2013 - Health Department of Northwest Michigan

Transcription

2013
REPORT TO THE COMMUNITY
HEALTH DEPARTMENT
O F N O R T H W E S T M I C H I GA N
ANTRIM
CHARLEVOIX
EMMET
OTSEGO
HEALTH
DEPARTMENT
of Northwest Michigan
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2013
Published and Distributed by
HEALTH
DEPARTMENT
Our Mission
The Health Department of Northwest Michigan is mandated by the
Public Health Code to promote wellness, prevent disease, provide quality health care,
address health problems of vulnerable populations, and protect the environment for the
residents and visitors of Antrim, Charlevoix, Emmet and Otsego Counties.
health department of northwest michigan 2013/14
BOARD OF HEALTH
ANTRIM COUNTY
CHARLEVOIX COUNTY
Karen Bargy
David Howelman, Vice Chair
Ronald reinhardt
larry sullivan
Kewadin, Michigan
Program & Evaluation Committee
Bellaire, Michigan
Personnel & Finance Committee
Boyne City, Michigan
Charlevoix, Michigan
EMMET COUNTY
OTSEGO COUNTY
larry cassidy
les atchison, Chair
Doug Johnson
Richard Sumerix
Brutus, Michigan
Petoskey, Michigan
Gaylord, Michigan
Gaylord, Michigan
TABLE OF
4
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CONTENTS
4 ................................................................................................................... Year in Review
6 ............................................................................................. Family & Community Health
14
14 ...................................................................................................... Expenses & Revenues
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16 ......................................................................................... Grants & Community Support
18 ...................................................................................................... Environmental Health
22 ...................................................................................................... Home Care & Hospice
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24 ......................................................................................................... Dental Clinics North
Acknowledgements
24
Photography................................................................................... M. Chris Leese
10
Graphic Design .............................................................................. Jennifer Halsey
http://jenhalsey95.wix.com/graphicdesign
ON THE COVER
Northern Michigan teens cool off in summer at the public beach swimming
platform in Harbor Springs.
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12
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STAY CONNECTED
www.nwhealth.org • 800.432.4121
2013
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year in REVIEW
O
n behalf of the Board of Health and our
many dedicated staff members across
Antrim, Charlevoix, Emmet and Otsego
Counties, the Health Department of Northwest
Michigan is pleased to submit this Report to the
Community to you – our residents, community
partners, fellow agencies, state and local leaders,
charitable contributors, grantors and volunteers.
You are all stakeholders in our mission, and we
hope this Report reflects the tremendous
community benefit we are able provide,
thanks to your support.
Joshua Meyerson, MD, MPH
Medical Director
Linda Yaroch, RN, MPH
Health Officer
Cross-Jurisdictional Sharing
Northern Michigan’s economic climate, geography and widely-dispersed population present unique
challenges for Health Department programs and services. Chronic disease is on the rise, while program
funding continues to decline.
To overcome these challenges, we are looking beyond jurisdictional
boundaries to share regional resources, and taking advantage of new
opportunities presented by advances in technology and health care.
The Robert Wood Johnson Foundation has awarded the Health Department of Northwest Michigan a two-year, $125,000 grant to explore crossjurisdictional sharing arrangements among six Northern Michigan health
departments, which include the Benzie-Leelanau District Health Department, Grand Traverse County Health Department, and District Health
Department Nos. 2, 4 and 10. Together, our six local health departments
are evaluating possible alliances to share services, programs and
capacities. Our objective is to increase efficiency and to build public
health capacity across Northern Michigan.
The Northern Michigan Cross-Jurisdictional Sharing Team consists of
Health Officers and Board of Health members from each of these health
districts, as well as our community partners, including the Michigan
Department of Community Health, Munson, McLaren Northern Michigan
and the University of Michigan School of Public Health. This team is part
of the 17 communities across the country that comprise the Shared
Services Learning Community, which provides access to national experts
in financial and legal analysis, operations, management, quality
improvement, community engagement, communications and evaluation.
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HEALTH
DEPARTMENT
DISTRICT HEALTH DEPARTMENT #2
HEALTH DEPARTMENT OF NORTHWEST MICHIGAN
GRAND TRAVERSE COUNTY HEALTH DEPARTMENT
BENZIE-LEELENAU DISTRICT HEALTH DEPARTMENT
The Health Department of Northwest Michigan is mandated by the Public Health Code to promote
wellness, prevent disease, provide quality health care, address health problems of vulnerable
populations, and protect the environment for the residents and visitors of Antrim, Charlevoix,
Emmet and Otsego Counties.
Cross-jurisdictional sharing arrangements range from informal agreements around sharing individual
services, to full regionalization, including formal consolidation of multiple local health departments. Maternal health, child health and information technology are the top priorities of our Cross-Jurisdictional Sharing Team. The Robert Wood Johnson Foundation will use lessons we learn to provide guidance to public
health agencies considering cross-jurisdictional sharing.
Major grant activities include thorough assessment of the cross-jurisdictional sharing arrangements in
place, development a cross-jurisdictional strategic plan, assessments of each local health department’s
capacity to implement the 10 Essential Public Health Services, and the possibility of a voluntary, multi-jurisdictional application to the national Public Health Accreditation Board.
Affordable Care Act
The Affordable Care Act, and the rollout of the Health Insurance Marketplace, placed great responsibility
on the shoulders of local public health departments and health centers throughout the state. Amid widespread public controversy over the ACA and the troubled HealthCare.gov rollout, the Health Department
of Northwest Michigan assumed a leadership role in helping residents from all eight tip-of-the-mitt counties
get enrolled in the Marketplace.
With a trained Lead Navigator and several Certified Application Counselors among our Health Department staff, we joined forces with District Health Department No. 4 and other regional partners to provide
public education and enrollment assistance. Together, we offered group workshops, small business forums
and one-on-one assistance that reached thousands of Northern Michigan residents. We will be prepared
to offer Marketplace assistance again when enrollment reopens each fall.
