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Kandiyohi County Public Health - 2010

Kandiyohi County Public Health - 2010. Disease Prevention and Control. Some people call them immunizations. Others call them vaccinations or shots. Whatever you call them, immunizations are one of the best weapons we have against a number of serious diseases.

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Kandiyohi County Public Health - 2010

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  1. Kandiyohi County Public Health - 2010

  2. Disease Prevention and Control Some people call them immunizations. Others call them vaccinations or shots. Whatever you call them, immunizations are one of the best weapons we have against a number of serious diseases.

  3. Health ServicesParticipants Served Mantouxs (at KCPH Office - Contracted Services) 20032004200520062007200820092010 61 49 105 56 83 42 20 55 Mantoux (Worksite – Dental Office Contract) 17 Blood Pressure Walk-ins 20032004200520062007200820092010 18 16 23 23 10 15 29 34 Blood Pressure Screenings at Community Clinics 20032004200520062007200820092010 259 208 150 120 174 211 251 211

  4. Immunizations 20022003200420052006200720082009 2010 Clinic Clients* - Regularly scheduled monthly clinics 587 567 648 482 431 350 382 368337 Vaccine Doses 983 976 1,096 884 846 698 697 689 664 Number of Walk-In Clients* 172 152 165 215*** 30 28 23 School/other community clinic vaccinations* 657 705 96 157 57 56 59 Refugee Vaccinations** 201 216 166 193 220 Billed 156 151 Non-billed 37 69 *Duplicated number **Duplicated number of refugees that came in for immunizations as walk-in or on Fridays for appointments ***Walk-ins for 2007 may include late 2006 flu season clients from January and February 2007)

  5. Immunizations - Influenza 200220032004200520062007200820092010 Seasonal Flu Vaccinations 1,693 1,485 13* 1,559 1,379 1,444 1,552 1,528 2,295 (Late 2006 season given in February 2007) 318 Seasonal Worksite Clinic Vaccinations 1,319 Seasonal School Clinics Vaccinations 886 Regularly Scheduled Clinics 90 H1N1 Vaccinations (not included in seasonal) 1,8401,540 (total school located clinic doses 2,123—1,765 first doses, 358 second doses) Total Flu Vaccines Given 3,368 3,835 *In 2004, Homeland Health Clinics held due to shortage of vaccine and severity of Influenza Disease: 870 vaccinations given. KCPH distributed its vaccine to local medical clinics, Rice Memorial Hospital, assisted living facilities, home care agencies and nursing homes.

  6. Latent TB InfectionsTB Disease Follow-up 200220032004200520062007200820092010 Clients* 14 9 25 39 89 124 81 66 121 Visits 296 154 88 216 578 624 303 254 1,040 Clients/Latent TB Infection * 36 88 122 81 65 117 LTBI Visits 285 476 303 246 568 New LTBI Clients 41 35 79 Active TB: MDH TB Cases by County Clients 1 1 0 3 1 2 0 1 4 2005: 2-pulmonary, 1-Extrapulmonary Active TB Visits 293 148 0 8 470 New TB Clients 3 *May have also been clients in the prior year

  7. Primary Refugee Arrivals in Kandiyohi County 20022003200420052006200720082009* Kandiyohi 2 4 19 25 63 29 3 10 Minnesota 1035 2403 7345 5323 5354 2867 1205 1265 Kenya 1 Cuba 2 3 1 1 Ethiopia 3 Somalia 1 2 19 22 60 28 3 9 * Most current information from the Minnesota Department of Health Refugee Health Program

  8. Environmental Health Environmental Health — Touching Everyone’s Life Every Day Environmental health is an integral part of Minnesota's public health system. Events in the last several years, including natural and manmade disasters, terrorism, and food borne disease outbreaks, have demonstrated this again and again.

  9. Food, Beverage, Lodging and Tobacco Activities 2004200520062007200820092010 Inspections: Food Beverage Lodging 249 267 267 281 300 308 301 FBL Complaints 16 8 8 12 9 Required enforcement action 8 6 2 4 5

  10. Food, Beverage, Lodging and Tobacco Activities Public health nuisance complaint 2004200520062007200820092010 6 11 13 8 5 3 2 Required enforcement action 2004200520062007200820092010 3 0 3 2 1 0 0

  11. Food, Beverage, Lodging and Tobacco Activities Licensed tobacco retailers 2004200520062007200820092010 56 50 47 45 37 37 36 Sales to minors through regular compliance checks 2004200520062007200820092010 9 9 11 10 1 3 4 Compliance Check Failure Rate 2004200520062007200820092010 16% 21% 23% 26% 3% 8% 11%

