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Health Services Department Fiscal Year 2018 Budget PresentationCopyright 2014 City of Dubuque Public Hearings # 6. IT EM T IT LE:Health Services Fiscal Year 2018 Budget Presentation SUM MARY: SUGGEST ED DISPOSIT ION: ATTACHMENTS: Description Type Rec ommended FY18 Health Servic es OP Supporting Documentation -133- Health Services -134- This page intentionally left blank. -135- HEALTH SERVICES DEPARTMENT Budget Highlights FY 2016 Actual FY 2017 Budget FY 2018 Requested % Change From FY 2017 Budget Employee Expense 447,336 468,696 488,668 4.3 % Supplies and Services 293,860 293,191 312,460 6.6 % Machinery and Equipment 1,141 22,975 1,125 (95.1)% Total 742,337 784,862 802,253 2.2 % Operating Revenue 308,878 298,450 311,602 4.4 % State Grant 10,267 7,150 8,806 23.2 % Total 319,145 305,600 320,408 4.8 % Property Tax Support 423,192 479,262 481,845 2,583 Percent Increase (Decrease)0.5 % Personnel - Authorized FTE 5.58 5.58 5.58 Improvement Package Summary 1 of 3 This improvement package would increase the two 30-hour per week part-time Animal Control Officers to full-time at 40 hours per week. This would improve Animal Control staffing by 33%, providing more morning, evening and weekend coverage and timelier follow-up on current animal control incidents and complaints. The added coverage will reduce the amount of calls the Police will need to respond to, increase the number of impounded animals and their subsequent revenue, and provide more prompt and efficient service to citizens. This increase in staffing would also provide improved coverage for when Animal Control takes time off for training, City business or for personal time. In addition, now that pets are allowed on trails and in some parks, Animal Control will provide enforcement for pets in these areas in conjunction with park patrol. Currently, when one of the Animal Control Officers requires time off, coverage hours are decreased, since neither part-time Animal Control Officer can go above 1,508 hours in a twelve-month period. Also, when Animal Control is not on-duty, i.e., evenings, nights, weekends, holidays, training, etc., Police cover animal emergencies and complaints. In FY12, Police responded to 767 animal calls, in FY13, Police responded to 717 animal calls, in FY14, Police responded to 854 animal calls, in FY15 Police responded to 569 animal calls and in FY16 Police responded to 647 animal calls. This amounts to significant time and expenditure for the Police Department. Current staffing levels do not allow any time for community outreach and education on animal control and responsible pet ownership issues. Increasing the Animal Control officers hours would allow them to meet with and provide education to neighborhood associations, civic organizations, schools and animal organizations. In addition, the amount of dogs and cat licensed in the city has steadily increased since FY 94. This does not account for unlicensed pets, which the American Veterinarian Medical Association estimates 32% of the households owning 1.69 dogs and 27.3% owning 2.19 cats. For the City of Dubuque's 22,560 households, this translates to 12,200 dogs and 13,488 cats. Annexations have also add travel time and coverage ability. -136- FY Animal Licenses Sold FY94 6,495 FY95 7,050 FY96 6,900 FY97 7,110 FY98 7,333 FY99 7,147 FY00 7,294 FY01 7,792 FY02 8,005 FY03 7,574 FY04 8,036 FY05 6,293 FY06 7,683 FY07 7,990 FY08 8,675 FY09 8,370 FY10 8,190 FY11 9,055 FY12 9,341 FY13 9,437 FY14 9,486 FY15 9,897 FY16 10,091 This improvement package also includes an increase in fuel (+$489) and vehicle maintenance (+$254). In addition, it is expected that animal impoundment fees would increase (+$3,000), court fines (+$5,000) and cat licenses (+$2,000) and dog licenses (+$3,000) due to enforcement and outreach. Related Cost:$85,253 Tax Funds Recurring Recommend - No Related Revenue:$13,000 Animal Fees/Fines Recurring Net Cost:$72,253 Property Tax Impact:$0.0305 0.28% Activity: Animal Control 2 of 3 This improvement package would provide funds to replace the portable printers used by the Sanitarians that were purchased by grant funds. Sanitarians must have portable printers while working outside the office while conducting food service/hotel inspections. The inspections are recorded in the computer on-site and portable printers allow a report to be generated on-site for the food service/hotel operator. Related Cost:$600 