As 2013 drew to a close, we looked ahead to April 2014, and the rollout of the Healthy Michigan Plan. The
Plan is now in effect, covering services for many who don’t qualify for health insurance under the Marketplace, and it includes dental benefits that are a significant asset to our Dental Clinics North patients who
are 19 to 64 years of age.
Leadership Changes
For more than 30 years, Christie Vogelheim has provided administrative leadership and support to the Health Department of Northwest Michigan. Christie announced her retirement from her position as Director of Administrative Services
at the end of 2013. She has earned the lasting respect of her many colleagues
and friends among the staff at the Health Department, and also among the
community and business partners with whom she worked closely. Christie’s
forward-thinking, steady guidance has enabled the Health Department to stay
in step with growing needs for its services, while always being a faithful to its mission. She is deeply missed, but she travels with our best wishes for a long, happy
and healthy retirement.
We’re pleased to welcome Bradley Rider as the Health Department’s new
Director of Administrative Services. A native of Southeast Michigan, Bradley and
his family have now lived in Northern Michigan for more than 15 years. He holds
a degree in Finance from Michigan State University, a Master’s degree in Business Administration from Wayne State University, and has extensive management experience in the banking and health care fields. He served most recently
as CEO of Bay Street Orthopaedics for the past eight years. Brad oversees our
finance, human resources, information technology, facilities and communications functions within the agency.
STAY CONNECTED
2013
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celebrating FAMILY & Community Health
AT THE HEART
OF THE MATTER
N
guyen Duyen was just 16 when she left her home in Vietnam to spend a year in the United States, as part
of a sponsored exchange program. She found herself in Northern Michigan, living with a host family in
Mancelona, where she was also to attend school.
Just a few weeks after her arrival in the States, Nguyen needed a physical exam to meet school requirements. She
went to the Ironmen Health Center, a school-linked child and adolescent health center in Antrim County, operated by the Health Department of Northwest Michigan. Though it was a routine exam, her clinician, Tammy Hickman, detected something out of the ordinary.
“It was a heart murmur, one that had never been discovered until that day,” Tammy recalls. “Nguyen’s English
language comprehension was fair, but her speaking skills were poor. Her parents in Vietnam spoke no English. But
we had to communicate with them about this potentially life-threatening health issue.” The Ironmen Health Center
worked with Nguyen’s Mancelona host family and screening centers, to provide interpreters during her screening
and evaluations.
Nguyen was referred to McLaren Northern Michigan, in Petoskey, for a student heart screening that is offered to
students in grades 9 through 12. After electrocardiogram and echocardiogram testing, and a consultation with a
cardiologist, Nguyen was diagnosed with an Atrial-Septal Defect (ASD) - a hole in the wall between the top two
chambers of the heart – which can lead to complications and, eventually, heart failure if not treated when the
patient is young.
Unfortunately, following the discovery of Nguyen’s heart defect, the company that sponsored her U.S. exchange
withdrew its coverage, and stated that she needed to return to Vietnam.
Meet the Health Department’s
Emmet County Family &
Community Health Staff
(From left to right): Melissa Mundy, RN, MPH, Family & Community Health Nurse, Nanette Graham, RN, Family & Community Health Nurse, Keri Vigneau, Public Health Technician,
Sheryl Green, Public Health Technician, Cindy Kloss, RN, BSN, County Coordinator, Carol Francis, RN, Family & Community Health Nurse, Debra Pluim, RN/CNM, Nurse Practitioner,
Patricia Fralick, RN, BSN, MBA, Director, Family & Community Health, Mary Martinchek, RN, BSN, Family & Community Health Supervisor
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HEALTH
DEPARTMENT
That’s when McLaren referred Nguyen to C.S. Mott Children’s Hospital in Ann Arbor, where her ASD was declared
to be “significant” but correctable. Her doctors felt that she needed charitable care and, thanks to the hospital
and the International Children’s Fund, her heart surgery was fully covered. She was able to return to Northern
Michigan for cardiac rehabilitation in Petoskey at no charge.
Nguyen’s mother had flown in from Vietnam to be with her daughter during and after the surgery. They later
returned to visit clinician Tammy Hickman at the Ironmen Health Center, along with Nguyen’s host family, and all
were elated by the successful repair of the life-threatening heart defect Tammy had detected.
“Effective coordination between our child and adolescent health center, the host family, and the two medical
centers made this positive outcome possible,” Tammy says. “Nguyen can now look forward to a full and healthy
life. This is why we do what we do.”
School-Based Services
Hornet Health Center: 1,456 visits serving
418 students age 5-21
Ironmen Health Center: 1,390 visits serving
505 students age 10-21
Boyne City School Wellness
Program: 1,704 visits serving 535 students
The Health Department’s child and adolescent
health centers, which include the Hornet Health
Center in Pellston and the Ironmen Health Center
in Mancelona, provide primary care and mental
health services on school campuses. The Boyne
City School Wellness Program, launched in 2011,
includes nursing services, group and individual
health education, school staff training, and mental
health services for elementary and middle school
students.
STAY CONNECTED
2013
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CELEBRATING FAMILY & Community Health
PROGRAMS
Maternal Infant Health Program and Newborn Home Visits
8,759 home and office visits
6,336 newsletters sent to families with young children
The Health Department’s Maternal Infant Health Program (MIHP) assists families with pregnant
women or infants by providing information on pregnancy, preparing for the baby, infant care,
infant feeding and parenting through a team that includes nurses, social workers and registered
dieticians. Families that participate in MIHP are less likely to have low birth-weight infants. During
Newborn Home Visits, Health Department nurses check the baby’s weight, provide breastfeeding
support, answer questions and provide important information on caring for a new baby.
Women, Infants and Children (WIC)
Nutrition Program
3,170 WIC participants
The WIC Program protects the health of low-income pregnant
women, as well as their infants and children up to age 5, who would
otherwise be at nutritional risk. The program provides nutritious foods,
information on healthy eating, and referrals to health services within
the community. WIC food packages are valued at more than $60 per
month, and include infant formula, cereal, milk, eggs, cheese, juice,
fresh fruits and vegetables, and peanut butter. Breastfeeding peer
support is also available.
