1. Findings from the 2008 National Profile of Local Health Departments Study Missouri Local Health Departments

2. National Profile of Local Health Departments Study The National Profile of Local Health Departments is a survey of local health department (LHD) infrastructure and activities NACCHO sends the Profile questionnaire to every LHD in the U.S. – Completed by 83% of all LHDs – Completed by 90% of Missouri LHDs Data are self-reported by LHDs and not independently verified by NACCHO Source of all data in this presentation

3. Missouri Local Health Departments 103 Local Health Departments Nearly all LHDs (95%) serve county or combined city-county jurisdictions Most Missouri LHDs (84%) have a Local Board of Health

4. Distribution of LHDs by Size of Population Served

5. Distribution of Total Annual LHD Expenditures

6. Median LHD Expenditures by Size of Population Served

7. Percentage of Total LHD Revenues from Various Sources

8. Mean Per Capita LHD Revenues from Selected Sources

9. Characteristics of LHDs Top Executives * Low item response rate for Missouri LHDs

10. Percentage of LHDs Employing Selected Occupations Nurse Manager/Director Environmental Health Specialist (Sanitarian) Clerical Staff Nutritionist Emergency Preparedness Coordinator Health Educator Epidemiologist Physician Public Information Specialist Behavioral Health Professional* Information Systems Specialist* Other Environmental Health Scientist* * Low item response rate for Missouri LHDs

11. Typical Staffing Patterns for Missouri LHDs Median Full-Time Equivalents (FTEs) for Selected Population Sizes

12. Median FTEs for All Staff and Selected Occupations by Size of Population Served

13. Top Activities & Services Provided by Missouri LHDs

14. Activities & Services Provided More Frequently in Missouri compared Nationally

15. Activities & Services Provided Less Frequently in Missouri compared Nationally

16. Community Health Assessment and Improvement Plan in past three years

17. For more information [insert contact info here] The 2008 Profile was made possible through funding from the Centers for Disease Control and Prevention and the Robert Wood Johnson Foundation.