Contract of Agreement for Salon Employees

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					                                                                                                Escambia CHD Services Ranking Matrix
       A                                       B                                          C                D            F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                              Funded
                                                                                                                                            Functional     Primary                            and/or       Good,
                                                                                                                                                                                 Saves PH'S
                                                                                                                       Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                          F.S.            F.A.C.
                                                                                                                     Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                                 time, effort
                                                                                                                                                                                              surplus      Public
                                                                                                                                                                                                                         Total
                                                                                                                                                                                    later
                                                                                                                                            number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                                  share

 2                      DISEASE SURVEILLANCE/PREVENTION
 3     Epi     Notifications to doctor's offices re: PH issues/changes                                                 yes     yes     yes       4d                                                                       0

                                                                                 381.003, 381.0031 64D 3.041
 4     Epi     Investigation/Treatment for reportable diseases                                                         no       no     yes       2b           2           2            0            0           2         6
                                                                                  392.54, 392.55,
                                                                                                          64D
 5     TB      Investigation re: TB                                                   392.61                           yes      no     yes       2b                                                                       0
                                                                                   381.001, 381.011,
                                                                                                       2.004, 2.00
                                                                                   381.003, 381.004,
                                                                                                            6
 6    STD      Counseling and testing for HIV                                           384.21                         yes      no      no     2b, 3c                                                                     0
 7    STD      Contact Investigation for STD                                      384.26, 384.27          64D          yes      no      no       2b                                                                       0
 8    STD      Counseling and testing STD                                         384.26, 384.27          64D          no       no      no       7b           2           0            2            1           0         5


 9     HP      Participation in Immunization Coalition meetings & activities                                           no       no      no     3b, 4b         1           0            2            0           2         5
               Immunizations subcommitee focusing on 0-2 year olds:
10     HP      marketing and program development.                                                                      no       no      no       3d           2           0            2            0           2         6
11     Epi     Collect and Report all Local Reportable Diseases                                           64D          yes      no     yes       2a                                                                       0
               Receive all non-reportable diseases and investigate clusters
                                                                                      381.001             64D
12     Epi     of similar diseases/symptoms/syndromes                                                                  yes      no     yes       2a                                                                       0
               Maintain a database on all reportable and non-reportable
                                                                                      381.001             64D
13     Epi     diseases received by the local unit                                                                     no       no     yes       1e           2           2            2            0           1         7


               Provide education and recommendations to individuals and                                   64D
                                                                                      381.001
               institutions regarding the implementation of prevention and
14     Epi     control measures to prevent the spread of disease                                                       no       no     yes       3d           2           1            2            0           2         7


               Develop and maintain close working relationships with
               providers such as physicians, infection control practitioners,         381.001             64D
               schools, childcare providers, etc. , to ensure early reporting
15     Epi     and implementation of needed prevention/control measures.                                               no       no     yes       1b           1           2            2            0           2         7
16     Epi     Data/statistical analyses                                              381.001             64D          no       no     yes       1e           1           0            1            1           1         4
17     Epi     Program Evaluation and Audits                                                             64D-3         no       no      no       9c           1           0            0            0           0         1
               Develop protocols/plans for disease investigation, surveillance
                                                                                                         64D-4
18     Epi     and response                                                                                            no       no     yes      10c           2           1            2            0           1         6
19     Epi     Epidemiological Research                                               381.001            64D-3         no       no      no      10A           1           1            1            0           2         5

1/12/2011                                                                                                               1                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                          Escambia CHD Services Ranking Matrix
       A                                      B                                    C               D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                     Funded
                                                                                                                                   Functional     Primary                            and/or       Good,
                                                                                                                                                                        Saves PH'S
                                                                                                              Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                   F.S.           F.A.C.
                                                                                                            Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                        time, effort
                                                                                                                                                                                     surplus      Public
                                                                                                                                                                                                                Total
                                                                                                                                                                           later
                                                                                                                                   number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                         share

20                      DISEASE SURVEILLANCE/PREVENTION
                                                                            381.001, 381.011,
21    HIV      Active "AIDS Surveillance"                                        381.003                      no       no      no      10B           2           0            1            2           0         5
                                                                            381.001, 381.011,
22    HIV      "AIDS Patient Care"                                               381.003                      no       no      no       7c           0           0            0            2           1         3
                                                                            381.001, 381.011,
23    HIV      Provide HIV Medications                                           381.003                      no       no     yes       7b           1           0            0            2           1         4
                                                                                                 64B9-
24    HIV      Professional education to medical providers                                       5.007        no       no      no       8d           2           0            1            0           1         4
25    HIV      Prevention interventions targeting high risk groups              381.003                       no       no      no       3c           2           0            1            2           2         7

                                                                                381.003         64D-2.006
26    HIV      Analysis and dissemination of HIV/AIDS data                                                    no       no      no       1e           1           0            1            2           1         5
27    HIV      State/Fed partner request                                        381.003                       no       no      no       2c           0           0            0            1           0         1

                                                                               381.004(4)       64D-2.006
28    HIV      Passive Aids Surveillance                                                                      yes      no      no       2a                                                                       0
               Oversight and monitoring of and ta.contracted providers(if
                                                                               20.43, 287        60A-1
29    HIV      contract)                                                                                      yes      no      no      11.00                                                                     0
                                                                               381.7354,
               Culturally competent technical assistance to minority           381.7355,
30    HIV      providers                                                       381.7356                       no       no      no      3c,d          0           2            2            2           2         8
31    HIV      Condom distribution throughout 4 county area                     381.003                       no       no      no       3d           2           0            1            2           2         7
32    HIV      Monitoring of DOH registered HIV test sites                     381.004(5)                     yes      no      no       8d                                                                       0
33    HIV      Liaison between Bureau of HIV/AIDS (BOHA) and CHDs               381.003                       no       no      no       2c           0           0            1            2           1         4
34    HIV      Clinical HIV evaluation                                                                        no       no      no      7b,c          1           0            1            2           0         4
35    HIV      HIV Treatment                                                                                  no       no      no      7b,c          1           0            1            2           0         4
                                                                             392.54, 392.55,
                                                                                                  64D
36     TB      Assure active TB Treatment                                        392.61                       yes      no      no       7c           2           2            2            1           0         7
37     TB      Assure targeted TB screening                                      392.61           64D         yes      no      no       7c           1           2            1            0           0         4
                                                                                                  64D -
                                                                             392.55, 392.61
38     TB      TB related assistance to Private Medical Providers                                 3.043       yes      no      no       8d                                                                       0
39     Epi     Testing and Counseling for Enteric Pathogens                                                   no       no     yes      7b,c          1           0            2            0           2         5
40     FP      Testing for Rubella Immunity                                                                   no       no      no       7c           1           0            0            2           0         3


1/12/2011                                                                                                      2                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                               Escambia CHD Services Ranking Matrix
          A                                     B                                        C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                       Funded
                                                                                                                                     Functional     Primary                            and/or       Good,
                                                                                                                                                                          Saves PH'S
                                                                                                                Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                     ECHD Services                                      F.S.         F.A.C.
                                                                                                              Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                          time, effort
                                                                                                                                                                                       surplus      Public
                                                                                                                                                                                                                  Total
                                                                                                                                                                             later
                                                                                                                                     number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                           share

41                        DISEASE SURVEILLANCE/PREVENTION
42   A Imm      Influenza Vaccinations                                                                          no       no      no       7c           2           0            0            1           2         5
43   A Imm      Pneumonia Vaccinations                                                                          no       no      no       7c           2           0            0            2           1         5
44   A Imm      Tetanus Shots                                                                                   no       no     yes       7c           2           0            0            2           1         5
45   A Imm      Required Pediatric Immunizations                                                                yes      no      no       7b                                                                       0
46   HP         Pan Flu community presentations                                                                 no       no      no       2c           0           1            2            1           1         5

     HP         Create and produce pandemic flu media materials as needed
47              (ex. Newspaper insert/radio ads/cd for community)                                               no       no     yes       3c           2           1            2            1           2         8
                Create pan flu educational materials for distribution to public
     HP
48              (ex. Home care brochure)                                                                        no       no     yes       3c           2           1            2            1           2         8

     HP
49              Champion the ECHD Community Obesity Task Force (OTF)                                            no       no      no       5c           2           2            2            0           1         7
50 HP           Development of quarterly health messages.                                                       no       no      no       3c           2           2            2            0           2         8
51   A Imm      Adult vaccinations                                                                              no       no     yes       7c           2           0            0            2           1         5
52   A Imm      Rabies Post Exposure Evaluation                                       381.001        64D-3      no       no     yes       7c           2           0            0            0           1         3
53   A Imm      Rabies Post exposure Prophylaxis                                      381.001        64D-3      no       no     yes       7c           2           0            0            0           1         3
54   A Imm      Rabies Pre-exposure Prophylaxis                                                                 no       no      no       7c           1           0            0            2           1         4
55    clinic    Clinical Animal Bite Evaluations for Tx                                                         no       no      no       7c           2           0            0            1           0         3
56   A Imm      Overseas Travel Shot Info/Referrals                                                             no       no      no       7c           2           0            0            2           2         6
57   P Imm      Immunization Tracking                                             381.001, 1003.22    64D       no       no      no       9b           2           0            0            0           0         2
58    Child     Lead screening, counseling, evaluation                                                          no       no      no       7c           1           0            1            1           0         3
                Advise County Public Safety on Bioterrorism, Chem. Rad,
                                                                                     381.00315
59    PHP       Disaster                                                                                        no      yes     yes       2d                                                                       0
60        Epi   Disaster-related Disease Outbreak Prevention & Control                381.001                   no      yes     yes       2b                                                                       0
61    PHP       Maintain Current ECHD/Public Health Emergency Plan                                              no      yes      no       2d                                                                       0
62    PHP       Maintain Current ESF8 Emergency Plan                                                            no      yes      no       2d                                                                       0
63        EH    Disaster-related Shelter Inspections                                                            no       no     yes       2b           2           2            2            0           1         7
64    PHP       Stockpile Supplies for Special Needs Shelter                         381.0303                   no       no     yes       2b           0           0            0            0           0         0
65        EH    Disaster Facility Inspections                                                                   no       no     yes       2b           2           2            2            0           1         7

1/12/2011                                                                                                        3                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                             Escambia CHD Services Ranking Matrix
       A                                       B                                       C                D            F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                           Funded
                                                                                                                                         Functional     Primary                            and/or       Good,
                                                                                                                                                                              Saves PH'S
                                                                                                                    Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                      F.S.            F.A.C.
                                                                                                                  Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                              time, effort
                                                                                                                                                                                           surplus      Public
                                                                                                                                                                                                                      Total
                                                                                                                                                                                 later
                                                                                                                                         number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                               share

66                      DISEASE SURVEILLANCE/PREVENTION
               ESF 8: 24-hour Presence @ EOC; Obtain & Coordinate
67    PHP      State/Fed Resources                                                                                  no      yes     yes       2c                                                                       0

68     All     Participate in Pre-disaster Preparation Drills, Planning, etc.                                       no      yes      no       2e                                                                       0


69     All     Employees Required to be Available at all Times re: Disaster                                         no      yes     yes       2d                                                                       0
70     VS      Funeral Home Training                                            382.003, 154.001     64V-01         no       no      no       1b           0           0            1            0           1         2
                                                                                154.001,382.013,
                                                                                   382.002(3),
                                                                                                     64V-01
                                                                                 382.025(1)(a),
71     VS      Register All County Births & Issue Certificates                     382.025(4)                       yes      no      no       1a
                                                                                    154.001,
                                                                                   382.002(3),       64V-01
72     VS      Register All County Deaths & Issue Certificates                     382.003(9),                      yes      no     yes       1a
                                                                                    154.001,
                                                                                                     64V-01
73     VS      Family Tree Searches                                               382.025(1)(a)                     no       no      no       na           0           0            0            2           1         3
74    STD      Assist with training and annual updates of 501 course                                                no       no      no       6c           0           0            0            0           0         0
75     VS      Report flu deaths in children                                    154.001, 382.003     64V-02         yes      no      no       1a                                                                       0
                                                                                1003.22, 381.0056
                                                                                                       64D
76     SH      Immunization Tracking/Referrals                                        (5a2)                         no       no      no       6c           2           2            2            1           1         8
                                                                                                       64F-
                                                                                 381.0056 (5a2)
77     SH      BMI screenings (Certain ages)                                                         6.003(3)       yes     1a,7b    no       1a                                                                       0
78     SH      Triage Sick Kids to Home or Return to Class                       381.0056 (5a2)                     no       no      no       7c           2           0            2            1           2         7
79    Hep      Testing and Counseling for Hepatitis A,B,C (mostly B,C)                                              no       no      no      2b,7b         1           0            1            1           1         4
               "Florida Hep.B & Liver Failure Prev. & Cont." - outreach-
80    Hep      pregnant women                                                                                       no       no      no       2b           2           2            2            2           1         9
81    Hep      Hepatitis surveillance (B&C)                                                           64D-3         no       no      no       2b           2           2            2            2            1        9
               Outreach and Partnerships with other local providers re:
82    Hep      Hepatitis                                                                                            no       no      no       1b           1           0            2            2            2        7


83   A Imm     MOAs with school board and private companies for Hep B                                               no       no      no      7b,c          2           0            2            2           2         8

                                                                                                       64D -
                                                                                    458.317
                                                                                                    3.046(2)(e)
84   P Imm     Religious exemptions                                                                                 yes      no      no      N/A                                                                       0

1/12/2011                                                                                                            4                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                             Escambia CHD Services Ranking Matrix
       A                                     B                                        C                D            F         G         H      I           J           K            L            M           N         O
                                                                                                                                                                                           Funded
                                                                                                                                        Functional      Primary                            and/or       Good,
                                                                                                                                                                              Saves PH'S
                                                                                                                   Law    COOP/ PH Dis. Definition    Prevention of ECHD Must              generates    Inexpensive
                                     ECHD Services                                   F.S.            F.A.C.
                                                                                                                 Requires COG Resp. Ref.                Real PH        Do
                                                                                                                                                                              time, effort
                                                                                                                                                                                           surplus      Public
                                                                                                                                                                                                                      Total
                                                                                                                                                                                 later
                                                                                                                                        number           Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                               share

                        DISEASE SURVEILLANCE/PREVENTION
85
                                                                                                      64D -
                                                                                   1003.22         3.046(1)(b)
86   P Imm Provide 680 ? (Blue Form) for our patients                                                  1.          no         no        no    N/A          0           0            0            0           1         1
           Outreach activities with shot mobile (Neighborhoods &
87   P Imm School)                                                                                                 no         no    yes       7b           2           0            2            1           2         7

                                                                                381.001, 384.21    64D FAC
88    STD      Contact Investigation for STD                                                                       no         no        no    2b           2           2            2            2           2         10
               Provide regional support for other counties. Contact
                                                                                381.002, 384.21    64D FAC
89    STD      Investigation                                                                                       no         no        no    N/A          2           0            1            1           1         5

                                                                                381.002, 384.21    64D FAC
90    STD      Outreach activities                                                                                 no         no        no   7b,3c         2           0            2            2           2         8
91     TB      Clinical STD evaluation, STD testing                             384.26, 384.27                                                7b                                                                       0
92    STD      Treatment for STD                                                384.26, 384.27                                                7b
93     TB      Commit noncomplaint TB-infected individuals                          392.55                         yes        no    yes       6e

                                                                                    392.57          64D FAC
94     All     Panflu presentations                                                                                no    no        no         3c           2           2            2            1           2         9
95     All     Panflu internal planning                                                                            no         no        no    2c           0           2            2            1           0         5
96    PHP      Panflu external planning                                                                            no         no        no    2d           2           2            2            1           2         9

                    ENVIRONMENTAL MONITORING & REGULATION
97                                                                                                                                                                                                                     0
               Post-disaster Group Home/All-Facility Evals Prior to Fac. re-
98     EH      opening (Pools, NH, Schools, Bars/Lounges)                                                          no      yes      yes       2b                                                                       0
99   Rabies    Register & report all Animal Bite Reports                           381.0031          64D-3         yes     yes      yes       2b                                                                       0
                                                                                   381.0011,
                                                                                                     64D-3
100 Rabies Animal Bite Investigations                                          381.0011, 381.006                   yes        no    yes       2b                                                                       0
101 Rabies Order/Release Animal Quarantine                                         381.0011                        yes        no    yes      2b, 6e                                                                    0
                                                                                   381.006           64D-3         yes
102 Epi/EH Investigate Food borne and Water Borne Illness Reports                                                             no    yes       2a                                                                       0
           Complete DOH required paper work for reporting of
                                                                                   381.006           64D-3
103 Epi/EH Epidemiological Investigations                                                                          yes        no    yes       2c                                                                       0
           Coordinate Disease Outbreak Efforts with other Counties,
                                                                               381.006, 381.0011     64D-3
104 Epi/EH States, Countries                                                                                       yes        no    yes       2c                                                                       0


1/12/2011                                                                                                           5                                                              ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                          Escambia CHD Services Ranking Matrix
        A                                    B                                     C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                    Funded
                                                                                                                                  Functional     Primary                            and/or       Good,
                                                                                                                                                                       Saves PH'S
                                                                                                             Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                   F.S.          F.A.C.
                                                                                                           Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                       time, effort
                                                                                                                                                                                    surplus      Public
                                                                                                                                                                                                               Total
                                                                                                                                                                          later
                                                                                                                                  number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                       share

                    ENVIRONMENTAL MONITORING & REGULATION
105
106 Epi/EH Restaurant Outbreak Investigations for DBPR                          381.0072                     no       no     yes       2b           1           1            2            0           1         5
107   Epi/EH Stop-sale Food/Water Associated with Outbreak(s)                   381.0072                     yes      no     yes       6e                                                                       0

                                                                                381.011         64D-3
108 Epi/EH Reporting/Investigation diseases of public health significance                                    yes     yes     yes       2b                                                                       0
109    Arbo     Sampling as Needed or Required (BIRDS)                          381.011                      no       no      no       2b           2           1            0            0           1         4
110 Water Private Well Water Sampling                                           381.006          64E-8       yes      no     yes       2a                                                                       0
111 Water Private Well Water Evaluations in Case of Illness                     381.006                      yes      no     yes       2a                                                                       0
112 Water "Limited Use" Wells Monitoring                                        381.0062                     yes      no     yes       2b                                                                       0
                Public Water Complaint Investigation and Sampling per
                                                                                381.006
113 Water       Interagency Agreement                                                                        no       no     yes       2b           2           1            1            0           1         5
                                                                                                555-340
                                                                                381.006
114 Water Issue Boil Water Notices                                                                (5)        no       no     yes       2b                                                                       0
115 Water Limited Use Wells Inspection(s)/permitting                            381.0062                     yes      no      no     2b, 6e                                                                     0
116 Toxics Toxics Program/SUPER ACT GIS/Mapping                                                              no       no      no       1e           2           0            1            2           2         7

117 Toxics Toxics Program/SUPER ACT Site Water Testing/Evaluations                                           no       no      no       2b           1           0            1            2           2         6
118 Toxics GPS/GIS/Mapping for ECHD Divisions                                                                no       no     yes       1e           1           0            1            0           2         4

119 Toxics Toxics Program/SUPER ACT Site Well Survey Investigations                                          no       no      no       2b           2           0            1            2           2         7
                Toxics Program/SUPER ACT Dry Cleaners Site Survey
120 Toxics      Investigations                                                                               no       no      no       2b           1           0            1            2           2         6
121    Pool     Pool Inspections/Permitting/Monitoring/Closures              381.006, 514.02                 yes      no     yes     2b, 6e                                                                     0
122 Eh/Fac Group Care Home Inspections                                          381.006                      no       no      no       2b           2           1            2            1           1         7
123   Eh/Fac Group Home Care Investigations disease                             381.006                      yes      no     yes       2a                                                                       0
                                                                                                 64E-
                                                                                 513.02
124 Eh/Fac Mobile Home Park Inspections                                                        15.010(1)     yes      no      no       6e                                                                       0
                                                                                                 64E-
                                                                             381.006, 513.02
125 Eh/Fac Mobile Home Park Permitting                                                         15.010(1)     yes      no      no       6e                                                                       0

                                                                                 381.006,       64E-
                                                                            513.0265, 513.054 15.002(1)
126 Eh/Fac Mobile Home Park Complaints                                                                       yes      no     yes      2a, b                                                                     0

