2015 annual report - logan county health · pdf fileby gathering data, ... much of the...
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A strategic plan involves a look at your current strengths and weaknesses from both inside and
outside the organization, an assessment of the needs of the community, and then development of
short and long term goals based on available resources.
When a public health agency suffers funding cuts that reduce available personnel from 39 (in 2008)
down to less than 20 (in 2016), such a plan becomes even more critical.
Logan County Health District (LCHD) made use of the 2012 Logan County Community Health
Assessment (CHA) with input from the recently completed 2015 CHA.
The strategic planning process started with a Community Health Assessment that was completed by
over 15 county agencies with LCHD as one of the lead organizations. These organizations, with
community input, then developed a Community Health Improvement Plan (CHIP) which is used by all
the organizations to develop their respective strategic plans, pinpointing the goals that fit their
mandates.
That is not the end. Goals and objectives are already entered into a LCHD performance management
dashboard based on the strategic plan that is used for ongoing continuous quality improvement
(CQI), division and individual goals, employee annual review, and to target education needs.
Per 2010 CDC guidelines, the three core functions of public health are assessment, policy
development, and assurance. LCHD
has worked hard on the first two pieces.
The CHA, CHIP, and health district
strategic plan identified “inform,
educate, empower”, specifically about
chronic diseases, as the area that
should be a critical piece of the LCHD
goals and workload.
Unfortunately, five failed levy attempts
has seriously reduced funding resulting
in drastic reduction of employees, and
has ultimately led to the closure of our
education division and elimination of
those positions. The 2016 update for the
strategic plan was unable to identify any
workable solutions to fulfill the education
mandate.
Finally, all local public health districts
must complete accreditation by 2018-2020 from the national accreditation body in order to be eligible
for any state and federal grants. The CHA>CHIP>Strategic Plan>CQI process is a major piece of
attaining accreditation to assure the public of the Logan County Health District’s core public health
competencies.
Boyd C. Hoddinott, MD, MPH
Health Commissioner
Strategic Plan
03/16 /2016
2015 Annual Report
Logan County Heal th District
Accreditation Update 2
Environmental Health 2
Public Health 3
Financial Report 4
Vital Statistics Update 4
Inside this i ssue:
Page 2
Accreditation Update
2015 Annua l Report
“Population health” is a term referring to the health needs of a community as a whole vs the health needs of individuals. As
Logan County Health District (LCHD) seeks accreditation and in light of recent budget cuts, the agency will concentrate on the broader needs in the community and less on some more costly services that benefit fewer residents. When funding is available, education efforts will focus on prevention of chronic diseases as identified in the 2015 Community Health Risk and Needs Assessment.
The accreditation process has guided the health district to use a systematic approach in delivery of services. By gathering data, analyzing, and prioritizing, LCHD is becoming more strategic in efforts to serve Logan County.
Logan County Health District is well underway to complete application to Public Health Accreditation Board (PHAB) by the state mandate of 2018. All of the prerequisites are completed or in progress. These prerequisites were new initiatives that required significant time yet were very foundational to the agency. Much of the remaining documentation just needs to be gathered and put into the required formatting. LCHD will be joining the Ohio Department of Health and eight other health districts in Ohio which have obtained the PHAB accreditation to date.
