Galveston County United Board of Health

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Galveston County United Board of Health 4Cs
Governing BoardStrategic Health Plan

• EXECUTIVE SUMMARY
• 2004 ANNUAL PROGRESS REPORT

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PRIORITY 1 PUBLIC AWARNESS

• Website Development useful, service-oriented
  public information
• Health Advisories
• general health and hygiene
• prevention of West Nile Virus
• investigation of a death on a ship voluntarily
  quarantined off the coast of Galveston island
• influenza prevention
• childhood immunizations
• diabetes self management

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PRIORITY 1 PUBLIC AWARENESS

• Other News Releases
• 4Cs Dental Services
• Senior Health Programs
• Board News and Policy Development
• Health District Improvements and Awards
• 4Cs Clinic Services and NurseLine,
• Animal Services Improvements
• Beach Water Quality
• Laws Protecting the Publics Health
• Epidemiologic Disease Investigations
• Emergency Planning and Prevention
• Galveston EMS State Provider of the Year 2004
  Award

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Dedication of 4Cs Dental Clinic Dr. Millican
State EMS Provider Award
Strategic Health Plan Presentation at NALBOH in
Denver
Recognizing the Service of Prior Board Members
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PRIORITY 1 PUBLIC AWARENESS 2005 - 2010

• Maintain timely release of health information and
  public-friendly website
• Develop a distribution list to notify
  participants when new public information is
  released
• Maintain senior-focused volunteer recruitment
  program
• Develop distribute a quality brochure outlining
  all health district services

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PRIORITY 2 ACCESS TO CARE HEALTH DISPARITIES

• Developed access to care measures
• Implemented pediatric open access
• Implemented NurseLine
• Implemented a referral tracking system to track
  referral and the return of medical records
• Streamlined and formalized patient registration
• Aligned staff roles responsibilities to
  optimize patient care
• Hired consultant to facilitate clinic
  reengineering

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NurseLine for 4Cs Patients
Access To Care
Joint Board Committee Access to Care
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PRIORITY 2 ACCESS TO CARE AND HEALTH
DISPARITIES2005 - 2010

• Focusing strengthening case management
• Exploring new clinic access locations
• Expanding outpatient mental health and substance
  abuse
• Identifying and targeting health disparities in
  the community

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PRIORITY 3 BUSINESS IMPROVEMENT

• Board Approved Policies
• (1) health, performance improvement and
  emergency/disaster plans
• (2) twenty-nine operational policies
• (3) health policies regarding rabies vaccine and
  on-site sewage systems

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PRIORITY 3 BUSINESS IMPROVEMENT

• Noteworthy Accomplishments
• Board finance committees - improved fiscal
  management and monitoring
• Improved collections and budget management in EMS
• Improved management of animal services, WIC, and
  the 4Cs Clinic
• Implemented a functional service-oriented
  organizational chart
• Implemented an improved tracking system for
  employee training and evaluations
• Implemented bonus awards for exceptional
  performance

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PRIORITY 3 BUSINESS IMPROVEMENT

• Noteworthy accomplishments
• Convened town hall meetings for employees to
  communicate
• Established standardized management expectations
• Improved capability to respond to emergencies and
  disasters
• Aligned roles and responsibilities of entities
  involved in the indigent healthcare program
  relinquished check cutting functions and added
  asset testing
• Improved quality assurance monitoring to identify
  program deficiencies and make timely improvement
  actions
• Improved information technology infrastructure
  for future data capacity and security requirements

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Testing Emergency Plans with Response Partners
HAZMAT Training for Employees Partners
Diseases Disasters Conference
Diseases Disasters Conference
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PRIORITY 3 BUSINESS IMPROVEMENT2005 - 2010

• Develop new needed policies for Board review
• Maintain annual review of existing board policies
  
• Implement infrastructure needed for future
  systems - financial management, electronic
  medical records, pharmacy inventory, and
  telecommunications
• Continue collaborations to enhance public health
  preparedness and access to care

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PRIORITY 4 HEALTHCARE FINANCING

• 2004 Audit No material weakness
• Effective and successful finance committee
  meetings
• Relinquished red budget and check-cutting
  function for CIHCP secondary and tertiary care
  payments
• Assessment of existing information technology
  capabilities
• Improved collections revenue in EMS with record
  favorable fiscal outcomes
• Reviewed and analyzed 4Cs Clinic collections
  data
• Improved procedures for educating patients on the
  billing guidelines of the clinic and patient
  responsibilities
• Adding new HMO contracts for increase revenue
• Streamlining and aligning clinic resources to
  meet patient care needs

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PRIORITY 4 HEALTHCARE FINANCING2005 - 2010