Tax Funds Non-Recurring Recommend - No Property Tax Impact:$0.0003 —% Activity: Health Inspection 3 of 3 This improvement package would provide funds to develop targeted educations sessions and outreach/ educational materials in conjunction with the Housing & Community Development Department for the various community sectors impacted by bed bugs. This would be accomplished through a purchase of -137- service contract. A consistent, comprehensive message provided to all may provide a comprehensive, cohesive strategy for dealing with this community-wide issue. Sectors targeted, but not limited to, would include pest control operators, landlords, tenants, hotels, health professionals, institutions, agencies serving the homeless, schools, and the general public. Since September 28, 2015, the City has logged 143 complaints of bed bugs. This is only those that are reported or noted by Housing, Health and Public Works. Related Cost:$15,000 Tax Funds Recurring Recommend - No Property Tax Impact:$0.0063 0.06% Activity: Health Inspection Significant Line Items Employee Expense 1. FY 2018 employee expense reflects a 2.0% wage package increase. 2. The Iowa Public Employee Retirement System (IPERS) City contribution is unchanged at 8.93% and the employee contribution is unchanged at 6.18% in FY 2018. 3. The City portion of health insurance expense is unchanged from $1,325 in FY 2017 to $1,325 in FY 2018 per month per contract. 4. Sick leave payout decreased from $5,100 in FY 2017 to $4,618 in FY 2018. Supplies & Services 5. Court Costs and Record Fees increased from $0 in FY 2017 to $25,500 in FY 2018. Beginning January 1, 2016, the court requires the $85 filing fee for municipal infractions to be paid up front by the City. The Court then enters judgment, and if a defendant if found guilty, the defendant will pay a fine plus $85 in court costs and the Court will distribute the fine portion and reimburse the City for the filing fee that was paid up front by the City. If a defendant is found not guilty, the City will pay for the court costs using the $85 filing fee paid upfront instead of deducting the $85 from the City's judgments, which was the process done by the Court previous to January 1, 2016. Departments that file municipal infractions must budget the upfront filing fee and a portion of the amount is reimbursed to the department going forward. The offsetting revenue is budgeted in Iowa District Court Fines and is $21,675 in FY 2018 which is 85% of the cost of the filing fees. 6. Payments to Other Agencies decreased from $178,336 in FY 2017 to $177,860 in FY 2018. The FY 2018 Humane Society contracted budget is $126,860. These contracted services for animal control are expenses that the City would have within its organization regardless of who provides the services. In addition, there is $25,000 budgeted for the Crescent Community Health Center for rent of the wellness center at the renovated Engine House and $22,500 budgeted for Crescent Community Health Center operating expenses (there is a 10% cut in FY 2018). There is also $3,500 budgeted for the Visiting Nurse Association to provide medical case management of lead poisoned children, which is funded by the Iowa Department of Public Health grant. 7. Bill Collection Services increased from $44,000 in FY 2017 to $46,845 in FY 2018 based on FY 2017 plus 6%. This line item represents the amount paid to PetData Services for pet licensing. -138- Machinery & Equipment 8. Equipment replacement items include ($1,125): Animal Control (2) Smart Phones $750 Inspections (1) Smart Phone $375 Total $1,125 Revenue 9. Dog and cat license revenue increased from $158,500 in FY 2017 to $162,700 in FY 2018 based on FY 2016 actual of $159,947. 10. Business license revenue increased from $95,000 in FY 2017 to $101,095 in FY 2018 based on FY 2016 actual of $101,095. 11. Iowa District Court Fines increased from $19,500 in FY 2017 to $21,675 in FY 2018. FY 2016 actual was $19,204. This revenue represents 85% of the budgeted cost of Court Costs and Record Fees for municipal infractions fee paid up front by the City and then reimbursed to the City by the Court. A majority of the municipal infractions filed by Health Services are for failure to license a pet. Miscellaneous 12. The Animal Control activity is 61.6% self-supporting in FY 2018 versus 63.0% self-supporting in FY 2017. 