FY2018 BUDGET RECOMMENDATION Presented to Joint Appropriations - PowerPoint PPT Presentation

FY2018 BUDGET RECOMMENDATION Presented to Joint Appropriations Committee January 24, 2017

SOUTH DAKOTA DEPARTMENT OF HEALTH SECRETARY Kim Malsam-Rysdon STATE EPIDEMIOLOGIST Dr. Lon Kightlinger DIVISION OF DIVISION OF DIVISION OF PROFESSIONAL AND FAMILY & COMMUNITY HEALTH SYSTEMS DEV. ADMINISTRATION OCCUPATIONAL BOARDS HEALTH AND REGULATION Joan Adam Colleen Winter Tom Martinec CHIROPRACTIC EXAMINERS DATA, STATISTICS, DENTISTRY AND VITAL RECORDS DISEASE PREVENTION HEALTH PROTECTION SERVICES HEARING AID DISPENSERS PUBLIC HEALTH FUNERAL SERVICES LICENSURE AND LABORATORY CHILD AND FAMILY CERTIFICATION SERVICES MASSAGE THERAPY MEDICAL & OSTEOPATHIC FINANCIAL CHRONIC DISEASE PUBLIC HEALTH MANAGEMENT PREVENTION/ NURSING PREPAREDNESS AND HEALTH PROMOTION RESPONSE NURSING FACILITY ADMIN. CORRECTIONAL OPTOMETRY HEALTH RURAL HEALTH PHARMACY PODIATRY EXAMINERS SPEECH/LANG. PATHOLOGY 2

• Strategic Plan • GOAL 1 • Improve the quality, accessibility, and effective use of healthcare • GOAL 2 • Support life-long health for South Dakotans • GOAL 3 • Prepare for, respond to, and prevent public health threats • GOAL 4 • Develop and strengthen strategic partnerships to improve public health • GOAL 5 Maximize the effectiveness and strengthen infrastructure of the Department of Health • 3

• Strategic Plan • Objectives and Strategies  17 objectives and 44 strategies included in the plan  Key staff have been designated to lead efforts for each strategy • Key Performance Indicators  27 key performance measures included in the plan  Quantifiable measures used to define success and track progress in meeting strategic goals  Tied to goals and objectives – not strategies  Align to improved outcomes for the people the DOH serves  Trend data will be updated regularly and available as link on the DOH strategic plan website • Performance Dashboards  5 of the key performance indicators have more detailed information regarding significance of measure, SD/US rates and targets, and trend information  Key performance dashboards were selected based on their significance and overarching impact on population health • Information about the DOH Strategic Plan can be found at http://doh.sd.gov/strategicplan/ 4

Department of Health FY18 Funding Sources GENERAL $9,070,129 OTHER 9.27% $46,618,421 47.65% Total Funds $97,835,644 FEDERAL $42,147,094 LRC budget briefing - Pg. 1 43.08% 5

Department of Health FY18 Governor’s Budget Recommendation FTE General Federal Other Total 431.4 $8,693,240 $41,663,856 $44,282,771 $94,639,867 FY2017 Budget Base Expansion/Reduction Increase/(Decrease) Health Systems Development & Regulation Rural Family Residency Track 236,889 292,354 529,243 Family and Community Health Cribs for Kids 140,000 140,000 1.0 72,165 72,165 FTE – WIC EBT Coordinator FTE – Pregnancy Risk Assessment Coordinator 1.0 66,784 66,784 FTE – Epidemiologist 1.0 51,935 51,935 Pubic Health Laboratory FTE – Forensic Chemist 1.0 -0- Correctional Health 2.0 146,798 146,798 FTE-Nurse Provider inflation 14,915 14,915 Inflation/Inmate expansion 2,803,800 2,803,800 Juvenile Reduction (642,588) (642,588) Informational Boards 12,725 12,725 6.0 376,889 483,238 2,335,650 3,195,777 Inflation/Expansion Total Total FY2018 Governor Recommended Budget 437.4 $9,070,129 $42,147,094 $46,618,421 $97,835,644 LRC budget briefing - Pg. 3 6

