Peoria City/County Health Department 2014 Annual Report

2014 Annual Report Peoria City/County Health Department • 2116 N. Sheridan Road • Peoria, Illinois 309/679-6000 • TDD 1-800-526-0844 (hearing impaired use only)

Dear Citizens of Peoria County: The Peoria County Board of Health is pleased to present your Health Department’s Annual Report for Fiscal Year 2014. The Health Department provides services to protect and improve your health. We are fortunate to have hard working staff focused on delivering quality public health services. We also appreciate working in a community that embraces public health principles to promote everyone’s health and well-being.

Key accomplishments this year include: 1. Working with the leadership of Healthy Central Illinois to develop a regional health improvement collaborative.

2. Funding a community health improvement project to reduce obesity.

3. Reducing the risk of water borne disease by implementing a new onsite wastewater treatment code.

4. Improving accountability by implementing a performance outcome management system.

5. Benchmarking the quality of our public health efforts by applying for national public health department accreditation.

6. Leading our community’s response to the Ebola crisis.

With the implementation of the Affordable Care Act, the Health Department is taking advantage of new opportunities for cross-sector collaboration to improve our population’s health— building partnerships to advance our vision for a healthy, safe and informed community. And while strides are being made, many challenges persist, including reducing the rates of sexually transmitted and other infectious diseases impacting our community. And, as the state fiscal crisis endures, the Department will continue striving to be efficient and innovative in the delivery of program services and allocation of resources to promote health, prevent disease, and provide for a safe environment for all Peoria County residents.

Fiscal Year 2014 Peoria County Board of Health Members David Trachtenbarg, MD, President Joyce Harant, MS, Secretary Sharon Williams, BS, County Board Liaison Todd Baker, MBA Rev. Samuel Duren, BA Jennifer Groves-Allison, BA Stephen E. Hippler, MD Rahmat Na’Allah, MD, MPH Stephen C. Roehm, DDS Kathy Simpson Nora Sullivan, MS, RN Maxine Wortham, PhD Terry Waters, MBA (term expired 6/30/14)

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The Board of Health and Health Department staff are proud to be part of a system that seeks to improve our community’s health and looks forward to continuing to provide quality services for you in the year ahead.

Sincerely,

David E. Trachtenbarg, MD President, Peoria County Board of Health

www.pcchd.org

Health Protection Division – Infectious Disease The Health Protection Division includes the Infectious Disease Program that conducts surveillance of communicable disease. Program goals are to investigate and protect the public from contagious disease outbreaks.

Immunizations

2013 2014

Adult Immunizations Doses Administered (Includes Foreign Travel)................................. 2,908..................... 2,841 Adult Immunizations Clients Served (Includes Foreign Travel).......................................... 1,877..................... 1,048 Childhood Immunizations Doses Administered.................................................................. 2,845..................... 4,536 Childhood Immunizations Clients Served.......................................................................... 1,247..................... 1,735 Seasonal Influenza Immunizations Adult Doses Administered............................................. 401........................ 507 Seasonal Influenza Immunizations Infant/Child Doses Administered................................... 248........................ 360 Health Department Clinic Activities Patient Encounters for STD Testing and Treatment........................................................... 1,887..................... 1,524 Patient Encounters for HIV Counseling & Testing.............................................................. 1,620..................... 1,795 Communicable Diseases Reported (PCCHD Provisional Data) Chlamydia.......................................................................................................................... 1,636..................... 1,469 Cryptosporidiosis....................................................................................................................... 5............................ 0 Giardiasis.................................................................................................................................11............................ 0 Gonorrhea............................................................................................................................. 588........................ 445 Haemophilis Influenzae, Invasive.............................................................................................. 4............................ 3 Hepatitis B............................................................................................................................... 20.......................... 13 Hepatitis C............................................................................................................................... 75.........................111 Histoplasmosis.......................................................................................................................... 3............................ 1 HIV Infection............................................................................................................................ 18............................ 8 Lyme Disease...........................................................................................................................11............................ 6 Pertussis (Whooping Cough)...................................................................................................11............................ 9 Rabies Human or Potential Human Exposure........................................................................ 36............................ 0 Salmonellosis.......................................................................................................................... 28.......................... 16 Shigellosis............................................................................................................................... 25.......................... 24 Streptococcal Infections, Group A, Invasive.............................................................................. 7............................ 7 Syphilis...................................................................................................................................... 3.......................... 12 Tuberculosis.............................................................................................................................. 1............................ 0

