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HEALTH SERVICES DEPARTMENT

HEALTH SERVICES DEPARTMENT. FY 2010-11 Budget Worksession July 20, 2010. PRESENTATION OUTLINE. Organization Chart Proposed FY 2010-11 Budget Accomplishments Budget Challenges Summary. PRESENTATION OUTLINE. Organization Chart Proposed FY 2010-11 Budget Accomplishments

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HEALTH SERVICES DEPARTMENT

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  1. HEALTH SERVICES DEPARTMENT FY 2010-11 Budget Worksession July 20, 2010

  2. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  3. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  4. George Ralls M.D. Office of the Medical Director, EMS Medical Clinic/PCAN Margaret Brennan Medical Examiner Jan Garavaglia, M.D. Corrections Medical Donna Loyko Mosquito Control Tom Breaud, Ph.D. ORGANIZATION CHART

  5. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  6. PROPOSED FY 2010-11 BUDGET General Fund Only Pictures Pictures

  7. PROPOSED FY 2010-11 BUDGET Pictures Pictures

  8. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  9. ACCOMPLISHMENTS PCAN/OCMC • Developed a PCAN tool kit for replication in other communities • Secured consultant to evaluate PCAN funding in light of healthcare reform • Improved patient care area at the Orange County Medical Clinic • Increased efficiency using Electronic Medical Record (EMR) and practice management software

  10. ACCOMPLISHMENTS Medical Examiner • Opened new state-of-the-art, 40,000 plus square foot complex • LEED certified complex, designed to save energy and be environmentally friendly • Established a clinical education program for FSU medical students

  11. ACCOMPLISHMENTS Mosquito Control • Investigated complaints calls within two (2) work days 98% of the time • Completed spray missions for adult mosquitoes within five (5) work days 100% of the time • Recently reorganized and cross trained workforce resulting in a workforce multiplier

  12. ACCOMPLISHMENTS EMS Office of the Medical Director • Average EMS offload delay at lowest point in 10 years • Provided direct and indirect medical oversight for nearly 200,000 EMS calls • Registered 3,784 people with special medical needs for shelters • Provided continuing education for 1,692 Paramedics and EMT’s Pictures

  13. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  14. BUDGET CHALLENGES PCAN/OCMC Mandated Other

  15. BUDGET CHALLENGES FY 09-10 $43.4 Million 7% Reduction = $3 Million

  16. BUDGET CHALLENGES • Decreases in Operating and Personal Services Expenses • Revenue from ME fees • $2.4M decrease in PCAN funding FY 10-11 (Proposed) $41 Million 7% Reduction = $3 Million

  17. BUDGET CHALLENGES Primary Care Access Network $14.3M $11.8M (17%)

  18. BUDGET CHALLENGES Medicaid Expansion Temporary Health Insurance Exchange PermanentHealth Insurance Exchange Pictures Insurance Reforms Accountable Care Organizations Pictures Individual Mandate

  19. BUDGET CHALLENGES Potential Impacts • Primary Care • Closure of a clinic site • Loss of appointment slots • Close some pharmacies • Eliminate positions • Secondary Care • Fewer patients receiving specialist referrals, diagnostic tests, specialty procedures

  20. BUDGET CHALLENGES Primary Care Secondary Care $ $

  21. BUDGET CHALLENGES

  22. BUDGET CHALLENGES Orange County Medicaid Enrollees (in thousands) Apr-08 Apr-09 Apr-10

  23. BUDGET CHALLENGES Mosquito Control • Established Diseases • West Nile Virus • St. Louis Encephalitis • Eastern Equine Encephalitis • Potential to Become Established • Malaria • Dengue

  24. BUDGET CHALLENGES Medical Examiner Fees • Cremation Approval Fee • $35 Proposed Fee • 19 out of 24 ME Districts charge fee • $175,000 in yearly revenue

  25. PRESENTATION OUTLINE • Organization Chart • Proposed FY 2010-11 Budget • Accomplishments • Budget Challenges • Summary

  26. PCAN Funding Challenges Closure of a Clinic Reduced appointment slots Reduced funding for secondary care Medicaid Mandated Expense Orange County enrollees continue to climb Summary Pictures Pictures

  27. HEALTH SERVICES DEPARTMENT FY 2010-11 Budget Worksession July 20, 2010

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