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

inspections to multiple individuals for the facility at the end of the day. All inspections are immediately uploaded to the supervisor for review at the end of each day saving a significant amount of staff time since no secondary data input is required. In FY13, we have continued to expand our database of inspections and plans that are readily available to the public. The eBridge database has been expanded to include facility plans along with septic permits. FY13 saw the addition of facility plans available online for easy access to facility information such as swimming pool plans, mobile home parks, and residential facilities. Access to these plans allows owners and contractors to verify equipment or information from the approved facility plans. Clients can access these documents at any time from any internet service. We currently have over 216,000 pages of documents available to the public. Currently many of the county and municipal building officials, builders, septic tank contractors, pool contractors, and realtors access this site on a daily or weekly basis. This provides a great customer service for the clients and a huge time savings for Environmental Health personnel. FY13 saw an increase in all audit scores for Environmental Health from the previous audit cycle. Environmental Health scored a 100 on the Environmental Health Leadership and Sustainability Evaluation in January of 2013. We scored a 98% on the Community Environmental Health Facilities Audit conducted in late 2012. We scored a 99% for the Limited Use Drinking Water Program Audit and a 97% for the Public Swimming Pool Program audit conducted in 2013. Despite federal funding decreases in our Healthy Beaches Program, local resources allowed EH to continue conducting weekly bacterial testing for 13 public beach locations from March through October. Local funds were utilized to continue testing at Gulf Islands National Seashore and the East Pass since we are unable to utilize federal funds to test these sites. The City of Destin Clement E. Taylor Park and Okaloosa Island Public Beach Access #7 were added for state FY13. In calendar year 2012, this office investigated 790 animal bite cases where 48% of the animals involved were not currently vaccinated. To try to reduce the number of unvaccinated animals in the county we again partnered with the Miracle Strip Veterinarians Society for low cost rabies clinics at five area veterinary offices on May 18, 2013. These clinics vaccinated a total of 212 animals in 4 hours. This office also partnered with PAWS to hold the first $5 rural rabies clinic held November 15, 2012 in Laurel Hill where 136 animals were vaccinated in 4 hours. This clinic also offered $15 microchip insertion to help reunite lost animals with their owners. This office is hoping to continue these partnerships and increase the number of vaccinations available in all areas of the county. Medical Services: Immunizations for children and limited vaccination for adults: In the past 12 months over 6,900 visits occurred at the Florida Department of Health in Okaloosa County (DOH-Okaloosa) immunization clinics. Almost 12,400 vaccines were given to 4,911 clients. In April, 2013, the DOH-Okaloosa received congratulations from the state Bureau of Immunization after an exemplary audit showing local levels of immunization of children by 2 years of age at 98%, exceeding state and national goals and averages. Diagnosis and treatment of sexually transmitted diseases: In the past 12 months, 3,237 visits for STD evaluation were accomplished. In the past 12 months, 3,675 individuals received family planning services invoiving almost 7,300 visits to our clinics. Nearly 83% of the clients are low- income qualifying them for reduced fee services or free service. Screening for cervical and breast cancer for women aged 50 — 64 is also offered. Comprehensive primary care services to persons’ age birth to 64 years who qualify for enrollment in the Opportunity Health Clinic program is offered under a grant from the Agency for Health Care Administration. The Opportunity Health clinic cares for 632 low-income adult Okaloosa County citizens who would otherwise have no source of care except local emergency rooms. Among the patients are 112 diabetics. The Opportunity Health staff provided 4,458 visits for program patients in the last 12 months, reducing the burden on local emergency rooms. In addition, program staff works diligently to transition patients in the program to other sources of care within the community such as community health center clinics or to insurance programs. With the care available through the Opportunity Health clinic, many low-income, _working patients are able to remain gainfully employed because of the effective treatment of diseases such as diabetes and prompt care for minor illnesses such as upper respiratory infection. Patients seen in the Opportunity Health Clinic, who cannot afford prescription medications, receive help in requesting prescription medications through pharmaceutical company programs which provide medications at free or reduced cost. During the preceding 12 months, 138 clients have been assisted with 300 pharmaceutical medication applications resulting in assistance valued at $188,398.87. Urgent care medical visits for children and adults in the One Problem Clinic are offered under a grant from the Agency for Health Care Administration. This clinic provides any person with a minor medical illness or injury same day access to medical services Monday through Thursday at the DOH-Okaloosa in Fort Walton Beach and Tuesday in Crestview. Fees for this service are affordable and are adjusted according to the patient's income. Over sixty percent of the patients seen pay no fee because of their income is below the federal poverty level. The majority of patients report they would go to the emergency room if the One Problem Clinic was not available. In the last 12 