1/12/2011                                                                                                     6                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                 Escambia CHD Services Ranking Matrix
        A                                    B                             C               D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                             Funded
                                                                                                                           Functional     Primary                            and/or       Good,
                                                                                                                                                                Saves PH'S
                                                                                                      Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                ECHD Services                             F.S.           F.A.C.
                                                                                                    Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                time, effort
                                                                                                                                                                             surplus      Public
                                                                                                                                                                                                        Total
                                                                                                                                                                   later
                                                                                                                           number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                share

                  ENVIRONMENTAL MONITORING & REGULATION
127
                                                                                         64E-
                                                                    381.006, 513.012
                                                                                       15.002(1)
128 Eh/Fac Mobile Home Park Investigations                                                            yes      no     yes      2a, b                                                                     0

                                                                        381.89
129 Eh/Fac Tanning Salon Inspections                                                                  yes      no      no       6e                                                                       0
                                                                                          64E-
                                                                        381.89
                                                                                       17.006(10
130 Eh/Fac Tanning Salon Permitting                                                                   yes      no      no       6e                                                                       0
                                                                                         64E-
                                                                        381.89
131 Eh/Fac Tanning Salon Investigations                                                 17.007        yes      no      no      2a, b                                                                     0
                                                                                         64E-
                                                                       381.0098
132 Eh/Fac Biomedical Waste Inspections in our delegated counties                      16.010(1)      yes      no      no       6e                                                                       0
                                                                                         64E-
                                                                       381.0098
133 Eh/Fac Biomedical Waste permitting in our delegated cty.                           16.010(1)      yes      no      no       6e                                                                       0
                                                                                         64E-
                                                                       381.0098
134 Eh/Fac Biomedical investigations in our delegated cty.                             16.011(1)      yes      no      no      2a, b                                                                     0
                                                                                         64E -
                                                                       381.0075
135 Eh/Fac Piercing Salon Inspections                                                   19.008        yes      no      no     2b, 6e                                                                     0
                                                                                         64E-
                                                                       381.0075
                                                                                       19.003(2)
136 Eh/Fac Piercing Salon permitting                                                                  yes      no      no       6e                                                                       0
                                                                                         64E-
                                                                       381.0079
                                                                                       19.008(2)
137   Eh/Fac Piercing Salon investigations                                                            yes      no      no     2a, 6e                                                                     0
                                                                                          64E-
                                                                       381.0072
                                                                                       11.0013(2)
138 Eh/Fac Food Inspections at our Permitted Facilities                                               yes      no      no     2a, 6e                                                                     0
                                                                                         64E-
                                                                       381.0072
                                                                                       11.001(2)
139 Eh/Fac Train Food Service Personnel ( Schools)                                                    no       no      no       6c           2           0            2            0           1         5
                                                                                          64E-
                                                                                       11.0013(3)
140 Eh/Fac Child Care Inspections(Physical Plant)                                       65C- 22       no       no      no       2b           1           0            1            0           0         2
141 Eh/Fac Child Care Epi complaint                                    381.0011                       yes      no     yes      2a, b                                                                     0




1/12/2011                                                                                              7                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                  Escambia CHD Services Ranking Matrix
        A                                    B                              C             D          F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                           Funded
                                                                                                                         Functional     Primary                            and/or       Good,
                                                                                                                                                              Saves PH'S
                                                                                                    Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                            F.S.         F.A.C.
                                                                                                  Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                              time, effort
                                                                                                                                                                           surplus      Public
                                                                                                                                                                                                      Total
                                                                                                                                                                 later
                                                                                                                         number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                              share

                    ENVIRONMENTAL MONITORING & REGULATION
142
143 Eh/Fac Child Care Epi Investigations                                 381.0011                   yes      no     yes      2a, b                                                                     0
                                                                                         64E-
144 Eh/Fac Public and Private School Physical Plant Inspection                          13.001      yes      no     yes       2a                                                                       0

                                                                                       "64E-13"
145 Eh/Fac Public and Private School Complaints                                                     yes      no     yes       2a                                                                       0
146 Eh/Fac MQA Inspections                                                                          no       no      no       2b           1           0            0            2           0         3

                                                                         381.006       "64E-12"
147 Eh/Fac Community Based Residential Physical Plant Inspections                                   yes      no      no       2b                                                                       0
148    Lead     Elevated Blood Lead Level Investigations                   381           64D-3      yes      no      no      2a, b                                                                     0
149    IAQ      Some Indoor Air Quality Investigations for DOH                                      no       no      no       2b           1           0            1            0           1         3
150    Arbo     Arthropod Investigations                                 386.041                    no       no               2b           1           0            1            0           1         3


151 DEP C Petroleum Site Cleanup Management in Contracted Counties                                  no       no      no      2a,b          0           0            0            2           2         4


152 DEP C Remedial System Site Inspections of Active Cleanup Sites                                  no       no      no      2a,b          0           0            0            2           2         4
153 DEP C Review and Approve of Contractors Invoices                                                no       no      no      2a,b          0           0            0            2           2         4
154 DEP C Review of Proposals and Approval of Work Orders                                           no       no      no      2a,b          0           0            0            2           2         4
          Review and approval of Reports for Cleanup Site
155 DEP C Management Activities                                                                     no       no      no      2a,b          0           0            0            2           2         4
          Annual Inspections of Regulated Storage Tank Facilities in 5
156 DEP T Contracted Counties, a total of 1358 sites.                                               no       no      no      2a,b          0           0            0            2           2         4
157 DEP T Installation Inspections of Regulated Storage Tanks                                       no       no      no      2a,b          0           0            0            2           2         4
158 DEP T Removal Inspections of Regulated Storage Tanks                                            no       no      no      2a,b          0           0            0            2           2         4
159   DEP T     Closure Assessment Reviews                                                          no       no      no      2a,b          0           0            0            2           2         4
160 DEP T Post Hurricane Surveys at Marine & Terminal Facilities                                    no       no     yes      2a,b          0           0            0            2           2         4
161 DEP T Emergency Response Investigations for Spilled Fuels                                       no       no     yes      2a,b          0           0            0            2           2         4
          Refer enforcement cases to the Department of Environmental
162 DEP T Protection on regulated tank issues.                                                      no       no      no      2a,b          0           0            0            2           2         4




1/12/2011                                                                                            8                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                           Escambia CHD Services Ranking Matrix
        A                                     B                                      C               D            F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                        Funded
                                                                                                                                      Functional     Primary                            and/or       Good,
                                                                                                                                                                           Saves PH'S
                                                                                                                 Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                    F.S.           F.A.C.
                                                                                                               Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                           time, effort
                                                                                                                                                                                        surplus      Public
                                                                                                                                                                                                                   Total
                                                                                                                                                                              later
                                                                                                                                      number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                           share

                     ENVIRONMENTAL MONITORING & REGULATION
163

164 DEP T Repair and Upgrade Inspections of Regulated Storage Tanks                                              no       no      no      2a,b          0           0            0            2           2         4
165 Beach Beaches Notification                                                    514.011                        no       no      no       2b           1           2            2            2           2         9
166   Beach     Post beaches (Disaster)                                       514.011, 514.023                   no       no      no       2b           2           2            2            1           2         9
                Inspections of OSTDS at the Time of Property Sale (local
167    EAP      ordiance 98-67)                                                                                  yes      no      no      2b,6e                                                                     0
168    EAP      Septic to Sewer Notification (local ordiance 98-67)              381.0065                        yes      no      no    2b,6c&e                                                                     0
169    EAP      Septic to sewer tracking (local ordiance 98-67)                                                  yes      no      no       6d                                                                       0
170    EAP      Septic to sewer enforcement (local ordiance 98-67)                                               yes      no      no       6e                                                                       0
                Research for Fecal Source Tracking/Sewer Expansion Priority
171    EAP      (local ordiance 98-67)                                                                           yes      no      no      10a                                                                       0
                Water Quality Sampling not Associated with Healthy Beaches
172    EAP      (local ordiance 98-67)                                                                           yes      no      no      2b,1a                                                                     0

                                                                                 381.0065        64E-6.003
173 OSTD OSTDS Repair Inspections                                                                                no       no      no       2b           2           2            2            2           2         10

                                                                                 381.0065        64E-6.004
174 OSTD OSTDS Repair Site Evaluations                                                                           no       no      no       2b           2           0            1            2           2         7

                                                                                 381.0065        64E-6.015
175 OSTD OSTDS New System Installation Inspections                                                               yes      no      no       6e                                                                       0

                                                                                 381.0065        64E-6.004
176 OSTD OSTDS New System Site Evaluations                                                                       no       no      no       2b           2           0            1            2           1         6

                                                                                 381.0065        64E-6.004
177 OSTD OSTDS Existing System Site Evaluation                                                                   no       no      no       2b           1           0            1            2           1         5

                                                                                 381.0065        64E-6.003
178 OSTD Permitting of OSTDS Systems                                                                             yes      no      no       6e                                                                       0
                                                                                                    64E-
                                                                               386.01, 386.02    6.022, 64E-
179 OSTD Sanitary Nuisance Investigations                                                          6.0101        yes      no     yes      2a,b                                                                      0
180 OSTD Sanitary Nuisance enforcement                                                                           yes      no     yes       6e                                                                       0

1/12/2011                                                                                                         9                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                              Escambia CHD Services Ranking Matrix
        A                                      B                                        C                D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                           Funded
                                                                                                                                         Functional     Primary                            and/or       Good,
                                                                                                                                                                              Saves PH'S
                                                                                                                    Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                       F.S.            F.A.C.
                                                                                                                  Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                              time, effort
                                                                                                                                                                                           surplus      Public
                                                                                                                                                                                                                      Total
                                                                                                                                                                                 later
                                                                                                                                         number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                              share

                     ENVIRONMENTAL MONITORING & REGULATION
181
182 OSTD        Certify Portable Toilet Vendors                                                                     yes      no      no      2b,6e                                                                     0
183 OSTD Inspect Portable Toilets                                                    381.0065                       yes      no      no       6e                                                                       0
184 OSTD OSTDS Cont. Enf., Including Legal Counsel, Court                            381.0012                       yes      no      no       6e                                                                       0

                                                                                                     64E-6.010
185 OSTD Permitting of Pump Trucks Systems                                                                          yes      no      no       6e                                                                       0
                Assist Citizens with Post-Disaster Sanitary and Cleanup
                                                                                     381.006
186 OSTD        Issues                                                                                              no       no     yes       2e                                                                       0

                                                                                                     64E-6.011
187 OSTD Abandonment Permitting and Inspections                                                                     yes      no      no       6e                                                                       0

                                                                                     381.0065        64E-6.003
188 OSTD Permitting of ATU Systems Permitting                                                                       yes      no      no       6e                                                                       0

                                                                                     381.0065        64E-6.003
189 OSTD Permitting of Commercial Systems                                                                           yes      no      no       6e                                                                       0
                                                                                                     64E-6.003,
                                                                                                     64E-6.027
190   OSTD      Permitting of Maintenance Entity                                                                    yes      no      no       6e                                                                       0

                                                                                     381.0065        64E-6.004
191 OSTD Site Evaluations and issuance of Site Letters on vacant lot                                                no       no      no       2b           0           0            0            1           1         2
192 OSTD Provide nursing support for body piercing inspections                       381.0075                       no       no      no      2b/6e         2           2            1            2           1         8

                                                                                 381.0011, 381.006
193 OSTD Advise Cty & other entities on sanitary facilities as req.                                                 yes      no     yes       2c                                                                       0
194 OSTD Inspections of ATU Systems                                                                                 yes      no      no       6e                                                                       0

           Process Healthy Start screens and data. Entering screening                                64F- 3.002
                                                                                                      (2) - (6)
195 PH Nut information                                                                                              no       no      no       7b           2           0            2            2           2         8
196     FP      Interconceptual Counseling                                           383.011                        no       no      no       3c           2           1            2            1           1         7
                Internal Referrals of All Pregnant Women, On the Spot, to                            64F-3.002
197     FP      other CHD Resources                                                                     (7)         no       no      no       7c           2           2            2            1           2         9
                Provide community liason activities that support healthy start
                                                                                   FS 381.0045         64C-7
198     HS      screening                                                                                           no       no      no       7b           1           0            2            2           2         7

1/12/2011                                                                                                            10                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                              Escambia CHD Services Ranking Matrix
         A                                     B                                        C                D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                           Funded
                                                                                                                                         Functional     Primary                            and/or       Good,
                                                                                                                                                                              Saves PH'S
                                                                                                                    Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                     ECHD Services                                     F.S.            F.A.C.
                                                                                                                  Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                              time, effort
                                                                                                                                                                                           surplus      Public
                                                                                                                                                                                                                      Total
                                                                                                                                                                                 later
                                                                                                                                         number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                              share

                               MATERNAL & CHILD HEALTH
199
                Healthy Start Care Coordination: coordinate the provision of
                and facilitate access to needed services for at-risk pregnant        FS 382          64F-3.005
200     HS      women and following education/counseling services: Child
                Provide the infants                                                                                 no       no      no       7c           2           0            1            2           2         7
                Birth Education, Smoking Cessation Education and
                                                                                     FS 381          64F-3.005
201     HS      Counseling, Parenting Education, Interconceptional                                                  no       no      no       3c           2           0            2            2           2         8
202     HS      Qualify pregnant women for Medicaid                               FS 381.0045                       no       no      no       7c           2           0            1            2           2         7
203     HS      Pregnancy testing, HIV and Hepatitis pretest counseling           FS 381.0045          64C-7        no       no      no       7c           2           0            1            2           2         7
204     HS      Pregnancy Counseling post pregnancy testing                       FS 381.0045          64C-7        no       no      no       7c           2           0            1            2           2         7
                Referral to OB provider, etc. immediately after positive
                                                                                  FS 381.0045          64C-7
205     HS      pregnancy test                                                                                      no       no      no       7c           2           2            1            2           2         9
                                                                                  Sixth Omnibus
                                                                                      Budget
           Assure pre-natal care and education to all women with                Reconciliation Act
           pregnancy Medicaid to include initial contacts, OB provider           (SOBRA) Choice
    MomCar appointment verifications, health outcome assessments, and              Counseling
206   e    referrals to other services as Healthy Start and WIC                      Program                        no       no      no       7c           2           0            1            2           2         7
                                                                                (Medipass Section
207     SH      Mgmt. of students w/chronic disease                                                                 no       no      no       7b           0           0            0            1           1         2
208     SH      Nursing Assessments and health counseling                         381.0056(5a1)                     no       no      no       7b           1           0            2            1           1         5

                                                                                  381.0056(5a1)
209     SH      Follow-up activities for screening and health issue referrals                                       no       no      no       7c           1           0            1            1           1         4
210     SH      Assistance for families applying for Kidcare, Medicaid                                              no       no      no       7c           1           2            1            0           2         6
211    Clinic   Child Immunizations                                                  1003.22                        yes      no      no       2b                                                                       0
212    Clinic   Adult Immunizations                                                                                 no       no     yes       2b                                                                       0
213    Clinic   Assistance for families applying for Kidcare, Medicaid               409.818                        no       no      no       7c           1           1            1            0           2         5

214     SH      School First Aid                                                  381.0056(3a)       64F6.004       no       no      no       2b           0           0            0            1           2         3
                                                                                                     64F.6004(4
                                                                                                        )64f-
215     SH      School Clinic illness assessment/intervention                                          6006(4)      no       no      no       2b           2           0            2            1           2         7
216     SH      School Clinic medication administration                                                             no       no      no       7b           0           0            0            1           2         3
217    WIC      Voter Registration                                               Federal Statue                     yes      no      no       n/a                                                                      0


1/12/2011                                                                                                            11                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                        Escambia CHD Services Ranking Matrix
         A                                      B                                 C              D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                 Funded
                                                                                                                               Functional     Primary                            and/or       Good,
                                                                                                                                                                    Saves PH'S
                                                                                                          Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                F.S.          F.A.C.
                                                                                                        Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                    time, effort
                                                                                                                                                                                 surplus      Public
                                                                                                                                                                                                            Total
                                                                                                                                                                       later
                                                                                                                               number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                    share

218                             MATERNAL & CHILD HEALTH
219    WIC      Eligibility Determination for Wic(income & residence)                                     yes      no     yes       7b                                                                       0
220    WIC      Nutrition assess. Utilizing ht,wt,hgb,quest,referrals         381.0053                    yes      no     yes      3b/3c                                                                     0
221    WIC      Individual nutrition plan/consult                                                         yes      no      no      3b/3c                                                                     0
222    WIC      Referrals to other agencies/services                                                      yes      no     yes       7b                                                                       0
                                                                             381.0056(5a)
223    WIC      Immunization review and referral                            federal Statue                yes      no      no       7b                                                                       0
224    WIC      Immunization tracking                                                                     no       no      no       1a           1           2            1            2           1         7
225    WIC      Breastfeeding education and support (individual)                                          yes      no      no       3c                                                                       0
226    WIC      Nutrition Education                                                                       yes      no      no      3b/3c                                                                     0
227    WIC      Loan and track electric/manual breast pumps                                               no       no      no       2b           1           0            0            2           2         5
228    WIC      Issue food vouchers to eligible participants                                              yes      no     yes       2b                                                                       0
229    WIC      Program evaluation/audits                                                                 yes      no      no       9c                                                                       0
230    WIC      Maintain inventory of Wic vouchers                                                        yes     yes     yes      11?                                                                       0
231    WIC      Record all expenses                                            383.011                    yes     yes     yes      11?                                                                       0

                                                                          383.011 (1)(d)5(e)
232     HS      Pregnancies & Babies (include Home Visits)                                                no       no     yes      2a/2b                                                                     0
233 PHNut CMS consults (income)                                                                           no       no      no       3c           0           0            0            2           2         4
234   PHNut     Headstart nutrition evaluation (income)                                                   no       no      no      2b/3b         1           0            1            2           2         6
235 PHNut ACLF Menu evaluation (income)                                                                   no       no      no       3b           1           0            0            2           0         3
236 PHNut Individual nutrition counseling with referral (sliding scale)                                   no       no      no       3c           0           0            0            1           0         1
237 PHNut Nutrition presentation for the community                                                        no       no      no      3b/3c         1           0            0            0           2         3
238     FP      Screening Examinations for Childbearing Women                                  64F-7      no       no      no    2b/3c/7c        2           0            1            1           1         5
239     FP      Review of Immunization Status of Childbearing Women                            64F-7      no       no      no       2b           2           0            0            1           0         3
240     FP      Sterilization Referrals/Payment (Male & Female)                                64F-7      no       no      no      2b/7c         1           0            1            2           2         6
241     FP      Counseling re: Contraception Methods                                           64F-7      no       no      no      2b/3c         1           0            1            1           1         4
242     FP      Provide Contraception                                                          64F-7      no       no     yes      2b/7c                                                                     0
243    Clinic   Epilepsy Med Distribution ("G/A Epilepsy svces")                                          no       no     yes                                                                                0
244    Clinic   Screening Physicals for Head Start Entry                       409.91                     no       no      no       7c           1           0            0            2           2         5

1/12/2011                                                                                                  12                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                            Escambia CHD Services Ranking Matrix
         A                                      B                                     C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                       Funded
                                                                                                                                     Functional     Primary                            and/or       Good,
                                                                                                                                                                          Saves PH'S
                                                                                                                Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                    F.S.          F.A.C.
                                                                                                              Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                          time, effort
                                                                                                                                                                                       surplus      Public
                                                                                                                                                                                                                  Total
                                                                                                                                                                             later
                                                                                                                                     number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                          share

245                                 HEALTHCARE ACCESS
246    Clinic   Screening Physicals for Daycare Entry                              408.913                      no       no      no       7c           1           0            0            2           2         5
247    Clinic   Primary Care for children                                         381.0057                      no       no     yes       7b                                                                       0
248        Primary Care to ECHD Medipass Clients
       Clinic                                                                      381.985                      no       no     yes       7b                                                                       0
           Sovereign Immunity-volunteer physician agreement
249 WeCare management                                                                                           no       no     yes       2c                                                                       0
250 Dental Dental screenings Head Start and schools                                                             no       no      no       7c           2           0            0            2           2         6
251 Dental Medicaid Pediatric Dental services                                                                   no       no     yes       2b                                                                       0
252   Dental    Dental Van Administration                                                                       no       no      no       8e           0           2            1            2           2         7
                Referrals of Abnormalities Found in Kids/Tracking &Follow-up
                                                                                 381.0056(14)
253     SH      (Dental, Mental &/or Physical)                                                                  no       no      no       7c           1           0            1            1           2         5
                                                                                                    64F-
                                                                                 381.0056(14)
254     SH      Vision/Hearing Screenings/Referrals for Children                                  003(1,2)      no       no      no       7c           2           0            1            1           2         6
255     SH      Scoliosis Screenings/Referrals for Children                      381.0056(14)                   no       no      no       7c           0           0            0            1           0         1
256     HP      School Physicals                                                   409.91                       no       no      no       7b           1           0            0            1           2         4
257    Clinic   Patient referrals                                                  381.985                      no       no     yes       7c                                                                       0
258    Clinic   Assure RN/MD LICENSES are current                              458.301, 464.001                 no      yes     yes       8a                                                                       0
259    Clinic   Maintain lab licensure                                             483.091                      yes     yes     yes       2f                                                                       0
260    Clinic   Maintain staff work schedules                                  458.301, 464.001                 no      yes     yes      11?                                                                       0
261    Clinic   Pharmacy Activities                                                                             no      yes     yes      11?                                                                       0
262    Clinic   Physicals in foster kids                                           391.011                      no       no      no       7c           0           0            0            2           1         3
263    Clinic   Immigration Physicals                                             381.0407                      no       no      no      2b/7c         2           0            1            2           1         6
264    Clinic   Lab services to include packing and shipping                                                    no       no     yes                                                                                0

