2015 annual report - garrett county health department

PowerPoint Presentation

Presented to the Board of Garrett County Commissioners on September 12, 2016By: Rodney B. Glotfelty, R.S., M.P.H.

CDC TEN ESSENTIAL SERVICESMonitor health status to identify and solve community health problems.Diagnose and investigate health problems and health hazards in the community.Inform, educate, and empower people about health issues.Mobilize community partnerships and action to identify and solve health problems.Develop policies and plans that support individual and community health efforts.Enforce laws and regulations that protect health and ensure safety.Link people to needed personal health services and assure the provision of health care when otherwise unavailable.Assure competent public and personal health care workforce.Evaluate effectiveness, accessibility, and quality of personal and population-based health services.Research for new insights and innovative solutions to health problems.

*10 Essential Services & Graphic from CDC

Visit us online at GarrettHealth.org!

GENERAL INFORMATIONA Local Health Department is a hybrid entity that is a unit, agency, or instrumentality of the State for some purposes and of the County for others. David Morgan, DHMH Asst. A.G.

Health Officer appointed by the Secretary of Health upon recommendation of County CommissionersGarrett County Board of Health consists of the Garrett County Board of Commissioners with the Health Officer as Secretary


GOVERNANCEHealth Officer administers delegated programs from Secretaries of HealthExamples are communicable disease surveillance and control, maternal and child health program, Medicaid enrollment, and environmental health regulatory programsHealth Department administers ordinances adopted by G.C. Board of Health (Deep Creek Sewage Ordinance and Sewage Sludge Disposal Ordinance) The Health Department Core Service Agency was designated as the Local Management Board by the County to administer child and family services in 2011The Health Officer also serves as the chair of the LMBThe Health Department was also designated as the local CSA in 2004, and the Local Addiction Authority in 2016


GOVERNANCE BOARD OF HEALTHBoard of Health consists of County Commissioners and Health Officer as Executive OfficerAbility to enact local ordinances related to conditions that may be injurious to health without specific legislative approvalMeets jointly with the Health Planning Council at least twice per year. Is represented on the Health Planning Council by at least one Commissioner and the Health Officer as permanent SecretaryIs updated at least once per year on the Status of Health in the community


POLICY DEVELOPMENTHealth Planning CouncilSemi-Annual Board of Health MeetingStatus of Health Report Local and State Boards, Associations, and CommitteesWebsite GarrettHealth.orgProgram updates to Commissioners


HEALTH PLANNING COUNCIL Community Needs Assessment (CHA)Establishes strategic prioritiesHealth Improvement Plan (SHIP/CHIP)


POLICY DEVELOPMENTPHAB uses standards and measures as a framework for evaluating a health departments processes, services, outcomes, and progress toward specific goals and objectives

Visit us online at GarrettHealth.org!We are currently in the Action Plan phase, and will be submitting our final plan on October 1, 2016Allegany, Frederick, Hartford, and Worchester counties are among the 151 HD in the U.S. that have received accreditationWe hope to be next!

GCHD GENERAL INFORMATIONWorkforce: 98 merit, additional special pay and 3rd party contractual employees comprise a total workforce of approximately 150 individuals Budget: approximately $13,000,000Funding: state core dollars, local core dollars, state targeted grants, direct federal grants, pass through federal funding, and fee for service programs Less than 12% of total funding comes from local government


ENVIRONMENTAL HEALTH SERVICES 2015Individual well and septicRabies and other zoonotic disease controlFood service permitsEnvironmental lead evaluationsRecreational sanitation Communicable disease investigationsTransient vacation rental unit inspections


ENVIRONMENTAL HEALTH SERVICES 2015WellIssued 99 well construction permits1,355 total water samples collected, 844 visits were made67 Certificates of Potability (COPs) were issued

Visit us online at GarrettHealth.org!Water Systems525 bacteria and 438 chemical individual water samples were collected346 bacterial and 15 chemical samples collected from mobile home parks318 bacterial and 74 chemical samples collected from non-transient community water systems

WATER SAMPLES COLLECTED 2006-2015


ENVIRONMENTAL HEALTH SERVICES 2015SepticSewage program:67 soil evaluation tests were completed116 septic permits were issued19 best-available technology nitrogen reduction systems were installed

Visit us online at GarrettHealth.org!Food Service299 permanently licensed food service facilities506 inspections conducted125 temporary permits issued

SEPTIC DATA 2006-2015


FOOD INSPECTION DATA 2006-2015


ENVIRONMENTAL HEALTH SERVICES 2015Recreational SanitationSeasonal water quality testing conducted at 10 bathing beaches and 1 lake45 swimming pool inspections and 21 campground inspections were made

