pcghd annual report

PCGHD ANNUAL REPORT
Fiscal Year 2013
Current Employees
Email
ADMINISTRATION
ADMINISTRATION
Dr. Vernon Bolender, Health Commissioner
Paula Johnston, Registrar/Accounts Clerk 2
Lisa Rase, Accounts Clerk1/Payroll
Steve Hawkins, Fiscal Officer
vbolender@pchd.org
pjohnston@pchd.org
lrase@pchd.org
shawkins@pchd.org
CLINICAL HEALTH
CLINICAL HEALTH
Elaine Miller, Director of Clinical Services
Susan Hardman, Clinical Services Clerical Specialist
Shannon Gorby, BCMH Public Health Nurse
Darcie Scott, Emergency Response Coordinator
Danny Miller, Communicable Public Health Nurse
emiller@pchd.org
shardman@pchd.org
sgorby@pchd.org
dscott@pchd.org
dmiller@pchd.org
ENVIRONMENTAL HEALTH
ENVIRONMENTAL HEALTH
Kelly Dennis, Director of Environmental Health
Becky Levernier, Registered Sanitarian 2
Candy Schwalbauch, Environmental Health Clerk
Emily Deshaies, Registered Sanitarian 1
kdennis@pchd.org
blevernier@pchd.org
cschwalbauch @pchd.org
edeshaies@pchd.org
Board Members
Steve Bowling
Gary Gillen
Term
2009 - 2014
2011 - 2016
Mike Wolford
Art Goodwin
Tony Mosley
Jay Elsea
Scot Burbacher
Craig Stevenson
2010 - 2015
2014 - 2019
2013 - 2018
2013 - 2017
2014 - 2019
Dr. Vernon G. Bolender, Health Commissioner
Contact Us
Give us a call for more
information about our services and products
Pickaway County
General Health District
110 Island Rd.
Circleville, OH 43113
(740) 477-9667
Visit us on the web at
www.pchd.org
Environmental Health
By: Kelly Dennis, R.S.
Another year has come and gone for the Environmental Health
Division. 2013 was the first full year in a few in which our division was back to full staff and our programs have benefited
greatly. The division implemented a few new programs in 2013.
We conducted food safety training for local food operators and
employees. We also held a rabies clinic in August allowing pet
owners to get their dogs and cats vaccinated for rabies at an
inexpensive cost. The division staff completed inspections of
food vendors at local festivals and events including the county
fair, Ashville 4th of July, and the Pumpkin show. Our staff maintained a steady workload in completing household sewage treatment system inspections and evaluations, lot split evaluations,
nuisance investigations, food service inspections, private water
system inspections, pool inspections, school inspections,
campground inspections, and many other environmental health
program inspections. We continue to appreciate the council’s
support for our programs and division and are always trying to
make improvements to better serve the residents of Pickaway
County. We continue to strive to protect our county’s environment and protect the health and well-being of our county’s residents.
2014 Environmental Health Programs
Animal Bite Inspections
Campgrounds / RV Parks
Temporary Campground / RV Parks
Temporary Food Operations
Food Operations (Risk Program)
Mobile Food Operations
Vending Machine Locations
School Inspections
Lot Split Evaluations
Manufactured Home Parks
Nuisance Inspections
Pools/ Spas
Real Estate Inspections
Site Evaluations Sewage Systems
Sewage System Inspections
Solid Waste Program for OEPA
Tattoo and Body Piercing
Water Systems - New Wells
Water Systems - Sealing of Well
TOTAL
# of Inspections
150
24
6
80
595
308
25
51
40
25
388
82
18
59
702
46
8
128
18
2753
Township / Village / City
Circleville TWP (N)
Circleville TWP (S)
Darby
Deercreek
Harrison
Jackson
Madison
Monroe
Muhlenberg
Perry
Pickaway
Saltcreek
Scioto
Walnut
Washington
Wayne
Ashville
Circleville City (N)
Circleville City (S)
Commercial Point
Darbyville
New Holland
Orient
South Bloomfield
Tarlton
Williamsport
Totals
# Activities
140
135
327
60
389
111
173
229
85
81
332
366
450
267
437
52
105
722
786
106
45
10
38
57
30
56
5589
*Activities include inspections,
phone calls, emails, letters, reports,
meetings, consultations, and other
activities completed by division staff
Kelly Dennis, Becky Levernier, Candy Schwalbauch, Emily Deshaies
For your Information
DLC vs. DAC The DLC are people who hold licenses and the DAC are people who hold office. The DLC appoints one member to the board of health, the DAC appoints the remaining members to the board of health based on
the agreement they have with the City of Circleville.