                                                                                                  64f-7.004
265    Clinic   Labs tracking                                                                                   no       no     yes                                                                                0

                                                                                                  64F-7.004
266    Clinic   Labs notification                                                                               no       no      no       7b           1           2            1            0           1         5
267    Clinic   Provision of state funded insulin                                  385.204                      no       no     yes       7b                                                                       0
268    Clinic   Provide FBCCP services                                             381.93                       no       no      no       7b           0           0            0            2           2         4



1/12/2011                                                                                                        13                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                          Escambia CHD Services Ranking Matrix
         A                                       B                                 C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                    Funded
                                                                                                                                  Functional     Primary                            and/or       Good,
                                                                                                                                                                       Saves PH'S
                                                                                                             Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                 F.S.          F.A.C.
                                                                                                           Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                       time, effort
                                                                                                                                                                                    surplus      Public
                                                                                                                                                                                                               Total
                                                                                                                                                                          later
                                                                                                                                  number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                       share

                                    HEALTHCARE ACCESS
269
                Patient referrals for outside services such as: ECC, and free
                                                                                 381.93
270    Clinic   clinics referrals                                                                            no       no     yes       7b                                                                       0
271    Clinic   We Care and McMillan referrals                                   381.93                      no       no      no       7b           0           0            0            0           1         1
272     FP      Screening examinations for non Childbearing Women               381.0051                     no       no      no       7b           0           0            0            0           1         1

                                                                                               64F-7.006
273     FP      Emergency contraception                                                                      no       no      no       7b           0           0            2            0           1         3
274     FP      Testing for STDS                                                384.219                      no       no      no       7b           2           0            2            1           1         6
275     FP      Vitamin refill clinic, nutrition counseling, BMI                383.011                      no       no      no      3c,7b         2           0            2            1           1         6
276    Hep      Referrals to local providers for evaluation and treatment                                    no       no      no       7c           2           0            2            2           1         7
277     TB      TB Physical Exam                                                                             no       no      no       7b           0           0            0            0           1         1
278 Dental Dental services to HIV individuals                                                                no       no      no       7b           0           0            0            2           2         4
279 Dental Adult Dental-Medicaid                                                                             no       no      no       7b           0           0            0            2           2         4
                Provide requested copies of medical records in secure
                                                                                456.057
280     SS      manner                                                                                       yes     yes      no      11.00                                                                     0
281    Clinic   QI chart audits                                                                              no       no      no       9c           0           2            2            0           0         4
282     SS      Maintain patient scheduling system-HMS                                                       no      yes      no       11                                                                       0
283     HP      Triage of We Care referrals.                                                                 no       no      no       7c           0           2            0            1           1         4
284     HP      Referrals to other agencies and services via We Care.                                        no       no      no       7c           0           0            0            1           2         3
285     HP      Recruiting for We Care physician pool.                                                       no       no      no       7a           0           0            0            1           2         3
286     HP      Participate in quarterly regional 766 meetings                                               no       no      no       7a           0           0            2            0           2         4
287     HP      Assist in QI process to meet performance standards                                           no       no      no       9c           0           1            1            0           1         3

                Participation in H-CAP Grant to include involvement in
                subcommittees and assist in strategy implementation (ex:
288     HP      prescription ECHD in Escambia Community Collaborative as
                Represents medication assistance program)                                                    no       no      no       7c           0           0            2            0           1         3
                champion and stakeholder utilizing MAPP process and
289     HP      participating in solutions teams.                                                            no       no      no       4            2           1            1            0           2         6
290     HP      Coordination of ECHD McMillan Fund                                                           no       no      no       7c           0           0            0            1           1         2
291

1/12/2011                                                                                                     14                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                         Escambia CHD Services Ranking Matrix
        A                                       B                                  C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                 Funded
                                                                                                                               Functional     Primary                            and/or       Good,
                                                                                                                                                                    Saves PH'S
                                                                                                          Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                  F.S.         F.A.C.
                                                                                                        Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                    time, effort
                                                                                                                                                                                 surplus      Public
                                                                                                                                                                                                            Total
                                                                                                                                                                       later
                                                                                                                               number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                    share

292                              IMPLEMENT PREVENTION


                Participate in annual Health Excellence Symposium (NAVY)
293     HP      planning committee to include event implementation                                        no       no      no      3b,8d         0           0            0            0           2         2
                Participate in Health Curriculum Development &
                                                                               381.0056(13)
294     SH      Presentations                                                                             yes      no      no      3c,3d                                                                     0
                Counseling School Kids/Parents re: Risk                        381.0056(13)
295     SH      Behaviors/Health ("Supp. SH")                                                             no       no      no      3c,3d         2           0            2            1           2         7
296    Hep      Support Group                                                                             no       no      no       3c           0           0            1            2           1         4
297     SH      Student education/wellness activities                                                     no       no      no       3c           2           0            2            1           2         7
298     SH      Staff education/wellness activities                                                       no       no      no       3c           2           0            2            1           2         7
299     SH      Parent education/wellness activities                                                      no       no      no       3c           2           0            2            1           2         7
300    PIC      Respond to reporter inquiries                                                             no       no     yes       3a                                                                       0
301    PIC      Write and edit public information documents                                               no       no     yes       3b                                                                       0
302    PIC      Monitor and evaluate media coverage                                                       no       no     yes       3a                                                                       0
                Write , train, and exercise communications plans and
303    PIC      procedures                                                                                no      yes     yes       2d                                                                       0
304    PIC      Pitch news story ideas; advise staff on news media                                        no       no      no       3a           2           0            2            1           2         7
305    PIC      Coach subject matter experts pre-interview                                                no       no      no       3c           1           0            2            1           2         6


306    PIC      Organize news conferences and media coverage of events                                    no       no     yes       3a                                                                       0
307    PIC      Train back-up PIO's and spokespersons                                                     no      yes     yes     2d, 8c                                                                     0
308    PIC      Maintain contacts at news outlets and partner agencies.                                   no       no     yes       3a                                                                       0

                CDHPE coordination and implementation of nutrition, physical
                activity, and cardiovascular works plans specific to CDHPE
                guidelines (new name: Step Up Florida Program)
309     HP                                                                                                no       no      no       1a           1           0            1            2           1         5

                Coordination of Employee Pedometer/early stages of
310     HP      Employee wellness program to include evidence-based HRAs                                  no       no      no       8d           2           0            1            0           1         4
311     HP      Youth Tobacco Prevention Specialist (TPS)                                                 no       no      no       3c           2           0            1            2           2         7


1/12/2011                                                                                                  15                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                        Escambia CHD Services Ranking Matrix
         A                                       B                                C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                Funded
                                                                                                                              Functional     Primary                            and/or       Good,
                                                                                                                                                                   Saves PH'S
                                                                                                         Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                     ECHD Services                               F.S.         F.A.C.
                                                                                                       Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                   time, effort
                                                                                                                                                                                surplus      Public
                                                                                                                                                                                                           Total
                                                                                                                                                                      later
                                                                                                                              number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                   share

312                               IMPLEMENT PREVENTION
                Support, promote and conduct smoking cessation classes and
313     HP      Quitline (3 trainers)                                                                    no       no      no       3c           1           0            0            2           2         5
                Continuous scheduling of presentations to community to
314     HP      educate public specific to the ECHD laser focus areas                                    no       no      no     3b, 3c         2           0            2            1           2         7
                Development, coordination, production, & implement
                campaigns for community events to include Step-Up Florida,
315     HP      & Healthy Family Day                                                                     no       no      no     3b, 3c         2           0            1            0           1         4
                Establish media partnership with local radio station and
                station personality to endorse youth tobacco prevention
316     HP      efforts                                                                                  no       no      no       3a           2           0            1            2           2         7

317     HP      Involvement in ethnic/minority population health education                               no       no      no       3c           1           2            1            0           1         5
318     HP      Injury prevention liaison to state office of IP                                          no       no      no       3b           0           2            0            0           1         3
                Coordination of ECHD participation in community health fairs
319     HP      and public health events                                                                 no       no      no       3b           0           0            0            0           1         1
320                          PH BACKBONE/INFRASTRUCTURE
321     SS      Execute all financial transactions                                                       no      yes     yes       11                                                                       0
322     SS      Administer budget                                              154.01(3)                 yes     yes     yes       11                                                                       0
323   Admin     Assist Supervision of Limited License MDs in County            458.317                   yes                                                                                                0
324     All     Assist Families in Applying for KidCare, Medicaid                                        no       no      no       7c           1           2            1            0           1         5
325     SS      Public access to FAC and FS                                                              yes      no      no       6c                                                                       0

326 Admin Resource to local and state elected officials about PH issues                                  no       no     yes       5a                                                                       0
327     all     Resource to citizens & groups about PH issues                                            no       no      no     3b, 3c         1           0            1            0           2         4
                Annual FL State Employees Charitable (United Way)
328 Admin       Campaign                                                                                 no       no      no                    0           2            0            0           0         2
                Provide Training for Med/ARNP/RN, phlebotomy, med.
329    Clinic   Asst.Students                                                                            no       no      no       8a           0           0            1            0           2         3
                Continuous Quality Improvement, (training, teams, planning,
330     HP      etc.) Sterling                                                                           no       no      no       9c           0           1            2            0           1         4
331     SS      Volunteer Training                                                                       no       no      no       8c           0           0            2            0           2         4



1/12/2011                                                                                                 16                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                          Escambia CHD Services Ranking Matrix
         A                                        B                                 C             D         F       G       H         I             J           K            L            M           N         O
                                                                                                                                                                                    Funded
                                                                                                                                Functional       Primary                            and/or       Good,
                                                                                                                                                                       Saves PH'S
                                                                                                           Law    COOP/ PH Dis. Definition     Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                  F.S.         F.A.C.
                                                                                                         Requires COG Resp. Ref.                 Real PH        Do
                                                                                                                                                                       time, effort
                                                                                                                                                                                    surplus      Public
                                                                                                                                                                                                               Total
                                                                                                                                                                          later
                                                                                                                                number            Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                       share

                            PH BACKBONE/INFRASTRUCTURE
332
                Advocate locally for funds related to special PH needs of
333 Admin Escambia County                                                                                  no       no      no        5             2           2            2            0           1         7
                Advocate at DOH for funds related to special PH needs of
334 Admin       Escambia County                                                                            no       no      no        5             2           2            2            0           0         6
335 Admin Retain legal counsel                                                                             no       no     yes        6                                                                         0
336 Admin Local personnel expertise & personnel actions                                                    no      yes     yes       11                                                                         0
337     SS      Maintain ECHD website                                                                      no      yes     yes    2g, 3b, 3c                                                                    0
                Membership in PH organizations, including ECCHO, FACHO,
338 Admin       FPHA, NACCHO                                                                               no       no      no   5a, 8c,10b         0           0            1            0           0         1
339    Clinic   CPR training and certifications for our staff                                              no       no     yes       8c                                                                         0
340     SS      provide building maintenance services                                                      no      yes     yes     8e, 11                                                                       0
341     All     Provide incident reporting system                                                          no      yes     yes     2a, 2b                                                                       0
342     All     Financial interviews of clients                                                            yes      no      no       7b                                                                         0
343     All     Computer/IT support services                                                               no      yes     yes     2g, 8e                                                                       0
344     SS      Clinic Support services                                                                    no      yes     yes       11                                                                         0

345     HP      Develop infrastructure and coordination of internship process                              no       no      no       8c             0           0            2            0           2         4
346     All     Development and coordination of Advisory Committee                                         no       no      no    8a, 9b, 9c        0           0            2            0           1         3
347     HP      Attend behavioral health disaster trainings and updates                                    no       no     yes     2d, 2e                                                                       0
                Building strategies for communication of Sterling process to
348     HP      ECHD employees                                                                             no       no      no     8a, 11           0           0            2            0           1         3
                Participation in multiple partnerships within the community to
                include the school district of Escambia County, UWF, Jr.
                League of Pensacola, Hope Center for Teens, PFAC,
                Escambia Community Collaborative, Community Mental
349     HP      Health, Lakeview, United Way and E                                                         no       no      no     4b, 4d           0           0            1            0           1         2
350     HP      Provide PIO services to ECHD in lieu of Regional PIO                                       no      yes     yes       2d                                                                         0
351     All     Support to Emergency Operation Center during disasters                                     no       no     yes    2c, 2d, 2e                                                                    0
352     HP      Oversee compliance of ECHD branding/design standards                                       no       no      no     3b, 11           0           0            1            0            2        3
353     SS      Prepare Contract between county and DOH                          154.01(3)                 yes      no      no       11?                                                                        0

1/12/2011                                                                                                   17                                                              ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                       Escambia CHD Services Ranking Matrix
        A                                       B                                C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                               Funded
                                                                                                                             Functional     Primary                            and/or       Good,
                                                                                                                                                                  Saves PH'S
                                                                                                        Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                               F.S.         F.A.C.
                                                                                                      Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                  time, effort
                                                                                                                                                                               surplus      Public
                                                                                                                                                                                                          Total
                                                                                                                                                                     later
                                                                                                                             number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                  share

354                          PH BACKBONE/INFRASTRUCTURE
                                                                            154.04(1)(A),
355     SS      Recruit, hire and train staff                                154.04(2)                  no      yes     yes       8a                                                                       0
356     SS      Pre pare employees to be supervisors/leaders                                            no      yes     yes       8b                                                                       0
357     SS      Maintain data base of client information                                                no       no     yes       7c           1           2            2            0           1         6
                Set standards and provide ongoing educational training to
358     SS      staff                                                                                   no       no     yes       8a           1           2            2            0           1         6
359     SS      Maintain safe working environment for staff and client                                fed/yes   yes     yes      11?                                                                       0
360     SS      Provide for up to date communication methods for staff                                  no      yes     yes       2g                                                                       0
361     SS      Assure payment for ALL CHD financial obligations                                        yes     yes     yes       11                                                                       0
362     SS      Assure collections of revenues for services provided                                    yes     yes     yes      11?                                                                       0




1/12/2011                                                                                                18                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                            Escambia CHD Services Ranking Matrix
        A                                     B                                       C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                    Funded
                                                                                                                                  Functional     Primary                            and/or       Good,
                                                                                                                                                                       Saves PH'S
                                                                                                             Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                     F.S.         F.A.C.
                                                                                                           Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                       time, effort
                                                                                                                                                                                    surplus      Public
                                                                                                                                                                                                               Total
                                                                                                                                                                          later
                                                                                                                                  number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                        share

 2     Epi     Notifications to doctor's offices re: PH issues/changes                                       yes     yes     yes       4d
 3   Rabies    Register & report all Animal Bite Reports                          381.0031        64D-3      yes     yes     yes       2b

                                                                                   381.011        64D-3
 4   Epi/EH Reporting/Investigation diseases of public health significance                                   yes     yes     yes       2b


 5    WIC      Maintain inventory of Wic vouchers                                                            yes     yes     yes      11?

                                                                                   383.011
 6    WIC      Record all expenses                                                                           yes     yes     yes      11?
 7    Clinic   Maintain lab licensure                                              483.091                   yes     yes     yes       2f
 8     SS      Administer budget                                                  154.01(3)                  yes     yes     yes       11


 9     SS      Assure payment for ALL CHD financial obligations                                              yes     yes     yes       11


10     SS      Assure collections of revenues for services provided
               Provide requested copies of medical records in secure                                         yes     yes     yes      11?
11     SS      manner                                                              456.057                   yes     yes      no      11.00
                                                                               392.54, 392.55,
                                                                                                   64D
12     TB      Investigation re: TB                                                392.61                    yes      no     yes       2b

                                                                                                   64D
13     Epi     Collect and Report all Local Reportable Diseases                                              yes      no     yes       2a


                                                                                   381.001         64D
               Receive all non-reportable diseases and investigate clusters
14     Epi     of similar diseases/symptoms/syndromes                                                        yes      no     yes       2a
                                                                                  154.001,
                                                                                 382.002(3),
                                                                                 382.003(9),
                                                                                                  64V-01
                                                                                 382.008(1),
                                                                                382.025(2)(a),
15     VS      Register All County Deaths & Issue Certificates                   382.025(4)                  yes      no     yes       1a
16     TB      Commit noncomplaint TB-infected individuals                         392.55                    yes      no     yes       6e
                                                                                  381.0011,        64D-3
17   Rabies    Animal Bite Investigations                                                                    yes      no     yes       2b
                                                                              381.0011, 381.006
                                                                                  381.0011
18   Rabies    Order/Release Animal Quarantine                                                               yes      no     yes     2b, 6e
                                                                                   381.006         64D-3     yes
19   Epi/EH Investigate Food borne and Water Borne Illness Reports                                                    no     yes       2a

1/12/2011                                                                                                     19                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                           Escambia CHD Services Ranking Matrix
       A                                       B                                     C                D            F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                         Funded
                                                                                                                                       Functional     Primary                            and/or       Good,
                                                                                                                                                                            Saves PH'S
                                                                                                                  Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                    F.S.            F.A.C.
                                                                                                                Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                            time, effort
                                                                                                                                                                                         surplus      Public
                                                                                                                                                                                                                    Total
                                                                                                                                                                               later
                                                                                                                                       number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                             share
               Complete DOH required paper work for reporting of
20   Epi/EH Epidemiological Investigations                                       381.006            64D-3         yes      no     yes       2c

               Coordinate Disease Outbreak Efforts with other Counties,     381.006, 381.0011       64D-3
21   Epi/EH States, Countries                                                                                     yes      no     yes       2c

                                                                                381.0072
22   Epi/EH Stop-sale Food/Water Associated with Outbreak(s)                                                      yes      no     yes       6e

                                                                                 381.006
23    Water    Private Well Water Evaluations in Case of Illness                                                  yes      no     yes       2a

24    Water    "Limited Use" Wells Monitoring                                   381.0062                          yes      no     yes       2b
25    Pool     Pool Inspections/Permitting/Monitoring/Closures               381.006, 514.02                      yes      no     yes     2b, 6e

                                                                                 381.006
26   Eh/Fac Group Home Care Investigations disease                                                                yes      no     yes       2a
                                                                                 381.006,       64E-
27   Eh/Fac Mobile Home Park Complaints                                                                           yes      no     yes      2a, b
                                                                            513.0265, 513.054 15.002(1)
                                                                                                64E-
                                                                            381.006, 513.012
28   Eh/Fac Mobile Home Park Investigations                                                   15.002(1)           yes      no     yes      2a, b

                                                                                381.0011
29   Eh/Fac Child Care Epi complaint                                                                              yes      no     yes      2a, b

                                                                                381.0011
30   Eh/Fac Child Care Epi Investigations                                                                         yes      no     yes      2a, b
                                                                                                     64E-
31   Eh/Fac Public and Private School Physical Plant Inspection                                                   yes      no     yes       2a
                                                                                                    13.001
32   Eh/Fac Public and Private School Complaints                                                   "64E-13"       yes      no     yes       2a
                                                                             386.01, 386.02          64E-
33   OSTD      Sanitary Nuisance Investigations                                                                   yes      no     yes      2a,b
                                                                                                  6.022, 64E-
34   OSTD      Sanitary Nuisance enforcement                                                                      yes      no     yes       6e
35   OSTD      Advise Cty & other entities on sanitary facilities as req.   381.0011, 381.006                     yes      no     yes       2c

36    WIC      Eligibility Determination for Wic(income & residence)                                              yes      no     yes       7b
37    WIC      Nutrition assess. Utilizing ht,wt,hgb,quest,referrals            381.0053                          yes      no     yes      3b/3c

