A Successful Regional Health Department in Colorado Richard L. Vogt, M.D. Executive Director CCI Conference, June 10, 2009.

Slides:



Advertisements
Similar presentations
Local Environmental Health in Colorado Presentation to the Colorado State Board of Health July 22, 2008 Jim Rada, REHS President Colorado Directors of.
Advertisements

Sustainability of Public Health Programs Audrey M. Stevenson MSN, FNP, MPH.
Lesson 3 Responding to Emergency Events. For additional information or questions please contact Toledo-Lucas County Health Department APC:
Senate Committee on Health and Human Services February 10, 2009 Overview: Texas Department of State Health Services David Lakey, M.D. Commissioner.
SAFETY NET NETWORK LEADERSHIP AND ADVISORY GROUP MEETING Wednesday, June 19, 2013.
10 Essential Services of Public Health
City of Laredo Health Department Serving all of Webb County 2600 Cedar Avenue Laredo, Texas Phone: (956) Fax: (956) Hector F. Gonzalez,
1 Regionalizing Public Health Systems: A CyberSeminar Presented by Dave Palm Office of Public Health Nebraska Health and Human Services System May 23,
Missouri Department of Health and Senior Services Center for Local Public Health Services Missouri’s Public Health System.
THE ROLE OF THE NH HEALTH OFFICER IN THE COMMUNITY Louise Merchant Hannan Health Officer Liaison Arsenic Consortium Meeting February 16, 2011.
Sponsored by the Colorado Department of Public Health and EnvironmentContent provided by Boulder County Public Health The Child Health Liaison Course in.
SUBSTANCE ABUSE AND THE ELDERLY Diana Givens M.S., LCADC.
Shared Infrastructure: New Operational Models for Achieving Greater Efficiency, Effectiveness and Sustainability Presented by: Phil Acord President/CEO.
Local Board of Health Training in Montana Presented to MLC-3 Open Forum Roundtable discussion group by Sue Miller Director, Montana Learning Collaborative.
United Way of Northern Arizona 2013 Community Impact Forum.
Central Connecticut Health District ANNUAL UPDATE TO OUR MEMBER TOWNS Central Connecticut Health District ANNUAL UPDATE TO OUR MEMBER TOWNS Presented by.
New Employee Orientation
New Employee Orientation (Insert name) County Health Department.
Roles and Responsibilities Local Agencies and Responders.
“A Healthier Future for The People of Orange County”
Health Status of McLennan County Residents Our Vision To strive for public health excellence and innovation while advocating for community health and wellness.
Public Health and Healthcare in Ontario A Made in Ontario Solution for Public Health and Healthcare Andrew Papadopoulos Director, School of Occupational.
1 EEC Board Policy and Research Committee October 2, 2013 State Advisory Council (SAC) Sustainability for Early Childhood Systems Building.
The Georgia Alzheimer’s and Related Dementias State Plan Presenter: Dr. James Bulot Director, DHS Division of Aging Services Presentation to: Georgia Department.
August 11, 2014 ASTHO Activities, Products, and Services.
Outcomes of Public Health
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES Emma Medicine White Crow Association of Public Hospital Districts, Membership Meeting June 24, 2013.
Training Module 3. What You’ll Learn In This Module Conservation Districts’ State and Federal partners Districts’ non-profit partners Other organizations.
Presented by Vicki M. Young, PhD October 19,
MLC-2 New Hampshire October 12, Quality Improvement Activities for MLC-2 1.Articulate measures to monitor improvement for New Hampshire’s performance.
Picture Seniors Health Services Presentation to Health Advisory Councils October 13, 2012 Cheryl Knight, Seniors Health Primary & Community Care
0 1 Breastfeeding: A WIC Priority Improves health outcomes for infants –Fewer infections and disease –Improved IQ –Lower rates of obesity and diabetes.