  12. Food, Beverage, Lodging Inspections 20012002*20032004200520062007200820092010 Total Inspections 143 248 255 259 280 282 281 300 308 301 Violations 1762 2037 1417 1182 1213 949 820 880 1173 985 Critical Violations 525 782 574 648 447 350 303 294 332 279 Average # of violations per inspection 12.32 8.21 5.55 4.56 4.33 3.36 2.91 2.93 3.80 3.27 Average # Criticals 3.67 3.15 2.25 2.50 1.59 1.24 1.07 .98 1.07 .92

  13. Food, Beverage, Lodging Licensing 20032004200520062007200820092010 Food and Beverage 164 165 170 174 176 182 179 179 Temporary Facilities 107 103 112 126 132 161 143 150 Food Vending Machines 247 242 242 218 223 241 216 210 Lodging 45 47 46 49 49 55 54 51 MHP, Rec-Camping Areas 32 31 30 29 30 31 31 31 Pools 7 8 8 8 11 13 15 14

  14. Family Health Home visitation has been an effective strategy for the delivery of public health services to families for more than a century. Current research shows that Public Health Nurse (PHN) home visitation, especially for pregnant women and families with young children, is effective at helping families improve health status, achieve economic self-sufficiency, improve positive parenting, reduce child maltreatment, reduce juvenile delinquency, achieve maternal goals such as child spacing, education and employment, and establish links to community resources.

  15. Family Health Referrals Reason for Referral200520062007200820092010 Prenatal 515 369 363 327 208 200 Prenatal High Risk NA 189 169 213 256 293 Postpartum 538 571 598 540 514 519 Lice 9 2 3 7 0 2 PCA 56 64 78 60 49 58 Lead 25 15 15 17 5 6 MCH 45 32 24 9 4 1 MCSHN NA NA 3 4 2 0 FHV NA NA 16 32 22 41 Perinatal Hep B NA NA NA 2 3 3 Mental Health NA NA NA NA NA 5 Total MCH Referrals 1,128

  16. Prenatal 200220032004200520062007200820092010 Clients 291 251 265 216 136 80 74 226 303 High Risk Pregnancy Clients 31 Prenatal Universal Contact Clients 90 Prenatal WIC Clients 217 Visits 209 190 226 205 146 77 60 271 380 Office 59 Home 160 High Risk Pregnancy-home 37 Prenatal Universal Contact-home 117 Prenatal WIC Visit-office 226

  17. Postpartum 200220032004200520062007200820092010 Clients 525 468 410 358 361 336 287 259 242 Visits 578 517 479 424 359 312 336 295 243

  18. Family Home Visiting 20022003200420052006200720082009 2010 Clients 143 117 144 158 95 92 100 112 88 Visits 344 416 368 279 255 170 328 362 349

  19. Family Home VisitingHigh Risk Children (includes TANF) 200520062007200820092010 Clients 44 20 17 42 33 41 Visits 84 43 32 165 145 142

  20. Minnesota Family Investment Program (MFIP) MFIP Classes are taught by Public Health at the WorkForce Center 200820092010* Participants 105 93 50 The Minnesota Family Investment Program, or MFIP, is the state’s welfare reform program for low-income families with children. MFIP helps families move to work and focuses on helping families. It includes both cash and food assistance. When most families first apply for cash assistance, they will participate in the Diversionary Work Program, or DWP. This is a four month program that helps parents go immediately to work rather than receive welfare. *2010: 10 months served – no class in March and August

  21. Incredible Years Classes 20062007200820092010 Participants 47 49 65 55 114 11 classes The Incredible Years Parents, Teachers, and Children Training Series has two long-range goals. *The first goal is to develop comprehensive treatment programs for young children with early onset conduct problems. *The second goal is the development of cost-effective, community-based, universal prevention programs that all families and teachers of young children can use to promote social competence and to prevent children from developing conduct problems in the first place.

  22. Expectant Parent Classes • Number of Pregnant Women Registered • 200220032004200520062007200820092010 87 92 71 74 90 87 62 58 82 • Breastfeeding Class 2010 • Attendees 49

  23. WIC Average # participants/month 200220032004200520062007200820092010 1,440 1,597 1,726 1,780 1,840 1,842 1,839 1,835 1,792 Highest Month 200220032004200520062007200820092010 NovJulySeptAugJulyJulyOctOctMay 1,534 1,670 1,780 1,835 1,909 1,919 1,931 1,904 1,820 Second Highest MonthAugustSeptNovAugust 1,915 1,884 1,874 1,819 200520062007200820092010 Regular workday: (approx.) 30 67 47 48 55 50 Extended workday: (approx.) 60-70 78 63 65 69 64 (Occurs 2 days per month)

