2014 annual report - clinton county health … files/cchdannualreport2014.pdf& pp l c (˚.t ˘...

Clinton County Health Depar tment

2014 Annual Repor t

Prevent……...Promote……...Protect

133 Margaret Street

Pla sburgh, NY 12901

Telephone (518) 565-4840 Fax (518) 565-4717

www.clintonhealth.org www.facebook.com/clintonhealth

1

A message from the Director…

Jerie Reid Director of Public Health

The Clinton County Health Department and the Board of Health is pleased

to present your Health Department’s Annual Report for 2014.

The role of Public Health is dynamic and diverse. From responding to

immediate threats, maintaining safe and healthy environments, and

planning for future public health priori(es, 2014 delivered this diversity.

The department experienced the loss of many valuable, knowledgeable

staff, and the addi(on of new eager-to-learn recruits. The commitment

and passion of the workforce in public health is a constant, however, and

offers many opportuni(es on the horizon for the Health Department. This

includes a dynamic quality improvement plan; systems development linked

to Na(onal Public Health Accredita(on; and ongoing crea(on of programs

and policies to help improve the community’s health. The new challenges,

coupled with our maintenance of immuniza(ons, water quality, food

safety, communicable disease, surveillance and response, and preven(ve

health prac(ces, con(nue to make our Health Department a vibrant,

essen(al part of our community.

We look forward to 2015 and ongoing improvement. This is public health.

2

Board of Health Members…

TABLE OF CONTENTS

Year in Review 4-8

Prevent, Promote, Protect 9-16

2014 Program Sta(s(cs and Support Informa(on 17-20

Fiscal Report 21

Public Health in Clinton County 22, 23

Clinton County Board of Health Members 2014

• Jonathan Beach, D.O., Legisla(ve Liaison

• Kathleen Camelo, M.D.

• Thomas EvereA

• Edward Garrow

• Virginia Hay, R.N.

• Lynn Howard, BSN, President

• Kathleen Kasprzak, PhD, R.N.

• Victor Ludewig, M.D.

• Heidi Moore, M.D. , Vice President

CONTACT Address:

133 Margaret St.

Plattsburgh, NY 12901

Call us:

(518) 565-4840

Visit us-

www.clintonhealth.org

Like us:

www.facebook.com/

clintonhealth

Not pictured: Heidi Moore, M.D.

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Clinton County Health Depar tment 2014 Year in Review…

January

• Final review of Accredita(on documenta(on is completed and resubmiAed to PHAB.

• WIC reveals its new water boAle sta(on and began promo(on with par(cipants, ini(a(ng a

contest for WIC families who used it.

• The Adirondack Tobacco Free Network works with businesses and organiza(ons to assist in the

development of tobacco free outdoor policies. Paul Smiths College becomes tobacco free

August 1, 2014.

• The winter session of FLASH kicks off the first full week and runs through mid-March. A revised

program schedule was developed to accommodate a smaller class and the staff conducted

weekly check in’s to keep families on track.

February

• The new Quality Coordinator posi(on completes a first full month in the Department, preparing

for Accredita(on and crea(ng workforce development and quality improvement plans.

• The Healthy Neighborhoods Program focus in the Town of PlaAsburgh provides outreach and

educa(on to 156 households, in the comfort of residen(al homes.

• Select staff par(cipates in the Homeland Security Exercise Evalua on Program as part of

ongoing emergency preparedness ac(vi(es.

March

• The Department’s long awaited site visit from PHAB (Public Health Accredita(on Board) review

team occurs during a major snowstorm, tes(ng the Department’s organiza(onal and

preparedness capacity.

• Health Care Services nurses provide Tdap and flu immuniza(ons to families of newborns at

CVPH, offering protec(on to the vulnerable newborns.

• WIC promotes services by offering referral informa(on through pharmacies offering prenatal

vitamin prescrip(ons.

4

Clinton County Health Depar tment 2014 Year in Review…Continued

April

• Emergency Preparedness messages for the public were aired on local television, encouraging

safety and personal preparedness in the community.

• The Healthy Neighborhoods Program receives approval for five addi(onal years of funding

from the NYS Health Department, allowing con(nued services and outreach to Clinton County

neighborhoods.