CHILDREN, YOUTH AND WOMEN’S HEALTH SERVICE New Executive Leadership Team 15 December 2004 Ms Heather Gray Chief Executive.
Division of Aging Services White House Conference on Aging Healthy Aging Summit Georgia Department of Human Services Presenter: James J. Bulot Division.
1 California Public Health Preparedness: Lessons from Seven Jurisdictions R. Burciaga Valdez, PhD June 8, 2004.
SCCA BACKGROUND Recognition throughout the 90s of the need to build a partnership to develop strategies to address cancer. DHEC.
Partnership Learnings Partnering is a complex and time- consuming process that may achieve outcomes that single entities may not be able to achieve independently.
Integration of HIV/AIDS, STD, TB and Viral Hepatitis New York State’s Experience Guthrie S. Birkhead, M.D., M.P.H. Director, AIDS Institute Director, Center.
What Is It, Anyway? Virginia Association of Housing and Community Development Officials February 25, 2008.
1 Strategic Planning Fresno County Department of Community Health February 26, 2008.
Introduction to US Health Care Unit 4 Chapter 14 Public Health Policy 14-1.
The Emergence of District Public Health in Maine Mark Griswold, M.Sc Maine CDC Office of Local Public Health.
Improving public health in North Somerset Avon Local Councils Association 15July 2013 Becky Pollard, Director of Public Health.
North Carolina Public Health is mission driven and policy focused: works to promote and contribute to the highest possible level of health for the people.
Safer, healthier King County: The work of Public Health.
Results from the School Health Policies and Practices Study 2012: How it relates to the work of state school nurse consultants Mary Vernon-Smiley, MD,
MAY 21, 2014 Watertown Board of Health FY15 Budget Hearing.
Public Health Nurse Role: Infectious Disease, Tuberculosis, and Vaccine Preventable Diseases Emily A. Litt, CPT, AN, USAR, DNP, RN Assistant Teaching Professor.
Supportive Housing For Seniors 7 th Annual Elder Health Think Tank Conference.
Creating a New California Department of Public Health: Organizational and Leadership Challenges and Opportunities Mark B Horton, MD, MSPH Director and.
Draft, Washington Prediabetes Advocacy Plan.
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 1 Community-Oriented Nursing and Community-Based Nursing Carolyn A.
DHS/ODP OVERVIEW The Department of Homeland Security (DHS), Office for Domestic Preparedness (ODP) implements programs designed to enhance the preparedness.
Carson City, Nevada Health Department July 1, 2016 through June 30, 2017 Budget Workshop.
Board of Health Proposed 2011 Public Health Budget October 29, 2010 Dr. David Fleming Director and Health Officer.
The Primary Health Care Access Program (PHCAP) in the Northern Territory. John Boffa Public Health Medical Officer Central Australian Aboriginal Congress.
Public Health 2016 Budget Presentation. Public Health – What We Do 2016 Proposed - $5,029,490 A 2.62% increase over 2015 Budget of $ 4,901,110 The mission.
WOrk 2015 County Health Needs Assessment Review Health Department Perspectives Presented by Tom Langer, MPA Administrator/Public Health Officer City-Cowley.
South Dakota Department of Health
Hepatitis C Virus Program in Chicago
NORTH SHORE HEALTH DEPARTMENT
What is quality first??.
Bruce Grey Child and Family Services
DeKalb County Board of Health Organizational Chart
2018 – 2020 Budget Presented by: Darryl Beaton
Community Services Proposed 2017 Budget August 23, 2016
SAMPLE ONLY Dominion Health Center: Excellence in Medicaid Managed Care (or another defining message) Dominion Health Center is a community health center.
SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.
SAMPLE ONLY Dominion Health Center: Your Community Healthcare Home (or another defining message) Dominion Health Center is a community health center.
SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.
Presentation transcript:

