Wayne County Combined General Health District

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Wayne County Combined General Health District

• An Overview of History, Governance, Activities,
  and Current Topics of Interest
• Gregory L. Halley, MD, MBA
• Health Commissioner

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Public Health is

• The mission of public health is to "fulfill
  society's interest in assuring conditions in
  which people can be healthy." (IOM,, Committee
  for the Study of the Future of Public Health,
  Division of Health Care Services. 1988.)

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Three Core Public Health Functions

• Assessment and monitoring of the health of
  communities and populations at risk to identify
  health problems and priorities

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Three Core Public Health Functions

• Formulating public policies, in collaboration
  with community and government leaders, designed
  to solve identified local and national health
  problems and priorities

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Three Core Public Health Functions

• Assuring that all populations have access to
  appropriate and cost-effective care, including
  health promotion and disease prevention services,
  and evaluation of the effectiveness of that care.

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The Ten Essential Public Health Services

• Monitor health status to identify community
  health problems
• Diagnose and investigate health problems and
  health hazards in the community
• Inform, educate, and empower people about health
  issues
• Mobilize community partnerships to identify and
  solve health problems

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The Ten Essential Public Health Services

• Develop policies and plans that support
  individual and community health efforts
• 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

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The Ten Essential Public Health Services

• Assure a competent public health and personal
  health care workforce
• Evaluate effectiveness, accessibility, and
  quality of personal and population-based health
  services
• Research for new insights and innovative
  solutions to health problems

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History of Public Health in Ohio

• 1834 Cincinnati and Columbus formally
  established boards of health.
• 1852 Any Ohio city permitted to establish a
  board of health and city councils allowed to
  formulate regulations.
• 1875 Township trustees given limited authority
  to prevent spread of small pox through quarantine.

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History of Public Health in Ohio

• 1886 State Board of Health organized.
• 1893 All municipalities required to establish a
  board of health.
• 1919 Hughes Act and Griswold Amendment creates
  city and general health districts with varying
  restrictions on fulltime and part-time personnel
  including health commissioners and nurses.

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History of Public Health in Ohio

• 1963 State director of health to be appointed by
  governor and term to be concurrent with the
  governor.
• 1985 Standards established for local health
  departments.
• 1987 Local health departments permitted to
  charge costs for all state-required environmental
  health programs.
• . Historical Summary Developed by Mansfield
  -Richland County Health Department

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History of Public Health in Wayne County, Ohio

• April 14, 1905 Wooster City Health Department
  Established
• Wayne County Health Department established prior
  to 1908 (First records, Birth/Death Records date
  from 1908.)
• January 28, 1952 Orrville City Health Department
  combined with Wayne County Health District

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History of Public Health in Wayne County, Ohio

• March 6, 1961 Rittman City Health Department
  combined with Wayne County Combined General
  Health Department
• December 14, 1976 Wooster City Health Department
  combined with Wayne County Combined General
  Health District

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Wayne County Combined General Health District
Governance

• Board of Health is appointed/Confirmed by
  District Advisory Council. This body is composed
  of president of the board of county
  commissioners, the chief executive of each
  municipal corporation not constituting a city
  health district, and the president of the board
  of township trustees of each townshipand others
  as specified by contracts with participating
  cities.

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Wayne County Combined General Health District
Governance

• Board of Health Appointments
• 5 members representing the county unincorporated
  areas and villages/cities with populations of
  less than 5000
• 2 members represent City of Wooster
• 1 member represents City of Rittman
• 1 member represents City of Orrville
• 1 member Health District Licensing Council
• 1 physician

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Wayne County Combined General Health District
Organization

• Three functional Service Delivery Areas
• 1) Patient Care Services (Includes WIC)
• Environmental Health Services
• Administrative (Vital Statistics)
• Each Service Area has a Regulatory (Rules
  Enforcement), Data Reporting, and Direct Service
  Component.

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Patient Care Services

• Immunizations
• Well Child Exams
• Blood Pressure Checks
• Communicable DZ
• Walk-In Clinics
• WIC Nutrition Program
• Health Education

• Medical Director Provides Oversight and
  Supervision of Patient Care Service Delivery
• HIV Testing
• STD Clinic
• DOP (Eye) Clinic
• TB Testing

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Environmental Health Services

• Home Sewage Treatment Program
• Private Water Wells
• Food Establishment/Retail Food Est.
• Mobile Home Parks / Camps
• Solid Waste Investigation / Enforcement
• Rabies Control
• Plumbing Inspection Program

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Administrative Services

• Vital Statistics Collection / Reporting
• Birth Certificates
• Death Certificates
• Genealogy Research Assistance
• Administrative Management of Health Department
  Support Functions (Budget, Financial Services,
  Payroll, etc.)

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Topics of Interest

• Anthrax and Bio-Terrorism
• West Nile Virus
• Revamping Food Service Licensing Oversight by
  State Government
• Revision of State Rules for Home Sewage Treatment
  Systems
• Health Department Website

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Website http//wayne-health.org