1. Public Health Administration 2018 BUDGET DISCUSSION

2. PROGRAMS & SERVICES:
Administer, coordinate and oversee programs aimed at promoting and protecting personal and environmental health in Summit County.
Oversee budget, including grant development and procurement to deliver public health services to the residents of Summit County.
Assess community and citizen Public Health needs and ensuring personnel has educational skills and training to address Public Health needs.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

3. PUBLIC HEALTH ADMINISTRATION REVENUES:
No change in Water Concurrency fees for 2018
Fees were evaluated and changed in when Water Concurrency Ordinance was reviewed.
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

4. Summit County Health Department Administration:
Efficiencies and budget savings:
Silver Creek Sewer
Mental Health Assessment
State and Federal Funding
Major changes in department from 2014 to now.
Since 2014 we have increased our focus on council strategic priorities and aligning department priorities to assure success in those areas.
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

5. Summit County Health Department Administration:
Any potential federal, state mandates/legislation affecting department:
Not for Administration but will be discussed in program budgets.
Impact to the department if the proposed tax increase is not approved.
Needed programs will be downsized or completely cut.
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

6. General Health 2018 BUDGET DISCUSSION
p. 129

7. PROGRAMS & SERVICES:
Priority areas are strengthening the skills and capabilities of individuals to improve their health, build healthy public policy, create supportive environments for health and increase community action for health.
WIC is a nutrition program that helps low-income women, infants and children eat well, learn about nutrition, and stay healthy. We provide nutrition education, counseling, nutritious foods, & healthcare referrals.
Assure oral health prevention and educational services for county citizens.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

8. General Health DEPARTMENT REVENUES:
Constantly working on securing and obtaining State and Federal funding.
Reviewing fees in 2018 with possible additional fees in Health Education Dept.
New Sun Safety & Shade Funding
New IHC Partner for Diabetes Prevention Funding
New Farmers Market Funding
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

9. Efficiencies and budget savings:
General Health:
Efficiencies and budget savings:
Oversee Healthy Employees Lifestyles Program.
Secured Funding to offset cost of furnishing new Kamas Services Building.
Funding secured to supply Naloxone to law enforcement/partners.
Provide Online Nutrition Edu/in-home classes to improve customer wait times.
Major changes in department from 2014 to 2018.
New Health Education Director.
Big focus on Suicide Prevention trainings taught to community partners as well students.
Added billable Insurance companies
Increase in reportable Communicable Diseases
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

10. Impact to the department if the proposed tax increase is not approved.
General Health:
Any potential federal, state mandates/legislation affecting department:
Reductions in Federal and State Funding.
Counties breaking off and forming their own Health Department.
Impact to the department if the proposed tax increase is not approved.
Reduce suicide prevention trainings
Eliminate employee wellness program
Eliminate child car seat installation inspections
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

11. Early Intervention 2018 BUDGET DISCUSSION
p. 132

12. PROGRAMS & SERVICES:
Summit County Early Intervention Program will ensure gains for all children on the social/emotional domain.
Summit County Early Intervention Program will ensure that all children will make measurable gains in knowledge and skills.
Summit County Early Intervention Program will increase total number of monthly State Child Count Visits.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

13. Early Intervention DEPARTMENT REVENUES:
Funding is now being reimbursed on a “Fee for Service” basis
Will receive additional funding for the required additional visits
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

14. Summit County Health Department Early Intervention:
Efficiencies and budget savings:
Program is providing required visits with no additional personnel expense
Major changes in department from 2014 to now.
In 2017 required to provide 96 visits; Will be required to provide 122 visits in 2018
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

15. Summit County Health Department Early Intervention:
Any potential federal, state mandates/legislation affecting department:
Funds are received on a Fee for Service bases.
No additional personnel to achieve additional required visits
Impact to the department if the proposed tax increase is not approved.
Impact primarily in areas of training and certification
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

16. Environmental Health 2018 BUDGET DISCUSSION
p. 134

17. PROGRAMS & SERVICES:
Protects surface & groundwater to ensure clean, safe drinking water.
Ensures the County and the businesses within are compliant with State & Federal laws.
Train & Educate the community while consulting & responding to complaints.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

18. Environmental Heatlh DEPARTMENT REVENUES:
All fees will increase by 12.6%
Lab fess will increase as well as new fees added
Fees are evaluated every 3 years and will be evaluated next year with the potential of increasing
Grant funds
Additional grants are pursued (Radon/FDA)
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