•E
very dollar spent on WIC saves more than $3.50 in subsequent
health care costs.
•P
regnant women served by WIC enter prenatal care earlier.
• Women enrolled in WIC deliver fewer low birth-weight infants.
•C
hildren served by WIC are less likely to be anemic, and are more
likely to receive proper health care & immunizations.
Early Childhood Behavioral Health Initiative
16 families served
186 participants in parent networking nights
The Early Childhood Behavioral Health Initiative seeks to establish and sustain a supportive family network to promote social
and emotional development, and to enhance behavioral health services for young children age 0-5 in Charlevoix, Emmet
and northern Antrim Counties. Six successful Parent Networking Nights were held during 2013; these provided parents of young
children with a free evening of dinner and child care while meeting other parents and learning about helpful parenting and
child development resources. Ages & Stages developmental screening was added to the Health Department’s Web site at
www.nwhealth.org/agesandstages. The Initiative offers support to all parents, regardless of income or insurance status.
Fluoride Varnish Applications
2,394 applications
Fluoride varnish is a protective coating that fights tooth decay, one of the most common and preventable diseases in children. The coating is painted on teeth to help prevent new cavities, and to stop cavities that have already begun to form.
The coating attaches easily to the teeth, and makes tooth enamel harder. Fluoride varnish applications are available to
children participating in WIC, which included 1,261 children in 2013.
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HEALTH
DEPARTMENT
Blood Lead Screening
PROGRAMS
935 children screened
The Health Department screens children for exposure to lead, which can damage the
nervous system, kidneys and blood, and is particularly harmful to the developing nervous systems in fetuses and children under six years of age. Common sources of lead
exposure in children are house dust contaminated by lead-based paint, and soil contaminated by leaded paint or decades of industrial and motor vehicle emissions.
Hearing and Vision Screening
9,576 school-age children screened
1,784 pre-school children screened
736 child referrals for treatment
The Health Department provides childhood hearing and vision screening to help prevent delays in the development of speech, language and
social skills, which can impact academic performance. Hearing and
vision screening identifies problems that would otherwise go undetected,
and connects children with essential health care resources before further
hearing or vision loss can occur.
Children’s Special Health
Care Services
516 Participants
The Children’s Special Health Care Services program
covers specialty medical care and equipment costs
for families with a child who has a chronic health
condition. Nurses and program representatives also
connect families with community services, medical
equipment, a parent hotline, and travel and lodging
assistance for medical appointments.
“This program and these people are excellent.”
“Everyone was very helpful, and they had wonderful resources.”
“I got in fast, and things were explained well.”
“Friendly staff, helpful information.”
“Everyone is willing to do whatever they can to help.”
PATIENTS RATE THEIR CLINIC EXPERIENCE
91%
94%
96%
99%
50%
60%
70%
STAY CONNECTED
80%
90%
WRITTEN MATERIALS HELPFUL
STAFF HELPFULNESS “EXCELLENT”
STAFF ATTITUDE “EXCELLENT”
appointment time convenient
100%
2013
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THE MEANS
TO
SURVIVE
M
ary Everett of Central Lake had already survived breast cancer once. She knew the importance of regular
mammograms, and continued getting them. “I didn’t believe I’d get it again,” she recalled.
But in February 2013, Mary, 62, received the terrifying news that another small tumor had been found. She did not
feel the lump. She had no health insurance, and was referred to the Health Department of Northwest Michigan’s
Breast and Cervical Cancer Control Program (BCCCP) for assistance.
The Health Department partners with Antrim County High Tea – a nonprofit organization dedicated to helping eligible
Antrim County women get the preventive services they need – to provide screening and follow-up, at no charge.
Antrim County High Tea also covers transportation costs by providing gasoline cards through the Health Department.
Breast and Cervical Cancer Control Program
1,328 women screened, including 829 from four-county Health District
The Health Department provides low-income, uninsured women with free breast and
cervical cancer screening, including mammograms. This provides an opportunity to
identify cancer at the earliest possible stage, when it is most treatable. If a woman is
diagnosed with breast cancer, enrollment in the Medicaid Treatment Act covers costs
related to treatment.
WISEWOMAN Program
570 participants
Well-Integrated Screening and Evaluation for Women Across the Nation,
or WISEWOMAN, screens low-income, uninsured or under-insured women
age 40-64 for heart disease and stroke risk factors, such as nutrition,
physical activity, stress and tobacco use. The Health Department’s Public
Health Nurses provide counseling and referrals to help clients meet health
improvement goals.
Colorectal Health Screening Program
183 clients screened
Colorectal cancer is the second leading cause of cancer death in the United States. It is also a cancer that is fully preventable with screening. That’s why the Health Department provides uninsured or under-insured women and men, age
50-64, with an at-home screening test that is then analyzed at the Health Department’s Northern Michigan Regional
Laboratory, and with free colonoscopies if program criteria are met.
Family Planning Program
1,140 participants
The Health Department’s Family Planning services help men and women make well-informed reproductive health
choices, so they can plan for a healthy pregnancy or prevent an unwanted pregnancy. Services include a health history, physical exam, counseling on birth control methods, dispensing of contraceptives such as pills, depo shots and
nuva rings, and medical follow-up when abnormalities are discovered in the reproductive system.
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HEALTH
DEPARTMENT
Mary underwent a lumpectomy, lymph node removal and four months of chemotherapy during 2013, and has
completed her radiation treatment. She said the early detection of her tumor offered her an excellent chance at
recovery, and is grateful for the Health Department’s help in getting insurance to cover her treatment. “Without it, I
would not be able to afford to get treated,” she said, adding that she had to make frequent trips between Central
Lake and Petoskey for treatment. “The gas cards are a great help.”
Mary has some advice for those who may
be hesitant about getting a mammogram. “Don’t put it off!” she said. “The earlier you catch it, the easier to treat it… So
many people I know have experienced it.
My sister Nancy had it and survived. I was
her support, and now, she’s mine.”