• Implement new information technology to enhance
  monitoring capabilities
• Implement enhancements to IT infrastructure
  before EMR, PIS, other telecommunications
• Continue to convene the Joint Board Committee on
  Access to Care to explore other cooperative
  improvements
• Enhance utilization and revenue from case
  management mental health services
• Establish an inclusive forum of key stakeholders
  of the uninsured healthcare system to discuss and
  resolve common issues

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PRIORITY 5 MANAGEMENT OF CHRONIC CONDITIONS

• Implemented Clinical Practice Guidelines
• - Diabetes
• - Asthma
• - Hypertension
• - Senior Preventive Health
• Diabetes Self-management activities
• Diabetes Day assessments education

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4Cs Clinic Diabetes Day
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PRIORITY 5 MANAGEMENT OF CHRONIC
CONDITIONS2005 - 2010

• Evaluate the effectiveness of diabetes
  self-management program
• Establish guidelines for identification
  treatment of mental health substance abuse
  conditions
• Expand educational case management services to
  priority groups other chronic conditions
• Seek grant funding to sustain enhance needed
  case management functions

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PRIORITY 6 Environmental Health Improvements

• Consolidated environmental health programs under
  one executive manager
• Improved public relations by conducting summits,
  town halls, public presentations, etc.
• Relocated all consumer health inspectors to one
  centralized location

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Environmental Health Summit
Animal Services Summit
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Golden Ribbon AwardsFor Exceptional Food Service
- 2004
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PRIORITY 6 Environmental Health
Improvements2005 - 2010

• Develop Standard Operating Procedures for
  inspections
• Conduct second Environmental Summit
• Implement recommended improvements to animal
  services including
• - shelter facility upgrades
• - staff training
• - new database system
• - collaboration with animal partners
• - improve data reports to cities
• - update Animal Services Inter-local Agreement
• - support new Animal Advisory Committee

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PRIORITY 7 Senior Health Improvement

• Funded a Senior Health Coordinator
• Hired Volunteer Coordinator
• Actively recruited seven senior volunteers
• 200 seniors attended Senior Health Fall Fests in
  five different locations
• 336 seniors participated in Cooking Schools
• Ten employees and one team awarded Senior Health
  Improvement Award
• Formed the Senior Health Advisory Council
• Conducting a survey to assess countywide senior
  needs

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United Way Grant Press Conference
Senior Cooking Classmates
Senior Health Improvement Team Award
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PRIORITY 7 Senior Health Improvement2005 -
2010

• Develop disseminate a senior-friendly
  brochure of services
• Develop a senior health website with useful
  public resources
• Seek grant funding to support and sustain
  nutrition and fitness initiatives
• Enhance case management services for seniors in
  the 4Cs Clinic

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PRIORITY 8 Prevention By Immunization

• Awarded the TPHA Thinking Progressively for
  Health Award 2004
• Improved 4Cs clinic immunization compliance from
  49 in 1996 to 86 in 2004
• Improved Daycare compliance rate from 74 in 2000
  to 82.4 in 2004 (98 after follow ups)
• While difficult to accurately compare Galveston
  County rates with other jurisdictions (due to
  varying survey methodologies), the 2004 CDC
  telephone surveys suggest that Galveston County
  rates exceeded statewide rates recently estimated
  at 78.5 as well as exceeded Houston rates
  estimated at 75).

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PRIORITY 8 Prevention By Immunization

• Galveston County Immunization Advisory Council
• Provided useful feedback support of the Health
  Districts three major public immunization
  campaigns
• - National Infant Immunization Week (April)
• - Kids Health Fest back to school (August)
• - Influenza Prevention (Fall)
• Identified local barriers to immunization
  compliance coordination
• Reviewed recommended adoption of an
  Immunization Services Policy for approval by the
  United Board of Health

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PRIORITY 8 Prevention By Immunization

• Other 2004 Accomplishments
• Provided technical assistance to the Galveston
  Island Immunization Coalition lead by UTMB
• Distributed flu vaccine in this seasons initial
  flu shot shortage
• Assisted the Texas Medical Foundation with
  follow-up visits to VFC providers
• Implemented an immunization reminder system
• Established leadership role in coordinating with
  community partners to plan for mass vaccination
  clinics in the event of an emergency

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EMS Promotes Back to School Immunizations
Immunizations Advisory Council Summit
TPHAs Thinking Progressively for Health Award
2004
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PRIORITY 8 Prevention By Immunization2005 -
2010

• Monitor the effectiveness of the new immunization
  reminder system
• Convene and develop the Immunization Advisory
  Council and website
• Continue to seek resources and partnerships to
  improve public immunizations services and further
  increase immunizations rates

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Appreciation

• Board and Elected Officials
• Community Partners
• Health District Employees
• Executive Managers
• Public Health Planner
• Strategic Plan Evaluator

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• Submitted with a Recommendation for Approval By
  the United Board of Health
• 4Cs Governing Board