1. Department of Public Health & Environment Proposed 2017 Budget August 23, 2016

2. Protect, promote, and improve the community’s health and the environment. 2

3. 3 Promote- Food Access Programs

4. Protect- Waste Cleanups 4

5. 5 Improve- Performance Management System Outcomes "Where do we want to be?" Performance Measures "How will we know?" Monitoring & Reporting "How well are we doing?" Quality Improvement "How will we improve?"

6. 6

7. Organizational Chart 7

8. Program AreaProposed BudgetFull-Time Equivalents (FTE) Health Assessment, Planning & Administration $1,202,0009.55 Environmental Health$9,638,80029.3 Community Health$5,198,80043.55 Total*$16,039,60082.40 8 PHE 2017 Proposed Budget *Budget total does not include U of M Extension

9. Evaluate and establish a County Role in community yard waste and composting Increased utilization of the Environmental Center and Household Hazardous Waste Program Continue transitioning the Ramsey/Washington Recycling and Energy Center from private to public ownership Increase in food, pool and lodging establishments and inspection frequency Update the County’s Solid Waste Management Master Plan County wide assessment of subsurface sewage treatment systems 9 Environmental Health Key Initiatives & Challenges

10. Environmental Center 10

11. Environmental Center Improvements 11

12. Recycling and Energy Center 12

13. County Environmental Charge (CEC) Revenue 13 ***2016 & 2017 show budgeted CEC amounts

14. Projected CEC Fund Balance 14

15. Food, Beverage and Lodging (FBL) Program The number of licensed food, lodging, pool, camping, and non-community water establishments continues to grow each year. New Position Request Environmental Specialist 1.0 FTE to inspect food, lodging, pool, camping and non-community water establishments and improve staffing ratios to just below the minimum recommended Food and Drug Administration’s guideline. 15

16. Environmental Health Special Project Continuation Provides assistance to: –Schools in identifying and disposing of outdated chemicals –Municipalities and property owners in solid waste cleanup and property remediation –Hazardous waste generators with training, technical assistance and outreach 16

17. Community Health Key Initiatives & Challenges 17 Partner with local clinics, healthcare systems and community stakeholders to develop a collaborative approach to disease prevention and control activities. Rising rates of known infectious diseases (sexually transmitted diseases, Lyme disease, measles, pertussis) and new emerging diseases such as Zika Virus. Develop best practice approaches to support healthy aging for individuals over the age of 60.

18. Pediatric Immunization Rates Washington County and Minnesota, 2010-2015 (Vaccine Series: 4+ DTaP, 3+ Polio, 1+ MMR, Complete Hib, 3+ Hep B, 1+ Varicella, and Complete Prevnar) Source: Minnesota Immunization Information Connection (MIIC) :

19. Chlamydia Cases and Rates Washington County, 2000-2013 Source: Minnesota Department of Health Infectious Disease Epidemiology, Prevention and Control Division, 2015. Disease rates calculated using 2010 US Census data.

20. 20 Partnership with Parks/CDC/MDH Information signs posted at parks Distribution of tick identification cards Get Ticked Off

21. Focus on Healthy Aging A portion of the County Strategic Plan and the Statewide Health Improvement Plan (SHIP) are specifically designated to address the health of people over the age of 60 in local communities. New Position Request Community Health Specialist 0.2 FTE to implement healthy aging activities in the community and within the department. This 0.2 FTE will be combined with the existing 0.8 FTE vacancy already in our budget to create a 1.0 FTE Community Health Specialist position.

22. 22 Nurse Home Visiting Program

23. Preparing for Emergencies Identify Risks Plan and Prepare Deliver Services

24. 24 $16,180,900

25. 25

26. What Others Are Saying: Recognized for our Community & Partner Engagement –Data, facilitation and planning expertise –Conveners and leaders in the community –Ability to produce measurable outcomes for the community –Share information and are humble in our approach 26

27. Questions? 27

28. 28 © 2015 Regents of the University of Minnesota. All rights reserved. 28 Creating a Stronger Minnesota through Education & Research Washington County Extension

29. 29 © 2015 Regents of the University of Minnesota. All rights reserved. Extension Funding

30. 30 © 2015 Regents of the University of Minnesota. All rights reserved. Extension Connects the University with Minnesota with Washington County

31. 31 © 2015 Regents of the University of Minnesota. All rights reserved. Washington County Extension Mission: “Washington County Extension addresses community issues by providing innovative, research-based education countywide.” Vision: “Extending the U to You: Building Better Lives”

32. 32 © 2015 Regents of the University of Minnesota. All rights reserved. WASHINGTON COUNTY EXTENSION  4-H Youth Development –2.5 Full-Time Equivalent (FTE) 4-H Program Coordinators –.75 Administrative Support  SNAP (Supplemental Nutrition Assistance Program) Education –1 FTE Regional Educator  Extension Master Gardeners –Volunteer Led

