Public Health - Chippewa County, Wi

2014
Annual Report
Chippewa County Department of Public Health
THIS IS PUBLIC HEALTH
thisispublichealth.org
It is my pleasure to provide our residents with the 2014 Annual
Report. During 2014, we went beyond the statutory
requirements for health departments in Wisconsin and tackled
some tough problems in innovative ways, such as with the
Infant Mental Health coalition and a new clinic called BRIDGES
which assists residents with testing and treatment for sexually
transmitted diseases, a need in our area.
The health department’s role in the health care system is unique. We focus on needs
of the whole population and at prevention as opposed to treatment. Our efforts are
meant to assist individuals and families in having healthier options and at making
that option easier. We cannot do this work alone, and we rely on community groups
and residents to help us make Chippewa County and it’s people healthier.
As always, I encourage your comments or suggestions regarding ways we can serve
you better. I look forward to continued work towards a healthy Chippewa County.
Respectfully Yours,
Public Health
Jen Rombalski, RN, BSN
Director/Health Officer
Vision
“Healthy People in
Healthy Chippewa County Communities”
Mission
“To promote and protect health of
people in Chippewa County”
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Front Row: Mike Leisz; Dr. Laura Isaacson;
Larry Willkom, Chair
Back Row: Doug Ellis; Bill Stimeling; John (Jack)
Halbleib, Vice-Chair; Larry Marquardt; Jim Fenno
Missing: Anson Albarado
Front Row: Sarah Zarbock; Kathy Cernohous;
Jen Rombalski
Back Row: Angie Weideman; Dr. Laura Isaacson;
Linda Lorentz; Jim Fenno; Debbie Odden; Judy
Fedie; Jim Koehler
Missing: Karen Maddox
The pie chart at left shows the
Department’s unaudited
expenditures for 2014. Of note, is
that Home Care is 44% of the
department’s expenditures and
general public health is the second
largest portion of expenditures at
24%. In all, expenditures total
$2,975,187.00.
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In 2014, Chippewa County Department of Public Health worked in partnership to
conduct a community health assessment. This included the voices of over 900
Chippewa County residents. Community meetings shaped identification of the
top three health priorities of mental health, substance use, and alcohol misuse.
More information can be found via our website:
http://www.co.chippewa.wi.us/government/public-health
Chippewa County Survey Results
TOP 3
HEALTH
PRIORITIES:
1. Mental Health
2. Substance Use
3. Alcohol Misuse
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Challenge Chippewa
Friend of Public Health
This is the nutrition and physical activity action team of
the Chippewa Health Improvement Partnership (CHIP).
Challenge Chippewa currently focuses on:
•
Community education in multiple venues to
reduce consumption of sweet beverages
•
Partnership with Chippewa Falls School District on
their “School Wellness Policy Learning
Collaborative” for policy and practice changes to
the school nutrition and activity environment
Infant Mental Health
Health Department Director, Jen
Rombalski presents the “Friend of
Public Health” award to Rhonda Brown,
Director of CHIP
In 2014, the CHIP Infant Mental Health Action Team has
been in the planning stages of promoting the social
emotional health of our youngest children which
includes creating a DVD about Infant Mental Health, a
“Feelings” poster contest with 4K children in Chippewa
County, and engaging new parents right from birth about
the importance of early literacy and social emotional
development. We are excited to
keep moving forward with our
mission of “Making little lives
better today for a brighter
tomorrow” in Chippewa County.
In 2014, the inaugural “Friend of
Public Health” award recipient was
Rhonda Brown, the Director of the
Chippewa Health Improvement
Partnership (CHIP). Ms. Brown was
chosen as she exemplifies the ideal
partner to public health and
dedication to promoting health
and preventing disease. Ms.
Brown’s passion for improving
health sparks energy in others.
Other Committee and Community Coalition Involvement
Asthma Coalition
Local Emergency Planning Committee
Child Death Review
Mental Health Core Services Team
Children, Youth & Families Committee
Mental Health & Substance Abuse Recovery
Advisory Committee
Chippewa Health Improvement Partnership
Nutrition Advisory Council - ADRC
Drug Endangered Children
Prevent Suicide
HealthWatch
United Way Committees
HSHS St. Joseph’s Hospital Advisory Council
Western WI Public Health Readiness Consortium
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Public health nurses comprise the largest professional segment of the public health workforce.
They have an essential role in improving the population’s health and delivering essential health
services to individuals, families and communities where they live, work, learn and play.
