FY 2016 PROPOSED ANNUAL OPERATING BUDGET · FY 2016 PROPOSED BUDGET Total Metro Health Budget:...
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FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. Nathan, PhD, MPH August 18, 2015
Transcript of FY 2016 PROPOSED ANNUAL OPERATING BUDGET · FY 2016 PROPOSED BUDGET Total Metro Health Budget:...
FY 2016 PROPOSED
ANNUAL OPERATING
BUDGET Presented by Vincent R. Nathan, PhD, MPH
August 18, 2015
DEPARTMENT OVERVIEW
Public Health Director
Community Health
Communicable Disease
Environmental Health & Safety
Medical Director
Operations
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DEPARTMENT OVERVIEW
COMMUNITY HEALTH DIVISION
1,582
Chronic
Disease
Completing
Stanford
Diabetes Self-
Management
Teens Served
Evidence-
Based Programming
Teen
Pregnancy
2,807 Completing
Student
Ambassador Program
35
Mayor’s
Fitness Council
WIC
130,852 Number of
Participants Enrolled
3
DEPARTMENT OVERVIEW
COMMUNICABLE DISEASE DIVISION
Number of
Vaccines Administered
27,741
Number of
Patients Served
3,324
Epidemiology
1,364
Number of
Patients Served
10,368
Immunizations TB Services STD Services
Reportable
Diseases Investigated
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DEPARTMENT OVERVIEW
ENVIRONMENTAL HEALTH & SAFETY DIVISION
Stand Up SA
3 Number of
Targeted
Areas (Cure Violence Grant)
Neighborhoods
11 Number of
Targeted
Neighborhoods
Food & Environmental
21,298
Number of
Inspections
Lab Services
156,167
Number of
Total Lab Tests
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MEDICAID 1115 WAIVER
• Approved 2011
• $29 billion to Texas through 2016
5% is allocated to Public Health
• Bexar County region: $1.16 billion
• $43 million to Metro Health
HISTORY
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FY 2016 OVERVIEW
• Six Prevention Strategies
Teen Pregnancy Prevention
Community Based Diabetes Prevention
HIV and Syphilis Prevention
Neighborhood Health
School-Based Oral Health
Baby Café Breastfeeding Promotion
• FY 2016 Total Budget $11.6 Million
• 5 Year Extension expected FY16
MEDICAID 1115 WAIVER
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FY 2016 PROPOSED BUDGET Total Metro Health Budget: $43.5 Million
Grants $31.1 72%
General Fund $12.4 28%
Fund FY 2015 FY 2016 Change
General Fund $11.7 M $12.4 M $.66 M
Grant Funds $30.4 M $31.1 M $.69 M
TOTAL $42.1 M $43.5 M $1.3 M
Positions 367 370 3 8
Community Health $ 1.3M
$ 1.3M Director's Office
$ 2.1M Communicable Disease
$ 3.2M Operations
FY 2016 BUDGET BY PROGRAM Total Budget $43.5 M
Environmental Health & Safety
$ 4.5M Environmental Health & Safety
$ 31.1M Grants
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BUDGET HISTORY
In FY 2009 & 2010 the City transferred Clinical Services to the University Health System.
Property Tax Rate was reduced commensurate with services transferred.
$0
$5
$10
$15
$20
$25
$30
$35
$40
$45
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
$15.3 $16.3 $18.2 $14.6 $12.2 $11.6 $11.4 $11.1 $11.3 $11.8 $12.4
$23.3 $18.4 $19.6
$18.2 $18.8
$29.3 $23.1
$17.0
$24.9 $30.4 $31.1
General Fund Grants
($ in Millions)
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POSITION HISTORY
0
100
200
300
400
500
600
700
FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016
277 263 278 176 160 138 132 120 113 112 110
363 337 315
260 264 268 250 222 238 255 260
640 600 593
436 424 406 382
342 351 367 370
General Fund Grant
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FY2016 ENHANCEMENTS
IT Systems Total: $342,000 Netsmart: Electronic Medical Records
StarLIMS: Laboratory Information Management
FOCUS: Data Sharing & Security
– Health Information Exchange (HIE)
– Partners - Providers
– Clients
– Systems (Internal & External) 12
Total
$24,115
FY 2016 PROPOSED REVENUES
• Health Inspection Consultation Fee
– New Service
– Provides consulting services for food establishments
• Re-inspection Fees
– Standardize
re-inspection fees
– Increase fees to offset costs
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FY 2016 INITIATIVES • Public Health Accreditation Board:
National Accreditation – Nationally accepted standards
– Site Visit December 2015
– 3rd Texas city to earn status (Houston and Dallas)
– 79 Accredited / 257 In-progress
• Restaurant Scoring System – Kerrville, Plano, Phoenix, New York City,
Los Angeles and San Diego
– Innovation & Reform Project
– Pilot January 2016
• Collaboratives – Diabetes Collaborative
– Bexar Healthy Beverage Coalition
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FY 2016 INITIATIVES • 1115 Medicaid Waiver
– Complete FY12-FY16 Initiatives
– Begin development of FY17-FY21 Initiatives
• Witte Collaboration
– Data Sharing/Analysis
– Childhood obesity trends
• Lab Relocation
– Relocate to the Texas Center for Infectious Disease campus
– Goal: January 2016
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CONCLUSION
• Accreditation
• Collaboration
• Expansion
• Health’s ongoing involvement in SA Tomorrow Initiative
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FY 2016 PROPOSED
ANNUAL OPERATING
BUDGET Presented by Vincent R. Nathan, PhD, MPH
August 18, 2015
