Grand Traverse County Health Department

Public Health is Contagious.
Spread the Word...
Administration & Finance
Grand Traverse County
Health Department
2013 Annual Report
Community Health
Environmental Health
& Animal Control
Emergency Management
& Public Health Preparedness
Medical Examiner
2600 LaFranier Rd, Traverse City, MI 49686
231.995.6100
www.gtchd.org
Grand Traverse County Health Department (GTCHD) Service
Locations
**Service hours are: M-F 8:00am-4:30pm (closed for lunch 12pm-1pm) , unless otherwise noted.
Administration & Finance, Community Health,
Emergency Management & Preparedness,
and The Medical Examiner
2600 LaFranier Road, Ste. A
Traverse City, MI 49686
231-995-6100
**Late Community Health clinics 1st & 3rd Wednesdays until 6:30pm
Board of Health
Herbert Lemcool,
Larry Inman,
Charlie Renny,
Addison (Sonny) Wheelock, Jr.,
Christine Maxbauer,
Dr. Dan Lathrop, and
Richard F. Thomas.
Environmental Health
2650 LaFranier Road
Traverse City, MI 49686
231-995-6051
Health Officer
Wendy S. Trute, MPH, CPHA
Animal Control
2650 LaFranier Road,
Traverse City, MI 49686
231-995-6080
**Services hours - 8:30am-5:00pm
K-Town Youth Care
112 South Brownson Ave
P.O. Box 117
Kingsley, MI 49649
231-263-5895
Youth Health and Wellness Center
880 Parsons Road
Traverse City, MI 49686
231-922-6416
GTCHD Mission Statement:
We, the Grand Traverse County Health Department, are committed to providing professional,
preventive health services.
We are entrusted to provide a compassionate and efficient approach to a progressive,
comprehensive, holistic health goal accessible to individuals, families and the community.
Through careful planning we mitigate the impact of diseases and disasters.
GTCHD Vision Statement:
We, the Grand Traverse County Health Department, envision a safe and healthy community in
which to live, where health refers to “a state of complete physical, mental, and social
well-being and not merely the absence of disease or infirmity” (World Health Organization).
We remain dedicated to the promotion of this vision and all of its contributing elements.
www.gtchd.org
Message from the Health Officer:
It is with great pride that I share the accomplishments of your local public health department for fiscal year 2013.
When public health is doing its best work, you do not hear a lot about us. Staff are busy inspecting restaurants to
keep you safe, ensuring safe water and sewage disposal, following up on communicable diseases, tracking and
providing disease preventable immunizations, promoting healthy outcomes for at risk pregnant women, providing various health screenings, and promoting health through outreach and education. We offer safeguards in
other ways by planning and preparing for future emergencies and threats and investigating accidental and
suspicious deaths in our community.
GTCHD has demonstrated the tremendous benefits that its services provide for Grand Traverse County residents
regarding public health through the statistics and accomplishments highlighted in this report. The health
department umbrella covers many programs and has 5 divisions: Administration and Finance, Environmental
Health & Animal Control, Community Health, Emergency Management & Preparedness and the Medical
Examiner. The scope of the services covered by these programs is broad and comprehensive. Of the department’s
5.6 million dollar annual budget, only 1.3 million comes from the county’s general revenue fund.
~Wendy S. Trute, MPH, CPHA
Health Officer
2013 Accomplishments and Highlights
Administration & Finance Division
•
•
•
Awarded Certificates for Accreditation with Commendation & Quality Improvement: Grand Traverse County Health Department (GTCHD) underwent an intense one week review in August of 2012, during which 12 program areas were reviewed with stellar
results. Of the 153 applicable essential and important indicators upon which GTCHD was reviewed and evaluated and the Health
Department received an outstanding initial compliance of over 99%, a really rare feat in the accreditation program. This achievement means GTCHD is a very progressive health department, constantly looking for areas to improve, providing efficient and better
service to the residents of Grand Traverse County, and being a leader in demonstrating best practices for the rest of the state. This is
the 5th consecutive 3 year accreditation for the health department and was approved in September of 2013.
