Loading...
I1. Reso 5941 - Budget - City-County Health DeptCity of Kalispell KALISPELL post Office Box 1997 -Kalispell, Montana 59903-1997 Telephone (406) 758-7000 Fax - (406) 758-7758 REPORT TO: Doug Russell, City Manager FROM: Rick Wills, Finance Director SUBJECT: FY 2020 City - County Health Levy MEETING DATE: September 3, 2019 BACKGROUND: The County is requesting a levy of 5.99 mills for the City -County Health Department. This levy is up from FY19's levy of 4.9 and represents an overall increase of approximately $72,000. This levy will be collected and administered by the County Treasurer. This resolution was considered by the Council on August 19 and subsequently tabled for action to the September 3 meeting. The Council held a work session on August 26 to further discuss the budget of the Health Department with respective representatives. RECOMMENDATION: It is recommended the City Council remove Resolution 5941 from the table, and adopt the motion approving the resolution making the annual tax levies for the City of Kalispell contribution for the City of Kalispell — Flathead County Health Department, for the fiscal year 2019-2020. FISCAL EFFECTS: The City of Kalispell's contribution amounts to approximately $282,285. ATTACHMENTS: Resolution 5941, City -County Health Department Levy Department and Budget materials from the meeting on 8/26/2019 Return to: Kalispell City Clerk PO Box 1997 Kalispell, MT 59903 RESOLUTION NO. 5941 A RESOLUTION MAKING THE ANNUAL TAX LEVIES FOR THE CITY OF KALISPELL CONTRIBUTION FOR THE CITY OF KALISPELL — FLATHEAD COUNTY HEALTH DEPARTMENT, FOR THE FISCAL YEAR 2019-2020. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF KALISPELL AS FOLLOWS: SECTION 1. That there is hereby levied upon each and every dollar of the taxable valuation of the City of Kalispell, Montana, for the fiscal year 2019-2020, the following levy (funds to be collected and administered by Flathead County): CITY - COUNTY HEALTH DEPARTMENT 5.99 MILLS PASSED AND APPROVED BY THE CITY COUNCIL AND SIGNED BY THE MAYOR OF THE CITY OF KALISPELL, THIS 3RD DAY OF SEPTEMBER, 2019. Mark Johnson Mayor ATTEST: Aimee Brunckhorst, CMC City Clerk Community Health Services Flathead City -County Health Department 751-8110 FAX751-8111 Environmental Health Services 1035 First Ave. West Kalispell, MT 59901 751-8130 FAX751-8131 (406) 751-8101 FAX 751-8102 Family Planning Services www.flatheadhealth.org 751-8150 FAX751-8151 Home Health Services 751-6800 FAX 751-6807 WIC Services 751-8170 FAX 751-8171 Animal Shelter 752-1310 FAX 752-1546 August 21, 2019 Honorable Mayor Mark Johnson Members of Kalispell City Council PO Box 1997 Kalispell, MT 59903 Dear Mayor and Council, Thank you for the opportunity to share more information with you about the Flathead City - County Health Department, our programs and our budget. Attached to this letter you will find the following documents: • Organizational Chart • List of Board of Health Members • Description of our programs • Fiscal Year 2020 proposed budget o Total Flathead City -County Health Department budget o FY20 Health Fund budget overview o FY16- FY20 Health Fund yearly budget comparison o FY20 Health Fund budget by division o FYI Health Fund budget by division o Historical mill levy request We look forward to speaking with you on Monday and answering any questions. �Sincerely, 'W Hillaryanson MS, MPH, CPH Health Officer Providing quality public health services to ensure the conditions for a healthy community. 10 Pt ±b U� 2Q LL m Z LLI `L '1Ar' I..L L LI 2 J Q � Lu = U o Z }' ca N o CU 2) �o CU Q L LI Q J LL � \ \ e e E 0 o \ ƒ / \ z O \ % 0 § 2 < / ® < / < z < § � 0- < w L e / z Of $ 4 © ¥ § ( i � _ / 2 } z < � « % E a ( § 2 a o ƒ z e 2 § ) z 7 \ j / < LLI /LL \ / \ \ z j \ LLI < o i / � ƒ 0- LU § © R� @%o4 9R @ 7 S E z e 'IT 'IT Cr)a' o a e c 0 = e a o a K6&6E&w c 6 e a a a f CL & & @ \ @ E @ \ @ @ & \ w a » a � CO CL iq k \ \ / \ / \ / \ \ -i -i \ } \ -i 2 -i -i ( \_ \ LL 5 } \ } \ \ ° } } } 0 } } } e e \ / E Of LLI ® § $» § 0 L § ° T e E § j \ § \ w < < 0 } \ 0 0 \ 0 j LU < / E < § _ _ < _ ( 0 n m 0 = c LLI o \ § ^ \ = ® ° 6 E \ e z LLI k © / / / / / ) / z � i z z z z z z z 0 § § § § § § § � / 0- < § f < 0- < 0- < 0- < 0- < < 0- < (_ _ F- E < LU ° w e R E z k < \ § � ° S \ / 5 k 0 E \ ƒ E\ § E f w < �_ 00 / ® d ^ 0 z $ % / z 2 0 < 5 \ m § § Of § k \ z } \ \ _ � i \ of § » 2 E / < LL LL 2 � _ = o LU § ) ) \ \ \ \ ) z & ( LU � � 5 7 7 7 7 7 7 7 0 0 ® w < BACKGROUND The Flathead City -County Health Department is a nationally accredited local health department providing quality