13. The Inspection of Food Establishments activity is 52.1% self-supporting in FY 2018 versus 48.8% self- supporting in FY 2017. -139- PUBLIC HEALTH Public Health provides an effective service to protect, maintain and promote the physical and environmental health and well-being of the citizens of the community. SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE LEADING TO OUTCOMES -140- PUBLIC HEALTH The Health Department is supported by 5.58 full-time equivalent employees, which accounts for 60.91% of the department expense as seen below. Overall, the departments’ expenses are expected to increase by 2.22% in FY 2018 compared to FY 2017. Expenditures by Category by Fiscal Year -141- PUBLIC HEALTH Administration/Community Health Overview Community Health provides assessment, assurance and policy development, to address public health problems and issues in the community. The Health Services Department works with the Dubuque County Board of Health to carry out public health core functions and essential services necessary for an effective public health system. Although the primary responsibility of the Public Health Specialist, all Health Services Department staff contribute to community health activities. Evaluate/Review/Update Ordinances enforced by Health Department: Animal Noise Nuisance Sewer Connection Refuse Storage Food Administration plans, budgets, coordinates and supervises the various activities of the Health Services Department and participates in public health assessment, assurance, and policy development for the community, often working with partner organizations. Its prime responsibility is to plan programs and develop policies based on the community health needs assessment and emerging health issues and emergencies as required, respond to health related complaints and requests in a professional manner. Health Administration/Community Health Funding Summary FY 2016 Actual FY 2017 Budget FY 2018 Requested Expenditures $287,032 $260,858 $262,069 Resources $13,706 $7,400 $9,769 Health Administration/Community Health Position Summary FY 2018 Public Health Specialist 1.00 Public Health Intern 0.14 Secretary 1.00 Total Full-Time Equivalent Employees 2.14 Highlights of the Past Year Secured HUD funds for the Lead and Healthy Homes Program, in conjunction with Housing and Community Development staff. Participates in the Dubuque Air Quality Task Force Created and implemented a community engagement process for input and formation of Resilient Community Advisory Commission. Commission approved by City Council. -142- PUBLIC HEALTH Future Initiatives Implement EPA Education Grant (Clean Air in the River Valley- CLEAR4) with University of Iowa. Completed an asset and resource inventory for County Preparedness. Develop SOCRATA dashboard for Public Health data and outcome Performance Measures Community Health- Activity Statement Maintain and enhance factors that contribute to the public health and welfare of the citizens of Dubuque. Goal: Financially Responsible & High Performance Organization Outcome #1: Provide, maintain, and educate on measures to prevent and control the spread of infections, communicable and environmental diseases and threats. Prepare for, respond to, and recover from public health emergencies and problems. Work cooperatively with community health partners to prevent and control the spread of infections, communicable and environmental diseases and conditions. Build and maintain collaborative relationships with community partners that support public health assessment, planning and program implementation. • Seasonal health and emerging disease information provided to local media upon request • Participated in the Integrated Pest Management Program (IPM) Task Force which included drafting an IPM plan for the City. • Planning for Iowa Mission of Mercy Clinic. Participating in preparedness training and drills ensure that in the event of a public health emergency all participating partners are familiar with their agencies role and implementation of the public health preparedness plan is tested. • Participate in the Dubuque County Health Care, Executive Committee Member • County Public Health Preparedness exercise being scheduled/planned for 2017 • In conjunction with Emergency Management, Planned and executed City Management Team Emergency Operations Center (EOC) exercise. Exercise also held with Airport, Public Health, and EMS. -143- PUBLIC HEALTH Outcome #2: Assure accessibility and quality of primary care and population-based health services Public Health