Josephine County Public Health 2014 15 FY BUDGET PRESENTATION - - PowerPoint PPT Presentation

Josephine County Public Health

2014‐15 FY BUDGET PRESENTATION

Restaurant Inspections Immunizations Communicable Disease Surveillance Women, Infant & Children (WIC) Animal Protection & Regulation Vital Records

The Ten Essential Functions of Public Health

• 1. Monitor health status to identify

community public health issues

• 2. Diagnose and investigate public health

problems and health hazards in the Community

• 3. Inform, educate, and empower people

about public health issues

• 4. Mobilize community partnerships to

identify and solve public health problems

• 5. Develop policies and plans that support

individual and community public health efforts

• 6. Enforce laws and regulations that

protect health and ensure safety

• 7. Link people to needed public health

services and assure the provision of health services when otherwise unavailable

• 8. Assure a competent public health

Workforce

• 9. Evaluate the effectiveness,

accessibility, and quality of personal and population based public health services. 10.Conduct research for new insights and innovative solutions to public health problems and issues.

Public Health ~ staff

Admin Jail Clinic Animal Shelter WIC Clinic

Environmental Health

Total 2010-11 1.20 3.07 4.90 5.55 9.51 5.49 29.72 2011-12 1.02 3.02 4.57 6.33 8.27 5.61 28.82 2012-13 1.65 3.60 6.03 7.60 4.55 23.43 2013-14 1.30 4.50 5.85 7.70 2.95 22.30*

Requested 2014-15

1.15 4.50 5.55 8.56 3.10 22.86

*This is the year that the Public Health Emergency Manager was moved to the BCC chair

Services Provided to County Residents

FY 11‐12 FY 12‐13 FY 13‐14 Est. Immunizations

4,875 4,525 2,697*

Clinic Visits

3,535 3,621 1,476*

WIC Visits

5,433 12,973 13,019

Restaurant & Other Inspections

1,009 990 1,018

Vital Records (birth & death certificates)

5,596 5,790 5,800

* Policy change to provide adult immunizations only to those with insurance or the ability to pay up‐front. * Hours reduced from 40 hours a week open to the public to 18 hours a week (imms) due to staffing reductions to maintain budget. 1.8 FTEs run the front counter for immunizations , clinic, food handlers cards, & dog licenses: Down from 4 FTEs in FY 10‐11.

We are an “open” shelter‐ we do not turn anyone away. There are no time limits on how long dogs can stay up for adoption

Average daily census = 42 dogs.

Animal Shelter

Statistics That Matter

This includes 421 cats in 2013, most of which were sick or feral

2013 was the 2nd Year in a row that adoptions exceeded necessary euthanasias

Some dogs are with us for almost a year before finding their fur‐ever home.

Major Revenue Sources‐FY 13‐14

• GENERAL FUND SUPPORT = 85K FOR ANIMAL SHELTER

100K IS FOR CLINIC OPERATION 45K IS A PASS‐THRU FROM SWA STATE FEDERAL GENERAL FUNDS OTHER GRANTS & DONATIONS CHARGES FOR SERVICES

40% 20% 9% 12% 19%

Major Revenue Sources‐FY 14‐15

• GENERAL FUND SUPPORT = 85K FOR ANIMAL SHELTER

165K IS FOR CLINIC OPERATION 45K IS A PASS‐THRU FROM SWA STATE FEDERAL GENERAL FUNDS OTHER GRANTS & DONATIONS CHARGES FOR SERVICES

40% 21% 22% 12% 5%

Comparing JOCO Public Health General Fund Support to Other Oregon Counties

*The per capital average of public funding support for Public Health Departments in Oregon ranges from $5.00 to $9.99 per person. *Most health departments don’t include an animal

• shelter. If you take out funding for the animal shelter

& Solid Waste Agency pass thru, the amount of general fund support for Josephine County Public Health drops to $1.20 per capita for 83,000 residents.

Source: NACCHO 2013 National Profile of Local Health Departments page 30

General Fund Request FY14‐15

• Overall clinic request from General fund will be

$165,000. Not the $240,000 that we originally thought.

• The Animal Shelter request remains at $85,000.

Levy estimate for a “fully funded shelter” took this money into account in the calculation.

• The Solid Waste Agency pass‐thru remains at

$45,000.

Can We Do it For Less Money?

• 1. All of the services that the department directly provides are mandated.
• 2. Some services like family planning can be contracted out. However, the Oregon

Health Authority would require an additional burden of administrative oversight of the public health department to “ensure” that the services were being provided in accordance with federal and state requirements. With reduced staffing, this additional layer of bureaucracy would be onerous and difficult to accomplish.

• 3. Public health activities provide necessary “wrap‐around” services for low‐income

county residents.

Adults Children

Family Planning Birth & Death Certificates STD testing & treatment WIC Home Visiting Program for high‐risk babies Immunizations

Public Health is a Good Value for Josephine County