DOH Annual Report 10-14 by SonnyWoodcock




       Annual Report
July 1, 2003—June 30, 2004
              Department of Health Annual Report

 Published by the New Mexico Department of Health
               1190 S. St. Francis Dr.
                  P.O. Box 26110
         Santa Fe, New Mexico 87502-6110

                  Bill Richardson, Governor
            Diane D. Denish, Lieutenant Governor

  Michelle Lujan Grisham, J.D., Secretary Designate
    Gary Girón, M.B.A., Deputy Cabinet Secretary
  Fred Sandoval, M.P.A., Deputy Cabinet Secretary

                              September 2004

  Department of Health Annual Report
Department Mission and Goals ...............................................1
Message from the Secretary ....................................................2

Program Areas
Prevention & Health Promotion .............................................3-6
Health Infrastructure ..............................................................7
Surveillance, Response & Reporting ......................................8
Testing & Pharmaceuticals .....................................................9
Behavioral Health Services .....................................................10
Long Term Care Services ........................................................11
Developmentally Disabled Community Services ....................12-13
Licensing, Certification & Oversight ......................................14
Administration & Policy ..........................................................15
Contact Information ................................................................16
         Department of Health Vision Statement
                         Building a HEALTHY New Mexico!

        Department of Health Mission Statement

             The mission of the New Mexico Department of Health is to
        promote health and sound health policy, prevent disease and disability,
        improve health services systems and assure that essential public health
           functions and safety net services are available to New Mexicans.

The Department accomplishes this through assessing New Mexico’s health status, assuring
access to coordinated systems of health care, creating health policy, and by providing critical
safety net services and interventions.

                    Department of Health Goals

        The following strategic goals were developed in the 2003 DOH planning
        cycle. These goals are presented below along with their associated program/
        division level objectives. These goals and objectives drive all Department

            •   Comprehensive Health Service System: Assure the development
                of a comprehensive health service system that addresses the basic
                health needs, both acute and chronic, of New Mexicans, with
                emphasis on the needs of vulnerable and specialty populations.

            •   Prevention, Promotion, and Education: Keep people healthy and
                give them tools to make healthier choices.

            •   Fiscal Responsibility and Management: Manage fiscal and other
                resources responsibly.

            •   Quality of Care: Assure high quality service delivery.

                Building A HEALTHY New Mexico!                                               1
            A Message from the New Mexico Department of Health

During the summer of 2003, the secretaries of the departments of Health, Human Services,
Children, Youth and Families and Aging and Long-Term Services traveled to communities
across the state to learn firsthand about the healthcare needs of New Mexicans.

The 26 communities held some issues in common – keeping medical providers in rural areas
and making healthcare accessible to everyone. Each community had its own needs, such as
improving air quality in Clovis and providing transportation to services in Truth or

Since then, the Department of Health’s employees have shared their own ideas about how to
improve performance and operations. These contributions from the community and
Department of Health staff have been directed toward improving quality and performance, all in
an effort to improve the service the department provides to its customers, the residents of
New Mexico.

With the support of Governor Richardson, the department is fine-tuning a strategic plan that
works to reduce teen suicides and pregnancies, childhood obesity, drug abuse and the spread of
infectious diseases. These efforts will rely on a network of public and private partners, all of
whom are committed to working on improving the quality of life for all of us.

With a reorganization of department to better coordinate and prioritize programs, the
Department of Health is improving the way it does business. The health of all New Mexicans
will improve as a result.

This annual report highlights a few of the Department’s accomplishments over the past year
that support the vision of Building A HEALTHY New Mexico!

 Patricia Montoya, R.N., M.P.A.
                                                                          Michelle Lujan Grisham
        Cabinet Secretary,
                                                                        Secretary Designate of Health
      Department of Health
                                                                               September 2004
    Jan. 2003 – August 2004

