Okaloosa County BOCC — September 16, 2014 — Annual Health Dept Contract — reading text

Services Tuberculosis General Communicable Disease Control Refugee Health Program levels as documented in Florida. SHOTS and supported by CHD Guidebook policies and technical assistance guidance. Requirements as specified in Environmental Health Programs Manual 150-4* and DHP 50-21* Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030 and 64D-3.031. Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and F.S. 384. Socio-demographic and risk data on persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. Requirements as specified in the Fiorida Schoo! Health Administrative Guidelines (May 2012). Requirements as specified in F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6. Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S. 392. Carry out surveillance for reportable communicable and other acute diseases, detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and quality assurance functions, as specified in F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide to Surveillance and Investigations. Programmatic and financial requirements as specified by the program office. *or the subsequent replacement if adopted during the contract period. ATTACHMENT II OKALOOSA COUNTY HEALTH DEPARTMENT PART i. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES Estimated Staite Estimated County Share of CHD Trust Share of CHD Trust Fund Balance Fund Balance . Total 1. CHD Trust Fund Ending Balance 09/30/14 133,654 855,641 989 295 2. Drawdown for Contract Year October 1, 2014 to September 30, 2015 35,824 172,471 208,295 3. Special Capital Project use for Contract Year October 1, 2014 to September 30, 2014 - - - 4. Balance Reserved for Contingency Fund October 1, 2014 to September 30, 2015 97,830 683,170 781,000 Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects, and mobile health vans. 1. GENERAL REVENUE - STATE 015040 015040 015040 015040 015040 015040 015050 AIDS PATIENT CARE AIDS PREVENTION & SURVEILLANCE - GENERAL REVENUE CHD - TB COMMUNITY PROGRAM DENTAL SPECIAL INITIATIVE PROJECTS FAMILY PLANNING GENERAL REVENUE SCHOOL HEALTH SERVICES - GENERAL REVENUE CHD GENERAL REVENUE NON-CATEGORICAL GENERAL REVENUE TOTAL 2. NON GENERAL REVENUE - STATE 015010 015010 STATE UNDERGROUND PETROLEUM RESPONSE ACT TOBACCO STATE AND COMMUNITY INTERVENTIONS NON GENERAL REVENUE TOTAL 3. FEDERAL FUNDS - STATE 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 015075 AIDS DRUG ASSISTANCE PROGRAM ADMIN BIOTERRORISM HOSPITAL PREPAREDNESS WIC BREASTFEEDING PEER COUNSELING PROG COASTAL BEACH WATER QUALITY MONITORING COMPREHENSIVE COMMUNITY CARDIO - PHBG FAMILY PLANNING TITLE X - GRANT IMMUNIZATION ACTION PLAN INJURY SURVEILLANCE & PREVENTION GRANT MCH SPECIAL PRJICT UNPLANNED