2014

Annual

Report

Shawano-Menominee Counties

Health Department

3

3

Dear Chair Erdmann, members of the Shawano and Menominee County Boards, Board of Health, and citizens of Shawano and Menominee Counties, Shawano-Menominee Counties Health Department (SMCHD) presents the 2014 Annual Report. Our Annual Report provides insights into the programs and services we provide as

well as the ways we work with our communities to make Shawano and Menominee Counties healthier places to live. We are proud of the work we have accomplished in the last year including; completing the required documentation for National Public Health Accreditation, developing and implementing a performance management system, and completing a comprehensive Community Health Needs Assessment. One of our biggest achievements was receiving Level II status after successfully completing the State DHS 140.07 (4) Review for local health departments. This review takes place every five years for health departments in Wisconsin to ensure we are compliant with public health related state statutes. As we move forward in 2015, we are excited to continue our work in Strategic Planning and the Community Health Improvement Planning Process. One of our core responsibilities is to be a leader in identifying major threats to our communities’ health now and in the future. Many of these threats can be seen in the news today; communicable disease outbreaks such as measles or influenza, environmental factors such as contaminated wells, or changes in population health overtime such as increasing obesity and diabetes rates. Our ability to address and prepare for these threats is key to fulfill our mission; assure the health of Shawano and Menominee Counties by promoting healthy lifestyles, preventing illness and disability, and protecting communities. Like last year, this year’s report will highlight and emphasize the 10 Essential Public Health Services and link our local department efforts to the state health plan, Healthiest Wisconsin 2020. We strive to connect what we do locally to our larger state and national public health systems as well as put our efforts into the “bigger picture” of health for our communities now and in the future. I want to thank the Board of Health for their continued support and dedication to public health. I also want to acknowledge our dedicated community partners who share our efforts in preventing illness, promoting healthy lifestyles, and protecting our communities. Our vision continues: Healthy People in Healthy Shawano and Menominee Counties! Sincerely,

Jaime Bodden, MPH MSW Director/Health Officer

Message from the Health Officer

4

4

Staff and Board of Health 4

Agency Goals / Strategic Planning 6

Accreditation 7

Partnerships and Coalition Work 8

Communicable Disease 9

Immunization and Vaccination 10

Environmental 11

Healthy Smiles 12

Lead Prevention 13

Dual Protection Clinic 13

Preparedness 14

School Nursing 15

UW Population Health Fellowship 15

Wisconsin Well Woman Program 16

Women, Infants and Children 16

Financial 17

Organizational Chart 18-19

Table of Contents

Vision:

Healthy people in healthy Shawano and Menominee Counties

Mission:

Assure the health of Shawano and Menominee Counties

by promoting healthy lifestyles, preventing illness and disability,

and protecting communities.

5

5

Shawano-Menominee Counties Health Department

Board of Health Members

Jon Zwirschitz, Chairman Anthony Waupochick, Vice Chair

Dr. Kevin Culhane Deb Lidbury, RN

Ray Faehling Rudolph Reiter

Sue Giese

Public Health Staff

Jaime Bodden, Health Officer Debby Zernicke, Public Health Nurse Supervisor

Kris Labby, Public Health Nurse Judith Sengstock, Public Health Nurse

Megan Suehring, Community Health Educator Deb Zeitler, Medical Administrative Assistant

Brianna Olson, Fiscal Clerk Linda Burrack, Dental Hygienist

WIC Program

Linda Waggoner, WIC Director Sami Kohn, Nutrition Educator

Sue Hansen, Clinic Outreach Specialist

6

6

Essential Public Health Services

Core Function 1 – Assessment

Monitor health status to identify community health problems

Diagnose and investigate health problems and hazards in the community

Core Function 2 – Policy Development

Inform, educate, and empower people about health issues

Mobilize community partnerships to identify and solve health problems

Develop policies and plans that support individual and community health efforts

Core Function 3 – Assurance

Enforce laws and regulations that protect health and ensure safety

Link people to needed personal health services and assure the provision of

health care when otherwise unavailable

Assure a competent public health and personal healthcare workforce

Evaluate effectiveness, accessibility, and quality of personal and population-

based health services

Core Function 4 – System Management

Research for new insights and innovative solutions to health problems

Goals 1. Improve Health Across the Lifespan 2. Eliminate health disparities to achieve

health equity Overarching Focus Areas 1. Health Disparities 2. Social, economic, and educational

factors that influence health

Health Focus Areas 1. Alcohol and Other Drugs 2. Tobacco 3. Chronic Disease 4. Communicable Disease 5. Environmental and Occupational

