pcghd annual report
Transcription
pcghd annual report
PCGHD ANNUAL REPORT Fiscal Year 2013 Current Employees Email ADMINISTRATION ADMINISTRATION Dr. Vernon Bolender, Health Commissioner Paula Johnston, Registrar/Accounts Clerk 2 Lisa Rase, Accounts Clerk1/Payroll Steve Hawkins, Fiscal Officer [email protected] [email protected] [email protected] [email protected] CLINICAL HEALTH CLINICAL HEALTH Elaine Miller, Director of Clinical Services Susan Hardman, Clinical Services Clerical Specialist Shannon Gorby, BCMH Public Health Nurse Darcie Scott, Emergency Response Coordinator Danny Miller, Communicable Public Health Nurse [email protected] [email protected] [email protected] [email protected] [email protected] ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH Kelly Dennis, Director of Environmental Health Becky Levernier, Registered Sanitarian 2 Candy Schwalbauch, Environmental Health Clerk Emily Deshaies, Registered Sanitarian 1 [email protected] [email protected] cschwalbauch @pchd.org [email protected] Board Members Steve Bowling Gary Gillen Term 2009 - 2014 2011 - 2016 Mike Wolford Art Goodwin Tony Mosley Jay Elsea Scot Burbacher Craig Stevenson 2010 - 2015 2014 - 2019 2013 - 2018 2013 - 2017 2014 - 2019 Dr. Vernon G. Bolender, Health Commissioner Contact Us Give us a call for more information about our services and products Pickaway County General Health District 110 Island Rd. Circleville, OH 43113 (740) 477-9667 Visit us on the web at www.pchd.org Environmental Health By: Kelly Dennis, R.S. Another year has come and gone for the Environmental Health Division. 2013 was the first full year in a few in which our division was back to full staff and our programs have benefited greatly. The division implemented a few new programs in 2013. We conducted food safety training for local food operators and employees. We also held a rabies clinic in August allowing pet owners to get their dogs and cats vaccinated for rabies at an inexpensive cost. The division staff completed inspections of food vendors at local festivals and events including the county fair, Ashville 4th of July, and the Pumpkin show. Our staff maintained a steady workload in completing household sewage treatment system inspections and evaluations, lot split evaluations, nuisance investigations, food service inspections, private water system inspections, pool inspections, school inspections, campground inspections, and many other environmental health program inspections. We continue to appreciate the council’s support for our programs and division and are always trying to make improvements to better serve the residents of Pickaway County. We continue to strive to protect our county’s environment and protect the health and well-being of our county’s residents. 2014 Environmental Health Programs Animal Bite Inspections Campgrounds / RV Parks Temporary Campground / RV Parks Temporary Food Operations Food Operations (Risk Program) Mobile Food Operations Vending Machine Locations School Inspections Lot Split Evaluations Manufactured Home Parks Nuisance Inspections Pools/ Spas Real Estate Inspections Site Evaluations Sewage Systems Sewage System Inspections Solid Waste Program for OEPA Tattoo and Body Piercing Water Systems - New Wells Water Systems - Sealing of Well TOTAL # of Inspections 150 24 6 80 595 308 25 51 40 25 388 82 18 59 702 46 8 128 18 2753 Township / Village / City Circleville TWP (N) Circleville TWP (S) Darby Deercreek Harrison Jackson Madison Monroe Muhlenberg Perry Pickaway Saltcreek Scioto Walnut Washington Wayne Ashville Circleville City (N) Circleville City (S) Commercial Point Darbyville New Holland Orient South Bloomfield Tarlton Williamsport Totals # Activities 140 135 327 60 389 111 173 229 85 81 332 366 450 267 437 52 105 722 786 106 45 10 38 57 30 56 5589 *Activities include inspections, phone calls, emails, letters, reports, meetings, consultations, and other activities completed by division staff Kelly Dennis, Becky Levernier, Candy Schwalbauch, Emily Deshaies For your Information DLC vs. DAC The DLC are people who hold licenses and the DAC are people who hold office. The DLC appoints one member to the board of health, the DAC appoints the remaining members to the board of health based on the agreement they have with the City of Circleville. What is the DLC (District Licensing Council)? It is appointed by the District Advisory Council. The terms of members last 5 years. It has been in existence since November 21, 2001.One representative is appointed for each activity licensed by the health district. They must be a resident of the district. Members of the DLC select a chairperson and secretary and have their own by-laws. They are required to meet annually and if the chair or majority request an additional meeting. They appoint one member to the board of health and select an alternate to serve if the representative has to abstain from voting. What is the DAC (General Health District Advisory Council)? It is made up of the president of the board of county commissioners, chief executive of each municipality and the president of the board of township trustees of each township. The council selects a chair and secretary from its members and adopts by-laws. The DAC must meet annually in March at a location selected by the chair and health commissioner to elect a chair and secretary, make necessary appointments, receive reports, and make recommendations to the board of health for the betterment of health and sanitation in the district. The DAC shall appoint members to the board of health based on the agreement between the City and existing health district if their services have been merged. One member must be a physician and another member appointed by the district licensing council. Danny Miller, Darcie Scott, Elaine Miller, Susan Hardman Shannon Gorby What is Accreditation? By: Darcie Scott, M.P.H., C.P.H. Public health department accreditation is defined as the development of a set of standards, a process to measure health department performance against those standards, and reward or recognition for those health departments who meet the standards. Accreditation costs $20,670.00 as the PHAB fee. There are additional costs due to the necessary prerequisites. The health department must complete a Community Health Assessment, Community Health Improvement Plan and a Health Department Strategic Plan. These three documents must be dated within the past 5 years. The Ohio Department of Health requires Local Health Departments to apply for accreditation by July 1, 2018, and be accredited by July 1, 2020 or potentially lose funding. Community Health Assessment: · Purpose is to learn about the health status of the population that the health department serves. · Describes the health status of the population, identifies areas for health improvement, determines factors that contribute to health issues, and identifies assets and resources that can be mobilized to address population health improvement. · Developed through a participatory, collaborative process with various sectors of the community. · Required elements of a CHA: O Various sources of data O Population demographics O Health issues identified O Special populations with health issues O Contributing causes of health issues O Description of assets to address health issues O Documented input from stakeholders Community Health Improvement Plan: · Purpose is to describe how the health department and the community will work together to improve the health of the population that it serves. · Based on the CHA. · Community-driven with participation of public health system partners and process to set priorities. · More comprehensive than roles and responsibilities of health department alone; includes community partners’ roles and responsibilities. · Required elements of a CHIP: O Community health priorities, objectives, strategies, measures, and time framed targets O Policy changes needed to accomplish objectives O Individuals and organizations responsible for implementation O Measurable health outcomes or indicators O Alignment with other levels of health departments’ and national priorities Health Department Strategic Plan · Purpose is to describe what the health department plans to achieve in 3-5 years. · Provides guidance for decision making, strategy setting, priority setting, and taking action. · Focuses on the activities and programs of only the health department, not the broad community. · Required elements of a health department Strategic Plan: O Mission, vision, guiding principles, and values O Strategic priorities O Goals and objectives with measureable and time-framed targets O External trends or events or factors affecting health status or the health department O Health department strengths and weaknesses O Link to CHIP and health department’s quality improvement (QI) plan The Pickaway County General Health District has identified an accreditation coordinator, started conducting trainings for staff and board members, and participated in the PHAB Online Orientation. We are working with local partners to find funding and collaborate for the Community Health Assessment. In order to complete the accreditation process, PCGHD will need community support and collaboration across the county. SERVICES AVAILABLE TO PICKAWAY COUNTY RESIDENTS IN 2013 Tuberculosis Screenings and Clinics Free HIV Testing and Education Pregnancy Testing Immunizations Health Education Free Vision Vouchers for Children Hemoglobin Screenings Home Visits Communicable Disease Reporting and Tracking Head Lice Checks SIDS Follow-up Newborn Screenings Blood Pressure Checks Lead Tests/Lead Investigations in Homes Emergency Preparedness Child Fatality Review BCMH Program Clinical Services By: Elaine Miller, R.N.,B.S.N. The Clinical Services Department of the Pickaway County General Health District continues to be dedicated to fostering, protecting, and improving the health of the residents of our community. It is our goal to evaluate, maintain, and promote services to meet the everchanging health care needs of the residents of Pickaway County. The staff strives to portray a very positive image in our community while being creative in the detection and implementation of services to meet our county’s growing needs. In 2013, the clinical staff consisted of three registered nurses (a Director, a Public Health Nurse, a BCMH Nurse) and one clerical specialist. The continued challenge of having limited staff made us better prioritize duties based on needs. Our Public Health Nurse and BCMH Nurse each worked only 20 hours per week, so as Director, I completed many of their duties the other 20 hours, as well as mine. Through a cooperative effort of our staff and a true desire to ensure quality care for the residents of Pickaway County, we were able to provide and improve more services this year. It is our goal to continue to increase the number of services and implement new services over the next year. Clinical services are available to all county residents, regardless of their income level. Certain charges are derived from a sliding-fee scale that is calculated based on household income and the number of people living in the household. Fees range from free to a percentage of the maximum, based on the cost of the services rendered. With new requirements regarding vaccine usage, our agency’s billing policies may change. We are currently in the process of credentialing with the current HMO’s. The Clinical Services Department offers a variety of healthcare services for children and adults in our community. The staff provides health education services to individual clients, local school systems, and other local agencies. The Director of Clinical Services attends various meetings including, but not limited to, Early Childhood Collaborative Group, Family and Children’s First Council, Local Emergency Planning Committee, Teen Task Force, Emergency Preparedness Coalition, and the Continuum of Care Committee. Our department networks closely with many different local agencies to ensure that the maximum potential of community collaboration is accomplished. This helps to maintain updated resource information in our community. Information is shared with local health care providers, school nurses, daycare providers, and the