  24. Child and Teen Checkups Participation Outcome Ratio Indicator Points 10/2008 – 10/2009 71 10/2007 – 10/2008 71 74.0 10/2006 – 10/2007 69 66.0 10/2005 – 10/2006 66 57.0 10/2004 – 10/2005 68 73.0 10/2003 – 9/2004 66 70.0 10/2002 – 9/2003 61 73.0 10/2001 – 9/2002 64

  25. Lead Referrals Children who have been referred to Public Health for High Lead 2004200520062007200820092010 22 25 40 14 17 5 6 Referrals were from: MDH 36 12 17 5 ACMC 3 2 0 Mid MN 1

  26. Follow Along Active Children 200220032004200520062007200820092010 254 229 220 167 154 202 217 248 258 • The screening is a brief, simple procedure used to identify potential health, developmental, or social-emotional problems in infants and young children in the context of family, community, and culture who may need a health assessment, diagnostic assessment, or educational evaluation. • Provides an opportunity for young children and their families to access a wide variety of services and early childhood programs; and • Promotes and supports parents’ understanding of their child’s health, development, and learning.

  27. Health Promotion Promotes, encourages and supports healthy and safe communities, and works to build capacity for individual, community and system change to improve health and prevent injury, substance abuse and chronic disease.

  28. Statewide Health Improvement Program (SHIP) • The goal of SHIP is to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease including tobacco use and exposure, physical inactivity and poor nutrition. • It is an integral component of an overall health care reform initiative passed during the 2008 Legislative session.

  29. Kandiyohi County SHIP Interventions Community • Implement tobacco-free policies for parks, playgrounds, beaches, fairs, and other recreational settings. ~ Review and update current tobacco-free policies, and create policies for other areas assisted. ~ Assisted City of Willmar with their tobacco-free policy update. • Implement policies/practices that create active communities by increasing opportunities for walking and biking. ~ Establish ‘Walkable’ communities and work on trails: identification, promotion, connections and maintenance. • Implement policies/practices, and environmental changes that improve access to nutritious foods: require calorie or nutrition labeling on menus and facilitate the development of new farmer's markets and promote their use. ~ Promote Farmer’s Markets and community gardens, and initiate voluntary menu labeling in food serving establishments. ~ McMillian’s Healthy Heart Menu. • Implement policies and practices that support healthy eating and physical activity in licensed child care and pre-school settings. ~ Site assessments, mini-grants that support healthy eating and physical activity. ~ Provide trainings for ECFE, childcare centers, and in-home childcares.

  30. SHIP Interventions continued School • Implement policies/practices that create active schools by increasing opportunities for walking and biking to-and-from school and access to school recreation facilities. ~ Safe Routes to School, Walking School Bus or Riding Bike Train ~ Walking audit around Willmar Middle School • Implement comprehensive nutrition policies: healthy lunch and snacks - including concessions and Farm-to-School initiatives. ~ Willmar Public Schools: Farm to school ~ NL-S: Healthy lunch and snacks, farm to school ~ Community Christian School: Healthy lunches

  31. SHIP Interventions continued Healthcare • Develop relationships with/among health care providers to facilitate active referral of patients to local resources that increase access to high quality nutritious foods and opportunities for physical activity. ~ Support Diabetes Prevention Programs currently implemented through the YMCA, plan and implement referral program through WIC and local health care providers for families with children that are overweight or at risk for overweight. ~ Update information on MinnnesotaHelp.org

  32. SHIP Interventions continued Worksite • Implement policies/practices that support increased consumption of fruits and vegetables and other nutritious foods: healthy food service and catering options, and healthy vending. ~ Contract with Blue Cross Blue Shield for “Healthy Eating at Work” initiative.

  33. 2010 Successes in Steps and SHIP • Farm to School program • WPS Wellness Policy Committee • Update to Willmar’s Tobacco Policy • McMillian’s Healthy Heart Menu • “Willmar Walks” map of downtown Willmar and markers placed

  34. The Kandiyohi County Drug Free Communities (DFC) Coalition was awarded a Drug Free Communities Grant from the Federal Government on September 29, 2009. The award is in the amount of $125,000 for up to five years with the opportunity to re-apply for five more years, for a total of 10 years. 

  35. The KC DFC Coalition has two main goals.  •  To reduce substance use/abuse in Kandiyohi County • Build and strengthen the capacity of the coalition  Our mission Statement: “The Kandiyohi County Drug Free Communities Coalition is working together to empower the community through prevention, education and shared leadership to reduce alcohol, tobacco and illegal drug use among our youth and families”. 