Health 6. Growth and Development 7. Injury and Violence Prevention 8. Mental Health 9. Nutrition 10.Physical Activity 11.Oral Health 12.Reproductive and Sexual Health

Healthiest Wisconsin 2020

7

7

Agency Goals & Strategic Plan

The health department’s strategic plan serves as a five-year tool designed to direct internal efforts in developing and maintaining services and programs. First created in 2011 and then revised in 2013, the department’s strategic plan highlighted areas which staff wanted to focus effort in enhancing our ability to address our communities’ health needs. Goal #1: Provide High-Quality Public Health Services

Objective 1: Engage community partners to improve the health outcomes of Shawano and Menominee County residents

On-going: Department membership and participation in CHAT, Menominee Community Engagement, Healthy Families Coalition, ROADS and other local and regional groups Completed: Conduct a Community Health Assessment (CHA) with community partners

Objective 2: Engage the health department staff in accreditation application preparations Completed: All staff secures documentation for measures criteria Completed: All staff received Cultural Competency Training through the ‘Bridges Out of Poverty’ Training

Objective 3: The Shawano-Menominee Counties Health Department will become Public Health Accreditation Board (PHAB) accredited by 2014.

Completed: On track to meet our target site visit date in early fall 2014. Documentation must be submitted by November 13, 2014.

Goal #2: Maximize Health Resources and Infrastructure

Objective 1: Evaluate and continuously improve the health department processes, programs, and interventions

Completed: Office protocols created upon move to new location On-going: Develop a performance management system, conduct performance management

and workforce development training and evaluation Completed: Develop and implement a Department Performance Management Plan and Work

force Development Plan On-going: Conduct at least 5 Quality Improvement Projects Objective 2: Enhance the use of technology to improve efficiency and storage capacity. Completed: Acquired scanner to maintain compliance with accreditation documentation protocol Completed: Acquired Mondopad and trained staff to utilize for Board of Health meetings, staff

meetings, group webinars, and vendor training. Goal #3: Strengthen Public Health Communication, Promotion, and Outreach Objective 1: Inform and educate about public health issues, functions, and policies or laws with public health impact. Completed: Use of multi-media outlets for health information and promotion Completed: Create a schedule of recurring health department events and obligations As the health department moves forward and incorporates tools and skills developed through the accreditation process, we look forward to our next strategic plan coming in 2015!

Essential Services: Assure

competent workforce, Develop

policies and plans

Healthiest WI: Public

Health Capacity, Workforce

that promotes health

8

8

National PHAB Accreditation

Improving and protecting the health of the public by advancing

quality and performance of all health departments in the country

What is Accreditation Accreditation is a measurement of accountability and performance against a set of nationally recognized, practice-focused and evidence-based standards. The goal of the voluntary accreditation program is to improve and protect the health of the public by advancing the quality and performance of local public health departments. Upon a successful site review, we will join an elite group of only 67 health departments nation-wide hav-ing achieved national accreditation. Impact of Achieving Accreditation The Public Health Accreditation Board (PHAB) accreditation process seeks to advance performance within public health departments. Through continuous quality improvements, the accreditation process supports our health department to improve service, value, and accountability to stakeholders which aligns with all 10 essential public health services. With the current economic climate and limited funds and resources, accreditation and quality improvement can make our agency function more efficiently while maintaining the integrity of our work. Outcomes Accreditation aligns with all ten essential public health services and these Healthiest Wisconsin 2020 focus areas: Access to High-Quality Health Services, Public Health Capacity and Quality, Collaborative Partnerships for Community Health Improvement, and Diverse, Sufficient and Competent Workforce that Promotes and Protects Health.

