FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. - - PowerPoint PPT Presentation

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FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. - - PowerPoint PPT Presentation

Aug 24, 2022 268 likes •449 views

FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. Nathan, PhD, MPH August 18, 2015 DEPARTMENT OVERVIEW Public Health Director Medical Operations Director Community Communicable Environmental Health Disease Health &

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FY 2016 PROPOSED ANNUAL OPERATING BUDGET

Presented by Vincent R. Nathan, PhD, MPH August 18, 2015

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DEPARTMENT OVERVIEW

Public Health Director Community Health Communicable Disease Environmental Health & Safety Medical Director Operations

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DEPARTMENT OVERVIEW

COMMUNITY HEALTH DIVISION

1,582

Chronic Disease

Completing Stanford Diabetes Self- Management Teens Served Evidence- Based Programming

Teen Pregnancy

2,807

Completing Student Ambassador Program

35

Mayor’s Fitness Council WIC

130,852

Number of Participants Enrolled

3

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DEPARTMENT OVERVIEW

COMMUNICABLE DISEASE DIVISION

Number of Vaccines Administered

27,741

Number of Patients Served

3,324

Epidemiology

1,364

Number of Patients Served

10,368

Immunizations TB Services STD Services Reportable Diseases Investigated

4

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DEPARTMENT OVERVIEW

ENVIRONMENTAL HEALTH & SAFETY DIVISION

Stand Up SA

3

Number of Targeted Areas

(Cure Violence Grant)

Neighborhoods

11

Number of Targeted Neighborhoods

Food & Environmental

21,298

Number of Inspections Lab Services

156,167

Number of Total Lab Tests

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MEDICAID 1115 WAIVER

  • Approved 2011
  • $29 billion to Texas through 2016

 5% is allocated to Public Health

  • Bexar County region: $1.16 billion
  • $43 million to Metro Health

HISTORY

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FY 2016 OVERVIEW

  • Six Prevention Strategies

 Teen Pregnancy Prevention  Community Based Diabetes Prevention  HIV and Syphilis Prevention  Neighborhood Health  School-Based Oral Health  Baby Café Breastfeeding Promotion

  • FY 2016 Total Budget $11.6 Million
  • 5 Year Extension expected FY16

MEDICAID 1115 WAIVER

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FY 2016 PROPOSED BUDGET

Total Metro Health Budget: $43.5 Million

Grants $31.1 72% General Fund

$12.4 28% Fund FY 2015 FY 2016 Change General Fund $11.7 M $12.4 M $.66 M Grant Funds $30.4 M $31.1 M $.69 M TOTAL $42.1 M $43.5 M $1.3 M Positions 367 370 3

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Community Health

$ 1.3M $ 1.3M

Director's Office

$ 2.1M

Communicable Disease

$ 3.2M

Operations

FY 2016 BUDGET BY PROGRAM Total Budget $43.5 M

Environmental Health & Safety

$ 4.5M

Environmental Health & Safety

$ 31.1M Grants

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BUDGET HISTORY

In FY 2009 & 2010 the City transferred Clinical Services to the University Health System. Property Tax Rate was reduced commensurate with services transferred.

$0 $5 $10 $15 $20 $25 $30 $35 $40 $45 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

$15.3 $16.3 $18.2 $14.6 $12.2 $11.6 $11.4 $11.1 $11.3 $11.8 $12.4 $23.3 $18.4 $19.6 $18.2 $18.8 $29.3 $23.1 $17.0 $24.9 $30.4 $31.1 General Fund Grants

($ in Millions)

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POSITION HISTORY

100 200 300 400 500 600 700 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016

277 263 278 176 160 138 132 120 113 112 110 363 337 315 260 264 268 250 222 238 255 260 640 600 593 436 424 406 382 342 351 367 370

General Fund Grant

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FY2016 ENHANCEMENTS IT Systems

Total: $342,000

Netsmart: Electronic Medical Records StarLIMS: Laboratory Information Management FOCUS: Data Sharing & Security – Health Information Exchange (HIE) – Partners - Providers – Clients – Systems (Internal & External)

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Total $24,115

FY 2016 PROPOSED REVENUES

  • Health Inspection

Consultation Fee

– New Service – Provides consulting services for food establishments

  • Re-inspection Fees

– Standardize re-inspection fees – Increase fees to offset costs

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FY 2016 INITIATIVES

  • Public Health Accreditation Board:

National Accreditation

– Nationally accepted standards – Site Visit December 2015 – 3rd Texas city to earn status (Houston and Dallas) – 79 Accredited / 257 In-progress

  • Restaurant Scoring System

– Kerrville, Plano, Phoenix, New York City, Los Angeles and San Diego – Innovation & Reform Project – Pilot January 2016

  • Collaboratives

– Diabetes Collaborative – Bexar Healthy Beverage Coalition

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FY 2016 INITIATIVES

  • 1115 Medicaid Waiver

– Complete FY12-FY16 Initiatives – Begin development of FY17- FY21 Initiatives

  • Witte Collaboration

– Data Sharing/Analysis – Childhood obesity trends

  • Lab Relocation

– Relocate to the Texas Center for Infectious Disease campus – Goal: January 2016

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CONCLUSION

  • Accreditation
  • Collaboration
  • Expansion
  • Health’s
  • ngoing

involvement in SA Tomorrow Initiative

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FY 2016 PROPOSED ANNUAL OPERATING BUDGET

Presented by Vincent R. Nathan, PhD, MPH August 18, 2015