New Board FY09 Presentation Final€¦ · Title: Microsoft PowerPoint - New Board FY09 Presentation Final.ppt Author: MHWRL Created Date: 1/7/2009 12:29:06 PM

Multnomah County Health Department

Multnomah County Health Multnomah County Health

DepartmentDepartment

FY09 Adopted Budget New Board Briefing January 6, 2009

FY09 Adopted Budget New Board FY09 Adopted Budget New Board Briefing January 6, 2009Briefing January 6, 2009

The Health Department assures, promotes, & protects the Health of the people of Multnomah

County

Protectthe health of all County residents

Assureaccess to necessary

and dignified health care

Promotethe health of all County residents

Health Department New Board Briefing January 6, 2009

2

The Public Health SystemThe Public Health SystemThe Public Health System

� Federal Government

• Health & Human Services

• Centers for Disease Control (CDC)

• Health Resources & Services (HRSA)

• Substance Abuse & Mental Health Services (SAMHSA)

� State Government

• State Health Agency

� Local Government

• Local Health Department

�� Federal GovernmentFederal Government

•• Health & Human ServicesHealth & Human Services

•• Centers for Disease Control (CDC)Centers for Disease Control (CDC)

•• Health Resources & Services (HRSA)Health Resources & Services (HRSA)

•• Substance Abuse & Mental Health Substance Abuse & Mental Health

Services (SAMHSA)Services (SAMHSA)

�� State GovernmentState Government

•• State Health AgencyState Health Agency

�� Local GovernmentLocal Government

•• Local Health DepartmentLocal Health Department


3

Our Services - Public HealthOur Services Our Services -- Public HealthPublic Health

Public Health is the practice of preventing disease and promoting good health within groups of people, from small communities to entire regions.



4

Assures Promotes

The Health Department...The Health Department...The Health Department...

Our MissionOur MissionOur Mission

...the health of the people of Multnomah County

...the health of the people of Multnomah ...the health of the people of Multnomah

CountyCounty

Medical & dental services in County clinics and jails

Screen for OHP, Medicaid, Medicare

Provide health education & information in schools, workplaces & other community settings

Investigate & control spread of communicable diseases

Control mosquito & rat populations

Protects


5

FY05FY05--0909

Goal 1: Community has Goal 1: Community has

greater control over greater control over

factors that influence factors that influence

healthhealth

Goal 2: Dignified Goal 2: Dignified

access to careaccess to care

Goal 3: Protect public Goal 3: Protect public

and prepare for public and prepare for public

health emergencieshealth emergencies

Our Strategic PlanOur Strategic Plan

FY10FY10--14 14

Goal 1: Community has Goal 1: Community has

greater control over greater control over

factors that influence factors that influence

healthhealth

Goal 2: Improve the Goal 2: Improve the

health of our diverse health of our diverse

communitiescommunities

Goal 3: Adaptive, Goal 3: Adaptive,

accountable learning accountable learning

organization organization


6

FY09 Adopted BudgetFY09 Adopted BudgetFY09 Adopted Budget


7

Adopted Budget Comparison

$60.0

$37.0 $41.4 $41.3 $45.9 $45.0 $49.2 $53.3 $54.5

$0.0

$20.0

$40.0

$60.0

$80.0

$100.0

$120.0

$140.0

FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09

Show

n in $

Millions

Other Funding

County General Fund (CGF)