History in the making!

Judy, Accreditation Coordinator for the Shawano-Menominee Counties Health Department hits “submit” for accreditation on November 13, 2014. The National PHAB site review is scheduled for June 11-12, 2015.

9

9

Partnerships and Coalition Work

Community Health Action Team (CHAT) CHAT works to build Shawano and Menominee Counties into safe and healthy environments to live, work, and play. Coalition members include health care providers, service agencies, faith groups, government entities, business leaders and community organizations. SMCHD staff members provide leadership and public health expertise on CHAT projects. In 2014, CHAT worked on a number of projects including school hours, AODA in the workplace, and alcohol policy. They also supported a local AODA workgroup in promoting an alcohol awareness campaign. Shawano County Committee on Wellness Shawano County’s Committee on Wellness (COW) is an internal steering committee that promotes a culture of health and wellness among Shawano County employees. Its vision is that Shawano County employees and families will im-prove their health status by adopting positive health behaviors. In turn, this will reduce costs associated with illness and chronic disease. COW had busy 2014. After conducting an employee survey we added several wellness programs including healthy lunch days, afternoon healthy snacks, stress buster massages, and weight loss challenges. We even had a record number of employees complete Personal Health Assessments in summer of 2014. COW will continue to support the health and wellness of county employees in 2014 by maintaining its focus on physical activity as well as weight manage-ment and increasing energy levels. 2014 COW members included: Ray Faehling, County Board representative; Judy Kressin-Reindl, Community Programs; Liz Reissman, Jail,; Holly Konitzer, Social Services; Julia Kratzke, Finance; Tom Madsen, Administration; Dave Poffin-barger, Technology Services; John Gutho, Sheriff’s Department; Megan Suehring and Jaime Bodden, Public Health. Healthy Families Coalition Our Mission: Promote the health and safety of Shawano County Families. Our Vision: Healthy and Safe Families in Shawano County.

The Healthy Families in Shawano County Coalition is made up of community partners all working towards improving the health and safety of Shawano County families. Animal bite prevention programs in schools and car seat installations throughout the community were two direct activities conducted in 2014 that focused on safety and injury prevention. An exciting project in its infancy stage is the creation of a dedicated resource database where Shawano County residents could seek information on resources, programs, and services that would enable them and their families feel supported and connected. Ultimately, the vision of the coalition is to establish a Shawano Resource Center where people could go to obtain help and guidance regarding any and all topics related to family health, safety, and well being. Student Interns and Student Nurses We are proud to provide unique community health learning experiences including, but not limited to, disease prevention and control, health promotion, and population-based health, for students from Bellin College-School of Nursing, UW-GB, UW-Oshkosh, and UW-Madison Nursing programs, and the Wisconsin AHEC program. We believe our commitment to provid-ing students opportunities to shadow and participate in the components of public health nursing practice will assist them in choosing public health nursing as a potential career goal. It may also provide them with an enhanced realization of the importance of coordination with and referral to public health if they choose another field of health care.

Essential Services: Mobilize Community

Partnerships, Research for new insights

Healthiest WI: Eliminate

Health Disparities,

Collaborative Partnerships,

Improve Data Use

10

10

Communicable Disease

Communicable disease prevention and control is the cornerstone of public health, and as a result, measures to prevent and control communicable diseases are constantly occurring within the health department. Wisconsin has a total of 76 reportable infectious diseases and numerous non reportable infectious diseases. When a Shawano or Menominee County resident is confirmed with or suspected of having one of these diseases, it is essential that the public health nurse identify, investigate, educate,

and at times initiate interventions such as isolation and quarantine, administration of medication prophylaxis and/or provision of immunizations to help prevent or reduce further transmission of the disease. Ebola, Enterovirus D68, and Measles, three diseases that emerged in 2014, are reminders of our continued vulnerability to communicable diseases. Even though these diseases are not new, their occurrence caused alarm and concern. The role of the health department, even if no cases are identified in the county, is to assist in keeping health care providers current with the Centers for Disease Control and Prevention (CDC) and the Wisconsin Division of Public Health (WDPH) recommendations for surveillance, identification, testing, and treatment.

