1. Florida Department of Health in Orange County State of the Health Department

2. Mission & Vision Mission: "To protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts. “ Vision: "To Be The Healthiest State in the Nation!"

3. Table of Organization

4. Services Provided ‘12-13’ Personal Health Services - 1,107,795 General Health - 9,930 Environmental Health - 25,845 Total Services = 1,143,570

5. Clinical Services

6. Uninsured Vs. Insured

7. 5 Year Historical View with Estimated FY13-14 State GR Contributions

8. Local Funding Source 2012-2013$ Change Estimated 2013-2014 Fees and Services $ 3.7 M($.2 M)$ 3.5 M Medicaid & Medicare $ 5.2 M($.4 M)$ 4.8 M Local Grants & Contracts $ 4.5 M$.4 M$ 4.9 M Orange County Contribution $ 1.4 M($0.0 M)$ 1.4 M

9. Strategies QI Plan Operational issues and current data on process outcomes Strategic Plan Emerging and new issues Emergci Some of the initiatives or activities overlap 2 or 3 of the plans CHIP Health status and health risk interventions to address health assessments

11. Priorities 1. Healthiest Weight  Engage Community through strategic partnerships  Healthy Orange/Healthy Measures Focus: Heart Disease and Diabetes Focus: Heart Disease and Diabetes 2. Accreditation  Develop systematic processes to meet criteria of Sterling Award and accreditation  Engage workforce around mission, vision, and values and strategic pillars Strategic Pillars: health services, workforce, community Strategic Pillars: health services, workforce, community 3. Health Equity  Academic Health Department - Research  Address the social determinants of health  Increase health literacy, education, and promotion

12. Future Issues Affordable Care Act HMOs Clinical Services going away Prenatal care

13. Summary

14. Well Application Fee: –Current fee: $80.00 –Requested change: Increase to $105.00 Well Abandonment Fee: –Current fee: $57.00 –Requested change: Decrease to $40.00 per well to a maximum of $400 per site Commercial Well Fee: –Current fee: $165.00 –Requested change: Increase to $200.00 Monitoring/Irrigation Well Fee: –Current fee: $80.00 for up to 8 wells per site –Requested change: $40 per well to a maximum of $400 per site Adjustments to Environmental Health Fees

15. Approval of Resolution of the Orange County Board of County Commissioners regarding certain services fees charged by the Orange County Health Department and authorizing revisions to the schedule of fees to take effect on October 1, 2013. Fees may be adjusted annually for inflation at a rate consistent with the consumer price index or 3%, whichever is less. ACTION REQUESTED: Adjustments to Environmental Health Fees