38    WIC      Referrals to other agencies/services                                                               yes      no     yes       7b
39    WIC      Issue food vouchers to eligible participants                                                       yes      no     yes       2b
                                                                              381.001, 381.011,   2.004, 2.00
40    STD      Counseling and testing for HIV                                 381.003, 381.004,                   yes      no      no     2b, 3c
                                                                                                       6


1/12/2011                                                                                                          20                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                         Escambia CHD Services Ranking Matrix
       A                                       B                                   C               D            F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                      Funded
                                                                                                                                    Functional     Primary                            and/or       Good,
                                                                                                                                                                         Saves PH'S
                                                                                                               Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                   F.S.           F.A.C.
                                                                                                             Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                         time, effort
                                                                                                                                                                                      surplus      Public
                                                                                                                                                                                                                 Total
                                                                                                                                                                            later
                                                                                                                                    number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                          share

41    STD      Contact Investigation for STD                                 384.21, 384.26       64D          yes      no      no       2b
42    HIV      Passive Aids Surveillanceof and ta.contracted providers(if      381.004(4)      64D-2.006       yes      no      no       2a
               Oversight and monitoring
43    HIV      contract)                                                       20.43, 287        60A-1         yes      no      no      11.00
44    HIV      Monitoring of DOH registered HIV test sites                     381.004(5)                      yes      no      no       8d
                                                                            392.54, 392.55,       64D
45     TB      Assure active TB Treatment                                                                      yes      no      no       7c           2           2            2            1           0         7
                                                                                392.61
46     TB      Assure targeted TB screening                                     392.61            64D          yes      no      no       7c           1           2            1            0           0         4

                                                                                                 64D -
                                                                             392.55, 392.61
                                                                                                 3.043
47     TB      TB related assistance to Private Medical Providers                                              yes      no      no       8d


48   A Imm     Required Pediatric Immunizations                                                                yes      no      no       7b
                                                                            154.001,382.013,
                                                                              382.002(3),       64V-01
49     VS      Register All County Births & Issue Certificates                                                 yes      no      no       1a
                                                                             382.025(1)(a),
50     VS      Report flu deaths in children                                154.001, 382.003    64V-02         yes      no      no       1a
                                                                                458.317           64D -
51   P Imm     Religious exemptions                                                                            yes      no      no      N/A
                                                                                               3.046(2)(e)
52    Water    Limited Use Wells Inspection(s)/permitting                      381.0062                        yes      no      no     2b, 6e
                                                                                513.02           64E-
53   Eh/Fac Mobile Home Park Inspections                                                                       yes      no      no       6e
                                                                                               15.010(1)
                                                                            381.006, 513.02      64E-
54   Eh/Fac Mobile Home Park Permitting                                                                        yes      no      no       6e
                                                                                               15.010(1)
55   Eh/Fac Tanning Salon Inspections                                           381.89                         yes      no      no       6e
                                                                                381.89             64E-
56   Eh/Fac Tanning Salon Permitting                                                                           yes      no      no       6e
                                                                                               17.006(10
                                                                                381.89             64E-
57   Eh/Fac Tanning Salon Investigations                                                                       yes      no      no      2a, b
                                                                                                 17.007
                                                                               381.0098            64E-
58   Eh/Fac Biomedical Waste Inspections in our delegated counties                                             yes      no      no       6e
                                                                                               16.010(1)
                                                                                                   64E-
                                                                               381.0098
59   Eh/Fac Biomedical Waste permitting in our delegated cty.                                  16.010(1)       yes      no      no       6e
                                                                               381.0098            64E-
60   Eh/Fac Biomedical investigations in our delegated cty.                                                    yes      no      no      2a, b
                                                                                               16.011(1)
                                                                               381.0075           64E -
61   Eh/Fac Piercing Salon Inspections                                                                         yes      no      no     2b, 6e
                                                                                                 19.008
                                                                               381.0075            64E-
62   Eh/Fac Piercing Salon permitting                                                                          yes      no      no       6e
                                                                                               19.003(2)
                                                                               381.0079            64E-
63   Eh/Fac Piercing Salon investigations                                                                      yes      no      no     2a, 6e
                                                                                               19.008(2)
                                                                               381.0072            64E-
64   Eh/Fac Food Inspections at our Permitted Facilities                                                       yes      no      no     2a, 6e
                                                                                               11.0013(2)
65   Eh/Fac Community Based Residential Physical Plant Inspections              381.006         "64E-12"       yes      no      no       2b

1/12/2011                                                                                                       21                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                      Escambia CHD Services Ranking Matrix
        A                                    B                                  C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                 Funded
                                                                                                                               Functional     Primary                            and/or       Good,
                                                                                                                                                                    Saves PH'S
                                                                                                          Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                F.S.          F.A.C.
                                                                                                        Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                    time, effort
                                                                                                                                                                                 surplus      Public
                                                                                                                                                                                                            Total
                                                                                                                                                                       later
                                                                                                                               number          Hazard                            revenue to   Relations
 1   Program                                                                                                                                                                     share

66    Lead     Elevated Blood Lead Level Investigations                        381           64D-3        yes      no      no      2a, b
               Inspections of OSTDS at the Time of Property Sale (local
67    EAP      ordiance 98-67)                                                                            yes      no      no      2b,6e

                                                                             381.0065
68    EAP      Septic to Sewer Notification (local ordiance 98-67)                                        yes      no      no    2b,6c&e


69    EAP      Septic to sewer tracking (local ordiance 98-67)                                            yes      no      no       6d
70    EAP      Septic to sewer enforcement (local ordiance 98-67)                                         yes      no      no       6e



               Research for Fecal Source Tracking/Sewer Expansion Priority
71    EAP      (local ordiance 98-67)                                                                     yes      no      no      10a

               Water Quality Sampling not Associated with Healthy Beaches
72    EAP      (local ordiance 98-67)                                                                     yes      no      no      2b,1a

                                                                             381.0065      64E-6.015
73   OSTD      OSTDS New System Installation Inspections                                                  yes      no      no       6e
74   OSTD      Permitting of OSTDS Systems                                   381.0065      64E-6.003      yes      no      no       6e
75   OSTD      Certify Portable Toilet Vendors                                                            yes      no      no      2b,6e

                                                                             381.0065
76   OSTD      Inspect Portable Toilets                                                                   yes      no      no       6e

                                                                             381.0012
77   OSTD      OSTDS Cont. Enf., Including Legal Counsel, Court                                           yes      no      no       6e
78   OSTD      Permitting of Pump Trucks Systems                                           64E-6.010      yes      no      no       6e
79   OSTD      Abandonment Permitting and Inspections                                      64E-6.011      yes      no      no       6e

                                                                             381.0065      64E-6.003
80   OSTD      Permitting of ATU Systems Permitting                                                       yes      no      no       6e
81   OSTD      Permitting of Commercial Systems                              381.0065      64E-6.003      yes      no      no       6e
                                                                                           64E-6.003,
82   OSTD      Permitting of Maintenance Entity                                            64E-6.027      yes      no      no       6e


83   OSTD      Inspections of ATU Systems                                                                 yes      no      no       6e

                                                                             1003.22
84    Clinic   Child Immunizations                                                                        yes      no      no       2b

1/12/2011                                                                                                  22                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                            Escambia CHD Services Ranking Matrix
         A                                        B                                   C              D          F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                      Funded
                                                                                                                                    Functional     Primary                            and/or       Good,
                                                                                                                                                                         Saves PH'S
                                                                                                               Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                     ECHD Services                                   F.S.         F.A.C.
                                                                                                             Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                         time, effort
                                                                                                                                                                                      surplus      Public
                                                                                                                                                                                                                 Total
                                                                                                                                                                            later
                                                                                                                                    number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                         share

                                                                                Federal Statue
85     WIC      Voter Registration                                                                             yes      no      no       n/a


86     WIC      Individual nutrition plan/consult                                                              yes      no      no      3b/3c
                                                                                 381.0056(5a)
87     WIC      Immunization review and referral                                federal Statue                 yes      no      no       7b


88     WIC      Breastfeeding education and support (individual)                                               yes      no      no       3c

89     WIC      Nutrition Education                                                                            yes      no      no      3b/3c


90     WIC      Program evaluation/audits
                Participate in Health Curriculum Development &                                                 yes      no      no       9c
91      SH      Presentations                                                    381.0056(13)                  yes      no      no      3c,3d
92      SS      Public access to FAC and FS                                                                    yes      no      no       6c
93      All     Financial interviews of clients                                                                yes      no      no       7b

                                                                                  154.01(3)
94      SS      Prepare Contract between county and DOH                                                        yes      no      no      11?
                                                                                381.0056 (5a2)      64F-
95      SH      BMI screenings (Certain ages)                                                                  yes     1a,7b    no       1a
                                                                                                  6.003(3)
96    Admin     Assist Supervision of Limited License MDs in County                458.317                     yes
                Advise County Public Safety on Bioterrorism, Chem. Rad,
                                                                                  381.00315
97     PHP      Disaster                                                                                       no      yes     yes       2d

                                                                                   381.001
98      Epi     Disaster-related Presence @ EOC; Prevention & Control
                ESF 8: 24-hour Disease Outbreak Obtain & Coordinate                                            no      yes     yes       2b
99     PHP      State/Fed Resources                                                                            no      yes     yes       2c

100     All     Employees RequiredHome/All-Facility Evals Priorre: Fac. re-
                Post-disaster Group to be Available at all Times to Disaster                                   no      yes     yes       2d
101     EH      opening (Pools, NH, Schools, Bars/Lounges)                                                     no      yes     yes       2b
102    Clinic   Assure RN/MD LICENSES are current                              458.301, 464.001                no      yes     yes       8a

                                                                               458.301, 464.001
103    Clinic   Maintain staff work schedules                                                                  no      yes     yes      11?


104    Clinic   Pharmacy Activities                                                                            no      yes     yes      11?


1/12/2011                                                                                                       23                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                              Escambia CHD Services Ranking Matrix
        A                                       B                                       C             D           F       G       H         I             J           K            L            M           N         O
                                                                                                                                                                                          Funded
                                                                                                                                      Functional       Primary                            and/or       Good,
                                                                                                                                                                             Saves PH'S
                                                                                                                 Law    COOP/ PH Dis. Definition     Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                      F.S.         F.A.C.
                                                                                                               Requires COG Resp. Ref.                 Real PH        Do
                                                                                                                                                                             time, effort
                                                                                                                                                                                          surplus      Public
                                                                                                                                                                                                                     Total
                                                                                                                                                                                later
                                                                                                                                      number            Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                             share
                Write , train, and exercise communications plans and
105    PIC      procedures                                                                                       no      yes     yes       2d
106    PIC      Train back-up PIO's and spokespersons                                                            no      yes     yes     2d, 8c
107     SS      Execute all financial transactions                                                               no      yes     yes       11


108 Admin Local personnel expertise & personnel actions                                                          no      yes     yes       11
109     SS      Maintain ECHD website                                                                            no      yes     yes    2g, 3b, 3c
110     SS      provide building maintenance services                                                            no      yes     yes     8e, 11
111     All     Provide incident reporting system                                                                no      yes     yes     2a, 2b
112     All     Computer/IT support services                                                                     no      yes     yes     2g, 8e


113     SS      Clinic Support services                                                                          no      yes     yes       11

        HP
114             Provide PIO services to ECHD in lieu of Regional PIO                                             no      yes     yes       2d
                                                                                   154.04(1)(A),
115     SS      Recruit, hire and train staff                                                                    no      yes     yes       8a
                                                                                    154.04(2)
116     SS      Pre pare employees to be supervisors/leaders                                                     no      yes     yes       8b

117     SS      Provide for up to date communication methods for staff                                           no      yes     yes       2g
118    PHP      Maintain Current ECHD/Public Health Emergency Plan                                               no      yes      no       2d

119    PHP      Maintain Current ESF8 Emergency Plan                                                             no      yes      no       2d

120     All     Participate in Pre-disaster Preparation Drills, Planning, etc.                                   no      yes      no       2e
121     SS      Maintain patient scheduling system-HMS                                                           no      yes      no       11
122                                                                              381.003, 381.0031 64D 3.041
        Epi     Investigation/Treatment all reportable and non-reportable
                Maintain a database on for reportable diseases                                                   no       no     yes       2b             2           2            0            0           2         6
123     Epi     Provide education by the local unit
                diseases received and recommendations to individuals and             381.001         64D         no       no     yes       1e             2           2            2            0           1         7
                institutions regarding the implementation of prevention and
                                                                                     381.001         64D
124     Epi     control measures to prevent working relationships with
                Develop and maintain close the spread of disease                                                 no       no     yes       3d             2           1            2            0           2         7
                providers such as physicians, infection control practitioners,
                                                                                     381.001         64D
125     Epi     schools, childcare providers, etc. , to ensure early reporting                                   no       no     yes       1b             1           2            2            0           2         7

                                                                                     381.001         64D
126     Epi     Data/statistical analyses                                                                        no       no     yes       1e             1           0            1            1           1         4

1/12/2011                                                                                                         24                                                              ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                                Escambia CHD Services Ranking Matrix
           A                                     B                                        C              D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                         Funded
                                                                                                                                       Functional     Primary                            and/or       Good,
                                                                                                                                                                            Saves PH'S
                                                                                                                  Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                        F.S.          F.A.C.
                                                                                                                Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                            time, effort
                                                                                                                                                                                         surplus      Public
                                                                                                                                                                                                                    Total
                                                                                                                                                                               later
                                                                                                                                       number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                            share

                 Develop protocols/plans for disease investigation, surveillance                       64D-4
127        Epi   and response                                                                                     no       no     yes      10c           2           1            2            0           1         6

                                                                                   381.001, 381.011,
                                                                                        381.003
128    HIV       Provide HIV Medications                                                                          no       no     yes       7b           1           0            0            2           1         4


129        Epi   Testing and Counseling for Enteric Pathogens                                                     no       no     yes      7b,c          1           0            2            0           2         5


130 A Imm Tetanus Shots                                                                                           no       no     yes       7c           2           0            0            2           1         5
                 Create and produce pandemic flu media materials as needed
      HP
131              (ex. Newspaper insert/radio ads/cd for community)                                                no       no     yes       3c           2           1            2            1           2         8
                 Create pan flu educational materials for distribution to public
      HP
132              (ex. Home care brochure)                                                                         no       no     yes       3c           2           1            2            1           2         8


133 A Imm Adult vaccinations                                                                                      no       no     yes       7c           2           0            0            2           1         5

                                                                                       381.001         64D-3
134 A Imm Rabies Post Exposure Evaluation                                                                         no       no     yes       7c           2           0            0            0           1         3

                                                                                       381.001         64D-3
135 A Imm Rabies Post exposure Prophylaxis                                                                        no       no     yes       7c           2           0            0            0           1         3


136        EH    Disaster-related Shelter Inspections                                                             no       no     yes       2b           2           2            2            0           1         7

                                                                                       381.0303
137    PHP       Stockpile Supplies for Special Needs Shelter                                                     no       no     yes       2b           0           0            0            0           0         0


138        EH    Disaster Facility Inspections                                                                    no       no     yes       2b           2           2            2            0           1         7

                 Outreach activities with shot mobile (Neighborhoods &
139 P Imm School)                                                                                                 no       no     yes       7b           2           0            2            1           2         7

                                                                                       381.0072
140 Epi/EH Restaurant Outbreak Investigations for DBPR
           Public Water Complaint Investigation and Sampling per                                                  no       no     yes       2b           1           1            2            0           1         5
141 Water Interagency Agreement                                                        381.006                    no       no     yes       2b           2           1            1            0           1         5




1/12/2011                                                                                                          25                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                              Escambia CHD Services Ranking Matrix
         A                                      B                                       C               D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                          Funded
                                                                                                                                        Functional     Primary                            and/or       Good,
                                                                                                                                                                             Saves PH'S
                                                                                                                   Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                      F.S.           F.A.C.
                                                                                                                 Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                             time, effort
                                                                                                                                                                                          surplus      Public
                                                                                                                                                                                                                     Total
                                                                                                                                                                                later
                                                                                                                                        number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                             share
                                                                                                     555-340
                                                                                     381.006
142    Water    Issue Boil Water Notices                                                               (5)         no       no     yes       2b                                                                       0
143 Toxics GPS/GIS/Mapping for ECHD Divisions                                                                      no       no     yes       1e           1           0            1            0           2         4


144 DEP T Post Hurricane Surveys at Marine & Terminal Facilities                                                   no       no     yes      2a,b          0           0            0            2           2         4


145 DEP T Emergency Response Investigations for Spilled Fuels                                                      no       no     yes      2a,b          0           0            0            2           2         4
                Assist Citizens with Post-Disaster Sanitary and Cleanup
                                                                                     381.006
146 OSTD        Issues                                                                                             no       no     yes       2e


147    Clinic   Adult Immunizations                                                                                no       no     yes       2b
148     HS      Pregnancies & Babies (include Home Visits)                      383.011 (1)(d)5(e)                 no       no     yes      2a/2b
149     FP      Provide Contraception                                                                 64F-7        no       no     yes      2b/7c
150    Clinic   Epilepsy Med Distribution ("G/A Epilepsy svces")                                                   no       no     yes

                                                                                    381.0057
151    Clinic   Primary Care for children                                                                          no       no     yes       7b

                                                                                     381.985
152        Primary Care to ECHD Medipass Clients
       Clinic                                                                                                      no       no     yes       7b
           Sovereign Immunity-volunteer physician agreement
153 WeCare management                                                                                              no       no     yes       2c
154 Dental Medicaid Pediatric Dental services                                                                      no       no     yes       2b

                                                                                     381.985
155    Clinic   Patient referrals                                                                                  no       no     yes       7c


156    Clinic   Lab services to include packing and shipping                                                       no       no     yes
157    Clinic   Labs tracking                                                                        64f-7.004     no       no     yes
158    Clinic   Provision of state funded insulin                                    385.204                       no       no     yes       7b
                Patient referrals for outside services such as: ECC, and free
                                                                                     381.93
159    Clinic   clinics referrals                                                                                  no       no     yes       7b
160    PIC      Respond to reporter inquiries                                                                      no       no     yes       3a
161    PIC      Write and edit public information documents                                                        no       no     yes       3b


162    PIC      Monitor and evaluate media coverage                                                                no       no     yes       3a


1/12/2011                                                                                                           26                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                             Escambia CHD Services Ranking Matrix
         A                                      B                                      C              D         F       G       H         I             J           K            L            M           N         O
                                                                                                                                                                                        Funded
                                                                                                                                    Functional       Primary                            and/or       Good,
                                                                                                                                                                           Saves PH'S
                                                                                                               Law    COOP/ PH Dis. Definition     Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                     F.S.          F.A.C.
                                                                                                             Requires COG Resp. Ref.                 Real PH        Do
                                                                                                                                                                           time, effort
                                                                                                                                                                                        surplus      Public
                                                                                                                                                                                                                   Total
                                                                                                                                                                              later
                                                                                                                                    number            Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                           share


163    PIC      Organize news conferences and media coverage of events                                         no       no     yes       3a


164    PIC      Maintain contacts at news outlets and partner agencies.                                        no       no     yes       3a
165 Admin Resource to local and state elected officials about PH issues                                        no       no     yes       5a
166   Admin     Retain legal counsel                                                                           no       no     yes        6


167    Clinic   CPR training and certifications for our staff                                                  no       no     yes       8c
168     HP      Attend behavioral health disaster trainings and updates                                        no       no     yes     2d, 2e
169     All     Support to Emergency Operation Center during disasters                                         no       no     yes    2c, 2d, 2e
170     SS      Maintain data base of client information                                                       no       no     yes       7c             1           2            2            0           1         6
                Set standards and provide ongoing educational training to
171     SS      staff                                                                                          no       no     yes       8a             1           2            2            0           1         6

                                                                                 384.21, 384.27      64D
172    STD      Counseling and testing STD                                                                     no       no      no       7b             2           0            2            1           0         5


173     HP      Participation in Immunization Coalition meetings & activities                                  no       no      no     3b, 4b           1           0            2            0           2         5

                Immunizations subcommitee focusing on 0-2 year olds:
174     HP      marketing and program development.                                                             no       no      no       3d             2           0            2            0           2         6

                                                                                                    64D-3
175     Epi     Program Evaluation and Audits                                                                  no       no      no       9c             1           0            0            0           0         1

                                                                                    381.001         64D-3
176     Epi     Epidemiological Research                                                                       no       no      no      10A             1           1            1            0           2         5

                                                                                381.001, 381.011,
                                                                                     381.003
177    HIV      Active "AIDS Surveillance"                                                                     no       no      no      10B             2           0            1            2           0         5

