Our Health & Human Services Business Center Community Partnerships Solutions We all are connected: Our families; Our friends; Our health; Our environment; Our quality of life… Our Vision An integrated community network of public and private agencies which provide health and human services that are coordinated to make the best use of limited resources in service to the citizens of Sarasota County. 2 Our Mission To provide coordinated and accessible service delivery to assure our citizens’ health, safety and well-being and to promote a quality living environment for all communities in Sarasota County. 3 Core Businesses Public Health Services Mosquito Management Services Social Services Core Services Environmental Health Services Clinical/Community Health Services Epidemiology and Communicable Disease Control Health Promotion and Planning Dental, Laboratory, Pharmacy Services Mosquito Management Grants-In-Aid Public Assistance Veterans Services Administrative Services 5 Our Operational Themes • Building community capacity • Creating partnerships • Improving organizational capacity Building Community Capacity South County Health Center •Primary Care • Pharmacy • Dental Expansion • HIV/AIDS South County Community Clinic •Volunteer Providers Creating Partnerships • Immunization Coalition • Pneumonia/Flu Initiative Creating Partnerships • Healthy Start Coalition • Infant Mortality Coalition • Prenatal Outreach/CYESIS • Pharmacy Partnership (CUSE: Compassionate Use Program) • Lab Services Partnerships • Sarasota County Openly Plans for Excellence (SCOPE) Improving Organizational Capacity • Business Planning • Facilities • Technology • Employees 11 HHSBC ISSUES Continue business planning process ACTIVITIES Alignment with other units Balanced Scorecards (with Charles Bens) 12 Strategic Issues SOCIAL SERVICES Establish a community alliance More efficient utilization of Social Services staff Transformation of Grants-In-Aid program 13 Strategic Issues MOSQUITO MANAGEMENT ISSUES Expand the adulticide reduction area Increase larviciding activity throughout the county Implement a container abatement program with citizens Evaluate new ways to control “domestic” mosquitoes Improve precision targeting insecticide applications with GIS tools 14 Strategic Issues HEALTH ISSUES Access to Dental Care School Health Vaccine Preventable Diseases Infant Mortality Youth Teen Pregnancy Children’s Health Care 15 Mosquito Management Goals/ Outcomes: Provide relief from mosquitoes for disease prevention Reduction of nuisance mosquitoes Challenges: Public fears associated with aerial and ground spraying Opportunities: Received state funding Research to find environmentally responsible methods for mosquito management 16 Mosquito Management … Current Level Target Level Performance Measures Ratio of acres treated with larvicides vs. 1:140 1:150 acres treated with adulticides % of mosquito service requests 93 70 responded to within 24 hours # of square miles in adulticide reduction 25 25 area # of human cases of St. Louis 0 0 Encephalitis % of customers who rate our service 92 80 above average Access to Dental Care Goals/ Outcomes: 1. Increase access to dental services in South County 2. Initiate expanded dental service programs to provide increased access to basic dental services to the population at or below 200% of the poverty level in Sarasota County 1. Target date for program initiation= January 2002 South County Health Center Grant amount $107,000 per year; Clients=1666 Visits= 3000 Revenue= $183,000 18 2. Access to Dental Care Challenges: State budget cuts Population of need Opportunities: Venice Foundation’s Grants $214,000 New Building (Ringling Center) Current Level Target Level Performance Measures (Total County) Clients Served per Dentist 1252 1400 Visits per Dentist 2277 2800 Revenue $132,259 $205,000 19 Vaccine Preventable Diseases Goals/Outcomes: Decrease or eliminate vaccine preventable diseases Challenges: Limited community involvement in Vaccine Preventable Disease activities Incomplete or late reporting of communicable diseases from local physicians Inadequate adult immunization protection, especially pneumonia & flu 113 total pneumonia/flu deaths in Sarasota County during 2000 Opportunities: Increase awareness of private health care providers regarding Communicable Disease reporting: Participation in local hospital Infection Control committees Initiate one-on-one PHN encounters with local private physicians and their office staff HEDIS audits for immunization compliance Opportunities: Increase health care partners in Sarasota Flu/Pneumonia Coalition (1st year successful