Presentation Outline Organization Chart Budget ProgramsServices Organization Chart Fiscal and Operational Support Lourdes Markham Medical ClinicPCAN Kelly Deutsch Mosquito Control Josephine Eady ID: 932170
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Slide1
Health Services Department
Slide2Presentation OutlineOrganization ChartBudgetPrograms/Services
Slide3Organization Chart
Fiscal and Operational Support
Lourdes Markham (
Medical Clinic/PCAN)
Kelly Deutsch (
Mosquito Control)
Josephine Eady (
Corrections Health)
Joshua Stephany, M.D.
(
Medical Examiner)
John Goodrich (Acting Director)
Dil Luther (Animal Services)
Carol Burkett (Office for Drug Free Community)
Donna Wyche (Mental Health & Homelessness)
Christian Zuver, M.D. (Office of the Medical Director, EMS)
Slide4HSD Budget
Personal Services
$33.8 M
Operating Budget
$58.7 M
Staffing
421
Slide5HSD Budget
Slide6HSD Budget
Fiscal and Operational Support
$17.1M
Medical Clinic/PCAN
$37.4M
Medical Examiner
$5.6M
Corrections Health
$24.4M
Mosquito Control
$2.6M
Drug Free Office
$1.6M
Animal Services
$8.6M
Mental Health
& Homelessness
$
14.6M
EMS Medical Director
$1.9M
Slide7DivisionsHealth Services Department
Slide8Fiscal and Operational Support
Slide9Fiscal and Operational Support
Mission: Provides administrative support for the Health Services Department.ServicesFiscal/contracting services for divisions.
Assists divisions with developing contracts.
Administers federal grants that provide medical, housing, and supportive services to individuals with HIV.
Epidemiology/Stats services for divisions. (NEW)
Slide10Fiscal and Operational Support
Epi/StatsAnalyze data to determine effectiveness of interventions and assist with targeted improvements.Use data to move from output to outcome based contracts.
Slide11Orange County EMS System
Slide12ORANGE COUNTY EMS SYSTEM
Mission: Provides medical oversight of emergency medical services within Orange CountyServices
Approximately 2,250 EMT’s and Paramedics (does not include Winter Park and Maitland)
200,000 EMS calls annually
150,000 transports
Provides direct and indirect medical oversight of pre-hospital care in Orange County
Provides ESF 8 (Health and Medical) disaster management support to the department
Slide13Medical Clinic
Primary Care Access Network
Slide14Mission: To make access to healthcare services available to the uninsured and underinsured in Orange County.
Primary Care Access Network (PCAN)22 member public-private partnership
Over 100,000 patients enrolled since 2000
11 primary, 10 after hours, & 1 secondary care clinic
PCAN Funding - Leverages local, state and federal funding
$
25.6M volunteer
donated careSliding-scale patient feesState Inter-Governmental Transfer (IGT) dollars
Medicare & Medicaid$3.5M hospital inpatient contribution
MEDICAL CLINIC/PCAN
Slide15Provides specialty/secondary care services & medical disease case management to eligible adults.
Co-located partnershipsSpecial Care - Volunteer specialty physicians Orlando Health – Internal Medicine Residency Program
Florida Hospital Congestive Heart Failure Clinic
Shepherds Hope – After hours non-emergency care
Florida Hospital & Mental Health Association
Radiology, laboratory & pharmacy services
MEDICAL CLINIC/PCAN
Slide16MEDICAL CLINIC/PCAN
Primary Care
FQHCs
Shepherd's Hope
Resident Clinics
Secondary Care
OCMC
Shepherd’s Hope
Fills gaps in care for Orange County residents falling between insurance and Medicaid coverage, as well as indigent individuals
Slide17Create strategic planIdentify challenges in healthcare landscape
Identify and track key performance indicatorsSet goals for PCAN over the next five years
MEDICAL CLINIC/PCAN
Slide18District 9 and 25 Medical Examiner’s Office
Slide19Mission
: Serves
Orange and Osceola counties by performing quality and efficient medicolegal investigations to determine the manner and cause of deaths as mandated by Florida
law.
