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Home My WebLink AboutAgenda - 03-04-2010 - Agenda Agenda Joint BOCC — BOH Meeting Southern Human Services Center Room A/B 5:30 pm March 4, 2010 1. Introductions 2. Message from Board of Health Chair 3. Statistical Update from Department 4. Issues Discussion for 2010-2011 a. Two Service Center Model b. Future Planning for Facilities 5. Discussion 6. Closing Remarks .• =n3 2008-2009 Year in Review 2009-2010 Progress . t ° �oQ� z Go�oty Hoe, ® fp Qi A us 17 - %3 O 2 ®1 ��th pEatio``ca North Carolina Public Hsohh pit:. 'y� �,3. o-p „ e � _ nt• Overall Department Finances • Final revenue and expenditures were $7,348,586 for the year (inc. grants) • $456,500 in grant funded projects • $2,120,785 in fees, reimbursements, state :fe d eral • County general fund supports 64% of budgt Orange County Health Department A Service of Orange County Government 1 Comparative Funding Data 07-08 • Orange ranked 71/85 health departments for per capita spending for public health • Statewide average per capita was $62.40 • Orange was $43.93 Orange County Health Department A Service of Orange County Government Statistics-Dental 2008-09 • 4,175 patient visits in dental clinics & provided 12,830 services - 16% new patients - 46% sliding scale patients 2009-2010 (6 months) '' • 2,064 patient visits & 5,850 services provided - 48% are sliding scale patients most at the 20% pay level Orange County Health Department A Service of Orange County Government 2 Statistics-Dental • Number of patients waiting for a dental appointment averages 52 a month in Hillsborough and 28 a month in Carrboro • Twice as many children in Hillsborough are waiting for an appointment than in Carrboro • Orange County Health Department A Service of Orange County Government Statistics-Medical • Chapel Hill clinic (comparing 6 months) - Prenatal patients increased from 36 to 68 (59%) - Prenatal visits increased from 187 to 375 (100%) - 45%all prenatal patients are Hispanic and require language services(2 appointment slots) - 58% increase in primary care - 89% self-pay patients in primary care are 0-20% pay - DECREASED appointment slots available for other services Pao 11 because of the 2 slots needed for interpreters - 338 patients unable to get same day appointments rfr. measured during a one month period in fall 09 Orange County Health Department A Service of Orange County Government 3 Statistics-Medical • Hillsborough Clinic (first six months) - 15% increase in sexually transmitted disease patients — 9% increase in primary care — 92% primary care self-pay are 0-20% pay ` — Higher% patients have Medicaid in Hillsborough clinic - 115 patients unable to get same day appointments (measured in 4 week span in fall 09) g • Both Clinics - Overall 10% increase in self-pay patients (as opposed to Medicaid) in all clinic service categories(child health, family planning, - Majority of self-pay patients are 0-20% pay A Orange County Health Department A Service of Orange County Government P m Communicable Disease (not STDs) • 25 patients with latent TB infections beginning 6 mo. directly observed therapy • 38 refugee communicable disease screenings • 4376 seasonal influenza vaccinations (3x the usual number!) • 2256 H1 N1 vaccines given; 1600 doses redistributed to other practices • 6 outbreaks; 1 product recall; H1 N1 response continues • Cited by state for not having functional negative pressure room for collecting sputum samples safely Orange County Health Department A Service of Orange County Government 4 . Statistics-Environmental Health • Food & Lodging software allowed better tracking of �� 9 9 9 inspection of establishments G - Achieving only 35% of inspections on time - New or"changing" restaurants continue to require plan reviews • Public swimming pool inspections - New federal rules that required most pool owners to fix/install new drains and intakes — Need to increase inspection frequency during the"season" Orange County Health Department =zm A Service of Orange County Government Statistics- Environmental Health • Well and Septic Program - Permits for all program areas were flat until mm October 2009 when the numbers started to climb - December numbers were at the 7 year average - Wastewater treatment management program inspections still increasing - Water testing requests remains stable over time fly Orange County Health Department A Service of Orange County Government 5 ;* ze � r Any "Good News?" • Received over $500,000 in grant funds already this year ter , • Teen Tobacco grant renewed until June 30, 2013 • Management Academy team completing business plan for diabetes self-management program • Staff team selected to be trained in quality h improvement techniques and apply to internal project • Healthy Carolinians received re-certification • Staff members continue to win professional awards • Orange County ranked 2nd healthiest county in state Orange County Health Department A Service of Orange County Government Challenges • More demand for services than can be provided with current staff in dental and personal health • Reductions in Medicaid reimbursement required service consolidation for home visiting services and ##### re-assignment of staff • Reductions in Medicaid reimbursement for dental services and for some medical services will impact some revenues • New Smoke Free Restaurant and Bar Law requires additional staff time Orange County Health Department A Service of Orange County Government 6