Department of Public Health & Environment Recommended 2020 Budget August 27, 2019

Community Health Assessment (CHA) Collaborate with community members Collect & analyze data Prioritize the leading health & environmental concerns in the county Partnered with Lakeview Health/Health Partners

County Health Rankings

Health Rates for Low Income Residents

Emphasis on Equity

Health happens where we’re born, live, work, play and age.

Key Priority Areas The six priorities are of equal importance and are presented in alphabetical order. The six priority areas are: Access to care Access to health Environmental conditions that promote and protect health Mental health and well-being Nutrition and physical activity Substance abuse

Priority: Access to Care Access to care refers to having equitable access to appropriate, convenient and affordable health care. This includes factors such as proximity to care, access to providers, cost, insurance coverage, medical transportation, care coordination within the health care system, cultural sensitivity and responsiveness. Outreach for Immunizations Sexually Transmitted Illnesses

Priority: Access to Health Access to health refers to the social and environmental conditions that directly and indirectly affect people’s health such as housing, income, employment, education, and more. These factors, also referred to as social determinants of health, disproportionately impact low income communities and communities of color. Partnership with Community Services Department on 5310 Grant Countywide prevention strategy- Focus on early literacy Family Home Visiting

Priority: Environmental Conditions that promote and protect health Environmental conditions that promote and protect health refers to having a healthy and safe environment that enhances a person’s quality of life. Access to environmental services and amenities can increase health and overall life satisfaction. Environmental conditions that impact health might include, surface and drinking water, air quality, changing weather conditions, and natural/built infrastructure. Recycling and Energy Yard Waste facilities Household hazardous waste Water Resources

Priority: Mental health and well-being Mental health and well-being refers to the interconnection between mental illness, mental health, mental well-being, and the associated stigma. Poor mental health is associated with poor quality of life, higher rates of chronic disease, and a shorter lifespan. Stigma reduction, e.g. Make it Okay Suicide Prevention- Question, Persuade, Refer training Stepping Up Beyond Resilience: A Lifespan Approach

Priority: Nutrition and physical activity Nutrition and physical activity refers to equitable access to nutrition, physical activity, and food and feeding choices. Poor nutrition and physical inactivity are major contributors to obesity and chronic diseases such as diabetes, heart disease, and stroke, which disproportionally impact low income communities and communities of color. Statewide Health Improvement Partnership (SHIP) Countywide Bike Plan Breastfeeding support Woman, Infants and Children (WIC) Program

Priority: Substance Abuse Substance abuse refers to the excessive use of substances including alcohol, tobacco, prescription drugs, opioids, and other drugs in a manner that is harmful to health and well-being. Opioid prevention (County Attorney, Community Services, Sheriff) Reduce stigma (addiction/substance abuse) Drug drop box Reduce tobacco use and exposure

PHE 2020 Proposed Budget Program Area Proposed Budget Full-Time Equivalents Health Assessment, Planning & Administration $1,413,100 11.25 Environmental Health $9,565,000 30.3 Community Health $6,325,400 48.15 University of Minnesota Extension $203,000 - Total $17,506,600 89.70

$17,506,600

Capital Requests Environmental Center expansion design Northern Environmental Center land purchase Northern yard waste collection site land purchase Land search for central yard waste collection site All 2020 capital requests are funded by County Environmental Charge revenue

Thank you for your continued leadership and support!

Building a Stronger Minnesota Through Education & Research Washington County © 2015 Regents of the University of Minnesota. All rights reserved.

Extension makes a difference in Minnesota

HELP FOR STRUGGLING AG PRODUCERS New Rural Response Task Force appointed by Dean Bev Durgan Personalized consulting for farmers in financial distress Experienced farm business management instructors ‘Survive and Thrive’ statewide workshops Marketing groups Farmer-lender mediation © 2015 Regents of the University of Minnesota. All rights reserved.

Washington county Extension local presence 4-H Youth Development 2.5 FTE 4-H Program Coordinators Extension Master Gardeners Volunteer Led Administrative Office Support .8 FTE © 2015 Regents of the University of Minnesota. All rights reserved.

2019 Washington county 4-H youth development Program 621 Enrolled 4-H Members 300 Screened Adult 4-H Volunteers 144 Washington County at the State Fair © 2015 Regents of the University of Minnesota. All rights reserved.

2019 Washington county 4-H youth development Program 1,050 Elementary 4-H Youth Teaching Youth (YTY) participants in 2019 34 YTY teen teachers Family Means Partnership: Explorers 4-H Club – Cimarron & Landfall Washington County Library Partnership CommonBond Communities at Granada Lakes © 2015 Regents of the University of Minnesota. All rights reserved.

Washington county extension MASTER Gardener (EMG) program 143 Washington County EMG Volunteers 13,022 Volunteer Hours in 2018 $331,149 Estimated Value Areas of Focus: Clean Water Local Food Pollinators Connecting People to Nature © 2015 Regents of the University of Minnesota. All rights reserved.

2020 WASHINGTON COUNTY Extension Budget REQUEST 2020 Proposed County Funding: Funding toward current MOA (2.5 FTE 4-H PCs) $188,140.00 Funding toward admin support (.25 FTE of .8 FTE total) $ 15,000.00 Total : $203,140.00 Requested increase in County Board Support of $15,440 over 2019 in order to fund .25 FTE of the total .8 FTE administrative support at the current U of M MOA rate. © 2015 Regents of the University of Minnesota. All rights reserved.

2020 WASHINGTON COUNTY Extension Budget REQUEST 2020 4-H Federation Funding .55 FTE Administrative and Executive Office Specialist $ 33,500.00 Summer 4-H Intern & Temp Casual Hires $ 15,000.00 4-H Federation Treasurer, Arts-In Director, etc.  4-H Program Costs $ 55,000.00 Total: $103,500.00 2020 County Additional Contributions Extension Committee Per Diems $ 1,300.00 Office Operations $ 25,000.00 Total: $ 26,300.00 © 2015 Regents of the University of Minnesota. All rights reserved.

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