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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310 South Main Street

Bellefontaine, OH 43311

Logan County Health District

Phone: 937-592-9040

Fax: 937-592-6746

E-mail: lchd@loganhealth.org

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.