What is the DLC (District Licensing Council)? It is appointed by the District Advisory Council. The
terms of members last 5 years. It has been in existence since November 21, 2001.One representative is appointed
for each activity licensed by the health district. They must be a resident of the district. Members of the DLC select a
chairperson and secretary and have their own by-laws. They are required to meet annually and if the chair or majority
request an additional meeting. They appoint one member to the board of health and select an alternate to serve if the
representative has to abstain from voting.
What is the DAC (General Health District Advisory Council)? It is made up of the president
of the board of county commissioners, chief executive of each municipality and the president of the board of township
trustees of each township. The council selects a chair and secretary from its members and adopts by-laws. The DAC
must meet annually in March at a location selected by the chair and health commissioner to elect a chair and secretary, make necessary appointments, receive reports, and make recommendations to the board of health for the betterment of health and sanitation in the district. The DAC shall appoint members to the board of health based on the
agreement between the City and existing health district if their services have been merged. One member must be a
physician and another member appointed by the district licensing council.
Danny Miller, Darcie Scott, Elaine Miller, Susan Hardman
Shannon Gorby
What is Accreditation?
By: Darcie Scott, M.P.H., C.P.H.
Public health department accreditation is defined as the development of a set of standards, a process to
measure health department performance against those standards, and reward or recognition for those health
departments who meet the standards. Accreditation costs $20,670.00 as the PHAB fee. There are additional
costs due to the necessary prerequisites. The health department must complete a Community Health Assessment, Community Health Improvement Plan and a Health Department Strategic Plan. These three documents
must be dated within the past 5 years. The Ohio Department of Health requires Local Health Departments to
apply for accreditation by July 1, 2018, and be accredited by July 1, 2020 or potentially lose funding.
Community Health Assessment:
· Purpose is to learn about the health status of the population that the health department serves.
· Describes the health status of the population, identifies areas for health improvement, determines factors
that contribute to health issues, and identifies assets and resources that can be mobilized to address population health improvement.
· Developed through a participatory, collaborative process with various sectors of the community.
· Required elements of a CHA:
O Various sources of data
O Population demographics
O Health issues identified
O Special populations with health issues
O Contributing causes of health issues
O Description of assets to address health issues
O Documented input from stakeholders
Community Health Improvement Plan:
· Purpose is to describe how the health department and the community will work together to improve the
health of the population that it serves.
· Based on the CHA.
· Community-driven with participation of public health system partners and process to set priorities.
· More comprehensive than roles and responsibilities of health department alone; includes community partners’ roles and responsibilities.
· Required elements of a CHIP:
O Community health priorities, objectives, strategies, measures, and time framed targets
O Policy changes needed to accomplish objectives
O Individuals and organizations responsible for implementation
O Measurable health outcomes or indicators
O Alignment with other levels of health departments’ and national priorities
Health Department Strategic Plan
· Purpose is to describe what the health department plans to achieve in 3-5 years.
· Provides guidance for decision making, strategy setting, priority setting, and taking action.
· Focuses on the activities and programs of only the health department, not the broad community.
· Required elements of a health department Strategic Plan:
O Mission, vision, guiding principles, and values
O Strategic priorities
O Goals and objectives with measureable and time-framed targets
O External trends or events or factors affecting health status or the health department
O Health department strengths and weaknesses
O Link to CHIP and health department’s quality improvement (QI) plan
The Pickaway County General Health District has identified an accreditation coordinator, started conducting
trainings for staff and board members, and participated in the PHAB Online Orientation. We are working with
local partners to find funding and collaborate for the Community Health Assessment. In order to complete the
accreditation process, PCGHD will need community support and collaboration across the county.
