kandiyohi county public health - 2011 · blood pressure walk-ins ... 87 92 71 74 90 87 62 58 82 63*...
TRANSCRIPT
Kandiyohi County
Public Health - 2011
Disease Prevention and
Control
Some people call them immunizations. Others call them vaccinations or shots. Whatever you call them, immunizations are one of the best weapons we have against a number of serious diseases.
Health Services
Participants Served
Mantoux (at KCPH Office - Contracted Services)
2003 2004 2005 2006 2007 2008 2009 2010 2011
61 49 105 56 83 42 20 55 24
Mantoux (Worksite – Dental Office Contract) 17 0
Blood Pressure Walk-ins
2003 2004 2005 2006 2007 2008 2009 2010 2011
18 16 23 23 10 15 29 34 25
Blood Pressure Screenings at Community Clinics
2003 2004 2005 2006 2007 2008 2009 2010 2011
259 208 150 120 174 211 251 211 171
Immunizations 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Clinic Clients* - Regularly scheduled monthly clinics 587 567 648 482 431 350 382 368 337 316 Vaccine Doses 983 976 1,096 884 846 698 697 689 664 700 Number of Walk-In Clients 172 152 165 215*** 30 28 23 24+
School/other community clinic vaccinations* 657 705 96 157 57 56 59 37 Refugee Immunization Office Visits**201 216 166 193 220 177 Billed 156 151 123 Non-billed 37 69 54 +Not a Duplicated number *Duplicated number **Duplicated number of refugees that came in for immunizations as walk-in or on Fridays for appointments ***Walk-ins for 2007 may include late 2006 flu season clients from January and February 2007)
Immunizations - Influenza
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Seasonal Flu Vaccinations 1,693 1,485 13* 1,559 1,379 1,444 1,552 1,528 2,295 1,433 (Late 2006 season given in February 2007) 318 Seasonal Worksite Clinic Vaccinations 1,319 1,281 Seasonal School Clinics Vaccinations 886 0 Regularly Scheduled Clinics 90 152
H1N1 Vaccinations (not included in seasonal) 1,840 1,540 0 (total school located clinic doses 2,123—1,765 first doses, 358 second doses)
Total Flu Vaccines Given 3,368 3,835 1,433 *In 2004, Homeland Health Clinics held due to shortage of vaccine and severity of Influenza Disease: 870 vaccinations given. KCPH distributed its vaccine to local medical clinics, Rice Memorial Hospital, assisted living facilities, home care agencies and nursing homes.
Latent TB Infections
TB Disease Follow-up 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Clients* 14 9 25 39 89 124 81 66 121 154 Visits 296 154 88 216 578 624 303 254 1,040 786
Clients/
Latent TB Infection * 36 88 122 81 65 117 147 LTBI Visits 285 476 303 246 568 587 New LTBI Clients 41 35 79 105 Number of Referrals from Employers 83 Number of those started on INH 42
Active TB Clients: MDH TB Cases by County
1 1 0 3 1 2 0 1 4 2 2005: 2-pulmonary, 1-Extrapulmonary 2011: 1 pulmonary, 1 extra-pulmonary
Active TB Visits 293 148 0 8 470 123 New TB Clients 3 1
*May have also been clients in the prior year
Total of Active Cases Minnesota
237 214 199 199 217 238 211 161 135 Not avail
Latent TB Activity
78 new LTBI starts in 2010
64 people received or completed their meds. Most of them within 9 months. 82 % completion.
3 moved and had inter-jurisdictional referrals made to other states.
10 lost/uncooperative. 7 were uncooperative and 3 of them moved with no forwarding address.
One person started late in the year and restarted meds.
Primary Refugee Arrivals in
Kandiyohi County
2002 2003 2004 2005 2006 2007 2008 2009* 2010 2011 Kandiyohi 2 4 19 25 63 29 3 10 2 14 Minnesota 1035 2403 7345 5323 5354 2867 1205 1265 2320 NA
Kenya 1
Cuba 2 3 1 1 1
Ethiopia 3
Somalia 1 2 19 22 60 28 3 9 2 13
• Most current information from the Minnesota Department of Health Refugee Health Program
Secondary (All are from East Africa) 55
Environmental Health Environmental Health — Touching Everyone’s Life Every Day Environmental health is an integral part of Minnesota's public health system. Events in the last several years, including natural and manmade disasters, terrorism, and food borne disease outbreaks, have demonstrated this again and again.
