community health improvement plan annual report, 2016 · 4 chip annual review report, 2016 overview...

Community Health Improvement Plan Annual Report, 2016

Florida Department of Health in Citrus County

Ernesto G. Rubio, MPH, CPH, Health Officer

October 2016

2 CHIP Annual Review Report, 2016

Table of Contents

Introduction ....................................................................................................................... 3

Overview of Community Health Improvement Plan (CHIP) .............................................. 4

Summary of CHIP Annual Review Meeting ................................................................. 5-15 Strategic Issue Area #1 ...................................................................................... 5-9 Strategic Issue Area #2 .................................................................................... 9-11 Strategic Issue Area #3 .................................................................................. 11-13 Strategic Issue Area #4 .................................................................................. 13-14 Strategic Issue Area #5………………………………………………………… 14-15

Revisions ........................................................................................................................ 16

Accomplishments ....................................................................................................... 16-17

Conclusion ...................................................................................................................... 18

Appendices ............................................................................................................... 19 -64 Appendix A: Annual CHIP Review Meeting Invitation ......................................... 20 Appendix B: DOH-Citrus Community Health Assessment Brochure………....21-22 Appendix C. Annual CHIP Review Meeting Agenda……………………….…. 23-24 Appendix D: Annual CHIP Review Community Meeting Minutes .................. 25-30 Appendix E: Power Point Presentation .......................................................... 31-45 Appendix F: Annual CHIP Review Community Meeting Sign-in Sheet .......... 46-48 Appendix G: Comprehensive List of Community Partners ............................. 49-63 Appendix H: CHIP Revised Timeline .................................................................. 64


Introduction

The Citrus County Community Health Improvement Plan 2013 (CHIP) was initiated by the Citrus Memorial Hospital and the Citrus County Hospital Board, and developed through planning efforts coordinated by WellFlorida Council, Inc. The development of the CHIP 2013 Update was based on the Citrus County Hospital Boards’ 2013 Community Health Assessment. These efforts were undertaken by the hospital to meet their not-for-profit IRS requirements in partnership with many others, including the DOH in Citrus County and the George A. Dame Community Health Center.

The Florida Department of Health in Citrus County contracted with WellFlorida Council, Inc. to develop and provide an updated Community Health Assessment (CHA). The new CHA was received in December 2015 and revisions accepted on January 7, 2016.

The DOH in Citrus County held a community engagement meeting to review the status of the current CHIP document and advise on the procedures to develop a new CHIP on February 24, 2016. As a result of this meeting, the Citrus Community Health Improvement Partnership was created to develop the goals, objectives and strategies to be based on the findings of the CHA. The four key areas for improvement that have been identified for development are:

Access to Health Care Mental Health and Substance Abuse Healthiest Weight Availability of Healthy Foods

The CHIP Partnership continues to hold monthly meetings to review the findings of the four Sub-Committees as they work to develop the new CHIP. The revised timeline for completion of this document is February 2017.


Overview of the Community Health Improvement Plan (CHIP)

The following represents our findings of the 2013 CHIP and activities that the Department of Health in Citrus County has taken to date.

STRATEGIC ISSUE AREA GOAL

Lack of awareness by the general public on what health services are out there, how to use the services and when to use the services and the individual benefits of the services.

1. Increase the awareness of the availability

of health services in Citrus County and how and when to use them.

Residents are using the emergency room inappropriately for primary care because either they do not know how and when to appropriately utilize primary care and many times they cannot get to their primary care provider when they are sick.

1. Increase the appropriate use of healthcare.

Citrus County lacks primary care capacity for the underserved population; OB/GYN services capacity for nearly all segments of the population; mental health care for nearly all segments of the population; and dental care for the Medicaid population and underserved especially. Drug use and related co-morbidities are high in Citrus County

1. Expand the capacity of key area health providers for designated target populations.

Lack of standardized post-discharge care is fueling avoidable hospital re-admissions for readily manageable issues.

1. Create a culture of standardized post-discharge from hospital care in order to reduce avoidable hospital re-admissions for readily manageable issues.

The local public health system in Citrus County lacks a forum to collectively address and overcome pressing community healthcare, health system and health outcomes.

1. Enhance partnerships to address community health issues.


Summary of CHIP Annual Review Meeting

The DOH in Citrus County staff recognizes that many of the goals, objectives and strategies cited in the document do not clearly identify efforts that the local health department is able to undertake. Many of the activities identified in the 2013 CHIP are more clearly aligned to activities that the hospital(s) are better equipped to address. The DOH in Citrus County has taken appropriate steps to address those that provided a measure of positive action on our part.

Strategic Issue Area #1: Lack of awareness by the general public on what health services are out there, how to use the services, when to use the services and the individual benefits of the services.

Based on discussion, it was determined that the general public did not have a clear understanding of what healthcare services were available and how to make the best use of those services. It appears that the discussions identified the use of emergency rooms for symptoms that could better be handled through their private physician and/or clinics. It was determined that the use of a survey to obtain a baseline and to continue use to educate and track improvements would be would be the best manner in which to address this problem.

The creation of a database, a targeted recruiting list, marketing and/or outreach campaigns to be conducted were among the performance measures identified to meet this goal. In addition, was determined that emergency rooms would be the primary location to educate the public on the existing resources and their best use.

Goal: Increase the awareness of the availability of health services in Citrus County and how and when to use them.

Strategy 1.A: Enhance the currently available major community health information and referral resource (e.g. 211) by ensuring that existing resources information is being regularly updated by community health services providers and increase community awareness (for both consumers and providers) of these major existing community health information referral and resources.

Key Partners: The partners identified in the CHIP to lead this effort are: United Way of Citrus County, 211 Provider, community health service providers; proposed Health Improvement Partnership; media, marketing organizations.

Strategy 1.B: Use hospital emergency departments to inform and educate about existing resources on how and when to best use them.

Key Partners: Hospitals; George A. Dame Community Health Center; Citrus County Health Department; health and dental clinics care and providers; Citrus County Hospital Board.

Strategy 1.C: Create a Citrus County mobile phone application that provides instantaneous


Information on health services availability and is tied into location services for navigation assistance.

Key Partners: Hospitals; George A. Dame Community Health Center; Citrus County Health Department; health and dental care clinics and individual providers; Citrus County Hospital Board; Citrus County Medical Society or equivalent physician organizations; United Way of Citrus County; IT professionals for deve3lopment or University of Florida or University of South Florida graduate students in IT or Engineering.

In April 2014, the DOH-Citrus created the Community Health Section, which in large part, has undertaken to expand our community partnerships and to provide a broad base of educational opportunities for education of our clients, partners and the public at large.

Since the approval of our updated Community Health Assessment (CHA) in January 2016, no new surveys have been prepared. It is our intention to develop online surveys for both customer satisfaction and program reviews or suggestions.

During FY 2015-2016 the Community Health Section participated in 46 outreach events with our partners that reached an estimated 36,570 persons. The overall number of outreach events was reduced this reporting period due to changes in the decision process when determining which community events provide a benefit to the DOH – Citrus programming, e.g. Healthiest Weight and Tobacco Free Florida programs, and our vision.


