1. 10/12/2014 Wisconsin Statutes and Administrative Rules A Brief Orientation on Wisconsin’s Public Health History, Statutes and Administrative Rules

2. 10/12/2014 Wisconsin Statutes and Administrative Rules Public Health: “Assuring conditions in which peoplecan be healthy”

3. 10/12/2014 Wisconsin Statutes and Administrative Rules l 1848Wisconsin becomes a state l 1848 Wisconsin becomes a state l 1876 State Board of Health formed l 1883Communicable disease reports required l 1883 Communicable disease reports required fromtownship health officer from township health officer l 1913State health officer position created l 1913 State health officer position created l 1929 County health departments authorized l 1993 Public health statutes revised Wisconsin’s Public Health History

4. 10/12/2014 WISCONSIN’S PUBLIC HEALTH STATUTES ä Public health statutes revised in 1993 WI ACT 27 ä Public Health statutes are consolidated into 6 chapters ä Ch. 250 - Administration and Supervision ä ä Ch. 251 - Local Health Officials ä Ch. 252 - Communicable Disease ä Ch. 253 - Maternal & Child Health ä Ch. 254 - Environmental Health ä Ch. 255 - Chronic Disease

5. 10/12/2014 Wisconsin Statutes and Administrative Rules Statutory Duties of Local Boards of Health Govern the local health department Govern the local health department Assure enforcement of state public Assure enforcement of state public health statutes health statutes Assure that the Local Health Department Assure that the Local Health Department is Level 1, 2 or 3 is Level 1, 2 or 3 Adopt necessary regulations Adopt necessary regulations Report to state health agency Report to state health agency Meet at least quarterly Meet at least quarterly

6. 10/12/2014 Wisconsin Statutes and Administrative Rules Statutory Duties of Local Boards of Health (cont.) Assess public health needs Assess public health needs Advocate for reasonable and Advocate for reasonable and necessary services Develop policy Develop policy

7. 10/12/2014 Wisconsin Statutes and Administrative Rules Statutory Duties of Local Boards of Health (cont.) Provide leadership that: Provide leadership that: - fosters local involvement and commitment - fosters local involvement and commitment - emphasizes public health needs - emphasizes public health needs - advocates for equitable distribution of - advocates for equitable distribution of public health resources and complementary public health resources and complementary private activities commensurate with private activities commensurate with public health needs public health needs

8. 10/12/2014 FOCUS ON CHAPTER 251 äLocal Board of Health äMembership äNot more than 9 members äAt least 3 members are not elected officials ä“Good faith effort” to appoint a RN and a MD äReflect diversity of the community äCounty human services board under 46.23 may act as a county board of health äIf the County Human Services Board acts in this capacity, it shall use the word “health” in its title.

9. 10/12/2014 FOCUS ON CHAPTER 251 Local Health Department Structure: ä City Health Department ä County Health Department ä City/County Health Department ä Multi-County Health Department

10. 10/12/2014 FOCUS ON CHAPTER 251 ä äLevel of Health Departments: ä äLevel I Health Department ä äFive Required Services of all Local Health Departments ä äCommunicable Disease Surveillance ä äGeneralized PH Nursing Program ä äHealth Promotion ä äDisease Prevention ä äHuman Health Hazard Prevention and Control ä äPLUS: ä äFull Time Health Officer ä äBoard of Health

11. 10/12/2014 FOCUS ON CHAPTER 251 ä ä Level of Health Departments: ä ä Level II Health Department ä ä Five Required Services (Level I ) Plus: ä ä 7 programs or services that address at least 5 health priorities in the current state health plan ä ä Health Officer with at least 3 years of supervisory experience in a full time position with a local health department

12. 10/12/2014 FOCUS ON CHAPTER 251 Level of Health Departments: Level III Health Department ä ä Agent for the state Hotel & Restaurant Program ä ä Agent for the state Tattoo & Body Piercing Program ä ä 14 programs or services that address at least 7 health priorities in the current state health plan

13. 10/12/2014 FOCUS ON CHAPTER 251 Level of Health Departments: Level III Health Department - continued ä ä Health Officer with a Masters degree in public health, public administration or similar field and 3 years of full time experience in a Public Health agency. ä ä Bachelor’s degree and 16 graduate credits toward a master’s degree in public health, public administration … & 5 years of experience in a full time administrative position in a public health agency.

14. 10/12/2014 CHAPTER 251 - continued ä Local Health Officer ä ä Qualifications ä ä Based on education, experience and level of health department. ä ä Full time employee ä ä Duties ä ä Administer local health department in accordance with statutes and rules ä ä Enforce state public health statutes and rules ä ä Enforce any regulations that the Board of Health adopts ä ä Administer all funds ä ä Appoint all necessary subordinate personnel ä ä Investigate and supervise the sanitary conditions of all premises within the jurisdictional area of the local health department. ä ä Have access to vital records. ä ä Promote the spread of information as to the causes, nature and prevention of prevalent diseases

15. 10/12/2014 CHAPTER 251 - continued ä Local Health Department ä Jurisdiction ä Shall extend to the entire area represented by the governing body of the county, city, village or town. ä Jurisdiction does not extend into cities, villages or towns that have local health departments. ä No part of any expense incurred … by a county health department may be levied against any property within any city, village ot town that has a local health department….

16. 10/12/2014 QUESTIONS?