“PHAB public health department accreditation process seeks to advance quality and performance within public health depart-
ments. Accreditation standards define the expectations for all public health departments that seek to become accredited. National public health department accreditation has been developed because of the desire to improve service, value, and accountability to stakeholders.” –PHAB website
Environmental Health Statistics
Licenses, Permits & Registrations 2014 2015
Regular Food Service Licenses 257 265
Mobile Food Service Licenses 64 61
Vending Machine Licenses 91 97
Temporary Food Service Licenses 59 46
Solid Waste Landfill License 1 1
Public Pool Licenses 30 30
RV Park/Camp Licenses 40 40
Sewage Permits 54 46
Private Water System Permits 86 115
Resident Camp Registrations 7 7
Commercial Plumbing Permits 76 62
Residential Plumbing Permits 181 226
Inspections 2014 2015
Sewage Inspections 120 185
Private Water System Inspections 168 244
Water Samples 343 424
Solid Waste Landfill Inspections 32 33
Plumbing Inspections 523 538
MH Park Inspections 27 27
RV Park & Camp Inspections 84 78
Resident Camp Inspections 11 11
Pool Inspections 162 167
Animal Bite Investigations 148 95
Nuisance Investigations 235 260
Nuisance Inspections 351 378
Food Safety Inspections 1108 1022
Craig
Kauffman
LCHD PHAB Progress(This accounts for all documentation submitted to, and verified by, the Accreditation Coordinators)
Overall ProgressDomain Percent
Complete
Kim Casady Tracy DavisKay Schroer
Donna GluntDonna Glunt Dr. Hoddinott Leicia McGill
Steve
CummingsTim Smith
Corinne
Riegler
Christina
BramlageDonna Glunt
Domain1
Domain2
Domain3
Domain4
Domain5
Domain6
Domain7
Domain8
Domain9
Domain 10 Domain 11 Domain 12PHAB Domain
Champions
25.86%
74.14%
% Complete
% Incomplete
31.25%26.67%25.00%
20.00%
40.00%
0.00%
47.06%
33.33%
50.00%
0.00%
10.87%13.33%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2015 Annua l Report Page 3
Public Health Statistics
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Other Communicable Diseases2013 2014 2015
310 South Main Street
Bellefontaine, OH 43311
Logan County Health District
Phone: 937-592-9040
Fax: 937-592-6746
E-mail: [email protected]
Web: loganhealth.org
Boyd C. Hoddinott, MD, MPH
Health Commissioner
Logan County Board of Health
Robert G. Harrison, President
Robin J. Price, Vice President
Don Spath
Grant Varian, MD
Tobi Collins
Mary C. (Chris) Watkins
2015 Financial Report
www.facebook.com/loganchd
Page 4 2015 Annua l Report
@LoganCoHealth
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Vital Statistics
Birth Certificates Issued 1,868 Death Certificates Issued 1,712
Births Recorded 395 Deaths Recorded 399
Hospital Births 377 Females 191
Home Births 18 Males 208
Females 203 Age 100+ 3
Males 192 Oldest 101
Sets of Twins 2 Youngest 10 minutes
2015 Vital Records Report
Reason Count Percent
Diseases of the Heart 88 21.5%
Cancer 83 20.2%
Stroke 25 6.1%
Accidents 24 5.9%
Chronic Lower Respitory Diseases 22 5.4%
Diabetes Mellitus 16 3.9%
Alzheimers Disease 12 2.9%
Influenza and Pneumonia 9 2.2%
Suicide 8 2.0%
Pending from Coroner 11 2.7%
All Other 112 27.3%
2015 Leading Cause of Death
1/1/15
Beginning
Balance Revenue Expenditures
12/31/15
Ending
Balance
Change in
Balance
General Fund (Tax Supported)
District Health 320,932$ 932,560$ 971,030$ 282,462$ (38,470)$
($550,000 Tax Receipts)
Licensed Programs (Restricted Use)
Water Systems 40,838$ 41,133$ 43,987$ 37,984$ (2,854)$
Solid Waste 63,414$ 60,000$ 59,953$ 63,461$ 47$
Marina Sanitation 1,079$ -$ -$ 1,079$ -$
Swimming Pools 2,835$ 10,095$ 10,947$ 1,983$ (852)$
Sewage Treatment 24,267$ 20,040$ 21,738$ 22,569$ (1,698)$
C&DD Waste 9,656$ 15,856$ 13,241$ 12,271$ 2,615$
Food Safety 54,293$ 93,410$ 98,958$ 48,745$ (5,548)$
Infectious Waste 490$ 800$ 600$ 690$ 200$
RV Parks/Camps 4,156$ 12,751$ 12,903$ 4,004$ (152)$
Contingency (Future Use)
*Accumulated Benefits WIC 37,055$ 7,515$ -$ 44,570$ 7,515$
Home Health Agency (Separate Entity - Closure Effective 1/31/2016)
Home Health Services 367,975$ 431,994$ 651,404$ 148,565$ (219,410)$
Federal Grants (Restricted Use)
Public Health Infrastructure 22,243$ 89,223$ 83,976$ 27,490$
Women, Infants, Children 42,205$ 195,394$ 208,163$ 29,436$
*Accumulated Benefits WIC-At the end of a fiscal year the WIC grant allows the WIC program to
set aside unused Accrued funds for use by WIC only, for future benefits such as WIC retirements,
to help the Health District budget.