1. Foundational services in a metro health department
Patty Hayes, Director
Adapted from

2. Foundational public health services
Vital Records
Assurance Role: Access to Clinical Care
Maternal Child Family Health
Environ-mental Public Health
Chronic Disease Control & Injury Prevention
Communi-cable Disease Control
Across all programs:
Assessment (surveillance and epidemiology)
Emergency preparedness and response (all hazards)
Communications
Policy development and support
Community partnership development
Business competencies
MEO
EMS
Jail Health
[CLICK THROUGH ANIMATIONS:]
These are the health services that every resident of our state should expect to receive, whether you live in King County or Wahkiakum County. The services in the blue box are those that cut across our entire department and make the other services possible.
Our metro health department provides additional services that aren’t provided in every county.

3. Comparing Workforce Costs With Available Funding: 2008-2016

4. Public health in the metro environment is about size…
Population 2 million…
and 41% of WA’s population growth
Image: Rob Schill, Noun Project

5. …And it’s about complexity
39 municipal governments 39 police jurisdictions 20 school districts 29 fire districts/departments 39 emergency management agencies 41 water and sewer districts

6. complexity: healthcare hub
Median # of hospitals/county in WA:
King County adds:
plus the only Level 1 trauma
center in the region

7. We’re a little different.
Emergency Medical Services – 50K calls for advanced life support in 2014 Medical Examiner – investigated over 2,200 deaths in 2013 Jail Health – almost 460K patient services provided (2014)

8. It’s a Diverse place to work!
170 languages
1 in 4 speaks a language other than English at home

9. We’re an International hub
Disease Travels Too
55% of state’s active tuberculosis cases (2013)
236 travelers monitored from Ebola-affected countries (2015)
13 measles cases (2014)

10. What that means to public health: OUTBREAK POTENTIAL
There’s A lot going on
Over 100 festivals
158 professional sporting events
192 cruise ships
12K+ restaurants
1300+ foodborne illnesses investigated in 2014
What that means to public health: OUTBREAK POTENTIAL

11. In a major media market 12th largest media market
Over 100 ethnic media outlets
3 million website views/year
Image: Gregor Črešnar, Noun Project

12. Cost of living
Median price for a single family home: $500K.
Cost of living is 43% higher than U.S. average.

13. Health inequities
10-year difference in life expectancy between Auburn and Mercer Island
More than 8,000 people experiencing homelessness
50% are families with children

14. Burden of disease Percent of state’s cases (2013): 56% HIV
61% Syphilis
40% Gonorrhea
100% Measles

15. Safety net 10 public health centers Over 100K people served:
Primary care
Parent/child health
Dental
HIV/STD
Healthcare for the homeless

16. Violence prevention in King County
130 deaths annually from gun violence
70% of gun deaths are suicides
39,000 children live in homes with unlocked firearms

17. Academic partnerships
Research collaborations
Teaching
Internships and practicums

18. Complexity requires capacity
Vital Records
Assurance Role: Access to Clinical Care
Maternal Child Family Health
Environ-mental Public Health
Chronic Disease Control & Injury Prevention
Communi-cable Disease Control
Across all programs:
Assessment (surveillance and epidemiology)
Emergency preparedness and response (all hazards)
Communications
Policy development and support
Community partnership development
Business competencies
Jail Health
EMS
MEO
[CLICK THROUGH ANIMATIONS:]
The complexity of the metro environment means that we have more work and additional services that we provide.
This means that we need more capacity within our programs to meet the need.
And that requires us to have more capacity within the programs that cut across our department that make it possible to do our work, like communications, assessment, and policy development.