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Health Services Department

Health Services Department. FY 2014-15 Budget Worksession July 14, 2014. Presentation Outline. Organization Chart Proposed FY 2014-15 Budget Accomplishments Budget Challenges Summary. Presentation Outline. Organization Chart Proposed FY 2014-15 Budget Accomplishments

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Health Services Department

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  1. Health ServicesDepartment FY 2014-15 Budget Worksession July 14, 2014

  2. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  3. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  4. Organization Chart Christopher Hunter M.D., PhD. (Acting Director) Office of the Medical Director, EMS Margaret Brennan (Medical Clinic/PCAN) Jan Garavaglia, M.D.(Medical Examiner) Robert Buck, D.O. (Corrections Medical) Tom Breaud, Ph.D.(Mosquito Control) Carol Burkett(Office for Drug Free Community) Dil Luther (Animal Services) Donna Wyche (Mental Health & Homelessness)

  5. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  6. Proposed FY 2014-15 Budget

  7. Proposed FY 2014-15 Budget

  8. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  9. 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

  10. Accomplishments Office for Drug Free Community • Prescription Drug Take Back Day 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 WrapAroundOrange • Orange County Youth Mental Health Commission

  11. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  12. Budget Challenges PCAN Funding Primary Care Secondary Care $ $

  13. Budget Challenges Youth Mental Health Commission Recommendations • Expanded WrapAround Orange • Community Action Team CAT • Mobile crisis team • Database/Navigation

  14. Budget Challenges Mosquito Control • Predicted active season • Emerging concerns about Dengue Fever and Chikungunya • Emergency control measures are costly • Some species require door-to-door methods

  15. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  16. Health Services Department proposed budget $76.7M ($10.1M) in Operating Budget Budget Challenges PCAN Youth Mental Health Mosquito Control Summary Pictures Pictures

  17. Health ServicesDepartment FY 2014-15 Budget Worksession July 14, 2014

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

  19. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  20. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  21. Medical Director Robert Buck, D.O. Health Services Administrator Jane Jenkins, B.S.N. Mental Health Services Leonard Branch, Ph.D. Physicians and Mid-level Providers Pharmacy Services Shari Hopwood, Pharm.D. Organization Chart

  22. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  23. Proposed FY 14-15 BUDGET

  24. Proposed FY 14-15 Budget Other Offsite Medical Lakeside 14% 53% 16% Medications Operating Budget $8.9M

  25. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  26. 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

  27. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  28. Budget Challenges • Cost of Healthcare • Hospitalization • Specialist referrals • Pharmaceuticals • Older, sicker inmate population • 30% of inmates require mental health intervention

  29. Presentation Outline • Organization Chart • Proposed FY 2014-15 Budget • Accomplishments • Budget Challenges • Summary

  30. Corrections Health Services proposed budget $21.7M Budget Challenges Cost of healthcare Older, sicker population High percentage of mental health patients Summary Pictures Pictures

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

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