Mary receives a gasoline credit
card from Joy Klooster, RN,
BSN, MBA (left), the BCCCP
Coordinator, to help with the
cost of her travel to and from
her follow-up appointments.
To learn more about the Health Department’s Breast and Cervical Cancer
Control Program and its partnership
with Antrim County High Tea, or to
learn how you can support both
organizations, visit www.nwhealth.org
or www.antrimcountyhightea.org.
MIChild, Healthy Kids and Plan First!
667 clients assisted
MIChild and Healthy Kids provide pregnant women and children up to age 19 with health
insurance coverage through the State of Michigan. MIChild provides a Blue Cross/Blue Shield
policy for just $10 per family per month, while Healthy Kids provides free health insurance for
those who qualify. Plan First! enrollment provides coverage for reproductive health exams
and supplies for women ages 19-44. The Health Department works with clients to guide
them through the enrollment processes of these complex but highly beneficial resources.
Through the Northern Health Plan, a community partnership of hospitals and health
departments, 3,000 uninsured adults were provided a plan to help them access care.
Communicable Disease Investigation
198 communicable disease investigations, 199 sexually transmitted disease investigations
The Health Department investigates all reportable communicable diseases in
Antrim, Charlevoix, Emmet and Otsego Counties. These include such diseases as
hepatitis, giardiasis, meningitis, salmonellosis and sexually-transmitted diseases.
Interviews are conducted with infected individuals, and also with family, friends, coworkers and others who may have been in contact and are at risk. Health education and treatment is provided, if needed, to prevent the disease from spreading.
Immunizations
12,791 doses administered, 17,265 doses distributed
Immunizations prevent diseases that can be dangerous – even deadly – by helping
the body safely develop immunity to disease. The Health Department administers
and distributes vaccines to prevent the spread of polio, measles, mumps, rubella,
influenza, tetanus, diphtheria, chicken pox, meningitis, whooping cough and other
communicable diseases. Immunizations are provided in the WIC Program and at
the Hornet Health Center, Ironmen Health Center, Health Department office clinics,
or in other community locations, such as schools.
STAY CONNECTED
2013
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PARTNERING TO BUILD
HEALTHY COMMUNITIES
TOBACCO PREVENTION PROGRAM
The Health Department of Northwest Michigan works closely with schools in Antrim, Charlevoix, Emmet and Otsego Counties
to develop policies and plans that support a healthy learning environment. By the end of 2013, one hundred percent of all
school districts in the Health Department’s four-county region had enacted 24/7 tobacco-free policies.
In addition to working with school districts, the Health Department focused its
efforts on enacting smoke-free and tobacco-free policies at public parks and
beaches. The number of tobacco-free parks and beaches in the region jumped
from one (1) to six (6) during 2013 alone.
They include parks owned by the Village
of Pellston, and the Petoskey Youth Soccer
Association soccer complex, an outdoor
space with 14 soccer fields for youth and
their families.
SAFE Youth from Charlevoix and Emmet Counties
promote a Substance Abuse-Free Environment
(SAFE).
FARM FRESH
FARMER’S MARKETS
Healthy produce from local Farmer’s
Markets now in easy reach for lowincome individuals and families
more than 4,000 VISITORS TO HEALTH DEPARTMENT FOOD STALLS
21 FARMER’S MARKETS IN Boyne City, Charlevoix, Gaylord and Pellston
F
armer’s markets are a popular Northern Michigan destination in the spring, summer and
fall. They’re a great source of healthy, locally-grown produce. But with the help of the
Health Department, local farmer’s market managers, and the USDA’s Supplemental Nutritional Assistance Program (SNAP), several local farmer’s markets can now also accept a cash
alternative from low-income individuals and families in the region who purchase food using SNAP Bridge Cards.
The SNAP Bridge Card is an electronic balance transfer (EBT) card that can be used by those in the SNAP program to shop for certain kinds of healthy food at a participating location. These include breads and cereals,
fruits and vegetables, meats, fish, poultry, and dairy products – items that are healthy for the entire household.
The Health Department has partnered with farmer’s markets in Antrim, Charlevoix, Emmet and Otsego Counties to promote acceptance of the SNAP Bridge Card. What’s more, when cardholders make purchases
through certain participating markets, the amount of money they spend is matched with “Double-Up Food
Bucks”, enabling them to buy even more Michigan-grown fruits and vegetables.
During 2012, only three Northwest Michigan farmer’s markets had the ability to accept Bridge Cards, and
their total sales through the program were about $600. But in 2013, thanks to grants from the WISEWOMAN
Program, the Michigan Cancer Consortium, the Michigan Nutrition Network, and the Michigan Department of
Community Health, the Health Department was able to offer technical assistance to market managers and
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HEALTH
DEPARTMENT
Substance Abuse Prevention
750 students and 1,800 adults reached
More than 100 students and adults involved in
coalition work
18 of 18 local school districts now 100% Tobacco Free!!!
The Health Department’s substance abuse prevention programs are researchbased, and are considered best practices for preventing the abuse of drugs, alcohol, tobacco and other substances. Preventing abuse among adolescents means
preventing a lifetime of health and social problems. Substance abuse leads to
suicide, early and unsafe sexual activity, and motor vehicle accidents. The Health
Department educates students within the classroom and adults throughout in the
community on the dangers of alcohol, tobacco, prescription drugs, and other
drugs.
Safe routes to school
The Health Department worked with the Boyne City, East Jordan, and
Pellston schools on the Safe Routes to School Program to assess the
built environment, as well as attitudes and behaviors, that can enable students to actively commute to school. City leaders, school administrators, parents, and students participated in planning meetings
to create action plans and special events for students to walk or bike
safely to school rather than riding in a bus or car. The action plans will
be used by city officials, school administrators, and the Health Department to write federal grant applications to support infrastructure
changes to create safe, walkable, bikable communities for students.
launch major outreach and awareness efforts, including direct mailings and media coverage. As a result, a
total of six markets were approved to accept the Michigan Bridge Card in 2013, and three markets received
Double-Up Food Bucks funding. Sales to SNAP participants grew to a whopping $12,227 for the period between June and September. Total sales for calendar year 2013 are estimated to be approximately $13,000.
