HomeMy WebLinkAboutH2 "Committed to the protection and promotion of public health"
tY ea e Gallatin City-County Health Department
p
�.�CO. OF Ofir
Date: June 21, 2006
To: Bozeman City Commission
From: Stephanie Nelson
Health Officer
Re: FY 2007 Preliminary Budget for the Gallatin City-County Health Department
Enclosed please find the FY 2007 preliminary budget for the Gallatin City-County Health
Department, which was submitted to the County Commission this May. The budget was
reviewed and approved by the Board of Health.
This budget is submitted for the City Commission's consideration and approval, in order to move
forward as part of the County budget process.
GALLATI N CITY-COUNTY HEALTH
DEPARTMENT
FY 2007 BUDGET
Presented by Stephanie Nelson at the June 26, 2006 City
Commission Meeting
GALLATIN CITY-COUNTY HEALTH
DEPARTMENT
BUDGET SUMMARY
PUBLIC HEALTH
Public Health
Activity Budget
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 1,517,389 $ 1,705,126 $ 1.654,369 $ 1,652,297 $ 1,698,948
Operations 492,538 608,926 543,049 608,770 594,974
Debt Service - - -
Capital Outlay 37,597 489.056 201,544 351,515 350,064
Transfers Out - - -
Total $ 2,047,524 $ 2,803,108 $ 2,398,962 $ 2,612,582 $ 2,643,986
Budget by Fund Group
General Fund $ - $ - $ - $ - $
Special Revenue Funds 2,047,524 2,803,108 2,398,962 2,612,582 2,643,986
Debt Service Funds - - - -
Capital Project Funds - - - -
Enterprise Funds - -
Internal Service Funds
Trust&Agency Funds - - -
Total $ 2,047,524 $ 2,803,108 $ 2,398,962 $ 2,612,582 $ 2,643,986
Funding Sources
Tax Revenues $ 598,591 $ 835,207 $ 829,742 $ 835,207 $ 835,207
Non-Tax Revenues 1,170,600 1,200,658 1,405,415 1,254,700 1,233,413
Cash Reappropriated 278,333 767,242 163,805 522,675 666,417
Total $ 2,047,524 $ 2,803,107 $ 2,398,962 $ 2,612,582 2,735,037
Activity Personnel
E
,,.-,
Only positions in County Payroll included.
Personnel Summary
0 0 Elected Officials -
3 FT Agency Managers 3.13
27 FT/PT Professional Staff 22.90
0 FT/PT Para-Professional Staff -
7 FT/PT Administrative Support 7.00
i
NOTE: Agency manager amount slightly higher than 1 FTE,due to
current Human Services Director working 1 month + 14 days into FY07
Total Program FTE 33.03
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ADMIN
PUBLIC HEALTH
HEALTH ADMINISTRATION
Department Overview
The overriding administrative goal Is to support Department Goals
the Board of Health and the Environmental
Health and Human Services Offices in meeting • Prevent epidemics and the spread
the Department's mission. Through this of disease.
administrative support,risks to public health are • Protect against environmental
assessed and monitored;appropriate policies, hazards.
rules and regulations promulgated and enforced;
and community-based public health strategies • Prevent injuries.
created In collaboration with other agencies. It is • Promote and encourage healthy
recognized that this goal is dependent on behaviors.
dedicated staff,an engaged public and stable
funding. . Respond to disasters and assist
Growth In the County has had a significant communities in recovery.
impact on the workload of the Environmental 0 Assure the quality and accessibility
Health(EHS)and Human Services(HS) of health services.
department. • Support efforts to reduce risk of
The Health Officer supervises the activities of the acute and chronic disease.
Human Services and Environmental Health
Departments and is charged with the
responsibility to assure that the department Recent Accomplishments
complies with the requirements for each grant as . Program evaluations completed
set forth in individual contracts. Long-term June 2006
planning for the department is supported by the
budget. 0 Report of 2005 Community
Assessment
Emergency Preparedness Planning and Health 0 Performance-based employee
Promotion activity are provided under Health appraisals written
Administration • Emergency plan written and parts
exercised.
a Emergency Planning Nationally
recognized.
FY 2006 CITY/COUNTY HEALTH FUND
ACTI11rITES
ENVIRONMENTALpUMIHISTRAT1oH
47% 20%
HUMAN SERVICES
33%
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PUBLIC HEALTH
HEALTH ADMINISTRATION
Department Budget
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 IFY 2007
Personnel $ 118,139 $ 136,785 $ 134.215 $ 135,641 $ 135,541
Operations 27,403 29,166 17,159 22,439 27,640
Debt Service - _
Capital Outlay - 183,177 165,064 91,314 91,314
Transfers Out _ -
Total $_ 145,542 $�349j128 $ 316,438 $ 2491294 $ _ 264,495
Budget by Fund Group
General Fund $ - $ _ $ _ $ $ _
Special Revenue Funds 145,542 349,128 316.438 249,294 254,495
Debt Service Funds - -
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds
Total $ 145,542 $ 349,128 $ 316,438 $ 4 $ 264.495
Funding Sources
Tax Revenues $ 92,435 $ 221,734 $ 219,517 $ 221,734 $ 221.734
Non-Tax Revenues 10,127 24,292 24,293 24,292 24,292
Cash Reappropriated 42,980 103,102 72,628 3,268 8,469
Total 1 145,542 1 3491, 28 $ 316,438 $ 249,294 $ 254,495
Department
Personnel
1 FUll-Time Health Officer 1.00
1 Full-lime Executive Secretary 1 1-00 ,
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Total Program FTE 2-00
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PUBLIC HEALTH
HEALTH ADMINISTRATION
2007 Budget Highlights
Personnel
• No significant change.
Operations
• No significant change.
capital
• Building Reserve(CIP policy)$91,314
Country Commission Goals/Department Response
The County Commission established a set of overarching goals for the county government. Listed below
are the County Commission's goals,followed by the methods by which the Health Administration is striving
to fulfill those goals.
Exceptional Customer Service
• Customer satisfaction and input will be considered In the program evaluation process
• Support web based access to public records and services
Be Model for Excellence in Government
• Comply with County,State and Federal Regulations
• Enhance program efficiency and management by use of electronic records
• Plans for responding to public health emergencies will be drilled and adjusted for improvement
• Facilitate the Unified Health Command
Improve Communications
• Increased public knowledge of department—receive positive impression from public.
• Public access to website.