SERVICES
AVAILABLE TO
PICKAWAY
COUNTY RESIDENTS IN 2013
Tuberculosis
Screenings and
Clinics
Free HIV Testing
and Education
Pregnancy Testing
Immunizations
Health Education
Free Vision
Vouchers for Children
Hemoglobin
Screenings
Home Visits
Communicable
Disease Reporting
and Tracking
Head Lice Checks
SIDS Follow-up
Newborn Screenings
Blood Pressure
Checks
Lead Tests/Lead
Investigations in
Homes
Emergency Preparedness
Child Fatality Review
BCMH Program
Clinical Services
By: Elaine Miller, R.N.,B.S.N.
The Clinical Services Department of the Pickaway County General Health District continues to be dedicated to fostering, protecting,
and improving the health of the residents of our community. It is our goal to evaluate, maintain, and promote services to meet the everchanging health care needs of the residents of Pickaway County. The staff strives to portray a very positive image in our community
while being creative in the detection and implementation of services to meet our county’s growing needs.
In 2013, the clinical staff consisted of three registered nurses (a Director, a Public Health Nurse, a BCMH Nurse) and one clerical specialist. The continued challenge of having limited staff made us better prioritize duties based on needs. Our Public Health Nurse and
BCMH Nurse each worked only 20 hours per week, so as Director, I completed many of their duties the other 20 hours, as well as mine.
Through a cooperative effort of our staff and a true desire to ensure quality care for the residents of Pickaway County, we were able to
provide and improve more services this year. It is our goal to continue to increase the number of services and implement new services
over the next year.
Clinical services are available to all county residents, regardless of their income level. Certain charges are derived from a sliding-fee
scale that is calculated based on household income and the number of people living in the household. Fees range from free to a percentage of the maximum, based on the cost of the services rendered. With new requirements regarding vaccine usage, our agency’s
billing policies may change. We are currently in the process of credentialing with the current HMO’s.
The Clinical Services Department offers a variety of healthcare services for children and adults in our community. The staff provides
health education services to individual clients, local school systems, and other local agencies. The Director of Clinical Services attends
various meetings including, but not limited to, Early Childhood Collaborative Group, Family and Children’s First Council, Local Emergency Planning Committee, Teen Task Force, Emergency Preparedness Coalition, and the Continuum of Care Committee. Our department networks closely with many different local agencies to ensure that the maximum potential of community collaboration is accomplished. This helps to maintain updated resource information in our community. Information is shared with local health care providers,
school nurses, daycare providers, and the local hospital through monthly mailings and community workshops. Local media, newspaper
articles, public speaking engagements, e-mails, monthly newsletters, and the Health Department website are used to distribute information to the public.
Our Emergency Preparedness Coordinator is responsible for completing the Public Health Emergency Preparedness Grant deliverables, educating the public on emergency preparedness, and completing the county assessment for the Citi-Readiness portion of the
grant. Our LTAR score rose from 90 to 100 for the Citi –Readiness portion of the grant this year. This assessment was completed by
the Center of Disease Control in Atlanta, Georgia. The coordinator has attended many meetings, provided numerous trainings, and
assisted in the updating of all of the agency’s emergency plans. Our agency continues to work closely with the local EMA and hospital
to promote the new Emergency Preparedness Coalition throughout our county. She has also been asked by the Local Emergency Planning Committee to be Public Information Officer for our county in the event of a major catastrophic event.
We have spent a great deal of time working with ODH on vaccine requirements this year. Because of changes with the use of the vaccines provided by ODH, we were unable to provide Free Immunization Week this year. We have developed new policies and procedures to ensure that we are following all ODH guidelines for the use of their vaccines. Even with the restrictions, our department has
been able to provide 728 vaccines to children in our county.