By The Numbers
26
Women Screened for
Breast/Cervical Cancer
(WI Well Woman Program)
745
Children Received Fluoride
to Prevent Tooth Decay
Prenatal Care Coordination (PNCC)
Public Health Nurses help pregnant women get the
support and services they need to have a healthy
pregnancy and baby. PNCC services may include:
•
Monthly visits and personal support
•
Alcohol & tobacco prevention/intervention
•
Preparation for caring safely for baby
In 2014, 60 pregnant women were served through PNCC.
Communicable Disease Control
In 2014, 389 (351 confirmed) cases of disease were reported
as compared to 597 (375 confirmed) in 2013.
51
51
40
42
Other
(Supplements & Mouth Rinse)
Water-borne
887
Public Health Nurse Visits
1163
Hours of Service at Schools
2088
Children Received
Hearing/Vision Screenings
23
Lyme Disease
Flu Hospitalizations
Hepatitis
Pertussis
5
0
Immunizations Given
120
180
164
Chlamydia/Gonorrhea
67
26
17
17
29
14
50
2014
100
150
200
2013
BRIDGES -
Building Responsible Individuals, Dual Protection,
Guidance, Education, and Support
This program aims to “dual protect” against an unwanted
pregnancy and getting a sexually transmitted disease.
•
30 Chlamydia tests given with 10 positive
•
17 people treated with antibiotics
•
78 Plan B given
(8% Referred)
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Access to home health care in Chippewa County is enhanced by our Home Health Care
program and services. Through skilled nursing, personal care, and speech, occupational and
physical therapy, individuals can recover safely at home, right where they want to be.
The Home Care program has been serving clients
in Chippewa County for 48 years…
“Please thank everyone at
the agency for me
because you people are
the reason I’m still alive. I
thank God and Bridgette,
my Nurse. Thank you.
--Victoria Debruin
295
People Served
80
Victoria Debruin (on left) with
Bridgette Stafford, RN
Top 5 diagnoses clients had upon admission:
1.
2.
3.
4.
5.
By The Numbers
Diabetes Mellitus Type 2
Musculoskeletal Osteoarthritis/Muscle
Weakness/Difficulty Walking
Pressure Ulcers/Open Wounds
Chronic Obstructive Pulmonary Disease
(COPD)/Emphysema
Congestive Heart Failure
Average Age of Home
Care Client
3454
Nursing Visits
3739
Aide Visits
486
People Served at
78 Foot Clinics
606
The home care program is working to improve patient
outcomes. In 2014, the focus was on increasing the
percentage of patients who got better at walking or
moving around. Chippewa County increased by 11%.
Durable Medical
Equipment
Items Loaned Out
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Environmental health professionals prevent and promote health through inspections of human
health hazards, management of elevated blood lead levels in children, and enforcement of
applicable codes for various facilities in Chippewa County. The goal of the program is to reduce
exposure to food-borne, water-borne or recreational hazards in the community.
By The Numbers
631
Facility Inspections
Conducted
(7 Complaints/Investigations)
28
Human Health Hazard
Inspections
55%
Radon Test Results with
High Levels, 38 out of 69
15
Home Visits for Lead
Poisoning Prevention &
Intervention
12
Recommended Beach
Advisories or Closures
(10 Beaches regularly tested)
The Health Department
has conducted
inspections for the
State since July 2010.
The Health Department
Conducted 536
inspections for the
Department of Health
Services (see chart at right)
and 88 inspections for the
Department of Agriculture (see graph below).
Number Inspections by Type
Department of Ag, Trade, & Consumer Protection Facilities
Very Small, Potentially Hazardous
Very Small, Non-Hazardous
16
6
Small, Potentially Hazardous
27
Not Engaged in Food Processing
Large, Potentially Hazardous
Large, Non-Hazardous
18
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Human Health Hazards
In 2014, the human health hazard ordinance was
updated to allow the Department to better protect the
public.
http://www.co.chippewa.wi.us/Home/ShowDocument?id=258
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Public health nutrition focuses on emphasizing the application of food and nutrition
knowledge, policy, and research to the improvement of the health of populations.
“Making the Healthy Choice the Easy Choice”
Women, Infants and Children
Women, Infants and Children (WIC) is the public
health nutrition cornerstone for building healthier
women, infants, children, families and communities.