public health services to ensure the conditions for a healthy. The Health Department provides public health services in five divisions. These divisions are Health Administration, Community Health Services, Environmental Health Services (with Mosquito Control), Family Planning and HIV Services, and Health Promotion. The Health Department also oversees the Flathead County Animal Shelter and Flathead Choice Home Health and has a co -applicant agreement with the Flathead Community Health Center. Each of the divisions within the Health Department provides reduced cost, culturally sensitive, and professional services to meet the diverse needs of the community. Providing quality public health services to ensure the conditions for a health community. \/IC IrNP Healthy People in a Healthy Community DIVISIONS AND PROGRAMS ■■J.. B. J._.. ZM, IN M I riJ 7.L ar_ M Zero to Five. Zero to Five is a statewide initiative supporting local collaboration in Western Montana to create a community where children and families thrive. In Flathead County, we serve as the anchor organization facilitating community led projects on childcare, family engagement, resiliency, and data. A full time staff member based out of the Health Department coordinates these projects and serves as the liaison to other community -based projects in kindergarten readiness and maternal mental health. Public Health Accreditation. In 2016, we received national accreditation through the Public Health Accreditation Board (PHAB). PHAB's national accreditation program fosters health departments' commitment to quality improvement, performance management, accountability, transparency, and the capacity to deliver the Ten Essential Public Health Services. Committed to achieving the highest standards of public health practice, nationally accredited health departments demonstrate a consistent and continued commitment to strengthening their community partnerships, which in turn enables them to better serve their communities. The accreditation process requires yearly reporting along with a re -accreditation process every five years. Public Health Administration. The Health Administration division is responsible for all administrative tasks to serve the Health Department. This includes all fiscal reporting, budgeting and claims processing. This division performs the human resource duties including recruiting, hiring and union negotiations. Trauma -Informed Care. Flathead County has recognized a widespread impact of trauma on residents including the clients and families served at the Health Department. Work is currently underway to integrate knowledge about trauma into the organization to make the Health Department a model trauma -informed care organization through the development and implementation of relevant policies, procedures and practices. Recognizing that the Health Department is only one organization in the community, we are also working to collaborate with stakeholders to educate and guide other community organizations to adopt trauma informed practices. Community Health Needs Assessment/Community Health Improvement Plan. The Community Health Needs Assessment (CHNA) is a systematic, data -driven approach to determining the health status, behaviors and needs of residents in Flathead County, Montana. A CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. We conduct an assessment every three years in collaboration with Kalispell Regional Healthcare, North Valley Hospital, and Flathead Community Health Center. The CHNA is utilized to develop health priorities and strategies to address the priorities. These strategies are provided in the Community Health Assessment. Flathead Forward. Flathead Forward (Flathead Forward.com) is an online platform that provides a communication and data sharing structure for coalitions across the county. Flathead Forward is currently helping action groups create and showcase metrics to help provide hyperlocal data. This tool also enables the Health Department to track data through the use of data tags aligned with the current Community Health Improvement priorities. Emergency Preparedness Program. The emergency preparedness program provides the Health Department an opportunity to enhance planning for emergent situations. We collaborate with community partners including healthcare providers, hospitals, emergency response entities, businesses, and community agencies. Efforts include assessment of current planning, integration of plans, and development of critical capacities to ensure collaborative response to events in