Henrico County Health Department Budget

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Henrico County Health Department Budget

• Analysis of Public Health Services in a Growing
  Community

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Henrico County

• Comprises 1/3 of the Richmond Metropolitan Area
• Borders Richmond city on the West, North and East
• 2 Health Departments
• West Henrico HD
• located - Dixon Powers Drive near Laurel
• East Henrico HD
• located - Nine Mile Road near Montrose

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Population Growth

• 5.4 growth rate 2000 to 2004
• 2000 Census data - 262,300 residents
• 2004 estimates predict 276,479 residents
• From 1990 2000 population grew 20.4

Source 2000 US Census data
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Median Household Income by Locale

• Median household income is 49,185
• Range in medians
• 33,300 - 113,723
• 6.2 below the poverty level (16,000)

Source 2000 US Census data
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Access to Healthcare

• 2001 data 17.2 uninsured
• As of 2002, 20 of children eligible for FAMIS or
  Medicaid were not enrolled

Source 2000 US Census data via Va Atlas of
Community Health
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Henrico County Core Services

• Medical Services
• Mission To promote health and healthy
  behaviors for the Henrico County Community by
  providing quality, customer-focused preventative
  services care.
• Environmental Health
• Mission To promote health through the
  protection of our environment specifically
  focused on food safety and groundwater
  protection.
• Disease Control and Emergency Preparedness
• Mission To promote health by maintaining
  awareness of public health issues and
  implementing appropriate disease control and
  emergency preparedness measures.

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Financial Contributions

• State provides 55
• 1.7 Million from the state
• Locality provides 45
• 1.4 Million from the county
• Additional funding from revenue
• 0.5 Million from fees permits

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Additional Financial Information

• The county contributes an additional 133,698
  specifically allocated for Maternal and Child
  Health
• Per capita expenditures 13.89 per person per
  year
• (based on 2004 population estimates)

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Henrico County Cooperative Budget

• Total Budget 3.8 million
• 2.9 million personnel expenses
• 896,466 remains for all other/non-personnel
  expenses

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Total Program Expenditures (personnel and
non-personnel)
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Major Non-Personnel Expenditures

• The following 2 items make up 35 of total
• Pharmaceutical Drugs 190,267
• 22 of non-personnel budget
• May include Rx drugs for uninsured, HIV patients,
  and immunizations
• 65 of supplies materials budget
• Building Lease 120,000
• 13 of non-personnel budget
• Utility expenses - not specifically allocated b/c
  included in lease
• Repairs and Maintenance included in lease
• 69 of continuous charges for building leases

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Non-Personnel Budget
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Specific Non-personnel Expenses

• Contractual Services X-ray, medical services,
  employee training, postal services,
  telecommunications, etc.
• Supplies and Materials Office, medical, dental,
  educational supplies, pharmaceutical drugs
• Transfer Payments Unemployment, incentives,
  awards
• Continuous Charges Building Leases, equipment
  rental, insurance (liability, workers comp.,
  etc.)
• Equipment Computers, software, medical and
  dental equipment
• Property Improvements Not allocated in the
  Cooperative Budget
• Plant and Improvements - Not allocated in the
  Cooperative Budget

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Assessment

• Majority of funds are allocated to General
  Medical Services, Environmental Health, and
  Administration
• Focus on providing healthcare to the indigent,
  uninsured and for communicable dx services
• Shows focus on food safety
• Limited funding of Home Health, Health Support
  and Maternal Child Health
• Home health has moved primarily to the private
  sector
• MCH 4 of total budget of which 3.5 is fully
  contributed by the locale
• Some MCH services may fall under General Medical
  Services

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How is this budget different from the 2005
Henrico HD Budget??

• Preventative Health/Health Services, a grant
  funded federal program was cut
• Provided women of childbearing age with an
  exercise program and health education
• Environmental Health was understaffed in 2005.
  Increased growth in the food service industry led
  to increased funding for such needs.

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Strengths of the Henrico Budget

• Increased funding of Environmental Health
  Services
• Allocation of funds for improved Dental Health
  equipment
• Focus on General Medical Services in a community
  with high uninsured rates (17)
• Strong local support for the Maternal Child
  Health program

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Weaknesses

• Minimal state funding of Maternal Child Health
  without local allocations program would run on
  17,500 annually (0.46 of total budget)
• State only contributes 55 of the 17,500, about
  9,625 per year
• Minimal staffing for services (both mandated and
  contractual)

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Recommendations

• A fee-based system could be constructed for
  restaurant health inspections to offset the high
  personnel costs, including travel.
• Since 20 of children eligible for FAMIS and
  Medicaid were not enrolled as of 2002, the
  department may want to collaborate with SS to
  increase enrollment. This would increase
  revenues received by the department for General
  Medical Services or MCH.

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Recommendations (cont.)

• Since grant funding was lost for a MCH program,
  it may be beneficial in the future to provide
  sustainability of such programs
• Specific goals and objectives in line with county
  and specific HD programs

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Conclusions

• Growing Community which needs PH services
• Strengths
• Locale funding for MCH
• Weaknesses
• Shortage of personnel
• Due to increased PH needs, collaboration between
  multiple health departments in the Richmond
  metropolitan area could allow better utilization
  of resources.

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Thank you Mary McCormick!
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Questions?????

• Group Henrico
• Tom Leecost, Candace Hamm, Suzanne Phillips,
  Missy Moore, Amy Shelton, Hassan Zakaria