PREGNANCY MCH SPECIAL PROJECTS DENTAL PHP PUBLIC HEALTH PREPAREDNESS BASE ALLOC TEENAGE PREGNANCY PREVENTION REPLICATION WIC PROGRAM ADMINISTRATION INSPECTIONS OF SUMMER FEEDING PROGRAM - DOE FEDERAL FUNDS TOTAL 4, FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 001092 001206 001206 001206 001206 001206 001206 001206 001206 CHD STATEWIDE ENVIRONMENTAL FEES CHD STATEWIDE ENVIRONMENTAL FEES ON SITE SEWAGE DISPOSAL PERMIT FEES SANITATION CERTIFICATES (FOOD INSPECTION) SEPTIC TANK RESEARCH SURCHARGE PUBLIC SWIMMING POOL PERMIT FEES-10% HQ TRANSFER DRINKING WATER PROGRAM OPERATIONS TANNING FACILITIES ONSITE SEWAGE TRAINING CENTER MOBILE HOME & RV PARK FEES FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 100,000 20,920 40,033 7,075 47,880 177,240 1,228,822 1,621,970 4,500 154,172 158,672 16,477 26,899 9,117 13,267 20,724 84,286 27,900 5,000 22,556 38,200 132,443 67,517 841,548 1,108 1,307,037 124,331 134,688 8,820 2,443 1,155 6,752 63 475 1,420 1,141 281,288 (> > ) oo oO oco0.cUCmUDCUCUCcOCUCcUOUUCUC OUCDUCOOUCCOCOUC OCUCUOUcCOOUlUCO mo o coc 7F OF cFlCUCUUCOOUCUCOUUCOOUCUCUCOD 100,000 20,920 40,033 7,075 47,880 177,240 1,228,822 1,621,970 4,500 154,172 158,672 16,477 26,899 9,117 13,267 20,724 84,286 27,900 5,000 22,556 38,200 132,443 67,517 841,548 1,108 1,307,037 124,331 184,688 8,820 2,443 1,155 6,752 68 475 1,420 4,141 281,288 (oo <> <> > = > >) o co co op oOmUmcUDUCUODUUCUCOCUCUKOUCOUCOUUCUOCUODCUMDCUCO oo C90 Oo fF C90 2G 900 : 89 100,000 20,920 40,033 7,075 47,880 177,240 1,228,822 1,621,970 4,500 154,172 158,672 16,477 26,899 9,117 13,267 20,724 84,286 27,900 5,000 22,556 38,200 132,443 67,517 841,548 1,103 1,807,037 124,331 134,688 8,820 2,443 1,155 6,752 63 475 1,420 1,141 281,288 Page 1 of 3 5. OTHER CASH CONTRIBUTIONS - STATE: 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT OTHER CASH CONTRIBUTION TOTAL 6. MEDICAID - STATE/COUNTY: 001059 001059 001059 001082 001083 001089 LOW INCOME POOL AHCA PRIMARY CARE LOW INCOME POOL ALLOCATION MNGD BY DOH LOW INCOME POOL AHCA PRIMARY CARE CHD CLINIC FEES CHD CLINIC FEES CHD CLINIC FEES MEDICAID TOTAL 7, ALLOCABLE REVENUE - STATE: 018000 038000 CHDTF UNRESTRICTED CASH RESERVE CHDTF UNRESTRICTED CASH RESERVE ALLOCABLE REVENUE TOTAL 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE ADAP PHARMACY DRUG PROGRAM STD WIC PROGRAM BUREAU OF PUBLIC HEALTH LABORATORIES IMMUNIZATIONS OTHER STATE CONTRIBUTIONS TOTAL 9, DIRECT LOCAL CONTRIBUTIONS - BCC/TAXK DISTRICT 008034 CHD LOCAL REVENUE & EXPENDITURES DIRECT COUNTY CONTRIBUTIONS TOTAL 10, FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 001077 001094 001114 001115 001117 CHD CLINIC FEES CHD STATEWIDE ENVIRONMENTAL FEES VITAL STATISTICS CERTIFIED RECORDS VITAL STATISTICS CERTIFIED RECORDS VITAL STATISTICS CERTIFIED RECORDS FEES