Why this is important to our community:

It is important that the public be aware of what resources are available to meet their needs, so that they will make better use of available services.

Objective Indicator Current Level

Target Status Explanation of Status*

Objectives listed in the CHIP

**this is the space for the indicator used to measure performance/success**

**current value of the indicator as of last reporting**

**Target value set within the CHIP**

**(See box below for explanation)**

**An explanation of the status given (This information may be available in your quarterly reporting tool)

By December 31, 2015, 90% of a representative random sample of Citrus County residents will score at least 75% on a resource awareness and appropriateness of utilization survey. Baseline: None. First survey of its kind in Citrus.

Strategy 1.A: *List of current health service agencies that are in resource databases. *List of community health service agencies that need to be in databases. *Targeted recruiting list divided among participants of proposed Health Improvement Partnership for recruiting to participate in information and referral system. *Number of marketing campaigns or outreach efforts conducted. *Number and percent of resident population aware of the information and referral resource. *Number and percent of community health service providers who participate. * Increasing number of users or requests for information and referral from system. Strategy 1.B: *Development of a unified resource availability and a best practice for consumer use marketing

Unknown

Unknown

90% scoring at least 75% on appropriate utilization survey.

None

No additional surveys have been done this reporting period. The CHD has no authority over what educatgional opportunities


message and materials. *Number of persons exposed to marketing or awareness materials. *Number and percent of resident population who utilized the ER and were exposed to materials and report that they used this material to make choices on when and how to use resources when there was a future need. Strategy 1.C: *Consortium formed among key partners committed to community-based application in addition to any proprietary application that may exist. *Mobile application developed and launched. *Number of downloads of application. *Number of residents who report utilizing application to find information on community health resources.

None

None

exist in emergency rooms. No information was provided to CHD by local hospitals re numbers/percent of persons exposed to their marketing in the emergency room or through other hospital venues nor was any information provided regarding use of the resources. No action taken to form a consortuim or other group designated to create a mobile phone application. The Community Health Section includes the staff of the following programs: Tobacco Free Florida, We Care, Healthy Start/Mom Care, Healthiest Weight and School Health. Many educational brochures have been obtained and produced for use in our communmity


Strategic Issue Area #2: Residents are using the emergency room inappropriately for primary care because either they do not know how and when to appropriately utilize primary care and many times they cannot get to their primary care provider when they are sick.

Goal: Increase the appropriate use of healthcare.

Strategy 2.A: (Replication of Strategy 1.A) Enhance the currently available major community health information and referral resource (e.g. 211) by ensuring that existing resource information is being regularly updated by community health service providers and increase community awareness for both consumers and providers of these major existing community health information referral and resources.

Key Partners: The following key partners are listed in the CHIP. United Way of Citrus County; 211 Provider; community health services provider; proposed Health Improvement Partnership; media; marketing organizations.

Strategy 2.B: Create a newly emerging “Community Paramedic Program” to enhance access for residents with substantial barriers and to help get them in appropriate care settings.

Key Partners: The following key partners are listed in the CHIP. EMS; local government; state government (policy changes); law enforcement; hospitals; George A. Dame Community Health Center; health and dental care clinics and individual providers.


It is important that the public be aware of what resources are available to meet their medical needs, so that they will make better use of services.


Target Status Explanation of Status

2.1: By December 31, 2016, decrease the preventable hospital discharge rate to 1,200 preventable discharges

Strategy 2.A: *List of current community health service agencies are in resource databases. *List of community health service agencies that need to be databases.

1,717.2 per 100,000 population; 2012. (AHCA Discharge Data 2009-2014) Data

1,200 preventable discharges per 100,000 (AHCA Discharge Data 2009-2014) Data

The CHD does not have any control over hospital discharge rates. The CHD’s Community Health, Healthy

wide outreach events.


per 100,000 population under age 6f5. (Baseline: 1,316 AHCA, 2009-11)

*Targeted recruiting list divided among participants of proposed Health Improvement Partnership for recruiting to participate in information and referral system. *Number of marketing campaigns or outreach efforts conducted. *Number and percent of resident population aware of the information and referral resource. *Number and percent of community health service providers aware of information and referral resource. *Increasing percent of providers who participate. * Increasing number of users or requests for information and referral from system. *Increase use of web-based system. Strategy 2.B: Create a newly emerging “Community Paramedic Program” to enhance access for residents with substantial barriers and to help get them in appropriate care settings. *Policy changes necessary to implement Community Paramedic Program in Florida are realized; * Program is developed and launched; *Number of residents serviced by the program;

above provided by WellFlorida Council, Inc. 2015 (Note: rates by zip/1,000 vs. 100,000) Nature Coast Emergency Medical Services Pilot Program (October 1, 2013 – December 31, 2014)

above provided by WellFlorida Council, Inc. 2015 (Note: rates by zip/1,000 vs. 100,000) Unknown Unknown

Start section has prepared a list of community services for distribution to our clients. This brochure is updated regularly to ensure that it contains current information. FY 15-16 there were 46 outreach events that the CHD participated in that resulted in reaching about 36,570 citizens, visitors and clients. Unknown Unknown Info not provided by EMS to date


*Residents who participate in program demonstrate greater rates of appropriate use of health services.

October 1, 2013 Unknown Unknown

Unknown Unknown

Strategic Issue Area #3: Citrus County lacks primary care capacity for the underserved population; OB/GYN services capacity for nearly all segments of the population; mental health care for nearly all segments of the population; and dental care for the Medicaid population and underserved especially. Drug use and related co-morbidities are high in Citrus County. Citrus County’s economy yields lower income and economic compared to Florida as a whole which translates in less disposable income to invest in healthcare and thus less access to care which results in lower health outcomes.

Goal: Expand the capacity of key health providers for designated target populations.

Strategy 3A: Enhance participation in the Citrus County We Care Program.

Key Partners: The following key partners are listed in the CHIP. Citrus County Medical Society; Citrus County Health Department; Hospitals; George A Dame Community Health Centre; Health and Dental Care Clinics and Individual Providers (especially specialists).

There has been an ongoing overall decline in the We Care program during FY 2015 – 2016. This is due in large part due to the continued lack of diagnostics being provided so that the participating providers can take the cases. Historically, one of our local hospitals participated and provided the needed diagnostics for the clients. Both local hospitals are now for profit and not currently participating in the program. In addition, the DOH-Citrus staff that has been handling the program was doing so on a part time basis, with the bulk of their other duties contributed to the Tobacco Free Florida program.

Strategy 3B: Form a partnership to market and promote, in an integrated manner, Citrus County as a destination for physicians and providers.

Key Partners: The following key partners are listed in the CHIP. Local government; Businesses; Chamber of Commerce; George A. Dame Community Health Center; Citrus County Health Department; Local physicians; Local dentists.


The We Care Program serves the uninsured population by coordinating specific care needs with volunteer physicians.