Food, Beverage, Lodging
and Tobacco Activities
2004 2005 2006 2007 2008 2009 2010 2011
Inspections:
Food Beverage Lodging
249 267 267 281 300 308 301 320
FBL Complaints 16 8 8 12 9 8
Required enforcement action 8 6 2 4 5 4
Food, Beverage, Lodging
and Tobacco Activities
Public health nuisance complaint
2004 2005 2006 2007 2008 2009 2010 2011
6 11 13 8 5 3 2 3
Required enforcement action
2004 2005 2006 2007 2008 2009 2010 2011
3 0 3 2 1 0 0 0
Food, Beverage, Lodging
and Tobacco Activities
Licensed tobacco retailers
2004 2005 2006 2007 2008 2009 2010 2011
56 50 47 45 37 37 36 40
Sales to minors through regular compliance checks
2004 2005 2006 2007 2008 2009 2010 2011
9 9 11 10 1 3 4 0
Compliance Check Failure Rate
2004 2005 2006 2007 2008 2009 2010 2011
16% 21% 23% 26% 3% 8% 11% 0%
Food, Beverage, Lodging
Inspections
2001 2002* 2003 2004 2005 2006 2007 2008 2009 2010 2011 Total Inspections 143 248 255 259 280 282 281 300 308 301 320 Violations 1762 2037 1417 1182 1213 949 820 880 1173 985 1078 Critical Violations 525 782 574 648 447 350 303 294 332 279 307 Average # of violations per inspection 12.32 8.21 5.55 4.56 4.33 3.36 2.91 2.93 3.80 3.27 3.36 Average # Criticals 3.67 3.15 2.25 2.50 1.59 1.24 1.07 .98 1.07 .92 .95
Food, Beverage, Lodging Licensing
2003 2004 2005 2006 2007 2008 2009 2010 2011 Food and Beverage
164 165 170 174 176 182 179 179 182
Temporary Facilities
107 103 112 126 132 161 143 150 155
Food Vending Machines
247 242 242 218 223 241 216 210 209
Lodging
45 47 46 49 49 55 54 51 51
MHP, Rec-Camping Areas
32 31 30 29 30 31 31 31 31
Pools
7 8 8 8 11 13 15 14 13
Family Health
Home visitation has been an effective strategy for the delivery of public health services to families for more than a century. Current research shows that Public Health Nurse (PHN) home visitation, especially for pregnant women and families with young children, is effective at helping families improve health status, achieve economic self-sufficiency, improve positive parenting, reduce child maltreatment, reduce juvenile delinquency, achieve maternal goals such as child spacing, education and employment, and establish links to community resources.
Family Health Referrals Reason for Referral 2005 2006 2007 2008 2009 2010 2011
Prenatal 515 369 363 327 208 200 216
Prenatal High Risk NA 189 169 213 256 293 232
Postpartum 538 571 598 540 514 519 498
Lice 9 2 3 7 0 2 2
PCA 56 64 78 60 49 58 51
Lead 25 15 15 17 5 6 8
MCH 45 32 24 9 4 1 8
MCSHN NA NA 3 4 2 0 0
FHV NA NA 16 32 22 41 30
Perinatal Hep B NA NA NA 2 3 3 2
Mental Health NA NA NA NA NA 5 26
Breastfeeding NA NA NA NA NA NA 10
Total MCH Referrals 1128 1088
Prenatal
0
100
200
300
400
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Cl i e nt s
Vi si t s
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Clients 291 251 265 216 136 80 74 226 303 240 Visits 209 190 226 205 146 77 60 271 380 316 High Risk Pregnancy Referrals Received 232 Clients 31 57 Home Visits 37 97 Prenatal Universal Contact Referrals Received 216 Clients 90 45 Home Visits 117 49 Prenatal WIC Clients (referrals are included in above) 217 163 Visit-office 226 170
Postpartum
0
100
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
2 0 0 2 2 0 0 3 2 0 0 4 2 0 0 5 2 0 0 6 2 0 0 7 2 0 0 8 2 0 0 9 2010 2011
Clients Visits
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Referrals Received 538 571 598 540 514 519 498
% of referrals who accepted visits 67% 63% 56% 53% 50% 46% 46%
Clients 525 468 410 358 361 336 287 259 242 229
Visits 578 517 479 424 359 312 336 295 243 269
Family Home Visiting
0
100
200
300
400
500
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Clients Visits
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Clients 143 117 144 158 95 92 100 112 88 96
Visits 344 416 368 279 255 170 328 362 349 377
Family Home Visiting
High Risk Children
2005 2006 2007 2008 2009 2010 2011*
Clients 44 20 17 42 33 41 112
Visits 84 43 32 165 145 142 375
0
100
2 0 0
3 0 0
4 0 0
2 0 0 5 2 0 0 6 2 0 0 7 2 0 0 8 2 0 0 9 2010 2011
Clients Visits
2011* Visit coding changed to more accurately reflect visits
