The Analyses of Hanover Health Department

1
The Analyses of Hanover Health Department

• Jacqueline Sears
• Nisha Warrier
• Aimee Gibbs
• Yeatoe McIntosh

2
Overview

• Hanovers Health District
• Counties within the district
• Mission, Goals and Objectives
• Core Services
• Budget Analyses
• Federal Funding
• Allocation of Funds to Major Resources
• Funding for Core Services
• Conclusion

3
Map of Health Districts In Virginia
4
Counties within the Hanover Health District

• The Hanover district is part of Virginia
  Department of Health
• Four Counties Within the District
• Charles City
• Hanover
• Goochland
• New Kent

5
Mission

• Mission
• Hanover Health District is committed to
  improving our community's health and environment
  by providing education and quality service in an
  efficient, consistent, and caring manner
• http//www.vdh.state.va.us/LHD/hanover/index.htm

6
Mission

• SHARED VALUES
• Caring demonstrated by courtesy, empathy,
  respect, and open communication
• Commitment to professionalism, competence, and
  teamwork
• Education challenge and empower individuals,
  families, and communities to make responsible
  decisions

7
Mission

• Innovation be creative, flexible, and
  responsive
• Integrity demonstrated by trust, fairness, and
  honesty
• Quality excellence the health districts
  standard
• Stewardship responsibly manage time, resources,
  facilities, and the environment 
• http//www.vdh.state.va.us/LHD/hanover/index.htm

8
Goals and Objectives

• Prepare staff to respond to emergencies
• naturally occurring or man made
• Promote a healthy environment by reducing
  environmental and injury related diseases
• through education and enforcement of
  environmental regulations

9
Goals and Objectives

• Promote a healthy lifestyle
• And promote a healthy environment and policies
  supporting healthy lifestyles by providing access
  to physical and healthy nutrition.
• Assist individual Hanover citizens in maintaining
  optimal health
• Providing access to quality healthcare

10
Goals and Objectives

• Reduce the incidence of communicable and vaccine
  preventable diseases
• Data collection and analyses to be used in
  planning and improving public healths practices
• information based decisions (policies)

11
Core Services

• Family Health Services
• Environmental Health
• Vital Statistics
• WIC (Womens Infants and Children Program)
• Community Based Programs

12
Core ServicesFamily Health Services

• Immunizations and Well Child Health Care
• Provides immunizations to prevent disease in
  children and adults. Federally mandated shots
  are free or may be provided on sliding scale
• Offers well child check-ups for families without
  health insurance
• Provides public school entrance examinations and
  immunizations

13
Core ServicesFamily Health Services

• Infant Safety Seats
• Provides a child safety seat and installment
  instruction for financially eligible families.
  --Priority is given for children under one year
  old and women 7-9 months pregnant
• Sexually Transmitted Infections HIV/AIDS
• Offers free screening, education, treatment and
  follow-up services for teens and adults who have
  or suspect sexually transmitted infections

14
Core ServicesFamily Health Services

• Womens Health
• Offers Womens Health examinations which include
  a pap smear, breast exam, screening and treatment
  for sexually transmitted infections, health
  education , and counseling. Birth control
  methods are available with this service.
  Services and counseling are free for women under
  18 years old.
• Provides comprehensive prenatal care to women
  including periodic physical exams, prenatal
  health and nutrition education, and referrals to
  available community resources. Fees are based on
  income.

15
Core ServicesEnvironmental Health

• Onsite Food Safety Programs
• Protects the ground and surface water resources
  by designing and approving onsite sewage systems
  and well permits
• Inspects and permits restaurants and other food
  service establishments, hotels, motels, public
  swimming pools, migrant labor camps, campgrounds
  and summer camps
• Educates about environmental diseases such as
  rabies and West Nile Virus, food and waterborne
  disease
• Offers safe food handling classes

16
Core ServicesVital Statistics and WIC

• Death Certificates
• Provides authorized individuals copies of
  certificates for deaths that occurred within
  county limits
• WIC (Womens Infants and Children Program)
• -Provides nutrition education and food vouchers
  for pregnant breastfeeding women and children
  from birth to 5 years. Applicants must meet
  financial and nutritional risk screening criteria

17
Core ServicesCommunity Based Programs

• Wellness Programs
• Provides education to prevent heart disease and
  stroke
• Partners with the community to promote
  cardiovascular health through education and
  encourage environmental and practice changes that
  encourage healthy lifestyles
• Emergency Preparedness
• Develops strategies and plans to inform and
  protect the community
• Provides local emergency response organizations
  assistance on health issues
• Coordinates activities of the Districts Medical
  Reserve Corps.

18
Core ServicesCommunity Based Programs

• Disease Investigation
• Studies, monitors and reports the patterns of
  health events such as contagious diseases and
  outbreaks in the community.
• Applies these findings to control public health
  issues
• Resource Mothers Program
• Provides support, education, and transportation
  to pregnant and parenting teens through mentors
• Promotes healthy pregnancies, positive parenting,
  returning to school, and preventing a second
  pregnancy

19
Budget Analyses Federal Public Health Funding

• Shortchanging Americas Health
• Funded by Robert Wood Johnson Foundation
• Gives per capita public health funding
• National Average
• Each State

20
Federal Public Health Funding

• Funding from CDC and Health Resources and
  Services Administration of US Public Health
  Services
• CDC programs cancer prevention, chronic disease
  prevention/Health promotion, diabetes control,
  environmental health, HIV prevention,
  immunization, and infectious disease
• HRSA programs Ryan White Comprehensive AIDS
  resources emergency act (CARE act), maternal and
  Child Health block grant, and Health
  professionals grants