AUTHORIZED BY COUNTY TOTAL 11, OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 001009 001029 001090 004010 005041 CHD CLINIC FEES CHD CLINIC FEES CHD CLINIC FEES CHD CLINIC FEES CHD LOCAL REVENUE & EXPENDITURES 1,800 25 1,825 oo 0.0UCUMNUlCMDODlUCOUCOO oo oO 8 CO fF o9o0CUDmUmUCUODOUCOD 496,003 700,000 555,412 5,784 112,134 3,810 1,873,143 i=) i=) oo 90lUOlUCOUUCOUUCUCUCOFU 601,661 601,661 111,446 160,538 46,656 126,288 3,888 438,816 65 158,776 15,216 35 4,900 496,003 700,000 555,412 5,784 112,134 3,810 1,873,143 1,800 25 1,825 oo o00CUCMRMWmlClCUCUCUOUCOUCUCOU 601,661 601,661 111,446 150,538 46,656 126,288 3,888 438,816 65 758,776 15,216 35 4,900 oocUmUcmUOmUmUCOTWUCOUCUOOUCUCUCOD 542,207 81,814 0 3,349,198 48,887 616,542 4,638,648 oO °o0UUmUDWUlUCUCONMUUCOUCUCOUD oO Oo fo 30 8 496,003 700,000 555,412 5,784 112,134 3,810 1,873,143 1,800 25 1,825 542,207 81,814 0 3,349,198 48,887 616,542 4,638,648 601,661 601,661 111,446 150,538 46,656 126,288 3,888 438,816 65 758,776 15,216 35 4,900 Page 2 of 3 007010 RYAN WHITE TITLE HI - DIRECT TO CHD 007010 RYAN WHITE TITLE III - DIRECT TO CHD - 2005-2006 011000 CHD CLINIC FEES 011001 HEALTHY START DATA MANAGEMENT 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 12, ALLOCABLE REVENUE - COUNTY 018000 CHDTF UNRESTRICTED CASH RESERVE 038000 CHDTF UNRESTRICTED CASH RESERVE COUNTY ALLOCABLE REVENUE TOTAL 13. BUILDINGS - COUNTY ANNUAL RENTAL EQUIVALENT VALUE JANITORIAL SERVICES UTILITIES BUILDING MAINTENANCE GROUNDS MAINTENANCE INSURANCE OTHER (Specify) OTHER (Specify) BUILDINGS TOTAL 14, OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY EQUIPMENT / VEHICLE PURCHASES VEHICLE INSURANCE VEHICLE MAINTENANCE OTHER COUNTY CONTRIBUTION (SPECIFY) OTHER COUNTY CONTRIBUTION (SPECIFY) OTHER COUNTY CONTRIBUTIONS TOTAL GRAND TOTAL CHD PROGRAM oococUCmODUUlCUCUODUUCUCOUCCOUUCUNDOUCUCUCOCOUCO oo.o0o006€C06UC~;hMNmC—C~Cw 3,406,616 206,534 69,616 5,726 3,940 172,471 1,237,279 1,800 25 1,825 oo 00 73 030 Oo G&G & o co 0 030 C3 & 4,152,724 206,534 69,616 5,726 3,940 172,471 1,237,279 1,800 25 1,825 o oc co fC fF fC FO fF > > a > 7,559,340 oo foc fF 9 82 440,412 74,000 0 0 0 0 0 0 514,412 a > — >) 5,153,060 206,534 69,616 5,726 3,940 172,471 1,237,279 1,800 25 1,825 440,412 74,000 © > > <> 514,412 oolUObUmUCOUCUCOUCUCUCOD 12,712,400 Page 3 of 3 A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION (101) SEXUALLY TRANS. DIS. (102) HIV/AIDS PREVENTION (03A1) HIV/AIDS SURVEILLANCE (03A2) HIV/AIDS PATIENT CARE (08A3) ADAP (03A4) TUBERCULOSIS (104) COMM. DIS. SURV. (106) HEPATITIS (109) PREPAREDNESS AND RESPONSE (116) REFUGEE HEALTH (118) VITAL RECORDS (180) COMMUNICABLE DISEASE SUBTOTAL B. PRIMARY CARE: CHRONIC DISEASE PREVENTION PRO (210) WIC (21W1) TOBACCO USE INTERVENTION (212) WIC BREASTFEEDING PEER COUNSELING (21W2) FAMILY