Objective Indicator Current

Level Target Status Explanation of

Status 3.1: By December 31, 2015, increase the rate of licensed physicians in Citrus County from a 2009-2011 rolling average of 173.5 per 100,000 residents to 185.0 per 100,000. (Source: Florida CHARTS) 3.2: By December 21, 2015, reduce the percentage of adult resident

*Creation of marketing and recruiting pitch to existing Citrus County Physicians who are not participating in We Care. *Community recruiting campaign launched. *Number of new physicians recruited. *Number of total physicians participating. *Number of patients referred to program. *Number of visits *Value of services provided. *A formal partnership is developed and created. *Data research study completed to quantify and/or verify the areas of need and the

172.49 per 100,000 population (Source: Florida CHARTS FY 14-15) 23.7% Source: 2013 FL CHARTS

185.0 per 100,000 residents 17.4%

The CHD has limited ability to increase the number of licensed physicians; requires broad based coordination by the local hospitals, local governing bodies, the local Economic Development Council, etc. The current level is a decrease from 186.1 per 100,000 in 2013. The number of We Care Providers decreased again during FY 2015-2016 to a total of 25 providers. The Value of Services decreased by $162,798 during FY 2015-2016 to a total of $18,734.00. The number of clients was reduced by 39 during FY 2015-2016 to a total of 75. The CHD has limited ability to increase the number of licensed physicians;


of Citrus County who could not see a doctor at least once during the past year due to cost to 17.4%. (Baseline: 19.4%, 2010 Florida CHARTS)

magnitude of the shortages. *Unified community recruiting message created. *Number of joint marketing campaigns. *Number of physicians who locate in Citrus County who cite impact of campaign in their decision.

requires broad based coordination by the local hospitals, local governing bodies, the local Economic Development Council, etc. The current level represents an increase from 19.4%, (2010 Florida CHARTS)

Strategic Issue Area #4: Lack of standardized post-discharge care is fueling avoidable hospital re-admissions for readily manageable issues.

Goal: Create a culture of standardized post-discharge from hospital care in order to reduce avoidable hospital re-admissions for readily manageable issues.

Strategy 4A: Create a county-wide “Community Re-Admission Council” to study the magnitude of the re-admission issue in the identified areas and to propose and implement community-wide solutions to reducing re-admission rates in these areas.

Key Partners: The key partners listed in the CHIP are as follows – Hospitals; home health agencies and other community-based post-discharge health services; nursing homes; rehabilitation facilities; family caregivers.


Standardized post-discharge care is important to minimize the re-admission of patients for the same and/or similar complaints, this may result in more patients being able to recover fully at home where they are more comfortable.



4.1: By December 31, 2016, reduce the re-admission rate for each of the following conditions for Citrus County

*Council formally developed and created; *Source of re-admission problems in each of these identified priority conditions is identified;

Unknown

None cited in CHIP

No Council was formed and no apparent initiative taken by the hospital


residents below the state average re-admission rate: heart failure; heart attack; pneumonia; chronic lower respiratory disease; bypass surgery; hip replacement; diabetes and renal failure.

* Community-wide policies, procedures and protocols are developed and implemented; *Percentage of facilities complying with these protocols; *Reduced numbers of re-admissions in these conditions.

The local CHD does not track re-admission rates; this information would come from the local hospitals; no information provided.

Strategic Issue Area #5: The local public health system in Citrus County lacks a forum to collectively address and overcome pressing community healthcare, health system and health outcomes.

Goal: Enhance partnerships to address community health issues.

Strategy 5A: Create a private sector, volunteer Citrus County Health Improvement Partnership in order to “shepherd” or “oversee” implementation of the CHIPL and regular and ongoing community health assessment activities.

Key Partners: The key partners identified in the CHIP are as follows: Emergency Medical Services, faith-based groups, businesses; schools; private physicians; local government; United Way of Citrus County; Chamber of Commerce; Citrus County Hospital Board; law enforcement; George A. Dame Community Health Center; Citrus County Medical Society.

During this reporting period, the DOH-Citrus has enhanced the partnerships that we currently work with. Our broad based partnership, the Citrus Health Improvement Partnership is currently meeting monthly for the development of our new CHIP document using MAPP guidelines. In addition to these monthly meetings, the sub-committees are meeting separately to address the 4 areas for improvement identified in our CHA dated January 2016 and reporting back to the full Partnership monthly.

In addition, the George A. Dame Community Health Center grant has expired during this reporting period


Partnerships ae the key to education of the public as well as providing the ability to review the CHIP, CHA and Strategic Plan with real world community-wide input, recommendations and pooling of resources.




5.1: By January 31, 2014, establish and maintain a productive community health improvement partnership to participate in and monitor the health of the community through development of community health assessments and community health improvement plans.

*Group formed; *Charter developed; *Number of partners participating; *Meetings held; *Number of projects completed; *Level of implementation of the CHIP.

Citrus Community Health Advisory Partnership (C-CHAP) was created on June 16, 2015 by the CHA Steering Committee. At their regularly scheduled meeting on April 22, 2016, the group officially changed their name to Citrus Health Improvement Partnership. On June 2, 2016, the CHIP Partnership approved their Charter. This group continues to meet monthly to review the sub-committee meeting findings as they continue to work towards development of the new CHIP.

* Status indicators are as follows:

= Little to no movement towards objective target

= some progress towards meeting the objective target

= reached or surpassed objective target


Revisions

The CHIP was received in 2013 as developed by WellFlorida Council, Inc. for the local hospital to meet their non-profit IRS requirements. As a result, many of the objectives are more directly related to hospital functions than to the local health department and community-wide needs.

During this reporting period, there have been no revisions to the 2013 CHIP. However, the DOH-Citrus received an updated Community Health Assessment (CHA) and approved same with the revised date of January 7, 2016. Since that time, the DOH – Citrus Steering Committee has held several meetings first as the Citrus Community Health Advisory Partnership (C-CHAP), and changed their name to the Citrus Health Advisory Partnership in April 2016 with DOH-Citrus facilitating the process. Their Charter was approved on June 2, 2016. The Partnership has continued to meet monthly with the charge to develop the Community Health Improvement Plan using sub-committees to develop the goals and objectives for each of the 4 areas of improvement as identified in the Community Health Assessment using the MAPP guidelines.

Accomplishments

Goal Objective Accomplishment 1. Increase the

Awareness of the availability of health services in Citrus County and how and when to use them.

1.1 By December 31, 2015, 90% of a representative random sample of Citrus County residents will score at least 75% on a resource awareness and appropriateness of utilization survey. (Baseline: None. First survey of its kind in Citrus County)

During FY 2015-2016, the Community Health Section has participated in 46 community outreach events that reached approximately 36,570 citizens and visitors. While this number is lower than the previous FY, the decision process to determine the benefits of participating in an outreach event in relation to our programming and vision has changed to ensure that there is a positive CHD benefit. e.g. Healthiest Weight and Tobacco Free Florida programs. This section includes the staff of the following programs: Tobacco Free Florida, We Care, Healthy Start/Mom Care, Healthiest Weight and School Health.