33. 33 © 2015 Regents of the University of Minnesota. All rights reserved. ADDITIONAL PROGRAMS  Center for Community Vitality –Leadership and Civic Engagement: Focus Groups on Aging  Center for Agriculture, Food and Natural Resources –NEMO (Nonpoint Source Pollution Education for Municipal Officials)

34. 34 © 2015 Regents of the University of Minnesota. All rights reserved. RIPPLE EFFECT OF EXTENSION PROGRAMS AND SERVICES Program or service Individual benefit and value Public benefit and value

35. 35 © 2015 Regents of the University of Minnesota. All rights reserved. 4-H Prepares Youth to Lead, Succeed & Contribute

36. 36 © 2015 Regents of the University of Minnesota. All rights reserved. 2016 WASHINGTON COUNTY 4-H PROGRAM  671 Enrolled 4-H Members  154 Screened 4-H Volunteers  17 4-H Community Clubs  58 Enrolled 4-H Youth Teaching Youth Teen Teachers  15 Community Partnerships and 17 School Partnerships  1,552 In-School 4-H Youth Teaching Youth Participants  524 Out-of-School 4-H Youth Teaching Youth Participants

37. 37 © 2015 Regents of the University of Minnesota. All rights reserved. WHAT DO OUR 2016 4-H GRADUATES SAY?  “Some people never discover what their true passions are. 4-H has given me the opportunity to do just that.”  “ (I want) others to know the tremendous joy that 4-H and its’ experiences can bring.”  “4-H helped me plan for my future which was inspired by all of my science projects I made…”  “..I learned the importance of community. I became very involved on other organizations that gave me the opportunity to use my leadership skills developed in 4-H.”

38. 38 © 2015 Regents of the University of Minnesota. All rights reserved. 2016 4-H GRADUATE COLLEGE STUDIES INCLUDE:  Plastics Engineering  Nursing  Microbiology, then Medical School  Agriculture Communications  Marketing  Animal Science  Forest and Natural Resource Management  Child Development and Family Studies

39. 39 © 2015 Regents of the University of Minnesota. All rights reserved. LOOKING AHEAD TO 2017  18 4-H Clubs  76% 4-H Membership Retained –Attention to new 4-H Members  675 4-H Members –10% diverse (7% in 2016)  Increased partnerships that allow for career exploration, with a focus on STEAM (Science, Technology, Engineering, Art and Applied Math)

40. 40 © 2015 Regents of the University of Minnesota. All rights reserved. 4-H PROGRAMMING GOAL: 4-H FOR EVERY CHILD Targets: 1.Reach, retain, and positively impact new & underserved audiences while retaining and serving our current 4-H members (Public Service) 2.Strengthen connections to career readiness, higher education, and youth leadership (Workforce and Employees) Measured by: Increase 4-H clubs to 18. 76% membership retained. Engaged community and school partners.

41. 41 © 2015 Regents of the University of Minnesota. All rights reserved. 2017 EXTENSION BUDGET 2017 Proposed Expenditures  2.5 FTE 4-H Program Coordinators$176,078.00  1.0 FTE Community Nutrition Educator$ 0 .75 FTE Administrative and Executive Office Specialist $ 33,300.00  Summer 4-H Intern & Temp Casual Hires$ 18,000.00 (4-H Federation Treasurer, Arts-In Director and Food Stand Manager )  4-H Program Costs$ 55,000.00  Extension Committee Per Diems$ 1,300.00  Strategic Extension Initiatives$ 50,000.00  Office Operations$ 25,000.00 Total Proposed Expenses$ 358,700.00

42. 42 © 2015 Regents of the University of Minnesota. All rights reserved. 2017 EXTENSION BUDGET 2017 Proposed County Levy Contribution  Direct Funding Toward Memorandum of Agreement (MOA)$ 141,300 (2.5% MOA FTE Wage Increase)  Per Diem for Extension Committee (in Public Health budget)$ 1,300  Office Operations (In-kind)$ 25,000 Total$ 164,100 Extension Funding request of $141,300

43. 43 © 2015 Regents of the University of Minnesota. All rights reserved. 2017 EXTENSION BUDGET 2017 Proposed Washington County 4-H Federation Contribution  Grants, Appeals, Fundraising, Program Fees, Dues$ 141,378 Estimated Total$ 141,378

44. 44 © 2015 Regents of the University of Minnesota. All rights reserved.5 The University of Minnesota is an equal opportunity educator and employer. In accordance with the Americans with Disabilities Act, this PowerPoint is available in alternative formats upon request. Direct requests to the Extension Store at 800-876-8636. Thank You! Discover more: www.extension.umn.edu