Specialist continues to serve on the board and committees of Crescent Community Health Center and promotes community partnerships to contribute to its success and vitality. • 6,228 patients served; 59% of these patients from the 52001 ZIP code which includes all of the Washington and North End neighborhoods • 1,560 were children • 54% have incomes at or below 100% of the federal poverty level • 32% had no insurance • Dental Visits: 9,112 (up from 8,683 in FY14) • Medical Visits: 9,506 (Up from 7,370 in FY14) Outcome #3: Reduce the incidence of environmental health hazards in residential living environments Did You Know? The Public Health Specialist and Healthy Homes staff are providing local health and social agencies and providers with Healthy Homes program information and education. • Partner with Housing and Health Department to implement Lead and Healthy Homes Program. -144- PUBLIC HEALTH Outcome #4: Mobilize community partnerships to identify and investigate public health problems and emerging issues • Bi-hospital infection control committee member • Dubuque County Wellness Coalition, Co-Chair • Air Quality Task Force • GHHI Resource Group • University of Iowa College of Public Health Board of Advisors Health Services Department maintains agreements: IDIA- Food Inspections IDPH- Swimming pool, tanning, tattoo inspections IDPH/Dubuque County Board of Health- Childhood Lead Poisoning Prevention Program, Annual Dubuque Regional Humane Society- Annual Dubuque VNA- Childhood Lead Poisoning and Healthy Homes Services Crescent Community Health Center Did you know? The Dubuque County Public Health Preparedness Coalition meets quarterly to assess and plan for public health emergencies. Recent accomplishments include: review and update of the Preparedness Plan, NIMS and ICS training, completed a hazardous risk assessment and formation of the coalition utilizing IDPH guidance. The STAR objective: Emergency Prevention and Response under the Health and Safety Pillar has been achieved. Environmental Health Overview Environmental Health promotes a safe and healthy environment by assuring sanitary conditions and practices in accordance with municipal public health and environmental ordinances, codes and regulations. The Environmental Health Activity: • Responds to citizen weed, garbage, and nuisance complaints • Inspects public swimming pools and spas • Provides information on indoor air quality and other environmental issues • Inspects tanning and tattoo facilities • Assures food safety through inspection and licensing of food and food service establishments, temporary food stands and mobile food units. -145- PUBLIC HEALTH Food Inspection/Environmental Health Funding Summary 10017300 FY 2016 Actual FY 2017 Budget FY 2018 Requested Expenditures $206,837 $225,660 $231,106 Resources $119,194 $110,200 $120,389 Food Inspection/Environmental Health Position Summary FY 2018 Environmental Sanitarian 2.00 Total Full-Time Equivalent Employees 2.00 Highlights of the Past Year Began bed bug tracking/assessment of problem Continued training an additional Environmental Sanitarian which replaced the retired Assistant Environmental Sanitarian. Continued progress on meeting FDA National Voluntary Retail Food Protection Standards. Met Standard 4 to complete 5 of the 8 Standards Future Initiatives • Complete Standard 4 of the FDA National Voluntary Retail Food Protection Standards • Go fully digital on field inspections • Update procedures for cross-department enforcement and primary response to nuisance complaints • Continue education training for new sanitarian • Continue data collection of bedbug incidence rates in occupied structures -146- PUBLIC HEALTH Performance Measures Environmental Health - Activity Statement Promote a safe and healthy environment by assuring sanitary conditions and practices in accordance with municipal public health and environmental ordinances, codes and regulations. Goal: Environmental Integrity Outcome #1: Assure safe and sanitary non-residential swimming pools and spas, tattoo and tanning facilities by providing a minimum of one inspection per year within Dubuque Country under a contractual agreement with the Dubuque County Board of Health and the Iowa Department of Public Health (IDPH). Enforce environmental health rules and regulations. All facilities inspected a minimum of once per year per IDPH contract: • Pools/Spas: 35 • Tanning facilities: 17 • Tattoo parlors: 23 A sampling