Health Systems Development & Regulation Rural Residency Program • Expansion requested to expand physician residency slots by 6 students in rural track – Between FY13 & FY15, added 15 medical students per year – Added RHEPS and FARM program to help train medical students in rural practice • Not enough residency slots in SD for number of students at med school- we export students • 68% of students who complete all their medical education in a state end up practicing there LRC budget briefing - Pg. 10 7

Health Systems Development & Regulation Rural Residency Program • Expansion track would leverage existing family residency program infrastructure to save costs • Rural training site feasibility has been completed and now moving into accreditation phase • 3 year ramp up- 2 students added each year • Program costs offset by 2nd and 3rd year resident revenues and hospital contributions • Use Medicaid GME funds to leverage federal funds 8

Health Systems Development & Regulation Rural Residency Program Year Three + Start-up- Year One- Year Two- FY20 & FY17 FY18 FY19 Ongoing Base General $0 $236,889* $304,368* $304,368* Base Federal $0 $292,354 $375,632 $375,632 Total Base Request $0 $529,243 $680,000 $680,000 One Time Funds (FY17) $205,000 0 0 0 Total General Fund $205,000 $236,889* $304,368* $304,368* Request *General funds at FY18 rate- will change with new FMAP rates 9

Family & Community Health Child & Family Services • Cribs for Kids • $140,000 general funds – Provide safe sleep education and kits for infants/families in need – South Dakota Infant Deaths 2013-15 • 60% of infant deaths determined to be sleep related • Of these sleep related infant deaths,47% occurred in an adult bed LRC budget briefing - Pg. 14 10

Family & Community Health Child & Family Services • 1.0 FTE and $72,165 federal funds • WIC Data Coordinator & Vendor Support (Special Supplemental Nutrition Program for Women, Infants & Children) – Manage electronic data system – Provide training, technical assistance and reports for vendors – Monitor for efficiencies, quality assurance and accountability LRC budget briefing - Pg. 13 11

Family & Community Health Child & Family Services • 1.0 FTE and $66,784 federal funds • PRAMS Coordinator – Oversee newly funded CDC Pregnancy Risk Assessment Monitoring System (PRAMS) Grant – Coordinate data sources and dissemination of data to support program planning, implementation and evaluation LRC budget briefing - Pg. 13 12

Family & Community Health Office of Chronic Disease Prevention & Health Promotion • 1.0 FTE and $51,935 federal funds • Epidemiologist – Manage newly funded CDC Prescription Drug Overdose Prevention Grant – Collect, interpret and analyze data to support planning, priority setting, policy making, & evaluation • Drug overdose deaths • Hospitalizations due to drug overdose • Prescribers registered with the PDMP • ER admissions due to drug overdose LRC budget briefing - Pg. 14 13

Public Health Laboratory • 1.0 FTE • Forensic Chemist – Perform blood alcohol content analysis, urine analysis, blood toxicology, and solid drug analysis LRC budget briefing - Pg. 17 14

Correctional Health FY2018 Governor’s Recommended Budget Summary FY17 Base Budget $21,241,656 2.0 FTE – Nurses $ 146,798 Medical Inflation • Contractual Services: A 1.0% inflation rate for contracted medical provider services. $ 14,915 Inflation/inmate expansion $ 2,803,800 Juvenile reduction $ (642,588) FY18 Budget Recommendation $23,564,581 FY18 Recommended Other Fund Increase $ 2,322,925 *For additional information, please see slides from Joint CHC hearing. LRC budget briefing - Pg. 19-21 15

Special Appropriation HB 1042 - An Act to make an appropriation to reimburse certain health care professionals who have complied with the requirements of the recruitment assistance program or the rural health care facility recruitment assistance program and to declare an emergency. • Appropriates $550,581 to reimburse 4 physicians, 1 PA, and 4 NPs who will be fulfilling their agreements for the Recruitment Assistance Program in FY 18 and $285,000 to reimburse 41 eligible healthcare professionals who have complied with the requirements of the Rural Healthcare Facility Recruitment Assistance Program in FY 18. 16