Public Health Response to Clinch Park Splash Pad Incident: As a result of exposure to raw sewage in the Clinch Park Splash Pad
to the public on June 29th and June 30th, a public health response was coordinated by the Grand Traverse County Health Department. The collaborative response included staff from multiple divisions including Environmental Health, Communicable Disease
and Administration. Public health’s primary role in this event was to notify the public of the risk, investigate and interview potential
cases, assist MDEQ with on-site water and environmental inspections and take necessary public health precautions to prevent future
exposure or disease. The effort that was put into responding to this incident resulted in approximately 100 hours of public health
staff time.
Creation of Water Safety Task Force: In the late summer of 2013, the Grand Traverse Water Safety Task Force was created to
conduct an assessment of issues and identify priorities related to water safety in the Grand Traverse Region (Northwest Michigan) as
a result of an increased number of drownings. The task force is comprised of representatives from GTCHD, Grand Traverse County
Parks and Recreation Department, Michigan State University Extension- Safe Kids North Shore, Munson Medical Center, The Watershed Center and The United States Coast Guard Traverse City Air Station who have a long history of partnering together on various
public health, emergency management and prevention efforts. After a review of best practices throughout the world, the group
determined that its three primary focus areas that would have the most immediate and reaching impact would be: Water Safety
Outreach; Water Quality/Beach Safety Assessment, Equipment and Signage; and Water Safety Classes. The task force was successful
in securing a grant to fund some of the activities for 2014 and will expand into a water safety network in the future.
Environmental Health and Animal Control Division
Food Service Training & Inspections
• GTCHD Staff taught Foodservice Managers Certification training to 122 Grand Traverse area food managers with 105 out of 122
receiving a passing grade. GTCHD is one of few local health departments in the state who have three (3) staff members who are
certified to teach this eight (8) hour class which is sanctioned by the National Restaurant Association, Educational Foundation.
• GTCHD staff was involved in the pre-planning, inspection, and licensing of 94 temporary food operations, including events such as
the National Cherry Festival, Film Festival, Horse Show By the Bay, NMC BBQ, Micro-brew and Music Festival, Wine and Art Festival,
Paella in the Park, Taste of Traverse City, Food Court Wars etc.
•
Hosted four (4) Food Service Basics classes throughout the year (free of charge) to Grand Traverse area foodservice workers. The
students receive three (3) hours of instruction in food safety and complete a quiz at the end of the class to receive a certificate of
completion.
Environmental Health Program Reviews
• Received accreditation by the Michigan Department of Environmental Quality (MDEQ) for our On-site sewage Disposal Program
and the Michigan Department of Agriculture and Rural Development (MDARD) for our Food Service program.
• The Environmental Health Division met all Mandatory Program Requirements for the Private and Type III Water Well Program evaluation by the MDEQ conducted in December of this year.
• Environmental Health met all Mandatory Program Requirements for our Non-community Water Well Program evaluation by the
MDEQ.
Beach Monitoring
• Monitored 6 public beaches for E.coli on East and West Grand Traverse Bay and 4 inland lake public beaches for 13 weeks from
Memorial Day through Labor Day. The four additional beaches included Twin Lakes Park (Twin Lake), Taylor Park (Long Lake),
Gilbert Park (Long Lake) and Interlochen State Park (Duck Lake). A total of 130 sample events were conducted at the 10 beaches.
• Planned and hosted 9 monthly Beach Monitoring Stakeholders meeting to discuss on-going monitoring of surface waters for E.coli
on Grand Traverse Bays (East and West). The stakeholders include individuals from the GTCHD, City of Traverse City, Michigan
Department of Natural Resources, National Parks Service, SOS Analytical Lab, Benzie/Leelanau District Health Department, Acme
Township, Long Lake Township, Grand Traverse County Sheriff’s Office, Michigan State University, and the United States Coast
Guard.
Animal Control
•
•
Horse Cruelty Investigation Workshop- GTCHD Animal Control Division in conjunction with the Michigan Partnership for Animal
Welfare (MPAW) coordinated a Horse Cruelty Investigation Workshop in Traverse City for more than 30 law enforcement and animal
welfare professionals from 19 counties across Michigan in February of 2013. The workshop brought experts in horse welfare to
provide training in evaluating equine health and behavior; as well as how to conduct investigations and working with prosecutors.
Representatives of the GTCHD, Animal Control, Sheriff’s Office and Prosecutor’s Office were in attendance at the training.