Adopted Budget Comparison


8

Budget Summary: ExpenseBudget Summary: ExpenseBudget Summary: Expense

7%

Drugs and

Medical

Supplies

$9,618,642

8%

Materials and

Supplies

$10,727,030

9%

County

Provided

Internal

Services

$13,032,949

65%

Personnel

$89,821,528

11%

Professional,

Contracted

Services and

match

$14,905,433


9

Budget Summary: RevenueBudget Summary: RevenueBudget Summary: Revenue

20%

Fed/State Grants

$28,357,865

1%

New Clinic/Patient

Fees

$1,210,498

39%

Clinic/Patient Fees

$54,840,870

2%

CGF Health Inspection

Fees

$3,209,926

1%

Ambulance Revenue

$1,670,358

27%

CGF Support

$37,715,114

10%

CGF Support for

Corrections Health

$13,613,947


10

Budget: Insurance RevenueBudget: Insurance RevenueBudget: Insurance Revenue

$25,000,000

$10,300,000

$8,100,000

$4,600,000

$1,700,000$814,000 $60,000

$-

$5,000,000

$10,000,000

$15,000,000

$20,000,000

$25,000,000

$30,000,000

Prim

ary

Care

Denta

l

Pharm

acy

Early C

hildhood

School Based H

ealth

Clinics

OHP

Enro

llm

ent/

Eligib

ility

Com

municable

Disease &

Occupational Health

Public Health Program

Safety Net Health Service


11

Budget Aligned with ServicesBudget Aligned with ServicesBudget Aligned with ServicesFY2009 Adopted Budget

$15.7 million $85.2 million $37.3 million

$-

$10

$20

$30

$40

$50

$60

$70

$80

$90

Safety Net

Health Services

Public Health

Infrastructure


12

Budget Summary: MonitoringBudget Summary: MonitoringBudget Summary: Monitoring


13

Principles and Best Practices Guiding our Work: Quality,

Prevention & Equity

Principles and Best Practices Principles and Best Practices

Guiding our Work: Quality, Guiding our Work: Quality,

Prevention & EquityPrevention & Equity


14

Principles & Best Practices Guiding our Work:

Quality, Prevention, Equity

Principles & Best Practices Principles & Best Practices

Guiding our Work: Guiding our Work:

QualityQuality, Prevention, Equity, Prevention, EquityQuality

� Building Better Care

� Dental Access

� EPI/Surveillance

� School Based Health Center Redesign

� Health Promotion Framework

QualityQuality

�� Building Better CareBuilding Better Care

�� Dental AccessDental Access

�� EPI/SurveillanceEPI/Surveillance

�� School Based Health Center RedesignSchool Based Health Center Redesign

�� Health Promotion FrameworkHealth Promotion Framework


15

Principles and Best Practices Guiding our Work:




Quality, Quality, Prevention,Prevention, EquityEquityPrevention

� Guides who we serve & how we serve them

� More than treat illness & prevent death

� Focus upstream on prevention

� Prioritize socially vulnerable families & communities

PreventionPrevention

�� Guides Guides whowho we serve & we serve & how how we serve we serve

themthem

�� More than treat illness & prevent deathMore than treat illness & prevent death

�� Focus upstream on preventionFocus upstream on prevention

�� Prioritize socially vulnerable families & Prioritize socially vulnerable families &

communitiescommunities


16

Principles and Best Practices Guiding our Work:




Quality, Prevention,Quality, Prevention, EquityEquity

Equity: Some communities in Multnomah County have

� Higher rates of disease

� Poorer health outcomes

� Barriers to health care access

Equity:Equity: Some communities in Multnomah Some communities in Multnomah

County haveCounty have

�� Higher rates of diseaseHigher rates of disease

�� Poorer health outcomesPoorer health outcomes

�� Barriers to health care accessBarriers to health care access


17

Prevention Illness Treatment Containment

Col. RiverCrossingHealth

Assessment

WIC, Nurse Family

Partnership

RestaurantInspections,

VectorControl

PromotingCondom use,Abstinence,

Exercise

Traveler’sClinic

EpidemiologistVital Record,Assessment

Group

STD ClinicalTesting

Medical & Dental Care

BuildingBetterCare

InfectiousDisease

investigations

Focus on: PreventionFocus on: PreventionFocus on: Prevention

Hea

lthy Env

ironm

ent

Chi

ldho

od H

ealth

Ger

ms

& Pat

hoge

ns

Hea

lthy Pra

ctices

Imm

unizat

ions

Imm

unizat

ions

Disea

se

Surve

illanc

e

Early D

iagn

osis

Qua

lity

& Acc

ess

Preve

nt D

isea

se S

prea

d


18

Focus on Prevention: Targeting the Leading Causes of

Death & Disease

Focus on Prevention: Focus on Prevention:

Targeting the Leading Causes of Targeting the Leading Causes of

Death & DiseaseDeath & Disease

Causes:

1. Tobacco Use

2. Poor nutrition + physical inactivity

Causes:Causes:

1.1. Tobacco UseTobacco Use

2.2. Poor nutrition + Poor nutrition +

physical inactivityphysical inactivity

County Programs:

� Indoor smoking limits

� Menu labeling

� Health Impact Assessment

� Healthy Eating Active Living Program

County Programs:County Programs:

�� Indoor smoking Indoor smoking

limitslimits

�� Menu labelingMenu labeling

�� Health Impact Health Impact

AssessmentAssessment

�� Healthy Eating Healthy Eating

Active Living Active Living

ProgramProgram


19

In Oregon cigarette consumption dropped faster than the national average soon after the State began a Tobacco Prevention and Education Program, then slowed once the program was de-funded.

In Oregon cigarette In Oregon cigarette

consumption dropped consumption dropped

faster than the national faster than the national

average soon after the average soon after the

State began a Tobacco State began a Tobacco

Prevention and Education Prevention and Education

Program, then slowed Program, then slowed

once the program was once the program was

dede--funded.funded.

Focus on: Prevention WorksFocus on: Prevention WorksFocus on: Prevention Works

.(Source: Oregon Department of Human Services)


20

There are 156,000 children in Multnomah County; more than 1 in 5 visited a Health Department clinic last year.

In Multnomah County nearly 50 percent of all children living in poverty receive services from our Safety Net Health Services .

There are 156,000 children in There are 156,000 children in

Multnomah County; more than 1 in 5 Multnomah County; more than 1 in 5

visited a Health Department clinic last visited a Health Department clinic last

year. year.

In Multnomah County nearly 50 percent In Multnomah County nearly 50 percent

of all children living in poverty receive of all children living in poverty receive

services from our Safety Net Health services from our Safety Net Health

Services . Services .

Focus on: Promoting Health InChildhood

Focus on: PromotingFocus on: Promoting HealthHealth InIn

ChildhoodChildhood


21

About 9,500 babies are born each year in Multnomah County:

• 50 die before their first birthday• 200 are born to girls under age 18• 600 are low birth weight• 900 had a mother who smoked during

pregnancy

Outside the clinical setting, we provide targeted prevention and education services aimed at improving the health of all children.

About 9,500 babies are born each year in About 9,500 babies are born each year in

Multnomah County:Multnomah County:

•• 50 die before their first birthday50 die before their first birthday

•• 200 are born to girls under age 18200 are born to girls under age 18

•• 600 are low birth weight600 are low birth weight

•• 900 had a mother who smoked during 900 had a mother who smoked during

pregnancypregnancy

Outside the clinical setting, we provide Outside the clinical setting, we provide

targeted prevention and education services targeted prevention and education services

aimed at improving the health of all aimed at improving the health of all

children.children.

Focus on: Promoting Health InChildhood

Focus on: PromotingFocus on: Promoting HealthHealth InIn

ChildhoodChildhood


22

DeathChildhoodMiddle

AdulthoodLate

AdulthoodInfancy

Lead Poisoning

Teen Births

AdolescentYoungAdult Seniors

Focus on: Health EquityFocus on: Health EquityFocus on: Health Equity

Life Continuum... Life Continuum...

