Local Health Department Financing: Findings from the 2005 National Profile of Local Health Departments Study.

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Presentation transcript:

Local Health Department Financing: Findings from the 2005 National Profile of Local Health Departments Study

National Profile of Local Health Departments Collaboration with CDC to collect data on local health department infrastructure Four National Profiles conducted to date Studies conducted in 1989, , , 2005 Census design – includes all LHDs in U.S.

Topics in 2005 Profile Core Governance Population served Finances Characteristics of top executive Workforce Activities and services provided Community health assessment & improvement Information technology

Topics in Profile Modules Detailed information on: Finances Workforce Community health assessment & improvement Information technology Additional Topics: Performance improvement Emergency preparedness Partnerships Policy-making and advocacy Addressing health inequities

Financial Information in 2005 Profile Core questionnaire Total annual expenditures (2 years) Revenues sources (percentages of total) CDC & HRSA emergency preparedness funding Module questionnaire Changes in sources of revenue

LHDs Included in the 2005 National Profile Study (by State and Type of Governance)

LHD Jurisdictions (by Size of Population Served)

Activities and Services Most Frequently Provided by LHDs

Total Annual LHD Expenditures

Total Annual LHD Expenditures – by Popn Population ServedMedian Interquartile Range <25,000$340,000$450,000 25, ,999$890,000$1,200,000 50, ,999$2,000,000$2,400, , ,999$5,100,000$5,300, , ,999$11,000,000$10,000, , ,999$23,000,000$27,000,000 1,000,000+$57,000,000$65,000,000

Median Annual Per Capita LHD Expenditures (by LHD Characteristics) All Revenues Non-clinical Revenues Size of population served <50,000$28$22 50, ,999$31$24 500,000+$34$31 Degree of urbanization Urban$24$21 Small city/large town$31$24 Rural$35$25

Median Annual Per Capita LHD Expenditures (by State)

Change in Total Annual LHD Expenditures

Total LHD Revenues from Various Sources

Mean Percentage of LHD Revenues from Selected Sources (by Type of Governance)

Predominant LHD Funding Source: Local

Predominant LHD Funding Source: State Direct

Predominant LHD Funding Source: Federal pass through

Predominant LHD Funding Source: Medicaid & Medicare

Balanced LHD Funding Sources

Predominant LHD Funding Source: Combined

Change in LHD Revenue from Selected Sources

For information on 2005 Profile study: Carolyn Leep, Senior Analyst National Association of County & City Health Officials