• Home visi(ng nurses adopt a mental health screening tool to be used with pa(ents to help

iden(fy and refer people who could receive assistance with mental, emo(onal and behavioral

concerns.

• Staff par(cipate in the NACCHO (Annual Na(onal Associa(on of City and County Health

Officials) preparedness summit.

May

• Health Department preparedness staff par(cipate in local emergency planning session to

assess hazard analysis for Clinton County.

• A spring MAPP insert is featured in the local newspaper to highlight areas of ac(vity

surrounding Preven(on Agenda focus areas.

• The Healthy Plates Project meets with five area restaurants interested in par(cipa(ng in a

voluntary effort to offer healthy food choices at local dining facili(es.

• Financially Friendly Healthy Ea ng is presented to three Clinton County Mental Health groups.

Par(cipants reported improvement in self-efficacy in making healthier food decisions.

• The Adirondack Tobacco Free Network provides tobacco free policy informa(on to four

worksites interested in advancing a smoke free campus.

• The Obesity Preven on in Pediatric Health Care Se$ngs project designates two local prac(ces

as “BreasMeeding Friendly”.

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June

• In response to increased alerts from CDC about Middle East Respiratory Syndrome (MERS),

the department coordinates a response to include messaging, risk communica(on and talking

points for aler(ng travelers.

• The Public Health Accredita(on Board (PHAB) no(fies the department that addi(onal

informa(on is needed to receive accredita(on status. This informa(on includes workforce

development enhancements, performance management addi(ons and physical building

security issues.

• A pet rabies vaccina(on clinic in Ellenburg Depot provides protec(on for 136 dogs, 34 cats

and 1 ferret.

• New website design soOware is researched and trialed to move towards a new Health

Department website in 2015.

• The department does not receive con(nued funding for the Adirondack Tobacco Free

Community Partnership, ending a long-term program developed and supported through

public health.

July

• Obesity Preven on in Pediatric Health Care coordinates and opens registra(on for cer(fied

lacta(on counselor training to be held in PlaAsburgh in 2015.

• The department’s Administra(on Division prepares plans needed for re-submission to PHAB

surrounding workforce development and performance management.

• As of July 2014, 92 animal specimens have been tested for rabies. All tested specimens

result in a nega(ve outcome.

August

• The Health Department is chosen as a finalist in the Na onal Way to Wellville contest,

demonstra(ng an impressive turnout for the site visitors. In spite of non-selec(on as a top

five community, the opportunity to showcase efforts is very posi(ve.

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August con3nued

• Ebola virus disease (EVD) impacts the department, requiring planning and prepara(on for

protocols. Clinton County, with its airport and land border crossings must consider these

factors in planning for poten(al exposures. Such ac(vi(es con(nue throughout the fall.

• Nurses gear up for the 2014-2015 flu season, scheduling clinics for at risk popula(ons.

• Farmer’s Market ac(vity through WIC includes taste tes(ng and recipe demonstra(ons at the

PlaAsburgh Farmer’s Market, as well as market availability at temporary WIC sites in Altona

and Champlain.

September

• Ac(on plan required by PHAB is submiAed with all necessary correc(ons requested by the site

visit team.

• Health Care Services holds its annual School Health Professional Workshop, open to all school

districts in the county. The annual event highlights per(nent informa(on relevant to

school- aged children, such as immuniza(ons and communicable diseases.

• The Department develops and implements plans for a large-scale drill to be held in early 2015.

The effort requires many partners and tests the ability of the agency to provide medical

countermeasures in the event of an emergency.

• Staff partner with the Town of PlaAsburgh to develop a Complete Streets Guidebook and

provide training at a Town Supervisors mee(ng, encouraging the concept of complete streets

throughout the county.

October

• Five rabies clinics are held throughout the county, in addi(on to three held in September.

Evalua(on of the rabies clinics during this (me show posi(ve feedback from consumers about

this service. Over 2,025 animals are vaccinated through clinics. One skunk tests posi(ve for

rabies in the Town of Altona.