Throughout the year, our staff has tracked , investigated, and followed-up communicable diseases such as tuberculosis, meningitis,
sexually-transmitted diseases, Hepatitis C, Pertussis, MRSA, Shigella, influenza and other food-borne illnesses. Under the Ohio Administrative Code, more than 100 infectious diseases are mandated to be reported to the local health department. Nurses enter data
from each case into ODRS ( a database at Ohio Department of Health) , make home visits, and provide educational counseling to help
prevent the spread of these diseases in our county. The various diseases reported are maintained in a database for statistical purposes.
The Clinical Services Department continues to implement the mandated services that we are required to do. A complete list is provided
showing types of service, the number of clients, and the services provided monthly for each township. Our ongoing goal is to provide
the highest quality of services to Pickaway County residents in an efficient and timely manner. As an agency and a department, we
have worked hard to follow state and federal requirements while providing necessary services. This year we were able to reactivate the
BCMH(Bureau of Children with Medical Handicaps) program. We have a nurse that works twenty hours per week providing case management for families with medically handicapped children. This is an added revenue source for our department. It is our hope to continue to be able to start implementing more of the previous services that we offered.
Fiscal Report for 2013
By: Steve Hawkins
-Quarterly newsletters and monthly financial reports submitted to all DAC
entities.
-First CRI payment came in 2013 along with the continuation of the Public
Health Emergency Preparedness grant. We are now equipped for an
emergency and will be testing our ability this summer.
-Quarterly reimbursements made to the Board of Health fund for insurance
and leave related charges.
-Environmental Health Reports were streamlined to reduce time required to
do paperwork.
-Bought out the lease on a vehicle last year and purchased a second outright
to save costs.
-Reduced contract costs by renegotiating contracts on the copier, purchasing
the vehicle outright and other ways.
-Advanced funds this year to the Food Services fund until it was replenished
and were paid back when the fees came in this February.
-PHEP and CRI grants are now on a reimbursable basis so this has required
some advancing of funds waiting for pay-ins.
-Water Systems Fund, incoming fees are needed to catch up with jobs from
earlier years. So it will take years to recover in this fund.
-Health insurance is a budget breaker, going up 8% this year and a possible
9% next year and 6 or so percent in 2013. 2014 will be tight, so there are
no planned salary increases. We’re trying to align with the county on insurance and entice employees to be on their spouse’s insurance where
possible.
-2 ½ years ago we had a $46,000 balance in September and headed for a
$50,000 deficit balance by the year’s end. All the funds paid by the DAC
were spent covering debts. Employees were on reduced hours and hadn’t received increases in years. The Staff had been cut to 7 people. You
had $235,000 in advances needing addressed and two outstanding lawsuits along with unemployment looming overhead. Today our cash balance is much better, Advances are addressed, we added a Sanitarian,
an Environmental Health Director, replaced a retiring nurse, added the
BCMH program along with the CRI and Public Health Emergency Preparedness Grant Programs, and a fiscal officer. The balance of the staff is
on a regular work schedule. We own two cars, purchased a trailer that is
fully equipped for community disasters and have upgraded computers.
We’re pleased with what we’ve been able to accomplish and look forward
to the future.
Lisa Rase-standing, Paula Johnston-sitting
Steve Hawkins
Vital Statistics 2013
BIRTHS REGISTERED
CERTIFIED COPIES
378
1286
AFFIDAVITS
15
VERIFICATIONS
4
PATERNITY ACKNOWLEGEMENTS
2
DEATHS REGISTERED
344
CERTIFIED COPIES
1267
AFFIDAVITS
15
VERIFICATIONS
7
FETAL DEATHS REGISTERED
2
BURIAL PERMITS ISSUED
260
CERTIFICATE OF SERV ICE
7
Certified copies of birth and death certificates are $28.00 in Pickaway County.
The minimum charge in the state is $21.50
and highest charge is in Fairfield County
where the cost is $30.00. The health district retains $13.50 from each certificate
while the Ohio Department of Health gets
$9.00, the Ohio Children’s Trust Fund gets
$3.00, and the remaining $1.50 goes to
the Ohio Family Violence Prevention
Fund.