The success in SNAP produce sales, combined with other major successes at farmer’s markets in Northwest
Michigan, had a snowball effect in securing the approximately $140,000 in grants received by the Health
Department. Funds were used to help farmer’s markets implement EBT card reader technology and Double-Up Food Bucks, to conduct widespread marketing and outreach activities, to provide stipends to local
markets for staffing the EBT/Double-Up Food Bucks booths, to provide funding for EBT machine maintenance,
and to provide nutrition education at four different farmer’s markets in the region. These efforts led to
an overall increase in awareness of SNAP, Double-Up Food Bucks, and SNAP-Ed activities.
Kids in the Kitchen
A 7-session nutrition education
program with cooking instruction
was completed with two groups
of middle school students in
the summer. The children
really enjoyed the program,
learning how to cook and
trying new foods; they often
commented they were
excited to make the dish at
home with their families!
Amy Brown and Lynne DeMoor
provide a cooking demonstration at
the Boyne City Farmer’s Market.
Farmer’s Market Cooking Demos
STAY CONNECTED
2013
P13
EXPENSES &
REVENUES
EXPENSES
Home care
& aging
services
$2,149,111
OTHER $656,468
BY PROGRAM
environmental
Health
$1,714,216
Dental Clinics North
$10,172,132
Family & Community Health
$6,460,830
TOTAL:
$21,152,757
P14
HEALTH
DEPARTMENT
The Health Department invests carefully in services that benefit
every part of your community.
$1,282,576
REVENUES
0
68
NS
O
I
T
IA
R
P
RO
P
AP
STATE & FEDERAL FUNDS
$7,303,284
local
unity
,
58
9
$
9
,45
8
$24
grants
comm
FEES & COLLECTIONS
$12,376,189
TOTAL:
$20,886,612
STAY CONNECTED
2013
P15
GRANTS &
COMMUNITY
support
The Health Department of Northwest Michigan
is grateful for the support we received from community
organizations and our community partners during 2013.
Your generosity makes it possible for us to sustain and expand
the kinds of programs that make Northwest Michigan
a healthy place to live, work and visit.
Health Department of Northwest Michigan Headquarters—
Charlevoix County
P16
HEALTH
DEPARTMENT
Antrim County High Tea for
Breast Cancer Prevention
partners with the Health Department
to ensure every woman in Antrim
County has full access to
mammography services and
follow-up treatment.
Left to Right: Terri VanUum,
Chris Hale, Marilyn McClure,
Dee Lynch, Gerald DeGrazia,
Jane VanEtten, Janna Gates,
Ann Schwandt & Jami Gray.
Antrim County High Tea 2013 ABC Challenge Walk
Antrim County High Tea for Breast Cancer Prevention
Little Traverse Bay Bands of Odawa Indians
Bellaire Lioness Club
McLaren Northern Michigan
Char-Em United Way
Michigan Department of Community Health
Charlevoix Area Hospital
Michigan Department of Education
Charlevoix County Community Foundation
Michigan Fitness Council
Charlevoix Women’s Circle
Northern Health Foundation
Christ Child Society
Northern Health Plan
Delta Dental of Michigan
Otsego Memorial Hospital - Gaylord
East Jordan Lions Club
Petoskey - Harbor Springs Area Community Foundation
Elk Rapids Lions Club
Rally for the Cure
Ellsworth Lioness Club
Robert Wood Johnson Foundation
Frey Foundation
Zonta International
Health Department of Northwest
Michigan—Antrim County
Health Department of Northwest Michigan &
Dental Clinics North—Harbor Springs, Emmet County
Health Department of Northwest Michigan &
Dental Clinics North—Gaylord, Otsego County
Nicole Spires, Office Coordinator,
HDNW Otsego County
Megan Robinson, Office Coordinator,
HDNW Emmet County
STAY CONNECTED
Michigan—Charlevoix County
Connie Birdsall, Office Coordinator,
HDNW Charlevoix County
Jane Dinser, Office Coordinator,
HDNW Antrim County
Health Department of Northwest
2013
P17
EXCEPTIONAL
MEETING EVEN UNDER
RADON HEAD-ON
PROTECTING & PROMOTING ENVIRONMENTAL HEALTH
The Health Department helps Northern
Michigan homeowners and business owners
like Bill Dietrich understand, detect and
eliminate a silent killer: Radon.
M
ore than 21,000 Americans are killed each year by radon-induced lung cancer. Radon is a radioactive
gas that comes from decaying radium and uranium occurring naturally in the earth, and it is detected
often in homes throughout Northern Michigan. It is the second leading cause of lung cancer overall,
and is the leading cause of lung cancer among non-smokers. Radon is
odorless and invisible, so the only way to know if your home has a problem is to test for it. Levels of the gas can vary greatly from one home to
the next, but they are generally highest in homes that are closed up
tightly, with little ventilation – such as during a long Northern Michigan
winter.
Bill Dietrich has been a real estate
professional in Northwest Michigan
for more than 40 years, working with
home buyers, sellers and inspectors every day. He finally decided to
test his own home in Charlevoix for
the presence of radon. He picked
up one of the Health Department’s
complete do-it-yourself test kits, and
to his surprise, he discovered radon
levels in his home exceeding the EPA’s recommended action level.
“My wife and I were very concerned about the results, and wanted to
know what we could do to resolve the problem,” Dietrich said. “The
120
RESIDENTIAL SERVICES
116
TOTALS
NUMBER COMPLETED
100
RADON TESTS: 186
COMPLAINT INVESTIGATIONS: 64
MORTGAGE EVALUATIONS: 52
EXISTING SYSTEM EVALUATIONS: 116
LAND EVALUATIONS: 58
80
60
RADON TESTS
40
42
20
0
48
46
13
9
17
15
5
ANTRIM (145)
P18
31
30
18
COMPLAINT INVESTIGATIONS
37
HEALTH
DEPARTMENT
EXISTING SYSTEM EVALUATIONS
18
13
4
CHARLEVOIX (81)
MORTGAGE EVALUATIONS
EMMET (110)
8
1
2
3
LAND EVALUATIONS
OTSEGO (140)
Charlevoix-area real estate agent Bill Dietrich
was surprised to discover high levels of radon
in his own home. With help from the Health
Department and a licensed contractor, Bill
and his wife can now rest assured that their
home is free of harmful radon levels.