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October con3nued

• The Early Interven(on Program updates resources for parents. Addi(onally, a training session

is held in mid-October, offering a unique opportunity for parents, providers, and service

coordinators.

• The communicable disease program experiences the highest case count of 2014. This was

linked to increases in the incidence of Chlamydia.

November

• Improved Pregnancy Outcome Program (IPO) is assessed and reviewed for efficiency and

outcomes.

• All flu clinics for at risk residents are completed, assuring some protec(on for the more

vulnerable popula(on.

• Health Planning and Promo(on submits four grant applica(ons. This includes the new five

year funding cycle for the Women, Infants and Children (WIC) Program.

• Staff present on the Public Health Live web-based broadcast, sponsored by the NYSDOH and

Albany School of Public Health. Efforts in the local Built Environment are highlighted.

December

• The Public Transporta on and Food Access Survey collects over 500 responses allowing

analysis of the use of public transport and food access in the community.

• A skunk tests posi(ve for rabies in the Town of Saranac, bringing the total to two posi(ves.

203 animal specimens are submiAed for tes(ng during 2014.

• The WIC Program purchases a new auto dialer system to improve appointment reminders to

par(cipants. The new system includes voice and text messaging capability.

• The Department is awarded a NYS Health Founda(on grant to con(nue work on ac(vity and

food access in Clinton County.

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Prevent…Promote…Protect

Communicable Disease

In 2015 over 700 communicable disease inves(ga(ons were completed.

The CD staff works closely with the public, local providers and hospital

personnel to quickly iden(fy, treat and prevent the spread of illness.

Sta(s(cal informa(on gathered as part of the inves(ga(on process is used

by the CDC for outbreak inves(ga(ons, designing treatment guidelines and

monitoring for emerging infec(ons. Addi(onally, public educa(on is a main

component of the CD program. This year, metal signage warning about

(cks and Lyme disease were distributed to parks and recrea(onal

areas in the county.

Immunization

Immuniza(ons and their importance were front and center in the

na(onal media at the end of 2014 with the resurgence of measles in the

U.S. The Health Department works to Increase “herd immunity” by

improving immuniza(on rates to prevent outbreaks of disease and save

lives. In October, Early Advantages sponsored an immuniza(on clinic at

their Halloween party, allowing for families to update their influenza

and Tdap vaccines.

Improved Pregnancy Outcome (IPO)

The IPO program focuses on high risk pregnant women to help decrease

risk factors and monitor their pregnancy in collabora(on with the physician.

The nurses make home visits to educate these families to help make choices

for a healthy outcome for their new infant. The nurses partnered with

forty-one expectant mothers in 2014 to monitor the growth and

development of both mother and baby. The partnership also assisted the

mothers in managing pregnancy complica(ons through guidance from their

assigned nurse.

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Newborn/Postpar tum Program

The newborn/postpartum program provides home visits to assist new

parents in educa(on about infant care, breasMeeding and postpartum

care. In 2014, there were 694 referrals to this program of which 184

accepted home visits from visi(ng nurses.

Children with Special Health Care Needs (CSHCN)

The CSHCN is a New York State Department of Health program that

provides case management services for informa(on and referral

services to community agencies for their child diagnosed with a

physical, developmental or emo(onal condi(on. In 2014, the CSHCN

nurses assisted 21 families in case management services.

Family Services

The Family Services program provides in-home visits by a nurse for a

variety of other reasons, including postpartum depression, lack of

insurance coverage, paren(ng issues, wellness educa(on, lice educa(on

and breasMeeding guidance. The nurses cared for 21 families in 2014

under the Family Services program.

Community Planning and Par tnerships

Community partnerships increase the CCHD’s capacity to improve the

health of the community and to capture community needs for effec(ve

planning. Many recent sustainable changes have resulted through the

combined efforts of public health partners.

This year was the first full year of implementa(on of the current

Community Health Improvement Plan (CHIP). The Ac(on for Health

Consor(um, facilitated through CCHD’s Division of Health Planning and

Promo(on, monitored and supported the process made in 2014,

highlighted accomplishments and provided direc(on for the year ahead.

The group was also asked to review and accept the objec(ves and tasks

developed to con(nue the work through 2015.

