Central District Health Department

1. Central District Health Department Idaho Public Health Presented by Russell A. Duke, Director

2. Introduction • Central District Health Department – Serving Ada, Boise, Elmore, and Valley counties • One of seven Public Health Directors from across the state • Director since 2005 Russell A. Duke

3. Idaho Public Health Districts

4. Public Health Vision “Healthy People in Healthy Communities” Our Primary focus is prevention.

5. Public Health Districts • Prevent disease, disability, and premature death • Promote healthy lifestyles • Protect and promote the health and quality of the environment Each District has a central office with satellite offices in 41 of the 44 counties

6. Central District Health Department Board of Health Vice Chair/Trustee Alternate Trustee Chair Steven Scanlin, JD Ada County Betty Ann Nettleton, RN Elmore County Jane Young, CRN-P, DNP Ada County Ted Epperly, MD Ada County Barbara Balding Commissioner Boise County Al Hofer Commissioner Elmore County Frank Eld Valley County

7. Central District Health Facts • We employ about 165 people (120 FTE) • Over 100 volunteers • FY 2013 budget of $9.9 million • District population 443,851 • (28% of Idaho’s population) • Population: 88% urban; 11% rural; 1% frontier • District covers 9,677 square miles

8. Organization of Central District Health County Commissioners Board of Health District Director Program Areas Support Areas • Communicable Disease Control • and Health Promotion/Policy • Environmental Health and • Public Health Preparedness • Preventive Health Services • - Reproductive Health • - Immunizations • - WIC Nutrition Program • Administration • Communications • Facilities • Financial Support • Grant Writing • Human Resources • Information Systems

9. Health Care Professions • Nurses • Nurse Practitioners • Physician Assistants • EnvironmentalHealth Specialist • Nutritionists • Health Education Specialists • Dental Hygienists • Epidemiologists

10. Health District Services • Food protection • Solid waste • Onsite sewage • Public swimming pools • Water systems • Child care Environmental Health

11. Health District Services • Emergency planning • Health care liaison • Strategic National Stockpile • Risk communication Public Health Preparedness

12. Health District Services • Family Planning clinic • Adolescent outreach • STD clinic • Pregnancy risk reduction • Breast and cervical cancer screening Reproductive Health Services

13. Health District Services • Childhood immunizations Immunizations

14. Health District Services • WIC (Women, Infants & Children’s Nutrition) • Breastfeeding education • Supplemental nutrition Women, Infants and Children

15. Health District Services • Epidemiology • Disease surveillance • Health Alert Network • TB control Communicable Disease Control

16. Health District Services • Childhood overweight prevention • Tobacco use prevention • Injury prevention • Perinatal and children oral health Health Promotion/Policy

17. Core Functions • Assessment • Policy Development • Assurance

18. Needed Skill Sets Epidemiology (i.e., the study of disease and disease determinants), which includes a strong understanding of disease etiology and processes; effective communication skills, information technology skills, statistics, and data analysis skills.

19. Needed Skill Sets • Effective policy development skills, which includes research skills, writing skills, community outreach skills, and negotiation skills. • Data & trend analysis • Information technology fluency, including appropriate/effective use of social media

20. Recruitment Challenges • Mid-level providers, critical to clinical operations, are often challenging to find due to the public health districts inability to compete when it comes to salary. • Registered dental hygienists also are difficult to recruit and retain for this reason. • Registered dietitians.

21. Questions