                                                                                381.001, 381.011,
                                                                                     381.003
178    HIV      "AIDS Patient Care"                                                                            no       no      no       7c             0           0            0            2           1         3

                                                                                                    64B9-
                                                                                                    5.007
179    HIV      Professional education to medical providers                                                    no       no      no       8d             2           0            1            0           1         4
180    HIV      Prevention interventions targeting high risk groups                 381.003                    no       no      no       3c             2           0            1            2           2         7

1/12/2011                                                                                                       27                                                              ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                    Escambia CHD Services Ranking Matrix
           A                                   B                              C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                               Funded
                                                                                                                             Functional     Primary                            and/or       Good,
                                                                                                                                                                  Saves PH'S
                                                                                                        Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                             F.S.          F.A.C.
                                                                                                      Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                  time, effort
                                                                                                                                                                               surplus      Public
                                                                                                                                                                                                          Total
                                                                                                                                                                     later
                                                                                                                             number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                  share

                                                                           381.003        64D-2.006
181    HIV      Analysis and dissemination of HIV/AIDS data                                             no       no      no       1e           1           0            1            2           1         5
182                                                                        381.003
       HIV      State/Fed competent technical assistance to minority
                Culturally partner request                                                              no       no      no       2c           0           0            0            1           0         1
                                                                          381.7354,
183    HIV      providers                                                                               no       no      no      3c,d          0           2            2            2           2         8
                                                                          381.7355,
184    HIV      Condom distribution throughout 4 county area               381.003                      no       no      no       3d           2           0            1            2           2         7

                                                                           381.003
185    HIV      Liaison between Bureau of HIV/AIDS (BOHA) and CHDs                                      no       no      no       2c           0           0            1            2           1         4

186    HIV      Clinical HIV evaluation                                                                 no       no      no      7b,c          1           0            1            2           0         4


187    HIV      HIV Treatment                                                                           no       no      no      7b,c          1           0            1            2           0         4


188        FP   Testing for Rubella Immunity                                                            no       no      no       7c           1           0            0            2           0         3


189 A Imm Influenza Vaccinations                                                                        no       no      no       7c           2           0            0            1           2         5


190 A Imm Pneumonia Vaccinations                                                                        no       no      no       7c           2           0            0            2           1         5

      HP
191             Pan Flu community presentations                                                         no       no      no       2c           0           1            2            1           1         5
192   HP        Champion the ECHD Community Obesity Task Force (OTF)                                    no       no      no       5c           2           2            2            0           1         7

      HP
193             Development of quarterly health messages.                                               no       no      no       3c           2           2            2            0           2         8
194 A Imm Rabies Pre-exposure Prophylaxis                                                               no       no      no       7c           1           0            0            2           1         4


195    clinic   Clinical Animal Bite Evaluations for Tx                                                 no       no      no       7c           2           0            0            1           0         3
196 A Imm Overseas Travel Shot Info/Referrals                                                           no       no      no       7c           2           0            0            2           2         6

                                                                       381.001, 1003.22     64D
197 P Imm Immunization Tracking                                                                         no       no      no       9b           2           0            0            0           0         2


198    Child    Lead screening, counseling, evaluation                                                  no       no      no       7c           1           0            1            1           0         3

1/12/2011                                                                                                28                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                          Escambia CHD Services Ranking Matrix
        A                                      B                                   C                D            F         G         H      I          J           K            L            M           N         O
                                                                                                                                                                                       Funded
                                                                                                                                     Functional     Primary                            and/or       Good,
                                                                                                                                                                          Saves PH'S
                                                                                                                Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                      ECHD Services                               F.S.            F.A.C.
                                                                                                              Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                          time, effort
                                                                                                                                                                                       surplus      Public
                                                                                                                                                                                                                  Total
                                                                                                                                                                             later
                                                                                                                                     number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                          share

                                                                            382.003, 154.001     64V-01
199     VS      Funeral Home Training                                                                           no         no        no    1b          0           0            1            0           1         2

                                                                                154.001,
                                                                                                 64V-01
                                                                              382.025(1)(a)
200     VS      Family Tree Searches                                                                            no         no        no    na          0           0            0            2           1         3


201    STD      Assist with training and annual updates of 501 course                                           no         no        no    6c          0           0            0            0           0         0
                                                                            1003.22, 381.0056      64D
202     SH      Immunization Tracking/Referrals                                                                 no         no        no    6c          2           2            2            1           1         8
                                                                                  (5a2)
203     SH      Triage Sick Kids to Home or Return to Class                  381.0056 (5a2)                     no         no        no    7c          2           0            2            1           2         7
204    Hep      Testing and Counseling for Hepatitis A,B,C (mostly B,C)                                         no         no        no   2b,7b        1           0            1            1           1         4
                "Florida Hep.B & Liver Failure Prev. & Cont." - outreach-
205    Hep      pregnant women                                                                                  no         no        no    2b          2           2            2            2           1         9



                                                                                                  64D-3


206    Hep      Hepatitis surveillance (B&C)
                Outreach and Partnerships with other local providers re:                                        no         no        no    2b          2           2            2            2            1        9
207 Hep         Hepatitis                                                                                       no         no        no    1b          1           0            2            2            2        7
208 A Imm MOAs with school board and private companies for Hep B                                                no         no        no   7b,c         2           0            2            2           2         8
                                                                                                   64D -
                                                                                1003.22         3.046(1)(b)
209 P Imm Provide 680 ? (Blue Form) for our patients                                                            no         no        no   N/A          0           0            0            0           1         1
                                                                                                    1.
210             Contact regional support STD                                 381.001, 384.21     64D FAC
       STD
                Provide Investigation for for other counties. Contact                                           no         no        no    2b          2           2            2            2           2         10
211    STD      Investigation                                                381.002, 384.21    64D FAC         no         no        no   N/A          2           0            1            1           1         5
212    STD      Outreach activities                                          381.002, 384.21    64D FAC         no         no        no   7b,3c        2           0            2            2           2         8
213     All     Panflu presentations                                             392.57          64D FAC        no    no        no         3c          2           2            2            1           2         9

214     All     Panflu internal planning                                                                        no         no        no    2c          0           2            2            1           0         5



215    PHP      Panflu external planning                                                                        no         no        no    2d          2           2            2            1           2         9
216    Arbo     Sampling as Needed or Required (BIRDS)                          381.011                         no         no        no    2b          2           1            0            0           1         4
217 Toxics Toxics Program/SUPER ACT GIS/Mapping                                                                 no         no        no    1e          2           0            1            2           2         7


1/12/2011                                                                                                        29                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                         Escambia CHD Services Ranking Matrix
        A                                    B                                     C               D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                     Funded
                                                                                                                                   Functional     Primary                            and/or       Good,
                                                                                                                                                                        Saves PH'S
                                                                                                              Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                  ECHD Services                                   F.S.           F.A.C.
                                                                                                            Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                        time, effort
                                                                                                                                                                                     surplus      Public
                                                                                                                                                                                                                Total
                                                                                                                                                                           later
                                                                                                                                   number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                        share

218 Toxics Toxics Program/SUPER ACT Site Water Testing/Evaluations                                            no       no      no       2b           1           0            1            2           2         6
219   Toxics
                Toxics Program/SUPER ACT Dry Well Survey Survey
                Toxics Program/SUPER ACT Site Cleaners SiteInvestigations                                     no       no      no       2b           2           0            1            2           2         7
220 Toxics      Investigations                                                                                no       no      no       2b           1           0            1            2           2         6
221 Eh/Fac Group Care Home Inspections                                          381.006                       no       no      no       2b           2           1            2            1           1         7
                                                                               381.0072           64E-
222 Eh/Fac Train Food Service Personnel ( Schools)                                                            no       no      no       6c           2           0            2            0           1         5
                                                                                               11.001(2)
                                                                                                  64E-
223 Eh/Fac Child Care Inspections(Physical Plant)                                              11.0013(3)     no       no      no       2b           1           0            1            0           0         2
                                                                                                65C- 22
224 Eh/Fac MQA Inspections                                                                                    no       no      no       2b           1           0            0            2           0         3
225    IAQ      Some Indoor Air Quality Investigations for DOH                                                no       no      no       2b           1           0            1            0           1         3
226 DEP C Petroleum Site Cleanup Management in Contracted Counties                                            no       no      no      2a,b          0           0            0            2           2         4
227   DEP C     Remedial System Site Inspections of Active Cleanup Sites                                      no       no      no      2a,b          0           0            0            2           2         4
228 DEP C Review and Approve of Contractors Invoices                                                          no       no      no      2a,b          0           0            0            2           2         4
229 DEP C Review of Proposals and Approval of Work Orders
          Review and approval of Reports for Cleanup Site                                                     no       no      no      2a,b          0           0            0            2           2         4
230 DEP C Management ActivitiesRegulated Storage Tank Facilities in 5
          Annual Inspections of                                                                               no       no      no      2a,b          0           0            0            2           2         4
231 DEP T Contracted Counties, a total of 1358 sites.                                                         no       no      no      2a,b          0           0            0            2           2         4

232 DEP T Installation Inspections of Regulated Storage Tanks                                                 no       no      no      2a,b          0           0            0            2           2         4
233 DEP T Removal Inspections of Regulated Storage Tanks                                                      no       no      no      2a,b          0           0            0            2           2         4
234       Closure Assessment Reviews Department of Environmental
      DEP T
          Refer enforcement cases to the                                                                      no       no      no      2a,b          0           0            0            2           2         4
235 DEP T Protection on regulated tank issues.                                                                no       no      no      2a,b          0           0            0            2           2         4
236 DEP T Repair and Upgrade Inspections of Regulated Storage Tanks                                           no       no      no      2a,b          0           0            0            2           2         4
237 Beach Beaches Notification                                                  514.011                       no       no      no       2b           1           2            2            2           2         9
238 Beach Post beaches (Disaster)                                           514.011, 514.023                  no       no      no       2b           2           2            2            1           2         9
239 OSTD OSTDS Repair Inspections                                              381.0065        64E-6.003      no       no      no       2b           2           2            2            2           2         10
240 OSTD OSTDS Repair Site Evaluations                                         381.0065        64E-6.004      no       no      no       2b           2           0            1            2           2         7
241 OSTD OSTDS New System Site Evaluations                                     381.0065        64E-6.004      no       no      no       2b           2           0            1            2           1         6
242 OSTD OSTDS Existing System Site Evaluation                                 381.0065        64E-6.004      no       no      no       2b           1           0            1            2           1         5
243 OSTD Site Evaluations and issuance of Site Letters on vacant lot           381.0065        64E-6.004      no       no      no       2b           0           0            0            1           1         2
244 OSTD Provide nursing support for body piercing inspections                 381.0075                       no       no      no      2b/6e         2           2            1            2           1         8

1/12/2011                                                                                                      30                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                             Escambia CHD Services Ranking Matrix
         A                                     B                                      C               D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                        Funded
                                                                                                                                      Functional     Primary                            and/or       Good,
                                                                                                                                                                           Saves PH'S
                                                                                                                 Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                     F.S.           F.A.C.
                                                                                                               Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                           time, effort
                                                                                                                                                                                        surplus      Public
                                                                                                                                                                                                                   Total
                                                                                                                                                                              later
                                                                                                                                      number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                           share
                Process Healthy Start screens and data. Entering screening
                                                                                                  64F- 3.002
245 PH Nut information                                                                                           no       no      no       7b           2           0            2            2           2         8
                                                                                                   (2) - (6)
246     FP      Interconceptual Counseling                                         383.011                       no       no      no       3c           2           1            2            1           1         7
                Internal Referrals of All Pregnant Women, On the Spot, to
                                                                                                  64F-3.002
247     FP      other CHD Resources
                Provide community liason activities that support healthy start                                   no       no      no       7c           2           2            2            1           2         9
                                                                                                     (7)
248     HS      screening
                Healthy Start Care Coordination: coordinate the provision of     FS 381.0045        64C-7        no       no      no       7b           1           0            2            2           2         7
                and facilitate access to needed services for at-risk pregnant
                                                                                    FS 382        64F-3.005
249     HS      women and following education/counseling services: Child
                Provide the infants                                                                              no       no      no       7c           2           0            1            2           2         7
250     HS      Birth Education, Smoking Cessation Education and                    FS 381        64F-3.005      no       no      no       3c           2           0            2            2           2         8
251     HS      Qualify pregnant women for Medicaid                              FS 381.0045                     no       no      no       7c           2           0            1            2           2         7
252     HS      Pregnancy testing, HIV and Hepatitis pretest counseling          FS 381.0045        64C-7        no       no      no       7c           2           0            1            2           2         7

                                                                                 FS 381.0045        64C-7
253     HS      Pregnancy Counseling post pregnancy testing                                                      no       no      no       7c           2           0            1            2           2         7
                Referral to OB provider, etc. immediately after positive
                                                                                 FS 381.0045        64C-7
254 MomCar
      HS        pregnancy test care and education to all women with
                Assure pre-natal                                                                                 no       no      no       7c           2           2            1            2           2         9
                                                                                 Sixth Omnibus
255    e   pregnancy Medicaid to include initial contacts, OB provider                                           no       no      no       7c           2           0            1            2           2         7
                                                                                     Budget
256     SH      Mgmt. of students w/chronic disease                                                              no       no      no       7b           0           0            0            1           1         2
257     SH      Nursing Assessments and health counseling                        381.0056(5a1)                   no       no      no       7b           1           0            2            1           1         5
258     SH      Follow-up activities for screening and health issue referrals    381.0056(5a1)                   no       no      no       7c           1           0            1            1           1         4
259     SH      Assistance for families applying for Kidcare, Medicaid                                           no       no      no       7c           1           2            1            0           2         6
260    Clinic   Assistance for families applying for Kidcare, Medicaid             409.818                       no       no      no       7c           1           1            1            0           2         5
261     SH      School First Aid                                                 381.0056(3a)     64F6.004       no       no      no       2b           0           0            0            1           2         3
                                                                                                 64F.6004(4
262     SH      School Clinic illness assessment/intervention                                                    no       no      no       2b           2           0            2            1           2         7
                                                                                                    )64f-
263     SH      School Clinic medication administration                                                          no       no      no       7b           0           0            0            1           2         3
264    WIC      Immunization tracking                                                                            no       no      no       1a           1           2            1            2           1         7


265    WIC      Loan and track electric/manual breast pumps                                                      no       no      no       2b           1           0            0            2           2         5

266 PHNut CMS consults (income)                                                                                  no       no      no       3c           0           0            0            2           2         4
267 PHNut Headstart nutrition evaluation (income)                                                                no       no      no      2b/3b         1           0            1            2           2         6
268 PHNut ACLF Menu evaluation (income)                                                                          no       no      no       3b           1           0            0            2           0         3



1/12/2011                                                                                                         31                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                     Escambia CHD Services Ranking Matrix
         A                                       B                            C              D           F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                               Funded
                                                                                                                             Functional     Primary                            and/or       Good,
                                                                                                                                                                  Saves PH'S
                                                                                                        Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                            F.S.          F.A.C.
                                                                                                      Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                  time, effort
                                                                                                                                                                               surplus      Public
                                                                                                                                                                                                          Total
                                                                                                                                                                     later
                                                                                                                             number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                  share


269 PHNut Individual nutrition counseling with referral (sliding scale)                                 no       no      no       3c           0           0            0            1           0         1


270 PHNut Nutrition presentation for the community                                                      no       no      no      3b/3c         1           0            0            0           2         3
271     FP      Screening Examinations for Childbearing Women                              64F-7        no       no      no    2b/3c/7c        2           0            1            1           1         5
272     FP      Review of Immunization Status of Childbearing Women                        64F-7        no       no      no       2b           2           0            0            1           0         3

                                                                                           64F-7
273     FP      Sterilization Referrals/Payment (Male & Female)                                         no       no      no      2b/7c         1           0            1            2           2         6
274     FP      Counseling re: Contraception Methods                                       64F-7        no       no      no      2b/3c         1           0            1            1           1         4
275    Clinic   Screening Physicals for Head Start Entry                    409.91                      no       no      no       7c           1           0            0            2           2         5
276    Clinic   Screening Physicals for Daycare Entry                       408.913                     no       no      no       7c           1           0            0            2           2         5
277 Dental Dental screenings Head Start and schools                                                     no       no      no       7c           2           0            0            2           2         6
278 Dental Dental Van Administration Found in Kids/Tracking &Follow-up
           Referrals of Abnormalities                                                                   no       no      no       8e           0           2            1            2           2         7
279 SH     (Dental, Mental &/or Physical)                                 381.0056(14)                  no       no      no       7c           1           0            1            1           2         5
                                                                                             64F-
                                                                          381.0056(14)     003(1,2)
280     SH      Vision/Hearing Screenings/Referrals for Children                                        no       no      no       7c           2           0            1            1           2         6
                                                                                          64F-3.003
281     SH      Scoliosis Screenings/Referrals for Children               381.0056(14)                  no       no      no       7c           0           0            0            1           0         1
282     HP      School Physicals                                            409.91                      no       no      no       7b           1           0            0            1           2         4
283    Clinic   Physicals in foster kids                                    391.011                     no       no      no       7c           0           0            0            2           1         3
284    Clinic   Immigration Physicals                                      381.0407                     no       no      no      2b/7c         2           0            1            2           1         6
285    Clinic   Labs notification                                                         64F-7.004     no       no      no       7b           1           2            1            0           1         5
286    Clinic   Provide FBCCP services                                      381.93                      no       no      no       7b           0           0            0            2           2         4
287    Clinic   We Care and McMillan referrals                              381.93                      no       no      no       7b           0           0            0            0           1         1


                                                                           381.0051
288     FP      Screening examinations for non Childbearing Women                                       no       no      no       7b           0           0            0            0           1         1

                                                                                          64F-7.006
289     FP      Emergency contraception                                                                 no       no      no       7b           0           0            2            0           1         3
290     FP      Testing for STDS                                            384.219                     no       no      no       7b           2           0            2            1           1         6
291     FP      Vitamin refill clinic, nutrition counseling, BMI            383.011                     no       no      no      3c,7b         2           0            2            1           1         6

1/12/2011                                                                                                32                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                        Escambia CHD Services Ranking Matrix
         A                                     B                                  C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                                                                Funded
                                                                                                                              Functional     Primary                            and/or       Good,
                                                                                                                                                                   Saves PH'S
                                                                                                         Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                                 F.S.         F.A.C.
                                                                                                       Requires COG Resp. Ref.               Real PH        Do
                                                                                                                                                                   time, effort
                                                                                                                                                                                surplus      Public
                                                                                                                                                                                                           Total
                                                                                                                                                                      later
                                                                                                                              number          Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                   share

292    Hep      Referrals to local providers for evaluation and treatment                                no       no      no       7c           2           0            2            2           1         7



293     TB      TB Physical Exam                                                                         no       no      no       7b           0           0            0            0           1         1


294 Dental Dental services to HIV individuals                                                            no       no      no       7b           0           0            0            2           2         4


295 Dental Adult Dental-Medicaid                                                                         no       no      no       7b           0           0            0            2           2         4
296    Clinic   QI chart audits                                                                          no       no      no       9c           0           2            2            0           0         4
297     HP      Triage of We Care referrals.                                                             no       no      no       7c           0           2            0            1           1         4
298     HP      Referrals to other agencies and services via We Care.                                    no       no      no       7c           0           0            0            1           2         3
299     HP      Recruiting for We Care physician pool.                                                   no       no      no       7a           0           0            0            1           2         3
300     HP      Participate in quarterly regional 766 meetings                                           no       no      no       7a           0           0            2            0           2         4
301     HP      Assist in QI process to Grant performance standards in
                Participation in H-CAP meet to include involvement                                       no       no      no       9c           0           1            1            0           1         3
302     HP      subcommittees and assist in strategy implementation (ex: as
                Represents ECHD in Escambia Community Collaborative                                      no       no      no       7c           0           0            2            0           1         3
                champion and stakeholder utilizing MAPP process and
303     HP      participating in solutions teams.                                                        no       no      no       4            2           1            1            0           2         6
304     HP      Coordination of ECHD McMillan Fund Symposium (NAVY)
                Participate in annual Health Excellence                                                  no       no      no       7c           0           0            0            1           1         2
305     HP      planning committee to include event implementation                                       no       no      no      3b,8d         0           0            0            0           2         2
                Counseling School Kids/Parents re: Risk
                                                                              381.0056(13)
306     SH      Behaviors/Health ("Supp. SH")                                                            no       no      no      3c,3d         2           0            2            1           2         7
307    Hep      Support Group                                                                            no       no      no       3c           0           0            1            2           1         4
308     SH      Student education/wellness activities                                                    no       no      no       3c           2           0            2            1           2         7