Health Protection Division – Environmental Health The Health Protection Division includes the Environmental Health Program which strives to protect public health through programs specifically designed to promote healthy environmental conditions and reduce exposure to health risks. Program goals are to preserve and protect health via surveillance, education, enforcement, and prevention of environmental hazards.

Food Protection Program

2013 2014

Annual Licensed Food Establishments (January 1)........................................................... 1,186..................... 1,172 Routine Inspections Conducted......................................................................................... 2,629..................... 2,608 Re-inspections Conducted.................................................................................................... 132........................ 118 Complaint Investigations Conducted..................................................................................... 257........................ 260 Temporary Food Stands Inspected....................................................................................... 798........................ 936 Potable Water Supply Program Water Well Permits Issued...................................................................................................... 46.......................... 53 Water Wells Installed............................................................................................................... 16.......................... 26 New Water Wells Inspected.................................................................................................... 39.......................... 44 Water Wells Sealed................................................................................................................. 15.......................... 26 Complaint Investigations Conducted......................................................................................... 0.......................... 10 On-site Wastewater Treatment Program System Permits Issued......................................................................................................... 125........................ 103 Systems Installed.................................................................................................................. 107.......................... 86 Systems Inspected................................................................................................................ 108.......................... 93 Complaint Investigations Conducted....................................................................................... 21.......................... 19 Vector Control (Mosquito/West Nile Virus) Public Contacts..................................................................................................................... 121.......................... 55 Inspections.............................................................................................................................. 82.......................... 43 Lead Hazard Removal Environmental Assessments................................................................................................. 134.......................... 72 Homes Mitigated..................................................................................................................... 97.......................... 97

Dental Health The Dental Health Clinic strives to prevent dental disease and promote oral health for the patients.

2013 2014

Examinations...................................................................................................................... 4,671..................... 4,328 Sealants............................................................................................................................. 2,213..................... 2,951 Patient Encounters*........................................................................................................... 7,560..................... 6,628 *Numbers reflect the collaboration with the dental community and the referral of patients into primary dental provider homes.

Child & Family Health The Child & Family Health Program includes services to promote a healthy community by educating families on healthy food choices, breastfeeding for new moms, and environmental risks.

WIC Program

2013 2014

Client Enrollment (monthly average).................................................................................. 4,489..................... 4,364 Clients Attending Nutrition Education Group Sessions...................................................... 3,781..................... 2,485 Clients Completing Internet Nutrition Education................................................................ 1,089..................... 1,018 Clients Completing Self Study Modules............................................................................. 1,883..................... 3,421 Medicaid Application Assistance........................................................................................... 282........................ 211 High Risk Follow-Up Program Infant Visits............................................................................................................................ 474........................ 453 Lead Poisoning Prevention Clients Screened at PCCHD.............................................................................................. 1,719..................... 1,753 Peoria County Children with Elevated Blood Lead Levels (PCCHD Provisional Data)........... 42.......................... 22 Lead Nurse Interventions........................................................................................................ 42.......................... 22

Community Health Policy & Planning The Community Health Policy and Planning Division collaborates with and engages the community to create a shared vision for population health improvement and to evaluate the Department’s efforts and impact on community health outcomes within Peoria County and across the region.

Health Promotion Presentations

2013 2014

Health Fairs Attended.............................................................................................................. 24..........................29 Tobacco-Free Communities Programs School Health Programs Attendees*.................................................................................. 1,322........................383 *The Health Department subcontracts with Hult Center for Healthy Living to conduct Tobacco-Free education programs.

Numbers reflect changes in grant requirement program deliverables.