Health Department was helpful in providing information and guidance as to what this meant, and what to do
next.” After some further testing, Dietrich contacted a certified radon contractor, who was able to correct the
high radon level his home with radon mitigation equipment. “The equipment was installed in one day, and has
been effectively eliminating radon from our home for the past seven-plus years,” he said, adding that follow-up
tests have shown his home to have radon levels at or below those found in normal fresh air.
Dietrich says a large number of home buyers and sellers are not aware of the risks posed by radon. “I would
recommend to buyers that they make radon testing part of their home inspection, or do it independently with
the Health Department,” he said. “Everyone should be informed and aware that elevated levels of radon in a
home can be fixed – not only for sale purposes, but for the health and wellbeing of the homeowner and family
living in the home.”
Radon test kits are available for just $15.00 through the Health Department of Northwest Michigan’s offices in
Bellaire, Charlevoix, Gaylord and Petoskey/Harbor Springs.
Ron Boss
TOTALS
150
FOOD LICENSING
FULL SERVICE FOOD LICENSES: 392
LIMITED FOOD SERVICE LICENSES: 190
TEMPORARY FOOD LICENSES: 197
MOBILE/TRANS/EXEMPT/C&C: 8
VENDING/STFU: 53
139
NUMBER ISSUED
120
90
60
95
85
79
73
55
30
0
FULL SERVICE FOOD LICENSE
63
LIMITED FOOD SERVICE LICENSE
49
43
41
31
TEMPORARY FOOD LICENSE
26
3
ANTRIM (162)
1
12
15
CHARLEVOIX (245)
STAY CONNECTED
2
EMMET (265)
2
12
14
OTSEGO (168) TOTAL 840
2013
MOBILE/TRANS/EXEMPT/C&C
VENDING/STFU
P19
PROTECTING & PROMOTING ENVIRONMENTAL Health
The Health Department holds primary responsibility for the surveillance, investigation
and prevention of waterborne illness in Northwest Michigan, and is committed to the
protection of ground and surface waters. It is also responsible for inspecting, permitting and conducting investigations of public and private wastewater systems. Clients
include schools, day care facilities, restaurants, churches, businesses, private homes
and many others.
150
133
well permits
128
120
NUMBER ISSUED
103
98
90
TOTAL 495
ANTRIM 143
CHARLEVOIX 109
EMMET 141
OTSEGO 102
60
30
0
RESIDENTIAL WELL PERMITS (462 total)
10
ANTRIM
13
4
PUBLIC WATER SUPPLY PERMITS (33 total)
6
CHARLEVOIX
EMMET
OTSEGO
PUBLIC BATHING BEACH
SAFETY MONITORING
The Health Department’s Bathing Beach Safety Monitoring Program monitored the water quality at 50 beaches throughout Antrim, Charlevoix,
Emmet and Otsego Counties during 2013.
For more than a decade, water quality monitoring has covered 31
Lake Michigan beaches in the region. This important work was made
possible through grant funding from the United States Environmental
Protection Agency (EPA) and the Michigan Department of Environmental Quality (MDEQ). Those who live on or near the lake, and
seasonal tourists who visit and enjoy Northern Michigan’s unspoiled
beaches, have come to trust that the water quality is being monitored for their safety. The monitoring program has been successful
in protecting public health, and has also supported the economic
benefit of having clean, safe swimming areas.
Unfortunately, due to severe EPA funding cuts, the Health Department
will not be able to continue comprehensive sampling of these Great Lakes
beaches without financial assistance. The agency is reaching out to individual beach operators, offering a fee structure to continue beach water quality
sample collection and analysis, posting of beach water quality information on the
state’s publicly-accessible water quality website, and complete handling of any necessary
advisories, closures and follow-up sampling. Water quality samples continue to be tested through the
Health Department’s Northern Michigan Regional Laboratory, a laboratory with the ability to analyze
samples at a very low cost and provide results quickly.
P20
HEALTH
DEPARTMENT
TOTAL 50
The Health Department values
its positive working relationships with local residents,
business owners & contractors.
NEW SEWAGE PERMITS
(279 total)
REPLACEMENT SEWAGE PERMITS
(289 total)
ALTERNATE SYSTEMS
(19 total)
120
SEWAGE & SEPTIC SYSTEMS
111
100
NUMBER ISSUED
TOTAL 576
ANTRIM 182
CHARLEVOIX 147
EMMET 144
OTSEGO 103
109
80
78
75
60
70
67
40
33
20
25
12
5
0
ANTRIM
CHARLEVOIX
EMMET
40
SWIMMING POOL LICENSES: 138
SUBDIVISION/SITE CONDOS: 3
DHS FACILITIES: 96
CAMPGROUND LICENSES: 53
SEPTIC WASTE HAULER LICENSES: 97
46
42
30
10
OTSEGO
COMMERCIAL ENVIRONMENTAL SERVICES
55
50
20
0
TOTALS
60
NUMBER PROVIDED
2
34
20
24
21
0
0
SWIMMING
POOL LICENSES
2
1
20
ANTRIM
24
18
15
15
14
CHARLEVOIX
14
9
EMMET
13
OTSEGO
0
SUBDIVISION/
SITE CONDOS
DHS
FACILITIES
CAMPGROUND
LICENSES
SEPTIC WASTE
HAULER LICENSES
Water Testing at the Northern Michigan Regional Laboratory
The Northern Michigan Regional Laboratory
TOTAL 2,383
serves a 19-county region from its location at the
ANTRIM 308
CHARLEVOIX 572
Health Department facility in Gaylord. In
EMMET 587
partnership with the Michigan Departments of
OTSEGO 916
Community Health and Environmental Quality,
the lab provides timely, accurate water analyses
to serve public health, clinical and epidemiological needs.