Animal Shelter Agreement- Effective June 3, 2013, an agreement between Grand Traverse County and the Cherryland Humane
Society became reality. After several months of negotiations, the Cherryland Humane Society took over shelter services for Grand
Traverse County. The agreement gives dog owners a better opportunity to find lost pets, as well as to facilitate the adoptions of unclaimed animals. As a result of the sheltering agreement with Cherryland Humane Society, the Animal Control Office was relocated
to the Grand Traverse County Public Services Building at 2650 LaFranier Road.
Emergency Management & Preparedness Division
•
•
•
•
Storm Ready Certification- On September 13, 2013, Grand Traverse County became the 4th County in Northern Michigan to be
certified as a NOAA Storm Ready Community. This designation means that our Severe Storm plans are in alignment with NOAA’s
and that we are doing community outreach to prepare the community for severe weather of all types. Additionally, Grand Traverse
County residents are eligible for a discount on flood insurance.
Readiness: Training Identification and Preparedness Planning Training and Certification- 30 members of the Local Emergency Planning Committee Team/Emergency Operations Center Staff members completed a two day course identifying specific improvements
needed to assist our team in planning, preparation, and training for specific hazards that can affect Grand Traverse County. There
were 10 defined goals identified during the class and team members are eagerly beginning to work on achieving them.
CodeRED Mass Notification System- Emergency Management purchased and is implementing an emergency mass notification
system to notify residents of the county about imminent threats to health and safety and other emergency situations. Notifications
can be received in a variety of ways, including cell, home and work phones, and by text messaging and/or email. CodeRED will also
enable Central Dispatch employees to make public safety staff notifications quickly and efficiently, enabling them to handle more
calls for service with existing staff and give the 9-1-1 dispatchers the ability to use existing hazardous materials (HazMat) software
to issue urgent shelter in place/evacuation notices in the event of a HazMat incident.
Pandemic Flu Exercise- April 25, 2013 saw the 1st exercise held in the new Emergency Operations Center (EOC). The exercise was
focused on a pandemic flu that rapidly spread and led to civil unrest throughout the county. The county EOC (Emergency Operations Center) was activated in order to coordinate the response from 30 personnel from multiple agencies and disciplines involved in
a public health pandemic flu exercise. County departments represented in the EOC included: Health Department Incident Command staff, Emergency Management and Preparedness, Sheriff’s Office, 911 Dispatch, Administration and County Commissioners.
The EOC staff from all agencies worked seamlessly together in order to mitigate the incident.
Community Health Division
Many changes occurred in the clinical program administration, operations and staffing, including a restructuring of the division. After
much planning and hard work on scheduling, staffing, cross-training and monitoring of quality improvement performance measures,
more consistent, efficient and cost effective scheduling and staffing beginning in May 2013. These structural and policy changes have
already resulted in cost savings for personnel and improved program efficiency.
Maternal and Child Health Programs
• Women, Infant and Children Program: Increased participation to nearly 99%, exceeding the state target by 2%, while at the same
time increasing overall caseload (2458 clients) by 6% compared to 2012 year end; First trimester entry in the WIC program 46.6%,
more than 10% better than the state; Breastfeeding initiation rate 76%, more than 10% better than the state.
• Maternal and Infant Health Program: Increased maternal admissions to MIHP program by 40% compared to 2012;
• Healthy Futures: GT County nurses conducted 311 home visits and 1,362 phone contacts to an average monthly caseload of 982
clients through Munson collaborative partnership program.
• Children’s Special Health Care Services: Assisted clients and families to navigate through confusing changes in both state and
federal insurance coverage programs, policies, and care guidelines; Enhanced collaboration with Medicaid Health Plans, particularly Priority Health, to provide for a smooth transition for many of our families. Managed an 8% increased caseload (300 clients)
compared to 2012.
• Hearing & Vision Screening Program: Held a highly successful 2013 Otology Clinic providing students with questionable hearing
screenings the opportunity to receive professional audiology and ENT services in a single appointment at no charge. The 1/2 day
clinic provided care to 16 students who did not pass their school screenings and who may otherwise not have received treatment;
Partnered with Head Start again in 2013 to complete hearing & vision enrollment requirements. Head Start exceeded their goal of
90%, with 100% of students in compliance within 45 days for both hearing and vision.