Smoke-Free Illinois Act Education and Enforcement Program Total Complaints Received through IDPH Database.............................................................. 98..........................26 Total Compliance Inspections Conducted**.......................................................................... 663........................227 **The Health Department subcontracts with local law enforcement agencies to conduct Illinois Smoke-Free Act compliance checks.

Numbers reflect changes in grant requirement program deliverables.

Million Hearts† Collaborative Groups Screening for Hypertention...................................................................................................5 Volunteers Trained to Take Blood Pressures........................................................................................................23 Individuals Screened for Hypertention................................................................................................................ 113

“Normal” Range.................................. 15.0% “Pre-Hypertension” Range..................... 50.4%

“Stage 1 Hypertension” Range........... 25.7% “Stage 2 Hypertension” Range................ 8.8% Million Hearts is a national initiative to prevent one million heart attacks and strokes by the year 2017. Here in Peoria, a community collaborative has been established to promote hypertension management through blood pressure monitoring and control.

†

Vital Records Program (PCCHD Provisional Data) Peoria County Births Registered........................................................................................ 2,582.....................2,712 Peoria County Deaths Registered...................................................................................... 1,624.....................1,639

Fiscal Year Financial Reports

2014 Revenues

Beginning Balance (1/1/14)........................$ 3,646,569 Tax Levy............................ $ 1,167,698 Licenses & Permits.................. 456,283 Grants & Contracts............... 4,199,498 Service Fees......................... 1,128,385 Other (Misc.).............................. 62,408 Total.................................. $ 7,014,272 2014 Expenditures Personnel.......................... $ 4,330,801 Commodities............................ 295,750 Contractual........................... 2,064,490 Subtotal................................ 6,691,041 Change to Reserve Fund........ 323,231...........323,231 Total.................................. $ 7,014,272 Ending Balance (12/31/14) (Unaudited)....$ 3,969,800

2014 Revenues by Percentage

• Established a new Community Health Policy & Planning Division within Department

• Exceeded Child & Family Health Performance Outcome Objective by completing lead poisoning screening on 92% of children enrolled in WIC program • Partnered with community stakeholders in the conduct of emergency preparedness functional exercise that simulated a hazardous material release • Increased customer satisfaction by implementing finance system that accepts credit/debit card payments for certain Department fees or services • Lead Hazard Removal Program completed lead mitigation activities in 84 Peoria County homes • Adopted an Open Air Dining Food Safety Policy for Peoria County restaurants • Dental Clinic successfully transitioned to an electronic dental record system • Implemented a blood pressure screening and management program (Million Hearts) with faith-based partners in 61605 community • Coordinated community health system response to Ebola outbreak

 Tax Levy (16.65%)

 Licenses & Permits (6.50%)

• Enhanced Department’s ability to analyze health data and monitor disease outbreaks via establishment of Epidemiology Program

 Grants & Contracts (59.87%)

 Service Fees (16.09%)

• Implemented Performance Outcome Management and Quality Improvement process in all Department program areas

 Miscellaneous (0.89%)

2014 Expenditures by Percentage

• Adopted new Water Well Code for Peoria County which includes public health regulations for geothermal wells • Effectively facilitated community health improvement committee that is investigating opportunities to address reproductive health challenges in Peoria County

 Personnel (64.73%)

• Developed and launched web-based homeowner onsite wastewater treatment education tool

 Commodities (4.42%)

 Contractual (30.85%)

• Developed and implemented nutrition self-study modules for WIC participants

2014 Distribution of Property Taxes

 Schools (61.21%)

 Cities, Villages, Incorporated Towns (13.74%)

• Successfully introduced workforce training and development campaign for all staff • Coordinated and funded collaborative community health improvement project to launch in 2015 that will address obesity risk factors in at-risk neighborhoods • As part of a sustained effort to improve service, value, and accountability to Peoria County residents, the Department submitted an application seeking accreditation from the National Public Health Accreditation Board

 County (8.73%)

 Miscellaneous (6.37%)

 Park Districts (6.02%)

 Township & Road Districts (3.52%)

 Health Department (0.41%)

Peoria City/County Health Department 2014 Milestones

PCCHD

• Successfully managed two potential communicable disease outbreaks involving Pertussis