990 OTHER MISC REVENUE $206,346.44 $124,847.95 $0.00 $0.00 $0.00 $0.00 NA MISCELLANEOUS REVENUE "$215,167.49 $124,289.03 $3,500.00: $867.10 - ‘$3,000.00 ($500.00) (14.3%) 381214 BUDG TRF-RACING MONIES $4,000.00 $4,000.00 $4,000.00 $4,000.00 $4,000.00 $0.00 0.0% 389901 BALANCES-CASH $0.00 $0.00 $2,500.00 $0.00 $5,000.00 $2,500.00 100.0% OTHER SOURCES $4,000.00 $4,000.00. $6,500.00. $4,000.00" $9,000.00: $2,500.00 38.5% Budget Expense Report (Department Requests) 2nd Prior Year ist Prior Year Current Year Current Year Base Base % Account Title Actual Actual Original Budget 6 mos Actual Request New Request +/- +/- 412. COUNTY PUBLIC HEALTH FUND 1550 COUNTY HEALTH DEPARTMENT 534600 CS-JANITORIAL $51,180.00 $51,180.00 $56,298.00 $17,223.49 $36,774.00 $0.00 ($19,524.00) (34.7%) OPERATING EXPENSES == $54,180.00 $51,180.00 _ $56,298.00 $17,223.49 $36,774.00. $0.00 -- ($19,524.00). (84.7%) 581602 HEALTH DEPARTMENT $189,270.00 $607,776.00 $620,301.00 $300,830.47 $601,661.00 $0.00 ($18,640.00) (3.0%) 582622 211 PROGRAM $0.00 $0.00 $0.00 $0.00 $10,000.00 $0.00 $10,000.00 0.0% GRANTS & AIDS $189,270.00: $607,776.00 $620,301.00 $300,830.47: $611,661.00 ~ $0.00 ($8,640.00) (1.4%) Budget Expense Report (Department Requests) 2nd Prior Year 1st Prior Year Current Year Current Year Base Base % Account Title Actual Actual Original Budget 6 mos Actual Request New Request +/- +/- 112 COUNTY PUBLIC HEALTH FUND 1598 INTERFUND TRANSFER 591001 BT-GENERAL FUND $0.00 $0.00 $0.00 $18,640.00 $0.00 $0.00 $0.00 0.0% NON-OPERATING EXPENSES: aT “= $0.00 © --$18,640:00 es 10 : Miasion: a Rick Scott To protect, promola & improve the health Govemor of all people in Florida through integrated John H, Armstrong, MD, FACS atata, county & community efforts, HEALTH Site Surgeon Geveralé Secetary Vielen: To be the Healthlest State in the Nation May 24, 2013 Ernie Padgett County Administrator Okaloosa County Administration Building 1804 Lewls Turner Blvd. #400 Fort Walton Beach, FL 32547 Dear Mr. Padgett: Thank you for the opportunity to address the needs of the Florida Department of Health in Okaloosa County for Fiscal Year 2014. Our FY14 budget request reflects several changes. First, the re-bidding of our janitorial contract in FY13 resulted in a substantial cost savings. In addition, this request reflects the efforts of the health department to help county animal control in FY13. The critical nature of animal control services in protecting the public's health was viewed as a priority and the health department voluntarily transferred FY13 funding to the County's contractor for animal controi. We are willing to forego this money in FY14 with the hopes that the Board of County Commissioners will at least keep the county animal contro! contractor at level funding for FY74. In addition, this budget request reflects a new request. As a result of our Community Health Improvement Planning process, our two community health improvement workgroups have identified the establishment of 211 services for Okaloosa County as a top priority. Currently 211 services are not available in Okaloosa County. Okaloosa County is one of only a handful of Florida counties without a formal 211 system. The current First Call for Help run by the United Way of Okaloosa-Walton is not automated or as comprehensive and up-to-date as a formal 211 program. In fact the lack of a 211 service after Hurricane Katrina in 2005, left Okaloosa County government, businesses, and health and human services agencies scrambling to assist the many displaced persons and families who came to Okaloosa from Alabama, Mississippi, and Louisiana. The workgroups have researched 211 options and the most cost-effective solution is to partner with Northwest Florida 211 out of Escambia. | am requesting that the Board of County Commissioners allocated $10,000 toward 211 services. It is estimated that 211 will cost about $35,000 per year for Okaloosa County. This $10,000 will serve as the County's contribution with the caveat that if other community organizations and/or businesses do not commit matching funds by June 30, 2014, the money will revert back to the Commission. Below is a comparison of the health department's funding requests from the County over the past two fiscal years. This includes the comparison of our original FY13 request to our FY12 request, as well as a comparison of our revised FY13 request to FY12. Finally, our FY14 request is outlined with a comparison to our revised FY13 allocation. Florida Department of Health www.FioridasHealth.com Okaloesa County TWITTER:HaalthyFLA 221 NE Hospital! Drive, Fort Walton Beach, FL 32548 FACESOOK:FLOeparinentofHealth PHONE: 850/833-9240 « FAX 860/633-9252 YOUTUBE: fidoh cheisinp te Page 2 of 2 Account Title Original F¥12°* Original FY13 Difference Janitorial Contract $51,180 $56,744 ~ +10% Health Department - $757,777 $620,301 ~~ 18.1% CASH TOTAL Request $808,957 $677,045 ~ =16,4% *Budgeted for 10/1/2011 -- 9/30/2012. OCHD refunded BCC ~$150,000 of budgeled FY12 dollars due to payment from another CHD for interim management services. The health department's allocation after voluntarily giving up cash from the County in order to assure level funding for animal control services for FY13. Account Title Original FY12* Revised FY13 Difference Janitorial Contract $51,180 $56,744 ~ +10% Health Department - $757,777 $601,661 ~ -20% CASH TOTAL Request $808,957 $668,405 ~ -18% Below is our FY 14 request as compared to our revised FY13 request reflecting the new janitorial contract and the request for 211 