10

Prevent…..Promote…..Protect

Healthy Schools NY

Healthy Schools NY con(nued to support wellness policy development,

revision and implementa(on in twelve school districts across its four

county region. While four new districts were just beginning their

efforts, mul(ple districts received final approval for their policies.

Districts working toward new policies or have approved policies are

showing significant improvement in scores on the WellSAT (Wellness

School Assessment Tool) evalua(on in the areas of strength and

comprehensiveness, showing the benefits of the coordinated technical

assistance provided through the grant program.

WIC

The local WIC program con(nued to capture a large por(on of the

eligible popula(on, placing in the top third of all NYS WIC programs for

this measure. Personalized, family focused service remains a

cornerstone of the local program as it provides nutri(on educa(on and

resources to young families. Outreach efforts through local pharmacies

and pediatric prac(ces also help connect eligible families to the

program’s services.

Obesity Prevention in Pediatric Health Settings

Efforts con(nue to include pediatric prac(ces across three of the four

coun(es served by the regional grant. Throughout the year, staff

worked with provider champions to develop office specific goals and

implement sustainable system changes such as: modifica(on to

electronic medical record templates that beAer capture nutri(on and

physical ac(vity assessment and counseling, crea(ng breasMeeding

friendly spaces for mothers to nurse and ins(tu(ng modifica(on to

office procedures that maximize provider interac(on with families with

a child above the weight recommended for healthy children.

11


Way to Wellville

The Clinton County Health Department was placed in the top ten finalists

in the Way to Wellville, a na(onal compe((on to select five communi(es

to compete over five years for the greatest improvement in five specified

measures of health and economic vitality. As one of the final ten, the

department rallied community stakeholders, decision makers and

residents. A press event and community forum was held to highlight work

accomplished through community collabora(on and the high level of

commitment to public health improvement that exists at the community

level. Although Clinton County did not make the final five, the energy and

enthusiasm generated by this process has carried forward and support for

public health efforts remains high.

Children’s Developmental Service

Families with children with developmental needs are offered services to

help each child grow and develop. Children under the age of three have

their services coordinated through the County’s Early Interven(on Program

while services for children over the age of three are coordinated through

the Preschool Program overseen by the child’s home school district.

Services may include service coordina(on, developmental evalua(ons,

home visits, family counseling , child development groups, special

instruc(on, speech, physical, and other therapies; some(mes help with

transporta(on is provided. These services are provided at no-cost to

families. Each family is ac(vely engaged every step of the way to ensure

their child receives the services he/she needs within the exis(ng family

structure. In 2014, 335 children received Early Interven(on services, and

279 par(cipated in the Preschool Program.

Healthy Plates Project

The Healthy Plates Project is a free, voluntary program which helps local

eateries offer and promote healthy menu choices. This program engages

local food establishments as public health partners and makes it easier for

residents to eat healthy away from home. Four new local eateries were

cer(fied in 2014, including three establishments outside the city of

12


Longest Day of Play

Health Planning and Promo(on strives to design

and pilot new and innova(ve approaches to

public health educa(on. In June 2014, the

Division facilitated Clinton County’s second annual

Longest Day of Play. Capitalizing on the summer

sols(ce, the event aims to encourage families

to get out and play to promote healthy physical

ac(vity. This year, 590 children and adults

par(cipated in ac(vi(es hosted by 22 or

organiza(ons and businesses. Scheduled

ac(vi(es provide an opportunity for residents to

be ac(ve together and try new local op(ons they

can con(nue to take advantage of all year.

Climate Change

Public Health sees the results of climate change through vector-related

diseases; health and water impacts. Health Departments staff

par(cipated in a presenta(on on this topic through the NYS Health

Department Office of Environmental Health to gain an overview of the

issue from a public health perspec(ve. Addi(onal staff have received

more in-depth training on vector-borne diseases, such as foodborne out-

break, triple EEE and Lyme disease.

Responding To Outbreaks

A “Team Approach to Foodborne Outbreak Response” was held for over

40 Health Department staff from Clinton, Essex and Franklin Coun(es,

school and hospital personnel, as well as NYS Health Department

Regional Offices. The training, coordinated by the Clinton County Health

Department, was presented by instructors through the Na(onal Center

for Biomedical Research and Training , Louisiana State University. The

training provided a close-to-home, best prac(ce guidance on dealing

with foodborne illnesses and outbreaks.