                       Building A HEALTHY New Mexico!                                                   2
Program Area 1:
Prevention & Health Promotion
                                                                                  Major Programs
Division: Public Health
Purpose: To provide a statewide system of prevention, health                  •    Infectious Disease
promotion and education, community health improvement and                     •    Chronic Disease
other public health services for the people of New Mexico.                    •    Family Health
                                                                              •    Community Health
Health Status Priorities                                                           Improvement
New Mexico has been identified as a state facing some of the                  •    Health Promotion
most difficult health problems in the nation. The New Mexico
Comprehensive Strategic Health Plan has targeted five problem                          Budget
areas that affect New Mexico’s health status and the Department                        (in millions)

of Health has developed strategies and interventions to improve              General Fund – $32,009.3
them. Program Area One is the lead program in implementing                   Federal Funds – $60,260.8
these priorities:                                                            Other Funds – $15,794.1
     • Childhood Immunizations                                               Total – $108,064.2
     • Teenage Pregnancy
     • Obesity                                                                      Employees
     • Youth Suicide                                                                     617
     • Hepatitis C

                                            Childhood Immunizations
                                            The Department of Health and the New Mexico Immunization
                                            Coalition have worked with First Lady Barbara Richardson to
                                            improve the state’s immunization rates and to make childhood
                                            immunizations a front burner issue for Department of Health and
                                            its many partners. Childhood immunizations are one of the most
     New Mexico’s First Lady Barbara
Richardson with “Done by One” cofounders,   cost-effective public health interventions.
    Betty Bumpers and Rosalynn Carter

• Increase the number of healthcare providers using New Mexico’s Universal Vaccines for
  Children Program which ensures the lowest prices for the parents of children requiring
• Send community health workers and Families First Case Managers on home visits to discuss
 the importance of up-to-date immunizations
• Promote the Health Passport immunization record which was designed to help parents remember
  when their children’s immunizations are due
• Implement the New Mexico Statewide Immunization Information System (NMSIIS) which will
  give healthcare providers statewide immediate access to a child’s immunization status
• Increase the number of medical offices that remind clients that their children are due for

                       Building A HEALTHY New Mexico!                                                   3
• Advanced the Statewide Immunization Information System.                 By 2005, in alignment with the
   National Immunization program, this system will allow medical providers to check the immunization
   status of their patients to ensure that they are fully covered regardless of where the child might have
   gotten their shots in the state.
• Improved childhood immunization ranking from 49th to 44th in the U.S. This represents a 14%
   increase in the rate in only two years. New Mexico's rate for 4:3:1:3:3 (4-DTP, 3-Polio, 1-MMR, 3-
   HIB, 3-HEP B among children 19-35 months) is currently 75.2%, the highest it has ever been.
• Implemented an immunization media campaign with the New Mexico Immunization Coalition.
   These media spots promote the new Health Passport Immunization card that highlights required
   vaccinations and tracks the child's shots.

                                                 Teenage Pregnancy
                                                 There are many collaborative efforts currently in place within New
                                                 Mexico to reduce teen pregnancy and risky behavior among
                                                 school-age youth. Teen pregnancy is not only an issue for female
                                                 adolescents. Often, teen fathers and teen males are not thought of
                                                 as a piece of the prevention puzzle. New Mexico has several
Public assistance to teen families in NM costs   pregnancy prevention and parenting programs targeting males.
  taxpayers nearly $300 million annually.

    •    Improve the relationship of youth to their families or a responsible adult
    •    Improve the relationship of youth to schools
    •    Increase cooperation among providers that offer teen pregnancy services
    •    Increase access to clinical reproductive health services for adolescents

• Improved teen pregnancy rates in 10 counties. In 2004, 10 New Mexico counties were recognized
   for reducing the teen birth rate by 16% from 1998-2002. These counties are on target to meet
   Challenge 2005, a joint effort of the Department and the New Mexico Teen Pregnancy Coalition to
   reduce New Mexico’s teen birth rates 20% by 2005.
• Obtained $100,000 to develop a comprehensive strategic plan for services for children birth to 8
  years old. This award assists New Mexico to address access to health insurance and medical homes,
  mental health and social-emotional development, early care and education/child care, parent education
  and family support. It also supports the work of the Children’s Cabinet, a group created by Governor
  Bill Richardson, that is made up of every secretary and department head dealing with children.

                          Building A HEALTHY New Mexico!
                                                                              From 1990 to 2001, more New Mexicans of all ages became
                                                                              overweight and obese. The number of children and adolescents who
                                                                              are overweight is double and triple the rate from 20 years ago. More
                                                                              than 10% of 2- to 5-year-olds and 15% of 6- to 19-year-olds are
                                                                              overweight. The number of 18- to 49-year-olds that are overweight
                                                                              has doubled. More than half of New Mexican adults have a Body
                                                                              Mass Index (a guide that uses a person's height and weight to
  Participants at “First Steps Toward
  Building a Healthy New Mexico!,” a
                                                                              measure total body fat) that leaves them at increased risk for a
community challenge to activity & fitness.                                    number of chronic diseases.