How it’s important for our community: Through the development of our broad based partnerships, we are able to expand our capacity to educate the citizens, visitors and local


businesses within our community with unified messages ad materials to better serve their needs through vital partnership opportunities.

2. Increase the appropriate use of healthcare

2.1 By December 31, 2016, decrease the preventable hospital discharge rate to 1,200 preventable discharges per 100,000 population under age 65. (Baseline: 1,216, AHCA, 20019-11)

The Nature Coast EMS Mobile Integrated Healthcare – Community Paramedicine (MIHP) program promotes wellness and injury prevention through home safety checklists, falls risks assessment, providing resource information and education and in home visits. Their pilot program focused on fall prevention and reduced falls from 18% of total calls to 16%. It is estimated that this reduction represents $732,700.00 in health care costs avoided.

How it’s important for our community: The largest percentage of our population lies within the age group of 65 – 74 at 17.4%. This program includes a home safety checklist, falls risks assessment, provides local resource information and education. The program benefits include risk reductions associated with falls, reduction of preventable complications, and reduced hospital admissions and readmissions. 5. Enhance Partnerships to address community health issues.

5.1. By January 31, 2014 establish and maintain a productive community health improvement partnership to participate in and monitor the health of the community through development of community health assessments and community health improvement plans.

The DOH-Citrus has received a new Community Health Assessment (CHA) dated January 7, 2016. The development of a broad based community partnership to review the CHA and to develop the Community Health Improvement Plan (CHIP) using the 4 areas of improvement cited in the CHA has been meeting monthly as the Citrus Health Improvement Partnership with regularly scheduled sub-committee meetings.

How it’s important for our community: The enhancement of partnerships allows for additional opportunities for community wide education and availability of services. In addition, it provides for the development of a strong Community Health Improvement Plan (CHIP) based on the needs of the community.


Conclusion

While this 2013 Community Health Improvement Plan leans heavily on the needs of the local, not for profit hospitals, the Florida Department of Health in Citrus County has been able to meld some of the more relevant goals and objectives into our work plan to strengthen our services to the community. During this reporting period, the DOH-Citrus George A. Dame Community Health Center (FQHC) grant expired.

Going forward, DOH – Citrus will continue to facilitate the Citrus Health Improvement Partnership with the development of our new Community Health Improvement Plan to address the 4 areas for improvement identified in the Community Health Assessment, January 7, 2016 –

Access to Care Mental Health and Substance Abuse Healthiest Weight Availability of Healthy Foods.


APPENDICES

A. Annual CHIP Review Meeting Invitation B. DOH-Citrus Community Health Assessment Brochure C. Annual CHIP Review Meeting Agenda D. Annual CHIP Review Community Meeting Minutes E. Annual CHIP Review Power Point Presentation F. Annual CHIP Review Community Meeting Sign-In Sheet G. Comprehensive List of Community Partners H. CHIP Revised Timeline

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Appendix A

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A

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Appendix B

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Appendix C

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Florida Department of Health in Citrus County C-CHAP Meeting

University of Florida Extension Building, Lecanto FL February 24, 2016 - 2:00pm

COMMUNITY MEETING MINUTES

Purpose: Engage community in review of the Community Health Assessment through open two-way dialogue and develop the Community Health Improvement Plan.

Attendees: Anna Neptune-Hospice of Citrus & Nature Coast, Ron Kitchen-Board of County Commissioner, Roger Ross–Community Food Bank, Kelli Curl - Resident, Ken Rodgers-George A. Dame Board, Anthony Kopka-Daystar Life Center, Helen Greene-21st Century Oncology, Gaden Spinka-Comfort Keepers, Gerry Mulligan, Chronicle, Ronnie Badolato-George A. Dame Board, Michelle Russell-City of Crystal River, Judy Terry-Key Training Center, Tronette Riley-Key Training Center, Cindy DeVine -The Pregnancy & Family Life Center of Citrus County, Anthony Kraljic-George A. Dame Board, Pat Ryder-George A. Dame Board, David H -The Path, Diane Wilbur-The Path, Lori Franqui-The Path, Danny Merriman-The Path, Pamela Carnevale-Citrus County School District, Barbara Wheeler-Mid Florida Homeless Coalition, Chuck Dixon-Citrus County School District

Staff Present: Tito Rubio-Public Health Officer, Thomas Poirier-Medical Director, Jim Rashley-Assistance Director, Carmen Hernandez-Health Education Program Manager, Nancy Witty-Government Operations Consultant, Patrick Boyd-Emergency Mgmt. Planner/Public Information Officer, Will Bryant-Environmental Health Director, Janora Wade-Community Health Nursing Director, Ellen Lodgek-Administrative Assistant

See Attached Sign-In Sheet

Speaker Topic Discussion

Nancy Witty Review and approval of 12/2/15meeting minutes

Kelli Curl made a motion of approve the 12/2/15 meeting minutes; Janora Wade seconded. All in favor

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Appendix D




Jim Rashley Status Update of Previous Actions.o Item 1: Responses from

WellFlorida Council, Inc. regardingquestions/corrections to the CHAreceived January 7, 2016.

o Item 2: Letter to BOCC regardingMulti-Modal/Complete Streetsprogram support.

Tito Rubio Introduce Topic – Community HealthAssessment Findings

Healthiest Weight – Being overweight leads to other healthproblems.

Availability of healthy foods – learning tools provided atschool maybe different than what is taught at home.

Access to health care – providers are not being attracted toour county so access is not available – sell Citrus County(the Nature Coast).

Mental Health / Substance Abuse – find ways to make itwork in Citrus County.

Community partners to work together a develop aCommunity Health Improvement Plan

Next step is to develop the CHIP. From that document wewill develop the Strategic Plan showing how and when wewill take the actions needed to implement the Plans.

Discussion - All Open Floor for Community Input Mental Health / Substance Abuse –o Impacts community in many different ways, family

issues, incarceration, crime, health care cost, areason for homelessness.

o A person in crisis is unable to process information.Need to stabilize the situation first before they canprocess information.

o Florida is 50th in nation for access to care – CitrusCounty only has The Centers.

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o Mental health is still stigmatized – educate that it isnot a bad thing and something to hide.

o Access to health care is connected to abuse,behavior change and lifestyle change.

o Include Alzheimer’s and Dementia.

Common link to the 4 key areas – how to change someone’sbehavior.

Provide solutions to make good choices, use local produce,and offer access to recipes.

Agencies are willing to fund the need but want a sustainableplan. Need a broader plan that addresses 4 key areas withmeasurable results.

YMCA – 80% of new building is dedicated to communityeducation and public health, free of charge.

Challenge is to come up with a plan and use all of theresources available.

Each committee will need to have a methodology to measuresuccess.

Need a broader plan with measurable results.

When reaching out to children to change their eating habitsyou also need to reach out to the parents who buy the foodfor the household.

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Support to make the healthiest choice, but also support tomake that choice easier to achieve.

Emphasize the tradeoffs when educating for the healthylifestyle vs the unhealthy lifestyle.

