ORANGE COUNTY HEALTH DEPARTMENT

State of the Department

August 31, 2010

PUBLIC HEALTH VIDEO

MISSION

Promote, Protect and Improve the Health of All People in

Orange County, Florida

LOCATIONS

Apopka

Eastside

Lake Underhill

Hoffner

Central

Lake Ellenor/Southside

10

9

WinterGarden

MercyDrive

Ocoee

ORGANIZATION CHART

DirectorKevin M. Sherin, MD, MPH

Administrative Services Bureau Chief

Deanna AmRhein

Health Protection Bureau Chief

Lesli Ahonkhai

Health Management Bureau Chief

Steven A. Hale, MD

Office ofStrategic Planning

HR

Business Office

Info Security Vital Stats

IT

Office of Community Health

Environmental Health

Emergency Operations

EPI

Pharmacy

Immunizations

Communicable Disease

School Health

Healthy Start

Women’s HealthWIC

Dental

PIO

SERVICES AND PROGRAMS CONTRACT YEAR 08-09

Personal Health Services – Total Services 605,447

• Family Planning – 35,278 Services• Maternity – 79,015 Services

25% of babies born in OrangeCounty come to OCHD for Prenatal care

• Dental Care – 33,431 Services• WIC – 389,217 services to over

58,858 Orange County residents• Immunizations – 68,506 shots

administered

SERVICES AND PROGRAMS CONTRACT YEAR 08-09

Disease Control – Total Services 89,391

• Tuberculosis and Refugee Health - 17,237 Services

• HIV/AIDS – 28,068 Services• STD – 40,612 Services• Hepatitis – 3,474 Services• Epidemiology - Provide services for

local and international population

SERVICES AND PROGRAMS CONTRACT YEAR 08-09

General Health – Total Services 134,444

• Emergency Operations - Joint emergency operations and special needs shelters

• Vital Statistics – 96,298 Services to 45,131 Clients

• Environmental Health Services -38,146 Services within Twenty Programs

SERVICES AND PROGRAMS CONTRACT YEAR 08-09

Community Outreach – Total Services 150,623

• Healthy Start – 101,451 Prenatal and 49,172 Infant Services

• School Health - Reaches 175,000 Orange County students in the 10th largestU.S. school district

CLINICAL SERVICES BY PROGRAMCONTRACT YEAR 08-09

UNINSURED vs INSURED CLIENTSCONTRACT YEAR 08-09

5 YEAR HISTORICAL VIEW – STATE GR FUNDING

Source 2009-2010 $ Change

Estimated 2010-2011

Fees and Services $ 4.1 M ($338,000) $ 3.8 M

Medicaid & Medicare $ 9 M ($2.3M) $ 6.7 M

Local Grants & Contracts $ 4 M $80,088 $ 4.08 M

TOTALS $17.3 M ($2.5M) $14.7 M

LOCAL FUNDING

CBR Rate 263.50 CBR Rate 197.50

STRATEGIES

• Increase Resources and Revenue– Additional grant opportunities– Expand private & public partnerships– Increase Medicaid eligible clients/visits– New or increased fees– Reduce Expenditures

•Clinic Closures•Workforce attrition•No capital improvements to buildings

SIGNIFICANT FUTURE ISSUES

• Changes in Medicaid Funding– Cost Base to Fee for Service

• Increased Demand for Services

• Impact of State and County Tax Revenue

• Legislative Reorganization of DOH– Completed by 3/11 with minimal CHD

involvement

• Impact of budget cuts for staff

CONCLUSION

• We offer a variety of services– WH, WIC, Comm. Diseases, Dental, etc

• Increased demand for services due to economy

• 25% decrease in state and federal funding over the past 2 yrs

• Employee hardships

Orange County Health Department employees are your best kept secret.