Incredible Years Classes
2006 2007 2008 2009 2010 2011
Participants 47 49 65 55 114 94
Classes Taught 11 10 Somali Classes 2 Participants 28 Spanish Classes 2 Participants 13 English Classes 2 Participants 11 Correctional Setting Classes 4 Participants 42 (13 women, 29 men)
Expectant Parent Classes
Number of Pregnant Women Registered
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
87 92 71 74 90 87 62 58 82 63*
Breastfeeding Class 2010 2011
Attendees 49 *
*New format started November 2011
2012 Expectant Parent Classes
WIC Average # participants/month 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 1,440 1,597 1,726 1,780 1,840 1,842 1,839 1,835 1,792 1,655
Highest Month 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Nov July Sept Aug July July Oct Oct May January
1,534 1,670 1,780 1,835 1,909 1,919 1,931 1,904 1,820 1,773
Second Highest Month August Sept Nov August Feb
1,915 1,884 1,874 1,819 1,695 2005 2006 2007 2008 2009 2010 2011
Regular workday: (approx.) 30 67 47 48 55 50 50 Extended workday: (approx.) 60-70 78 63 65 69 64 64 (Occurs 2 days per month) Dollar amount of WIC vouchers redeemed in the local economy 2009 2010 2011 $1,609,909.20 $1,565,789.36 $1,156,640.19
Child and Teen Checkups
Participation Outcome Ratio Indicator Points
10/2010 – 10/2011 __
10/2009 – 10/2010 73
10/2008 – 10/2009 71 78
10/2007 – 10/2008 71 74.0
10/2006 – 10/2007 69 66.0
10/2005 – 10/2006 66 57.0
10/2004 – 10/2005 68 73.0
10/2003 – 9/2004 66 70.0
10/2002 – 9/2003 61 73.0
10/2001 – 9/2002 64
Lead Referrals
Children who have been referred to Public Health for High Lead
2004 2005 2006 2007 2008 2009 2010 2011
22 25 40 14 17 5 6 8
Referrals were from:
MDH 36 12 17 5
ACMC 3 2 0
Mid MN 1
Follow Along
Active Children 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
254 229 220 167 154 202 217 248 258 294
The screening is a brief, simple procedure used to identify potential health, developmental, or social-emotional problems in infants and young children in the context of family, community, and culture who may need a health assessment, diagnostic assessment, or educational evaluation.
Provides an opportunity for young children and their families to access a wide variety of services and early childhood programs; and Promotes and supports parents’ understanding of their child’s health, development, and learning.
Health Promotion Promotes, encourages and supports healthy and safe communities, and works to build capacity for individual, community and system change to improve health and prevent injury, substance abuse and chronic disease.
Statewide Health Improvement Program (SHIP)
The goal of SHIP is to help Minnesotans live longer, healthier,
better lives by preventing risk factors that lead to chronic disease
including tobacco use and exposure, physical inactivity and poor
nutrition.
It is an integral component of an overall health care reform initiative
passed during the 2008 Legislative session.
Kandiyohi County SHIP Interventions
Community Implement tobacco-free policies for parks, playgrounds, beaches, fairs, and other
recreational settings.
~ Partnered with Kandiyohi County Drug Free Coalition to develop a county fair tobacco policy.
Implement policies/practices that create active communities by increasing opportunities for walking and biking.
~ Bike rack map – Willmar Bike and Pedestrian Plan.
Implement policies/practices, and environmental changes that improve access to nutritious foods.
~ Promote Farmer’s Markets and community gardens
~ Support and Promote Community Owned Grocery (COG).
Implement policies and practices that support healthy eating and physical activity in licensed child care and pre-school settings.
~ Mini-grants that support healthy eating and physical activity.
~ Provide trainings for ECFE, childcare centers, and in-home childcares.
SHIP Interventions continued School Implement policies/practices that create active schools by increasing
opportunities for walking and biking to-and-from school and access to school
recreation facilities.