months, the One Problem Clinic saw 2,317 patient visits. Primary care, medical case management, access to life-saving medications, and community collaboration in the prevention and medical care for persons living with HIV/AIDS: The Ryan White clinic at the health department provides comprehensive primary care and specialty HiV care to persons in Okaloosa and Waiton County living with HIV and AIDS. There are currently 173 clients in care in the program. The AIDS Drug Assistance Program (ADAP) which provides HIV medication through the state pharmacy is administered through the OCHD. This program currently serves 76 clients who pick up 242 life-saving HIV medications each month, The HIV/AIDS program also assists patients who cannot afford prescription medications. During the past 3 months, 36 program clients have been assisted with prescription medications valued at $38,652. This typical quarterly dollar value translates to an annual client medication cost savings of $154,608. The health department clinic sites in both FWB and Crestview are popular training sites for local students. Teaching agreements are in place with Okaloosa County School District Nurse Training Program, Northwest Florida State College Nursing Program, Eglin Air Force Base Family Practice Residency Training Program, University of South Alabama School of Nursing, University of West Florida Master of Public Health Program, Florida State University Nursing Program and many others. In the last 12 months, 60 student trainees were educated in the OCHD clinics, contributing to the competency of our local workforce. Dental Services: Oral health (dental) services for children age 4 through 18 years: During the last 12 months, the dental clinic saw 4,877 child dental visits. These visits included 302 endodontic procedures (root canals) and 439 extractions and other surgical procedures. 2,197 sealants were applied to prevent the development of dental decay. The majority of the children served in the dental clinic have Medicaid, however, Head Start children are seen in the clinic regardless of coverage and 56 visits were provided to low income children without Medicaid through special project funding. Women, Infants, and Children: WIC Food checks contribute an average of $326,882 per month to the 22 Okaloosa County vendors/stores that accept WIC checks. That comes out fo $3,922,581 in the past year for the local economy. In addition, each year, the local Okaloosa WIC agency is one of only 9 WIC local agencies in the state that participate in the Farmer's Market Nutrition Program that is funded through the USDA. Nearly 4,000 books of vouchers worth $20 each are issued to local WIC clients who can use them at 4 local Farmer’s Markets in Okaloosa County. The total value of these fresh fruit and vegetable vouchers is $78,000 for the local farmers. From October 2012 to March 2013 the local WIC program served 4,776 infants and children and 1,915 women in Okaloosa County for a total of 6,691 unduplicated clients. First trimester entry into the WIC program for pregnant women in Okaloosa County is consistently in the top 10% in the state due to the coordination of services between WIC, Medical Services and the Healthy Start program. The rates for exclusively breastfed infants > 26 weeks old in Okaloosa WIC are steadily in the top 3-4 counties in the state. Exclusive breastfeeding for the first 26 weeks is linked to improved heaith outcomes, reduced infant mortality and decreased healthcare costs. Access to WIC services was improved in January 2013 to make it easier for clients to come in when their schedule allows. Walks are accepted Monday through Thursday with Friday morning appointments available. Healthy Start: The program provided 11,044 services to 880 pregnant women and 8,086 services to 725 infants from July 1, 2012 through April 30, 2013 along with 3,329 enhanced services in initial contacts through education and referrals. Our prenatal performance measure for screening completion within seven days is 99.31%. The program promotes community outreach activities to inform, educate, and advocate the importance of maternal and child health initiatives. Throughout the year we have reached out into the community and partnered with outside agencies such as Healthy Families Okaloosa, Okaloosa County Comprehensive Head Start Child Development, Inc., Eglin and Hurlburt Field Air Force bases-Newcomers Orientation Briefing Fairs, Local Chapter Florida Association of Infant Mental Health, and many others to promote healthy births to reduce Florida’s infant mortality and morbidity rates. School Health: In FY13, the School Health program administered 284 flu vaccinations to children in 11 child care centers in Okaloosa County. The Florida Department of Health in Okaloosa County provided parent information packets to those families on needed additional vaccinations for child care or school attendance. The Florida Department of Health in Okaloosa County disseminated pertinent health information through buddy lists established with day care providers, both private and military, as well as to public and private schools on the following subjects: West Nile Virus, Norovirus, and the dangers of concentrated laundry packets. Participation in seven community health fairs additionally disseminated health related information within Okaloosa County. The school health nurses developed and modified existing curriculum in order to educate the youth of Okaloosa County. They have made, at the request of schools and community organizations, a total of 100 presentations reaching 2,149 children. Additionally, the nurses participated in the Celebrate Literacy Week, Fiorida!, and read James Wakes Up to School Breakfast to 42 classes in four schools reaching 689 students. Okaloosa County participates in the Teen Pregnancy Prevention Program and utilized the Wyman Teen Outreach Program curriculum at Fort Walton Beach High School in FY13. The facilitator taught in the nine HOPE classes each