annual report 2012 - central valley health
TRANSCRIPT
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Angie Allmer - 2 years
Frank Balak - less than 1 year
Marcie Bata - 4 years
Anita Berland - 23 years
Marcia Bollingberg - 28 years
Coralynn Dallmann - 4 years
Tami Dillman - 10 years
Tonya Drenth - 9 years
Deb Fischer - 11 years
Sharon Frey - 5 years
Karena Goehner - 3 years
Julie Hoeckle - 3 years
Robin Iszler - 24 years
Jean Johnson - 24 years
Amy Kinzler - 1 years
Wendy Klett - 20 years
Kali Lautt - 5 years
Annette Niemeier - 21 years
Brenna Opdahl - 2 years
Wanda Opland - 19 years
Beth Schwartz - 11 years
Nancy Neary - 11 years
JoElle Thomas - 7 years
Lynn Walden - 4 years
CVHD Board -
Dr. James Torrance, Chair
Darla Reed, Vice Chair
Heidi Larson
Laurel Haroldson
Dr. Philip Jystad, Secretary
Dr. Ed Anderson
Cindy Schaar
Dennis Ova
Dean Entzminger
CENTRAL VALLEY HEALTH DISTRICT STAFF
Central Valley Health District
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EXECUTIVE SUMMARY
Central Valley Health District
Frank Balak was hired at the end of 2011 and began his role as EPR coordinator
in January 2012. No other staff were hired in 2012. Staffing is adequate to meet
the needs of the programs provided. We continue to review staffing needs and
funding sources planning for succession and changes to program funding.
The main focus in 2012 was the community health assessment process. With
funding from NACCHO, CVHD and our community partners set out to assess the
health status of the community. The intense work throughout the year produced
the following priorities:
COMMUNITY HEALTH PRIORITIES:
Priority One: Obesity and physical activity – Logan and Stutsman Counties
Priority Two: Safe driving (Distracted driving & drunk driving) – Stutsman County
Priority Three: Youth alcohol and tobacco use – Stutsman County
Priority Four: Mental health awareness and suicide – Stutsman County
CVHD and our partners continue to meet and discuss priorities. This work helped the group to
receive funding from BCBS in a recess grant for physical activity. Top issues identified by
community members in Logan County include: availability of good jobs, lack of physical activity
and access to fitness facilities. During the Logan County Interagency Group meeting, the
community’s Horizons Project completion was recognized for its successful completion. The
members would like to continue with this program and develop a community health improvement
plan. The top priority ultimately selected for both Logan and Stutsman Counties is the same.
The next steps in the process will include assignment of goals, objectives and activities to
address the priorities. This process will continue for the next 3-5- years and the group of
community members will work together to help improve the health of the community.
Central Valley Health also continues to work on agency specific goals and planning for its
strategic direction.
Other major accomplishments in 2012 were:
CVHD implemented the Electronic Medical Records program; staff have embraced this
change and the process went smoothly.
CVHD continues to use technology to improve daily operations.
The CVHD website and the Facebook page have been updated to help increase exposure to
the public.
Increased radio and newspaper ads have also provided more public awareness.
We continue to deal with challenges in changing population due to oil impact and other
growth opportunities in the community.
Overall the year was very successful and we look forward to challenges of 2013.