• Immunizations: GTCHD nurses provided more than 5,100 total immunizations from Youth Health and Wellness, K-Town Adolescent Clinic, and clinics at the Health Department in 2013. Included in this total, nurses provided over 1,600 flu vaccinations which
seasonally prevent illness, limit influenza breakout in our local community, and protect the public health particularly for our most
vulnerable populations of the very young and seniors.
Disease Control & Prevention Programs
• Communicable Disease Award of Excellence: The Communicable Disease program staff received an “Excellence in TB Case Management and Service Integration Award,” from the Michigan Department of Community Health. The award was a result of working
collaboratively with the Benzie-Leelanau District Health Department, local law enforcement and social service agencies on an active
Tuberculosis case of a gentleman who faced many challenges. He was homeless, had a criminal history, and suffered from multiple,
significant, chronic health issues. Between the two Health Departments, public health nurses provided case management of his TB,
and direct observation therapy, three days per week for over six months. By law, the health department must ensure than any citizen diagnosed with active Tuberculosis who is at risk for being non-compliant with taking medicine, complete a 6-9 month course of
treatment in which a nurse directly observes the patients taking the medicine. This ensures that no one else in the community is at
risk for contracting this contagious disease by helping individuals recover from and prevent further illness, and even death.
• Adolescent Health- In 2013, our K-Town Youth Care and Youth Health and Wellness Center clinical staff received Spirometry training and were able to offer this pulmonary function test for those patients reporting a history of asthma. This test assists the Nurse
Practitioner in evaluating the client’s current respiratory status and developing the most appropriate plan of care. Not every primary
care office or adolescent health clinic is trained and equipped to provide this specific test. We are pleased to offer our youth with
such an important service.
Medical Examiner
•
Updated the Mass Fatality Plan for the Grand Traverse County and region: The plan serves to provide guidance on handling
large numbers of fatalities while maintaining respect for the deceased, and to the extent possible, the wishes of family and friends of
the victims of a disaster. The plan describes a coordinated response among county agencies involved with conducting fatality
management operations to ensure that both the living and the dead are treated with utmost respect. Public Health serves as the
lead agency in the county for coordination of all Emergency Support Function (ESF) 8 tasks, which includes Health, Medical and
Mortuary planning and response activities. GTCHD and the Medical Examiner’s office will manage the response with regard to
arranging for the investigation, recovery, transport, storage, tracking, processing and identification of decedents and communication with decedents’ families. The Medical Examiner’s role is to manage mass fatality operations by certifying the cause and manner
of death,establishing the accurate decedent identification, and conducting the notification of next of kin. This response requires
extensive coordination between and among many public and private agencies.
COMMUNITY HEALTH DIVISION
The Community Health Division of GTCHD provides a multitude of services to protect the health of Grand Traverse County
residents. These services include immunizations, communicable disease monitoring and prevention, reproductive health
services, pregnancy support, infant and children services, as well as health education and referrals.
Many of the Community Health programs specifically promote the health and well being of pregnant women, newborns,
mothers, infants, and children. One such program, Women, Infants and Children (WIC), ensures essential nutrition assistance
is received by both pregnant women and infants in need. In addition, WIC provides peer counselors to help support mothers
efforts with breastfeeding. The Maternal Infant Health Program (MIHP) provides assessment and support for families through
nurses, social workers, and/or registered dieticians. Healthy Futures, a partnership program with Munson Healthcare, provides
on-going support and information to mothers-to-be, newborns, and children up to age two. The Children’s Special Health Care
Services (CSHCS) program, within the Michigan Department of Community Health, offers assistance for children & young adults
with special health care needs.
While most of the clinic based programs available through the Community Health Division operate at our main campus, we also
have two additional youth clinics for ages 10-21; K-Town Youth Care, located in Kingsley on Brownson Avenue and The Youth
Health and Wellness Center, located at the TBAISD Career-Tech Center on Parsons Road in Traverse City.