Start out making small changes and build on the success ofthose changes.

Build on the fact that Citrus County is the Nature Coast; anature based tourist attraction, swimming, kayaking, boating,bike riding, nature trails, canoeing, manatee, bird watching,etc.

Jim Rashley / Tito Rubio / Nancy Witty

Next Steps – Moving into theCommunity Health Improvement Planprocess.

Schedule/Timelines for input in personand electronically.

Identifying common themes, solutionsand partners – workgroups

Development of Community HealthImprovement Plan (CHIP)

What groups should be asked to sit on committees?

Healthiest Weight Department of Health, WIC, YMCA Youth Development, Garden Clubs, Food stores, Food Bank, Agriculture, Farm Bureau, School District, Withlacoochee Technical College Culinary Arts, Pregnancy & Family Life Center

Availability of Healthy Foods Same as above

Access to Health Care Insurance reps/agents, Medical Society/local providers, Terry’s Taxi, County Transit, Veterans Affairs, BOCC, Chamber of Commerce

Mental Health & Substance Abuse Committee CCA, School System, NAMI, The Centers, Mid-Florida Homeless Council, Sheriff’s Office, Comfort Keepers, BOCC

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Nancy Witty

Meeting Evaluation

Everyone was encouraged to complete the Community Engagement Survey and to also list which of the four committees you are interested in sitting on.

. Jim Rashley Adjourn There being no further business to discuss at this time, the

meeting was adjourned at 3:50 P.M.

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Action Items

Action Step (use action verb) Person Responsible Deliverable Date

1. Set up meeting(s) for the workinggroups to meet and begin developingthe CHIP

Jim Rashley/Nancy Witty March 16, 2016

2. Send thank you letters to participants Jim Rashley/Nancy Witty March 16, 2016

3.

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5.

6.

7.

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9.

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Appendix E

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Appendix F

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DOH ‐ Citrus

Core Partnership List 2016

Category Organization Contact Name Contact Contact Contact ContactTitle Mailing Address Email Address Phone Number

Health Department FDOH Citrus Tito Rubio Administrator 3700 W. Sovereign Path [email protected]

Jim Rashley Ass't. CHD Director Lecanto, FL 34461 [email protected]

Internal Invitations Carmen Hernandez Health Education Program MgSame as above [email protected]

Janora Wade Health Center Administrator Same as above [email protected]

Glenn Bryant Environmental Health Mgr. Same as above [email protected]

Dr. Poirier Medical Director Same as above [email protected]

Community Health Centers George A. Dame

Jim Goodworth George A. Dame Board [email protected] 352‐400‐0690

Ken Rodger " [email protected] 352‐628‐1231

Chuck Prouty " [email protected] 407‐690‐9888

Rusty Washburn* " russell.washburn@correctionscorp. 352‐270‐6048

Ron Bray* " [email protected] 352‐400‐1191

Ronnie Badolato " [email protected] 352‐746‐3565

Ginger West " N. Florida Avenue, Hernando, FL [email protected] 352‐344‐1001

Debbie Montalbano " [email protected] 352‐795‐4442

Pat Ryder " East Sunray Lane, Floral City, FL [email protected] 352‐637‐9012

Anthony Kraljic " East Sunray Lane, Floral City, FL [email protected] 865‐322‐3188

Langley Health Servic Tom Chase CEO 1425 S. Hwy. 301 [email protected] 352‐569‐2941

Sumterville, FL 33508

Rebecca Hallman, RN " [email protected] 352‐569‐2910

Hospitals Seven Rivers RegionaAustin Brown Interim CEO 6201 N Suncoast Blvd. austin.brown@sevenriversregional. 352‐795‐8383

Medical Center Christine Lamania Medical Staff Administrator Crystal River, FL 34428 [email protected]

* Next to organization/name means that they may fall under multiple categories February 22, 2016; last rev 10/4/16

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Meghan Drake* " " meghan.drake@sevenriversregiona 352‐682‐7901

Citrus Memorial Heal Ralph Aleman Chief Operations Officer 502 W Highland Blvd. [email protected]

Kelly Copas Medical Staff Administrator Inverness, FL 34452 [email protected]

Katie Myers* " " [email protected] 352‐344‐6501

Physicians Nature Coast Pediatr Dr. Komala Bhushan 512 N Lecanto Hwy. 352‐527‐2244

Lecanto, FL 34461

PEDIM Healthcare Dacelin St. Martin, MD Pediatrics 1990 N Prospect Avenue 352‐527‐6888

Lecanto, FL 34461

John. W. Grace, III MD Psychiatry 6226 W Corporate Oaks Dr 352‐795‐2246

Crystal River, FL 34429

Ira Fialko, DO, MPH, FACOP Pediatrics 6171 W Gulf to Lake Hwy

Pediatrics Crystal River, FL 352‐563‐0220

Providers Citrus Ocala Heart Institute Cardiology 131 S. Citrus Avenue citrus.ocalaheart.com 352‐637‐5733

Inverness, FL 34452

Charles Thomas, DMD Dentist 5382 S. Suncoast Blvd 352‐628‐5635

Homosassa, FL 34446

Bradley Ruben, DO Family Practice 2484 N. Essex Street 352‐746‐1358

Hernando, FL 34442

Anil Ram, MD Gastroenterology 6410 W Gulf to Lake Hwy. 352‐563‐2450

Lakshmipathi Reddi, MD " Crystal River, FL 34429

Jennifer Horkin, PA

Torr, Carmain MD General Surgery 403 W Highland Blvd. 352‐726‐7667

Marc Fernandez, MD " Inverness, FL 34452 "

Declan Hegarty, MD " "

Quehoung Pham, MD " " "


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Genesis Women's Ce Thomas Antony, MD Gynecology 800 Medical Court East 352‐726‐7667

Carlos Pottinger, MD " Inverness, FL 34452 "

Armando Rojas, MD " "

Patrick V. Acevedo, MD Hematology/Oncology 2231 Highway 44 West, Unit 203 352‐860‐7400

Vipul Patel, MD " Inverness, FL 34453

Gustavo Fonseca, MD Hematology/Oncology 521 N Lecanto Hwy. 352‐527‐0707

Sunil Gandhi Lecanto, FL 34461

Providers (con't) Charles Bennett, MD Radiation/Oncology 522 N Lecanto Hwy. 352‐527‐0106

Timothy Brant, MD Lecanto, FL 34461

Javanth Rao, MD Radiation/Oncology 3406 N Lecanto Hwy. 352‐746‐1100

Beverly Hills, FL 344645

Sugar Mill Diagnostic Michael K. Herron, MD Radiologist 8303 S Suncoast Blvd 352‐628‐9900

Homosassa, FL 34446

Suncoast DermatologRalph Massullo, MD Dermatology 525 N Dacie Pt. 352‐746‐2200

Brian A. Bonomo, PA‐C " Lecanto, FL 34461

Citrus Hills Medical C Bradley Ruben, DO Family Practice/Pain 2484 N Essex Ave. 352‐746‐1358