...from a Health Perspective...from a Health Perspective

AsthmaInfant

Mortality

PrenatalCare

STD's

Diabetes

Obesity

Cancer

ProstateCancer

LifeExpectancy

HeartDisease


23

Lack of PowerLack of Power

EducationEducationExposure to Environmental

Hazards

Exposure to Environmental

Hazards

Income/Occupational

Class

Income/Occupational

ClassJustice SystemJustice SystemSubstandard

Housing

SubstandardHousing

Healthcare Access

Healthcare Access

Underlying Socioeconomic FactorsUnderlyingUnderlying SocioeconomicSocioeconomic FactorsFactors

Focus on: Health EquityFocus on: Health EquityFocus on: Health Equity


24

DeathChildhoodMiddle

AdulthoodLate

AdulthoodInfancy AdolescentYoungAdult Seniors

Infant mortality1.6x greater chance of an infant death

LeadPoisoning*

African Amer.children

age 1-5 years2X greater

Teen Births3.5X greaterteen birth rate

STDsSyphilis 5x greater

Gonorrhea: 7x greaterChlamydia: 5x greater

Asthma*2x

the national average

Prenatal Care1.5x more likelyto be without1st trimester prenatal care

Diabetes2.5x greatermortality rate

Obesity*29% of African Americans in

Oregonwere obese

Life ExpectancyAfrican Amer.

74 yearsWhite

non-Hispanic 77 years

ProstateCancer

2.5x greatermortality rate

African American Health Inequity Life Continuum

African American Health Inequity Life Continuum


25

Public Health ServicesPublic Health ServicesPublic Health Services


26

Our Services - Public HealthOur Services Our Services -- Public HealthPublic Health




27

The Public's Priorities for Health Departments

The Public's Priorities for The Public's Priorities for

Health DepartmentsHealth Departments

Source: Northwest Health Foundation opinion research findings October 2008)

23%

24%

26%

31%

35%

38%

47%

39%

42%

41%

41%

45%

37%

33%

26%

26%

24%

21%

17%

15%

15%

0% 20% 40% 60% 80% 100%

Conduct research to identify creative solutions to health

problems

Implement health policies and plans that support

individual/community efforts

Monitor the community's health status

Work with community organizations and members to solve

health problems

Provide information and education on health issues

Enforce laws and regulations that protect the community's

health and safety

Investigate health hazards in the community

Urgent Important Somewhat Important Not Important


28

Public health departments maintain safe and healthy conditions in communities:

Public health departments maintain safe Public health departments maintain safe

and healthy conditions in communities:and healthy conditions in communities:

• Safe healthy restaurants, daycare centers and foster homes

• Vaccinate children & adults

• Investigate & control communicable diseases

• Help communities create healthier environments

• Protect from exposure to lead, mold, rats, mosquitoes & toxins

• Help people adopt healthier behaviors

•• Safe healthySafe healthy restaurants, daycare centers and restaurants, daycare centers and

foster homesfoster homes

•• VaccinateVaccinate children & adults children & adults

•• Investigate & controlInvestigate & control communicable diseases communicable diseases

•• Help communities Help communities create healthier environmentscreate healthier environments

•• Protect from exposureProtect from exposure to lead, mold, rats, to lead, mold, rats,

mosquitoes & toxinsmosquitoes & toxins

•• Help people Help people adopt healthier behaviorsadopt healthier behaviors

ProtectionProtectionProtection


29

Public health education & emergency preparedness reduces human suffering:

Public health education & emergency preparedness Public health education & emergency preparedness

reduces human suffering:reduces human suffering:

By preparing for and responding to the health effects of catastrophes such as earthquakes, disease outbreaks and industrial disasters public health reduces the impact of these disaster on communities.

By By preparing for and responding to the health preparing for and responding to the health

effects of catastropheseffects of catastrophes such as earthquakes, such as earthquakes,

disease outbreaks and industrial disasters public disease outbreaks and industrial disasters public

health reduces the impact of these disaster on health reduces the impact of these disaster on

communities.communities.

Emergency PreparednessEmergency PreparednessEmergency Preparedness


30

Public Health Saves MoneyPublic Health Saves MoneyPublic Health Saves Money

Healthy people spend less on medical care. Investing $10 per person annually in community programs that increase physical activity, improve nutrition, and prevent smoking could save Oregon more than $193 million in the next five years.

(Source: Trust for America’s Health)

Healthy people spend less on medical care. Healthy people spend less on medical care.