Women, Infants
and Children
(WIC)
Maternal Infant
Health Program
Children’s
Special Health
Care Services
Healthy Future
Participants
2013
2,383
3,201
298
976
1,362 (YHWC)
1,087 (K-Town )
2012
2,362
3,543
277
975
1,706 (YHWC)
977 (K-Town )
2011
2,457
3,669
281
941
2,032 (YHWC )
1,023 (K-Town )
Number of Visits
Average Caseload
Average Caseload
Average of Active
Children
Adolescent
Health
Total Client Visits
Youth Health & Wellness
Center (YHWC) and
K-Town Youth Care
Other services the Community Health Division makes available to the community include; vision and hearing screenings, dental
care (through Dental Clinics North), and age appropriate immunizations for all ages, including seasonal flu shots.
Reproductive Health is yet another Community Health Division program. This program’s services provide confidential testing and
treatment of sexually transmitted infections for men and women, birth control information, referrals to OB-GYN offices, breast &
cervical cancer screenings, and HIV counseling.
Vision Screenings
Total Provided
Hearing
Screenings
Immunizations
Total Provided
Number of Vaccines
Administered
Reproductive
Health
Number of Client Visits
Dental Clinics
North*
Number of Clients
Served
2013
6,450
4,651
5,108
2,469
6,094
2012
3,032
7,183
5,417
2,340
6,032
2011
7,459
4,505
6,938
2,516
6,406
*Contracted through Northwest Michigan Community Health Agency.
COMMUNITY HEALTH DIVISION Cont.
Communicable Disease Surveillance and Control is the final core program within the Community Health Division. Through this
area of focus, Public Health Nurses investigate communicable disease outbreaks in the community by collecting disease data and
conducting ongoing disease surveillance. Reported cases of communicable disease for the past three years are seen on the chart
below:
Reportable Communicable Diseases
Disease
2011
2012
2013
4
1
0
Chlamydia
253
247
249
Gonorrhea
5
8
9
Campylobacter
11
7
10
STEC (Shigatoxin Producin EColi)
3
1
0
Salmonella
9
6
12
Shigella
0
0
0
Giardia
5
6
8
Hepatitis A
0
1
1
Hepatitis B, Acute
0
1
1
Hepatitis C, Acute
3
2
3
Listeria
0
0
0
Pertussis
3
1
2
Bacterial Meningitis
1
1
1
Aseptic Meningitis
6
5
5
Neisseria Meningitis
0
0
0
Invasive Gr A Strep
0
0
0
HIV
11
3
3
Syphilis
3
2
3
TB
Legionella
1
0
0
Chicken Pox
28
34
20
Kawasaki
0
0
0
0
West Nile Virus
Other Reportable Diseases
•
•
•
•
•
•
3 Guillain Barre
2 Lyme Disease
1 Primary Encephalitis
9 Cryptosporidiosis
1 Toxic Shoick
1 Malaria
0
•
•
•
•
•
•
1 H. Influenza B
1 Lyme Disease
4 Cryptosporidiosis
1 Yersinia Enteritis
1 Rabies - Bat
21 Fungal Infections
related to contaminated
steroid injections
0
•
•
•
•
•
4
1
1
1
1
Cryptosporidiosis
Coccidioidomycosis
Guillain Barre
Histoplasmosis
Dengue Fever
ENVIRONMENTAL HEALTH & ANIMAL CONTROL DIVISION
The Environmental Health Division protects the public’s health through programs established by the Public
Health Code and local Sanitary Ordinances.
The programs focus on the prevention of disease and exposure to pollutants via education, inspection of
facilities, and enforcement of sate laws and local ordinances. Most of the prevention and abatement of
environmental threats are accomplished through education of the clients and the general population. The
Environmental Health programs include:
•
•
•
•
Food service inspections •
•
Beach monitoring
•
Subdivision plan reviews
Septic and well permits •
•
Site Surveys
Child care facility inspections
Septage vehicle inspections •
•
Groundwater protection
Rodent and insect control investigations
•
Environmental complaint investigations
Body art licensing
Program
Public pool and campground inspections
Number of
Services
2012
2013
Services
On-Site Water
and Waste Water
•
Well Permits
257
340
•
Sewage Permits
297
394
Food Service
•
Routine Inspections
522
539
•
Follow-up Inspections
119
169
•
Vending Inspections
32
39
•
Enforcement Hearings
9
8
•
Food Borne Investigations
0
0
•
Public Complaints
23
22
•
Temporary Permits
80
98
Public Pool &
Campground
Monitoring
•
Campground Inspections
19
19
•
Public Swimming Pool Inspections
94
93
Beach
Monitoring
(six public beaches on East
& West Grand Traverse Bay)
•
Total Beach Samples Collected
147
135
•
Level 1 Samples (full body contact allowed)
141
130
•
Level 2 Samples (contact above waist not advised)
6
4
•
Level 3 (contact with water not advised)
0
1
Animal Control
The Grand Traverse County Health Department provides Animal Control services for all of the Grand Traverse region.