Hernando, FL 34442

Citrus Cardiovascular Peter Y. Kim, MD Cardiac Surgeons 131 S Citrus Avenue

Fred M Crouch, MD Inverness, FL 34452 352‐637‐0211

Inverness Surgical AssTorr Carmain, MD General Surgeon 403 W Highland Blvd. 352‐726‐3646

Inverness, FL 34452

Marc Fernandez, MD General Surgeon " "

Quehoung Pham, MD " " "

Christopher H. Ward, DO Opthalmology 8490 Homosassa Trail 352‐628‐0123

Homosassa, FL 34448


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Citrus Podiatry Cente Edward Daly, DPM Podiatrist P. O. Box 1120 352‐746‐0077

Lecanto, FL 34460‐1120

Thomas Matysic, DPM Podiatrist 2246 Hwy. 44 West 352‐726‐0331

Inverness, FL 34453

David B. Raynor, DPM Podiatrist 490 Pleasant Grove Road

Inverness, FL 34452 352‐726‐3668

SonLife Prosthetics & Orthotics Prosthetics/Orthotics 2024 Highway 44 W 352‐344‐8200

Inverness, FL 34453

Citrus Pulmonary ConVikram Shah, MD Pulmonologist 5616 W Norvell Bryant Hwy 352‐795‐1999


Manoj B. Shukla, MD " " "

Citrus Oral & MaxillofDr. Robert Brockett Meadowcrest Office Park www.citrusoms.com 352‐795‐4994

Surgery, PA 6129 W Corporate Oaks Drive

Citrus Chiropractic GrDr. Ross Dumbadse 2202 Highway 44 West www.citruschiropracticegroup.com 352‐726‐4441

Dr. Andrew Jones Inverness, FL 34453

Dr. Kevin Hoffman

" " 2320 N. Sunshine Path 352‐795‐5350

" " Crystal River, FL 34428

Better Health ChiropracticDr. Cheryl McFarland‐Bryant 6166 W. Gulf To Lake Hwy. www.betterhealthchiropractic.us 352‐795‐8911

Dr. Russell Lewandowski, DC Crystal River, FL 34429

Irven Chiropractic Health CDr. Carl Irven, DC 9030 W. Fort Island Trail www.irvenchiro.com 352‐795‐9111

Dr. Nancy Irven Crystal River, FL 34429

Suncoast ChiropracticDr. Michael Bennett 375 NE 10th Avenue suncoastchiropractic.com 352‐563‐6471

& Neurological Diagnostic Center Crystal River, FL 34429


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Kinnard Chiropractic Dr. Jeffery Kinnard 2611 Highway 44 West www.kinnardchiropractic.com 352‐726‐0554

Inverness, FL 34453

Dr. Christian Grause 5354 S. Suncoast Blvd. 352‐628‐5231

Homosassa, FL 34446

William Chaney, DC, P Dr. William Chaney 3470 N. Lecanto Highway 352‐270‐8869


Seconi Family Chiropractic Center Dr.Trevor Seconi, DC 2220 W. Highway 44 #C‐2 seconichiropractic.com 352‐341‐3111

Inverness, FL 34453

Jennifer Christain, DC 5354 S. Suncoast Blvd. 352‐628‐5231

Homosassa, FL 34446

Roy Horn, DC 7989 S. Suncoast Blvd 352‐382‐2900

Homosassa, FL 34446

Collins A. Quenten, DC 6980 W. Jackson Lane 352‐628‐4520

Homosassa, FL 34448

Peter Doran, DC 5687 S. Suncoast Blvd. 352‐503‐6813

Homosassa, FL 34446

Dr. Anthony B Oliverio, DC 912 NE 5th Street 352‐563‐5055


Special Needs Key Center Chet Cole Executive Director 5399 W. Gulf To Lake Highway [email protected] 352‐795‐5541 ext. 205

Population Nealle Brennan Community Relations Mgr. Lecanto, FL 34461 neallebrennan@keytraining center. 352‐795‐5541 ext. 313

CHIPS (Citrus HearingMaureen Tambasco Executive Director 109 NE Crystal Street Suite B [email protected] 352‐795‐5000

Program Services) Crystal River, FL 34428

Blind Services Blind Americans, Inc 6055 N Carl G Rose Hwy www.blindamericansinc.org 352‐637‐1739


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Wishing Well Center Hernando, FL 34442

Florida Department of Education/

Division of Blind Serv Margaret Hancock Sr. Rehabilitation Specialist 402 South Kentucky Avenue [email protected] 863‐499‐2385

Suite 340

Lakeland, FL 33801

Florida Diagnostic & LEmily King Child Find Specialist 3881 NW 155th Street [email protected] 352‐671‐6051

Resources SystemJennifer McBride Child Find Specialist Reddick, FL 32686 [email protected] 800‐533‐0326

FDLRS/Springs Child FJill Bennett‐Rhodes Child Find Specialist jill.bennett‐[email protected]

Tender Care Medical Lori Mazzuco Administrator 306 Beverly Court [email protected] 352‐683‐6831

Spring Hill, FL 34606

EMS Nature Coast EMS (N Mike Hall President/CEO 3876 W Country Hill Dr. [email protected] 352‐249‐4700

Lecanto, FL 34461

Student Health/SchooPamela L Carnevale RN, Student Health Specialist 2575 S Panther Pride Dr [email protected] 352‐527‐0090

Lecanto, FL 34461

Withlacoochee TechnGloria Bishop Director 1201 W Main Street 352‐726‐2430

Richard Van Gulik Assistant Director Inverness, FL 34450 [email protected] 352‐726‐2430

Deon Copeland Assistant Director [email protected] 352‐726‐2430

College of Central FloDr. Barbara Lange Dean of Health Sciences 3800 S Lecanto Hwy [email protected] 352‐746‐6721 ext. 1275

Lecanto, FL 34461

University of Florida B. J. Jarvis County Extension Director 3650 W. Sovereign Path, Suite [email protected] 352‐527‐5714

IFAS Extension Horticulture Faculty Lecanto, FL 34461


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Sarah Ellis Family & Consumer Science Ag3650 W. Sovereign Path, Suite [email protected] 352‐527‐5713

Lecanto, FL 34461

Mental Health The Centers* Tim Cowart* CEO 5664 SW 60th Avenue [email protected] 352‐291‐5474

* Also drug treatment Ocala, FL 34474

(Per email from JR 5/ Deb Jenks Assistant Director of Citrus Ser3238 S Lecanto Hwy [email protected] 352‐291‐5555

Dianne Giammarco Lecanto, FL 34461 [email protected] 352‐628‐5020

Debbie LoCicero Prevention Therapist 3238 S Lecanto Hwy [email protected] 352‐628‐5020

Lecanto, FL 34461

Mark Solomon, Hospital Admimistrator 5664 SW 60th Avenue [email protected] 352‐291‐5505

ACS Administrator Ocala Office Ocala, FL 34474

NAMI ‐ Citrus County Steven Burch President C/O Good Shepherd Church [email protected] 844‐867‐6265

