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 Winter Garden Mercy Drive Ocoee

ORGANIZATION CHART

SERVICES AND PROGRAMS CONTRACT YEAR Personal Health Services – Total Services 605,447 Family Planning – 35,278 Services Maternity – 79,015 Services 25% of babies born in Orange County 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 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 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 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 10 th largest U.S. school district

CLINICAL SERVICES BY PROGRAM CONTRACT YEAR 08-09

UNINSURED vs INSURED CLIENTS CONTRACT YEAR 08-09

5 YEAR HISTORICAL VIEW – STATE GR FUNDING

Source $ Change Estimated 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 CBR Rate

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.