Under the supervision of the Environmental Health Director, there are two certified Animal Control officers, who patrol and
protect Grand Traverse County residents and animals. These officers are authorized to investigate possible dog related law
violations and take appropriate enforcement action, including citations. Additionally, our officers work with the Health
Department’s Communicable Disease program for the control of rabies and other zoonotic diseases.
Services
Number of Cases
2012
2013
•
Complaint Investigations
467
651
•
Dogs Lost and Found
155
158
•
Dogs Seized & Impounded
261
283
•
Dogs Redeemed (claimed by owners)
98
97
•
Citations Issued
171
85
EMERGENCY MANAGEMENT & PUBLIC HEALTH PREPAREDNESS
Protecting the health and safety of every resident in Grand Traverse County is the purpose the Emergency
Management and Public Health Preparedness Divisions. Because it is never known when a disaster may
strike, our professional team has developed an Emergency Operations Plan (EOP) and stands ready to
initiate and direct the plan in the event of a full-scale emergency.
In addition to the EOP, regular surveillance, testing, practice drills, and review of emergency policies and procedures is an on-going responsibility of this Division. The Grand Traverse County Emergency Management &
Public Health Preparedness Division, works closely with Emergency Coordinators of the Region 7 Disaster
Preparedness Advisory Committee (DPAC), other Emergency Preparedness committees, and community
partners to ensure a coordinated, effective response to any regional emergency or disaster event.
2013 Training, Exercises and Events
•
•
•
•
•
•
•
•
Region 7 Pandemic Flu Exercise - first test of new facility- coordinated response from multiple agencies
National Cherry Festival (NCF)- table top exercise to prepare NCF staff in the event of an emergency.
Two Web EOC Trainings (58 total participants) - training for agencies that would be represented during
an actual event.
Readiness: Training Identification & Preparedness Planning Course - brought public safety and local
officials together to identify strengths and weakness. 30 members of LEPC were in attendance.
Damage Assessment (Part One) - to equip County to conduct assessments of damaged infrastructure 7
properties in the event of a disaster.
Worked with County Safety Committee, LEPC, & other Public Safety agencies - brought Reverse Notification System to County to notify citizens of dangerous situations, lockdown situations, etc.
Winter Storm Spotter Talk - 20 people attended reagional weather wise informational meeting region.
TCAPS School Lockdown Drills - participated in over 50 lockdown drills. All public and private schools in
County conducted at least one drill.
MEDICAL EXAMINER’S OFFICE
2013 Summary of Medical Examiner (ME) Cases
The Medical Examiner’s office provides death investigative services and coordinates forensic autopsy services for deaths that occur
in Grand Traverse County. All deaths that are sudden or unexpected or occur from other than natural causes must be reported to
the Medical Examiner. The office continued to see an increase in number of cases than in previous years. In 2013, over 1,300 cases
were referred to the ME office resulting in 137 of the cases needing investigation. Of the 137 cases, 54 (39%) of the cases were
determined to be natural causes, 60 (43%) were due to accidental causes, 15 (11%) were suicides and 2 (1%) were homicides.
The Medical Examiner’s Office also participates on the Child Death Review Team in our region, along with human services and local
law enforcement. Meetings are held quarterly to review individual cases of deaths of children under the age of 18. Child death reviews are done to better understand how and why children in our area have died and to take action to prevent similar deaths. The
Michigan Child Death Review Protocols are used in conducting local reviews in accordance with state legislation.