• Improve communication in the department
To be the Employer of Choice
• Provide an employee-friendly work environment
• Implement performance based appraisals
Adhere to the long term plan
• Plan for future space needs of the Department
Equate community need with the budgetary decisions
• Complete a school health assessment
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PUBLIC HEALTH
HEALTH ADMINISTRATION
WORKLOAD INDICATORS/PERFORMANCE MEASURERS
1 . A work group well be convened to plan for future office space
2 . An Increase in electronic records
3 . Improvements in public health emergency response,
4 . Community health priorities will be determined
5. Performance management will be implemented
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2 . Public records will be made available electronically
3 . Three tabletops and one functional drill uuill be done
4 . Community assessment done and reported to unity
5 . Program eval results will drive employee performance goals
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ENVIRONMENTAL HEALTH
SERVICES
PUBLIC HEALTH
ENVIRONMENTAL HEALTH SERVICES
Environmental Health Department Goals
Services (EHS) Overview . Prevent epidemics and the spread
EHS is responsible for enforcement of state and
of disease.
local environmental health regulations. These • Protect against environmental
statutes require EHS to inspect and enforce hazards.
regulations related to food establishments,public . Prevent injuries.
accommodations,day care centers and trailer
courts. EHS inspects and issues permits and • Promote and encourage healthy
inspects septic systems within the county and behaviors,
assists other governmental agencies in the • Respond to disasters and assist
investigation and remediation of environmental communities in recovery,
health problems or Issues. EHS performs
reviews of proposed subdivisions to ensure • Assure the quality and accessibility
compliance with the Sanitation in Subdivision Act of health services.
and local septic regulations. In addition to these Support efforts to reduce risk of
mandatory programs,EHS manages the local • acute and chronic disease.
radon program and is under a contract with the
State to inspect public water systems.
Recent Accomplishments
• EHS has recently modified its
program delivery model with the
intent of maximizing cross training of
staff and ensuring that program
coverage is not affected by
seasonal demands.
• Realign responsibilities to improve
customer service.
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PUBLIC HEALTH
ENVIRONMENTAL HEALTH SERVICES
Department Budget
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 534,067 $ 584,832 $ 541,470 $ 566,906 $ 578,273
Operations 69,940 96,053 79.494 87,650 97,175
Debt Service - _
Capital Outlay - 43,803 20,600 15.625 18,800
Transfers Out - -
Total $ 604,007 $ 7Z4i688 $ 641,564 $ 1g0 $ ,248
Budget by Fund Group
General Fund $ - $ _ $ _ $ _ $ _
Special Revenue Funds 604,007 724,688 641,564 670,180 694,248
Debt Service Funds -
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds _ _ _ - _
Total $ 604,007 $ 724,888 $ 64� $ 670,180 $ 694,248
Funding Sources
Tax Revenues $ 240,740 $ 288,840 $ 288,839 $ 288,840 $ 288.840
Non-Tax Revenues 251,328 301,543 316,620 301.543 301,543
Cash Reappropriated 111,939 134,305 36,105 79,797 103,865
Total $ 604,007 $ 724,688 $ 6415" $ 670,180 $ 614,248
Department Personnel
:Personnel Summary
1 Full-Time EHS Director 1.00
3 Full-Time Environmental Health Spec II 3.00
5 Full-Time Environmental Health Spec 1 5.00
j1 Full-Time Administrative Secretary 111 1.00
1 Full-Time Administrative Secretary 1 1.00
1 Part-Time Environmental Health Spec 1 0.06
1 Full-Time Medical Secretary 0.50
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Total Program FTE 11.56
2007 Budget Highlights
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PUBLIC HEALTH
ENVIRONMENTAL HEALTH SERVICES
Personnel
• No significant change.
Operations
• No significant change.
capital
• Building Reserve$15,6254
County Commission Goals/Department Response
The County Commission established a set of overarching goals for the county government. Listed below
are the County Commission's goals,followed by the methods by which the Environmental Health Services is
striving to fulfill those goals.
Exceptional Customer Service
• Implement electronic filing and food service inspections.
• Streamline and increase coordination of the permitting process with Planning.
• Create programs to document location of public wastewater treatment systems.
Be Model for Excellence in Government
• Participate In the regional public health emergency responses plan.
• Review and modify EHS programs.
Improve Communications
• Design,develop,and implement a mechanism to receive client feedback.
• Improve public access to the Department's website.
• Perform a minimum of 6 outreach or educational talks.
To be the Employer of Choice
• Continue advanced training.
• Performance-based employee appraisals.
B-17
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PUBLIC HEALTH
ENVIRONMENTAL HEALTH SERVICES
WORKLOAD INDICATORSIPERFORMANCE MEASURERS
Workload Indicators
1 Septic Applications processed 615 542
2 . Subdivision applications processed 147 179
3 . Food Establishment Inspections 729 746
4 . Temporary Food Inspections 124 309
.. ..
Performance
1 . Program evaluation report
2 . Septic permits will be scanned(%determined later)
3 . 6 classes will be offered to the public in each program
4 , Program quarterly reports will be monitored
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Commentary
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B-18
HUMAN SERVICES
PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Overview members,educators and health care providers.
Through the MCH programs,the Health
The HS office is responsible for communicable department provides information,education,
disease(CD)surveillance and Investigation as support and advocacy to help meet the needs of
required by law. Both adult and child these families.
Immunization clinics are offered as a preventive Another factor that drives MCH programs,in
measure. In addition,HS contracts with the State addition to family need,is the availability of
to provide services to HIWAIDS and TB patients, funding sources. The programs are supported,in
PHN are involved in daycare inspections to whole or In part,by grants or contracts. Without
assure compliance with regulations associated the infusion of these dollars into the budget,the
with communicable disease and immunizations. Health department would not be able to provide
Human Services(HS)provides a variety of the present level of services.
programs in every community(Belgrade,Big Sky,
Bozeman, Manhattan,Three Forks and West
Yellowstone)of the County. Public Health Department Goals
Nurses(PHN)are assigned a geographic area of P
the County to provide services. Their presence
allows for better understanding of the individual r Prevent epidemics and the spread
community needs and desires. The PHN sit on of disease.
community or school advisory groups or councils.
This interface between the Health Department • Protect against environmental
and the community is fundamental in providing hazards.
adequate,insightful and timely services in each . Prevent injuries.
community.
• Promote and encourage healthy
A variety of Federal preventive health grant behaviors.
programs are administered through HS. These . Respond to disasters and assist
programs include: Women,Infant and Children communities in
(WIC)nutrition program;Breast and Cervicalrecovery.
Health program;and the Maternal Child Health • Assure the quality and accessibility
(MCH)block grant services. of health services.