Water samples for testing can be dropped off at the Health Department’s
facilities in Bellaire, Charlevoix, Gaylord and Harbor Springs.
BACTERIOLOGICAL WATER SAMPLES (1,197)
PARTIAL CHEMICAL WATER SAMPLES (898)
STAY CONNECTED
2013
375
344
243
166
142
ANTRIM
541
146
118
CHARLEVOIX
EMMET
OTSEGO
P21
CARE
COMES
PERSEVERANCE
HOME CARE & HOSPICE
W
hen Dean Johnston was admitted to the hospital in the fall of 2013, he didn’t expect to make it out alive.
The 68-year-old engineer and Vietnam veteran suffered from advanced lymphoma and pulmonary fibrosis,
leaving him with debilitating shortness of breath and activity intolerance. He was referred for hospice care
through Hospice of Northwest Michigan.
While hospice provides end-of-life care for the terminally ill, hospice care nurses explore every opportunity to improve the quality of life for their patients. In Dean’s case, nurse Patty Frederick worked with Dean and his physician to
establish a regimen that offered him a chance to stabilize his health and living conditions. In fact, he worked so hard
to follow Patty’s guidance that he was able to “graduate” from active terminal status to a functional lifestyle.
“I was fortunate when I met Patty,” says Dean, who has been out of the hospital for 32 weeks at the time of this writing. “She inspired confidence when I first met her, and I chose my hospice right then and there. She’s a sweetheart,
and a professional, and she always had the right answers.”
Between 11 and 15 percent of hospice patients improve to the point that they can be discharged, or can “graduate”
from hospice care. This success rate can be attributed to effective communication and collaboration among those
Hospice of Northwest Michigan is a
We Honor Veterans Level II Partner
W
e Honor Veterans helps hospice organizations build professional and organizational capacity to provide quality care for veterans, develop or strengthen partnerships with Veterans Administrations and other veteran organizations, and increase access to hospice and palliative
care for veterans in the community.
“All hospices are serving veterans, but they often aren’t aware of that person’s service in the armed
forces,” said J. Donald Schumacher, President of the National Hospice and Palliative Care Organization. “Through We Honor Veterans, we are taking a giant step forward in helping hospice and palliative care professionals and volunteers understand and serve veterans at the end of life.”
Hospice of Northwest Michigan is proud to partner with the program, according to its Executive Director,
Amy Wieland. “By recognizing the unique needs of veterans who are facing a life-limiting illness, we are
able to accompany and guide these men and women through a peaceful end-of-life transition,” she says.
Tina Lamont, Director of Adult Health Services, points out that veterans’ past military experience may
be a source of angst. “For those veterans who experienced combat service or other trauma, it can be
especially important to understand the kinds of past experiences that often resurface at the end of life,”
she says.
Bereavement and grief support
Rev. David Behling facilitates Grief Support Programs through Hospice of Northwest Michigan. These programs are available in five-week sessions through the spring, summer and fall at various locations in the community. Rev. Behling
also facilitates the monthly Teen Support Group and Healing with Loss, a monthly support group for adults.
During 2013, Hospice of Northwest Michigan offered additional community resources for coping with
grief and loss, including:
• Annual National Bereavement Teleconference, • G rief Support Workshop, November 10, 2013:
April 16, 2013: “Improving Care for Veterans
“Handling the Holidays”
Facing Illness and Death”
• Boyne City Remembrance Event, December 8,
• Annual Memorial Service, November 3, 2013
2013: “Lights of Love”
P22
HEALTH
DEPARTMENT
“You have quality nursing care,
and I’ll tell anybody.”
Dean Johnston, Hospice Patient
involved in each patient’s care – physicians, hospice personnel, family and other caregivers, as well as the patients themselves. Stabilizing patients’ medical condition and
environment can, in some cases, return them to the point that they no longer qualify for
– or need – hospice care.
Hospice of Northwest Michigan provides seamless transitions between home care and
hospice. When a patient’s condition changes, and he or she needs to return to hospice
care after being discharged, the same trusted providers can be there to provide appropriate care.
Always the consummate engineer, Dean likes to research equipment and new ideas
that can help him devise ways of managing his own quality of life – as inspired by
the recommendations of his nurse, Patty. These days, Dean only needs to see Patty
once a month, for routine care. “You have quality nursing care, and I’ll tell anybody,” he says of Hospice of Northwest Michigan.
HOME CARE
HOSPICE
BASIC CARE
Northwest Michigan
is a We and
Honor tremendous
Veterans Level II Partner
ItHospice
takesof extensive
training
personal dedication
to[logo]
provide the kind of care needed by home care and hospice patients. In addition to being regisWe Honor
Veterans
helps
hospice organizations
build
professional
and
organizational
capacityinto provide quality care
tered
nurses,
the Health
Department’s
home health
nurses
must have
several
years’ experience
for
veterans,
develop
or
strengthen
partnerships
with
Veterans
Administrations
and
other
veteran
acute care. Their clinical expertise must be accompanied by strong interpersonal and social
skills organizations, and
increase
access
to
hospice
and
palliative
care
for
veterans
in
the
community.
– all of which are constantly put to the test, as they are called into patients’ homes during times of
“All hospices
areand
serving
veterans,
they
aren’t
great
discomfort
uncertainty
forbut
both
theoften
patient
andaware
family.of that person’s service in the armed forces,” said J.
Donald Schumacher, President of the National Hospice and Palliative Care Organization. “Through We Honor Veterans,
Donna Carlson-Alkire
we are taking
a giant step
forward
in helping
hospice
and says
palliative
care
professionals
and volunteers
understand
“Patients
get specialized
care
from many
different
sources,”
Donna
Carlson-Alkire,
Home
Care
Home Care &and
Hospice
serve
veterans
at
the
end
of
life.”
and Hospice Supervisor. “We’re there to look at the whole patient, the resources they have availSupervisor
Hospice
Northwest Michigan
is proud to
partner
with problems
the program,
according
to its
Executive
able,
theirof
environment,
and the different
kinds
of health
they’re
facing. We
interact
withDirector, Amy Wieland.