2012
•
•
•
•
•
•
Total number of cases referred to Medical Examiner's Office
Cremation Permits investigated and authorized
Number of cases referred back to attending physicians
Total number of cases investigated with cause of death determined and death certificates signed
Postmortem physical examinations performed
Forensic autopsies ordered
2013
1,154 1,343
828 978
188 223
138 133
110
94
10
9
2013 FINANCIAL SUMMARY
Expenditures
Community Health
Environmental Health
Emergency Preparedness and Management
Capital Expenditures
Animal Control
Medical Examiner
Total
$3,797,770.83
$754,445.80
$297,537.40
$0
$199,549.66
$161,860.40
$5,211,164.09
6%
Community Health
4% 3%
Environmental Health
Emergency Preparedness and
Emergency Management
14%
Capital Expenditures
Animal Control
73%
Medical Examiner
Revenues
State and Federal Funds
Medicaid and Cost Settlement
Private Medical Insurance
Licenses, Permits, and Fees
Local Grants
County Appropriations
Total
$1,939,771.11
$1,385,451.42
$217,660.03
$529,165.59
$120,964.67
$1,328,566.00
$5,521,578.82
24%
State and Federal Funds
35%
Private Medical Insurance
2%
Licenses, Permits, and Fees
10%
Local Grants
County Appropriations
4%
25%
*Increased Fund Balance by: $310,414.73
Medicaid and Cost Settlement
COMMUNITY COLLABORATIONS
Collaboration Partners
GTCHD is proud to collaborate with multiple area health care professionals and organizations to bring additional services,
education projects, and information to our region. These collaborative partners include:
•
Munson Healthcare
•
Department of Human Services
•
Michigan Department of Community
Health
•
•
•
•
Grand Traverse Community
Collaborative
•
Traverse Bay Area Intermediate School •
District
Michigan Primary Care
Association
Northwest Michigan Community
Action Agency
•
School Community Health
Alliance of Michigan
Pine Rest Christian Mental Health
Services
•
National Cherry Festival
•
City of Traverse City
•
Cherryland Humane Society
•
Traverse City Film Festival
•
A.C. Paws
•
Dental Clinics North
•
H.A.N.D.D.S
•
University of Michigan
•
Traverse Health Clinic & Coalition
•
Michigan State University
•
Health Department of Northwest
Michigan
•
Wayne State University
•
Oakland University
•
Central Michigan University
•
Ferris State University
•
Kirtland Community College
Northwest Michigan Health Services Inc. •
Michigan Department of Environmental •
Quality
•
MSU Extension
Third Level Crisis Counseling
•
Michigan Department of Agriculture
and Rural Development
•
Michigan Department of Natural
Resources
•
Kingsley Area Schools
•
Village of Kingsley
•
Benzie-Leelanau Health Department
•
Perinatal Regional Planning Group
•
Region 7 Homeland Security
•
Michigan Association for Local Public
Health
•
The Watershed Center
•
Northern Michigan Substance Abuse
Services
•
The Rock
•
Safe Kids North Shore
•
Traverse City Area Public Schools
•
Michigan Land Institute
Collaboration Projects
•
Multiple Collegiate Clinical Rotations
•
Project Fresh
•
Early On
•
Coalition Health Access Program
•
Love for Children
•
Head Start
•
Healthy Futures
•
Child Death Review
•
•
•
•
Breast and Cervical Cancer Screening
Program
•
Grand Traverse Baby Pantry and
Laundry Project
•
Region 7 Emergency Preparedness
•
•
Beach Monitoring Program
Shaken Baby Syndrome Work
Group
•
Great Start Initiative
•
Teen Parent Program
•
Traverse Bay Area Tobacco Coalition
•
Dog Adoption to Local Rescues
•
Poverty Reduction Initiative
•
Baby Comfort Station
•
Northern Michigan Diabetes Initiative
•
Pediatric Cardiology Clinic
Local Emergency Planning Committee •
Northern Michigan Maternal Smoking •
Cessation Workgroup
Northern Michigan Cross Jurisdictional
Sharing Team
•
Munson Community Health Committee •
Community Health Needs Assessment •
Pre-natal Substance use Disorder
Committee
•
Perinatal Regional Initiative
Vaccines for Children
Water Safety Task Force
Traverse City
High School
3962 N Three Mile Rd
2013
Grand Traverse County
Health Department
2600 LaFranier Road, Ste. A
Traverse City, MI 49686
231-995-6100
www.gtchd.org