1. Department of Health and Social Services Division of Public Health Joint Finance Committee Hearing Fiscal Year 2012 Karyl Rattay, MD, MS, FAAP, FACPM Division Director Tuesday, March 1, 2011

2. Delaware Health and Social Services Overview Our vision is healthy people in healthy communities. Our mission is to protect & improve the health of all people in Delaware. We are committed to achieving the greatest impact on the health of all people in Delaware by using resources in the most efficient way to achieve desired results. Prevention is key to public health.

3. Delaware Health and Social Services Overview & Accomplishments $126.5 million - amount of dollars administered through the Drinking Water State Revolving Loan Program portfolio. 55,147 - number of school-based wellness center visits. 34,983 - number of hits on the food inspection webpage. http://dhss.delaware.gov/dhss/dph/hsp/default.aspx

4. Delaware Health and Social Services Overview & Accomplishments 19,663 - number of inspections of regulated businesses conducted last year in order to assure public health standards were met. 11,893 - number of infants screened last year through the Newborn Screening system - with 478 infants confirmed to have a metabolic or genetic abnormality. 7,891 - number of cancer screenings (breast, cervical and colonoscopies) through Screening for Life program last year.

5. Delaware Health and Social Services Making our Dollars Work Harder Starting in July 2011, School Based Health Center vendors will bill insurers for covered services. Infant mortality prevention services have changed to ensure funding is directly tied to serving high-risk women and achieving positive outcomes.

6. Delaware Health and Social Services

7. Trends and Performance Measure Indicators

8. Delaware Health and Social Services Trends and Performance Measure Indicators

9. Delaware Health and Social Services Trends and Performance Measure Indicators

10. Delaware Health and Social Services Trends and Performance Measure Indicators

11. Delaware Health and Social Services FY 12 Governor’s Recommended Budget $4,401.9 - Infant Mortality $5,323.8 – School Based Health Ctrs. 33.5 FTE’s – Adds authorization for the Birth to Three FTE’s to Sec. 1.

12. Delaware Health and Social Services FY 12 Governor’s Recommended Budget Tobacco Funds $12,362.3Cancer Council Rec. $ 2,845.7Contractual Services $ 653.7Personnel $ 357.4Diabetes $ 75.0Public Access Defibrillation

13. Delaware Health and Social Services FY 12 Governor’s Recommended Budget Budget Reductions ($717.3)Personnel (reduction of 8.0 vacant FTE’s & casual/seasonal usage) ($331.2)Cancer Council Recommendations ($118.3)Immunizations ($ 91.5)Contractual Services ($ 24.9)Capital Outlay ($ 2.9)Travel ($ 2.4)Diagnosis & Treatment Fund

14. Delaware Health and Social Services Challenges and Opportunities

15. Delaware Health and Social Services Adapted from J. Michael McGinnis, M.D Opportunity: The Future of Public Health 95% of Health Care dollars Spent on Acute Care. 10% of Improvement in Health Status Attributed to Medical Care. 90% Attributed to Population-Based Approaches.

16. Delaware Health and Social Services