Services
Covers 2,510 square miles (Orange and Osceola Counties)
Completed 1,411 autopsies
Completed 605 external exams
Investigated, but not accepted 2,860 deaths
Approved 8,326 cremations
Medical Examiner’s Office
Slide20Corrections Health Services
Slide21Mission
: Provides
medical and mental health care to all inmates incarcerated at the Orange County Correctional
Facilities.
Services
35,000 Initial Medical Screenings
62,000 prescriptions filled annually
$129,000 medication cost per month
576 Hospital admissions
902 Off
Site Medical Visits
Corrections Health
Slide22Mental Health
25% population has a Mental Health illness
28,573 Mental Health encounters
520 Baker Acts
Corrections Health
Slide23Corrections Health Services
Other
Medications
16%
13%
51%
Operating Budget $10.5M
Slide24Corrections Health Services
51%
Operating Budget $10.5M
Slide25Corrections Health Services
Medications
16%
Operating Budget $10.5M
Over half of inmates are on medications
Mental health
Chronic conditions
About 6,000 pills daily
Slide26Corrections Health Services
13%
Operating Budget $10.5M
9 Beds at Aspire
Acute mental health treatment
Forced
medication
Therapeutic
environment
Slide27Corrections Health Services
Other
Operating Budget $10.5M
Dialysis
Medical supplies
X-rays & ultrasounds
Ambulance transport
Laboratory tests
Slide28Mosquito Control
Slide29Mission
: Provides
control of disease-transmitting and
nuisance
mosquitoes throughout Orange
County.
Services
Treated 144,777 acres for adult
mosquito
control
Treated 618 acres for larval mosquito control
Conducted 18,856 inspections
Responded to 1,243 service requests
Submitted 3,179 serum samples for arboviral disease testing
Mosquito Control
Slide30Animal Services
Slide31Animal Services
Mission: Enforce animal services code and promote adoption and animal spay/neuter
Services:
Field
Operations
100,000 calls annually
Shelter
20,000 animals annually
100,000 visitors
Six
straight years of recordadoptions
Low-cost spay/neuter
Slide32Mental Health & Homelessness
Slide33Adult Mental Health
Central Receiving Center (CRC)
Single point of entry to adult mental health system of care for individuals in crisis.
500 screenings per month
Average drop-off time for law enforcement is 12 minutes
$40M savings to hospitals based on ER diversions
$6M annual county contribution
Slide34Youth Mental
Health
Commission Established
on August 26, 2013
Commission Implementation
Team – April 2014
ORIGINAL COMMISSION OBJECTIVES:
Determine
state of mental health system for youth and families
Develop
effective strategies and initiatives to improve the mental health of children and young adults in Orange County
Identify
financial sustainability options for an
optimized
system of care
Change stigma towards mental health
Slide35Youth Mental
Health
“Breakthrough” Pilot
Blended and Braided Funding
Credentialed Provider Network
Evidence Based Practices (EBPs):
WAO
Mobile Crisis Expansion
Multi
Systemic Therapy
Expansion of System of Care Values
Positive Trajectory:
State funding Functional Family Therapy
State funding First Episode Psychosis
Orange County plan aligns with multiple funding partners and providers
County GR - $2.5M
Slide36Homelessness ServicesTransitional Housing –CRC Phase II 21 beds for co-occurring consumers identified at CRCEast side Drop In Center – Serves the growing number of chronic homeless in campsPermanent Supportive Housing (PSH) – 40 units for chronically homeless individuals
Supportive Services – case management for those in PSH – County Match for City of Orlando leasingRapid Rehousing for families – has served 160 families housing more than 70 since 2017Bridge Housing – transitioning from shelter Diversion – 1st in the community to fund diversion at shelter intakeCounty GR -
$3.4M
Slide37Office for a Drug Free Community
Slide38Mission: Build a healthy, safe and drug free community through education, prevention, enforcement and treatment.