21
Per capita federal funding

• No comprehensive inventory of all federal public
  health programs available
• Use snapshot of important public health programs
  that Congress funds
• 80 of funding for CDC is distributed to state
  and local public health agencies and other health
  and health and research organizations
• CDC funds per capita National average 14.93
• Virginia is ranked 46th for funding, with 11.42
  per capita

22
Per capita within Hanover District

• Hanover District 20.60 per capita
• Hanover County 14.43 per capita
• Goochland County 31.43 per capita
• New Kent County 33.61 per capita
• Charles City County45.86 per capita
• Because there are 4 counties that make up
  Hanover Health district, the health director
  decides how much of the general fund target goes
  to each. This is decided by workload,
  population, and overhead costs.

23
Cooperative budget

• There is no correlation between federal funding
  to states and health of people in the state
• In Virginia, 1998 House Joint Resolution directed
  JLARC to implement policy of State Cooperative
  budget allocation based on needs formula and
  staffing standards, instead of revenue and median
  gross income
• In Virginia, 55-85 of the cooperative budget is
  contributed by the state

24
Cooperative budget in Hanover District

• Proportion of cooperative budget contributed by
  the state in the Hanover District 59.045
• The proportion of the cooperative budget
  contributed by the state is different in each of
  Hanover Health District four counties
• Hanover county 55.00
• New Kent county 63.796
• Goochland county 55.041
• Charles City county 73.095
• The proportion of state contribution is lowest
  in Hanover county, where the median income is the
  highest and the per capita funding is the lowest

25
Allocation of Funds to Major Resources

• Major Resources-Infrastructure development
• Personnel
• Equipment
• Contractual Services
• Rent

26
Allocation of Funds to Major Resources-Personnel

• Personnel
• Largest Expanse
• Total cost of employment/ personal service
  subtotals to 2,506,434 dollars
• (80.18 of the entire budget)
• This value takes into account all employees paid
  under both the cooperative budget as well as the
  non-cooperative budget.

27
Allocation of Funds to Major Resources-Personnel

• Some of the personnel services (listed in the
  1100s) are
• Retirement contributions this is the
  contribution to the Public Employees' Retirement
  System (PERS) and the State Teachers' Retirement
  System (STRS) for funding of retirement benefits
  that will be paid out in the future
• FICA-Classified Social Security (FICA)
• Health Insurance

28
Allocation of Funds to Major Resources-Personnel

• More personnel services
• Retiree Health Credit applied service health
  credit to help offset the cost of retiree
  healthcare
• Long-term Disability Insurance income provision,
  variable with disability and time, in event of
  total disability
• Classified-Salaries (1,847,992 max expense for
  personal services)
• Deferred Compensation Match Payment match for
  employees in program to save and invest for his
  or her retirement

29
Allocation of Funds to Major Resources-Equipment

• Equipment
• 2,500 from non-cooperative budget
• 7,100 from cooperative budget
• Total 9,600 (0.31 of total budget)
• Total including charges for reference equipment,
  computer software purchases, built-in equipment,
  household equipment, office machines, office
  furniture, office appurtenances, voice data
  transmission equipment, electronic equipment, and
  other computer equipment

30
Allocation of Funds to Major Resources-Contractua
l Services

• Contractual Services
• 29,501 from non-cooperative budget
• 275,775 from cooperative budget
• Total 305,276 (9.77 of total budget)
• accounting for several services, employee
  training, and travel)

31
Allocation of Funds to Major Resources-Rent

• Rent
• 10,076 from non-cooperative budget
• and 79,958 from cooperative budget
• Total 90,034 (2.88 of total budget)
• including building rentals and equipment rentals-
  equipment rentals only coming out to 10,959 out
  of this total cost)

32
Chart of Allocation of Funds for Major Resources
33
Grant Funding and Revenues

• Non-COOP grant funding and Revenuesfederal
  grants or CDC block grant
• Reduce Child Morbidity Title V 10, 967
• MCH Infants Health 15, 346
• Family Planning Title X 59, 465
• Resource Mothers 46, 800
• WIC Admin 111, 667
• WIC Breastfeeding 5, 877
• WIC Nutrition Education 29, 386
• IAP (immunization action plan grant) 33,053
• CDC Cardiovascular (CDC Block) 101, 000
• EPR Planning
• Focus A-1 95, 488
• Focus B 71, 177

34
Grant Funding and Revenues

• COOP State and local match funds funding
  received from state out of funds provided by tax
  revenues from the state of Va.
• Environmental Health 724, 746
• Family Planning 170, 450
• General Medical 111,150
• Administration 908, 792
• Includes health and life insurance, salaries
  (including Health Director), Equipment and
  building rentals, electrical charge services,
  other services not covered in other areas of the
  budget
• Maternal Child Health 630, 602

35
Conclusion on Allocation of Funds

• Within this particular district, the focus of the
  budget on primarily funding personnel yields
  sound concerns
• It should be noted, however, that even through
  this
• problem/limitation in the functions of the
  health department, Hanover Health District does
  allocate money in the contractual services to
  training of the employees, and therefore, this
  health district is managing their work and
  progress in the health department.

36
Concern???

• Are Citizens going to end up paying higher fees
  for services Septic Services

37
Thank You

• Questions Please