Visit us online at GarrettHealth.org!Rabies Control1,145 animals were vaccinated35 animal bites were reported44 animals tested, 15 were confirmed positive

RABIES DATA 2010-2015


ANIMALS VACCINATED 2006-2015


ENVIRONMENTAL HEALTH SERVICES 2015Transient Vacation Rental Units728 licensed transient vacation rental units359 transient vacation rental unit inspections completed

Air Quality889 burning permits issued


*Images from DeepCreekLodging.com

INSPECTIONS BY PROGRAM 2015


PERSONAL HEALTH 2015779 adult immunizations329 child immunizations837 seasonal influenza vaccinations were provided to adults and children216 tuberculin skin tests completed on 195 people185 HIV tests complete11 HIV positive individuals and families received advocacy services


IMMUNIZATIONS FOR CY 2015


PERSONAL HEALTH 2015CPEST ProgramCancer Prevention, Education, Screening, and Treatment51 unduplicated clients screenedColonoscopies: 27 screened, 18 polyps removed, 0 cancers detectedSkin biopsies: 31 screened, 5 precancerous lesions removed, 1 cancer detected

Visit us online at GarrettHealth.org!BCCP ProgramBreast & Cervical Cancer Program92 unduplicated clients screened215 procedures completed92 screening mammograms & 3 biopsies2 breast cancers detected1 cervical cancer detected

CPEST DATA FOR CY 2015


BCCP DATA FOR CY 2015


FAMILY PLANNING 2015575 unduplicated clients served1,002 encounters completed6 colposcopies completedProvided 302 oral contraceptives, 194 hormone injections, and 16 other critical family planning services


FAMILY PLANNING DATA FOR CY 2015


SCHOOL BASED IMMUNIZATION CLINICS 2015489 intranasal influenza vaccinations were provided to elementary school children throughout the county


BIOTERRORISM/EMERGENCY PREP 2015Collaborates with partner agencies to respond to and provide public health services in disastersAvailable 24/7 through GC Public Safety and Emergency Management OfficeHD staff participate in 4 quarterly county meetings, Monday conference calls, 6 Healthcare Council Meetings, 1 regional meeting, and 1 annual meeting per yearCompletes 1 facility set-up drill, 1 through put drill, 1 operational readiness review, 4 satellite phone drills, and 4 employee notification drills


HEALTH EDUCATION & OUTREACH 2015Provide services to promote and encourage healthy behaviors to prevent:Alcohol and drug abuseTobacco useObesityInjuriesTeen pregnancy


COMMUNITY HEALTH CAMPAIGNS 2015


SERVICES FOR THE COMMUNITY 2015After school programs: Provided for 112 youthCar seat loaner program:Loaned 113 seatsParenting programsProvided to 15 familiesTobacco cessation programServed 51 tobacco users Dietitian consults: Educated 45 clientsBike helmet distribution141 helmets


COMMUNITY INVESTMENT 2015Mini-grants to community groups to provide community-based activities: $16,600 to 4 groupsMini-grants to clubs that support peer education: $2,400 to clubsPartnership with pharmacies to provide tobacco cessation aids: $8,000


LAW ENFORCEMENT PARTNERSHIPS 2015Partnership with law enforcement agencies to conduct compliance checks for tobacco and alcoholImplemented safe prescription drug drop-off boxes with partner agenciesTotal law enforcement partnerships program contributions:$11,100


EARLY CARE SYSTEM OF CARE 2015Strategy: Provides and/or links families and children with an array of health, education and support services to form the Garrett County Early Care System of Care Programs:Healthy FamiliesEarly Head StartMCHP


EARLY CARE SYSTEM OF CARE 2015Targeted outcomes: School readinessImproved birth outcomesHigh immunization ratesImproved life courseCostbenefit of program$5-$7 return on investment


PREPARING FOR A MEDICAL HOME 2015Childbirth classes are offered 12 times/yearBreastfeeding classes are offered 11 times/yearSocializations are offered every month from birth to 5 yearsThese programs are a gateway to healthy behaviors and additional services, such as immunizations


WIC 2015804-908 clients per month 70-80% of all Garrett County Births served by programState of the art data system to track health indicatorsNutritional educationBreast feeding education and support Coordination with other programsSupplemental foods (approx. $650,000 to local economy yearly in food expenditures)