•
Less than 5% of WIC-enrolled infants were
born at low birth weight
•
Nearly 8 out of 10 WIC-enrolled infants begin
life with their mother’s breast milk
•
1 in 3 children are overweight or obese and
nearly 2 in 3 women are
•
overweight at start of
•
pregnancy
By The Numbers
1710
Women, Infants, and Children
Served by WIC
78%
Babies Start Out Breastfeeding
387
Breastfeeding Peer Counselor Program
The WIC Program provides mother-to-mother
support for breastfeeding by pairing mothers with a
Breastfeeding Peer Counselor.
•
All breastfeeding outcome measures in 2014
exceed WI State outcome measures
•
All breastfeeding outcomes have improved
since the inception of this program in 2010
Fit Families
Fit Families is a successful, behavior
change program for WIC-enrolled
families with 2-4 year old children, Fit Family Center
staff, and the community. Fit Family Care Messages:
•Move More…Watch Less
•Make Every Bite Count…More Fruits/Vegetables
•Make Every Sip Count…More Healthy Beverages
•Eat Healthy, Be Active, Your Kids Are Watching
Breastfeeding Peer Counseling
Contacts with Support For
Mothers and Babies
584
Families Received WIC
Vouchers for Farmer’s Market
79%
Children Engaging in <2 hrs
Screen Time at Completion of
Fit Families Program
$840,000+
Revenue to Chippewa County
WIC Program Vendors
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The Western Regional Center for Children and Youth with Special Health Care Needs (WRC)
focuses on improving programs and services through promoting family partnership, medical
home connections, adequate and consistent health insurance, early and continuous
screening, accessible community based services, and transition to adult services.
Western Regional Center (WRC)
The WRC served as the single point of intake for Children
with Differing Abilities for Human
Services for a third full year. WRC
staff provided intake for children
whose families sought services
through Birth to 3 or disability
waivers. The WRC completed intakes
for 288 children with differing abilities, in 2014.
ForwardHealth
In 2014, health department staff assisted potential
participants with applications and renewals for
Wisconsin’s ForwardHealth programs using ACCESS.
ForwardHealth programs include: Wisconsin Medicaid,
BadgerCare Plus (BC+), Family Planning Waiver and
Wisconsin FoodShare. In total 141 forward health
applications, 54 food share applications, and 11
applications for BC+ or Family Planning Waiver were
completed with/for county residents.
Wisconsin Sound Beginnings
Wisconsin Sound Beginnings (WSB) is
the state’s Early Hearing Detection and
Intervention (EHDI) Program, ensuring
that all babies born in Wisconsin are screened for
hearing loss at birth, receive timely diagnosis of hearing
loss, and are referred for early intervention. One of the
state’s three Regional Outreach Specialists is housed in
the Chippewa County Department of Public Health. In
2014, 75 infants were screened in their homes. Over 90%
were out-of-hospital births that in prior years would
most likely have not received screening.
By The Numbers
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Regional Local Health
Agency Partners
452
Services Provided to
Children and Youth
473
Phone Calls for Referral
144
Unduplicated Households
Served by ForwardHealth
75
Infants Screened for
Hearing Loss
10
Recognizing staff with 10 or more years of service
Judy Fedie, Nutrition Div Mgr – 28 Years
James Koehler, EH Coordinator – 27 Years
Carol Meagher, RN – 26 Years
Linda Ellis, RN – 25 Years
Sarah Zarbock, RN – 23 years
Sue Cooley, Admin Asst – 18 Years
Cheryl Gast, Account Asst – 17 Years
Dawn Braden, HH Aide – 17 Years
Rose Marsh, Program Consultant – 15 Years
Linda Gilson, RN LTE – 14 Years
Audra Knowlton, Admin Asst – 14 Years
Debbie Odden, PH Div Mgr – 14 Years
Stephanie Abbe, Nutritionist – 12 Years
Dierdra Lancor, HH Aide – 12 Years
Tanya Sly, Account Asst – 11 Years
Bridgette Stafford, RN – 10 Years
Congratulations for a combined 283 years of service to Chippewa County!
Congratulations and Good Luck in Retirement!
Jean Durch, Public Health Director
Retired after 37 years of service
Wynne Cook, WRC Director
Retired after 25 years of service
Jean welcomes the new
PH Director, Jennifer Rombalski
Wynne welcomes the new
WRC Director, Angela Weideman
Chippewa County Department of Public Health
711 N Bridge Street Room 121, Chippewa Falls, WI 54729
Phone: 715-726-7900 Fax: 715-726-7910
Hours: Monday – Friday, 8:00 a.m. – 4:30 p.m.
www.co.chippewa.wi.us/ccdph
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