Flathead County. Tobacco Use Prevention. The mission of the Tobacco Use Prevention Program, as designated by the Montana Tobacco Use Prevention Program (MTUPP), is to address the public health crisis caused by the use of all forms of commercial tobacco products. This program works closely with schools, healthcare providers, and employers to eliminate tobacco use, especially among young people, through both local and statewide programs and policies. Comprehensive Cancer Control. The Health Department continues to contract with the Montana Department of Public Health and Human Services to implement locally driven, evidence based strategies for a comprehensive approach to control cancer. The goals and objectives are tied to the already developed Montana Comprehensive Cancer Control Plan and support the plan's priority objectives. Montana Cancer Screening Program (MSCP). The MSCP provides breast cancer screening to women 40-64 years of age and cervical cancer screening to women who are 21-64. MSCP contracts for the provision of free clinical breast exams, mammograms and pap tests to a target population of women 50-64 who meet the income eligibility, are uninsured or underinsured. Buckle -Up Flathead. Buckle -Up works to reduce motor vehicle crash injuries and fatalities due to nonuse or misuse of occupant restraints in Flathead County. Buckle Up Flathead also provides a Car Seat Safety Program to ensure proper installation of car seats and provides low cost car seats for those in need. Flathead County DUI Task Force. DUI Task Force promotes a healthier and safer environment for county residents by reducing the number of alcohol related traffic crashes through public education, awareness, and legislation and enforcement strategies. Suicide Prevention. The state of Montana continues to have one of the highest rates of suicide in the nation. The Health Department provides suicide prevention trainings and resources including Mental Health First Aid, Question Persuade Refer training, and gun locks. Sharps. The Sharps program represents a joint effort between the Solid Waste Department and the Health Department to ensure proper disposal of personal sharps. Small sharps containers are provided, at no -charge, to individuals utilizing syringes. These containers are distributed at the majority of pharmacies across the Flathead Valley. The containers, once full, are brought back to the pharmacy and picked up and disposed of at a specified location in the landfill. An employee distributes and collects the containers. HOME HEALTH Flathead Choice Home Health. Flathead Choice Home Health serves the medical needs of the homebound residents regardless of payor source. Our agency makes available the full range of disciplines Medicare designates for a Home Health Agency: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, and Medical Social Work. FAMILY PLANNING AND HIV SERVICES Flathead Family Planning provides confidential reproductive health care services including: physical exams, contraceptive supplies, pregnancy testing and counseling, STD testing and treatment. The family planning services were integrated with the Flathead Community Health Center effective July, 2010 and allows for family planning patients to receive services outside of the scope of the federal family planning grant. Flathead Family Planning employs nurse practitioners, medical assistants, and health educators. HIV Services. HIV Services consist of three separate programs with independent funding sources. The HIV Prevention Grant is funded by the Centers for Disease Control (CDC) through the State of Montana. This grant funds free and anonymous HIV testing to designated high -risk populations as well as HIV prevention and outreach work. The Ryan White Program provides case management services to HIV positive individuals who reside in the northwest region of Montana. The case management includes assisting individuals to obtain medical care, housing and ensuring that basic needs are met. This program is funded entirely with federal funds from HRSA. A small portion of funding is provided through a contract with the State of Montana to provide case management focusing on psychosocial issues and some medical case management. The balance of the funding is provided through an agreement with Partnership Health Center in Missoula to provide early intervention services and medical case management for HIV positive individuals. ENVIRONWNTAI HFAITH Food and Consumer Safety Program. Most of the facilities inspected with this program are licensed by the Food and