The MCH block grant supports school nursing • Support efforts to reduce risk of
services(in addition to school contracts),home acute and chronic disease.
visitation programs that target high-risk pregnant
women and children up to the age of 5 years,
breastfeeding support,and prenatal and
parenting classes. The HS staff works
collaboratively with many organizations to create Recent Accomplishments
successful community-based programs such as,
the child car seat clinics and the Partnership to . Program evaluations have been created
Strengthen Families program,which provides
child abuse and neglect prevention services. for all services delivered by the Human
Services office. Results of these annual
The demographics of Gallatin County show the evaluations will be used for quality
need for services to women,children and Improvement.
families. Seventy four percent(74%)of the From April 2005 to April 2006 a pertussis
county's population is under 39 years of age. (whooping cough)outbreak had a
Seventeen percent of the population has an significant impact on the HS's staff
Income at or below the Federal Poverty Level workload. There has been 63 cases
($12,675 for a family of 4),and 39%percent live involving 2.424 contacts.
at 200%of poverty level. A recent community
assessment revealed that affordable health care
is the number one concern of community
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PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - HHS
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 316,916 $ 342,943 $ 338,119 $ 336,649 $ 363.037
Operations 106,090 117,526 137,945 118,321 126,337
Debt Service - - - -Capital Outlay - 56,914 - 56,915 54,979
Transfers Out - - - - -
Total $ 423.006 $ 517,383 $ 476,064 $ 511,885 $ 544,353
Budget by Fund Group
General Fund $ - $ - $ - $ - $ -
Special Revenue Funds 423,006 517,383 476,064 511.885 544,353
Debt Service Funds - - - - -
Capital Project Funds - - - - -
Enterprise Funds - - - - -
Internal Service Funds - - - -
Trust&Agency Funds - - - -
Total $ 423,006 $ 517,383 $ 476,064 $ 511,885 $ 544,353
Funding Sources
Tax Revenues $ 265,416 $ 324,633 $ 321,387 $ 324,633 $ 324,633
Nan-Tax Revenues 344,177 41,802 42,638 41,802 41,802
Cash Reappropriated 123,413 150,948 112,039 145,450 177,918
Total $ 423,006 $ 517,383 $ 476,064 $ 511,885 $ 544,353
Department Personnel
Personnel Summary
1 Full-Time Human Service Director 1.13
1 Part-Time Public Health Nurse II 0.06
4 Part-Time Public Health Nurse 1 2.31
1 Full-Time Accounting Clerk III 1.00
1 Full-Time Medical Records Clerk 0.80
1 Full-Time Medical Secretary 0.50
2 Full-Time Public Health Nurse 1 1.26
Retirement-Human Services Director$14,648.00
Total Program FTE 7.06 J
PUBLIC HEALTH
HUMAN SERVICES (HS)
2007 Budget Highlights
Personnel
• No significant change.
Operations
• No significant change.
Capital
• Building Reserve$56,914.
• School Nursing—Computer$2,500
• Communicable Disease—Computers(3)$10,000
• Breast&Cervical 42,500 Computer
+ MCH-$2,500 Computer
County Commission Goals/Department Response
The County Commission established a set of overarching goals for the county government. Listed below
are the County Commission's goals,followed by the methods by which the Health Human Services
(Nursing)is striving to fulfill those goals.
Exceptional Customer Service
• Prevent and contain epidemics
• Assess the community's health
• Provide community-based health prevention services
Be Model for Excellence in Government
• Promote healthy behaviors
• Assure access to quality health care
• Comply with Federal grant requirements
• Participate on regional emergency response planning
Improve Communications
• Provide health prevention messages to reduce risk of acute and chronic disease
+ Public access to website.
• Ellcit client feedback
To be the Employer of Choice
• Performance based employee appraisals
• Continue crisis training of staff
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PUBLIC HEALTH
HEALTH HUMAN SERVICES (NURSING)
WORKLOAD INDICATORSIPERFORMANCE MEASURERS
Workload Indicators
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1 . Number of high risk families served 2,026 1,882
2 . Number of schools served 17 17
3 . Hours in communicable disease follow-up 1,749 2,066
4 . Immunizations given 8,379 7,319
i
Performance
1 . Immunization rates for 2 yr.old is at or above 90% j
2 . Followup will begin within 24 hours
3 . Contract reports will be filed in a timely manner
4 . Track dient enrollment
5 . Evaluation results reported to the Board of Health
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Commentary
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B-25
GRANTS
PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget -- Grant Summary
Department Personnel
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 548,267 $ 640,565 $ 640,565 $ 613,202 622,097
Operations 289,105 366,181 308,451 380,360 343,822
Debt Service - - - - -
Capital Outlay 37,597 205,162 15,880 187,661 184,971
Transfers Out - - - - -
Total $ 874,969 $ 1,211,908 $ 964,896 $ 1,181,2223 $ 1,150,890
Budget by Fund Group
General Fund $ - $ - $ - $ - $
Special Revenue Funds 874,969 1.211,908 964,896 1,181,223 1,150,890
Debt Service Funds - - - -
Capital Project Funds - - - -
Enterprise Funds - - - -
Internal Service Funds - - - - -
Trust&Agency Funds - - - -
Total $ 874,969 $ 1,211,908 $ 964,896 $ 1,181,223 $ 1,150,890
Funding Sources
Tax Revenues $ - $ - $ - $ - $ -
Non-Tax Revenues 874,969 833,021 1,021,863 887,063 865,776
Cash Reappropriated - 378,887 (56,967) 294,160 376,165
Total $ 874,969 $ 1,211,908 $ 964,896 $ 1,181,223 $ 1�941
Personnel Summory
1 Part-Time Public Health Nurse II 0.02 i
5 Part-Time Public Health Nurse 1 2.95
1 Full-Time Medical Records Clerk 0.20
1 Part-Time Social Worker/Health 0.80
1 Full-Time Promotion Specialist 1.00
3 Full-Time Public Health Nurse 1 2.64
1 Full-Time Nurse Practitioner 0.20
1 Full-Time Health Information Data Entry Clerk 1.00
3 Part-Time Nutrition Technician 1.76
1 Full-Time Nutritionist II 1.00
24/7 Beeper
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Temporary Public Health Nurses-CD$19,110
i
Total Program FTE 11.47
PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - Maternal Child Health
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 147,735 $ 166,958 $ 186,958 $ 191,928 $ 197,333
Operations 43,908 71,462 54,653 75,290 85,526
Debt Service - - _ -
Capital Outlay 15,548 51,118 1,960 48.618 41,618
Transfers Out - - -
Total $ 207,191 $$ 30� $ 243,571 $ 315,036 $ 324,477
Budget by Fund Group
General Fund $ - $ - $ - $ _ $ _
Special Revenue Funds 207,191 309,538 243,571 315,836 324,477
Debt Service Funds - - - - _
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds - - -
Total $ 207,191 $$ 309,538 $ 243,571 $ 315,836 $ 324,477
Funding Sources
Tax Revenues $ - $ - $ _ $ _ $ _
Non-Tax Revenues 207,191 223,434 270,104 223,435 240,073
Cash Reappropriated - 86,104 (26,533) 92,401 115,167
Total $ 207,191 $ 309,538 $ 243,571 $. 315,836 $ 355,240
OPERATING RES$RVE $301763.00
Department Personnel
!Personnel Summary
Full-Time Human Service Director
Part-Time Public Health Nurse 11
i2 Part-Time Public Health Nurse 1 1.10
Full-Time Accounting Clerk III
Full-Time Medical Records Clerk
Full-Time Medical Secretary
1 Part-Time Social Worker/Health 0.80
1 Full-Time Health Info Data Entry Clerk 0.80
2 Full-Time Public Health Nurse I 1.30
Total Program FTE 4.00
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PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - Communicable Disease
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 72,580 $ 96,372 $ 96,372 $ 75,803 $ 77,086
Operations 150,979 180,266 155,861 189,107 171,648
Debt Service _ - - _
Capital Outlay 7,209 104,225 10,000 94,225 106,020
Transfers Out - - _
Total $ 230.768 $ 38OLS6 3 $ 262,233 $ 359,135 $ 354,754
Budget by Fund Group
General Fund $ $ - $ $ - $ _
Special Revenue Funds 230,768 380,863 262,233 359,135 354.754
Debt Service Funds - - - _
Capital Pro)ect Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds - -
Total $ 230,768 $ 380,863 $ 262,233 $$ 3EIM $$ W4,754
Funding Sources
Tax Revenues $ - $ - $ _ $ -
Non-Tax Revenues 230,768 231,052 273,492 223,855 220,000
Cash Reapproprlated - 149,811 (11,259) 135,280 175,919
Total $ 2301768 #$ 380,863 $ 262,233 $ 359,135 $ 395,919
IDPERATIN ASSERVES $419168r00'.