                                •     Ιncrease physical activity to at least three times a week
                                •     Promote healthy food choices

• Streamlined the Community Health Improvement process.                                In April 2004, the Department of
                      Health created the Office of Health Promotion and Community Health Improvement (OHPCHI) to
                      improve accountability and align the work of the maternal and child health and community health
                      improvement councils. This change will result in more streamlined and collaborative services to New
                      Mexico communities.
• Implemented “New Mexico on the Move,” which includes nutrition and physical activity
• Was awarded $408,000 from the federal obesity prevention grant to help New Mexicans prevent
                      and control obesity and related chronic diseases through nutrition and physical activity promotion

                                    US and NM Suicide Death Rates for Youth Ages       Youth Suicide
                                                 15-24, 1990-2002
                                                                                       Youth suicide is a public health crisis. In New Mexico in
                                                                     18.9              2001, 12.9% of adolescents said they had attempted suicide
 Rate per 100,000 Population

                                                                                       in the previous 12 months and 22% had seriously
                               15                            15.4
                                                                                       considered killing themselves in the previous 12 months.
                                          10.2           9.9           9.7
                               10                                                      In 2002, suicide was the second leading cause of death
                                                                                       among 15- to 24-year-old New Mexicans. Unfortunately,
                                                 NM                  US                only 36% of youth at risk for suicide receive treatment for
                                                                                       their problems. Notably, the mental health problems that
                                       2000           2001          2002
                                                                                       underlie suicide also underlie homicide and accidents.

                                                      Building A HEALTHY New Mexico!                                                           5
   •    Improve access and build a system of care to address adolescent mental health issues
   •    Improve the relationship between youth and families
   •    Reduce risk factors such as access to guns and impulsive behavior
   •    Promote mental health awareness and stigma reduction

• Funded and developed a youth suicide prevention documentary. On December 15, 2004, a half-
  hour documentary will be broadcast statewide on the signs and symptoms of depression and suicide
  among youth with discussion on intervention options for family members, friends and others.

                             Hepatitis C
                             Hepatitis C is a viral disease of the liver that is spread through blood and other
                             bodily fluids. Most cases have been linked to sharing of injection drug
                             equipment. Recent scientific and medical advances have made treatment for
                             hepatitis C effective for most infected persons, although not all. More than
                             32,000 New Mexicans are estimated to be infected with hepatitis C, compared
Over 80% of injection drug
  users have hepatitis C.    with approximately 3,000 persons infected with HIV, the virus that causes AIDS.

       •    Provide syringe exchange and disposal for injection drug users
       •    Screen and test for early detection
       •    Educate both medical professionals and private citizens about the virus
       •    Treat, reduce health consequences and provide client/caregiver support for people
            living with hepatitis C
       •    Improve the collection and analysis of data that will aid in prevention and treatment

• Developed statewide hepatitis C plan. New Mexico has the highest rate of deaths due to chronic
   liver disease and cirrhosis in the country, which is exacerbated by hepatitis C infection. In 2004, the
   hepatitis C Alliance created a set of strategies to address hepatitis C in New Mexico.

                        Building A HEALTHY New Mexico!
Program Area 2: Health Infrastructure
                                                                              Major Programs
Division: Public Health
                                                                          •    Public Health District/
Purpose: To maintain and enhance a statewide public health                     Local Offices
system and services that include district and local public health,        •    Health Systems
rural health, primary care, dental care and school-based health           •    Rural Health
services to ensure access to high quality healthcare for all              •    Primary Care
New Mexicans.