13


Food Service Establishment Program

In 2014 the number of food service establishments in the county in-

creased from 441 to 500. The CCHD Environmental Health and Safety

Division (EHS) also completed over 50 inspec(ons on various seasonal

food service opera(ons for church func(ons, volunteer fire depart-

ments and typical not-for-profit events. EHS con(nues to provide

and/or assist with food service trainings for any businesses and/or

not-for-profit groups reques(ng assistance in order to maximize

educa(on regarding food safety for seasonal or special occasion events.

Rabies Prevention Program

The CCHD Rabies program includes the inves(ga(on of animal bite

reports, tes(ng of animal specimens, provides pet vaccina(on clinics

and recommends rabies post exposure prophylaxis for exposed

persons. Ten rabies clinics were held with a total of 2,029 animals

receiving free vaccina(ons in 2014. The United States Department of

Agriculture completed the regional oral rabies vaccina(on bait drop in

August. Eastern and Northern por(ons of Clinton County were treated

as part of the Na(onal Rabies Management Program. Baits were

distributed in a grid paAern via airplane. Approximately one million

baits were distributed for the region.

Seasonal Programs

All children’s and migrant labor camps were switched

over to the New York State safety plan template in 2014.

This move ensured that all children and migrant labor camps

received a pre-opera(onal along with an opera(onal

inspec(on to provide a safer healthier environment.

EHS completed daily inspec(ons of specific fairground

opera(ons; which included inspec(ng water supply, sewage

systems, on-site campground, and trash accommoda(ons. Inspec(ons

also included 15 temporary and mobile food service establishments

opera(ng during fair week.

14


Public Water Program

EHS staff monitored the opera(on, maintenance and water quality of over

200 municipal, community and non-community water systems which included

mobile home parks, restaurants, campgrounds, schools and businesses.

EHS Division Attendance at the Annual Home Show

In March 2014, staff from the EHS Division aAended the

weekend-long Adirondack Builders Home Show at the Crete Civic

Center. As part of this event, EHS Division staff setup a booth to

provides informa(on regarding specific EHS Division programs,

including; Healthy Neighborhoods, ISTS, Private Water Systems,

Lead Poisoning Preven(on, Rabies, Indoor Air Quality. In

addi(on to providing specific program informa(on to over 100

individuals, EHS staff were available to answer ques(ons form

the public during this event.

USDA Presentation and Seminar, Hosted by EHS Division

On December 17, 2014, EHS Division staff organized and hosted a seminar

and workshop provided by representa(ves from US Department of Agriculture,

Rural Development. During the mee(ng, USDA representa(ves and local grant

writers provided a presenta(on regarding poten(al grants and low interest

loan funding opportuni(es for the construc(on of water, wastewater and

infrastructure (building) improvements, repairs, and upgrades as applicable

for municipal, school, church, veteran’s organiza(on and other not-for-profit

facili(es. A total of 30 en((es aAended the day-long seminar.

2014 Adolescent Tobacco Use Prevention Act (ATUPA)

Even though the EHS Division incurred significant staff turnover in 2014,

including three different ATUPA public health technicians implemen(ng

the ATUPA inspec(ons throughout the year, all of the 111 tobacco vending

facili(es in Clinton County were inspected on two separate occasions, thus

achieving the ATUPA Program specific goals and objec(ves for the year. Three

“Vape” (i.e., E-cigareAe) shops opened in the County. These shops will only be

required to post applicable signage and will not be inspected for compliance.