PLANNING (228) IMPROVED PREGNANCY OUTCOME (225) HEALTHY START PRENATAL (227) COMPREHENSIVE CHILD HEALTH (229) HEALTHY START CHILD (231) SCHOOL HEALTH (234) COMPREHENSIVE ADULT HEALTH (237) COMMUNITY HEALTH DEVELOPMENT (238) DENTAL HEALTH (240) PRIMARY CARE SUBTOTAL C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COSTAL BEACH MONITORING (347) LIMITED USE PUBLIC WATER SYSTEMS (357) PUBLIC WATER SYSTEM (358) PRIVATE WATER SYSTEM (859) ONSITE SEWAGE TREATMENT & DISPOSAL (861) Group Total Facility Programs TATTOO FACILITY SERVICES (344) 0.00 0,43 0.55 3.26 4.79 0.00 30.32 0.00 4,200 1,854 123 242 97 18 8,483 15,017 195 6,571 3,794 40 352 1,970 2,400 15,322 631 672 1,205 5,034 8,011 136 3,240 547 140 798 101 0 18,334 31,341 34 51,456 366 4,716 7,478 0 108 438 0 216,941 5,884 1,147 5,704 294,272 565 18 1,684 2,267 52,085 129,518 7,384 0 134,176 5,434 18,552 43,546 0 86,396 0 33,080 505,171 7,594 269,987 49,245 10,768 203,336 0 1,749 6,905 0 80,251 340,073 73,936 217,006 1,260,850 6,773 1,762 60,616 69,151 44,632 110,987 6,327 0 114,979 4,657 11,613 37,815 0 74,0384 0 28,347 432,891 6,508 231,358 42,199 9,228 174,243 0 1,489 5,917 0 68,769 291,416 63,358 185,958 1,080,453 5,804 1,510 0 0 51,943 59,257 52,085 129,518 1,384 0 134,176 5,434 13,552 43,546 0 86,396 0 33,080 505,171 7,694 269,987 49,245 10,768 208,336 0 1,749 6,905 0 80,251 340,073 73,936 217,006 1,260,850 6,773 1,762 0 0 60,616 69,151 52,064 129,469 7,381 0 134,124 §,433 13,545 43,528 0 86,362 0 33,066 504,972 7,592 269,883 49,227 10,765 203,258 0 1,747 6,901 0 80,219 339,942 73,908 216,923 1,260,365 6,772 1,762 0 0 60,593 69,127 60,074 282,053 28,476 0 199,776 20,958 40,033 93,419 0 199,211 0 0 924,000 29,288 1,041,215 189,916 41,529 154,722 0 0 0 0 309,490 0 135,896 157,034 2,059,090 26,122 567 0 0 184,378 211,067 140,792 217,439 0 0 317,679 0 12,229 74,516 0 188,977 0 127,573 1,024,205 0 0 629,451 0 6,744 26,628 0 0 1,811,504 149,242 679,859 2,803,428 6,229 0 0 49,390 55,619 200,866 499,492 28,476 0 517,455 20,958 52,262 167,935 0 333,188 0 127,573 1,948,205 29,288 1,041,215 189,916 41,529 184,173 0 6,744 26,628 0 309,490 1,811,504 285,138 836,893 4,862,518 26,122 6,796 0 0 233,768 266,686 Page 1 of 2 FOOD HYGIENE (348) 1.45 122 526 24,153 20,697 24,153 24,143 73,054 20,092 93,146 BODY PIERCING FACILITIES SERVICES (349) 0.00 0 0 0 0 0 0 0 0 0 GROUP CARE FACILITY (351) 0.29 105 171 4,600 3,942 4,600 4,597 0 17,739 17,739 MIGRANT LABOR CAMP (852) 0.00 0 0 0 0 0 0 0 0 0 HOUSING & PUB, BLDG. (358) 0.00 0 0 0 0 0 0 0 0 0 MOBILE HOME AND PARK (354) 0.39 108 298 6,347 5,439 6,347 6,344 12,543 11,934 24,477 POOLS/BATHING PLACES (360) 2.50 404 1,316 38,191 32,727 38,191 38,177 76,068 71,218 147,286 BIOMEDICAL WASTE SERVICES (364) 0.00 0 0 0 0 0 0 0 0 0 TANNING FACILITY SERVICES (368) 0.06 14