GoalsEducation & Prevention - Stopping Use Before It Starts Enforcement - Aggressively Attacking Unlawful Drug ActivityTreatment/Recovery - Getting Treatment Resources Where They Are Needed
Office for Drug Free Community
Slide39Middle School
High School
Illicit Drugs
Pharmaceutical or Legal
Top Drugs Among Middle & High School
Orange County Youth Substance Abuse Survey 2016
Slide40Community Action Plan
Implement Evidence-Based
Programs
Social Marketing Campaigns
Talk They Hear You
Provide Educational Resources
Conduct Community Trainings
Enforcement
Prevention
Treatment
Enhance law enforcement training
Support alcohol enforcement details
Social Marketing Campaigns
Fake to Felony
Promote RX Take Back Locations
Fund Adult Drug
Court Program
Conduct professional trainings
Community awareness events
Recovery Walk
Education
- treatment options
Slide4172,000
people died from drug overdoses in 2017 (49,000 involved an opioid)
Every day,
134 people die in the US
from an
opioid overdose
which includes heroin and fentanyl
Drug Overdose Deaths is higher than
the number of people who
die from breast cancer annually
Opioid Epidemic
Slide42Heroin
Fentanyl
Orange County Heroin & Fentanyl Related Deaths
Slide43Created by Mayor Jacobs and co-chaired by Sheriff Demings - August 2015
22 Community Leaders
Subcommittees created in areas of Law Enforcement, Healthcare, Education & Prevention, Treatment & Legislative
Met for six months
Task Force approved 37 recommendations
Heroin Task Force Advisory Committee oversees implementation of recommendations
Orange County Heroin Task Force
Slide44Over 1,200 law enforcement officers now carry
naloxone in Orange County
Orange County Sheriff’s Office
Orlando Police Department
UCF Police Department
FDLE
Belle Isle Police Department
Windermere Police Department
Winter Garden Police Department
Apopka Police Department
Eatonville Police Department
Orange County Sheriff’s Office & Orlando Police Department have administered
naloxone approximately 260 times to
save lives since
July 2016
Naloxone Use by Law Enforcement
Slide45Orange County Corrections Pilot Program - June 2016 – Healthcare:
Orange County Jail Naloxone Program 585 inmates provided with naloxone
1st Jail in Florida to provide naloxone to inmates
Funded by Department of Justice Grant
Naltrexone (Vivitrol®) Pilot Program
1547 inmates screened for interest in the program
212 qualified for treatment after full screening
80 patients received injection and oral
Orange County Corrections
Heroin Task Force Pilot Program
Slide46Mayor Jacobs and Task Force members launched the Heroes Against Heroin website
United Way Opioid Texting Campaign - Text Opioid to 898-211Screening, Brief Intervention & Referral to Treatment (SBIRT)
Partners conducting QI Project - SBIRT in
primary care settings
SBIRT Toolkit and training developed
www.ocflheroesagainstheroin.org
Education & Prevention
Community Outreach
Slide47Orange County awarded SAMHSA First Responder – Comprehensive Addiction and Recovery Act Grant - $2M over four years
Only county/agency in Florida to receive the grantGrant Requirements:
Naloxone training for law enforcement & community stakeholders
Implement processes and protocols for appropriate referral to treatment & recovery support services at emergency departments
Florida Hospital East and Orlando Health Downtown
Epidemiologist/Evaluator – FL Department of Health
Oversight provided by Orange County Heroin Task Force Advisory Committee
Orange County SAMHSA First Responder-CARA Grant
Slide48Mayor Jacobs Orange County Experience ProgramDesigned to educate and engage citizens about Orange County services
Meet county staff and tour facilities12-week program from 9am – 12noon
Wellness Fairs
Coordinate wellness fairs with County Commissioners, staff and community agencies
Three/Four annually with attendance 250 – 500 (several are held in conjunction with back to school events)
Community Engagement
Slide49Health Services Department