~ Promoted Safe Routes to School and International Walk to School Day
~ Assisted with organizing and provided resources to conduct two bike
trains at NL-S
Implement comprehensive nutrition policies: healthy lunch and snacks.
~ Willmar Public Schools: Farm to school
~ NL-S: Healthy lunch and snacks, Farm to School
~ Community Christian School: Healthy lunches
Provided mini-grants to school that led to:
~ Increased access for physical activity opportunities
~ Breakfast promotion
~ Increase staff time for Breakfast promotion – leading to more participation
SHIP Interventions continued
Healthcare Develop relationships with/among health care providers to facilitate
active referral of patients to local resources that increase access to
high quality nutritious foods and opportunities for physical activity.
~ Implement referral program through WIC and local
health care providers for families with children that
are overweight or at risk for overweight.
~ Update information on MinnnesotaHelp.org
SHIP Interventions continued
Worksite Implement policies/practices that support increased consumption of
fruits and vegetables and other nutritious foods.
~ Provided mini-grants to worksites that led to:
~ Healthier meals at meetings
~ Healthier vending options
~ Worksite walking maps and programs
The Kandiyohi County Drug Free Communities (DFC)
Coalition was awarded a Drug Free Communities Grant
from the Federal Government on September 29, 2009.
The award is in the amount of $125,000 for up to five years
with the opportunity to re-apply for five more years, for a
total of 10 years.
Currently, the DFC Coalition is in Year 3 of the grant
The KC DFC Coalition has two main goals.
1. To reduce substance use/abuse in Kandiyohi County
2. Build and strengthen the capacity of the coalition
Our mission Statement:
“The Kandiyohi County Drug Free Communities Coalition is working together to empower the community through prevention, education and shared leadership to reduce alcohol, tobacco and illegal drug use among our youth and families”.
Accomplishments in Year Two (2010-2011)
November: Prescription Take Back Event
November: Announced DFC’s new mission statement
December: Assisted City of Spicer to pass their Social Host Ordinance
December: Developed the DFC Coalition Blog
December: Holiday Hosting Campaign
January: Non-Alcoholic Drink Recipe Campaign with Q102.5
March: New DFC Coalition Logo
March: Prescription Drop Box installed at Kandiyohi County Sheriff’s Office
April: Town Hall Meeting on Underage/Binge Drinking
April: Media Campaign featuring Patty Sterner
May: Received “Community Spotlight” Ads
June: Requested the Kandiyohi County Fair Board go Tobacco Free
July: Kandiyohi County Fair Board passes a Tobacco Policy for 4-day Fair
August: Implementation of the Tobacco Fair Policy
Child Passenger Safety Seats
0
2 0
4 0
6 0
8 0
2 0 0 2 2 0 0 3 2 0 0 4 2 0 0 5 2 0 0 6 2 0 0 7 2 0 0 8 2 0 0 9 2010 2011
Number of CPS Seats checked at Clinics
Child Passenger Safety Seats Checked at Clinics 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
79 33 61 42 44 42 56 42 35 30 UCare Seats Distributed 41 57 27 54 Foster/Daycare Providers Taught 34 21 27 42 Expectant Parent Class Participants Taught 92 82 61 AAA Grant Booster Seats Distributed 23 0 0 MN Boosters (from MN Office of Traffic Safety) 10 21 18
Nursing Students Ridgewater RN Students: 14 At Public Health 1 day. Experience usually includes jail medical unit tour. Instructor is off-site.
St Cloud State University Nursing Students: 9 At Public Health one day a week for 12 weeks. Instructor is onsite. Experience usually includes observation at: WIC, home visits with a nurse, Jail medical unit, refugee and TB clients, food safety restaurant inspection.
From other BSN programs: 2 These students have varying hourly requirements and work on individual projects
Chronic Disease
Prevention
Efforts to reduce the burden of suffering and death from chronic diseases and injuries in Minnesota, by providing leadership in the prevention of chronic diseases and injuries, conducting public health surveillance, and developing, implementing, evaluating and supporting public health interventions.