  36. Accomplishments in Year One (2009-2010) • Nov: R. Moldenhauer Energy Drink Presentation • March: Town Hall Meeting on Underage Alcohol Use • April: Alcohol Awareness Month Campaign • April/May: Prom & Graduation Campaign • May-Dec: Underage Drinking Media Campaign • July: Merged KC ATOD & KC Tobacco Coalitions • August: Announce New Name: KC DFC Coalition • Sept: Assist New London w/passing Social Host Ordin.

  37. Child Passenger Safety Seats Child Passenger Safety Seats Checked at Clinics 200220032004200520062007200820092010 79 33 61 42 44 42 56 42 35 UCare Seats Distributed 41 57 27 Foster/Daycare Providers Taught 34 21 27 Expectant Parent Class Participants Taught 92 82 AAA Grant Booster Seats Distributed 23 0 MN Boosters (from MN Office of Traffic Safety) 10 21

  38. Chronic Disease Prevention Efforts to reduce the burden of suffering and death from chronic diseases and injuries in Minnesota, by providing leadership in the prevention of chronic diseases and injuries, conducting public health surveillance, and developing, implementing, evaluating and supporting public health interventions.

  39. PCA AssessmentsPersonal Care Assistant 200220032004200520062007200820092010 PCA Assessments (Face to Face) 32 60 104 117 152 186 180 178 178 Visits 33 71 96 121 158 198 178 188 224 PCA Service Plan Change Clients 5 Visits 4

  40. Care Coordination Services 2004200520062007200820092010 Number of clients Community Alternative Care 2 3 3 5 5 5 5 Community Alternative for Disabled Individuals 81 71 66 33 52 46 48 Traumatic Brain Injury 27 24 30 20 17 15 15 MSHO/MSC+ NA 44 298 385 361 337 302 MR/DD 47 48 36 23 12 8 5 Screenings/RSC 222 169 122 147 126 144 144

  41. Jail 200220032004200520062007200820092010 Clients 581 606 630 698 830 714 682 613 648 Visits 1,624 1,589 1,848 2,114 3,234* 2,639* 2,313* 1,865* 1,991* Hours 1,529 1,794 1,805 2,756 5,250 5,178 4,632 3,433 3,711.25 Direct Care Hours 2,141 3,168 3,127 2,731 2,426 2,942.75 Indirect Staff Hours 614 2,081 2,052 1,901 1,007 768.50 *includes indirect initial assessment, may not have received a face-to-face visit.

  42. Prairie Lakes Youth Programs 2006*2007200820092010 Residents 98 141 128 133 121 Visits 245 239 272 Hours 113.25 296.50 324.75 297.25 418.50 Direct Care Hours 97.50 253.50 240.50 248.75 308.00 Indirect Staff Hours 15.75 43 84.25 48.50 110.50 *Contract began July 1, 2006

  43. Prairie Lakes Youth Programs Group Homes* Added Boys Dec. 2004 200220032004200520062007200820092010 Hours 4 29.25 40.00 43.50 70.50 51.00 60.50 67.75 60 Boys (hours) 3.75 21.50 22.75 23.50 32.50 25.50 31 Girls (hours) 4 29.25 36.25 22.00 47.75 27.50 28.00 27.25 29 Includes Staff Training (CPR and Medication Administration) and Health Inspections by an RN (1 time per month) Group home contract began July 1, 2006, prior to contract, group homes were administered by Kandiyohi County

  44. Medication Administration Classes 2007200820092010 Kandiyohi County Jail 74 53 50 50 Prairie Lakes Youth Programs 31 14 55

  45. Agency FTEs • 2000 28.96 FTEs 60,236 hours • 2001 27.93 FTEs 58,094 hours • 2002 28.28 FTEs 58,822 hours • 2003 27.38 FTEs 56,950 hours • 2004 27.15 FTEs 56,472 hours • 2005 28.73 FTEs 59,758 hours • 2006 29.68 FTEs 61,734 hours • 2007 29.78 FTEs 61,942 hours • 2008 30.30 FTEs 63,024 hours • 2009 29.72 FTEs 61,817 hours • 2010 30.58 FTEs 63,605.13 hours • 1 FTE = 40 hour work week

  46. Agency Expenditures • 2000 $1,455,447 • 2001 $1,858,144 • 2002 $1,688,709 • 2003 $1,896,211 • 2004 $1,813,782 • 2005 $1,986,459 • 2006 $2,182,978 • 2007 $2,220,529 • 2008 $2,360,588 • 2009 $2,348,315 • 2010 Budget $2,411,100 • 2010 Actual Expenditures $2,537,040

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