Consumer Safety Section of the Montana Department of Public Health and Human Services. These include all food facilities (pushcarts, caterers, processors, grocery stores, bakeries, etc.), public accommodations (motels, hotels, Bed & Breakfast, tourist homes), trailer courts/campgrounds, and public pools and spas. Other facilities that are not licensed, but are inspected include schools, day care centers and assisted living facilities. Sewage Treatment System. The powers and duties of local board of health require boards to adopt necessary regulations that are not less stringent than state standards for the control and disposal of sewage from private and public buildings and facilities that are not regulated by Title 75, chapter 6, or Title 76, chapter 4. All installation or alterations of septic systems require a permit from the Health Department prior to construction. Inspections of all systems are conducted in order to ensure compliance with the Flathead County Regulations for Sewage Treatment Systems. Subdivision Review. Subdivision review is done under contract with the Montana Department of Environmental Quality to verify compliance with the Sanitation in Subdivisions Act. This Act requires all parcels created in the subdivision process that are less than 20 acres to be reviewed for suitability for water supply and sewage treatment. Ambient Air Quality. The Flathead County Air Pollution Control Program monitors ambient air quality at sites in Kalispell, Columbia Falls, and Whitefish. The monitoring equipment measures particulates less than 10 microns and particles less than 2.5 microns in size. Open burning is allowed during the months of March through June and October and November. Permitting and enforcement are also part of the open burning program. Mosquito Control Program. The primary mission of mosquito control is to protect the health of the citizens within Flathead County. This is accomplished through surveillance, treating areas known to producing mosquitoes and public education. Trap sites are maintained to trap adult mosquitoes which are tested for the presence of West Nile Virus (WNV). Extensive mapping aids in identifying high -risk areas for both nuisance mosquitoes and those capable of transmitting WNV. DMMUNITY Hf Communicable Disease. The Health Department is legally responsible for the surveillance, investigation and follow up on communicable disease activity. We do this work in cooperation with hospitals, medical providers, schools, and daycares. Immunization Services. The Health Department has an immunization clinic open daily for walk in and scheduled appointments at FCCHD and monthly in Columbia Falls and Whitefish. Seasonal clinics held for influenza, middle school and kindergarten roundup. The Immunization Action Plan provides for school, daycare and immunization record assessments, middle school immunization campaign, and immunization records keeping and tracking with the Montana immunization registry. Maternal Child Health (MCH). MCH provides core maternal and child health services to pregnant women, nonpregnant women of childbearing age, infants younger than one year of age, children and adolescents under age 22, or children with special health care needs. This work includes contracted school nursing services and the Fetal Infant Child Maternal Mortality Review. Public Health Home Visiting. Public Health Home Visiting provides targeted case management services provided for high -risk pregnant women and children. This includes home and office visits by public health nurses, social workers and dieticians to provide assessments, referrals, and educations and interventions. The goals for all home visiting programs are to increase goal setting in families and to help build confidence and competence in parents to increase positive interaction with their children, improve school readiness and support parent and family well- being. Women Infants and Children Program. Funded through the USDA WIC provides supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk. FI ATHFAn CnMMUNITY HFAI TH CFNTFR IFCHCI Flathead Community Health Center. Since its inception in 2007, the FCHC has seen significant growth and change. With the receipt of federal funding in March 2009, the center has continued to grow and add services. Behavioral Health services and the Family Medicine Residency of Western Montana were added in 2013 and 2014 respectively. The FCHC maintains a 340B pharmacy program. Through a collaborative agreement with Sykes Pharmacy, the FCHC is able to purchase medications at