309     SH      Staff education/wellness activities                                                      no       no      no       3c           2           0            2            1           2         7



310     SH      Parent education/wellness activities                                                     no       no      no       3c           2           0            2            1           2         7
311    PIC      Pitch news story ideas; advise staff on news media                                       no       no      no       3a           2           0            2            1           2         7


1/12/2011                                                                                                 33                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                      Escambia CHD Services Ranking Matrix
         A                                    B                                 C             D         F       G       H         I            J           K            L            M           N         O
                                                                                                                                                                               Funded
                                                                                                                            Functional      Primary                            and/or       Good,
                                                                                                                                                                  Saves PH'S
                                                                                                       Law    COOP/ PH Dis. Definition    Prevention of ECHD Must              generates    Inexpensive
                                   ECHD Services                               F.S.         F.A.C.
                                                                                                     Requires COG Resp. Ref.                Real PH        Do
                                                                                                                                                                  time, effort
                                                                                                                                                                               surplus      Public
                                                                                                                                                                                                          Total
                                                                                                                                                                     later
                                                                                                                            number           Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                  share

312    PIC      Coach subject matter experts pre-interview                                             no       no      no       3c            1           0            2            1           2         6
                CDHPE coordination and implementation of nutrition, physical
313     HP      activity, and cardiovascular works plans specific to CDHPE                             no       no      no       1a            1           0            1            2           1         5
                Coordination of name: Step Up Florida Program)
                guidelines (new Employee Pedometer/early stages of
314     HP      Employee wellness program to include evidence-based HRAs                               no       no      no       8d            2           0            1            0           1         4

                Youth Tobacco Prevention Specialist (TPS)
315     HP                                                                                             no       no      no       3c            2           0            1            2           2         7

                Support, promote and conduct smoking cessation classes and
                Quitline (3 trainers)
316     HP                                                                                             no       no      no       3c            1           0            0            2           2         5
                Continuous scheduling of presentations to community to
317     HP      educate public specific to the ECHD laser focus areas                                  no       no      no     3b, 3c          2           0            2            1           2         7
318     HP      Development, coordination, production, & implement                                     no       no      no     3b, 3c          2           0            1            0           1         4
                Establish media partnership with to include station and
                campaigns for community events local radio Step-Up Florida,
319     HP      station personality to endorse youth tobacco prevention                                no       no      no       3a            2           0            1            2           2         7
                efforts
                Involvement in ethnic/minority population health education
320     HP                                                                                             no       no      no       3c            1           2            1            0           1         5
321     HP      Injury prevention liaison to state office of IP                                        no       no      no       3b            0           2            0            0           1         3
322     HP      Coordination of ECHD participation in community health fairs                           no       no      no       3b            0           0            0            0           1         1
                and public health events
323     All     Assist Families in Applying for KidCare, Medicaid                                      no       no      no       7c            1           2            1            0           1         5
324     all     Resource to citizens & groups about PH issues Way)
                Annual FL State Employees Charitable (United                                           no       no      no     3b, 3c          1           0            1            0           2         4
325 Admin       Campaign                                                                               no       no      no                     0           2            0            0           0         2
                Provide Training for Med/ARNP/RN, phlebotomy, med.
326    Clinic   Asst.Students
                Continuous Quality Improvement, (training, teams, planning,                            no       no      no       8a            0           0            1            0           2         3
327     HP      etc.) Sterling                                                                         no       no      no       9c            0           1            2            0           1         4


328     SS      Volunteer Training                                                                     no       no      no       8c            0           0            2            0           2         4
                Advocate locally for funds related to special PH needs of
329 Admin       Escambia County                                                                        no       no      no       5             2           2            2            0           1         7
                Advocate at DOH for funds related to special PH needs of
330 Admin       Escambia County organizations, including ECCHO, FACHO,
                Membership in PH                                                                       no       no      no       5             2           2            2            0           0         6
331 Admin FPHA, NACCHO                                                                                 no       no      no   5a, 8c,10b        0           0            1            0           0         1



1/12/2011                                                                                               34                                                             ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                                             Escambia CHD Services Ranking Matrix
        A                                      B                                       C             D         F       G       H         I             J           K            L            M           N         O
                                                                                                                                                                                       Funded
                                                                                                                                   Functional       Primary                            and/or       Good,
                                                                                                                                                                          Saves PH'S
                                                                                                              Law    COOP/ PH Dis. Definition     Prevention of ECHD Must              generates    Inexpensive
                                    ECHD Services                                     F.S.         F.A.C.
                                                                                                            Requires COG Resp. Ref.                 Real PH        Do
                                                                                                                                                                          time, effort
                                                                                                                                                                                       surplus      Public
                                                                                                                                                                                                                  Total
                                                                                                                                                                             later
                                                                                                                                   number            Hazard                            revenue to   Relations
 1    Program                                                                                                                                                                          share


332     HP      Develop infrastructure and coordination of internship process                                 no       no      no       8c             0           0            2            0           2         4


333     All     Development and coordination of Advisory Committee                                            no       no      no    8a, 9b, 9c        0           0            2            0           1         3
                Building strategies for communication of Sterling process to
334     HP      ECHD employees
                Participation in multiple partnerships within the community to                                no       no      no     8a, 11           0           0            2            0           1         3
335     HP      include the school district of Escambia County, UWF, Jr.                                      no       no      no     4b, 4d           0           0            1            0           1         2
336     HP      Oversee compliance of ECHD branding/design standards                                          no       no      no     3b, 11           0           0            1            0            2        3
337    Arbo     Arthropod Investigations                                            386.041                   no       no               2b             1           0            1            0           1         3

338     SS      Maintain safe working environment for staff and client                                      fed/yes   yes     yes       11?                                                                        0
339    Water    Private Well Water Sampling                                         381.006         64E-8     yes      no     yes       2a                                                                         0
340                      DISEASE SURVEILLANCE/PREVENTION
341                      DISEASE SURVEILLANCE/PREVENTION
342                      DISEASE SURVEILLANCE/PREVENTION
343                      DISEASE SURVEILLANCE/PREVENTION
344                      DISEASE SURVEILLANCE/PREVENTION
                                                                                 384.26, 384.27
345     TB      Clinical STD evaluation, STD testing                                                                                    7b                                                                         0
346    STD      Treatment for STD                                                384.26, 384.27                                         7b
347                  ENVIRONMENTAL MONITORING & REGULATION                                                                                                                                                         0

                     ENVIRONMENTAL MONITORING & REGULATION
348


                     ENVIRONMENTAL MONITORING & REGULATION

349
350                  ENVIRONMENTAL MONITORING & REGULATION
351                  ENVIRONMENTAL MONITORING & REGULATION
352                  ENVIRONMENTAL MONITORING & REGULATION
353                            MATERNAL & CHILD HEALTH

1/12/2011                                                                                                      35                                                              ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                    Escambia CHD Services Ranking Matrix
        A                   B                 C             D         F       G       H         I           J           K            L            M           N         O
                                                                                                                                            Funded
                                                                                          Functional     Primary                            and/or       Good,
                                                                                                                               Saves PH'S
                                                                     Law    COOP/ PH Dis. Definition   Prevention of ECHD Must              generates    Inexpensive
                    ECHD Services            F.S.         F.A.C.
                                                                   Requires COG Resp. Ref.               Real PH        Do
                                                                                                                               time, effort
                                                                                                                                            surplus      Public
                                                                                                                                                                       Total
                                                                                                                                  later
                                                                                          number          Hazard                            revenue to   Relations
 1    Program                                                                                                                               share

354               MATERNAL & CHILD HEALTH

                    HEALTHCARE ACCESS
355
356                 HEALTHCARE ACCESS
357
                   IMPLEMENT PREVENTION
358
359                IMPLEMENT PREVENTION
360             PH BACKBONE/INFRASTRUCTURE
361             PH BACKBONE/INFRASTRUCTURE
362             PH BACKBONE/INFRASTRUCTURE




1/12/2011                                                             36                                                            ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                       Escambia CHD Services Ranking Tool
      A                               B                             F      G     H     I        K        M          O        Q       S         T          U

                                                                                PH
                                                                   Law
                                                                          COOP Dis. Oper'l   prim prev must do      saves funded X          Original
                            ECHD Services                         Require
                                                                          / COG Resp Def #      X 25    X 10      time X 5 5
                                                                                                                                   PR X 5
                                                                                                                                             Total
                                                                    s
                                                                                .                                                                      Weighted
 1 Program                                                                                                                                             Total
 2 1. What is the ranking tool?
             The tool is a complete list of all services/activities that ECHD employees do. It is a tool to examine all the services we provide,
             and analyze their “match” with our responsibility to protect the public’s health. It is a work in progress, and the executive
 3           management team is still analyzing it for its match with “common sense”.
 4 2. What might the tool be used for?
             The tool can be used for many purposes. Already we have used it to outline things we are required to do that are not currently
             funded. It can also be used during times of budget cuts, as an objective representation of what services may be lower on the
             list, and thus considered for removal—especially if they are not funded. Additionally, during disaster response when our
             resources are focused on the disaster response itself, this tool can be used to analyze what services we might continue to offer
 5
             the public, and which discontinue for the time being.

 6 2. How were the ranking criteria chosen?
             The Executive Management Team reviewed some other ranking/score sheets from other health departments, and considered
             what ranking criteria may best answer the questions about what services might receive prioritization during disaster response or
 7           budget cuts.
             a. “Law requires” represents services where the Florida Statutes, Florida Administrative Code, or Federal Code of Regulations
 8           require the service specifically of the CHD (i.e. not DOH or the community in general)
             b. “COOP/COG” represents those services that are part of our continuation of operations/continuation of government disaster
 9           response plans, and thus are mandated.
             c. “Public Health Disaster Response” represents a service that is required to protect the public’s health in the event of a
10           disaster. This used the opinions in the executive management team, and of Dr. Lanza.
             d. “Operational Definition Number” is actually not a score—this number was pulled from an appropriate section of NACCHO’s
             “Operational Definition of a Functional Health Department”, and this item was used to help us stay focus on potential
11           accreditation standards. (www.naccho.org)
             e. “Primary prevention of a real public health hazard” was chosen as the central scoring criteria, since that is what public health
             is centrally about. We at ECHD have chosen to focus our resources on primary prevention versus secondary or tertiary
12           prevention, as the place where our resources can put to use for best effect.


1/12/2011                                                               37                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                        Escambia CHD Services Ranking Tool
      A                                B                             F      G     H     I        K        M          O        Q       S         T          U

                                                                                 PH
                                                                    Law
                                                                           COOP Dis. Oper'l   prim prev must do      saves funded X          Original
                             ECHD Services                         Require
                                                                           / COG Resp Def #      X 25    X 10      time X 5 5
                                                                                                                                    PR X 5
                                                                                                                                              Total
                                                                     s
                                                                                 .                                                                      Weighted
 1 Program                                                                                                                                              Total

             f. “ECHD must do” was intended to mean that currently there is either a DOH policy that CHDs must do, for which Dr. Lanza
             has been told he will be held accountable, the item is implicit in another service listed (such as contacting clients about lab
             results), or it represents a public health “niche”, in that no other entity has the structure or wherewithal to provide the service.
13
             g. “Saves Public Health’s Time/Effort Later” relates to an activity actually saving OUR time/cost later—this does NOT reflect
14           savings to society or to the medical system overall. It only relates to the ECHD.
15           h. “Funded” indicates those programs with some or full funding, or even funding to share with other programs.
             i. “PR” was used to delineate services with big public relations potential, as this was felt to be an important consideration in
16           continuing or discontinuing certain services.

17 4. How was the scoring done?
             a. Only non-mandated services were scored. If a service was required by law, part of ECHD’s COOP/COG plan, or required for
18           public health disaster response, then no further scoring was done. These were labeled “Mandated services”.
19           b. Non-mandated services were scored 0=no, 1=partial, 2=yes
20              i. The scores seen in the current version of the table have been weighted, producing values between 0 and 50.
                 ii. The executive management team used consensus voting as a way to determine scores, using Dr. Lanza as the tie
21           breaker, when needed.
22 5. What is the “weighting” system used?
             a. For ease of understanding, non-mandated services were weighted to reach a total of 100 for those services felt most
23           important and 0 for those felt least important.
             b. Because primary prevention was felt to be the primary determinant of whether a service ought to be continued, this one
             criteria was awarded 50% of the total score (multiplication factor is 25). Thus an original “2” would receive a ranking number of
24           50.
             c. Must do was felt second most important, nearly a mandate, but not quite, so it was given a factor of 10, with a potential
25           maximum rank of 20.
             d. The remaining three criteria were equally weighted with a factor of 5, as less important to the overall decision about keeping
26           or ceasing a service.

1/12/2011                                                                38                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                        Escambia CHD Services Ranking Tool
      A                               B                              F      G     H     I        K        M          O        Q       S         T          U

                                                                                 PH
                                                                    Law
                                                                           COOP Dis. Oper'l   prim prev must do      saves funded X          Original
                             ECHD Services                         Require
                                                                           / COG Resp Def #      X 25    X 10      time X 5 5
                                                                                                                                    PR X 5
                                                                                                                                              Total
                                                                     s
                                                                                 .                                                                      Weighted
 1 Program                                                                                                                                              Total
27 6. What is the “Operational Definition”?
28           a. This is NACCHO’s national consensus standards on “the operational definition of a functional local health department”.
             b. Since these standards will likely be used in any accreditation scheme, it was felt important to make note of where each
             service fit into the definition. Sometimes the services fit very closely, and sometimes it was a stretch to fit them into the listed
29           standard.
30 7. Where are QI/audit/program evaluation activities in the list?

             a. QI and audit functions were felt so important as to be implicit in the listed services, so were not included as separate activities
31

             b. When an activity is continued, its QI processes would implicitly be continued, and if discontinued would no longer be needed.
32
             c. Overall organizational continuous quality improvement is felt to be a separate, though important activity, and so is listed as
33
             such in the list of services.

34 Limitations:


             Care should be taken in the analysis of this tool, to avoid being strictly literal regarding the exact ranking of any of the items.
             The dedicated and skillful work of all the Escambia CHD employees is extremely valuable to this community, and to the ECHD.
             The ranking is a representation of the RELATIVE public health merit of our various services, when considered only in the light of
             the chosen ranking criteria and our mission, and does NOT relate the value of the work currently being done in those services.
35

             This matrix represents only a general tool to discuss improving the ECHD’s focus on core public health services to the public,
             and to guide discussions about potential budget cuts. It is not an end-all and be-all. The lower-ranked items are not necessarily
             targets for budget cuts, solely because of their low rankings. As always, such decisions are complicated, and other factors will
             be discussed case by case should any cuts be discussed.
36

37

1/12/2011                                                                39                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                 Escambia CHD Services Ranking Tool
       A                                    B                                  F        G     H       I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l        prim prev must do      saves funded X          Original
                                  ECHD Services                              Require
                                                                                     / COG Resp Def #           X 25    X 10      time X 5 5
                                                                                                                                                   PR X 5
                                                                                                                                                             Total
                                                                               s
                                                                                           .                                                                           Weighted
 1 Program                                                                                                                                                             Total
38 MANDATED SERVICES
39    Epi     Notifications to doctor's offices re: PH issues/changes         yes       yes   yes    4d                                                                mandated
40 Rabies Register & report all Animal Bite Reports                           yes       yes   yes    2b                                                                mandated

41 Epi/EH Reporting/Investigation diseases of public health significance      yes       yes   yes    2b                                                                mandated
42    WIC     Maintain inventory of WIC vouchers                              yes       yes   yes    11?                                                               mandated
43    WIC     Record all expenses                                             yes       yes   yes    11?                                                               mandated
44   Clinic   Maintain lab licensure                                          yes       yes   yes     2f                                                               mandated
45    SS      Administer budget                                               yes       yes   yes    11?                                                               mandated
46    SS      Assure payment for ALL CHD financial obligations                yes       yes   yes    11?                                                               mandated
47    SS      Assure collections of revenues for services provided            yes       yes   yes    11?                                                               mandated

48    SS      Maintain safe working environment for staff and client         fed/yes    yes   yes    11?                                                               mandated
              Provide requested copies of medical records in secure
49    SS      manner                                                          yes       yes   no     11?                                                               mandated
50    TB      Investigation re: TB                                            yes       no    yes    2b                                                                mandated
51    Epi     Collect and Report all Local Reportable Diseases                yes       no    yes    2a                                                                mandated
              Receive all non-reportable diseases and investigate clusters
52    Epi     of similar diseases/symptoms/syndromes                          yes       no    yes    2a                                                                mandated
53    VS      Register All County Deaths & Issue Certificates                 yes       no    yes    1a                                                                mandated
54    TB      Commit noncomplaint TB-infected individuals                     yes       no    yes    6e                                                                mandated
55   Rabies Animal Bite Investigations                                        yes       no    yes    2b                                                                mandated
56 Rabies Order/Release Animal Quarantine                                     yes       no    yes   2b, 6e                                                             mandated
                                                                              yes
57 Epi/EH Investigate Food borne and Water Borne Illness Reports                        no    yes    2a                                                                mandated
              Complete DOH required paper work for reporting of
58 Epi/EH Epidemiological Investigations                                      yes       no    yes    2c                                                                mandated
              Coordinate Disease Outbreak Efforts with other Counties,
59 Epi/EH States, Countries                                                   yes       no    yes    2c                                                                mandated
60 Epi/EH Stop-sale Food/Water Associated with Outbreak(s)                    yes       no    yes    6e                                                                mandated
61   Water Private Well Water Evaluations in Case of Illness                  yes       no    yes    2a                                                                mandated
1/12/2011                                                                              40                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                               Escambia CHD Services Ranking Tool
       A                                     B                               F       G    H       I         K        M          O        Q       S         T          U

                                                                                         PH
                                                                            Law
                                                                                   COOP Dis. Oper'l      prim prev must do      saves funded X          Original
                                ECHD Services                              Require
                                                                                   / COG Resp Def #         X 25    X 10      time X 5 5
                                                                                                                                               PR X 5
                                                                                                                                                         Total
                                                                             s
                                                                                         .                                                                         Weighted
 1 Program                                                                                                                                                         Total
62 MANDATED SERVICES (CONT)
63   Water "Limited Use" Wells Monitoring                                   yes      no   yes    2b                                                                mandated
64    Pool   Pool Inspections/Permitting/Monitoring/Closures                yes      no   yes   2b, 6e                                                             mandated

65 Eh/Fac Group Home Care Investigations of disease                         yes      no   yes    2a                                                                mandated
66 Eh/Fac Mobile Home Park Safety/Sanitary Complaints                       yes      no   yes   2a, b                                                              mandated
67 Eh/Fac Mobile Home Park Safety/Sanitary Investigations                   yes      no   yes   2a, b                                                              mandated
68 Eh/Fac Child Care Epi complaint                                          yes      no   yes   2a, b                                                              mandated
69 Eh/Fac Child Care Epi Investigations                                     yes      no   yes   2a, b                                                              mandated
70   Eh/Fac Public and Private School Physical Plant Inspection             yes      no   yes    2a                                                                mandated
71 Eh/Fac Public and Private School Safety/Sanitary Complaints              yes      no   yes    2a                                                                mandated
72   OSTD Sanitary Nuisance Investigations                                  yes      no   yes   2a,b                                                               mandated
73   OSTD Sanitary Nuisance enforcement                                     yes      no   yes    6e                                                                mandated
74   OSTD Advise Cty & other entities on sanitary facilities as req.        yes      no   yes    2c                                                                mandated
75    WIC    Eligibility Determination for WIC                              yes      no   yes    7b                                                                mandated
76    WIC    WIC Nutrition Assessment                                       yes      no   yes   3b/3c                                                              mandated

77    WIC    Referrals to other agencies/services                           yes      no   yes    7b                                                                mandated
78    WIC    Issue food vouchers to eligible participants                   yes      no   yes    2b                                                                mandated
79   Water Private Well Water Sampling for documented illness                 yes    no   yes                                                                      mandated
80    STD    Counseling and testing for HIV                                 yes      no   no    2b, 3c                                                             mandated
81    STD    Contact Investigation for STD                                  yes      no   no     2b                                                                mandated
82    HIV    Passive AIDS Surveillance                                      yes      no   no     2a                                                                mandated

83    HIV    Oversight and monitoring of and TA for contracted providers    yes      no   no     11?                                                               mandated
84    HIV    Monitoring of DOH registered HIV test sites                    yes      no   no     8d                                                                mandated
85    TB     Assure active TB Treatment                                     yes      no   no     7c                                                                mandated

