Health Services Department FY 2014-15 Budget Worksession July 14, 2014.

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Health Services Department FY 2014-15 Budget Worksession July 14, 2014

Transcript of Health Services Department FY 2014-15 Budget Worksession July 14, 2014.

Health ServicesDepartment

FY 2014-15Budget Worksession

July 14, 2014

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Organization Chart

Office of the Medical Director, EMSOffice of the Medical Director, EMS

Margaret Brennan (Medical Clinic/PCAN)Margaret Brennan (Medical Clinic/PCAN)

Tom Breaud, Ph.D. (Mosquito Control)Tom Breaud, Ph.D. (Mosquito Control)

Robert Buck, D.O. (Corrections Medical)Robert Buck, D.O. (Corrections Medical)

Jan Garavaglia, M.D. (Medical Examiner)Jan Garavaglia, M.D. (Medical Examiner)

Christopher Hunter M.D., PhD. (Acting Director)Christopher Hunter M.D., PhD. (Acting Director)

Dil Luther (Animal Services)Dil Luther (Animal Services)

Carol Burkett (Office for Drug Free Community)Carol Burkett (Office for Drug Free Community)

Donna Wyche (Mental Health & Homelessness)Donna Wyche (Mental Health & Homelessness)

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Proposed FY 2014-15 Budget

CurrentFY 2014 $ Change

ProposedFY 2015

Personal Services $15.9M $0.1M $16.0M

Operating Budget 70.8M (10.6M) 60.2M

Budget Change (12.1%)

Staffing 240 1 241

CurrentFY 2014 $ Change

ProposedFY 2015

Capital Improvement Projects

$0.1M $0.5M $0.6M

Budget Change 385%

Proposed FY 2014-15 Budget

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Accomplishments

Animal Services• Error reduction procedures in place• Increased veterinarian coverage• Extended hours of operation to include

Sunday

Medical Examiner’s Office• Partnered with Orlando Health and

FSU College of Medicine to provide medical training in forensic pathology

EMS Office of the Medical Director• Completed update of all EMS treatment

protocols and created a web-based mobile application

Accomplishments

• Prescription Drug Take Back DayOffice for Drug Free Community

PCAN/OCMC• 2013 Emerging Leaders in Healthcare

Transformation Award from CJA • Over 100,000 uninsured patients

served

Mosquito Control• Inspected over 10,000 sites and

sprayed over 90,000 acres

Mental Health & Homelessness• 350 Families served through WrapAround Orange• Orange County Youth Mental Health Commission

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Primary Care Secondary Care

$ $

PCAN Funding

Budget Challenges

Youth Mental Health Commission Recommendations

Budget Challenges

• Expanded WrapAround Orange

• Community Action Team CAT

• Mobile crisis team

• Database/Navigation

• Predicted active season

• Emerging concerns about Dengue Fever and Chikungunya

• Emergency control measures are costly– Some species require

door-to-door methods

Budget Challenges

Mosquito Control

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

• Health Services Department proposed budget $76.7M– ($10.1M) in Operating

Budget

• Budget Challenges– PCAN– Youth Mental Health– Mosquito Control

Pictures

Pictures

Summary

FY 2014-15Budget Worksession

July 14, 2014

Health ServicesDepartment

Corrections Health Services

FY 2014-15Budget Worksession

July 14, 2014

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Organization Chart

Health Services AdministratorJane Jenkins, B.S.N.

Health Services AdministratorJane Jenkins, B.S.N.

Mental Health ServicesLeonard Branch, Ph.D.

Mental Health ServicesLeonard Branch, Ph.D.

Pharmacy ServicesShari Hopwood, Pharm.D.

Pharmacy ServicesShari Hopwood, Pharm.D.

Physicians and Mid-level ProvidersPhysicians and Mid-level Providers

Medical DirectorRobert Buck, D.O.

Medical DirectorRobert Buck, D.O.

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Proposed FY 14-15 BUDGET

CurrentFY 14 $ Change

ProposedFY 15

Personal Services $12.5M $0.4M $12.9M

Operating Budget 9.3M (0.4M) 8.9M

Budget Change (0.2%)

Staffing 169 169

17%Offsite Medical

Other

Medications

Lakeside

16%

14%53%

Operating Budget $8.9M

Proposed FY 14-15 Budget

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Accomplishments

• Hospitalization Length of Stay– Consistently lower than the

community average

• Increased use of generic medications to reduce pharmacy cost

• Opened an additional medical and dental clinic

• Achieved full accreditation from the NCCHC

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

Budget Challenges

• Cost of Healthcare

– Hospitalization

– Specialist referrals

– Pharmaceuticals

• Older, sicker inmate population

• 30% of inmates require mental health intervention

• Organization Chart

• Proposed FY 2014-15 Budget

• Accomplishments

• Budget Challenges

• Summary

Presentation Outline

• Corrections Health Services proposed budget $21.7M

• Budget Challenges– Cost of healthcare– Older, sicker population– High percentage of mental

health patients

Pictures

Pictures

Summary

FY 2014-15Budget Worksession

July 14, 2014

Corrections Health Services