National Alliance for Mental 439 Norvell Bryant Hwy. Nami‐[email protected]

Illness Hernando, FL 34442

Devereux Florida * Scott Cook Parenting Facilitator 507b North Market Street [email protected] 352‐793‐0801

Bushnell, FL 33513

Pharmacies Brashear's Pharmacy Bob Brashear management@brashearsphar 206 W. Dampier Street 352‐637‐2079

Inverness, FL 34450

Bob Brashear management@brashearsphar 471 N. Dacie Point 352‐746‐3250

Lecanto, FL 34461

B & W Rexall Ken Heimann 214 Highway 41 South 352‐726‐1021

Inverness, FL 34450


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Civic Groups YMCA Joanna Castle Executive Director 3909 N Lecanto Highway 352‐637‐0132


Boys & Girls Club of CLane Vick Inverness 401 N Apopka Avenue 352‐621‐9225

Inverness, FL 34450 352‐341‐2507

Rotary Club John Murphy (16‐17) President The Rotary Club of Inverness 352‐563‐6363

P. O. Box 1317

Inverness, FL 34451‐1317

Johnny Cash President Crystal River‐Kings Bay Rotary

P.O. Box 27


Eric Hoyer President The Rotary Club

of Central Citrus

Angela Tanzer President Rotary Club of [email protected] 352‐220‐1296

Sugarmill Woods

Greg Mackler President Rotary Club of

Homosassa Springs

P.O. Box 2029

Homosassa Springs, FL 34447

Chamber of Commer Josh Wooten CEO & President 915 N. Suncoast Blvd. [email protected] 352‐795‐3149


Citrus County Economic Develop‐

ment Council

106 W. Main Street

Inverness, FL 34450

United Way of Citrus Amy Meek President/CEO 1205 NE5th Street, Suite A 352‐795‐5483


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Crystal River, FL 344f29

Kiwannis Club/Homo Ralph Siegel P.O. Box 1310 352‐628‐5281


Kiwannis/Central RidgRichard Morton President [email protected]

Crystal River Lynn Fonfara President‐Elect [email protected] 352‐527‐8321

Brenda Chiasson Secretary [email protected]

Barbara Rollison Treasurer [email protected] 352‐726‐3971

Kiwannis/Inverness Thomas Fitzpatrick President 352‐726‐3966 (H)

352‐726‐7830 (W)

Lions Club/HomosassBarbara Comeau President P. O. Box 1401 [email protected]


Lions Club/Hernando Terry Murtha Secretary [email protected] 352‐527‐4361 (H)

Lions Club/Crystal RivStephen Frederick 109 NE Crystal Street, Unit A 352‐795‐6639


Spanish American CluBenny Cruz Chairman [email protected]

Citrus United Basket Deborah Rossfield Executive Director 103 N Mill Avenue [email protected] 352‐344‐2242

Inverness

Sertoma Club

Sertoma Heart of FlorDebbie Spitzer District Governor [email protected]

Kent Nottage Chairman of the Board [email protected]

Brian D. Tambasco* President [email protected]

Terri Clark Treasurer [email protected]

Inverness Sertoma Cl Bill Catto President P.O. Box 1415 352‐726‐7805

Inverness, FL 34450

All Childrens Hospital (audiology/


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All Children's Sertoma pediatric occupational therapy538 N. Lecanto Highway, Suite www.allkids.org 352‐746‐3300

Outpatient Care Center pediatric speech‐language pat Lecanto, FL 34461 352‐419‐7088

Citrus Shrine Club Citrus Shrine Club P.O. Box 1551 citrusshrineclub.com

Inverness, FL 34451

West Citrus Elks LodgBryan Estus Exalted Ruler 7890 W. Grover Cleveland Blvd. 352‐628‐1221

Homosassa, FL 34446

Inverness Elks Lodge Dave Douglas Exalted Ruler 3580 E. Lemon Drive [email protected] 352‐726‐2027

Hernando, FL 34442

Elected Officials BOCC Dennis Damato District 1 Commissioner 110 N Apopka Ave [email protected] 352‐341‐6560

Inverness, FL 34450

Ron Kitchen District 2 Commissioner/Chair " [email protected] "

Joe Meek District 3 Commissioner " [email protected] "

Scott Carnahan District 4 Commissioner " [email protected] "

Scott Adams District 5 Commissioner [email protected] "

Randy Oliver County Administrator 3600 W Sovereign Path, Ste. [email protected] 352‐527‐5205

Lecanto, FL 34461

City of Crystal River Dave Burnell City Manager 123 NW Hwy 19 [email protected] 352‐795‐4216 ext. 302


Jim Farley Mayor " [email protected] 352‐794‐7455

Andy Houston Council Seat No. 1 " [email protected] 352‐422‐0374

Mike Gudis Council Seat No. 2 " [email protected]

Ken Brown Council Seat No. 3 " [email protected] 352‐795‐2881

Robert Holmes Council Seat No. 4 " [email protected] 352‐795‐7652

City of Inverness Frank DiGiovanni City Manager 212 W. Main St. fdigiovanni@inverness‐fl.gov 352‐726‐2611

Inverness, FL 34450

Bob Plaisted Mayor " cityclerk@inverness‐fl.gov 352‐344‐4182


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David Ryan Council Member Seat 1 " " 352‐409‐0914

Jacquie Hepfer Council Member Seat 2 " " 352‐726‐9172

Ken Hinkle Council Member Seat 3 " " 352‐344‐2397

Cabot McBride Council Member Seat 4 " " 352‐726‐3735

Linda Bega Council Member Seat 5 " " 352‐726‐5263

Citrus County Mosqu George Deskins Director 968 N Lecanto Hwy. www.citrusmosquito.org 352‐527‐7478

Board Lecanto, FL 34461

School Board Sandra Himmel Superintendent 1007 W Main Street 352‐726‐1931

Thomas Kennedy District 1 Board Member 1007 W Main Street [email protected]

Inverness, FL 34450 352‐726‐1931

Ginger Bryant District 2 Board Member " [email protected] "

Doug Dodd District 3 Board Member " [email protected] "

Sandy Balfour District 4 Board Member " [email protected] "

Linda B. Powers District 5 Board Member/Chai " [email protected] "

Transit BOCC Transit ServicesMr. Lon Frye Transit Director [email protected] 352‐527‐7630

Transportation Disadvantaged

Coor. Bd. *

Sheriff's Office Citrus County Sheriff' Jeff Dawsey Sheriff 1 Dr. Martin Luther King Ave [email protected] 352‐726‐4488

Inverness, FL 34450‐4968

Department Citrus County Detent Russell Washburn Warden 6204 W Woodland Ridge Dr russell.washburn@correctionscorp. 352527‐3332

of Corrections Lecanto, FL 34461

Cypress Creek Juveni Collin Poyser Director/Acting Facility Admin2855 W. Woodland Ridge Dr. [email protected] 352‐527‐3091

Correctional Facility Torrence Bennett Lecanto, FL 34461

Community Centers East Citrus CommunitTobey Phillips Community Services Director 2804 W Marc Knighton Ct [email protected] 352‐527‐5900