Accomplishments:                                                                   Budget
• Created task force to identify strategies to reduce                              (in millions)

  homelessness and to improve access for the homeless to services         General Fund – $29,851.1
  such as Social Security, Medicaid, food stamps and general              Federal Funds – $1,166.7
  assistance.                                                             Other Funds – $3,055.4
• Completed a review of DOH services that are provided to                 Total – $34,073.2
  Native American Tribes & Tribal Organizations to find out if
  services and training are being provided where needed.
• Addressed New Mexico’s health workforce needs. Recruited
  30 physicians to practice in rural areas of New Mexico.                              312
  Received $50,000 in federal funds from Health Resources and
  Services Administration to implement a new rural hospital
  quality improvement initiative with eight participating hospitals.
• Created a task force to address appropriate staffing of school nurses and to present
• Supported school based health centers by developing common protocols and procedures and
  integrating five centers into Medicaid/Salud.
• Established an Oral Health Advisory Council that will work to improve New Mexico’s dental
  health care. They have implemented an oral health surveillance system and added oral health
  professionals as eligible participants to the New Mexico Health Services Corps program, which
  provides stipends to providers for practicing in rural areas.
• Held the first Southwest Conference on Disability in October 2003 which explored health-related
  aspects of disability and assessed the impact of disability on health.
• Established hepatitis C training with University of New Mexico Hospital’s Health Services
  Center. It will become the pilot site for the Hepatitis C Education & Training Network.
• Identified Public Health Service Sites in seven counties in the northeast corner of the state who will
  serve in the event of a public health emergency requiring mass vaccination clinics.
• Provided testing and counseling for HIV, syphilis and hepatitis to 100 high risk women inmates.
  DOH’s Women’s Inmate Program provides weekly classes on sexually transmitted diseases, HIV,
  hepatitis and other risk reduction topics. Counselors from the Santa Fe Battered Families Shelter
  visited during the program and met with fifty female inmates to address domestic violence issues.
• The Health Office increased primary care, mental health and family planning services to teens
  in Taos County by expanding clinical days to two per week at Taos High School Health Center
  during the last six months. Approximately 180 students received 250 family planning visits during
  the first quarter of 2004. An on-site pharmacy was established to increase provider time spent with
  students rather than carrying supplies back and forth.
• Opened five new school-based health centers in Maxwell, West Las Vegas, Taos, Raton and
  Farmington. Reproductive health and sexually transmitted disease prevention and family planning
  services are provided.

                  Building A HEALTHY New Mexico!                                                     7
• Doubled Evening Family Planning clinic slots at Las Vegas Health Office to meet demand in the
  last six months. Percent of teens seen in evening clinics is twice those seen in day clinic, and “no
  show” rates for these clinics are less than 10%, resulting in great savings in staff time.
• Opened the Public Health Resource Center in Las Cruces to provide one-to-one counseling and
  small-group education for persons with chronic illnesses/conditions such as diabetes, obesity, asthma,
  and hepatitis C.
• Collaborated with the New Mexico State University Cooperative Extension Services to develop
  and provide family-based pediatric weight loss program (KidShape) for eligible kids.
• Advanced community prevention and early intervention of obesity. Healthier Communities
  monies funded obesity prevention and intervention programs in Fort Sumner. All participants were
  provided pedometers, diabetes and cholesterol tests and referrals, numerous exercise programs and
  nutrition education and counseling services.
• Constructed a new Public Health Office in Ruidoso to meet the needs of the community.

Program Area 3:
Surveillance, Response & Reporting                                           Major Programs
Division: Epidemiology & Emergency                                       • Office of Epidemiology
Response                                                                 • Emergency Preparedness
                                                                         • Injury Prevention
Purpose: To maintain and enhance a statewide system of
population-based surveillance, vital records and health statistics,
                                                                         • Emergency Medical
emergency medical services, bio-terrorism, emergency                       Services
preparedness and injury prevention.                                      • Vital Records and Health
• Joined the National Emerging Infections Program Network
  which assesses the public health impact of emerging infections                  (in millions)
  and evaluates methods for their prevention and control.                General Fund – $9,869.9
• Implementing New Mexico Electronic Disease Surveillance                Federal Funds – $11,846.9
  System (NM-EDSS).           The data collected will assist in          Other Funds – $1,594.6
  determining the magnitude of a health problem, show trends in          Total – $23,311.4
  its incidence and distribution and in formulating and evaluating
  control and prevention measures.                                              Employees
• Developing     and implementing a $500,000 integrated
  web-based birth and death certificate registration and
  issuance system. The E-Vitals project will develop this system
  that will automate the functions that are currently handled manually. Faster reporting of births and
  deaths will enhance the Department’s ability to meet contractual requirements with agencies that
  provide funding, analyze health information, detect fraud and enhance homeland security.
• Effectively contained flu epidemic, West Nile Virus and SARS. Surveillance for influenza has
  been in place since 1991. Surveillance systems for West Nile Virus and Severe Acute Respiratory
  Syndrome (SARS) were developed and implemented as those emerging infections threatened New
  Mexico. During 2003, over 400 equine cases occurred in 30 of 33 counties and 209 human cases were
  detected in 24 of 33 counties. Training of local mosquito control personnel and other prevention
  strategies such as respiratory infection control posters for healthcare facilities have been provided

