FY2018 BUDGET RECOMMENDATION Presented to Joint Appropriations - - PowerPoint PPT Presentation

FY2018 BUDGET RECOMMENDATION Presented to Joint Appropriations Committee January 24, 2017

SECRETARY

Kim Malsam-Rysdon

DIVISION OF ADMINISTRATION

Joan Adam

DIVISION OF FAMILY & COMMUNITY HEALTH

Colleen Winter

DIVISION OF HEALTH SYSTEMS DEV. AND REGULATION

Tom Martinec

STATE EPIDEMIOLOGIST

• Dr. Lon Kightlinger

FINANCIAL MANAGEMENT DATA, STATISTICS, AND VITAL RECORDS PUBLIC HEALTH LABORATORY CORRECTIONAL HEALTH CHRONIC DISEASE PREVENTION/ HEALTH PROMOTION DISEASE PREVENTION SERVICES CHILD AND FAMILY SERVICES RURAL HEALTH LICENSURE AND CERTIFICATION HEALTH PROTECTION PUBLIC HEALTH PREPAREDNESS AND RESPONSE

CHIROPRACTIC EXAMINERS

SOUTH DAKOTA DEPARTMENT OF HEALTH

PROFESSIONAL AND OCCUPATIONAL BOARDS

DENTISTRY HEARING AID DISPENSERS FUNERAL SERVICES MASSAGE THERAPY MEDICAL & OSTEOPATHIC NURSING NURSING FACILITY ADMIN. OPTOMETRY PHARMACY PODIATRY EXAMINERS SPEECH/LANG. PATHOLOGY

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• Strategic Plan
• GOAL 1
• Improve the quality, accessibility, and effective use of healthcare
• GOAL 2
• Support life-long health for South Dakotans
• GOAL 3
• Prepare for, respond to, and prevent public health threats
• GOAL 4
• Develop and strengthen strategic partnerships to improve public health
• GOAL 5
• Maximize the effectiveness and strengthen infrastructure of the Department of Health

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• Strategic Plan
• Objectives and Strategies

 17 objectives and 44 strategies included in the plan  Key staff have been designated to lead efforts for each strategy

• Key Performance Indicators

 27 key performance measures included in the plan  Quantifiable measures used to define success and track progress in meeting strategic goals  Tied to goals and objectives – not strategies  Align to improved outcomes for the people the DOH serves  Trend data will be updated regularly and available as link on the DOH strategic plan website

• Performance Dashboards

 5 of the key performance indicators have more detailed information regarding significance

• f measure, SD/US rates and targets, and trend information

 Key performance dashboards were selected based on their significance and overarching impact on population health

• Information about the DOH Strategic Plan can be found at http://doh.sd.gov/strategicplan/

Department of Health

FY18 Funding Sources

GENERAL $9,070,129 9.27% OTHER $46,618,421 47.65% FEDERAL $42,147,094 43.08% Total Funds $97,835,644

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LRC budget briefing - Pg. 1

FY2017 Budget Base Expansion/Reduction Increase/(Decrease) Health Systems Development & Regulation Rural Family Residency Track Family and Community Health Cribs for Kids FTE – WIC EBT Coordinator FTE – Pregnancy Risk Assessment Coordinator FTE – Epidemiologist Pubic Health Laboratory FTE – Forensic Chemist Correctional Health FTE-Nurse Provider inflation Inflation/Inmate expansion Juvenile Reduction Informational Boards Inflation/Expansion Total Total FY2018 Governor Recommended Budget FTE 431.4 1.0 1.0 1.0 1.0 2.0 6.0 437.4 General $8,693,240 236,889 140,000 376,889 $9,070,129 Federal $41,663,856 292,354 72,165 66,784 51,935 483,238 $42,147,094 Other $44,282,771 146,798 14,915 2,803,800 (642,588) 12,725 2,335,650 $46,618,421 Total $94,639,867 529,243 140,000 72,165 66,784 51,935