Department Personnel
Personnel Summary
Full-Time Human Service Director
1 Full-Time Public Health Nurse 11 0.01
1 Part-Time Public Health Nurse 1 0.80 j
Full-Time Accounting Clerk III
1 Full-Time Medical Records Clerk
Full-Time Medical Secretary
Full-Time Public Health Nurse 1 0.20
Temporary Public Health Nurses$19,110.00
Total Program FTE 1.01 I
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PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - Women, Infants & Children
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 148,395 $ 144,471 $ 144.471 $ 142,123 $ 151,235
Operations 33,603 33,462 40,750 32,469 33,486
Debt Service - - _
Capital Outlay - _ -
Transfers Out - - - -
Total $ 181,998 $$ 177,933 $ 185,221 $ 174,592 $ 184,721
Budget by Fund Group
General Fund $ - $ - $ - $ _ $ _
Special Revenue Funds 181,998 177,933 185,221 174,592 184,721
Debt Service Funds - - -
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds - _ -
Total $ 181,998 $_. 177,933 L 18� $ 174,592 $ 184:721
Funding Sources
Tax Revenues $ - $ - $ - $ _ $
Non-Tax Revenues 181,998 170,861 280,680 168,293 173,727
Cash Reappropriated - 7,072 (95.459) 6,299 10,994
Total $ 181,998 $ 177,933 $ 185,221 174,592 $$ 144,721
Department Personnel
Personnel Summary
iFull-Time Human Service Director
I Part-Time Public Health Nurse II
Part-Time Public Health Nurse I
I
Full-Time Accounting Clerk III
Full-Time Medical Records Cleric
Full-Time Medical Secretary
1 Full-Time Nutritionist II 1.00 j
j 3 Part-Time Nutrition Tech 1.76
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Total Program FTE 2.76
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PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - School Nursing
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 26,541 $ 28,478 $ 28,478 $ 28,482 $ 29,512
Operations 5,280 6,256 6,256 6,260 8,416
Debt Service - - - -Capital Outlay - 8,000 1,960 5,500 5,500
Transfers Out _ _ _ -
Total S 31,821 $ 42,734 $ 36,694 $ 40,242 $ 43,428
Budget by Fund Group
General Fund $ - $ _ $ _ $ - $ -
Special Revenue Funds 31,821 42,734 36,694 40,242 43,428
Debt Service Funds _ _ _
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds
Total $�31,821 $ 42,734 $ 36,694 $ 40,2�i2 $ 431428
Funding Sources
Tax Revenues $ - $ - $ _ $ _ $ _
Non-Tax Revenues 31,821 36,257 35,543 36,257 38,200
Cash Reappropriated - 6,477 1,151 3,985 12,891
Total $ 31,821 42,734 $ 36,694 $ 40,242 $ 51,091
OPERATING RESERVE $7,663.00
Department Personnel -
Personnel Summary
Full-Time Human Service Director
Part-Time Public Health Nurse II
Part-Time Public Health Nurse I
Full-Time Accounting Clerk III
j Full-Time Medical Records Clerk
Full-Time Medical Secretary
1 Full-Time Public Health Nurse 1 0.54
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Total Program FTE 0.54
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PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget -- Breast and Cervical
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 43,764 $ 66,470 $ 66,470 $ 65,499 $ 47,169
Operations 15,145 44,955 22,530 45,105 22,166
Debt Service - - .
Capital Outlay 4,806 14,908 1,960 12,408 12,408
Transfers Out - - _ _ _
Total $ 63,715 $ 126,333 $ 90,960 $ 123,012 81,743
Budget by Fund Group
General Fund $ - $ - $ - $ _ $ _
Special Revenue Funds 63,715 126,333 90,960 123,012 81,743
Debt Service Funds - _ _ _
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds . - _ _ _
Total $ 6^ 3 7, 15 $ 126,333 $ 90,960 $ 123,012 $ �43
Funding Sources
Tax Revenues $ - $ _ $ - $ _ $ _
Non-Tax Revenues 63,715 6106 55,020 95,108 00,300
Cash Reappropriated - 64,797 35,940 27,904 32,903
Total S 63,715 $_ 126,333 $ 90,960 $ 123,012 $ 93,203
pperating Reserve �11460.00
Department Personnel
Personnel Surnmary
Full-Time Human Service Director
Part-Time Public Health Nurse II
1 Part-Time Public Health Nurse 1 0.30
Full-Time Accounting Clerk III
1 Full-Time Medical Records Clerk 0.20
Full-Time Medical Secretary
1 Full-Time Public Health Nurse 0.50
C3-:ice,
0 Total Program FTE 1.00
\&idge'i1; Y 2M,I (;ot ;7i:y i;!.!c!��rti Sheets\ IUiVtAN SEf2VIC:ES FY2()07.dc)c
PUBLIC HEALTH
HUMAN SERVICES (HS)
Department Budget - Health Preparedness
Year End Est.
