Okaloosa County BOCC — August 1, 2016 — Health Department — reading text

Board of County Commissioners Okaloosa County, Florida SERVICE AREA: Public Health Services DEPARTMENT: Florida Department of Health in Okaloosa County 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. 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. This process uses data to identify priority health issues, develops and implements strategies for action, and establishes accountability to ensure measurable health improvement occurs. 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 ESF-8 public health and medical response to disasters. The Florida Department of Health in Okaloosa County (DOH-Okaloosa) performs the ESF-8 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 plan annexes, and exercises the plan to maintain readiness. Disease Surveillance: The DOH-Okaloosa conducts surveillance 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. 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. Tobacco Program: The Centers for Disease Control and Prevention (CDC) has determined that tobacco use is the single most preventable cause of death in the United States and a leading cause of many long term chronic health conditions. The following are the primary program goals designed to achieve the program purpose: • Prevent Florida’s youth and young adults from initiating tobacco use. • Promote cessation of tobacco use among Florida’s youth and adults. • Eliminate Floridians’ exposure to secondhand tobacco smoke. • Maintain a sustainable infrastructure of the Florida Comprehensive Statewide Tobacco Education and Use Prevention Program. 1 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 and Tuberculosis Control: Medical Services provides clinical services to patients who have conditions or disorders of public health significance. 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: • Immunizations for children free of charge through the Florida Vaccines for Children program • Diagnosis and treatment of sexually transmitted diseases • Comprehensive family planning services including permanent sterilization and diagnosis of pregnancy and assistance in obtaining linkages to prenatal care to enhance optimal pregnancy outcomes • Management of tuberculosis (TB) cases, including provision of directly observed therapy, and conducting contact investigations to active TB cases; • Screening for breast and cervical cancer to women 50 through 64 years • 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 Dental Services: Dental Services provides direct dental services to children. The Florida Department of Health in Okaloosa County operates a 4-chair dental operatory in the Crestview clinic, serving children age 4 through 18 years WIC Program: The Women, Infants, and Children (WIC) program is a federally funded nutrition program. WIC provides at no cost to income eligible families: healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care. The WIC target population is low-income, nutritionally at risk: • Pregnant women (through pregnancy and up to 6 weeks after birth or after pregnancy ends). • Breastfeeding women (up to infant’s 1st birthday) • Nonbreastfeeding postpartum women (up to 6 months after the birth of an infant or after pregnancy ends) • Infants (up to 1st birthday). WIC serves 53 percent of all infants born in the United States. • Children up to their 5th birthday. School Health: School health services are provided in Okaloosa County through the combined efforts of the school district and the health department. Each county school health program develops a biennial school health services plan that identifies local implementation strategies and responsible parties for the provision of health services in public schools. The DOH-Okaloosa works closely with the school district on advancing healthy lifestyle choices for students through the Healthy Okaloosa Schools program. 2 REVENUE: The Florida Department of Health in Okaloosa County is funded with state general revenue, tobacco trust fund revenue; federal funds allocated through the state and through direct federal grants; client fee collections; medical insurance collections (including Medicaid, Medicare, and third party health insurance); other grants from state and local sources; and county general revenue. Category Actual State Actual State Budget State FY13/14 FY 14/15 FY15/16 BCC Direct Support to CHD $601,661 $601,658 601,658 MAJOR ACCOMPLISHMENTS FOR FY2016 DOH-Okaloosa has a performance management system that tracks key indicators of our agency’s performance. Here are selected items with the target and our current status classified as green (meeting or exceeding goal), yellow (borderline) or red (not meeting goal): By quarter for FY16 starting July 1, 2016 through the third quarter: Indicator Current Target Baseline 1st 2nd 3rd Status Quarter Quarter Quarter Clients receive preventive dental Green 80% 89.90% 90.89% 89.59% 88.13% services Increase healthy weight of children and adults WIC eligible population enrolled Red 68% 64.40% 64.32% 64.15% 62.88% Increase promotion and support of breastfeeding WIC infants ever breastfed Yellow 82% 80.10% 79.50% 80.90% 80.80% Decrease use of tobacco product and inhaled nicotine in youth Students involved in SWAT activities Green 554 503 140 303 507 Reduce HIV and syphillis New diagnosed HIV cases linked to Green 90% 100% 100% 100.00% 100.00% medical care within 90 days of diagnosis ADAP medications picked up each Green 85% 90.62% 92.02% 83.91% 90.54% month 3 By quarter for calendar year 2015: Indicator Current Target Baseline 1st 2nd 3rd 4th Status Quarter Quarter Quarter Quarter Streamline access to contraceptive services Teen FP clients with Green 80% 92.20% 95.60% 91.60% 91.90% 90.67% effective or higher method of birth control STD clients treated with Green 90% 95% 89.00% 92.00% 94.67% 99.33% 14 days of diagnosis TB clients with Green 88.70% 100% 100.00% 100.00% 100.00% 100.00% documented HIV test result Disease reporting into Green 77% 99.50% 89.30% 100.00% 100.00% 100.00% Merlin within 14 days (CY) Reportable cases in Green <30% 0% 0.00% 0.00% 0.00% 0.00% Merlin with missing or unknown values (CY) County Flu Activity Code Green >80% 100% 100.00% 100.00% 100.00% 100.00% reported on time in designated weeks (CY) Increase vaccination rates for children Two-year old CHD clients Green 95% 98% 98.00% 98.00% 96.00% 98.00% fully immunized CHD clients with Green 95% 91.40% 98.60% 97.40% 98.00% 98.89% documented race and ethnicity FP clients with unknown Green <5% 0.24% 0.16% 0.76% 0.66% 0.43% reported income FP clients with unknown Green <5% 0% 0.00% 0.01% 0.10% 0.00% method Percentage of wasted, Green <3% 0.04% 0.00% 0.02% 0.03% 0.18% spoiled, expired vaccine Percentage of Green <1% 0.01% 0.00% 0.00% 0.00% 0.00% unaccounted for vaccine Amount of wasted, Green <$5000 $276.00 $0 $112.00 $192.00 $548.00 spoiled, expired vaccine Amount of unaccounted Green <$5000 $102.00 $0 $0 $0 $0 for vaccine PROGRAM GOAL: It is the mission of the Department of Health to promote, protect, and improve the health of all Floridians through integrated state, county, and community efforts. 4 KEY STRATEGIC PRIORITIES: PRIORITY AREAS GOALS STRATEGIES 1. Healthy Moms and 1.1 Reduce infant and child 1.1.1 Streamline access to Babies mortality contraceptive services in alignment with the CDC and US Office of Population Affairs Quality Family Planning Services guidelines 1.1.2 Increase the promotion and support of breastfeeding at local hospitals 1.1.3 Increase the promotion and support of breastfeeding in the workplace