funding. Account Title Revised FY13 FY14 Difference Janitorial Contract $56,744 $36,774 ~ =35% 211 Funding NA $10,000 +100% Health Department - $601,661 $601,661 0% CASH TOTAL Request $658,406 $648,435 ~ 15% The health department continues to do ite part for Okaloosa County government during this ongoing period of declining revenue to support much needed public health and safety services. We hope our 15% reduction for FY14 will be viewed favorably. As always, | appreciate your consideration of this budget request. Thank you. CoO A Sincerely, BLD Karen A. Chapman, M.D., M.P.H. Director Florida Department of Health Okaloosa County 221 NE Hospital Drive, Fort Wallon Beach, FL 32548 PHONE: 850/833-9240 « FAX 860/833-9252 www.PloridasHealth.com TWITTER:HoatthyFLA FACEBOOK-FLOepartmantofHealth YOUTUBE: fdoh Board of County Commissioners Okaloosa County, Florida SERVICE AREA: Public Health Services DEPARTMENT: Florida Department of Health in Okaloosa County DEPARTMENT MISSION: To protect, promote and improve the health of all people in Okaloosa County through integrated state, county, and community efforts. PROGRAM DESCRIPTIONS: Community Health Improvement Planning: It is the role of the Florida Department of Health in Okaloosa County to facilitate a community health improvement planning process. Public health is what we, as a community, do to ensure that conditions exist that promote health. It is not only about the absence of illness, but about the presence of conditions that promote physical, mental, and emotional well-being for everyone in the community to the greatest extent possible within available resources. A community health improvement process looks outside of the performance of any one organization serving a specific segment of a community to the way in which the activities of many organizations contribute to community health improvement. A community health inprovement process uses data to identify priority issues, develops and implements strategies for action, and establishes accountability to ensure measurable health improvement occurs. This process is documented in the form of a Community Health Improvement Plan (CHIP). Emergency Preparedness and Response: The Florida Department of Health is responsible for coordinating Florida's public health and healthcare system preparedness and response to disasters of all types. The Department serves as a member of the State Emergency Response Team and serves as the lead agency for coordinating the state's public health and medical response to disasters, Emergency Support Function 8 - Public Health and Medical (ESF8). At the local level, the Florida Department of Health in Okaloosa County (DOH-Okaloosa) performs this function within Okaloosa County and serves as a member of the County Emergency Operations Center supporting ESF8. The DOH- Okaloosa develops and maintains an All-Hazards Public Health Plan, trains staff in their roles in executing the various plans, and exercises the plan to maintain readiness. Disease Surveillance and TB Control: The DOH-Okaloosa conducts surveillance (population-based monitoring) on more than 100 reportable diseases and conditions of public health importance for the purpose of rapid case finding and implementation of control measures to prevent secondary cases of illness. Certain diseases are required by law to be reported to the DOH-Okaloosa. The health department investigates these disease cases and reports to the Florida Department of Health. Knowledge of these diseases allows the health department to alert the community, when appropriate, and to stop their spread in a timely manner. In addition, the DOH-Okaloosa Disease Surveillance activities include: field investigation of outbreak situations; analysis and distribution of public health data; counseling and education on Hepatitis A, B, C; co- management of tuberculosis cases with community physicians, including provision of directly observed therapy; screening, surveillance, and management of lead poisoning cases; and education and consultation to the public, physicians, hospitals, day care centers, nursing homes, schools, and other community institutions. Environmental Health: Environmental Health is responsible for monitoring conditions within the community that could present a threat to the health and safety of the public. This is done through regulation including permitting and inspections and through surveillance services such as animal bite investigations beach water quality monitoring, sanitary nuisance investigations and supporting disease surveillance activities as relates to food and waterborne illnesses and outbreaks. Regulated services include on-site sewage disposal and treatment systems, public pools, limited use wells, limited food hygiene, limited group care, mobile home/RV parks and tanning facilities. Medical Services: Medical Services consists of licensed medical professionals (physicians, nurses, advanced practice nurses, physician assistants) and administrative/clerical personnel who provide direct medical services to clients. The Florida Department of Health in Okaloosa County is responsible for the operation of two clinic locations in Fort Walton Beach and Crestview, which provide: e Immunizations for children free of charge through the Florida Vaccines for Children program and limited adult vaccinations © Diagnosis and treatment of sexually transmitted diseases *« Comprehensive family planning services including permanent sterilization and diagnosis of pregnancy and assistance in obtaining linkages to