of rooms at each facility are inspected bi-annually in accordance with the state regulations • Tanning operator certification exams administered: 8 • Pool/Spas closed for “Unsanitary Conditions”: 0 • 100% of tanning operators maintaining/meeting training requirements Did You Know? Public swimming pools and spas are inspected for both water quality and safety measures annually. Outcome #2: All school lunch programs, licensed food service establishments, mobile unit/ pushcarts, temporary food service establishment, retail food establishments, Hotels, motels and bed & breakfast inns are inspected and licensed through a contract with Iowa Department of Inspections & Appeals. Ongoing, regular and follow-up inspections of food establishments protect the public from food borne illness and outbreaks. • Food Inspections Conducted: 591 • Risk-Based Inspections Required: 550 • Complaint Inspections: 35 • Temporary food stand licenses issued: 157 • Temporary food stand licenses inspected: 118 • New establishment/change of ownership licenses issued: 33 -147- PUBLIC HEALTH A total of 403 food establishments are inspected on a risk-based system. Of these, 257 are inspected annually. • Percentage of food establishments with Certified Food Protection Staff: 67% • Hotel/Bed & Inspections/Enforcement Follow-Ups: 21 Working with the Building Services Department, the Environmental Sanitarian requires all food facilities to meet Food Code requirements prior to issuance of alcohol and food licenses. Did You Know? In order to obtain a new food establishment or food service establishment license, a plan review packet must be submitted and approved. • Facility must pass inspection • Policies and procedures along with trained staff must be in place Outcome #3: Alleviate overgrown weeds, improper garbage/refuse storage and disposal and other public nuisances through code enforcement • Nuisance citations issued: 8 • Nuisance violations corrected by hired contractor: 38 • Nuisance complaints: 365 Outcome #4: Provide information, education, and assistance on environmental health risks and Healthy Homes principles. The Health Services Department provides current information on new and recurring environmental health issues such as radon, bed bugs, mold, rodents, vermin, etc. Did you know? Environmental health staff maintains the most current information available on the Health Services Department website. Bedbug information is the most frequent request for environmental health topics. -148- PUBLIC HEALTH Animal Control Overview Animal Control enforces the City Animal Ordinance which provides for licensing of all cats and dogs, the prohibition of dogs and cats running at-large within the city, inoculation of all dogs and cats against rabies, investigation of animal bites and assurance of proper rabies confinement, prohibition of harboring a vicious or potentially vicious animal or dangerous animal and prohibition of animals causing serious disturbance or nuisance. Animal Control Funding Summary 10017200 FY 2016 Actual FY 2017 Budget FY 2018 Requested Expenditures $247,877 $298,344 $309,078 Resources $186,245 $188,000 $190,250 Animal Control Position Summary FY 2018 Animal Control Officer 1.44 Total Full-Time Equivalent Employees 1.44 Highlights of the Past Year • Implemented pets in parks enforcement procedure Future Initiatives • Evaluate pets in parks enforcement procedure • Develop policies and procedures for enforcing nuisances associated with backyard chickens • Review pet license enforcement procedure and tactics • Update Animal Control ordinance Performance Measures Animal Control - Activity Statement Protect the public health by abating and investigating animal nuisances, preventing the spread of rabies and providing information regarding animals to citizens. Outcome #1: To respond to and abate the problems and nuisances of dogs and cats within the city limits by impounding stray dogs and cats, investigating complaints regarding barking dogs and animals roaming at large and other animal nuisances, and live-trapping dogs and cats. -149- PUBLIC HEALTH Enforcement of the Animal Control Ordinance promotes responsible pet ownership and provides city residents with guidance for living with and among pets. • Animal Control officers responded to 1,187 complaints • Police Department responded to 569 complaints during times Animal Control Officers are not on duty • 47 citations were issued for violations of the Animal