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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

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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

Organizational Structure

2

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

Public Health – 10 Essential Services

4

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

[email protected] 775-684-4200

Dr. Tracey Green Chief Medical Officer

[email protected] 775-684-3215