beginning) Increase immunization protection awareness with continued promotion through bus wraps, tray liners, Family Magazine articles, and flyers in grocery bags. Continue partnership with Rotary & Kiwanis Vaccine Preventable Diseases … Current Level Target Level Performance Measures Total cases of vaccine preventable disease 3.37 0 per 100,000 people # of immunization and physical exam 95 NA report audited for HMO’s Maintain the cost per immunization at or 18.08 18.00 below the state rate Maintain the % of high risk infants 99.49 95.0 beginning immunizations at or above the state rate Increase the immunization rate of 24 month 81.0 90.0 old children coming to the Health Department Maintain rate of immunization of infants 100 100 born to Hepatitis B women School Health Goals/ Outcomes: Improve health status of students in Sarasota County (36,079 enrolled in 2000-2001) Challenges: State budget cuts resulting in potential nursing shortages Parents not following through with immunization completion 25 School Health Opportunities: Streamline services through business planning process Involve pediatricians in ensuring immunization compliance Develop care plans for students with chronic health problems Follow-up of abnormal screenings 26 School Health Current Level Target Level Performance Measures % School children with completed 95.7 95.0 immunization at entry into kindergarten % School children with completed 61.3 95.0 immunization at entry into grade 7 Cost per school health service $8.80 8.75 Cost per student per year $21.00 20.75 Nursing assessments per nursing FTE per year 1645.9 1650.0 Number of care plans developed for children 76.3 78.0 with chronic diseases that impact learning per nursing FTE per year % of students with vision problems who had 53.0 61.0 referrals completed Principal Satisfaction (annual data only) % 91.0 95.0 Infant Mortality Goals/Outcomes/Opportunities: Reducing Infant Mortality Challenges: Reducing overall infant mortality disparity within Sarasota County Women entering the clinic within the first trimester of pregnancy Ensuring Healthy Start Screenings for pregnant women Successfully reducing tobacco use in pregnant women Increasing the number of prenatal visits Reducing alcohol and drug abuse 28 Infant Mortality Opportunities: Outreach center in a location accessible to women at high risk Training/mobilizing outreach workers and volunteers to contact pregnant and postpartum women to promote outreach centers Promoting child birth and infant care classes in Spanish and English in North and South County Establishing a mentoring program for pregnant women Using Healthy Start screenings to identify pregnant women at risk for substance abuse Providing smoking cessation classes for pregnant women 29 Infant Mortality … Current Target Level Level Performance Measures Infant mortality rate per 1000 live births 8.09 6.050 Low birth weight rate per 1000 live births 8.3 6.96 Number of clients scoring 4 or more actively 553 participating in Healthy Start % of IPO women entering care in the first 53.36 70.0 trimester Number of Child Health physical exams 2515 (1999) % of completed Child Health medical 61.2 (1999) referrals received 30 Young Teen Pregnancy Goals/ Outcomes: To reduce teen pregnancy among children aged 10-14 years old Challenges: Effectively balancing sexuality education to be consistent with community standards Researching the target age group Cultural differences Promoting parental involvement in education Opportunities: Nurse practitioner assigned to CYESIS to do family planning Healthy Start Care coordinator assigned to CYESIS Energizing teen pregnancy prevention efforts 31 Young Teen Pregnancy … 2000 2001 Target Level Performance Measure # births to teenagers ( aged 10-14) 8 6 3 Children’s Health Care KID CARE Goals/ Outcomes: Increased access to health care for children in Sarasota County Target 5% increase in overall Kid Care program enrollment by July 1,2002 Indicators/Measures % Increase in overall enrollment in Kid Care Program 33 Children’s Health Care KID CARE Challenges: Insured status of child Citizenship status of child Economic status of nation/state/county(?recession with job loss) The uncertainty of the County/State match requirement Opportunities: Sarasota County, according to 2000 data, has a population of children 0-18 of 53,331. Of this number approximately 15,412 are within the 200% Federal Poverty Level (FPL) and thus eligible for the Kid Care Program. Kid Care includes Florida Medicaid, Healthy Kids, and Children’s Medical Services 34 The End
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