“By
recognizing
the
unique
needs
of
veterans
who
are
facing
a
life-limiting
illness,
we
are
able
to accompany and guide
their providers; we call pharmaceutical manufacturers; we help the patient get answers when they
these
men
and
women
through
a
peaceful
end-of-life
transition,”
she
says.
don’t know who to call.”
Tina Lamont, Director of Adult Health Services, points out that veterans’ past military experience may be a source of .
In“For
addition
registered
and home
healthservice
aides, the
Health
Department’s
care staff
thoseto
veterans
whonurses
experienced
combat
or other
trauma,
it can behome
especially
important to understand the
has
access
to medical-social
workers,
pharmacists,
therapists
and she
other
resources to meet the needs
kinds
of past
experiences that
often resurface
at the
end of life,”
says.
of[photo:
the patient
and family.
All staff are
cross-trained
both
home care and hospice services,
Amy Wieland,
Executive
Director,
Hospiceto
ofprovide
Northwest
Michigan]
assuring a smooth transition for home care patients if and when hospice services are needed.
“Our staff is always available to our patients and their families,” says Tina Lamont, Director of Adult
Health Services. “They are our priority.”
STAY CONNECTED
2013
Tina Lamont
Director of Adult
Health Services
P23
AEXCEPTIONAL
SMILE IS
EVEN
UNDER
THANKS
ENOUGH
I
The staff at Dental Clinics North in
Cheboygan go above and beyond for
a patient who had lost all hope of
affording urgent oral health care.
t could happen to anyone. But for Ron, the thought of having to lose all of his teeth—with no way to pay for the
urgent dental procedures he needed—was too much to bear.
At 67 years of age, Ron had already experienced heart problems and had endured multiple joint replacements. The Cheboygan resident had run his own
business for years, but when it closed, he also lost his home, and was left with only
seasonal work to help him pay the bills.
After completing the initial chartings and oral exam, Tyler Allerding, DDS determined that Ron would need full dentures due to the severe wear and extreme
deterioration of his teeth.
Removal of his teeth was also necessary to
avoid complications from a dental infection.
Rico Breznau, dental hygienist and office administrator for the Cheboygan clinic, recalls
Ron’s devastation when he heard the news.
“After the dentist left the room, he quietly
broke down in tears,” Rico said. “He was devastated to be losing his teeth, but
what actually brought him to tears was the fact that he had no way to pay for
the procedures he needed. He was working as a greeter, and was mortified at
the thought of having no teeth while talking to customers.” Ron knew it was the
only way he could remain healthy enough to work, but he had no idea how he
would cover the expense.
The staff at Dental Clinics North quickly made the decision to seek financial
support on Ron’s behalf through the Dental Assistance Fund. During 2013, the
Fund covered $1,059,830 in essential dental services to 3,712 clients, including 38
from Cheboygan County alone.
schoolbased
screenings
13 participating
schools in 2013;
2,683 children
screened.
P24
HEALTH
DEPARTMENT
Northern Dental Plan
$ Provided dental services at a reduced fee to
4,362 uninsured people in Northern Michigan.
$ Provided $1,059,830 in financial assistance
to 3,712 patients, of whom 1,590 were from
Antrim, Charlevoix, Emmet and Otsego
Counties.
The staff at Dental Clinics North, Cheboygan.
Ron (right) expresses his thanks to
his dentist, Dr. Tyler Allerding (left).
“We were able to get the funding approved for Ron, along with a contribution from his
church to help offset the costs,” Rico recalls. “Without the entire staff working together,
this would never have come together for him.” The rollout of the Healthy Michigan Plan
in April 2014 makes dental services a covered benefit for eligible patients between the
ages of 19 and 64. For those age 65 and over, the Dental Assistance Fund will continue to
provide access to needed dental care.
Ron expressed his gratitude in a letter to Dr. Allerding and the staff at Dental Clinics North
in Cheboygan. “I cannot say enough or thank you enough for the help I have received,”
he wrote.
Dental Clinics North, a partnership
of local health departments, is administered by the
Health Department of Northwest Michigan, with clinical
services provided by Michigan Community Dental
Clinics. We provide care to patients with Medicaid,
Healthy Michigan Plan, Delta Healthy Kids, MIChild,
Northern Dental Plan, and uninsured.
Total Clients Served
23,490, including 8,911 from Antrim,
Charlevoix, Emmet and Otsego Counties.
STAY CONNECTED
Clients served
Alpena
Cheboygan
East Jordan
Gaylord
Mancelona
Petoskey/Harbor Springs
Traverse City
West Branch
Hospital Program
WIC FLUORIDE VARNISH (HDNW)
2013
2,020
1,695
1,906
3,096
2,463
2,342
6,094
2,455
158
1,261
P25
find us on
emmet
facebook
harbor springs/
petoskey


charlevoix
charlevoix
Emmet County

gaylord
otsego
antrim

bellaire
Hornet Health Center
Pellston High School
172 Park St.
Pellston, MI 49769
Charlevoix County
220 W. Garfield
Charlevoix, MI 49720

mancelona
HEALTH
DEPARTMENT
ANTRIM
3434 Harbor-Petoskey Rd., Suite A
Harbor Springs, MI 49740
CHARLEVOIX
EMMET
OTSEGO
☎800.432.4121
www.nwhealth.org
Home Care & Hospice ☎800.551.4140
Antrim County
209 Portage Dr.
Bellaire, MI 49615
Mancelona Family
Resource Center/Ironmen
Health Center
205 Grove St.
Mancelona, MI 49659
Otsego County
95 Livingston Blvd.
Gaylord, MI 49735
Dental Clinics North
☎877.321.7070
www.dentalclinicsnorth.com
Alpena Harbor Springs/Petoskey
Mancelona
Cheboygan
Traverse City
East Jordan
West Branch
Gaylord

2013 - Health Department of Northwest Michigan

Transcription

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