CVHD Administrator
Robin Iszler
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Finance Manager - Tami Dillman
Accountant - Coralynn Dallmann
FINANCES
~ Previous Year vs. Current
Central Valley Health District
Local State Federal Fee/Donation Other* Total
2011 $635,004 $365,129 $1,014,794 $121,000 $262,383 $2,398,310
2012 $709,006 $ 87,702 $ 926,522 $119,123 $319,153 $2,161,506
Program 2012 Budget
Title III & Chronic Disease $99,296
Logan $61,266
Stutsman (with EH) $856,094
MCH $112,729
WIC $93,330
Tobacco $295,295
Family Planning $261,805
Women’s Way $73,951
SART $60,014
PHEP $247,726
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Regional EPR Coordinator - Frank Balak
Regional EHP - Amy Kinzler
Regional PIO - Kali Lautt
Preparedness Activities
CDC yearly Review of Strategic National Stockpile plans
Developed, Reviewed and Updated SEC Regional Plans
Attended Local Emergency Planning Committee Meetings in
Barnes, Logan, Stutsman, LaMoure, and Foster
Participated in the revision of the health and medical portion of the Stutsman County Emergency Management Combined Emergency Operations Plan
Attended State Hospital Preparedness Program Meetings Narrow banding of public safety radios Respirator Fit Testing for all LPHU staff in the SEC Region Trainings NDDoH Evacuation Training NDDoH Environmental Health in Response Training NDDoH HC Standard Training NDDoH PIO and Communications Training CDC Community Assessment for Public Health Emergency Response Training (CASPER) CDC Mass Antibiotic Dispensing, Public Information and Communication Training CDC Strategic National Stockpile Preparedness NEHA Environmental Health Training in Emergency Response TRANSCAER Anhydrous Ammonia Training Crisis and Emergency Risk Communication certification obtained DES Interoperable Radio Communications Training Enhanced Threat and Hazard Identification and Risk Assessment (THIRA) Hospital Preparedness Conference
Exercises
Participated in LaMoure LEPC Table Top Exercise
Participated in NDDoH Community Preparedness and Recovery Table Top Exercise
Participated in Jamestown Regional Medical Center Table Top Exercise
Observed a Fargo Nursing Home Evacuation Exercise and Bismarck POD exercise Participated in tabletop exercise in Devils Lake regarding neighborhood evacuation due to flooding
Outreach Activities
Preparedness Booth at Jamestown College Block
Party
Preparedness Booth at the Jamestown State
Hospital Health Fair
Developed Winter Survival Kit handouts that were
distributed via Dominos, Pizza Hut, and Papa
Murphy’s on to-go orders
PUBLIC HEALTH EMERGENCY PREPAREDNESS
Central Valley Health District
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ENVIRONMENTAL HEALTH
Director - Marcie Bata
Environmental Health Practitioner - Amy Kinzler
Central Valley Health District
2011 -2012 Comparison Consultations
Central Valley Health District’s
Environmental Health Division
provides a variety of Environmental
Health Services to the Southeast
Central Region of North Dakota.
The Region includes the following
counties; Barnes, Dickey, Foster,
LaMoure, Logan, McIntosh, Stutsman
and Wells.The Environmental Health
Division licenses and/or inspects the
following types of facilities.
In addition to licensing/inspection of facilities,
consultations are provided. These consultation
services vary from responding to complaints
received to providing education in many service
categories such as social services, nuisances, and
radon.
On-site Sewage Treatment Systems are permitted
and/or inspected by the Environmental Health
Division. Septic installer licensure and consultations
regarding systems are also provided through the
division.
In 2012 the Environmental Health Division
added school health and safety inspections
to the list of services offered. This annual
inspection of the entire school facility was
added to provide a resource to the schools
in the region regarding sanitation issues.
Additionally in 2012, the Division made some
significant changes to its website, providing
easier access to regulations and other highly
requested general environmental health
information.
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Central Valley Health District
Director - Kali Lautt,
Nurse Practitioner - JoElle Thomas
Administrative Assistant - Lynn Walden
Affordable Care Act & Title X
Title X is complemented but not replaced by the Patient Protection and Affordable Care Act (ACA). According to the Institute of Medicine, “Title X’s mission is to provide grants to public or nonprofit private entities to support programs that provide contraceptive services and broadly promote reproductive health.”
The Affordable Care Act requires new insurance plans to cover preventative visits. However, a portion
Family Planning Activities
Health Education Classes at Schools and Community Locations — 267 participants
HIV Tests — 196
Lipid Screens — 33
FAMILY PLANNING
The Central Valley Family Planning Program has been providing reproductive health services (Title X) since 1970. The program assists men and women to understand and take responsibility for their reproductive health through education, counseling, and medical services. Of the men and women receiving reproductive health services in 2012, 83% were 250% or more below the federal poverty level and 47% were uninsured (no public or private health insurance).