In addition, it is important to educate the public on what to be aware of regarding who is at risk, transmission, and signs and symp-toms to watch for with each specific disease. Shawano County had a total of 387 communicable disease reports in 2014 and Menominee County had a total of 97 communicable disease reports in 2014. All of these reports must be investigated to determine if they are a confirmed, probable, or suspect case, or not a case at all depending on clinical and laboratory findings.

99

21 19 16 1510 8 8 6 6 6

2014 Shawano CountyTop Reportable Diseases

50

84 2 2 2

2014 Menominee County

Top Reportable

Diseases

Healthiest WI: Communicable Diseases,

Reproductive and Sexual Health

Essential Services: Monitor Health

Status, Diagnose and Investigate

11

11

The importance of immunizations has never been more evident than in December of 2014 when measles began making a strong comeback in the United States due to a large multi-state out break.. It is always better to prevent a disease than to treat it after it occurs. Immunizations not only save lives, they protect communities. Public health nurses administered 1,340 vaccinations to infants, children, teens and adults in

2014. This number includes 753 doses of seasonal influenza given in fall. We hold 3 scheduled immuniza-tion clinics monthly in Shawano. In addition, we coordinate with the WIC program to provide any Infant or child attending the WIC clinic any needed immunizations during the same appointment for parent convenience. A $5.00 administration fee is requested per vaccine from all non-Medicaid clients. Adult seasonal flu vaccine was administered for a $35.00 fee. Since October 2012, local health departments have been restricted in providing immunizations to only those individuals who have no insurance, whose insurance does not cover immunizations, who qualify for Medicaid, or are Native American or Alaska Native. An exception to this policy change is granted for pertussis containing vaccines and children’s influenza vaccine. Even though we are unable to vaccinate certain populations as a result of their insurance coverage, we

strive to assure that all individuals have their needed immunizations by being strong community advocates for vaccinations and partnering with medical providers in the community as a resource.

Immunization and Vaccination

4710

2679

1945

1278 1340

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

1

Number of ImmunizationsAdministered

2010 2011 2012 2013 2014

1375

987

609

242 294

1297

657

352232 224

2038

1035 984

804 822

2010 2011 2012 2013 2014

Number of Vaccinations by Age Group Infant/Child

Adolescent

Adult

Essential Services:

Monitor Health, Enforce

laws and regulations

12

12

Environmental

Throughout the year, SMCHD receives a variety of environmental complaints and questions regarding mold, sanitation, vermin and vector infestations, and air, water, food quality concerns. Complaints and referrals come from a variety of sources including tenants and landlords, customers, neighbors, other

professionals, and employees. In 2014, SMCHD responded to 45 environmental complaints. Complaints occurred year round, with the bulk of complaints occurring in late winter and summer. Water quality, mold, and housing complaints were the most common. Depending on the type and the severity of the complaint and issue, the health department may conduct an environmental human health hazard investigation. If human health hazards are found, department staff work with

property owners to abate these hazards. Hazards could be from materials used in older homes such as asbestos or could be found in the environment such as a chemical waste site. In 2014, the health department received 6 complaints regarding food and restaurant establishments. Since the department has no sanitarian, these complaints are referred to the state sanitarians who conduct the inspections in our jurisdiction. In addition to respond-ing to complaints, SMCHD offers water testing kits for private wells. These kits test for natural fluoride content as well as harmful substances that can be found in water including lead and arsenic. Water testing is free for families with newborns. SMCHD also offers radon test kits to the public for a small fee.