• 0-

146,798 14,915 2,803,800 (642,588) 12,725 3,195,777 $97,835,644

Department of Health

FY18 Governor’s Budget Recommendation

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LRC budget briefing - Pg. 3

Health Systems Development & Regulation

Rural Residency Program

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• Expansion requested to expand physician

residency slots by 6 students in rural track

– Between FY13 & FY15, added 15 medical students per year – Added RHEPS and FARM program to help train medical students in rural practice

• Not enough residency slots in SD for number of

students at med school- we export students

• 68% of students who complete all their medical

education in a state end up practicing there

LRC budget briefing - Pg. 10

Health Systems Development & Regulation

Rural Residency Program

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• Expansion track would leverage existing family

residency program infrastructure to save costs

• Rural training site feasibility has been completed

and now moving into accreditation phase

• 3 year ramp up- 2 students added each year
• Program costs offset by 2nd and 3rd year resident

revenues and hospital contributions

• Use Medicaid GME funds to leverage federal

funds

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Start-up- FY17 Year One- FY18 Year Two- FY19 Year Three + FY20 & Ongoing Base General $0 $236,889* $304,368* $304,368* Base Federal $0 $292,354 $375,632 $375,632 Total Base Request $0 $529,243 $680,000 $680,000 One Time Funds (FY17) $205,000 Total General Fund Request

$205,000 $236,889* $304,368* $304,368*

*General funds at FY18 rate- will change with new FMAP rates

Health Systems Development & Regulation

Rural Residency Program

Family & Community Health

Child & Family Services

• Cribs for Kids
• $140,000 general funds

– Provide safe sleep education and kits for infants/families in need – South Dakota Infant Deaths 2013-15

• 60% of infant deaths determined to be sleep related
• Of these sleep related infant deaths,47% occurred in an

adult bed

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LRC budget briefing - Pg. 14

Family & Community Health

Child & Family Services

• 1.0 FTE and $72,165 federal funds
• WIC Data Coordinator & Vendor Support

(Special Supplemental Nutrition Program for Women, Infants & Children)

– Manage electronic data system – Provide training, technical assistance and reports for vendors – Monitor for efficiencies, quality assurance and accountability

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LRC budget briefing - Pg. 13

• 1.0 FTE and $66,784 federal funds
• PRAMS Coordinator

– Oversee newly funded CDC Pregnancy Risk Assessment Monitoring System (PRAMS) Grant – Coordinate data sources and dissemination of data to support program planning, implementation and evaluation

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Family & Community Health

Child & Family Services

LRC budget briefing - Pg. 13

Family & Community Health

Office of Chronic Disease Prevention & Health Promotion

• 1.0 FTE and $51,935 federal funds
• Epidemiologist

– Manage newly funded CDC Prescription Drug Overdose Prevention Grant – Collect, interpret and analyze data to support planning, priority setting, policy making, & evaluation

• Drug overdose deaths
• Hospitalizations due to drug overdose
• Prescribers registered with the PDMP
• ER admissions due to drug overdose

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LRC budget briefing - Pg. 14

Public Health Laboratory

• 1.0 FTE
• Forensic Chemist

– Perform blood alcohol content analysis, urine analysis, blood toxicology, and solid drug analysis

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LRC budget briefing - Pg. 17

Correctional Health

FY2018 Governor’s Recommended Budget Summary

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FY17 Base Budget $21,241,656

2.0 FTE – Nurses $ 146,798 Medical Inflation

• Contractual Services: A 1.0% inflation rate for contracted medical

provider services. $ 14,915 Inflation/inmate expansion $ 2,803,800 Juvenile reduction $ (642,588)

FY18 Budget Recommendation $23,564,581 FY18 Recommended Other Fund Increase $ 2,322,925 *For additional information, please see slides from Joint CHC hearing. LRC budget briefing - Pg. 19-21

Special Appropriation

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HB 1042 - An Act to make an appropriation to reimburse certain health care professionals who have complied with the requirements of the recruitment assistance program or the rural health care facility recruitment assistance program and to declare an emergency.

• Appropriates $550,581 to reimburse 4 physicians, 1 PA, and 4 NPs who

will be fulfilling their agreements for the Recruitment Assistance Program in FY 18 and $285,000 to reimburse 41 eligible healthcare professionals who have complied with the requirements of the Rural Healthcare Facility Recruitment Assistance Program in FY 18.