                  Building A HEALTHY New Mexico!
Program Area 4:
                                                                         Major Programs
Testing and Pharmaceuticals
Division: Scientific Lab Division (SLD)                              • State Scientific Lab for
                                                                       Health, Agriculture,
Purpose: To provide core diagnostic and analytical services in         Office of the Medical
support of public and environmental health programs and to             Investigator and Implied
provide pharmacy services.                                             Consent Lab
                                                                     • Pharmacy
• Received    $907,828 for Public Health Laboratory
  Bio-monitoring Implementation Program. The Scientific
                                                                              (in millions)
  Lab was awarded one of three grants given nationally by the
  Centers for Disease Control and Prevention to enhance the          General Fund – $9,869.9
  ability of epidemiologists to directly assess the impact of        Federal Funds – $11,846.9
  environmental hazards upon human health.                           Other Funds – $1,594.6
• Awarded FBI Director’s Community Leadership Award                  Total – $23,311.4
  for Premiere Scientific Lab. This award was given in
  recognition of the lab’s outstanding contribution to the                 Employees
  community in partnership with the FBI. The Scientific Lab has                  91
  provided leadership in the enhancement of the state’s planning
  and capacity to respond to bio-terrorism and chemical terrorism
  preparedness in New Mexico.
• Instituted a Pharmacy Management Committee (PMC). The committee is made up of the
  individual pharmacy supervisors from each of the DOH pharmacies and will work to:
    − Improve communication among DOH pharmacies and pharmacists.
    − Develop, implement and ensure the standard use of best practices across DOH pharmacies.
    − Review drug purchase, inventory and return practices across DOH in order to maximize the use
      of departmental resources.
    − Carry out the recommendation in the Governor’s Performance Review which calls for the
      coordination of the purchases of pharmaceuticals and other medical supplies across state
      government. This coordination will result in bulk purchasing which will cut costs by boosting
      buying power.
• Achieved extremely low drug waste percentages, (0.37% of total drug purchases).
• Recouped 63% of the value of unused or expired drugs via returned for credit programs.
• Reduced drug disposal by the Public Health Pharmacy from $500,000 in June 2003 to $26,000 in
  June 2004 resulting in a $474,000 reduction in drug waste.
• Purchased 97% of its drugs through discount purchasing.

                  Building A HEALTHY New Mexico!                                                9
Program Area 5: Behavioral Health Services
                                                                                        Major Programs
Division: Behavioral Health Services (BHSD)                                         •   Community programs
                                                                                    •   Prevention services
Purpose: To provide an effective, accessible, regionally based system of            •   System enhancement
behavioral health prevention and treatment services that are consumer-              •   Sequoyah Adolescent-
driven and provided in the least restrictive setting for eligible persons in            Treatment Center
New Mexico so that they may become stabilized and their functioning
                                                                                    •   NM Rehabilitation
levels may improve.
                                                                                    •   Las Vegas Medical
Accomplishments:                                                                        Center
•   Received a $17.5 million five-year substance abuse prevention
    grant award. This federal state incentive grant is being used for                         Budget
    substance abuse prevention efforts among adolescents and adults.                          (in millions)
    The programs emphasize personal skills development and task-                    General Fund – $76,862.7
    oriented training which has proved to reduce alcohol, tobacco and
                                                                                    Federal Funds – $12,893.4
    other drug abuse.
                                                                                    Other Funds – $28,290.3
•   Opened a new substance Abuse Social Detoxification program in                   Total – $118,046
    Grant County. In partnership with the Long Term Services Division
    and with the use of federal fiscal relief funding, BHSD improved the                   Employees
    substance abuse program at Fort Bayard’s Yucca Lodge.
•   Launched a consumer oriented website. The site is designed to
    provide accurate and timely information to consumers, providers,
    advocates and families seeking local, regional and national behavioral
    health information and services. It provides a comprehensive directory of mental health, substance abuse programs,
    social services, and coalitions concerned with behavioral health issues.
•   Was awarded a $2.2 million, three-year substance abuse prevention grant. The State Incentive Enhancement
    Grant is being used to fund six community based prevention programs, which will focus efforts on parents and
    families of youth to 6 years old. The programs funded through this initiative will work to reduce risk factors and
    improve the relationship of children with their family and community. These outcomes will lead to long-term delays
    in the age of first use and reductions in adolescent use of substances.
•   Gained national recognition of three substance abuse prevention programs from the Substance Abuse and
    Mental Health Services Administration Center. Exemplary program status is given to newly developed or adapted
    programs which have rigorous evaluation protocols and have proven to be effective over multiple years.
•   Reduced the sale of tobacco products to minors. The sales rate of merchants selling tobacco products to minors
    was lowered from 14.8%, June 2003 to 6.3% in June 2004.
•   Received $22.8 million for additional supportive and recovery services using both faith and traditional providers
    to reduce substance abuse.