local hospital through monthly mailings and community workshops. Local media, newspaper articles, public speaking engagements, e-mails, monthly newsletters, and the Health Department website are used to distribute information to the public. Our Emergency Preparedness Coordinator is responsible for completing the Public Health Emergency Preparedness Grant deliverables, educating the public on emergency preparedness, and completing the county assessment for the Citi-Readiness portion of the grant. Our LTAR score rose from 90 to 100 for the Citi –Readiness portion of the grant this year. This assessment was completed by the Center of Disease Control in Atlanta, Georgia. The coordinator has attended many meetings, provided numerous trainings, and assisted in the updating of all of the agency’s emergency plans. Our agency continues to work closely with the local EMA and hospital to promote the new Emergency Preparedness Coalition throughout our county. She has also been asked by the Local Emergency Planning Committee to be Public Information Officer for our county in the event of a major catastrophic event. We have spent a great deal of time working with ODH on vaccine requirements this year. Because of changes with the use of the vaccines provided by ODH, we were unable to provide Free Immunization Week this year. We have developed new policies and procedures to ensure that we are following all ODH guidelines for the use of their vaccines. Even with the restrictions, our department has been able to provide 728 vaccines to children in our county. Throughout the year, our staff has tracked , investigated, and followed-up communicable diseases such as tuberculosis, meningitis, sexually-transmitted diseases, Hepatitis C, Pertussis, MRSA, Shigella, influenza and other food-borne illnesses. Under the Ohio Administrative Code, more than 100 infectious diseases are mandated to be reported to the local health department. Nurses enter data from each case into ODRS ( a database at Ohio Department of Health) , make home visits, and provide educational counseling to help prevent the spread of these diseases in our county. The various diseases reported are maintained in a database for statistical purposes. The Clinical Services Department continues to implement the mandated services that we are required to do. A complete list is provided showing types of service, the number of clients, and the services provided monthly for each township. Our ongoing goal is to provide the highest quality of services to Pickaway County residents in an efficient and timely manner. As an agency and a department, we have worked hard to follow state and federal requirements while providing necessary services. This year we were able to reactivate the BCMH(Bureau of Children with Medical Handicaps) program. We have a nurse that works twenty hours per week providing case management for families with medically handicapped children. This is an added revenue source for our department. It is our hope to continue to be able to start implementing more of the previous services that we offered. Fiscal Report for 2013 By: Steve Hawkins -Quarterly newsletters and monthly financial reports submitted to all DAC entities. -First CRI payment came in 2013 along with the continuation of the Public Health Emergency Preparedness grant. We are now equipped for an emergency and will be testing our ability this summer. -Quarterly reimbursements made to the Board of Health fund for insurance and leave related charges. -Environmental Health Reports were streamlined to reduce time required to do paperwork. -Bought out the lease on a vehicle last year and purchased a second outright to save costs. -Reduced contract costs by renegotiating contracts on the copier, purchasing the vehicle outright and other ways. -Advanced funds this year to the Food Services fund until it was replenished and were paid back when the fees came in this February. -PHEP and CRI grants are now on a reimbursable basis so this has required some advancing of funds waiting for pay-ins. -Water Systems Fund, incoming fees are needed to catch up with jobs from earlier years. So it will take years to recover in this fund. -Health insurance is a budget breaker, going up 8% this year and a possible 9% next year and 6 or so percent in 2013. 2014 will be tight, so there are no planned salary increases. We’re trying to align with the county on insurance and entice employees to be on their spouse’s insurance where possible. -2 ½ years ago we had a $46,000 balance in September and headed for a $50,000 deficit balance by the year’s end. All the funds paid by the DAC were spent covering debts. Employees were on reduced hours and hadn’t received increases in years. The Staff had been cut to 7 people. You had $235,000 in advances needing addressed and two outstanding lawsuits along with unemployment looming overhead. Today our cash balance is much better, Advances are addressed, we added a Sanitarian, an Environmental Health Director, replaced a retiring nurse, added the BCMH program along with the CRI and Public Health Emergency Preparedness Grant Programs, and a fiscal officer. The balance of the staff is on a regular work schedule. We own two cars, purchased a trailer that is fully equipped for community disasters and have upgraded computers. We’re pleased with what we’ve been able to accomplish and look forward to the future. Lisa Rase-standing, Paula Johnston-sitting Steve Hawkins Vital Statistics 2013 BIRTHS REGISTERED CERTIFIED COPIES 378 1286 AFFIDAVITS 15 VERIFICATIONS 4 PATERNITY ACKNOWLEGEMENTS 2 DEATHS REGISTERED 344 CERTIFIED COPIES 1267 AFFIDAVITS 15 VERIFICATIONS 7 FETAL DEATHS REGISTERED 2 BURIAL PERMITS ISSUED 260 CERTIFICATE OF SERV ICE 7 Certified copies of birth and death certificates are $28.00 in Pickaway County. The minimum charge in the state is $21.50 and highest charge is in Fairfield County where the cost is $30.00. The health district retains $13.50 from each certificate while the Ohio Department of Health gets $9.00, the Ohio Children’s Trust Fund gets $3.00, and the remaining $1.50 goes to the Ohio Family Violence Prevention Fund.