public health service prices and pass the discounted price onto the patients. Services are provided in Kalispell and at a satellite clinic in Hungry Horse. Medical provides patient centered clinical services including: acute, chronic, and preventative medical care, obstetrical care and education for people of all ages. The medical clinic employs general practitioners, nurse practitioners, medical assistants, a physician assistant, nurses and educational and support staff. Family Medicine Residency of Western Montana provides the medical services described above. Family Practice Residents in their final two years of residency and a faculty physician provide these services. Behavioral Health Services provide counseling services to patients. This program employs licensed clinical social workers and psychologists. Dental provides dental services including urgent and non -urgent dental care. Demand for dental services continues to exceed our capacity to provide services. The dental clinic employs dentists, a dental hygienist, dental assistants, and support staff. FLATHEAD COUNTY ANIMAL SHELTER Animal Shelter. The Flathead County Animal Shelter, the municipal animal shelter of Flathead County, is overseen and administered by the Health Department. The shelter is an open and managed admission shelter and adoption center providing safe haven and humane care to homeless dogs and cats residing in Flathead County while they await permanent, loving homes. All animals at this shelter are spayed or neutered, vaccinated, licensed (dogs), and micro - chipped prior to adoption. s cu to O - _ m C GJ E i fti Q GJ s fti GJ 2 C O V V cts a� s c� c� 0 O cr o E 5 .— n) e e e e e N N � 01 r•I N N � ri M I� Lf1 M 01 l0 00 r•I 00 l0 O 00 l0 N N 01 O p � M M r•I I� r•I �y ri I.f1 I.f1 O 00 r•I col N Ln I, N n LL N M Lr N r•I ����-V�.I-V�. LA GJ L 3 L M c 4+ v u •� O Q X O L 4+ of — U LJJ 4 rr 41 4� fC C f6 fC F- x2a x �p v ao a N Q L f� t— N s 0 O W 0 0 0 0 0 0 Ui ri Ui ri Ui "t N M N G1 G1 00 N In 00 'I In O m M N 00 w O lD lD lD M 00 p M N O m M Ln -* N N m M 00 14 14 14 N 01 00 N 0) LL N 4Ak 4Ak 4Ak 4Ak 4Ak 4Ak I Ln O 0 M N O Ln N L 03 0' C L x W H .~ C V 0 Ln O g W 2 (n x W I- O Izi- O M N Ln O M l0 M O Ln N N Izi- LL m O O M Ln O M Cl O n m Ln LL M c-I M O l0 00 00 O O M Ln Izi- co Ln M O LL M m N O l0 61 W O N 00 M O I� Izi- M Izi- O r-I -ii r-i LL 00 O 61 O M l0 M O N I� 01 Izi- O O 00 ri N l0 O N Jy ci c-I' Ln c-i -I w l.0 l.0 l.0 LnO O O M M ri 0l W M M O c-I m N m l0 NIzi- O Ln Ln m m LD -zl- -zl- N -zl- ri Ln c-I c-I c-I r� ri Ln N cI N 0 �i Ln 0 .0 w rMi O m � rLn O O l N I� W lzz lzz W lzz O l0 ON Ln � m m M N w m Izi- N N ri Ln M N cI N l0 c I m N Ln m LD O N N � lzz M O lzz Lf1 O Lf1 Izi- m O Ln Ln r� N O O Ln l0 M N r� M N ri I- Izi- N N N Ln ri -zl- N cI N Izi- c-I I� 01 LD LLr LL(1 cic M --I n � ' � 01 Ln O r-I w M r-I O r-I r-I Izi- Izi- Izi- W N Ln Ln M N N l0 ri l0 N cI N N Cl O O M n C M m Izi- ri O Ln Izi- ci O Ln m c-I ri M 01 Izi- N N N N ri N 7 C N v C CU c C N x t 4J ��0x W W = C cJ3 V7 � LL rrLnn V W Q x W 7 O � v L v dA Q L ~ � +J w N L V7 Ca cJ3 c cJ3 v 4� Ln m 2 O 0 H u R c-I r- M 0 n E E 1 00 M O c-I Ln 00 O rl LO M -V O M t M O N O N N N rl Ol M t N l Ili LL c c N ui LL a a ai c v v N (U C 3 N > C S > i (U O U w Dc 00 x (U m L 00 00 00 00 �o M M Ol � � M c-I c-I N N Ol to NO cn n c-I Ln M Lr III I t0 tq M -4 00 M Ol l�0 to O IM I M M NM 00 l0 Oi Oi Ol 00 00 to M O n N In Ln lO n U7 00 00 I� n ci N I� t0 t0 �i V1 Ol a -I In LI1 c-I M 00 N � 00 O Ol 00 Ol Ol V n O NLq l0 O M -4 -4 Ol I, N Ol O I� Ol .-I Ol Ol n 000 M M V�1 Ol O N M O V1 Ol 00 N I, Ln M 00 to to N N I, 00 M N I� V1 oo M ' M O U) c-I Ln O 00 00 to -1 O^l O O M M O 0o0 Lr N N I, N Ol c N O N 00 i w w ~ dJ ai 'n c m ai n L to m 2 0 (D H U I� z 0 n E E 1 O Ln N N N 00 00 M M M M 00 00 O Ln N Ln LA to LT 00 O N 00 M O �* Ln 0) N n �* M �* N 00 m -1 W N c-I -1 c c Ln N ui LL a a N 7 c Lv v N C 3 N > C S i O (U w Dc 00 x w m L (u t7 M M M M 00 00 LT M V cn to to LT Ln c-I Ln N N I I N -4 00 M Ol o a o IoLno to I oLno to n n M !T O 1p 1p .--� 00 O Ln n M O n m O LT -4 to O m 00 m V n O \0 W N OM V I 10 Ln !T N Ln � t0 Ln tT m n V V Ln N en c14 M ^ M LT V �OOo1m r, Ln oo � I�rl. ILT n M Ln Ln Ln I� c-I n <D Ln Ol c-I O N M c I� Ln M 1p ' O N c-I Ln 00 M N M In INII chi 00 N OLn M 7 O ' v N O 00 Q i mo C mo ai n Ln m 2 0 (D H U I� z T i �D N r-I U) U) LL rrf V)- M M 00 O LL W rrf V)- rrf N 00 61 O -1 ri N r- M N LL r j LL r, �t O CF) W W N J i Nrq LL co L6 m L6 °° Sri c-I 4-1 Q 0 2 V s LJL JA W 3 Cn C> i O S U a-+ \ fa �' � U T� QJ w C6 d