A Successful Regional Health Department in Colorado Richard L. Vogt, M.D. Executive Director CCI Conference, June 10, 2009

Composition Tri-County Health Department (TCHD) serves Adams, Arapahoe and Douglas Counties We serve 1¼ million residents, ¼ of Colorado’s population Our Board of Health has three appointed representatives from each county, for a total of nine members

History TCHD was formed in 1948 to include Adams, Arapahoe and Jefferson Counties

History In 1958, Jefferson County formed its own Health Department, so TCHD served only two counties until 1966 In 1966, Douglas County decided to join TCHD after they received mutual aid in response to the South Platte River floods

Approach as a Regional Health Department Delicate balance functioning as one health department serving the needs of three diverse counties TCHD needs to keep consistent approaches for all of our three counties However, each county has special needs and interests that also need to be addressed

Regional Health Department Provide core services to all three of our counties Provide some individualized services for each of our counties

Core Services Offered to Each County Nursing –Adult and child immunizations –Family planning –Women’s cancer screenings –Maternal child health programs –Access to care programs –HIV/AIDS, sexually-transmitted disease and TB outreach programs –Chronic disease prevention

Core Services Environmental Health –Restaurant inspection program –Child care inspection program –Pool/spa inspection program –Onsite-wastewater program –Hazardous chemicals in schools –Land use reviews –Vector control

Core Services Nutrition –WIC program –Community nutrition –Early childhood obesity and prevention –Dietetic internship –Breast-feeding support program

Core Services Epidemiology, Planning and Communication –Infectious disease investigation –Outbreak control –Public information –Tobacco prevention –Statewide older adult fall prevention program –Health planning –Geographic Information Systems (GIS)

Core Services Emergency Preparedness –Developed emergency response plans in coordination with external and internal partners –Coordinated agency responses to public health emergencies –Coordinated the strategic national stockpile and mass prophylaxis –Developed agency continuing operation plans (COOP)

Core Support Services Administration –Purchasing –Payroll –Human resources –Information technology –Facility management

Individual County Interests and Programs

Adams County Major interest in protective measures with oversight of landfills and the Rocky Mountain Arsenal cleanup project Developed an innovative mutual agreement with Adams County Human Services to provide selected nursing services for human service clients using Temporary Assistance for Needy Families (TANF) funds Household hazardous waste disposal

Arapahoe County Largest populated county in our jurisdiction We have special funding to help provide dental services for Arapahoe County senior citizens Developing a similar program with social services again using TANF funds Arapahoe County has shown a special interest in outbreaks of illness that require planning –West Nile Virus –H1N1 influenza infections

Douglas County Has a special interest in water –Quantity –Quality TCHD conducted a special study of the quality of well water in homes that have septic systems, finding little contamination in households with submitted samples Household hazardous waste disposal

Three-County Agreement In 1988, all three sets of County Commissioners entered into an agreement to provide the same level of county per capita funding The advantage is that there is a common contribution for all of the three counties A disadvantage is that we are funded at a level that the most financially challenged county can afford each year We also have individual contracts for county-specific activities

Benefits of Regional Health Department Provide more uniform services across counties Provide enough depth to shift resources depending upon the public health need Can provide a significant nursing workforce for public health activities in the area Able to undertake large campaigns –In 1992, administered IG to 15,000 residents –In 1993, coordinated activities for the Pope’s visit –In 2009, administered 1,300 doses of IG and hepatitis A vaccine

Benefits Receive financial support from three counties which enables us to have professionals and programs that would otherwise be unavailable We have economies of scale with one office of administrative services for three counties

Challenges A presence in each of our three counties Staff liaison in an office located in each county Attendance at each of the many county functions –Volunteer appreciation receptions –Ground-breaking and dedication ceremonies –Presentations of our proposed budget to each county

Challenges Campaign with Commissioners over the years with the theme that “TCHD is your local health department” Lack of recognition as a “department” similar to those housed within the county structure Lack of awareness by county residents that TCHD is their county health department

Challenges Some difficulty in managing 11 offices in our jurisdiction –Four full service offices –Two partial service offices –Four WIC offices –One administrative office Currently have an “office director” for each office

Challenges Arrange for courier services between offices Negotiate multiple leases for properties not supported by counties Strive to be “equal and fair” to employees in 11 different offices Strive to provide uniform services between the different offices

Space Challenge At present, each county provides at least one office for TCHD free-of-charge However, one county has provided all of our office space at no charge TCHD contracted with a consulting firm to evaluate the current county space support The results will be presented to our three sets of County Commissioners

Douglas County Study In 2003, Douglas County formed a committee to review the possibility of forming their own LHD At that time, Colorado Statutes allowed this to happen, giving 12 months notice to the LHD TCHD convinced Douglas County of the worth of our agency to provide services to residents In the end, Douglas County decided to stay with TCHD because of “economies of scale” and demonstration of vision and strong leadership

Activities Undertaken a campaign to be included in all written county reports that list county departments Attempted to attend all county functions recognizing county departments Attempted to send a TCHD staff representative for regular county management meetings

Summary There are many advantages to establishing a regional health department However, the process is not without challenges At present, each of our three counties feel that we are providing cost-effective, high- quality public health services to our residents and are attentive to individual county needs

Thank you!