Investing $10 per person annually in Investing $10 per person annually in

community programs that increase physical community programs that increase physical

activity, improve nutrition, and prevent activity, improve nutrition, and prevent

smoking could save Oregon more than $193 smoking could save Oregon more than $193

million in the next five years. million in the next five years.

(Source: Trust for America(Source: Trust for America’’s Health)s Health)


31

• Epidemiology

• Environmental Health

• Communicable Disease & Occupational Health

• STD, HIV & Hep C Prevention & Treatment

• Early Childhood Home Visit Nursing Program

• Community Immunization Program

• African American Sexual Health Equity Program

• Medicaid Enrollment & Eligibility Screening

• Public Health Emergency Preparedness

• Epidemiology


• Communicable Disease & Occupational Health

• STD, HIV & Hep C Prevention & Treatment

• Early Childhood Home Visit Nursing Program

• Community Immunization Program

• African American Sexual Health Equity Program

• Medicaid Enrollment & Eligibility Screening

• Public Health Emergency Preparedness

Public Health ServicesPublic Health ServicesPublic Health Services


32


• multiple awards for excellence & innovations.

• AMA/CDC Pandemic Flu Award

• for excellence in Pandemic Influenza Community Mitigation Planning

• Lowest rates of syphilis & gonorrhea on the West coast


• multiple awards for excellence & innovations.

• AMA/CDC Pandemic Flu Award

• for excellence in Pandemic Influenza Community Mitigation Planning

• Lowest rates of syphilis & gonorrhea on the West coast

Success in Leadership, Partnership & Innovation



33

• 30% decline in TB cases since 1996

• Early implementation of emerging best practices

• No disparities in access to HIV care

• Community based approach to Health Equity

• 30% decline in TB cases since 1996

• Early implementation of emerging best practices

• No disparities in access to HIV care

• Community based approach to Health Equity




34

Public Health is...Public Health is...Public Health is...

"A broad social enterprise, more akin to a movement, that seeks to extend the benefits of current knowledge in ways that will have the maximum impact on the health status of a population. It does so by identifying problems that call for collective action to protect, promote and improve health, primarily through preventive strategies."

--Bernard Turnock, MD, MPH

"A broad social enterprise, more akin to a "A broad social enterprise, more akin to a

movement, that seeks to extend the movement, that seeks to extend the

benefits of current knowledge in ways benefits of current knowledge in ways

that will have the maximum impact on that will have the maximum impact on

the health status of a population. It the health status of a population. It

does so by identifying problems that does so by identifying problems that

call for collective action to protect, call for collective action to protect,

promote and improve health, primarily promote and improve health, primarily

through preventive strategies."through preventive strategies."

----Bernard Turnock, MD, MPHBernard Turnock, MD, MPH


35

Safety Net Health ServicesSafety Net Health Services

Our Community Health Centers provide quality health services for people who experience barriers to accessing care

•Clinical Best Practice

•Improve Access to Care

•Accountability

•Support Workforce Retention/Development

Our Community Health Centers provide Our Community Health Centers provide

quality health services for people who quality health services for people who

experience barriers to accessing careexperience barriers to accessing care

••Clinical Best PracticeClinical Best Practice

••Improve Access to CareImprove Access to Care

••AccountabilityAccountability

••Support Workforce Support Workforce

Retention/DevelopmentRetention/Development


36

•Primary Care clinics

•Dental – school & community based dental & dental clinics

•HIV Health Services

•School Based Health Centers & Teen clinic

•Homeless Services-healthcare for children & adults

•Primary Care clinics

•Dental – school & community based dental & dental clinics

•HIV Health Services

•School Based Health Centers & Teen clinic

•Homeless Services-healthcare for children & adults



37

•Women’s Infants, and Children (WIC) Nutrition program

•Pharmacy

•Lab and X-Ray-supporting all the health clinics

•Language and Interpretation services

•Corrections Health-in jail and juvenile detention

•• WomenWomen’’s Infants, and Children s Infants, and Children

(WIC) Nutrition program(WIC) Nutrition program

•• PharmacyPharmacy

•• Lab and XLab and X--RayRay--supporting all the supporting all the

health clinicshealth clinics

•• Language and Interpretation Language and Interpretation

servicesservices

•• Corrections HealthCorrections Health--in jail and in jail and

juvenile detentionjuvenile detention



38

• Partnerships

• Leadership

• Building Better Care

• Dental Access

• CAWEM pilot

• Electronic Health Record (EHR)

