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Health Services Department - PowerPoint Presentation

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Health Services Department - PPT Presentation

Presentation Outline Organization Chart Budget ProgramsServices Organization Chart Fiscal and Operational Support Lourdes Markham Medical ClinicPCAN Kelly Deutsch Mosquito Control Josephine Eady ID: 932170

services health orange county health services county orange medical amp mental care department community 000 corrections enforcement drug treatment

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Presentation Transcript

Slide1

Health Services Department

Slide2

Presentation OutlineOrganization ChartBudgetPrograms/Services

Slide3

Organization 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)

Slide4

HSD Budget

Personal Services

$33.8 M

Operating Budget

$58.7 M

Staffing

421

Slide5

HSD Budget

Slide6

HSD 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

Slide7

DivisionsHealth Services Department

Slide8

Fiscal and Operational Support

Slide9

Fiscal 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)

Slide10

Fiscal 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.

Slide11

Orange County EMS System

Slide12

ORANGE 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

Slide13

Medical Clinic

Primary Care Access Network

Slide14

Mission: 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

Slide15

Provides 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

Slide16

MEDICAL 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

Slide17

Create strategic planIdentify challenges in healthcare landscape

Identify and track key performance indicatorsSet goals for PCAN over the next five years

MEDICAL CLINIC/PCAN

Slide18

District 9 and 25 Medical Examiner’s Office

Slide19

Mission

: 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

Slide20

Corrections Health Services

Slide21

Mission

: 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

Slide22

Mental Health

25% population has a Mental Health illness

28,573 Mental Health encounters

520 Baker Acts

Corrections Health

Slide23

Corrections Health Services

Other

Medications

16%

13%

51%

Operating Budget $10.5M

Slide24

Corrections Health Services

51%

Operating Budget $10.5M

Slide25

Corrections Health Services

Medications

16%

Operating Budget $10.5M

Over half of inmates are on medications

Mental health

Chronic conditions

About 6,000 pills daily

Slide26

Corrections Health Services

13%

Operating Budget $10.5M

9 Beds at Aspire

Acute mental health treatment

Forced

medication

Therapeutic

environment

Slide27

Corrections Health Services

Other

Operating Budget $10.5M

Dialysis

Medical supplies

X-rays & ultrasounds

Ambulance transport

Laboratory tests

Slide28

Mosquito Control

Slide29

Mission

: 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

Slide30

Animal Services

Slide31

Animal 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

Slide32

Mental Health & Homelessness

Slide33

Adult 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

Slide34

Youth 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

Slide35

Youth 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

Slide36

Homelessness 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

Slide37

Office for a Drug Free Community

Slide38

Mission: 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

Slide39

Middle School

High School

Illicit Drugs

Pharmaceutical or Legal

Top Drugs Among Middle & High School

Orange County Youth Substance Abuse Survey 2016

Slide40

Community 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

Slide41

72,000

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

Slide42

Heroin

Fentanyl

Orange County Heroin & Fentanyl Related Deaths

Slide43

Created 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

Slide44

Over 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

Slide45

Orange 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

Slide46

Mayor 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

Slide47

Orange 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

Slide48

Mayor 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

Slide49

Health Services Department