Object of Expenditure Actual Final /Actual Baseline Request
FY 2005 FY 2006 FY 2006 FY 2007 FY 2007
Personnel $ 109,252 $ 117,817 $ 117,816 $ 109,367 $ 119,762
Operations 40,190 29,780 28,401 32,129 22,580
Debt Service - - - - _
Capital Outlay 10,034 26,911 - 26,910 19,425
Transfers Out - - - -
Total $ 159,476 $_ 174,508 $ 146,217 $ 168,406 $ 161,767
Budget by Fund Group
General Fund $ - $ - $ - $ _
Special Revenue Funds 159,476 174,508 146.217 168,406 161,767
Debt Service Funds -
Capital Project Funds
Enterprise Funds
Internal Service Funds
Trust&Agency Funds - - - - _
Total $ 159,476 $$ 174,508 $ 146,217 $ 168,406 $ 161,767
Funding Sources
Tax Revenues $ - $ - $ - $ $ _
Non-Tax Revenues 159,476 109,881 107.024 140,115 133,476
Cash Reappropriated - 64,627 39,193 28,291 28,291
Total $e 159,476 $ 174,508 $ 146,217 $ 168,406 $ 161,767
Department Personnel
Personnel Summary
Full-Time Human Service Director
1 Full-Time Public Health Nurse II 0.01
1 Part-Time Public Health Nurse 1 0.75
Full-Time Accounting Clerk III
Full-Time Medical Records Clerk
Full-Time Medical Secretary
1 Full-Time Promo Specialist 1.00
1 Full-Time Nurse Practitioner 0.20
1 Full-Time Health Info Data Entry Clerk 0.20
2417 Beeper$4,515.00
Total Program FTE 2.16
I; \isi.dged\i-Y ;100i (: o m1) P(i(I(t" 11(,!"i'iV11.1 V)CFS I'J',ll;:ilNG i Y2..or) d( r:
"Committed to the protection and promotion of public health"
Gallatin City-County-Coun Health Department
Q -
�'Afllr CO 0 �rB FM
FY 2006 Annual Report
to the Board of Health
February 23, 2006
TABLE OF CONTENTS
1. Vision Mission Statement
2. Executive Summary
3. FY 2006 County Commission Goals - Balanced Scorecard Update
4. FY 2007 County Commission's Priority Projects & Issues
5. FY 2006 Budget Summary
6. Environmental Health Services Statistics
7. Human Services Statistics
8. Reportable Communicable disease
9. Public Health Promotion Activities
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"Committed to the protection and promotion of public health"
$Q2 � OP GA441�
-County Health Department City
yri'ar-- O.=-o�, �?aE �p�s� VISION
$C OF M�
Healthy People in Healthy Communities
MISSION
To protect and promote the health of county citizens and
the environment through the efforts of dedicated and skilled
employees and application of sound public health principles
PUBLIC HEALTH gQAL.S
• Prevent epidemics and the spread of disease
• Protect against environmental hazards
• Prevent injuries
• Promote and encourage healthy behaviors
• Respond to disasters and assist communities in recovery
• Assure the quality and accessibility of health services
• Support efforts to reduce risk of acute and chronic disease
ESSENTIAL SERVICES
• Monitor public health risks
• Diagnose and investigate public health problems and hazards
• Inform, educate, and empower people about health issues
• Mobilize community partnerships to identify and solve health problems
• Develop policies and plans that support individual and environmental
health efforts
• Enforce laws and regulations that protect public health and ensure safety
• Link people to needed personal health services and with community
partners, assure the provision of health care when otherwise unavailable
• Assure a competent public health workforce
• Evaluate effectiveness, accessibility, and quality of public health services
• Participate in research for new insights and innovative solutions to health
problems
r
Gallatin City-County Health Department
FY 2006 Annual Report
Executive Summary
This report is provided to the Board of Health,Bozeman City and Gallatin County
Commissions as part of the budget process. It includes statistical information on ro
P gram
utilization for calendar year 2005 and program objectives for FY 2006.
For FY 2006, the Department Heads were asked to use a Balanced Scorecard format and
align their strategic activities around the following County Commission goals.
1. Be a model for excellence in government
2. Adhere to long-term goals
3. Be the employee of choice
4. Equate community need to budgetary decisions
5. Improve communication
6. Provide exceptional customer service
The department's Balanced Scorecard has been updated and is provided to the Board for
review.
Accom lishments
From the program data provided in this document you can see that staff has been busy
providing services. In addition, the following accomplishments should be acknowledged.
• We continue to work on the department's quality assurance and improvement
efforts. Staff will be conducting program evaluations by the end of this fiscal
year. The results will be analyzed and applied to improve outcomes.
• Because of the significant turnover in Environmental Health, there has been a
realignment of responsibilities. Hopefully, this will provide some stability in staff
this next year.
• A community health assessment was completed in partnership with Gallatin
Community Clinic, Gallatin Alcohol and Drug Services and Bozeman Deaconess
Hospital. The results were used to improve access to care.
• The National Association of County-City Health Officials recognized Gallatin
City-County Health Department for its work in public health emergency planning.
This national recognition is held by only a handful of focal health departments.
• The Hospital Emergency Surveillance system should be in place by the end of
February 2006.
• We effectively responded to a ten-month pertussis outbreak. The nurses followed
up on 2,308 contacts of 57 positive cases.
FY 2007 Priorities
• Employee compensation will be evaluated and recommendations for adjustments
made as part of the budget process. There has been significant turnover in'staff in
both offices. Experienced staff has been very hard to find. Salaries need to be
competitive.
• A system to enhance our surveillance activities to include environmental public
health data will be considered. This was a priority for FY 2006 but because of
staff changes and the pertussis outbreak was put on hold.
• In partnership with MSU and public school administration, a school health
assessment will be piloted. This also was a priority for FY 2006 and due to staff
changes and the pertussis outbreak it had to be put on hold.
• Quality assurance and improvement activities will continue. A data management
system will be used to monitor performance.
• Electronic records will be used in the field to improve EHS administrative
efficiency. .
• The digital record project that was to be implemented in FY 2006 will not begin
until late spring. This project will continue in FY 2007
• We.will work with the County architect in designing our office space in the
Martel building.
• Ann Drenk will be retiring in August. We are looking at different organizational
models for Human Services. This will require much more of my attention until
staff is oriented to their new management responsibilities.
• EHS will continue to work with the Planning department to improve coordination
of subdivision review. We are highly supportive of the Commission hiring an
engineer. It is very apparent that this expertise in needed to assist in subdivision
review.
Challenges
• We have a lot of new and inexperienced staff that will need training and
supervision. Although they bring a lot of positive energy, their orientation will be
a priority as well as a challenge with our busy workloads.
• The department is committed to balancing the FY 2007 budget without requesting
an increase in mils. We anticipate level or a slight decrease in funding in the
Human Services grants and a slight decrease in the Public Health Emergency
grant.
• This year the County Commission has indicated their decisions related to budget
increases will be based on their priority projects and issues. This list is included
in this report for the Board's review.
• The upcoming legislative session poses a special set of challenges related to
tracking bills,providing testimony etc.
I'.\Adiiiinistrative`STEPF{`IF1' 2007\AmIual Executive SLH.-nnarv-doc
Be a model for excellence in government
Objective Initiative Target Measure Comments
(to be completed at n3id-year and amual review)
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Accountability will Programs will be evaluated via Annually Program evaluation report to As of December 2005,the
be enhanced through audit and feedback as to Health Officer by June 30,2006 Directors are doing program
program and outcomes,efficiency,and evaluations.
employee evaluation customer satisfaction resulting
in recommendations for
performance ' rovement
Employee performance Annually Completion of employee This process is now in place and
appraisals will be related to performance appraisals will be ongoing.
program outcomes and the
Health Departments goals
resulting in individual
development plans for
performance improvement
Electronic Seek budgetary approval to May 2045 Budget request F'Y 2006—approved Digital record system has been
management of data purchase and implement digital Implement project by June 2006 ordered for EHS.
will improve program record software in FY 2006.
and management Implement electronic record
efficiency. p Fall 2005 Implementation of electronic This is dependent on DPHHS
keeping for the Food Establishment Inspection Program inspection records. approval of software for EHS.
Explore software to track and January 2006 Consider the DPHHS PHDS PHDS software will not meet HS
manage Human Services software or a private vendor. needs. A private vendor is creating
programs data. a database from MCH programs.