                           Building A HEALTHY New Mexico!                                                     10
Program Area 6: Long-Term Care Services
                                                                                 Major Programs
Division: Long-Term Services (LTSD)
                                                                             •   Los Lunas Community
Purpose: To provide an effective, efficient and accessible safety                Program
net system of long-term care facilities and services to maximize             •   Fort Bayard Medical
the quality of life and independence of eligible New Mexicans.                   Center
                                                                             •   NM State Veteran’s
Fort Bayard Medical Center                                                       Home
Accomplishments:                                                             •   LTSD’s Performance
•   Provided 4,083 Medicare Part A, 8,927 high-risk nursing                      Improvement Office
    facility, 89,903 low-risk nursing facility, and 6,992 Chemical
    Dependency Treatment days, for a total of 109,905 total days.                      Budget
•   Improved survey readiness, reducing the number of                                  (in millions)

    deficiencies and eliminated monetary fines.                              General Fund – $8,146.0
•   Realigned nursing home license to reflect actual beds and                Federal Funds – $3,276.6
    adjusted the number of beds designated as Medicare Part A.               Other Funds – $36,542.0
    This will help adjust reimbursement rates and result in a                Total – $476,964.6
    significant increase in revenues.
•   Modified admissions process to ensure financial                                 Employees
    responsibility documentation is in place prior to admission;                            920
    target and market long-term care services; better schedule
    admissions; and improve systems to ensure timely referrals.
•   Improved coordination between accounting, admission,
    nursing, and the Health Information Manager to improve
    timely and accurate completion of abstracts to reduce the number of rejected claims.
•   Replaced the aging inventory of lifts used to transfer residents, mostly for bathing.
•   Instituted a preventative maintenance program to ensure a proactive response to environmental needs.
•   Created a medical equipment coordinator position to ensure equipment is replaced in a timely fashion
    and remains in operable condition while in use.
•   Mural Project – Painting 10’ x 30’ murals on six residential units.
•   Installed equipment that should reduce natural gas consumption by 4% and reduce the scale build up
    in the pipelines.
•   Remodeled six resident rooms to (add benefits), six have been done.
•   Met ADA requirements by repairing flooring elevations on main hallway.
•   Established a one-year pilot program with the Southwest Continuum of Care committee to provide
    social detoxification services.

New Mexico Veteran’s Home Accomplishments:
•   Retained Joint Commission Accreditation for Healthcare Organizations accreditation.
•   Successfully completed the veteran’s survey, which provides data that can be used to improve services.
•   Completed re-roofing project for entire facility.
•   Graduated seven certified Medication Aides.