Essential Services: Diagnose

and Investigate, Enforce Laws

13

13

Healthy Smiles

MISSION: To improve access to and provide preventative dental care for children of low-income families in Shawano County Dental decay (cavities) is the most common chronic childhood disease. Despite advances in prevention, some children still suffer and can miss school due to dental pain and infection. Impact Shawano County Healthy Smiles provides school-based dental sealants, an evidence-based strategy for preventing cav-ities. The goal of Shawano County Healthy Smiles to provide oral health education and direct care, while promoting pre-ventative dental care access for Shawano County children, especially children in need, such as low-income families, farming families with high insurance deductibles, and children requiring access to dental care. Our 2014 program target-ed all second-graders within Shawano County: Birnamwood, Bonduel, Bowler, Gresham, Shawano, Tigerton, and Wittenberg. Benefits/Outcomes Local dentists volunteer their time to screen children, evaluate oral healthcare needs and prescribe sealant placement and/or referrals. With parental consent, dental hygienists apply fluoride varnish treatments or place sealants on first permanent molars. If teeth are infected or have significant decay, those children are referred for urgent care and early restorative needs.

Funding Utilizing grant funding from Seal-a-Smile and the Wisconsin Dental Association to deliver school-based service, with addi-tional funding secured through Medicaid claim reimburse-ment, SCHS has provided a dental sealant and fluoride pro-gram since 2008. Local organizations are also important fi-nancial contributors. Shawano County Healthy Smiles works under the fiscal man-agement umbrella of the health department. Evidence-based practices and quality improvement goals are included in the SMCHD performance management plan for accreditation. Judy Sengstock. BSN, RN, is the fiscal agent for SCHS and Accreditation Coordinator for the

SMCHD. Other services provided by SMCHD include: Medicaid/BadgerCare billing, grant writing, web and Facebook maintenance and support services.

Sealant placement

Linda Burrack, RDH, SCHS Coordinator, implements the school-based fluoride/sealant program and provides case management, re-

tention checks and referral services for high-risk children.

462

380

169

79

158

42

190

2013-2014 Healthy Smiles Data

2nd Grade Enrollment Education

Screened Sealants

Fluoride Varnish Referrals

3rd Grade 2nd Varnish

Essential Service: Link people

to health services

Healthiest WI: Oral

Health, Eliminate

Health Disparities

14

14

Lead Poisoning Prevention

Our Health Department’s lead poisoning prevention program continued efforts in 2014 toward these goals:

Offering blood lead testing services for children at risk, thus providing convenient access to lead screening Educating families about lead hazards when children have elevated blood lead levels Investigating lead hazards in children’s environments and enforcing regulations about hazard abatement where appropriate.

Our Health Department childhood lead poisoning prevention program is funded primarily through state grant funds.

In 2014, our staff tested 172 children during WIC certification visits. We also gathered reports of blood lead tests done at private and tribal clinics. A public health nurse contacts every family of children with blood lead results of the reference level of 5mcg/dl or more, so that action can begin early to prevent long term learning and behavioral effects. When lead hazards are identified and short term controls are put into place quickly, children’s blood lead levels decrease by the time of their next scheduled blood test, impacting their long term health and educational achievement.

Children Living In:

Total Blood

Lead Tests

Done In 2014

Number

Elevated

³5mcg/dl

Menominee County 152 3

Shawano County 387 9

In August 2014, the Board of Health approved the initiation of a Dual Protection Clinic. Dual Protec-tion consists of providing services to protect individuals from unintended pregnancies and sexually transmitted diseases. Clinics are held the 1st and 3rd Tuesday of every month and the department participates in the annual Get Yourself Tested (GYT) Campaign. Basic reproductive health services are provided including early pregnancy testing, timely access to insurance coverage, timely perinatal care, dual protection services and supplies, and testing and treatment for sexually transmitted diseases. These services contribute to women’s health, healthy birth outcomes, healthy birth spacing, and communicable disease. Education is a major focus of this program.

