local health department financing: findings from the 2005 national profile of local health...
TRANSCRIPT
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Local Health Department Financing: Findings from the 2005 National Profile
of Local Health Departments Study
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National Profile of Local Health Departments
Collaboration with CDC to collect data on local health department infrastructure
Four National Profiles conducted to date• Studies conducted in 1989, 1992-3, 1996-7, 2005
Census design – includes all LHDs in U.S.
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Topics in 2005 Profile Core
Governance Population served Finances Characteristics of top
executive Workforce
Activities and services provided
Community health assessment & improvement
Information technology
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Topics in Profile Modules
Detailed information on: Finances Workforce Community health
assessment & improvement
Information technology
Additional Topics: Performance improvement Emergency preparedness Partnerships Policy-making and
advocacy Addressing health
inequities
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Financial Information in 2005 Profile
Core questionnaire Total annual expenditures (2 years) Revenues sources (percentages of total) CDC & HRSA emergency preparedness fundingModule questionnaire Changes in sources of revenue
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LHDs Included in the 2005 National Profile Study (by State and Type of Governance)
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LHD Jurisdictions (by Size of Population Served)
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Activities and Services Most Frequently Provided by LHDs
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Total Annual LHD Expenditures
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Total Annual LHD Expenditures – by Pop’n
Population Served MedianInterquartile
Range
<25,000 $340,000 $450,000
25,000 - 49,999 $890,000 $1,200,000
50,000 - 99,999 $2,000,000 $2,400,000
100,000 - 249,999 $5,100,000 $5,300,000
250,000 - 499,999 $11,000,000 $10,000,000
500,000 - 999,999 $23,000,000 $27,000,000
1,000,000+ $57,000,000 $65,000,000
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Median Annual Per Capita LHD Expenditures (by LHD Characteristics)
All RevenuesNon-clinical
Revenues
Size of population served
<50,000 $28 $22
50,000 - 499,999 $31 $24
500,000+ $34 $31
Degree of urbanization
Urban $24 $21
Small city/large town $31 $24
Rural $35 $25
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Median Annual Per Capita LHD Expenditures (by State)
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Change in Total Annual LHD Expenditures
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Total LHD Revenues from Various Sources
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Mean Percentage of LHD Revenues from Selected Sources (by Type of Governance)
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Predominant LHD Funding Source: Local
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Predominant LHD Funding Source: State Direct
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Predominant LHD Funding Source: Federal pass through
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Predominant LHD Funding Source: Medicaid & Medicare
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Balanced LHD Funding Sources
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Predominant LHD Funding Source: Combined
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0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Regulatory fees
Private foundations
County
Medicaid
Patient personal fees
Medicare
Federal pass-through
Private insurance
City/Town
State direct
Federal direct
IncreaseDecrease
Change in LHD Revenue from Selected Sources
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For information on 2005 Profile study:
Carolyn Leep, Senior AnalystNational Association of County & City Health Officials
http://www.naccho.org/topics/infrastructure/2005Profile.cfm