FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. Nathan, PhD, MPH August 18, 2015
DEPARTMENT OVERVIEW Public Health Director Medical Operations Director Community Communicable Environmental Health Disease Health & Safety 2
DEPARTMENT OVERVIEW COMMUNITY HEALTH DIVISION Mayor’s WIC Teen Chronic Fitness Pregnancy Disease Council 2,807 130,852 1,582 35 Teens Served Completing Completing Number of Evidence- Stanford Student Participants Based Diabetes Self- Ambassador Enrolled Programming Program Management 3
DEPARTMENT OVERVIEW COMMUNICABLE DISEASE DIVISION Immunizations TB Services STD Services Epidemiology 27,741 3,324 10,368 1,364 Number of Number of Number of Reportable Vaccines Patients Patients Diseases Administered Served Served Investigated 4
DEPARTMENT OVERVIEW ENVIRONMENTAL HEALTH & SAFETY DIVISION Food & Lab Services Stand Up SA Neighborhoods Environmental 3 11 21,298 156,167 Number of Number of Number of Number of Targeted Inspections Total Lab Targeted Neighborhoods Tests Areas ( Cure Violence Grant) 5
MEDICAID 1115 WAIVER HISTORY • Approved 2011 • $29 billion to Texas through 2016 5% is allocated to Public Health • Bexar County region: $1.16 billion • $43 million to Metro Health 6
MEDICAID 1115 WAIVER FY 2016 OVERVIEW • Six Prevention Strategies Teen Pregnancy Prevention Community Based Diabetes Prevention HIV and Syphilis Prevention Neighborhood Health School-Based Oral Health Baby Café Breastfeeding Promotion • FY 2016 Total Budget $11.6 Million • 5 Year Extension expected FY16 7
FY 2016 PROPOSED BUDGET Total Metro Health Budget: $43.5 Million G eneral Fund $12.4 Grants 28% $31.1 72% Fund FY 2015 FY 2016 Change General Fund $11.7 M $12.4 M $.66 M Grant Funds $30.4 M $31.1 M $.69 M TOTAL $42.1 M $43.5 M $1.3 M Positions 367 370 3 8
FY 2016 BUDGET BY PROGRAM Total Budget $43.5 M $ 31.1M Grants Environmental Health & Safety Environmental Health & Safety $ 4.5M Operations $ 3.2M Communicable Disease $ 2.1M Director's Office $ 1.3M Community Health $ 1.3M 9
BUDGET HISTORY ($ in Millions) $45 $40 $35 $30 $19.6 $31.1 $30.4 $23.3 $29.3 $18.4 $25 $18.2 $24.9 $23.1 $18.8 $17.0 $20 $15 $18.2 $10 $16.3 $15.3 $14.6 $12.2 $12.4 $11.6 $11.8 $11.4 $11.1 $11.3 $5 $0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 General Fund Grants In FY 2009 & 2010 the City transferred Clinical Services to the University Health System. Property Tax Rate was reduced commensurate with services transferred. 10
POSITION HISTORY 640 600 700 593 600 436 424 406 500 363 382 370 315 367 337 351 342 400 260 264 300 268 250 255 260 222 238 200 277 278 263 176 100 160 138 132 120 113 112 110 0 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 General Fund Grant 11
FY2016 ENHANCEMENTS IT Systems Total: $342,000 Netsmart : Electronic Medical Records StarLIMS : Laboratory Information Management FOCUS: Data Sharing & Security – Health Information Exchange (HIE) – Partners - Providers – Clients – Systems (Internal & External) 12
FY 2016 PROPOSED REVENUES • Re-inspection Fees • Health Inspection Total Consultation Fee – Standardize – New Service re-inspection fees $24,115 – Provides consulting – Increase fees to offset services for food costs establishments 13
FY 2016 INITIATIVES • Public Health Accreditation Board: National Accreditation – Nationally accepted standards – Site Visit December 2015 – 3 rd Texas city to earn status (Houston and Dallas) – 79 Accredited / 257 In-progress • Restaurant Scoring System – Kerrville, Plano, Phoenix, New York City, Los Angeles and San Diego – Innovation & Reform Project – Pilot January 2016 • Collaboratives – Diabetes Collaborative – Bexar Healthy Beverage Coalition 14
FY 2016 INITIATIVES • 1115 Medicaid Waiver – Complete FY12-FY16 Initiatives – Begin development of FY17- FY21 Initiatives • Witte Collaboration – Data Sharing/Analysis – Childhood obesity trends • Lab Relocation – Relocate to the Texas Center for Infectious Disease campus – Goal: January 2016 15
CONCLUSION • Accreditation • Collaboration • Expansion • Health’s ongoing involvement in SA Tomorrow Initiative 16
FY 2016 PROPOSED ANNUAL OPERATING BUDGET Presented by Vincent R. Nathan, PhD, MPH August 18, 2015
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