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Presented by: Richard Whitley, Administrator
Dr. Tracey Green, Chief Medical Officer
Division of Public and Behavioral Health
Public Health Overview
Brian Sandoval Governor
Romaine Gilliland
Director
Richard Whitley, MS Administrator
Tracey D Green, MD
Chief Medical Officer
Assembly Committee Health and Human Services
February 23, 2015
Division of Public and Behavioral Health
Division Operations
3
Regulatory &
Planning
Services
Clinical
Services
Community
Health
Services
Administrative
Services
Division of Public and Behavioral Health
Nevada’s Health Care System
5
Health Care System
PERSONAL HEALTH
PUBLICHEALTH
CLINICIANS FACILITIES
REIMBURSEMENTGEOGRAPHIC
REGIONS
Division of Public and Behavioral Health
REGULATORY & PLANNING SERVICES
These programs: improve Nevada’s public health infrastructure in order to be better prepared to respond to public health emergencies; bring medical resources to the state’s health professional shortage areas; license, regulate and inspect health facilities and child care facilities; provide for the registration and permanent custodianship of birth and death records in the state; and review and process Certificate of Need applications. In addition, the Primary Care Office works to improve access to health care under the Affordable Care Act, and the Radiation Control program regulates radioactive materials. Finally, the Nevada Marijuana Cardholder Registry issues individual medical marijuana cards and Medical Marijuana Establishment program evaluates and regulates medical marijuana dispensaries and other medical marijuana establishments.
6
Division of Public and Behavioral Health
Regulatory & Planning Budget Accounts
7
3149 Child Care Services
3216 Health Facilities Hospital Licensing
3235 Emergency Medical Services
3101 Radiation Control
3152 Radioactive Waste Fund
4547 Marijuana Health Registry
3190 Health Statistics and Planning
3218 Public Health Preparedness Program
Division of Public and Behavioral Health
Health Facilities Hospital Licensing & Certification
8
CMS Certified & State Licensed Medical
FacilitiesType YTD 2015
Hospital HOS 48
Rural Hospital RUH 16
Skilled Nursing SNF 53
Intermediate Care ICF 3
Intermediate Care Developmentally Disabled IMR 7
Ambulatory Surgery ASC 66
Renal Dialysis ESR 47
Home Health HHA 152
Home Health Branch HBR 7
Home Health Sub-Unit HSB 2
Hospice Program HPC 53
Hospice Facility HFS 5
Rural Health Clinic RHC 12
Medical Laboratories 1301
1772TOTALS
Total Number of Healthcare Facilities & Laboratories State Licensed Only Type YTD 2015
Independent Emergency Care ICE 1
Nursing Pool NSP 36
Adult Day Care ADC 18
Group Care AGC 259
Group Care Alzheimer's AGZ 96
Home for Individual Care HIC 150
Community Triage CTC 2
Modified Med-Detox MDX 2
Narcotic Treatment NTC 11
Alcohol/Drug Treatment ADA 20
Halfway House HWH 10
Transitional Living TLF 6
Personal Care Services with Intermediary
Service OrgPCO 16
Personal Care Service (PCS) PCS 162
Intermediary Services Organization (ISO) ISO 1
Medical Laboratories 50
Referral Agency BPR 2
TOTALS 842
Professional Licenses YTD 2015
Dieticians 478
Music Therapists 12
Medical Laboratory Personnel 11,927
TOTAL 12,417
Total Number of Occupational Licenses State Permitted Only Type YTD 2015
Outpatient Facility (includes permitted physician offices) OPF 47
47
CMS Certified Only Type YTD 2015
Portable Xrays Suppliers 8
Physical/Speach Therapy 21
Comprehansive Outpatient Rehabilitation 10
39TOTALS
TOTALS
Division of Public and Behavioral Health
Emergency Medical Systems (EMS)
9
EMS Providers Certified EMS Providers Type YTD 2015
Driver DRV 57
Emergency Medical Responder EMR 399
Emergency Medical Technician EMT 1219
Advanced Emergency Medical Technician AEMT 1033
Paramedic MEDIC 744
TOTALS 3452
Licensed Type YTD 2015 EMS Providers with ambulance attendance license ATL 2141
TOTALS 2141
Permitted EMS Agencies Type YTD 2015
Ground Agencies GRO 45
Air Agency AIR 18
TOTALS 63
EMS Endorsements
Professional Endorsements YTD 2015
Immunizations (Est) 700
EMS Instructor 496
Critical Care Paramedic 20
TOTAL 1,216
EMS Units
EMS Units YTD 2015
Ground 233
Helicopter 17
Fixed Wing 23
Other (non-transport) 34 TOTAL 307
Division of Public and Behavioral Health
Radiological Health
10
REGULATED MEDICAL ENTITIES
RADIATION PRODUCING MACHINE FACILITIES Type YTD 2015
CHIROPRACTIC CHIR 137
CLINIC CLIN 663
CORONER CORONER 2
CT/PET CT/PET 4
DENTAL DENT 1726
FLUOROSCOPY FLUO 15
HOSPITAL HOSP 211
LINEAR ACCELERATOR LINAC 4
PODIATRY PD 36
PHYSICIAN PHYS 26
TOTAL 2824
MAMMOGRAPHY FACILITIES Type YTD 2015
MAMMOGRAPHY FACILITIES MAMMOFAC 67
TOTAL 67
RADIOACTIVE MATERIAL MEDICAL FACILITIES Type YTD 2015
GAMMA KNIFE GAMMA KNF 1
HDR HDR 7
MFG/DISTRIBUTION MFG/DIST 2
NUCLEAR MEDICINE NUC 61
NUCLEAR PHARMACY NUC PHARM 4
THERAPY THERAPY 7
NUCLEAR MEDICINE- MOBILE NUC MOBILE 3
NUCLEAR MEDICINE/ THERAPY DIAG/ THERA 28
TOTAL 113
MAMMOGRAPHY TECHNICIAN
MAMMOGRAPHY TECHNICIAN YTD 2015
MAMMOGRAPHY TECHNICIAN 323
TOTAL 323
Division of Public and Behavioral Health
COMMUNITY SERVICES The Community Health Services Branch of the Division has a mission to improve the public and behavioral health in Nevada through the application of population-based health promotion programs, policies, and strategies. This is achieved through transparent and open communication, funding resources, technical assistance, and training for service providers and public health providers.
The following programs partner within this branch: Office of Public Health Informatics and Epidemiology, the Bureau of Child Family Community Wellness, the Chief Biostatistician, the Substance Abuse Prevention and Treatment Unit integrating with Mental Health grant management and community development, Environmental Health Services and quality improvement.
11
Division of Public and Behavioral Health
Community Services Budget Accounts
12
3222 Maternal Child Services
3213 Immunization Program
3215 Communicable Diseases
3220 Chronic Disease
3214 Women, Infant & Children (WIC)
3153 Cancer Control Registry
3219 Biostatistics and Epidemiology
3194 Consumer Health Protection
Division of Public and Behavioral Health
Local Health Authorities
13
Southern Nevada
Health District
• Clark County
Washoe County Health District
• Washoe County
Carson City Health and Human
Services
• Carson City
Rural Health Services
• Churchill County • Douglas County • Elko County • Esmeralda County • Eureka County • Humboldt County • Lander County • Lincoln County • Lyon County • Mineral County • Nye County • Pershing County • Storey County • White Pine County
Division of Public and Behavioral Health
Contacts
14
Richard Whitley Administrator
rwhitley@health.nv.gov 775-684-4200
Dr. Tracey Green Chief Medical Officer
tgreen@health.nv.gov 775-684-3215
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