WIC PARTICIPANTS FOR CY 2015


WIC PARTICIPATION & ENROLLMENT CY 2015


BREASTFEEDING BY PARTICIPATION 2015


DENTAL HEALTH 2015Health Department Dental Clinic established February 2001 to see children with MAWith the MD Healthy Smiles program, the GCHD clinic now targets children with MA coverage and uninsured and underinsured adults1,399 children for clinical visits in 2015 1,322 adults for clinical visits in 2015SHIP Data ranks GC #1 in the state for MA Children Receiving Dental Care (2013)


DENTAL HEALTH 2015School fluoride rinse program available for every elementary school (953 children participated in the 2015-2016 school year)Dental evaluation at kindergarten registration and Head Start


DENTAL HEALTH 2015Ongoing collaboration withtheMountain HealthAlliance(AHEC):93highriskadultun-insuredpatients insevereneedoftreatmentwere seen in CY 2015

Visit us online at GarrettHealth.org!Totalvalueofservices provided to high risk, uninsured adults exceeded$290,000402 adults received Emergency TreatmentEmergency Department Visit Rate For Dental Care is a focus area for SHIP in 2017 and an area we rank 11th in Maryland

Behavioral Health 2015Intake and diagnosisIndividual and group therapyIntensive outpatient treatment (substance abuse)Anger managementTrauma servicesParenting skillsMedication managementCo-occurring treatment Geriatric services and home visiting


BEHAVIORAL HEALTH CLIENTS 2015


MH CM = Mental Health Case Management | SRD = Substance Related Disorders

BEHAVIORAL HEALTH SERVICES 2015



BH SERVICE AREA BY PERCENTAGE 2015



BEHAVIORAL HEALTH 2015Information and referralDrug testingAcu-DetoxMVA sanctioned DWI treatmentJail-based treatmentPre-court evaluationsPeer recovery supportCrisis services Overdose response training (127 in 2015)60 doses of Naloxone dispensed in 2015


SUBSTANCE ABUSE SERVICES 2015Patients: 486Adult: 459Child: 27Services: 11,946Group visits: 2,573Consults: 249Education patients: 32Pre-court assessments: 48Individual visits: 290 (30 minutes), 573 (60 minutes)DSS customers screened for substance use disorders: 925


MENTAL HEALTH SERVICES 2015Patients: 1,251Adult: 866Child: 427Total # of services: 30,384Psychiatrist visits: 2,019Intake diagnostics: 760 (scheduled), 422 (kept)Med evaluation: 35MH case management: 63 patients, 386 services


ADULT SERVICES 2015Provides assistance to functionally and chronically disabled adults who are at risk of institutionalization1,446 individuals servedSTEPS assessment: evaluation process used to determine the level of care a client may needSTEPS facility: STEPS that determines the level of care for a nursing facility placementPASSAR assessment: evaluation used to determine the level of care for someone who is mentally ill or mentally incapacitated secondary to a medical conditionCFC assessment: RN completes a detailed history to determine if the client is safe to remain in the communityNurse monitoring (NSG): RN periodically evaluates the care provided in the home provided by an agency to ensure quality


AERS DATA FOR CY 2015


HOME HEALTH 2015Only Medicare-Certified Home Health Agency exclusively in Garrett CountyOnly agency still with local Health Department in MarylandImportant for continuum of care in communityReimbursed by Medicare, Medical Assistance, insurance, and self-pay9,545 Total Visits


TELEMEDICINE & HOME HEALTH 2015Health Buddy home units provide for remote monitoring from home to central station Telehealth RNContinued to support 46 clients through September of 2015 for improved outcomes and reduced signs of symptoms


TELEMEDICINE & HOME HEALTH 2015BenefitsImproves outcomes while controlling costsIncreases self management, and disease knowledgeAssists in promoting pro-active, healthy life styles

Visit us online at GarrettHealth.org!Partner IssueThe Health Department is currently searching for an alternative vendor after the closing of the previous vendors operations

MEDBANK 2015Provides medication for uninsured/underinsured individuals who lack resources to obtain prescriptions by working with the pharmaceutical companys charity care program This program was recently rebooted by the Garrett County Health Department, following the dismantling of this service on the state levelData will be available for this program beginning in CY 2016


ADMINISTRATION 2015Issuance of 946 birth and 2,290 death certificates for 369 residentsPersonnel managementFiscal managementProcurementCommunity Health Assessment and Community Health Improvement PlanSupervisory oversight


[email protected]

Visit us online at GarrettHealth.org!*Photos from CDC, Unsplash, Pexels, Pixabay

2015 annual report - garrett county health department

Health & Medicine