              Building A HEALTHY New Mexico!
Program Area 7:                                                           FTE
                                                                                     Major Programs
Developmentally Disabled Community
Services                                                                         •   Developmentally Disabled
Division: Long Term Services
                                                                                 •   Medically Fragile
Purpose: To provide a statewide system of community-based                        •   Developmentally Disabled
services and supports to improve the quality of life and increase the                Community Program
independence of individuals with developmental disabilities and                  •   Family, Infant, Toddler
children with or at risk of developmental delay or disability and their              Program
                                                                                 •   Office of Disability &
Family Infant Toddler (FIT) Program
•   Developed a new public awareness campaign "Ready! Set!                                 (in millions)
    Grow!," which includes posters, brochures and development
    wheels and training for medical providers statewide about the                    General Fund – $82,215.8
    importance of early intervention and how to make a referral.                     Federal Funds – $3,413.7
    The number of children served increased by 14% between July                      Other Funds – $7,715.5
    2003 to July 2004.                                                               Tota1 – $93,345.0
•   Collaborated with the Public Education Department to
    publish a technical assistance document on serving young                            Employees
    children with Autism Spectrum Disorders and their families.                                113
    A statewide training was provided for managers of early
    intervention provider agencies and a series of intensive regional
    trainings for early intervention and preschool staff are planned.
•   Led a collaborative effort with the Public Education Department, CYFD, Head Start, NMSD,
    NMSVH, Parents Reaching Out and UNM - Center for Development & Disability to address early
    childhood transition from early intervention to preschool or other supports and services. Forty-three
    community transition teams have been supported to develop local inter-agency agreements, a statewide
    conference was held and a transition video/DVD was developed and distributed. According to a statewide
    survey, 86% of parents reported experiencing a smooth and effective transition.
•   Increased the use of early intervention services in “natural environments” (homes, communities, child
    care centers) from 63% in 2002 to 89% in 2004.

New Mexico provides community-based long-term care services through the Developmental Disabilities (DD)
Medicaid Waiver that serves as an alternative to an Intermediate Care Facility for the Mentally Retarded (ICF/
MR) program. The DD Waiver Program helps individuals live in their communities by providing services to
enhance independence and achievement of personal goals, while providing necessary care and support.
The number of individuals waiting for DD services increased by 15% (to 3,151) over the previous year. The
length of wait did not increase appreciably (from 47 to 48 months), because of the Division’s efforts to bring the
people who have waited the longest into services.

                 Building A HEALTHY New Mexico!
FY03 DD Waiver Accomplishments:
•   Served an additional 284 clients for a total of 3,086 individuals on the Developmentally Disabled
    (DD) waiver.
•   Increased self-directed pilot project areas served.
•   Implemented a more flexible and cost-effective funding system.
•   Worked towards implementation of Health Insurance Portability and Accountability Act (HIPAA).
•   Expanded Self-Directed Pilot Project into a statewide program.
•   Collaborated with public schools to register students for the DD Waiver and coordinate services of
    both entities, increasing the number deemed eligible by 8.5%.

Medically Fragile Accomplishments:
•   Conducted statewide training for all Medically Fragile Waiver (MFW) Providers.
•   Provided training that helped improve services and define new policy/procedure changes.
•   Received and incorporated stakeholder input on MFW standards.
•   Updated information on clients and families that have been deemed eligible for MFW services.
•   Successfully recruited more therapists to work within the MFW.

                 Building A HEALTHY New Mexico!                                                    13
Program Area 8:
                                                                             Major Programs
Licensing, Certification and Oversight
Division: Health Improvement (DHI)                                       • Licensing & Certification
                                                                           of facilities
Purpose: To ensure high quality healthcare systems through               • Caregiver Criminal
licensing and certification, quality oversight and quality                 History Screening
standards compliance by providers.                                       • Oversight of DD
                                                                           Community Programs
•   Established State oversight of nursing home and
    hospital transitions. A new state law gave DOH the
    authority to require that providers give 60 days notice of a                   Budget
    proposed license change, or closure, sale or acquisition of                    (in millions)
    a nursing home, hospital or primary care clinic.
                                                                             General Fund – $4,284.5
•   Took receivership of several residential healthcare                      Federal Funds – $1,633.8
    facilities to assure zero tolerance for abuse, neglect and               Other Funds – $3,550.9
    exploitation of their residents.                                         Tota1 – $9,469.2

•   Implemented limited service hospital regulations. The                       Employees
    regulations ensure that limited service hospitals do not                          133
    turn away patients that rely on indigent care services.

•   Launched Phase One of a consumer oriented website, This is the Division of
    Health Improvement’s way of providing a quality information tool for consumers, providers and
    others interested in the provision of health care in New Mexico. The web site will be completed in
    three phases. Phase One introduces DHI and tells who we are and what we do. It provides
    information about each of the Division’s bureaus, key contact names, addresses, phone numbers
    and e-mail addresses. Phase Two of this web site will provide consumers with immediate access
    to deficiency reports on New Mexico’s providers. Studies have shown that when these reports are
    made publicly available, providers work harder to improve their services. Phase Three will
    automate manual processes such as facility licensure. This automation will provide a level of
    efficiency and accountability for both the applicant and the licensure bureau.