15


Public Health Emergency Response and EHS Assistance

In the early spring of 2014, an early snow thaw and significant rain events

occurred, resul(ng in appreciable storm water runoff in much of the

County. During this weather event, residents in the hamlet sub-division

of Eden Lane, Town of Champlain, no(ced their well water becoming

cloudy along with farm manure odors. EHS staff responded to the

complaints received and iden(fied that the storm water and agricultural

runoff from nearby farm fields were causing bacterial contamina(on of

the private water supply wells in that hamlet. As part of EHS Division

inves(ga(ons, it was determined that the adverse weather condi(ons,

combined with agricultural runoff (including manure) and sep(c system

failures, were causing the elevated bacterial contamina(on in the private

water wells. AOer a three to four month period of (me, surface and

groundwater levels in the regional area dissipated, returning the

opera(on of the private wells in the hamlet to safe use. Based on the

poten(al for reoccurrence of this incident, EHS staff worked with the local

Town, Village and their consul(ng engineer to complete the applica(on

process to obtain future grant and loan funding for water system

improvements, including the future extension of water district to homes

in the subject hamlet. In November 2014, the Town and Village of

Champlain were no(fied that they had received from the NYS

Environmental Facili(es Corpora(on, a grant for $2,000,000 and

low-interest loan funding of $10,000,000 for Water System Improvements

in the Village and Town of Champlain.

16

Statistics, Program and Suppor t Information 2014

Health Care Services Division

* For high risk individuals

** Decreased numbers represent reduced numbers covered by Public Health. Change in NYS Law in 2013 allowed

billing to third party insurers for STI services.

*** Includes Pneumococcal 21 and Prevnar 13 vaccines

2012 2013 2014

Immuniza3ons

Influenza

Pneumococcal

1098

62

657

46

721

43***

Tuberculosis

Pa(ents Enrolled

Clinic Visits

Ac(ve TB Cases (Civilian only)

9

41

1

7

57

1

4

21

0

Prenatal Service: (IPO-Improved Pregnancy Outcome)

Par(cipants

81

83

102

Newborn/Postpartum Visits:

Number of Newborns Referred

Numbers Targeted With Completed Home Visit

683

432

653

291

694

184

Family Service

Referrals

Children with Special Health Care Needs (CSHCN)

16

5

22

7

21

21

Lead Poisoning Preven3on Program

CCHD Children Screened

16

1

4

Early Interven3on Program (EIP)

Number of Referrals

Unduplicated Count of Children

Occupa(onal Therapy

Physical Therapy

Speech Therapy

Special Instruc(on

Visually-impaired Services

Counseling

219

326

40

55

178

108

4

1

202

321

29

37

174

99

1

0

218

335

27

26

130

69

1

0

Preschool Educa3on Program

Number of Referrals

Unduplicated Count of Children on June 1st

Number of Preschool Mee(ngs

250

254

708

219

253

684

236

279

739

Sexually Transmi ed Infec3ons (STI Clinic)

Pa(ent Visits

529

288**

139**

17


Environmental Health and Safety Division

2012 2013 2014

Food Service

Inspec(ons

PermiAed Operators

500

519

430

441

509

500

Motels and Campsites

Inspec(ons

PermiAed Operators

52

52

52

54

52

54

Individual Household Sewage

Systems Approved

141

132

169

Nuisance Complaints

Inves(gated

105

80

93

Rabies Preven3on

Animal Bite Inves(ga(ons

Non-bite Inves(ga(ons

People Receiving Post-Exposure Rabies Shots

Number of Animals Tes(ng Posi(ve for Rabies

Inocula(ons:

Dogs

Cats

Other

Total Inocula(on

250

145

25

7

1,658

969

8

2,635

320

162

24

7

1,455

606

4

2,065

304

239

25

2

1,424

599

6

2,029

Clean Indoor Air Act (Tobacco)

Complaints Inves(gated

Complaints Substan(ated

4

2

1

0

1

0

Water System Inspec3ons

Municipal

Community

Non-community

24

36

148

24

36

155

24

36

116

Migrant Labor Camps

Inspec(ons

PermiAed Operators

13

14

15

14

14

14

Pools and Beaches

Inspec(ons

PermiAed Operators

64

60

59

55

55

55

18


Environmental Health and Safety Division Con3nued….