Implement administrative July 2006 Administrative reports will be Staff is inputting date related to
software to track staff and available by January 2006. time spent on programs and
program time. Baseline date will be available by activities. Duplicate entry is being
June 30,2006. eliminated.
F:\Administrat'iveNSTEPH\FY 2006\Scorecard\Final Version\Be a model for excellence in government.doc
Be a model for excellence in government
Objective Initiative Target Measure Comments
(to be completed at mid-year and annual review)
Board of Health Provide training to the Board January 2006—or as Orientate new Board members Done February 2006.
effectiveness will be of Health as to their authorities needed
a enhanced
April 2006 Training at BOH annual retreat Administration
re
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Complete a strategic plan for February 2006 Work plan for FY 2007 Administration
►� the Board of Health
Complete CDC's assessment of Local Public health system standards and integrate results in the BOH strategic
plan.
Target: December 2005
Measure: CDC report
ldministrative\STEP€\FY 2006\Scorecard\Final Version\Be a model for e, +nce in government.doc
:lAdministrativelSTEPHIFY 20061ScorecardlFinal Version\,- _sere to long term plans.doc.
Adhere to-the long term plans
Comments
Objective Initiative Target Measure (to he completed at mid-
year and annual review)
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A plan for future office space A committee including:the By December 2006 Office space for the Health Martel Building purchased
needs is created based on the Fiscal Officer,ITS Director, Department will be identified February 2006.
Carter Gobel facilities members of the CIP and and a recommendation made
assessment. county consultants(realtor- to the CIP committee
architect)will be created to
identify office space
An efficient office layout By June 2007 Architectural plans Administration
created
F:\Administrative\STEPH\FY 2006\Scorecarffinal Version\Adhere to long term pfans.doc
Be the employer,of choice
Objective Initiative Target Measure Comments
(to be completed at mid-year and annual relieve)
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Job satisfaction will Survey staff regarding job Perceived improvement in job Report created from job survey and The directors are monitoring staff
be monitored satisfaction with current satisfactions reported by shared with management morale. Workload and job
responsibilities and realign employees from July 2005 to responsibilities are being realigned
as practical June 200.E as a result. The considerable turn
over in both EHS and HS has
complicated this process. As part of
FY 2007,retention of staff must be
addressed.
Match responsibilities with See above
employee preference
Create opportunities for Accomplishments will be County pins for 5-10-15-20-25 This activity will be completed by
recognition recognized in August of 2006 years of service given to employees June 2007.
and February 2007
Outstanding team work recognized This will be completed at the spring
.staff party.
Implement pay for 100%of annual performance Staff raises based on County Pay for performance proved to be far
performance appraisals performance weighting system too complicated to implement in a
fair and consistent manner in the
de artment.
Consider salary adjustments 100%of staff salaries will be FY 2006 personnel budget request A salary survey will be requested as
result of the County FY 2005 evaluated and recommendations part of the FY 2007 budget process.
salary survey for appropriate adjustments Both the EHS and HS offices
made as part of the FY 2006 struggled this year to find qualified
budget process applicants for vacant po3itions.
F:\Administrative\STEPH\EY 2006\Scorecard\Final Version\Be the employer of choice.doc
Equate community need with budgetary decisions
Objective Initiative Target Measure Comments
(to be co feted at mid- ear and annual review)
Community/public Analyze the findings of the By August 2005 Work plans will be developed by Completed
health priorities will be 2005 Community Health community partners and reported to the
determined and work Assessment and identify BOH
plans developed priority issues
Implement the work plan of the By August 2006 Targets will be monitored by the Completed and will be part of the BOH
2005 local assessment of the Unified Health Command and reported strategic plan
National Public Health to the BOH
Performance Standards
A� county based B August 2006 mmi Y i� A school health alliance will be created The department is working with
U collaboration will be developed Bozeman Public Schools on their
to assess and address the wellness policy,
priority health issues of By January 2006 An assessment will be piloted in two This will be completed in FY 2007 as
children schools art of the above initiative.
The CDC Environmental By December 2005 A work plan and feasibility study will This project remains
Public Health Date Tracking be written
Projected will be evaluated for February 2006 BOH strategic Recommendation report to the BOH Incomplete due to staffing constraints.
implementation planning meeting
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Public health Administer and audit public Quarterly and annual reports Revenues received per contract On schedule
contractual health contracts and DPHHS,DEQ,or other contractor
requirements and responsibilities: submitted on time
responsibilities are . Breast and Cervical
administered in an Health
accountable manner . Maternal Child Health
• School Nursing Quarterly Reconciliations are submitted to the On schedule
• Communicable Disease grants department
• Women Infant and
Children
• ERRNIE Project
• Emergency Annual Programs outcomes and On schedule
Preparedness implementation are evaluated and
• Radon
• Subdivision Review recommendations for quality
• Public Water improvement reported to the Health
• Food Establishments Officer
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Improve Communication
Objective Initiative Target Measure Comments
(to be corWleted at mid- ear and annual renew)
Public is routinely The Department's brochure By December 2005 Brochure available Completed
informed of services is redesigned
The media is engaged to By June 2006 Three articles will be written Completed
write a series of articles on
cpublic health activities
U Health Promotion To be determined Report of activities submitted to the Completed
Campaigns will be created Health Officer-
for:
National immunization
Public Health Week
Women's Health
Communication with The internal emergency 100%of staff will respond to Documentation of the results of the Completed. Plan of corrections
public health communication plan will be the emergency page test testing will be submitted to the developed and staff will be retested
emergency partners is exercised according to policy Health Officer in December 2005 and then
improved quarterly.
Participate in a tabletop Winter 2006 An after action report will be Table top drills:
emergency drill with DES submitted to the Health Officer Joint Information Center
and the Unified Health Sheltering Exercise 11105
Command that will test Real Time:Pertussis
external communication
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Communication with Regular meetings will be Quarterly meeting A calendar will be available Not accomplished
policy makers scheduled with the City and
County Commissions
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Provide exceptional customer service
Objective Initiative Target Measure Comments
to be co Ieted at arid- ear and annual review
User friendly customer Customer surveys will monitor Over all costumer satisfaction rates Results of customer surveys In the process of being done,2/2006.
services will be satisfaction will be part of will be maintained at 95%
provided program evaluations Annual program evaluations
Appropriate regulations Employees will be up to date 100%of new employees go Orientation Checklist will be filed in Completed
will be applied in a fair on the department's protocols through an orientation that includes staff file
and equitable manner and procedures policies and procedures
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All changes in policy and Staff minutes and interdepartmental Completed
procedures are communicated to memos.