                 Building A HEALTHY New Mexico!
Program Area 9: Administration & Policy                                        FT
                                                                                             Major Programs
Divisions: Office of the Secretary, Office of                                  E
Planning, Policy & Evaluation, Office of General                                         •   Office of the Secretary
Counsel, Office of Internal Audit, Administrative                                        •   Office of Policy,
Services   Division,   Information   Technology                                              Planning & Evaluation
                                                                                         •   Office of General
Services Division                                                             0
Purpose: To provide leadership, policy development and administrative                    T
                                                                                         •   Office of Internal Audit
support to the Department of Health.                                  erm
                                                                                         •   Administrative Services
                                                                                         •   IT Services Division
•   Negotiated a preliminary union agreement with the American 0
    Federation of State, County and Municipal Employees and a final
    agreement with Community Workers of America.                                                  Budget
•   Established central control over administrative functions:                                    (in millions)

    − Implemented a new financial management and budgetary control                       General Fund – $8,006.9
        system                                                                           Federal Funds – $3,190.6
    −   Conducted a Strategic Contract Review of over 1,000 contracts                    Other Funds – $900.5
    −   Implemented the Procurement Card                                                 Tota1 – $12,098.0
    −   Initiated a Master Capital Plan
•   Consolidated 23 independent IT organizational units within the                              Employees
    DOH into a single IT organizational unit, the IT Services Division.
•   Moving towards uniform regions among Health and Human
    Services agencies: The Department of Health will work with
    consumers, communities, healthcare providers and the other Health
    and Human Services agencies to define and establish a coordinated
    and uniform statewide regional system that efficiently provides its
    programs and services.
•   Improved facility business plans.
•   Completed implementation of an integrated hospital information system to support the administrative,
    clinical and financial functions of the six DOH residential care facilities.
•   Completed New Mexico’s first Comprehensive Strategic Health Plan. New Mexico's Comprehensive
    Strategic Health Plan provides a blueprint for collaboration among state, local and tribal partners from the public
    and private sector to determine health strategies and priorities, and identify activities for all partners to improve
    the health status of New Mexicans.
•   Participated in Immunization Week of the Americas and Bi-national Health Week to improve health along
    border region. "The Immunization Week of the Americas” is a hemisphere-wide campaign which marked the
    first time all countries in the Americas have carried out immunization activities at the same time. The Border
    Bi-national Health Week is an effort among two countries and 10 states that tackles important health issues along
    the U.S. - Mexico border that will uniquely involve some statewide activities in New Mexico. Both initiatives
    provide information and service to the community on critical health issues and further provide a means for the
    community to access the public health and health care systems.
•   Successfully implemented HIPAA privacy requirements. The Health Insurance Portability and Accountability
    Act (HIPAA) is a federal law that requires covered entities such as DOH to comply with several rules related to
    patient privacy. The first rule to be implemented, the Privacy Rule, requires covered entities to provide
    customers/clients with a notice of privacy practices that outlines their rights to restrict access to protected health
    information (PHI). Covered entities must have policies and procedures in place to safeguard PHI. Clients have
    the right to request an accounting of disclosures of PHI. DOH has policies and procedures in place, the work-
    force has been trained and clients receive a notice of privacy practices when they first receive services.

                         Building A HEALTHY New Mexico!                                                           15

                     DOH Contact Information
Office of the Secretary                                (505) 827-2613
Public Information Office                              (505) 827-2619
Administration and Finance                             (505) 827-2555
Public Health Division                                 (505) 827-2389
Border Health                                          1-800-784-0394
Immunization Program                                   1-888-231-2367
Division of Health Improvement                         (505) 827-2695
Long Term Services Division                            (505) 827-2574
Behavioral Health Services Division                    (505) 827-2658
Office of Policy, Planning and Evaluation              (505) 827-1053
Scientific Laboratory Division                         (505) 841-2500
Division of Surveillance and Response                  (505) 827-0006
Information Technology Services Division               (505) 827-9690


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