86    TB     Assure targeted TB screening                                   yes      no   no     7c                                                                mandated


1/12/2011                                                                           41                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
        A                                    B                              F      G     H      I         K        M          O        Q       S         T          U

                                                                                        PH
                                                                           Law
                                                                                  COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                ECHD Services                             Require
                                                                                  / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                             PR X 5
                                                                                                                                                       Total
                                                                            s
                                                                                        .                                                                        Weighted
 1 Program                                                                                                                                                       Total
87 MANDATED SERVICES (CONT)

88     TB    Provide TB related assistance to Private Medical Providers    yes     no    no    8d                                                                mandated
89    P Imm Give Required Pediatric Immunizations                          yes     no    no    7b                                                                mandated
90     VS    Register All County Births & Issue Certificates               yes     no    no    1a                                                                mandated
91     VS    Report flu deaths in children                                 yes     no    no    1a                                                                mandated
92 P Imm Issue and Sign Religious Immunization Exemptions                  yes     no    no    N/A                                                               mandated
93    Water "Limited Use Wells" Inspection(s)/permitting                   yes     no    no   2b, 6e                                                             mandated
94 Eh/Fac Mobile Home Park Inspections                                     yes     no    no    6e                                                                mandated
95    Eh/Fac Mobile Home Park Permitting                                   yes     no    no    6e                                                                mandated
96 Eh/Fac Tanning Salon Inspections                                        yes     no    no    6e                                                                mandated
97 Eh/Fac Tanning Salon Permitting                                         yes     no    no    6e                                                                mandated
98 Eh/Fac Tanning Salon Safety/Sanitary Investigations                     yes     no    no   2a, b                                                              mandated
99 Eh/Fac Biomedical Waste Inspections in our delegated counties           yes     no    no    6e                                                                mandated
100 Eh/Fac Biomedical Waste permitting in our delegated counties           yes     no    no    6e                                                                mandated
           Biomedical waste safety/sanitary investigations in our
101 Eh/Fac delegated counties                                              yes     no    no   2a, b                                                              mandated
102 Eh/Fac Piercing Salon Inspections                                      yes     no    no   2b, 6e                                                             mandated
103 Eh/Fac Piercing Salon permitting                                       yes     no    no    6e                                                                mandated
104   Eh/Fac Piercing Salon investigations                                 yes     no    no   2a, 6e                                                             mandated
105 Eh/Fac Food Inspections at our Permitted Facilities                    yes     no    no   2a, 6e                                                             mandated

106 Eh/Fac Community Based Residential Physical Plant Inspections          yes     no    no    2b                                                                mandated
107 Lead Elevated Blood Lead Level Investigations                          yes     no    no   2a, b                                                              mandated
             Inspections of OSTDS at the Time of Property Sale (local
108    EAP   ordinance 98-67)                                              yes     no    no    2b,6e
                                                                                              2b,6c&
                                                                                                                                                                 mandated
109    EAP   Septic to Sewer Notification (local ordinance 98-67)          yes     no    no      e                                                               mandated
110    EAP   Septic to sewer tracking (local ordinance 98-67)              yes     no    no    6d                                                                mandated
111    EAP   Septic to sewer enforcement (local ordinance 98-67)           yes     no    no    6e                                                                mandated
1/12/2011                                                                        42                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                   Escambia CHD Services Ranking Tool
       A                                     B                                 F     G      H      I        K        M          O        Q       S         T          U

                                                                                          PH
                                                                             Law
                                                                                    COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                  ECHD Services                             Require
                                                                                    / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                               PR X 5
                                                                                                                                                         Total
                                                                              s
                                                                                          .                                                                        Weighted
 1 Program                                                                                                                                                         Total
112 MANDATED SERVICES (CONT)
             Research for Fecal Source Tracking/Sewer Expansion
113   EAP    Priority (local ordinance 98-67)                                 yes    no     no   10a                                                               mandated
             Water Quality Sampling not Associated with Healthy
114   EAP    Beaches (local ordinance 98-67)                                  yes    no     no   2b,1a                                                             mandated
115 OSTD OSTDS New System Installation Inspections                            yes    no     no    6e                                                               mandated
116 OSTD Permitting of OSTDS Systems                                          yes    no     no    6e                                                               mandated
117 OSTD     Certify Portable Toilet Vendors                                  yes    no     no   2b,6e                                                             mandated
118 OSTD Inspect Portable Toilets                                             yes    no     no    6e                                                               mandated
119 OSTD OSTDS Enforcement, Including Legal Counsel, Court                    yes    no     no    6e                                                               mandated
120   OSTD Permitting of Pump Trucks Systems                                  yes    no     no    6e                                                               mandated
121 OSTD Abandonment Permitting and Inspections                               yes    no     no    6e                                                               mandated
122 OSTD Permitting of ATU Systems                                            yes    no     no    6e                                                               mandated
123 OSTD Permitting of Commercial Systems                                     yes    no     no    6e                                                               mandated
124 OSTD Permitting of ATU Maintenance Entity                                 yes    no     no    6e                                                               mandated
125 OSTD Inspections of ATU Systems                                           yes    no     no    6e                                                               mandated
126   WIC    Voter Registration                                               yes    no     no    n/a                                                              mandated
127   WIC    Individual nutrition plan/consult                                yes    no     no   3b/3c                                                             mandated
128   WIC    Immunization review and referral                                 yes    no     no    7b                                                               mandated
129   WIC    Breastfeeding education and support (individual)                 yes    no     no    3c                                                               mandated
130   WIC    Nutrition Education                                              yes    no     no   3b/3c                                                             mandated
131   WIC    Program evaluation                                               yes    no     no    9c                                                               mandated
             Participate in Health Curriculum Development &
132    SH    Presentations                                                    yes    no     no   3c,3d                                                             mandated
133    SS    Public access to Florida laws (FAC and FS)                       yes    no     no    6c                                                               mandated
134    All   Financial interviews of clients for program eligibility          yes    no     no    7b                                                               mandated
135    SS    Prepare Contract between county and DOH                          yes    no     no   11?                                                               mandated
136    SH    BMI screenings (Certain ages)                                    yes   1a,7b   no    1a                                                               mandated


1/12/2011                                                                           43                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                               Escambia CHD Services Ranking Tool
       A                                     B                                 F      G     H      I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                 ECHD Services                               Require
                                                                                     / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                PR X 5
                                                                                                                                                          Total
                                                                               s
                                                                                           .                                                                        Weighted
 1 Program                                                                                                                                                          Total
137 MANDATED SERVICES (CONT)
138 Admin Assist Supervision of Limited License MDs in County                 yes                                                                                   mandated
             Advise County Public Safety on Bioterrorism, Chem. Rad,
139   PHP    Disaster                                                          no    yes   yes    2d                                                                mandated
140   Epi    Disaster-related Disease Outbreak Prevention & Control            no    yes   yes    2b                                                                mandated
             ESF 8: 24-hour Disaster Presence @ Emergency Ops
141   PHP    Center; Obtain & Coordinate State/Fed Resources                   no    yes   yes    2c                                                                mandated

142    All   Employees Required to be Available at all Times re: Disaster      no    yes   yes    2d                                                                mandated
             Post-disaster Group Home/All-Facility Evals Prior to Fac. re-
143   EH     opening (Pools, NH, Schools, Bars/Lounges)                        no    yes   yes    2b                                                                mandated
144 Clinic Assure Employee RN/MD LICENSES are current                          no    yes   yes    8a                                                                mandated
145 Clinic Maintain staff work schedules                                       no    yes   yes    11?                                                               mandated
146 Clinic Pharmacy Activities                                                 no    yes   yes    11?                                                               mandated
             Write , train, and exercise communications plans and
147   PIC    procedures                                                        no    yes   yes    2d                                                                mandated
148   PIC    Train back-up PIO's and spokespersons                             no    yes   yes   2d, 8c                                                             mandated
149   SS     Execute all financial transactions                                no    yes   yes    11?                                                               mandated
150 Admin Maintain local personnel expertise & personnel actions               no    yes   yes  11?
                                                                                               2g, 3b,
                                                                                                                                                                    mandated
151   SS     Maintain ECHD website                                             no    yes   yes   3c
                                                                                                 8e,
                                                                                                                                                                    mandated
152   SS     provide own building maintenance services                         no    yes   yes  11?                                                                 mandated
153    All   Provide incident reporting system                                 no    yes   yes   2a, 2b                                                             mandated
154    All   Computer/IT support services                                      no    yes   yes   2g, 8e                                                             mandated
155   SS     Clinic Support services                                           no    yes   yes    11?                                                               mandated
156   HP     Provide PIO services to ECHD in lieu of Regional PIO              no    yes   yes    2d                                                                mandated
157   SS     Recruit, hire and train staff                                     no    yes   yes    8a                                                                mandated
158   SS     Pre pare employees to be supervisors/leaders                      no    yes   yes    8b                                                                mandated
159   SS     Provide for up to date communication methods for staff            no    yes   yes    2g                                                                mandated
160   PHP    Maintain Current ECHD/Public Health Emergency Plan                no    yes    no    2d                                                                mandated

1/12/2011                                                                           44                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                    Escambia CHD Services Ranking Tool
           A                                  B                                    F      G     H     I        K        M          O        Q       S         T          U

                                                                                               PH
                                                                                  Law
                                                                                         COOP Dis. Oper'l   prim prev must do      saves funded X          Original
                                  ECHD Services                                  Require
                                                                                         / COG Resp Def #      X 25    X 10      time X 5 5
                                                                                                                                                  PR X 5
                                                                                                                                                            Total
                                                                                   s
                                                                                               .                                                                      Weighted
 1 Program                                                                                                                                                            Total
161 MANDATED SERVICES (CONT)
162    PHP     Maintain Current ESF8 Emergency Plan                                no    yes    no    2d                                                              mandated

163    All     Participate in Pre-disaster Preparation Drills, Planning, etc.      no    yes    no    2e                                                              mandated
164    SS      Maintain patient scheduling system-HMS                              no    yes    no   11?                                                              mandated

165    Epi     Investigation/encourage treatment for reportable diseases           no     no   yes    2b                                                              mandated
               Maintain a database on all reportable and non-reportable
166    Epi     diseases received by the local unit                                 no     no   yes    1e                                                              mandated

               Provide education and recommendations to individuals and
               institutions regarding the implementation of prevention and
167    Epi     control measures to prevent the spread of disease                   no     no   yes    3d                                                              mandated

               Develop and maintain close working relationships with
               providers such as physicians, infection control practitioners,
               schools, childcare providers, etc. , to ensure early reporting
168    Epi     and implementation of needed prevention/control measures.           no     no   yes    1b                                                              mandated
169    Epi     Data/statistical analyses                                           no     no   yes    1e                                                              mandated
               Develop protocols/plans for disease investigation,
170    Epi     surveillance and response                                           no     no   yes   10c                                                              mandated
171    HIV     Provide HIV Medications                                             no     no   yes    7b                                                              mandated
172    Epi     Testing and Counseling for Enteric Pathogens                        no     no   yes   7b,c                                                             mandated
173 A Imm Tetanus Shots                                                            no     no   yes    7c                                                              mandated

      HP       Create and produce pandemic flu media materials as needed
174            (ex. Newspaper insert/radio ads/cd for community)                   no     no   yes    3c                                                              mandated
               Create pan flu educational materials for distribution to public
      HP
175            (ex. Home care brochure)                                            no     no   yes    3c                                                              mandated
176 A Imm Adult vaccinations                                                       no     no   yes    7c                                                              mandated
177 A Imm Rabies Post Exposure Evaluation                                          no     no   yes    7c                                                              mandated
178 A Imm Rabies Post exposure Prophylaxis                                         no     no   yes    7c                                                              mandated

1/12/2011                                                                               45                                      ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                              Escambia CHD Services Ranking Tool
        A                                  B                                 F      G     H      I        K        M          O        Q       S         T          U

                                                                                         PH
                                                                            Law
                                                                                   COOP Dis. Oper'l    prim prev must do      saves funded X          Original
                               ECHD Services                               Require
                                                                                   / COG Resp Def #       X 25    X 10      time X 5 5
                                                                                                                                             PR X 5
                                                                                                                                                       Total
                                                                             s
                                                                                         .                                                                       Weighted
 1 Program                                                                                                                                                       Total
179 MANDATED SERVICES (CONT)
180    EH    Disaster-related Shelter Inspections                            no     no   yes    2b                                                               mandated
181   PHP    Stockpile Supplies for Special Needs Shelter                    no     no   yes    2b                                                               mandated
182    EH Disaster Facility Inspections                                      no     no   yes    2b                                                               mandated
          Outreach activities with shot mobile (Neighborhoods &
183 P Imm School)                                                            no     no   yes    7b                                                               mandated
184   Epi/EH Restaurant Outbreak Investigations for DBPR                     no     no   yes    2b                                                               mandated
             Public Water Complaint Investigation and Sampling per
185 Water Interagency Agreement                                              no     no   yes    2b                                                               mandated
186 Water Assure Boil Water Notices Issued by utilities                      no     no   yes    2b                                                               mandated
187 Toxics GPS/GIS/Mapping for ECHD Divisions                                no     no   yes    1e                                                               mandated
188 DEP T Post Hurricane Surveys at Marine & Terminal Facilities             no     no   yes   2a,b                                                              mandated
189 DEP T Emergency Response Investigations for Spilled Fuels                no     no   yes   2a,b                                                              mandated
         Assist Citizens with Post-Disaster Sanitary and Cleanup
190 OSTD Issues                                                              no     no   yes    2e                                                               mandated

191    HS    Assess eligible pregnancies & babies (includes Home Visits)     no     no   yes   2a/2b                                                             mandated
192    FP    Provide Contraception                                           no     no   yes   2b/7c                                                             mandated
193 Clinic Epilepsy Med Distribution ("G/A Epilepsy svces")                  no     no   yes                                                                     mandated
194 Clinic Primary Care for client children                                  no     no   yes    7b                                                               mandated
195 Clinic Primary Care to ECHD Medipass Clients                             no     no   yes    7b                                                               mandated
             Sovereign Immunity-volunteer physician agreement
196 WeCare management                                                        no     no   yes    2c                                                               mandated
197 Dental Medicaid Pediatric Dental services                                no     no   yes    2b                                                               mandated
198 Clinic Patient referrals                                                 no     no   yes    7c                                                               mandated
199 Clinic Lab services to include packing and shipping                      no     no   yes                                                                     mandated
200 Clinic Labs tracking                                                     no     no   yes                                                                     mandated
201 Clinic Provision of state funded insulin                                 no     no   yes    7b                                                               mandated
1/12/2011                                                                         46                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
        A                                    B                                F      G     H     I         K        M          O        Q       S         T          U

                                                                                          PH
                                                                             Law
                                                                                    COOP Dis. Oper'l    prim prev must do      saves funded X          Original
                                ECHD Services                               Require
                                                                                    / COG Resp Def #       X 25    X 10      time X 5 5
                                                                                                                                              PR X 5
                                                                                                                                                        Total
                                                                              s
                                                                                          .                                                                       Weighted
 1 Program                                                                                                                                                        Total
202 MANDATED SERVICES (CONT)
203 Clinic Patient referrals for outside services such as free clinics        no     no   yes    7b                                                               mandated
204    PIC   Respond to reporter inquiries                                    no     no   yes    3a                                                               mandated
205    PIC   Write and edit public information documents                      no     no   yes    3b                                                               mandated
206    PIC   Monitor and evaluate media coverage                              no     no   yes    3a                                                               mandated

207    PIC   Organize news conferences and media coverage of events           no     no   yes    3a                                                               mandated
208    PIC   Maintain contacts at news outlets and partner agencies.          no     no   yes    3a                                                               mandated

209 Admin Resource to local and state elected officials about PH issues       no     no   yes    5a                                                               mandated
210 Admin Retain legal counsel                                                no     no   yes    6                                                                mandated
211 Clinic CPR training and certifications for our staff                      no     no   yes    8c                                                               mandated
212    HP    Attend behavioral health disaster trainings and updates          no     no   yes 2d, 2e                                                              mandated
                                                                                              2c, 2d,
213    All   Support to Emergency Operation Center during disasters           no     no   yes   2e                                                                mandated
214    SS    Maintain data base of client information                         no     no   yes    7c                                                               mandated
             Set staff training standards and provide ongoing educational
215    SS    training                                                         no     no   yes    8a                                                               mandated
216 NON-MANDATED SERVICES
217   STD    Contact Investigation for STD                                    no     no    no    2b        50       20         10       10      10       10         100
218 OSTD OSTDS Repair Inspections                                             no     no    no    2b        50       20         10       10      10       10         100
219 Hep FL Hep B Program: outreach-pregnant women                             no     no    no    2b        50       20         10       10      5         9          95
220    Hep   Hepatitis B & C surveillance                                     no     no    no    2b        50       20         10       10      5         9          95
221    All   Panflu presentations                                             no   no     no     3c        50       20         10       5       10        9          95
222   PHP    Panflu external planning                                         no     no    no    2d        50       20         10       5       10        9          95
223 Beach Post beaches warnings (Disaster)                                    no     no    no    2b        50       20         10       5       10        9          95
             Internal Referrals of All Pregnant Women, On the Spot, to
224    FP    other CHD Resources                                              no     no    no    7c        50       20         10       5       10        9          95
             Referral to OB provider, etc. immediately after positive
225    HS    pregnancy test                                                   no     no    no    7c        50       20          5       10      10        9          95
1/12/2011                                                                          47                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                 Escambia CHD Services Ranking Tool
           A                                 B                                F      G     H      I        K        M          O        Q       S         T          U

                                                                                          PH
                                                                             Law
                                                                                    COOP Dis. Oper'l    prim prev must do      saves funded X          Original
                                 ECHD Services                              Require
                                                                                    / COG Resp Def #       X 25    X 10      time X 5 5
                                                                                                                                              PR X 5
                                                                                                                                                        Total
                                                                              s
                                                                                          .                                                                       Weighted
 1 Program                                                                                                                                                        Total
226 NON-MANDATED SERVICES (CONT)
227 HP         Development of quarterly health messages.                      no     no    no    3c        50       20         10       0       10        8          90
228    SH      Immunization Tracking/Referrals                                no     no    no    6c        50       20         10       5       5         8          90
229 OSTD Provide nursing support for body piercing inspections                no     no    no   2b/6e      50       20          5       10      5         8          90
      HP
230            Champion the ECHD Community Obesity Task Force (OTF)           no     no    no    5c        50       20         10       0       5         7          85
          Advocate locally for funds related to special PH needs of
231 Admin Escambia County                                                     no     no    no    5         50       20         10       0       5         7          85
          Give Hep B shots to school employees and private cos.
232 A Imm (revenue generating)                                                no     no    no   7b,c       50       0          10       10      10        8          80
233    STD     STD Outreach activities                                        no     no    no   7b,3c      50       0          10       10      10        8          80
234 Eh/Fac Group Care Home Inspections                                        no     no    no    2b        50       10         10       5       5         7          80
               Process Healthy Start screens and data. Entering screening
235 PH Nut information                                                        no     no    no    7b        50       0          10       10      10        8          80
236    FP      Interconceptual Counseling                                     no     no    no    3c        50       10         10       5       5         7          80
          Provide the following education/counseling services: Child
          Birth Education, Smoking Cessation Education and
          Counseling, Parenting Education, Interconceptional
          Counseling, Lactation Counseling and Support, Psycho-
237 HS social counseling, newborn care and risk                               no     no    no    3c        50       0          10       10      10        8          80
          Advocate at DOH for funds related to special PH needs of
238 Admin Escambia County                                                     no     no    no    5         50       20         10       0       0         6          80
239    HIV     Prevention interventions targeting high risk groups            no     no    no    3c        50       0           5       10      10        7          75
240    HIV     Condom distribution throughout four county area                no     no    no    3d        50       0           5       10      10        7          75
241    SH      Triage Sick School Kids to Home or Return to Class             no     no    no    7c        50       0          10       5       10        7          75

242 Toxics Toxics Program/SUPER ACT GIS/Mapping                               no     no    no    1e        50       0           5       10      10        7          75

243 Toxics Toxics Program/SUPER ACT Site Well Survey Investigations           no     no    no    2b        50       0           5       10      10        7          75

244 Beach Beaches Contamination Notifications                                 no     no    no    2b        25       20         10       10      10        9          75
245 OSTD OSTDS Repair Site Evaluations                                        no     no    no    2b        50       0           5       10      10        7          75