• Pharmacy Drug Assistance

• School Based Health clinics redesign

• WIC

•• PartnershipsPartnerships

•• LeadershipLeadership

•• Building Better CareBuilding Better Care

•• Dental AccessDental Access

•• CAWEM pilotCAWEM pilot

•• Electronic Health Record (EHR)Electronic Health Record (EHR)

•• Pharmacy Drug AssistancePharmacy Drug Assistance

•• School Based Health clinics School Based Health clinics

redesignredesign

•• WICWIC

Success for Multnomah CountySuccess for Multnomah County


39

Infrastructure: The Foundation for our House

Infrastructure: The Foundation for our House

• Aligned with the Department's mission and principles of quality, prevention and equity

• Supports Quality and Accountability

• Leadership and calculated risk taking allows for innovation

• Workforce Management and Business processes link to Equity

•• Aligned with the Department's mission and Aligned with the Department's mission and

principles of quality, prevention and principles of quality, prevention and

equityequity

•• Supports Quality and Accountability Supports Quality and Accountability

•• Leadership and calculated risk taking Leadership and calculated risk taking

allows for innovationallows for innovation

•• Workforce Management and Business Workforce Management and Business

processes link to Equityprocesses link to Equity


40

Infrastructure:Workforce OverviewInfrastructure:Infrastructure:

Workforce OverviewWorkforce Overview

0

200

400

600

800

1,000

1,200

FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008 FY2009

FTE

Mgmt/Exec Employee

Med Provider & Non-Sup Exempt

Oregon Nurses Assoc

AFSCME Local 88/Conf

926 917

972

FTE898

850 813

921911


41

• Health Policy (e.g. smoke-free housing, menu labeling)

• Health Research, Assessment, Program Design and Evaluation services

• Grant Writing

• Diversity and Quality Team (DQT)

• Workforce Development & Training

• Health IT

• Business Services

• Department Leadership

•• Health PolicyHealth Policy (e.g. smoke(e.g. smoke--free housing, menu free housing, menu

labeling)labeling)

•• Health ResearchHealth Research, Assessment, Program Design , Assessment, Program Design

and Evaluation servicesand Evaluation services

•• Grant WritingGrant Writing

•• Diversity and Quality Team Diversity and Quality Team (DQT) (DQT)

•• Workforce Development & TrainingWorkforce Development & Training

•• Health ITHealth IT

•• Business ServicesBusiness Services

•• Department LeadershipDepartment Leadership

Infrastructure ServicesInfrastructure ServicesInfrastructure Services


42

Quality• Building Better Care

• Obesity Prevention Strategies (i.e. HEAL, menu labeling)

• Building Partnerships Across Differences (BPAD)

• Facilitative Leadership

• Succession Planning

QualityQuality

•• Building Better CareBuilding Better Care

•• Obesity Prevention Strategies (i.e. HEAL, menu Obesity Prevention Strategies (i.e. HEAL, menu

labeling)labeling)

•• Building Partnerships Across Differences (BPAD)Building Partnerships Across Differences (BPAD)

•• Facilitative LeadershipFacilitative Leadership

•• Succession PlanningSuccession Planning

HD Infrastructure Successes:HD Infrastructure Successes:


43

Technology• EHR/Practice Management

• On-line Services (i.e. Food Handlers Card Testing)

• Employee Engagement

Leadership• Disabilities Summit

• LGBT Conference

• Regional Health Systems Emergency Preparedness

• Smoke Free Housing

• Tri-county Health Officer

TechnologyTechnology•• EHR/Practice ManagementEHR/Practice Management

•• OnOn--line Services (i.e. Food Handlers Card Testing)line Services (i.e. Food Handlers Card Testing)