19. Environmental Health:
Efficiencies and budget savings:
Permitting and Payment allowed online (limits the amount of time spent reviewing hard copies)
Online Food Handlers (allows less classes to be taught)
Adjusted work schedules to meet the demand of clientele limiting the amount of overtime earned
Major changes in department from 2014 to now.
New Lab Intern (with offsetting revenues)
Increased Lab testing
Paperless Recordkeeping
Created internal processes that ensure equal and consistent response for daily activities
Manage HAZMAT response and Environmental cleanup
Shifted communities understanding of Environmental Health role in the protection of Summit County
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

20. Environmental Health:
Any potential federal, state mandates/legislation affecting department:
The inability to enforce the Summit County Code of Health in its entirety due to staffing shortages. The Summit County Code of Health assigns a great deal of responsibility to Environmental Health, making it hard to fulfill those duties when understaffed.
Impact to the department if the proposed tax increase is not approved.
Eliminate air quality monitoring
Eliminate food handler trainings
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

21. PHEP (Public Health Emergency Preparedness) 2018 BUDGET DISCUSSION

22. PROGRAMS & SERVICES:
Plan, engage and coordinate with Communities to increase capabilities to mitigate, prepare, respond, and recover from short and long term public health emergencies.
Plan, engage and coordinate with community partners to plan and advocate for the rebuilding of public health, medical, and mental health systems in the event of a public health emergency.
Medical Surge is the ability to provide mass care medical evaluation and support during events that exceed the limits of normal medical infrastructure.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

23. Public Health Emergency Preparedness REVENUES:
2018 will be the 5th year in a 5-year plan to decrease funding.
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

24. Public Health Emergency Preparedness:
Efficiencies and budget savings:
Combined efforts with County’s Emergency Management.
Combined efforts with Code Red/Reverse 911 calls county wide
Major changes in department from 2014 to now.
Decreased Funding
PIO Position added
Increased Social Media Outreach
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

25. Public Health Emergency Preparedness:
Any potential federal, state mandates/legislation affecting department:
2018 will be the 5th year in a 5-year plan to decrease funding.
Impact to the department if the proposed tax increase is not approved.
Reductions in community-focused response trainings and preparedness
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

26. Mental Health/Substance Abuse 2018 BUDGET DISCUSSION
p. 138

27. PROGRAMS & SERVICES:
Serve as the Local Authority for Mental Health and Substance Abuse for Summit County.
Support Mental Health and Substance Abuse components of County Initiatives
Support and expand partnerships needed to increase the capacity to meet the Mental Health and Substance Abuse needs of Summit County citizens.
These should be the three main statements that were provided in your department’s budget requests. Use the time with the council to address the “Description” portion of the basic concept statements.

28. Mental Health/Substance Abuse REVENUES:
Grant funds are set by the State and passed through to Valley Mental Health.
Medicaid Match requirement
Additional funding secured through neighboring partners
Include a BRIEF discussion regarding fee revenues if applicable and whether these fees are being changed in adoption with the budget. Also, include a discussion regarding grant or contribution revenues and what programs or services WILL NOT continue if the grants or contributions are not received.

29. Mental Health and Substance Abuse:
Efficiencies and budget savings:
Shared cost for Drug Court
Major changes in department from 2014 to now.
Mental Health Assessment of Summit County
Formed Mental Health Substance Abuse Alliance
Developed Mental Wellness Strategic Plan
Formed Mental Wellness Coordinator and Communities that Care
Address PROGRAMS & SERVICES that are provided by your department. DO NOT necessarily get with the council and say, “In 2014 my budget was $xxxx and in 2018 it will be $yyyy.” A better example would be to state, using Elections as an example, “In 2014 we were voting by machines, now we are doing mail-in ballots.” Here, continuing with the example, it could be stated that this is more or less efficient than the machines determined by whatever measure of success.

30. Mental Health and Substance Abuse:
Any potential federal, state mandates/legislation affecting department:
Required by grant to match 20%
Impact to the department if the proposed tax increase is not approved.
Elimination of the newly formed Mental Health Alliance
Could not implement Mental Wellness Plan
This would be the time to make the council aware of potential changes that your particular associations may be discussing at either the federal, state or local levels.

31. QUESTIONS? rbullough@summitcounty.org