1/12/2011                                                                          48                                       ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                               Escambia CHD Services Ranking Tool
        A                                  B                                   F      G     H      I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                               ECHD Services                                 Require
                                                                                     / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                PR X 5
                                                                                                                                                          Total
                                                                               s
                                                                                           .                                                                        Weighted
 1 Program                                                                                                                                                          Total
246 NON-MANDATED SERVICES (CONT)
             Healthy Start Care Coordination: coordinate the provision of
             and facilitate access to needed services for at-risk pregnant
247    HS    women and infants                                                 no     no    no    7c         50       0           5       10      10        7          75
248    HS    Qualify pregnant women for Medicaid                               no     no    no    7c         50       0           5       10      10        7          75
249    HS    Pregnancy testing, HIV and Hepatitis pretest counseling           no     no    no    7c         50       0           5       10      10        7          75
250    HS    Pregnancy Counseling post pregnancy testing                       no     no    no    7c         50       0           5       10      10        7          75

           Assure pre-natal care and education to all women with
           pregnancy Medicaid to include initial contacts, OB provider
    MomCar appointment verifications, health outcome assessments, and
251   e    referrals to other services as Healthy Start and WIC                no     no    no    7c         50       0           5       10      10        7          75
252    Hep   Referrals to ECHD in Escambia Community Collaborative as
             Represents local providers for evaluation and treatment           no     no    no    7c         50       0          10       10      5         7          75
             champion and stakeholder utilizing MAPP process and
253    HP    participating in solutions teams.                                 no     no    no     4         50       10          5       0       10        6          75
             Counseling School Kids/Parents re: Risk
254    SH    Behaviors/Health ("Supp. SH")                                     no     no    no   3c,3d       50       0          10       5       10        7          75
255    SH    Student education/wellness activities                             no     no    no    3c         50       0          10       5       10        7          75
256    SH    School Staff education/wellness activities                        no     no    no    3c         50       0          10       5       10        7          75
257    SH    Parent education/wellness activities                              no     no    no    3c         50       0          10       5       10        7          75
258    PIC   Pitch news story ideas; advise staff on news media                no     no    no    3a         50       0          10       5       10        7          75
259    HP    Youth Tobacco Prevention                                          no     no    no    3c         50       0           5       10      10        7          75
             Continuous scheduling of presentations to community to
260    HP    educate public specific to the ECHD laser focus areas             no     no    no   3b, 3c      50       0          10       5       10        7          75
             Establish media partnership with local radio station and
             station personality to endorse youth tobacco prevention
261    HP    efforts                                                           no     no    no    3a         50       0           5       10      10        7          75
             Immunizations subcommitee focusing on 0-2 year olds:
262    HP    marketing and program development.                                no     no    no    3d         50       0          10       0       10        6          70
263   A Imm Overseas Travel Shot Info/Referrals                                no     no    no    7c         50       0           0       10      10        6          70
264 OSTD OSTDS New System Site Evaluations                                     no     no    no    2b         50       0           5       10      5         6          70
265 Dental Dental screenings Head Start and schools                            no     no    no    7c         50       0           0       10      10        6          70

1/12/2011                                                                           49                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
       A                                     B                                  F      G     H      I         K        M          O        Q       S         T          U

                                                                                            PH
                                                                               Law
                                                                                      COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                 ECHD Services                                Require
                                                                                      / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                 PR X 5
                                                                                                                                                           Total
                                                                                s
                                                                                            .                                                                        Weighted
 1 Program                                                                                                                                                           Total
266 NON-MANDATED SERVICES (CONT)
267    SH    Vision/Hearing Screenings/Referrals for Children                   no     no    no    7c         50       0           5       5       10        6          70
268 Clinic Immigration Physicals                                                no     no    no   2b/7c       50       0           5       10      5         6          70
269    FP    Testing for STDS                                                   no     no    no    7b         50       0          10       5       5         6          70
270    FP    Vitamin refill clinic, nutrition counseling, BMI                   no     no    no   3c,7b       50       0          10       5       5         6          70
271   STD    Counseling and testing STD                                         no     no    no    7b         50       0          10       5       0                    65
272    HIV   Active "AIDS Surveillance"                                         no     no    no    10B        50       0           5       10      0         5          65
273 A Imm Influenza Vaccinations                                                no     no    no    7c         50       0           0       5       10        5          65
274   A Imm Pneumonia Vaccinations                                              no     no    no    7c         50       0           0       10      5         5          65
             Provide regional support for other counties. Contact
275   STD    Investigation                                                      no     no    no    N/A        50       0           5       5       5         5          65
276   Arbo   Arboviral Sampling as Needed or Required (BIRDS)                   no     no    no    2b         50       10          0       0       5         4          65
277 Eh/Fac Train Food Service Personnel ( Schools)                              no     no    no     6c
                                                                                                  2b/3c/
                                                                                                              50       0          10       0       5         5          65
278    FP    Screening Examinations for Childbearing Women                      no     no    no     7c        50       0           5       5       5         5          65
279    HIV   HIV education to medical providers                                 no     no    no    8d         50       0           5       0       5         4          60
             Coordination of Employee Pedometer/early stages of
280    HP    Employee wellness program                                          no     no    no    8d         50       0           5       0       5         4          60
             Development, coordination, production, & implement
             campaigns for community events to include Step-Up Florida,
281    HP    & Healthy Family Day                                               no     no    no   3b, 3c      50       0           5       0       5         4          60
282   STD    Clinical STD evaluation, STD testing                               no     no    no    7b         50       0          10       0       0        n/a         60

283   STD    Treatment for STD                                                  no     no    no    7b         50       0          10       0       0        n/a         60

284 clinic Clinical Animal Bite Evaluations for Tx                              no     no    no    7c         50       0           0       5       0         3          55
             Outreach and Partnerships with other local providers re:
285   Hep    Hepatitis                                                          no     no    no    1b         25       0          10       10      10        7          55
             Provide community liason activities that support healthy start
286    HS    screening                                                          no     no    no    7b         25       0          10       10      10        7          55

287    FP    Review of Immunization Status of Childbearing Women                no     no    no    2b         50       0           0       5       0         3          55

1/12/2011                                                                            50                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
       A                                   B                                   F      G     H      I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                               ECHD Services                                 Require
                                                                                     / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                PR X 5
                                                                                                                                                          Total
                                                                               s
                                                                                           .                                                                        Weighted
 1 Program                                                                                                                                                          Total
288 NON-MANDATED SERVICES (CONT)
289 Clinic Labs notification to clients                                        no     no    no    7b         25       20          5       0       5         5          55

290    HP    Involvement in ethnic/minority population health education        no     no    no    3c         25       20          5       0       5         5          55
291    Epi   Epidemiological Research                                          no     no    no    10A        25       10          5       0       10        5          50
             Culturally competent technical assistance to minority
292    HIV   providers of HIV services                                         no     no    no   3c,d        0        20         10       10      10        8          50
293 P Imm Immunization Tracking                                                no     no    no    9b         50       0           0       0       0         2          50

294 Toxics Toxics Program/SUPER ACT Site Water Testing/Evaluations             no     no    no    2b         25       0           5       10      10        6          50
             Toxics Program/SUPER ACT Dry Cleaners Site Survey
295 Toxics Investigations                                                      no     no    no    2b         25       0           5       10      10        6          50
296 PHNut Headstart nutrition evaluation (revenue generating)                  no     no    no   2b/3b       25       0           5       10      10        6          50
297    FP    Sterilization Referrals/Payment (Male & Female)                   no     no    no   2b/7c       25       0           5       10      10        6          50
298    PIC   Coach subject matter experts pre-interview                        no     no    no    3c         25       0          10       5       10        6          50

299    HP    Participation in Immunization Coalition meetings & activities     no     no    no   3b, 4b      25       0          10       0       10        5          45
300    HIV   Analysis and dissemination of HIV/AIDS data                       no     no    no    1e         25       0           5       10      5         5          45
301 OSTD OSTDS Existing System Site Evaluation                                 no     no    no    2b         25       0           5       10      5         5          45

302    SH    Nursing Assessments and health counseling for school kids         no     no    no    7b         25       0          10       5       5         5          45
303   WIC    Loan and track electric/manual breast pumps                       no     no    no    2b         25       0           0       10      10        5          45
304 Clinic Screening Physicals for Head Start Entry                            no     no    no    7c         25       0           0       10      10        5          45
305 Clinic Screening Physicals for Daycare Entry                               no     no    no    7c         25       0           0       10      10        5          45
306 Dental Dental Van Administration                                           no     no    no    8e         0        20          5       10      10        7          45
             Referrals of Abnormalities Found in Kids/Tracking &Follow-
307    SH    up (Dental, Mental &/or Physical)                                 no     no    no    7c         25       0           5       5       10        5          45

308    HP    FL Step-Up Program (chronic disease prevention)                   no     no    no    1a         25       0           5       10      5         5          45
             Support, promote and conduct smoking cessation classes
309    HP                                                                      no     no    no    3c         25       0           0       10      10        5          45
310    HIV   Clinical HIV evaluation                                           no     no    no   7b,c        25       0           5       10      0         4          40
1/12/2011                                                                           51                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
       A                                     B                                 F      G     H      I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                 ECHD Services                               Require
                                                                                     / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                PR X 5
                                                                                                                                                          Total
                                                                               s
                                                                                           .                                                                        Weighted
 1 Program                                                                                                                                                          Total
311 NON-MANDATED SERVICES (CONT)
312   HIV    HIV Treatment                                                     no     no    no   7b,c        25       0           5       10      0         4          40
313 A Imm Rabies Pre-exposure Prophylaxis                                      no     no    no    7c         25       0           0       10      5         4          40
314   Hep    Testing and Counseling for Hepatitis A,B,C (mostly B,C)           no     no    no   2b,7b       25       0           5       5       5         4          40

315   SH     Follow-up activities for screening and health issue referrals     no     no    no    7c         25       0           5       5       5         4          40
316    FP    Counseling re: Contraception Methods                              no     no    no   2b/3c       25       0           5       5       5         4          40
317 Clinic School Physicals                                                    no     no    no    7b         25       0           0       5       10        4          40
318    all   Resource to citizens & groups about PH issues                     no     no    no   3b, 3c      25       0           5       0       10        4          40
319 Child Lead screening, counseling, evaluation                               no     no    no    7c         25       0           5       5       0         3          35
320    All   Panflu internal planning                                          no     no    no    2c         0        20         10       5       0         5          35
321 Eh/Fac MQA Inspections                                                     no     no    no    2b         25       0           0       10      0         3          35
322   IAQ    Some Indoor Air Quality Investigations for DOH                    no     no    no    2b         25       0           5       0       5         3          35
323 PHNut ACLF Menu evaluation (revenue-generating)                            no     no    no    3b         25       0           0       10      0         3          35
324 PHNut Nutrition presentations for the community                            no     no    no   3b/3c       25       0           0       0       10        3          35
325   Arbo   Arthropod Investigations                                          no     no          2b         25       0           5       0       5         3          35
326 Eh/Fac Child Care Inspections(Physical Plant)                              no     no    no    2b         25       0           5       0       0         2          30
327   HP     Triage of We Care specialty physician referrals.                  no     no    no    7c         0        20          0       5       5         4          30
328   HP     Injury prevention liaison to state office of IP                   no     no    no    3b         0        20          0       0       5         3          25
             Continuous Quality Improvement, (training, teams, planning,
329   HP     etc.) Sterling                                                    no     no    no    9c         0        10         10       0       5         4          25
330   HIV    Liaison between Bureau of HIV/AIDS (BOHA) and CHDs                no     no    no    2c         0        0           5       10      5         4          20

331 DEP C Petroleum Site Cleanup Management in Contracted Counties             no     no    no   2a,b        0        0           0       10      10        4          20

332 DEP C Remedial System Site Inspections of Active Cleanup Sites             no     no    no   2a,b        0        0           0       10      10        4          20
333 DEP C Review and Approve of Contractors Invoices                           no     no    no   2a,b        0        0           0       10      10        4          20


1/12/2011                                                                           52                                        ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                               Escambia CHD Services Ranking Tool
       A                                   B                                   F      G     H     I        K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l   prim prev must do      saves funded X          Original
                                  ECHD Services                              Require
                                                                                     / COG Resp Def #      X 25    X 10      time X 5 5
                                                                                                                                              PR X 5
                                                                                                                                                        Total
                                                                               s
                                                                                           .                                                                      Weighted
 1 Program                                                                                                                                                        Total
334 NON-MANDATED SERVICES (CONT)
335 DEP C Review of Proposals and Approval of Work Orders                      no     no    no   2a,b      0        0           0       10      10        4          20
             Review and approval of Reports for Cleanup Site
336 DEP C Management Activities                                                no     no    no   2a,b      0        0           0       10      10        4          20
          Annual Inspections of Regulated Storage Tank Facilities in 5
337 DEP T Contracted Counties, a total of 1358 sites.                          no     no    no   2a,b      0        0           0       10      10        4          20
338 DEP T Installation Inspections of Regulated Storage Tanks                  no     no    no   2a,b      0        0           0       10      10        4          20
339 DEP T Removal Inspections of Regulated Storage Tanks                       no     no    no   2a,b      0        0           0       10      10        4          20
340 DEP T Closure Assessment Reviews                                           no     no    no   2a,b      0        0           0       10      10        4          20
             Refer enforcement cases to the Department of
341 DEP T Environmental Protection on regulated tank issues.                   no     no    no   2a,b      0        0           0       10      10        4          20

342 DEP T Repair and Upgrade Inspections of Regulated Storage Tanks            no     no    no   2a,b      0        0           0       10      10        4          20
343 PHNut CMS consults (revenue-generating)                                    no     no    no    3c       0        0           0       10      10        4          20
344 Clinic FL Breast and Cervical Cancer Grant Services                        no     no    no    7b       0        0           0       10      10        4          20
345 Dental Dental services to HIV-positive individuals                         no     no    no    7b       0        0           0       10      10        4          20
346 Dental Adult Dental-Medicaid                                               no     no    no    7b       0        0           0       10      10        4          20

347    HP    Participate in quarterly regional volunteer provider meetings     no     no    no    7a       0        0          10       0       10        4          20
348   Hep Hepatitis Support Group                                              no     no    no    3c       0        0           5       10      5         4          20
          Annual FL State Employees Charitable (United Way)
349 Admin Campaign                                                             no     no    no             0        20          0       0       0         2          20
350    SS    Volunteer Training                                                no     no    no    8c       0        0          10       0       10        4          20

351    HP    Develop infrastructure and coordination of internship process     no     no    no    8c       0        0          10       0       10        4          20
352   HIV    "AIDS Patient Care"                                               no     no    no    7c       0        0           0       10      5         3          15
353    VS    Family Tree Searches                                              no     no    no    na       0        0           0       10      5         3          15
354    SH    School First Aid                                                  no     no    no    2b       0        0           0       5       10        3          15
355    SH    School Clinic medication administration                           no     no    no    7b       0        0           0       5       10        3          15

1/12/2011                                                                           53                                      ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
       A                                   B                                    F      G     H       I         K        M          O        Q       S         T          U

                                                                                            PH
                                                                               Law
                                                                                      COOP Dis. Oper'l      prim prev must do      saves funded X          Original
                               ECHD Services                                  Require
                                                                                      / COG Resp Def #         X 25    X 10      time X 5 5
                                                                                                                                                  PR X 5
                                                                                                                                                            Total
                                                                                s
                                                                                            .                                                                         Weighted
 1 Program                                                                                                                                                            Total
356 NON-MANDATED SERVICES (CONT)
357 Clinic Physicals in foster kids                                             no     no    no     7c         0        0           0       10      5         3          15
358    FP    Emergency contraception                                            no     no    no     7b         0        0          10       0       5         3          15
359    HP    Referrals to other agencies and services via We Care.              no     no    no     7c         0        0           0       5       10        3          15
360    HP    Recruiting for We Care specialty physician referral pool.          no     no    no     7a         0        0           0       5       10        3          15
             Participation in H-CAP Grant to include involvement in
             subcommittees and assist in strategy implementation (ex:
361    HP    prescription medication assistance program) (RHIO)                 no     no    no     7c         0        0          10       0       5         3          15
             Provide Training for Med/ARNP/RN, phlebotomy, med.
362    All   Asst.Students                                                      no     no    no     8a         0        0           5       0       10        3          15
             Development and coordination of Employee Satisfaction                                8a, 9b,
363    All   Advisory Committee                                                 no     no    no     9c         0        0          10       0       5         3          15

             Building strategies for communication of Sterling Business                            8a,
364    HP    Excellence Model and process to ECHD employees                     no     no    no    11?         0        0          10       0       5         3          15

365    HP    Oversee compliance of ECHD branding/design standards               no     no    no   3b, 11?      0        0           5       0       10        3          15
366    VS    Funeral Home Training                                              no     no    no     1b         0        0           5       0       5         2          10

367 OSTD Site Evaluations and issuance of Site Letters on vacant lot            no     no    no     2b         0        0           0       5       5         2          10
368    SH    Mgmt. of students w/chronic disease                                no     no    no     7b         0        0           0       5       5         2          10
             Coordination of ECHD McMillan Fund (indigent patient
369    HP    procedure funds)                                                   no     no    no     7c         0        0           0       5       5         2          10
             Participate in annual Health Excellence Symposium (NAVY)
370    HP    planning committee to include event implementation                 no     no    no   3b,8d        0        0           0       0       10        2          10
             Participation in multiple partnerships within the community to
             include the school district of Escambia County, UWF, Jr.
             League of Pensacola, Hope Center for Teens, PFAC,
             Escambia Community Collaborative, Community Mental
371    HP    Health, Lakeview, United Way and E                                 no     no    no   4b, 4d       0        0           5       0       5         2          10
372   HIV    Assist with State/Fed partner requests                             no     no    no     2c         0        0           0       5       0         1          5
373 P Imm Provide vaccination record for our patients                           no     no    no    N/A         0        0           0       0       5         1          5

1/12/2011                                                                            54                                         ff921bf5-3f97-4e30-9dcb-494e8e509c18.xls
                                                                Escambia CHD Services Ranking Tool
        A                                   B                                     F    G    H      I         K        M          O        Q       S         T          U

                                                                                           PH
                                                                              Law
                                                                                     COOP Dis. Oper'l     prim prev must do      saves funded X          Original
                                 ECHD Services                               Require
                                                                                     / COG Resp Def #        X 25    X 10      time X 5 5
                                                                                                                                                PR X 5
                                                                                                                                                          Total
                                                                               s
                                                                                           .                                                                        Weighted
 1 Program                                                                                                                                                          Total
374 NON-MANDATED SERVICES (CONT)
375 PHNut Individual nutrition counseling with referral (sliding scale)        no      no   no    3c         0        0           0       5       0         1          5
376     SH    Scoliosis Screenings/Referrals for Children                      no      no   no    7c         0        0           0       5       0         1          5
377 Clinic We Care and McMillan referrals                                      no      no   no    7b         0        0           0       0       5         1          5
378     FP    Screening examinations for non Childbearing Women                no      no   no    7b         0        0           0       0       5         1          5
379     TB    TB Physical Exam                                                 no      no   no    7b         0        0           0       0       5         1          5
              Coordination of ECHD participation in community health fairs
              and public health events
380     HP                                                                     no      no   no    3b         0        0           0       0       5         1          5
          Membership in PH organizations, including ECCHO, FACHO,                                  5a,
381 Admin FPHA, NACCHO                                                         no      no   no   8c,10b      0        0           5       0       0         1          5
          Assist with training and annual updates of HIV Counseling
382 STD course                                                                 no      no   no    6c         0        0           0       0       0         0          0

383   Glossary of Acronyms:
384   A Imm  Adult Immunizations                                             FAC      Florida Administrative Code    PIC               Public Info/Communication
385   ATU    Aerobic Treatment Unit                                          FS       Florida Statutes               P Imm             Pediatric Immunizations
386   BMI    Body Mass Index                                                 FP       Family Planning                SS                Support Services (Administration)
387   DBPR Dept. of Business and Professional Regulation                     HMS      Health Management System       TB                Tuberculosis
388   DEP C Dept. of Environmental Protection Compliance Prog.               HP       Health Promotion               VS                Vital Statistics
389   DEP T Dept. of Environmental Protection Tanks Cleanup Prog.            HS       Healthy Start                  WIC               Women Infant Children Program
390   EAP    Environmental Analysis Program                                  MQA      Medical Quality Assurance
391   Eh/Fac Env. Health/Facilities Program                                  NH       Nursing Home
392   ESF    Emergency Special Function                                      OSTD     Onsite Sewage Treatmentand Disposal




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Description: Contract of Agreement for Salon Employees document sample