Lecanto, FL 34461

West Citrus Commun" " " "

Inverness Community" " " "


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Central Citrus Commu" " " "

Congregate Dining BOCC Support ServiceToby Phillips Director 2804 W Marc Knighton Ct. [email protected] 352‐527‐5900

Annie Johnson Com " " Lecanto, FL 34461

Central Citrus Com " "

East Citrus Commu " "

Inverness Commun " "

West Citrus Comm " " [email protected] 352‐527‐5900

Non‐Profit Hospice of Citrus & Joe Foster P.O. Box 641270 [email protected] 352‐527‐2020

Organizations the Nature Coast Anna Neptune Beverly Hills, FL 34464

HPH Hospice, Inc 2939 W Gulf to Lake Hwy. 352‐527‐4600

Lecanto, FL 344561

"

United Way Amy Meek President/CEO 1205 NE 5th Street, Suite A 352‐795‐5483

Crystsal River, FL 34429

Citrus Abuse Shelter ALinda Fernandez P. O. Box 205 www.casafl.org 352‐344‐8111

" Deborah Peterson Domestic Violance Preven‐ Inverness, FL 34451 [email protected] "

tion & intervention advocate

" Diana Finegan Director " [email protected] "

Citrus County Family Nuris Lemire President 2435 N. Florida Avenue www.ccfrc.org 352‐344‐1011

Center Ginger West Vice President Hernando, FL 34442

Salvation Army of Cit Angelique Howland Social Serviced Direcotor 712 S School Avenue [email protected] 352‐513‐4960 ext.1

Lecanto, FL 34461 352‐513‐4965/621‐5532

Citrus United Basket Deborah Rossfield Executive Director 103 N Mill Avenue [email protected] 352‐344‐2242

Inverness, FL 34450

The Sanctuary Missio Brian O'Connell Manager 4763 W Grover Cleveland Blvd. sanctuarymission.webs.com 352‐621‐3277


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Daystar Life Center ofAnthony D. Kopka Executive Director 6751 W. Gulf to Lake Hwy. [email protected] 352‐795‐8668

Crystal River, FL 34429 ** [email protected]

Citrus 20/20, Inc. Lace Blue‐MacLean Chair P. O. Box 1141 [email protected] 352‐344‐5955

Lecanto, FL 34460 352‐201‐0149

Rebecca Martin* Citizen rdm‐[email protected] 352‐726‐7517

No Wed a.m & No Fri's

Red Cross Catherine Reed 4218 W Gulf to Lake Hwy [email protected] 352‐564‐8455

Lecanto, FL 34461

Life Choice Pregnancy Center 1300 Hwy. 41 N, Suite B 352‐341‐5176

Inverness, FL 34450

" 726 NE Hwy. 19


Pregnancy Family LifeCindy Devine Executive Director 317 Tompkins St. [email protected] 352‐344‐3030

Inverness, FL 34450

Aspire ‐ Home of the Kari Peters Executive Direcdtor 305 S Salisbury Terrace, Ste. E [email protected] 352‐356‐8058

Lecanto, FL 34461

Covenant Children's HJo Ann Hammel Executive Director 11350 N Covenant Path, Suite 1www.cchfl.org 352‐489‐2565

Ken Habedank Chairman Dunnellon, FL 34434

Devereux Florida* Scott Cook Parenting Facilitator 507b North Market Street [email protected] 352‐793‐0801

Bushnell, FL 33513

Faith Based Organizations Catholic Charities Charles M. Locasto Program Manager, Citrus & 8370 Forest Oaks Blvd. [email protected] (813) 624‐8978

Hernando Spring Hill, FL 34606


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Nature Coast MinistriBonnie McMullin 1590 N Meadowcrest Blvd 352‐563‐1860

Crystal River, FL 34428 352‐400‐2689

Citrus Christian ClergyPastor Jerry Carris III President www.citrusclergy.weebly.com

Covenant Children's HJo Ann Hammel Executive Director 11350 N Covenant Path, Suite 1www.cchfl.org 352‐489‐2565

Ken Habedank Chairman Dunnellon, FL 34434

Homeless Population Mid Florida HomelessBarbara Wheeler Executive Director [email protected] 352-860-2308www.midfloridahomeless.org

Jibril Doyle Administrative Assistant [email protected] 352‐860‐2308

The Path DuWayne Sipper Executive Director 27 S Melbourne St [email protected] 352‐527‐6500


Mission in Citrus, Inc. James Sleighter Founder/Executive Director 2488 N Pennsylvania Ave www.missionincitrus.com 352‐794‐3825


Low Income Population Citrus County Housin Toby Phillips* Director 2804 W. Marc Knighton Ct. [email protected] 352‐527‐7520

BOCC Department of Tammy Harris Division Director Lecanto, FL

Services

Habitat for Humanity Chris DeFelice Board Chair 7800 W. Gulf to Lake Highway

P.O. Box 1040

Crystal River, FL 34423‐1041 [email protected] 352‐563‐2744

C‐CHAP Member George Rusaw Affiliate President/CEO [email protected] 352‐563‐2744

Media Citrus County ChronicGerry Mulligan Publisher 1624 N Meadowcrest Blvd [email protected] 352‐563‐3234

WYKE 47 TV Dennis Station Manager 5399 W. Gulf to Lake Hwy. [email protected] 352‐527‐2341

Lecanto, FL 34461


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Bay News 9 ‐ Citrus Bureau 1624 North Meadowcrest Blvd.

Crystal River, FL. 34429

Veteran's Affairs BOCC Support ServiceToby Phillips* Director Citrus County Resource Center

Veterans Services Kimberly Stibbs‐MensterVeterans Service Officer 2804 W. Marc Knighton Court [email protected] 352‐527‐5915

Veteran's Advisory Board Lecanto Fl 34461 US 352‐341‐6563

Workforce/ CLM Workforce ConnMr. Rusty Skinner CEO [email protected] 352‐291‐9559

Employment Career Source Florida 352‐816‐1264

Coalitions Anti‐Drug Coalition o Mary Lee Cubbison Director of Services 212 W Main Street [email protected] 352‐601‐6620

County, Inc.

Mid‐Florida Homeles Barbara Wheeler Executive Director [email protected] (352) 860‐2308

Community Alliance oRenea Teaster Facilitator 110 N Apopka Avenue [email protected] (352) 341‐7075

Pregnancy Family LifeCindy Devine Executive Director 317 Tompkins St. [email protected] 352‐344‐3030

Center of Citrus County Inverness, FL 34450

" " 9020 Atlas Drive 352‐228‐4999

Homosassa, FL

Migrant Community Sandra Oller* [email protected]

Citizens/General Public

Lucy Ann Wines 352‐489‐4075

Joan Burnett [email protected]

Linda Myers [email protected] 352‐746‐0655

Kelli Curl

Bob Priselac [email protected] 941‐650‐8011


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Appendix H

community health improvement plan annual report, 2016 · 4 chip annual review report, 2016 overview...

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