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Central Valley Health District
NURSING SERVICES
Title III
2384 appointments
Injury Prevention
933 Education Program contacts
Car Seats
8 installed
6 car seats distributed
Flu Shots All Ages
3395
Other Vaccinations for All Ages
465 all ages
All-County School Based Flu Shots
743
School Nursing
2140 contacts all county schools
284 Logan
Newborn Visits
117 contacts
Logan County Nursing Contacts
992 contacts
James Valley Career and Technology Center
150 students
Public Health Nurses
Marcia Bollingberg - DoN
Angie Allmer
Deb Fischer
Sharon Frey
Karena Goehner
Wendy Klett
Annette Niemeier
Brenna Opdahl
Wanda Opland
Jean Johnson, Logan County
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Tobacco Prevention Director -
Nancy Neary
Tobacco Prevention Outreach
Coordinator - Julie Hoeckle
New Referrals, 21
New Enrollees,
10Completed Classes, 9
Active Participants,
21
The Baby and Me
Program of Stutsman
County has positively
affected 54 babies as
their mother’s attended
cessation sessions, with
women reducing
smoking habits, quitting
smoking, and/or
remaining smoke free.
TOBACCO PREVENTION AND CONTROL PROGRAM
BABY AND ME PROGRAM
NORTH DAKOTA IS SMOKE FREE
North Dakota Quitline and Quitnet
Help ND Residents Quit Smoking
In November 2012, 67% of North Dakota voters – consisting of a majority in every single county and legislative district of the state – passed Measure 4, creating smoke-free workplaces and protecting all North Dakotans from the dangers of secondhand smoke. The number of North Dakotans who support the Smoke-free Law, since its implementation only three months ago on December 6, 2012, has risen to 72%. In addition, 71% of North Dakotans polled responded that they find going out to restaurants and bars more enjoyable now that smoking is prohibited.
2010-2011 2011-2012
123
143
Stutsman County Quitline Participants
2010-2011 2011-2012
52
71
Stutsman County Quitnet Participants
Health Educator - Julie Hoeckle
Central Valley Health District
0 10 20 30 40
Logan
Emmons
KidderLaMour
eMcIntos
hLogan
2011-2012 13 20 35 9 5
2010-2011 17 16 22 2 5
Total Usage of NDQuits and Quitline
2008 - 2012 TOTALS
Total Referrals 95
Total Enrollees 49
# Completed all 4 Sessions 46
# Smoke Free at Birth 44
# Smoke Free until baby was 3 months 39
# Smoke Free until baby was 6 months 31
# Smoke Free until baby was 9 months 25
# Smoke Free until baby was 12 months
(19)
Number of Graduates 19
Gift Certificates Distributed 348
Number of Babies Benefitting from Program
56
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The CVHD WIC program serves an average of 444 individuals
per month for Stutsman and Logan counties combined.
Coordinator - Deb Fischer
SANE Nurses - Robin Iszler, Brenna Opdahl, Julie Hieggelke, JoElle Thomas,
Tonya Busch, and Angie Allmer.
WIC & MCH PROGRAMS
SART PROGRAM
Director - Anita Berland Nutrition Educator - Julie Hoeckle
Administrative Assistant - Beth Schwartz
SANE— SEXUAL ASSAULT NURSE EXAMINER
Victim Services Provided - 13
Counseling Services - 3
Crisis Intervention - 3
Forensic exams - 4
Hospital/clinic/other medical responses - 3
Central Valley Health District
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WOMEN’S WAY PROGRAM
Coordinator - Deb Fischer Administrative Assistant - Tonya Drenth
FISCAL YEAR 2011 — 2012
CVHU Screening Goals versus
Actual Women Screened/Re-Screened
CVHU = 92% of Total Goal
Central Valley Health District
257
236
248
225
230
235
240
245
250
255
260
Fiscal Year2011 - 2012 Goal
Actual WomenScreened
Number of Enrollees
Women's Way FY 2011-2012