NORTH SHORE HEALTH DEPARTMENT Ann Christiansen, MPH Director/Health Officer achristi@villageofshorewood.org 414-371-2980

Mission/Goals To improve the communities' health, prevent disease, and safeguard the environment; through an organized, collaborative process including assessment, policy development, and assurance. Our mission is to improve the communities’ health, prevent disease, and safeguard the environment. This is done through an organized, collaborative process that focuses on the three core functions of public health: assessment, policy development, and assurance.

Annual Goals Strategically plan for the future of the North Shore Health Department; To prevent and control disease by monitoring, screening, and investigating diseases and promoting healthy lifestyles; To protect health by inspecting, testing, and screening for environmental hazards; To prepare for public health emergencies. The health department’s goals are to: Strategically plan for the future of the North Shore Health Department so that we can achieve the high quality standards set out by the Public Health Accreditation Board; To prevent and control disease by monitoring, screening, and investigating diseases and promoting healthy lifestyles; To protect health by inspecting, testing, and screening for environmental health hazards; To prepare (and be prepared) for public health emergencies.

North Shore Health Department 2015 Organizational Chart Director/Health Officer (Christiansen) 1.0 FTE North Shore Board of Health Medical Advisor (Lewis) Public Health Nurse Supervisor (Platt) 1.0 FTE Environmental Health Sanitarian (Simerly) 1.0 FTE Administrative Assistant (Witman) 1.0 FTE Our organizational structure consists of 7.2 FTE. This includes a Health Director/Officer, a sanitarian, an administrative assistant, a nurse supervisor, and two full-time and two part-time public health nurses. Public Health Nurse (Petric, Schneider, Parks, TBD) 3.2 FTE

Inputs: 2014 Budget Total Revenue: $739,001 Administrative Charges: $51,868 Permits: $110,552 Grants: $135,591 Supplies and travel: $95,194 Salary and Wages: $425,001 Clinic Fees: $30,868 Fringe Benefits: $186,357 Interdepartmental Charges: $447,586 The health department’s 2014 revenues are a mixture of tax levy from the seven communities that comprise the North Shore, as well as permits from restaurants, hotels, and pools, grants, and clinic fees. The department’s expenses are largely personnel, including salary and wages and fringe benefits. Supply and travel expenses for the department consist of clinic supplies and equipment, office supplies, mileage between our two offices and around the North Shore and travel to state and regional public health meetings. Administrative charges include rent for office space in Shorewood and Brown Deer, as well as charges for financial and administrative support by Brown Deer. Total Revenue: $739,001 Total Expenditures: $758,420

Inputs: Facilities and Equipment Offices located in Brown Deer Village Hall and Shorewood Library Building Clinical equipment; Nine computer work stations – separate networks; Two waiting rooms for clients; Two storage closets for emergency preparedness supplies and outreach materials. The North Shore Health Department has two offices. Each office has a similar set up with clinical space, waiting rooms, storage closets, and computer work stations with separate computer networks.

Activities: 10 Essential Services for Public Health What does the health department do? Our work falls into 10 different categories, called the 10 Essential Public Health Services.

Activities Immunizations Health screenings Animal bite control Communicable disease control Environmental health Lead hazard investigation Beach water testing Preparedness and bioterrorism Wellness checks and referrals Mobilize community partnerships Injury prevention (car seat safety, bicycle safety) Health Inspections: Hotels, pools, restaurants (excluding Glendale) More specifically we do the following, although this list is not exhaustive of all that we do on any given day.

Outputs: Disease Prevention We product an annual report where we monitor and track the day to day work that is done. There are fluctuations in what we do, especially over the past few years as the local health department is evolving with changes in health care coverage and the Affordable Care Act. In looking at the past four years, we provide a fair number of immunizations to the community. We saw a dip with these last year with the changes funding for immunizations, but this number came back up again last year. In 2014, we provided more blood pressure and cholesterol checks that in any of the previous years.

Outputs: Disease Investigations In 2014, we conducted 288 documented disease investigations. In any given year the number of disease investigations can unpredictable. Variations such as a 2013 cryptosporidium outbreak or current active and latent TB caseloads require us to devote significant resources to these high priority cases while they are actively occurring. The goal of this work is to prevent the spread of specific communicable and infectious diseases to other people. Ebola traveler monitoring is another area where the health department is involved with following up with travelers to West Africa once to two times a day for a 21 day period.

Outputs: Environmental Health Complaints and Inquiries The health department is required by local ordinances and state statues to enforce public health laws. Our staff follow-up on a variety of complaints and inquiries to determine if there are any code violations. Our approach is to educate and then issue orders as needed to address public health complaints. 2013: N=102 2014: N=62

Disease Prevention and Control Public Health Emergency Preparedness Outcomes Performance Measures Metrics Disease Prevention and Control Health department staff will conduct disease investigations for nearly 100% of reportable diseases Process status in Wisconsin Electronic Disease Surveillance System will be reported as Final or Sent to State for all completed disease investigations Offer 24 adult health screening sessions for North Shore residents Documentation of offered adult health screens; number of adults screened Offer 60 immunization clinics around North Shore Billing information for immunizations; Immunization tracking forms 72% of children residing in the North Shore will complete immunization schedule by 2nd birthday Wisconsin Immunization Registry report Environmental Health Inspect 100% of licensed food establishments that are part of the NS Environmental Health Consortium Health space and/or local database files document 100% of all establishments inspected Inspect 100% of licensed recreational waters that are part of the NS Environmental Health Consortium Public Health Emergency Preparedness Maintain a robust and practiced Emergency Preparedness plan for the North Shore Approved emergency preparedness plan for North Shore Attendance at local and regional emergency preparedness meetings Complete 100% of emergency preparedness exercise requirements Call-Down drill times entered into CDC PHEP website Submit jurisdictional data sheets to CDC JOIN The health department has a number of performance measures in place to monitor our progress. As mentioned, we issue an annual report with many of this information. This report provides a snap shot of our work over the previous year. We have established performance measures in the areas of disease control and prevention, environmental health, public health preparedness, and injury prevention. The measures on this slide are only a few of the ones we use to track our outcomes, along with the metrics we use to track these measures.

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