PCA Assessments (Personal Care Assistant)
0
50
100
150
200
250
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Clients Visits
PCA Assessments (Face to Face) Clients 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 32 60 104 117 152 186 180 178 178 178 Visits 33 71 96 121 158 198 178 188 224 191 PCA Service Plan Change Clients 5 3 Visits 4 3
Care Coordination Services
2004 2005 2006 2007 2008 2009 2010 2011 Number of clients
Community Alternative Care 2 3 3 5 5 5 5 4 Community Alternative for Disabled Individuals 81 71 66 33 52 46 48 55 Traumatic Brain Injury 27 24 30 20 17 15 15 16 MSHO/MSC+ NA 44 298 385 361 337 302 275 MR/DD 47 48 36 23 12 8 5 5 Screenings/RSC 222 169 122 147 126 144 144 111
Jail 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Average Daily Census 159 120 123 83
Clients
581 606 630 698 830 714 682 613 648 559
Visits
1,624 1,589 1,848 2,114 3,234* 2,639* 2,313* 1,865* 1,991* 1,893*
Ratio of inmates to visits to Nurse 1:4.29 1:5.11 1:5.27 1:6.73
A “typical” inmate received 4.29 nurse visits in 2008 compared with 6.73 nurse visits in 2011
Hours
1,529 1,794 1,805 2,756 5,250 5,178 4,632 3,433 3,711.25 3,460.25
Direct Care Hours 2,141 3,168 3,127 2,731 2,426 2,942.75 2,679
Indirect Staff Hours 614 2,081 2,052 1,901 1,007 768.50 781.25 *includes indirect initial assessment, may not have received a face-to-face visit.
Jail
2008 2009 2010 2011
Average Daily Census 159 120 123 83
Inmate Visits to Nurse 682 613 648 606
Ratio of visits to census 4.2 5.1 5.2 6.73
ACMC Visits at the Jail 340 284 273 284
Dentist 19 9 8 13
Psychologist Visits at Jail 48 24 28 33
Outside Psychologist 10 4 2 8
Hospital 17 8 16 8
Jail - Nursing Visits Based on Reason
2008 2009 2010 2011
Average Daily Census 159 120 123 83
Heart-related conditions 10 9 18 8
Diabetes 26 22 26 32
Drug and Alcohol 16 17 18 16
Asthma and Respiratory 16 19 19 15
Musculoskeletal 20 23 32 36
Injury 22 25 19 11
Hepatitis B Vaccinations Given to inmates
0 169 158 61
Prairie Lakes Youth Programs
2006* 2007 2008 2009 2010 2011
Residents 98 141 128 133 121 159
Visits 245 239 272 365
Hours 113.25 296.50 324.75 297.25 418.5 471.5
Direct Care Hours 97.50 253.50 240.50 248.75 308.0 303.25
Indirect Staff Hours 15.75 43 84.25 48.50 110.5 168.25
*Contract began July 1, 2006
Prairie Lakes Youth Programs
Group Homes*
Added Boys Dec. 2004
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Hours 4 29.25 40.00 43.50 70.50 51.00 60.50 67.75 60 63
Boys (hours) (not served 2002-03) 3.75 21.50 22.75 23.50 32.50 25.50 31 30.75
Girls (hours) 4 29.25 36.25 22.00 47.75 27.50 28.00 27.25 29 32.25
Includes staff training (Medication Administration) and medication audits, surveillance, and
phone consultation by an RN. Group home contract began July 1, 2006, prior to contract,
group homes were administered by Kandiyohi County
Medication Administration Classes
2007 2008 2009 2010 2011
Kandiyohi County Jail 74 53 50 50 46
Prairie Lakes Youth Programs 31 14 55 76
Agency FTEs
2000 28.96 FTEs 60,236 hours
2001 27.93 FTEs 58,094 hours
2002 28.28 FTEs 58,822 hours
2003 27.38 FTEs 56,950 hours
2004 27.15 FTEs 56,472 hours
2005 28.73 FTEs 59,758 hours
2006 29.68 FTEs 61,734 hours
2007 29.78 FTEs 61,942 hours
2008 30.30 FTEs 63,024 hours
2009 29.72 FTEs 61,817 hours
2010 30.58 FTEs 63,605.13 hours
2011 29.38 FTEs 61,105.27 hours
1 FTE = 40 hour work week
Agency Expenditures
2000 $1,455,447 2001 $1,858,144 2002 $1,688,709 2003 $1,896,211 2004 $1,813,782 2005 $1,986,459 2006 $2,182,978 2007 $2,220,529 2008 $2,360,588 2009 $2,348,315 2010 $2,097,230