Dual Protection Clinic

Healthiest WI:

Environmental and

Occupational Health

Essential Services: Diagnose and

Investigate, Enforce Laws and

Regulations

15

15

Preparedness Essential Services: Mobilize

community partnerships, Develop

policies and plans

Public Health Preparedness Capabilities 2014 · National Standards for Local Planning Public health threats are always present. Whether caused by natural, accidental, or unintentional means, these threats can lead to the onset of public health incidents. Being prepared to prevent, respond to, and rapidly recover from public health threats is critical for protecting and serving the residents of Shawano and Menominee Counties. Through funding and technical assistance, the Centers for Disease Control and Prevention (CDC) assists in ensuring that we are prepared for these incidents. The CDC began a systematic process in 2011 to define a set of fifteen public health preparedness capabilities to guide local health departments with strategic planning. These capabilities ultimately assure safer, more resilient, and better prepared communities. Impact Training is essential for responding quickly to save lives, reduce danger and control panic. A healthcare coalition exercise, “It’s a Twister”, held in March 2014 tested our capabilities for emergency operations coordination, information sharing, responder safety and health, and fatality management. The health department staff has completed National Incident Management System (NIMS) training, a nation-wide system for responding to emergencies. NIMS provides a structure for all emergency responders to work together in a coordinated fashion. The system provides a clear chain of command and response procedures so communications are quick, clear and accurate. Outcomes During the first half of 2014, SMCHD addressed three capabilities:

Community Preparedness ○ Responder Safety and Health ○ Fatality Management During the second half of 2014, SMCHD began work on three new capabilities:

Community Recovery ○ Non-Pharmaceutical Interventions ○ Fatality Management Staff attended “Psychological First Aid – Helping Others in Times of Stress”, hosted by the American Red Cross and “Disaster Behavioral Health: Providing a Psychological Supportive Response to a Disaster”, hosted by DHS and the CDC. Lessons learned about Responder Safety and Health and Community Recovery will guide us to develop plans for a Family Assistance Center which may be activated with partnering community stakeholders in an emergency. In the event of a public health threat resulting in several casualties, the MSEP team began to assess Fatality Management capabilities and challenges. Menominee Shawano Emergency Planning (MSEP) partners include Menominee County Emergency Management, Menominee Tribal Emergency Management, Stockbridge-Munsee Emergency Management, Shawano County Emergency Management and the Shawano-Menominee Counties Health Department. This team also works with regional partners on fatality management. Community Preparedness messaging gaps advanced our public information and warning capabilities. Staff attended the CDC-hosted “Wisconsin Crisis Emergency and Risk Communication” training. MSEP prepares joint message maps in advance for prompt response in an emergency.

Healthiest WI: Emergency

Preparedness and Response,

Collaborative Partnerships

16

16

The Health Department has continued our successful partnership with some area school districts with our formalized school nursing contracts. Having close ties with schools is a benefit for health dept staff when community messages, such as those concerning emerging disease threats, need to be shared or preparedness activities need to be planned and practiced. Public health nurses deliver a variety of services to school, with time spent matched to each facility’s needs, including:

1. Communicable disease – health alerts, immunization compliance monitoring, referrals to providers 2. School policy development – medication administration & training, emergency nursing, life threatening

allergy, communicable disease, wellness 3. Vision & hearing screening and follow up 4. Employee safety – bloodborne pathogens training 5. Children with health care needs – health plans, training & delegation of care procedures 6. Health education – STI prevention, Shaken baby syndrome prevention, handwashing, etc. 7. Advocating for health care for students

School

Student/Staff count

Hours spent 2013-14

school year

Bowler School Dist 443 189

Bonduel School Dist 898 132

St Paul School Bonduel 246 41

Tigerton School Dist 274 215

Wolf River Lutheran HS Cecil 25 7

School Nursing

The Wisconsin Population Health Service Fellowship is a two-year service and training program of the University of Wisconsin Population Health Institute. The primary goals of the program are to provide public health services to Wisconsin communities and to build professional development among early career public health professionals by placing recent masters-level public health graduates with public health agencies in Wisconsin communities.