staff
Septic permits will be A digital record system will be By July 2006,70%of old permits Monthly progress report to HO New target date May 2006 for
made available to the used for the septic program and 100%of all new permits will startup
public on line be scanned by June 2006
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Flan for a web base March 2006 Web base application plan presented to See above
application will be created the Health Officer
FY 2007 budget request Acquire budgetary support for
necessary upgrades to implement web
applications
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County Commission's Priority Projects & Issues
1 Growth Policy Implementation
Density Zoning
Long Range Planning/Rural Land Use Center
Annexation
Citizen Initiated Zoning (Bozeman Pass/East Gallatin/Reese Creek)
Affordable Mousing
2 Detention Center
3 Impact Fees
4 Capital Improvements Plan (Carter Goble Lee)/3rd District Court
5 County Road Plan/190/Traffic Safety/Issues
6 Budget Process/Priorities
7 Criminal Justice Coordinating Council Programs
8 Public Participation/Open Government/Notice Adequacy
9 CAO
10 Commission-Attorney Relations
I C#MrI t**f to the rV*r&II MA Jrrovaefozl, of Public he-aTfIl""
�-���.11r�t�i is _Coui t H�lt�z De ��I.�•tr��lezt
FY 2006 Budget Summary
Department Personnel 'dpe.ratmg Cap Qutlay Oap Reserve Op Reserve Totals FTE
Admn $ 127,542 $ 29,166 $ 42,500 $ 148,114 $ - $ 347,322 2
Public ea t
Emergency
Preparedness $ 114,039 $ 40,161 1 $ 7,500 $ 3,979 $ - $ 165,679 2.2
TOTAL $241;581 $ 69;
327 $! 50,000 .$, 15g093 I $ $ 513,001 4.2
General Fund Contribution $347,322
Environmental
Health-TOTAL $566,132 $ 93,685 $ 20.,600.. $ 15,625 $ $ 696,0.42 12
General Fund Contribution $426,142
Human
Services $333,500 $117,549 $ - $ 42,152 $ 493,201 7.19
MCH $ 197,448 $ 71,446 $ - $ 45,402 $ 43,619 $ 357,915 4.27
School Nursin $ 27,601 $ 6,256 $ 2,500 $ 3,354 $ 7,563 $ 47,274 0.54
WIC $ 148,407 $ 31,612 $ - $ - $ �- $ 180,019 2.88
Breast/Cervical $ 53,251 $ 30,501 $ - $ 4,923 $ 15,920 $ 104,595 1.2
CD $ 92,286 $173,466 $ 7,500 $ 93,661 1 $ 60,000 $ 426,913 2,4
TOTAL $852,493: $430 $. Q $ 10,000 $' 18;' 92 $ 1271Q2 $ 1 609,9'17 18.48
General Fund Contribution $486,964
BUDGET FTE
2,81 q,960 34:6$
12
Environmental Health Services
Activity Summary Calendar Years 1993-2005
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 TOTAL BY
Septic System Permits Issued 439 558 529 520 457 488 550 507 502 511 667 ACTIVITY
615 542 6885
Septic System Inspections 394 455 471 432 377 472 460 453 411 430 527 547 474 5903
Variance Requests Received 15 47 63 30 18 211 14 9 23 11 12 17 13 293
Subs Received-Contract
#SUBS Received 116 96 83 98 78 71 90 115 81 88 94 #30 151 1291
Total# Lots 207 160 267 359 334 1327
#of Lotss Reviewed 185 148 254 325 351 1263
Subs Received-Non Contract
#SUBS Received * * 40 21 18 17 28 #24
Total# Lots 956 961 610 870 386 3783
#of Lotss Reviewed 914 949 503 863 380 3609
Food Temporary Event Insp. 156 219 131 144 124 309 1083
ServSafe Education Provided * * 21 135 117 156
Food Establishment Insp. 322 497 683 518 686 820 876 870 708 1146 941 729 746 9542
Public Accommodation Insp. 71 47 87 77 78 90 115 133 94 160 133 102 132 1319
Trailer Court Inspections 36 13 69 8 59 fit 79 91 72 71 64 59 97 780
Public Water Inspections 39 29 12 68
Day Care/Group Home lnsp. 25 18 34 37 40 73 39 38 35 1339DPHMS Plan Reviews Received 44 51 36 56 37 41 50 36 33 54 55 5i 49 General Complaints 77 136 163 241 222 252 249 284 289 282 310 320 305
Animal Bite Complaints 10 15 37 69 64 77 74 72 64 29 0 1 512
Food Bome Illness Complaints 10 4 37 131 71 2 28 22 21 12 51 4 3 232
Human Sere Program Statistics
Calendar Year 20001 20011 20021 20031 20041 2005
MATERNAL CF= HEALTH (MCH1 PROGRAMS
PREGNANCY SERVICES*
#of clients 273 328 311 267 321 240
#of nurse contacts 919 1077 1230 887 1040 563 6mos of data only
#of nurse hours 1154 1260 1436 934 965 1189
Pregnancy Services-Outcomes
Number of Clients Served 124 106 108 121 -99i 33 limos of data only
Birth Wt<1500 grams(3 lbs. 5 oz) 2 1 1 0 0 0
Birth Wt 1501-2499 grams 3 lbs.5 oz.-5 lbs. 8 oz.) 4 5 5 3 9 1
#of women who quit smoking12 3 unavailable
Comparison of Gallatin County vs.Montana **
%of low birthwei ht(below 5 lbs. 8 oz.)-Gallatin County 4.9 5.1
-Montana 6.5 6.8
%entering prenatal care in Ist trimester -Gallatin County 86.4 87.1
-Montana 82.5 81.5
Teen fertility rate(teen births per 1,000 teen females)-Gallatin County15.9 16 8
-Montana 36.9 36.2
Infant mortality(deaths per 1,000 live births) -Gallatin County 4.2 4.9
-Montana 6.7 6.8
INFANTICHILD FOLLOW-UP PROGRAM
#of clients served 539 581 581 593 795 733
#of nurse contacts 1915 2120 2395 2435 2653 1263* 6mos of data only
#of nurse hours 2629 29111 2999 2820 2709 2847
SCHOOL NURSING (Academic year) sroa-Tios
#of schools served 17 17 18 171 17 17
#of nurse hours 1637 1574 1614 1634 1637 183611
#of classes taught 202 220 220 226 230 199
#of students taught 4280 4792 5181 4467 5586 4877
#of vision screens 3490 3157 3144 3767 2793 3474
#of vision referrals 202 255 248 217 243
#of scoliosis screens 594 526 1489 1286 790 1012
#of scoliosis referrals 110 19 12 28 14
#of individualized health care plans developed 72 441 50 54 63 69
rData
OL DENTAL SCREENING -GALLATIN DENTAL ALLIANCE f
ened 116 91 304 3 32 491
rred for urgent care 6% 8% 11% 7% 8%
on pregnancy service is collected from a new system.
