Florida Department of Health in Orange County

State of the Health Department

Mission & Vision

• Mission: "To protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts. “

• Vision: "To Be The Healthiest State in the Nation!"

Table of Organization

Services Provided ‘12-13’

• Personal Health Services - 1,107,795

• General Health - 9,930

• Environmental Health - 25,845

• Total Services = 1,143,570

Clinical Services

Uninsured Vs. Insured

5 Year Historical Viewwith Estimated FY13-14

State GR Contributions

2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014* -

2.00

4.00

6.00

8.00

10.00

12.00 11.30

10.70 10.10

8.20 7.70 7.56

Fiscal Year

Mill

ions

Local FundingSource

2012-2013 $ Change

Estimated 2013-2014

Fees and Services $ 3.7 M ($ .2 M) $ 3.5 M

Medicaid & Medicare $ 5.2 M ($ .4 M) $ 4.8 M

Local Grants & Contracts $ 4.5 M $ .4 M $ 4.9 M

Orange County Contribution

$ 1.4 M ($0.0 M) $ 1.4 M

Strategies

QI Plan Operational issues and current data on process

outcomes

Strategic Plan Emerging and new issues

EmergciSome of the initiatives or

activities overlap 2 or 3 of the plans

CHIPHealth status and health risk interventions to address health assessments

Priorities1. Healthiest Weight

Engage Community through strategic partnerships Healthy Orange/Healthy Measures

Focus: Heart Disease and Diabetes

2. Accreditation Develop systematic processes to meet criteria of

Sterling Award and accreditation Engage workforce around mission, vision, and

values and strategic pillars

Strategic Pillars: health services, workforce, community

3. Health Equity Academic Health Department - Research Address the social determinants of health Increase health literacy, education, and promotion

Future Issues

• Affordable Care Act

• HMOs

• Clinical Services going away

• Prenatal care

Summary

• Well Application Fee: – Current fee: $80.00– Requested change: Increase to $105.00

• Well Abandonment Fee: – Current fee: $57.00 – Requested change: Decrease to $40.00 per well to a

maximum of $400 per site

• Commercial Well Fee: – Current fee: $165.00 – Requested change: Increase to $200.00

• Monitoring/Irrigation Well Fee: – Current fee: $80.00 for up to 8 wells per site– Requested change: $40 per well to a maximum of $400 per

site

Adjustments to Environmental Health Fees

Approval of Resolution of the Orange County Board of County Commissioners regarding certain services fees charged by the Orange County Health Department and authorizing revisions to the schedule of fees to take effect on October 1, 2013. Fees may be adjusted annually for inflation at a rate consistent with the consumer price index or 3%, whichever is less.

ACTION REQUESTED:

Adjustments to Environmental Health Fees