Since July 2013, the Shawano-Menominee Counties Health Department and Menominee Tribal Clinic have hosted Lauren Lamers, a 2013-2015 Wisconsin Population Health Service Fellow. Over the past year, Lauren has been involved in many health department projects including compiling data for the Community Health Assessment; working with local coalitions, behavioral health professionals, and community members to assess needs related to substance use prevention and treatment in Shawano and Menominee Counties; completing an organizational cultural competency assessment; and assisting with the Health Department’s accreditation efforts. In her work with the Menominee community, Lauren has also worked on a number of projects related to obesity prevention and school-based mental health and wellness initiatives, focusing specifically on program planning and evaluation, building systems to gather local data for long-term monitoring of childhood obesity, and convening community partners to build collective impact and collaboration for community- and school-based health initiatives.

Lauren will complete her fellowship in June of 2015.

Wisconsin Population Health Service Fellowship

Healthiest WI:

Healthy Growth and

Development,

Nutrition and Healthy

Foods

17

17

Wisconsin Well Woman Program

Shawano County Women, Infants, and Children (WIC) Program

The Shawano County WIC Program serves an average of 741 clients each month. Each year our WIC program selects a work plan to enhance client services. For 2014, our work plan was on “Baby Behaviors”. Staff were trained on many different infant behaviors in order to help participants identify baby feeding cues and other important behavior signs. This work plan also fits in with our current efforts in breastfeeding promotion and childhood obesity prevention. Each year families are eligible to receive Farmers Market that are worth $17 that can be used at local farm markets and farm stands. In 2014, the average redemption rate for these checks is 48%

but Shawano County’s redemption rate was 62%—one of the highest in the state! The WIC program is also gearing up for many big changes in 2015, one of which is the statewide rollout of eWIC cards. These cards will eliminate the paper checks being used and make it more convenient for our families and WIC vendors to use.

The Wisconsin Well Woman Program (WWWP) serves income-eligible women between the ages of 45 and 64. WWWP is a part of the National Breast and Cervical Cancer Detection Program. Shawano County had 154 active clients in 2014. Screenings are obtained at nine participating Shawano County providers, and other providers in the area. WWWP clients may go to any participating clinic in the state and is especially beneficial to our Spanish-speaking clients who seek services at locations that can provide direct language translation. Women enrolled in WWWP who are diagnosed with breast or cervical cancer may be eligible for Well Woman Medicaid., a separate program that covers the cost of cancer treatment. Currently, Shawano County has twelve participants in the Wisconsin Well Woman Medicaid Program. Although more than 80% of WWWP clients claim no health insurance, the Affordable Care Act has made it more affordable for clients to obtain some form of health care coverage.

Essential Services: Monitor

Health, Inform, and Empower,

Link people to health services

Healthiest WI: Healthy Growth and

Development, Nutrition and Healthy Foods

Essential Services: Link people to

care, Inform, Educate and Empower

18

18

Shawano-Menominee Counties Health Department Finance Report

REVENUES EXPENDITURES

Property Taxes 268,705.00 Personnel 557,904.00

Public Health Grants 10,096.00 Travel Operations 22,420.00

Public Health Intergovernmental Charges 54,861.00 Equipment & Supplies 29,234.00

Public Health Schools 28,450.00 Contracted Services 63,039.00

Misc. 83.00 Fixed charges 4,743.00

Disease Prevention Grant 26,543.00 Misc. charges 1,313.00

MCH Grant 15,199.00 Capital Outlay -

Prevention Block Grant 5,110.00

Lead Grant 4,908.00

State Of WI— WIC Grant 163,156.00

State Of WI Health Check 3,901.00

State Of WI Prenatal 109.00

Well Woman Program Grant 18,955.00

Oral Health 6,964.00

Immunization IAP Grant 16,485.00

Preparedness Grant 28,540.00

Transfer from General Fund 26,588.00

Use of Fund Balance -

TOTAL REVENUE 678,653.00 678,653.00 TOTAL

EXPENDITURES

19

19

Shawano-Menominee Counties Health Department Organizational Chart

20

20

Menominee Counties Health Department Organizational Chart

21

21

Shawano-Menominee Counties

Health Department

311 N. Main Street Shawano, WI 54166

Telephone: 715-526-4808 Fax: 715-524-5792 www.co.shawano.wi.us

Visit our Facebook page:

www.facebook.com/SMCHD

Follow us on Twitter: @SMCHD1

C: 5/15