County Health Profiles 5-year rates for 2003 = 1996-2000 and 2004= 1998-2002; no updated information is yet available
Haman Services Program Statistics
CalendarYearl 2000 2001 20021 20031 20041 2005
WIC
#of children served(monthly average) - Gallatin County 641 615 641 663 670 678
#of children served (monthly average)-Madison County 23 23 21 20 23 18
#of children served (monthly average) -Park County 153 183 161 152 140 121
Total Children 817 821 823 835 833 820
#of women served (monthly average)- Gallatin County 222 198 228 245 240 231
#of women served (monthly average) -Madison County 7 7 7 5 4 7
#of women served (monthly average) -Park County 57 60 44 44 40 39
Total Women 2861 265 279 294 284 277
PARTNERSHIP TO STRENGTHEN FAMILIES
#of adults served 52 45 42 49 43 38
#of children served 66 58 48 57 53 44
#of Child Abuse/Neglect Reports to DCFS 0 AWAITING D 0
#of Out-of-Home Placements 0 1 0
BREAST&. CERVICAL HEALTH PROGRAM
#of women enrolled (**2005--Active enrollees only) 130 165 175 307 370 321
#of completed screens 71 144 144 249 305 295
#diagnosed 2 breast 2 breast 4 breast 5 breast 3 breast g breast
cancers cancers cancers cancers cancers cancers
2 cervical 5 cervical 4 cervical 6 cervical 6 cervical
cancers cancers cancers cancers cancers
#Case Management Plans 321 421 691 681 39`1;New contract allows reimb
DAYCARE HEALTH&SAFETY
#of daycares inspected - 36 37 40 37 35 32
#of provider classes 10 7 6 6 7 6
#of participants in the class 154 87 96 86 66 61
#of child classes 9 11 4 5 3 5
#of participants in the class 177 224 84 106 42 123
Telephone consultation requests 1171 1041 133 TRACKING DISCONTINUED
FETALl1NFANTICHILU MORTALITY REVIEW
#of deaths 4 101 ill 161 121 13
#of meetings 21 31 31 31 3
Human Serv, Program Statistics
Calendar Yearl 20001 20011 20021 20031 20041 2005
PARENTING CLASSES &WELL CHILD CLINICS
Breastfeeding E
#offered 12 15 14 12 12 12
#of participants 56 61 62 67 46 75
Healthy Pregnancy
#offered 12 11 14 11 12 12
#of participants 50 27 38 45 32 23
Labor& Delivery
#offered 6 6 7 12 12 12
#of participants 25 41 78 81 88 117
Newborn
#offered 12 12 11 11 12 12
#of participants 60 57 59 49 45 45
Toddler
#offered 12 12 6 31 CLASS DISCONTINUED
#of participants 18 7 11 0
Well Child Clinic(West Yellowstone only beginning 9/01)
#offered 54 33 61 4 1 discontinued
#of participants 1111 87 301 221 5
COMMUNICABLE DISEASE PROGRAMS
COMMUNICABLE DISEASE SURVEILLANCE & FOLLOW-UP(See CD Report)
#of nursing hours spent on C.D.(FMcode 10,14,92,96,113) +(HDIS 140,141,144 5661 1679 2290 2168 1749 2066
#of TB tests done 478 366 400 378 451 308
(FM Code#'s IG4,105) +(HDIS 142,143)
#Clients Served 12 13 9
#Nurse Hours 178 176 139
IMMUNIZATION CLINICS
#of child immunizations given (FMCode#7) (HDIS 130) 31431 3274 3297 4093 4200
#of adults immunizations given (FMCode#88) (HDIS 131) 1543 1843 1808 1670 2505777
#of flu shots given during flu season (Oct-Feb) 2660 1674 unavailable yet
#of nursing hours spent on immunization activities (fmCode#'s 7,88,108,111 839 2368 2456 1678 1893 1813
% of 2 year olds fully immunized + (hdis 130,131.132,134) 96 88 87 85 100 unavailable yet
I
(fmCode#114)+ (hdis 170) I
#Nurse Hours 1213 1324 1554
Human Services Program Statistics
Calendar Yearl 20001 20011 20021 20031 20041 2005
REVIEW OF STAFF FTE's I FTE's I FTE's FTE's FTE'S
Community Health Nurses 7.41 7.6 7.8 8.2 8.2 8.5
Nurse Practitioner 0.2 0.1 0.1 0.1 0 0
Social Worker 0.8 0.8 0.8 0.8 0.8 0.9
Health Program Coordinator 1 0.8 0.6 0.6 0 0
WC Nutritionist 1 1 1 1 1 1
WIC Nutrition Technicians 2.6 2.6 2.02 1.9 1.88 1.78
Secretaries 2.5 2.5 2.88 3 3 3.5
Director 1 1 1 1 1 1
TOTAL 16.5 16.4 16.2 16.6 15.8 16.6
liz/excelVbudget/Human Services Program Statistics
"Committed to the protection and promotion of public health"
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Gallatin City-County Health Department
Reportable Communicable Diseases 1994 through 2005 Gallatin County
Disease 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
AIDS 4 1 4 3 1 1 5 1 3
Anthrax
Amebiasis 1 1
Botulism 1
Brucellosis
Campylobacter enteritis 7 15 21 22 9 13 10 13 10 37 28 9
Chickenpox 5
Chancroid
Chlam dia 101 71 70 66 93 89 71 105 153 161 168 165
Cholera
Colorado Tick Fever 1
Cryptosproridiosis 1 1 5 1 6 4 8
Cytomegaloviral illness 1 2
Diarrheal disease outbreak
Diphtheria
E. Coli-pathogenic 4 1 2 6 6 6 3 2 3 3 6 6
Encephalitis
Gastroenteritis epidemic
Giardiasis 17 24 13 35 11 18 28 28 17 18 7 12
Gonorrhea 1 1 2 2 3 2 7 4 4 4 4 7
Granuloma In �uinale
Hib influenza B invasive 2
Hansen's disease (leprosy)
Hantavirus (HPS) 1
Hemolytic Uremic 1
Syndrome
Hepatitis A 1 3 1 2 2 2 1 1
Hepatitis B(acute) 1 1 1.
Hepatitis B(chronic) 2 1 1 2 2 3 4 6 4 5
Hepatitis C(acute)
Hepatitis C(chronic) 2 2 1 39 40 20 27 31 47 59
Hepatitis(non A,B,C) 1
HIV 3 2 1 2
Influenza 144 174 768 48 794
Kawasaki disease
Legionellosis
Listeriosis 1
Lyme disease 2
Lymphogranuloma
Venereum
Malaria 1 1 1 1
1 :`IIIIti.tiv:`['nrrununiCLINC Yoi hid.&& 1 of2
Disease 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Measles (rubeola)
Meningitis(bacterial) 9 1 1 4 9 2 7 1
Meningitis(viral) 15 5 3
Mumps
Ornithosis (Psittacosis)
Pertussis (whooping 1 1 5 6 57
cou h)
Pla ue
Poliomyelitis
Q-fever
Rabies or suspected
exposure
Rabies in animals 2 2 2 1 1
Reye's Syndrome
Rocky Mountain Spotted 1 1
Fever
Rubella(including
can enital)
Salmonellosis 3 4 4 6 10 3 10 10 6 9 7 6
Shigellosis 1 2 3
Streptococcus pneumoniae 1
Syphillis 1 1 1
Tetanus 1
Trichinosis
Tuberculosis 1 1 1 1
Tularemia 1
Typhoid Fever 1
West Nile Virus(animal) 2
West Nile Virus (human) l
Yellow Fever
Yersiniosis 1
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