2011 Budget $2,507,600 2011 Actual Expenditures $2,444,658
County Taxes, $456,108.73 , 19%
CHS Subsidy, $182,455.00 , 7%
Fees, $154,465.40 , 6%
Grants, $775,255.47 , 32%
Contracts, $393,067.63 , 16%
Insurance, $483,306.19 , 20%
Revenue Sources 2011
Revenue Sources 2009
Grants, $850,957.88 ,
37%
Fees, $160,449.09 , 7%
CHS Subsidy,
$182,501.00 , 8%
County Taxes,
$339,916.59 , 14%Insurance, $451,238.53 ,
19%
Contracts, $363,252.32 ,
15%
Revenue Sources 2010
Grants, $976,158.62 ,
39%
Fees, $147,638.43 , 6%
CHS Subsidy,
$182,500.00 , 7%
County Taxes,
$439,809.74 , 17%Insurance, $423,995.53 ,
17%
Contracts, $366,937.73 ,
14%
County Taxes, $456,108.73 , 19%
CHS Subsidy, $182,455.00 , 7%
Fees, $154,465.40 , 6%
Grants, $775,255.47 , 32%
Contracts, $393,067.63 , 16%
Insurance, $483,306.19 , 20%
Revenue Sources 2011
Kandiyohi County Public Health 2011
Expenditures YTD % Budget
Personnel $2,150,604.02 99% $2,174,200
Travel $8,520.91 87% $9,800
Family Health $318.00 106% $300
Disease Prevention & Control $24,501.82 77% $32,000
Health Promotion $53.73 27% $200
Environmental Health $11,070.98 77% $14,300
Child & Teen Checkups $16,728.35 123% $13,600
Administration $74,840.52 83% $89,700
Emergency Preparedness $5,584.03 175% $3,200
Maternal Child Health $8,447.55 74% $11,400
WIC $2,264.71 34% $6,600
One Time Grants $15,638.18 $0
Tobacco Compliance Checks $71.36 24% $300
Tobacco Endowment -$5,751.74 -38% $15,000
TANF $16,133.82 125% $12,900
Coalition for Healthy Adolescent Sexuality $2.20 0% $800
Statewide Health Improvement Plan SHIP $49,877.21 67% $74,200
Drug Free Communities DFC $65,752.77 134% $49,100
Total Expenditures $2,444,658.42 97% $2,507,600
Kandiyohi County Public Health 2011
Revenues YTD % Budget
Licenses: Food, Beverage, Lodging $86,474.85 104% $83,000
Tobacco License Fees $8,400.00 106% $7,900
MA/Waiver Services (IGR Health Services) $177,662.90 111% $160,000
Immunizations $3,769.93 188% $2,000
Prenatal $421.66 21% $2,000
Child and Teen Checkups Contract $153,395.31 114% $135,100
Mantoux $74.12 25% $300
Community Health Plan $182,455.00 100% $182,500
One-Time State Grants $7,600.00 $0
Foreign Borne/TB Disparities $3,505.00 97% $3,600
Statewide Health Improvement Plan SHIP $132,333.02 56% $238,000
WIC $273,588.00 106% $259,000
Drug Free Communities $139,905.29 112% $125,000
Immunization Grant #93268 $4,879.34 157% $3,100
Emergency Preparedness $45,721.22 144% $31,800
TANF #93558 $37,198.08 61% $61,300
MCH Grant #93994 $53,143.00 100% $53,100
Self Pay $505.98 $0
MSHO/FS Case Management $186,712.56 98% $190,000
Vision/Hearing/Preschool Screening $4,463.41 56% $8,000
Insurance & PMAP Health Plans $118,424.75 118% $100,000
Prenatal and Incredible Years Classes $4,849.04 121% $4,000
Kandiyohi County Public Health 2011
Revenues Continued YTD % Budget
Mantoux $395.94 132% $300
Jail $165,807.07 98% $170,000
Immunization Registry $1,178.22 20% $6,000
Immunizations $45,101.45 75% $60,000
Long Term Care
Consultations/screenings $40,081.01 84% $48,000
Health Promotion Fees $3,390.47 85% $4,000
PACT 4- Universal Contact $36,000.00 100% $36,000
PACT 4- Share $1,733.32 62% $2,800
PACT 4- Family Home Visiting $27,221.12 181% $15,000
PACT 4- School Nurse Contract $6,820.63 220% $3,100
Follow Along Early Intervention $2,500.00 64% $3,900
Prairie Lakes Youth Programs $21,321.98 142% $15,000
Donations $140.00 $0
Child Safety Donations $1,447.94 $0
One Time Local grants $9,928.08 156% $6,350
Total Revenues $1,988,549.69 98% $2,020,150