Notes:

++ Inspec(ons required only every other year, but CCHD oOen inspects more frequently due to co-inspec(on with

water systems

* Tanning facili(es now require inspec(ons and permits per NYSDOH regula(ons, inspec(ons required every two

years

2012 2013 2014

Mobile Home Parks ++

Inspec(ons

PermiAed Operators

38

39

38

39

37

39

Children’s Camps

Inspec(ons

PermiAed Operators

9

9

8

8

9

9

Tanning*

Facili(es PermiAed

Facili(es Inspected

20

10

20

11

19

12

Adolescent Tobacco Use Preven3on Act (ATUPA)

Compliance Checks:

Environmental Staff Only

Staff and Minor

Re-inspec(ons

Number of Operators

Number of Enforcements

113

141

19

104

9

164

172

15

108

2

116

135

8

111

0

Healthy Neighborhoods Program (HNP)

Dwelling Units Contacted

Referrals Received from Agencies

Referrals to Other Agencies

Home-Safe-Home Packets Distributed

Health and Safety Items Distributed

1,388

271

307

408

7,215

1,468

227

224

426

5,831

1,341

402

342

402

7,656

19


Health Planning and Promo3on Division

Notes:

* PHN posi(on open from 8/14-12/14

** Changes in tracking mechanisms implemented, reducing likelihood of repeat of the coun(ng

2012 2013 2014

Professional Educa3on Event

27 22 32

Public Educa3on Events

38

82

48

WIC Clinic Visits

Nutri(on and Cer(fica(on

Food Dollars Expended

WIC High Needs Referrals

8,148

$1,249,898

74

8,084

$1,339,153

61

8,226

$1,166,471

59*

Farmers’ Market Ini3a3ve

Coupons Distributed

Dollars Expended

Food Samples Provided at Market

1,130

$27,120

1,200*

1,000

$24,000

1,515

963

23,112

1,600

BreasFeeding Program

Breast Pumps Distributed

Women Enrolled in Peer Program

% of all Women BreasMeeding at Hospital Discharge

% of WIC Women BreasMeeding at Hospital Discharge

Total Trained Peer Counselors

Total Women Provided Services

127

185

74%

71%

9

1,004

98

147

74.3%

65.9%

6

714

76

171

82%

74%

1

553**

Municipality Tobacco Preven3on Policies Implemented***

Tobacco Free Outdoor Policy

Worksite Tobacco Free Grounds Policy

Community Educa(on & Presenta(on

——-

5

14

3

3

15

1

1

2

Healthy Schools NY (New Program in 2011)

Par(cipa(ng School Districts

Approved Policies

Trainings and CommiAee Representa(on

8

2

24

8

1

31

12

2

36

20

2014 Expenditures

15%

66%

19%

2014 Expenditures

EHS HCS HPP EHS Environmental Health & Safety

Divi sion

HCS Health Care Services

Divi sion

HPP Health Planning & Promotion

Divi sion

15%

63%

22%

2014 Revenues

EHS HCS HPP

EHS Environmental Health &

Safety Division

HCS Health Care Services

Division

HPP Health Planning & Promotion

Division

14% 2%

8%0%

NYSDOE

(Preschool) 12.40%

1%13%

43%

2014 County Funding and Revenues by Source

Grant Insurance/Fees Medicaid Medicare

NYSDOE (Preschool) NYSDOH (EIP) Art 6 State Aid County

****2014 CCHD Actual Operating Budget $10,839,700 (includes grants of $1,539,700)****

21

23

The 10 Essen3al Public Health Services describe the public health ac(vi(es that all communi(es should

undertake. These are:

1. Monitor health status to iden(fy and solve community health problems.

2. Diagnose and inves(gate health problems and health hazards in the community.

3. Inform, educate, and empower people about health issues.

4. Mobilize community partnerships and ac(on to iden(fy and solve health problems.

5. Develop policies and plans that support individual and community health efforts.

6. Enforce laws and regula(ons that protect health and ensure safety.

7. Link people to needed personal health services and assure the provision of health care when otherwise

unavailable.

8. Assure competent public and personal health care workforce.

9. Evaluate effec(veness, accessibility, and quality of personal and popula(on-based health services.

Research for new insights and innova(ve solu(ons to health problems.

10 Essential Public Health Services

24

The Clinton County Health Department

Helping Clinton County Stay Well Since

1955

2014 annual report - clinton county health … files/cchdannualreport2014.pdf& pp l c (˚.t ˘...

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