Josephine County Public Health 2014 ‐ 15 FY BUDGET PRESENTATION Restaurant Inspections Immunizations Communicable Disease Surveillance Women, Infant & Children (WIC) Animal Protection & Regulation Vital Records
The Ten Essential Functions of Public Health 6. Enforce laws and regulations that 1 . Monitor health status to identify protect health and ensure safety community public health issues 7. Link people to needed public health 2. Diagnose and investigate public health services and assure the provision of problems and health hazards in the health services when otherwise Community unavailable 3. Inform, educate, and empower people 8. Assure a competent public health about public health issues Workforce 4. Mobilize community partnerships to 9. Evaluate the effectiveness, identify and solve public health problems accessibility, and quality of personal and population based 5. Develop policies and plans that support public health services. individual and community public health efforts 10.Conduct research for new insights and innovative solutions to public health problems and issues.
Public Health ~ staff Jail Animal Environmental Admin Clinic Shelter WIC Clinic Total Health 2010-11 1.20 3.07 4.90 5.55 9.51 5.49 29.72 2011-12 1.02 3.02 4.57 6.33 8.27 5.61 28.82 2012-13 1.65 0 3.60 6.03 7.60 4.55 23.43 2013-14 1.30 0 4.50 5.85 7.70 2.95 22.30* Requested 1.15 0 4.50 5.55 8.56 3.10 22.86 2014-15 *This is the year that the Public Health Emergency Manager was moved to the BCC chair
Services Provided to County Residents FY 11 ‐ 12 FY 12 ‐ 13 FY 13 ‐ 14 Est. Immunizations 4,875 4,525 2,697* Clinic Visits 3,535 3,621 1,476* 5,433 12,973 13,019 WIC Visits Restaurant & Other 1,009 990 1,018 Inspections Vital Records (birth & death 5,596 5,790 5,800 certificates) * Policy change to provide adult immunizations only to those with insurance or the ability to pay up ‐ front. * Hours reduced from 40 hours a week open to the public to 18 hours a week (imms) due to staffing reductions to maintain budget. 1.8 FTEs run the front counter for immunizations , clinic, food handlers cards, & dog licenses: Down from 4 FTEs in FY 10 ‐ 11.
Animal Shelter We are an “open” shelter ‐ we do not turn anyone away. There are no time limits on how long dogs can stay up for adoption Average daily census = 42 dogs.
Statistics That Matter 2013 was the 2 nd Year in a row that adoptions exceeded necessary euthanasias Some dogs are with us for almost a year before finding their fur ‐ ever home. This includes 421 cats in 2013, most of which were sick or feral
Major Revenue Sources ‐ FY 13 ‐ 14 • GENERAL FUND SUPPORT = 85K FOR ANIMAL SHELTER 100K IS FOR CLINIC OPERATION 45K IS A PASS ‐ THRU FROM SWA STATE 19% FEDERAL 40% GENERAL FUNDS 20% OTHER GRANTS & DONATIONS CHARGES FOR 9% 12% SERVICES
Major Revenue Sources ‐ FY 14 ‐ 15 • GENERAL FUND SUPPORT = 85K FOR ANIMAL SHELTER 165K IS FOR CLINIC OPERATION 45K IS A PASS ‐ THRU FROM SWA STATE FEDERAL 21% 40% GENERAL FUNDS 22% OTHER GRANTS & DONATIONS CHARGES FOR 5% 12% SERVICES
Comparing JOCO Public Health General Fund Support to Other Oregon Counties *The per capital average of public funding support for Public Health Departments in Oregon ranges from $5.00 to $9.99 per person. *Most health departments don’t include an animal shelter. If you take out funding for the animal shelter & Solid Waste Agency pass thru, the amount of general fund support for Josephine County Public Health drops to $1.20 per capita for 83,000 residents. Source: NACCHO 2013 National Profile of Local Health Departments page 30
General Fund Request FY14 ‐ 15 Overall clinic request from General fund will be $165,000. Not the $240,000 that we originally thought. The Animal Shelter request remains at $85,000. Levy estimate for a “fully funded shelter” took this money into account in the calculation. The Solid Waste Agency pass ‐ thru remains at $45,000.
Can We Do it For Less Money? 1. All of the services that the department directly provides are mandated. 2. Some services like family planning can be contracted out. However, the Oregon Health Authority would require an additional burden of administrative oversight of the public health department to “ensure” that the services were being provided in accordance with federal and state requirements. With reduced staffing, this additional layer of bureaucracy would be onerous and difficult to accomplish. 3. Public health activities provide necessary “wrap ‐ around” services for low ‐ income county residents. Family Planning Birth & Death Certificates Adults STD testing & treatment WIC Children Home Visiting Program for high ‐ risk babies Immunizations
Public Health is a Good Value for Josephine County
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