•• Employee EngagementEmployee Engagement

LeadershipLeadership•• Disabilities SummitDisabilities Summit

•• LGBT Conference LGBT Conference

•• Regional Health Systems Emergency PreparednessRegional Health Systems Emergency Preparedness

•• Smoke Free HousingSmoke Free Housing

•• TriTri--county Health Officercounty Health Officer

HD Infrastructure Successes:HD Infrastructure Successes:


44

% of clinic clients without insurance

How We Measure Performance:How We Measure Performance:

Total Clients

FY 2008 66,498

FY 2007 63,264

FY 2006 62,313

FY 2005 60,366

FY 2004 59,376

0%

10%

20%

30%

40%

50%

60%

70%

80%

July

06

Aug

06Se

pt 0

6O

ct 0

6N

ov 0

6 D

ec 0

6Ja

n 07

Feb

07M

ar 0

7Ap

r 07

May

07

Jun

07Ju

ly 0

7Au

g 07

Sept

07

Oct

07

Nov

07

Dec

07

Jan

08Fe

b 08

Mar

08

Apr

08M

ay 0

8Ju

n 08

Insured Uninsured

70.3%

29.7%

71.4%

30.5%


45

How We Measure Performance:How We Measure Performance:Average Days to Appointment for New Clients

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

July

06

Aug 0

6Sep

t 06

Oct

06

Nov

06

Dec

06

Jan

07Feb

07

Mar

07

Apr 0

7M

ay 0

7Ju

n 07

July

07

Aug 0

7Sep

t 07

Oct

07

Nov

07

Dec

07

Jan

08Feb

08

Mar

ch 0

8Apr

08

May

08

Jun

08Ju

ly 0

8A

ve

rag

e n

um

be

r o

f d

ays

11.7 days

9.1 days


46

How We Measure Performance:How We Measure Performance:Pharmacy Rx for Uninsured Clients

0

1,000

2,000

3,000

4,000

5,000

6,000

JULY

20

05

JAN

20

06

JULY

20

06

JAN

20

07

JULY

20

07

JAN

20

08

JULY

20

08

# o

f pre

scriptions p

er m

onth

3,404

4,873

*In addition to the prescriptions we filled for uninsured clients in FY 2008, our Pharmacy applied for 4,958 drug assistance prescriptions with a value of over $4.8 million


47

How We Measure Performance:How We Measure Performance:Disease Investigation

90.6%

90.8%90.5%92.3%

94.2%

88.2%89.2%

93.4%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 FY07 Q2 FY07 Q3 FY07 Q4 FY07 Q1 FY08 Q2 FY08 Q3 FY08 Q4 FY08

Perc

ent of

cases investigate

d

Multnomah County Health DepartmentPercent of Cases Successfully InvestigatedGonorrhea, Syphilis and HIV


48

How We Measure Performance:How We Measure Performance:Immunization Letters & Exclusions

0

2,000

4,000

6,000

8,000

10,000

12,000

2004 2005 2006 2007 2008

Letters Sent School Exclusions

Tota

l num

ber

10,531

601

4,282

2,366


49

Issues and ChallengesIssues and ChallengesIssues and Challenges

State Impacts FY09 and FY10

Revenue• Partnerships• Coverage• Downstream State Impacts

Policy• Eligibility• State & Federal Regulations• Triple Aim

State Impacts FY09 and FY10State Impacts FY09 and FY10

RevenueRevenue

•• PartnershipsPartnerships

•• CoverageCoverage

•• Downstream State ImpactsDownstream State Impacts

PolicyPolicy

•• EligibilityEligibility

•• State & Federal RegulationsState & Federal Regulations

•• Triple AimTriple Aim


50

Questions?Questions?Questions?

Documents

New Board FY09 Presentation Final€¦ · Title: Microsoft PowerPoint - New Board FY09 Presentation Final.ppt Author: MHWRL Created Date: 1/7/2009 12:29:06 PM