Control ordinance. Outcome #2: To control the spread of rabies among animals and between animals and humans By assuring accurate and rapid investigation of animal bite incidents, assuring the rabies observation of animal bite incidents, assuring the rabies observation of biting dogs and cats by a licensed veterinarian, apprehending and ordering the laboratory diagnosis of biting, wild and non- domesticated animals for rabies, enforcing the rabies immunization and licensing of all dogs and cats within the city. • 10,091 Pet Licenses Sold • 1,318 Citations for Failure to License Pet Outcome #3: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. The City Animal Control Ordinance addresses several aspects of responsible pet ownership such as rabies vaccination, licensure, leash laws, running at large, vicious and nuisance issues. -150- PUBLIC HEALTH • 21 Animals (that have bitten) surrendered to Animal Control, which is down from 25 in FY15 • 128 Animal Bites • 2 Vicious/Potentially Vicious Declarations Did You Know? • Per the Iowa Department of Public Health, there were 12 cases of animal rabies reported in Iowa in 2015-most commonly found in bats and skunks. • Approximately 4.5 million dog bites occur each year in the US. Outcome #4: To respond to the problems and nuisances of wild animals within the city by: providing citizens with possible abatement methods and consultants and suggesting ways to discourage animals from habitation; and attempting to capture of wild animals suspecting potential rabies exposure. Wild animal trappers must be certified by the IDNR. A list of certified trappers is maintained by the Health Services Department. Currently 4 certified animal trappers do business in the city of Dubuque. • 99 wild animals requests for service, which is up from 35 in FY15 Did you know? In the state of Iowa, rabies was diagnosed in 3 dogs and 1 cat in 2015. -151- Recommended Operating Revenue Budget - Department Total 17 - HEALTH SERVICES Fund Account Account Title FY15 Actual Revenue FY16 Actual Revenue FY17 Adopted Budget FY18 Recomm'd Budget 100 42105 BUSINESS LICENSES 94,000 101,095 95,000 101,095 100 42120 DOG LICENSES 111,907 115,351 113,500 117,658 100 42125 CAT LICENSES 43,642 44,596 45,000 45,042 100 42169 TANNING TATTOO LICENSES 2,324 5,186 2,500 5,186 100 42235 REFUSE HAULING PERMITS 900 675 900 675 100 42325 SWIMMING POOL INSP. FEES 7,786 8,989 9,000 8,989 100 42330 ANIMAL IMPOUNDMENT FEES 9,375 7,320 10,000 7,320 42 - LICENSES AND PERMITS 269,934 283,212 275,900 285,965 100 45701 STATE GRANTS 10,200 7,915 6,400 6,454 100 45771 FED PASS THRU STATE GRANT 1,449 2,352 750 2,352 45 - STATE GRANTS 11,649 10,267 7,150 8,806 100 51987 WEED CUTTING CHARGES 2,462 2,799 2,600 2,799 51 - CHARGES FOR SERVICES 2,462 2,799 2,600 2,799 100 53403 IA DISTRICT COURT FINES 18,759 19,204 19,500 21,675 100 53605 MISCELLANEOUS REVENUE 392 0 0 0 100 53610 INSURANCE CLAIMS 4,232 2,475 0 0 100 53620 REIMBURSEMENTS-GENERAL 444 1,188 450 1,163 53 - MISCELLANEOUS 23,827 22,867 19,950 22,838 17 - HEALTH SERVICES TOTAL 307,872 319,145 305,600 320,408 -152- Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES Fund Account Account Title FY15 Actual Expense FY16 Actual Expense FY17 Adopted Budget FY 18 Recomm'd Budget 100 61010 FULL-TIME EMPLOYEES 231,284 251,296 265,329 277,546 290 61010 FULL-TIME EMPLOYEES (73)0 0 0 100 61020 PART-TIME EMPLOYEES 68,898 69,673 72,827 77,723 100 61030 SEASONAL EMPLOYEES 2,871 1,703 3,297 3,350 290 61030 SEASONAL EMPLOYEES 884 48 0 0 100 61050 OVERTIME PAY 1,228 1,821 1,500 1,500 100 61091 SICK LEAVE PAYOFF 1,386 4,599 5,100 4,618 290 61091 SICK LEAVE PAYOFF 405 502 0 0 100 61092 VACATION PAYOFF 6,025 0 0 0 100 61310 IPERS 26,924 28,910 30,627 32,159 290 61310 IPERS (7)0 0 0 100 61320 SOCIAL SECURITY 23,228 23,783 26,314 27,903 290 61320 SOCIAL SECURITY 93 42 0 0 100 61410 HEALTH INSURANCE 49,980 56,480 55,650 55,650 100 61415 WORKMENS' COMPENSATION 8,253 7,823 7,518 7,662 100 61416 LIFE INSURANCE 221 239 534 557 100 61620 UNIFORM ALLOWANCE 313 0 0 0 100 61660 EMPLOYEE PHYSICALS 0 419 0 0 61 - WAGES AND BENEFITS 421,913 447,338 468,696 488,668 100 62010 OFFICE SUPPLIES 810 871 844 938 100 62011 UNIFORM PURCHASES 854 295 990 691 100 62030 POSTAGE AND SHIPPING 4,760 2,711 4,998 2,710 100 62033 HAND TOOLS/EQUIPMENT 0 0 170 150 100 62061 DP EQUIP. MAINT CONTRACTS 6,342 7,343 7,594 7,895 100 62063 SAFETY RELATED SUPPLIES 0 0 380 350 100 62065 LAB SUPPLIES 40 0 100 100 100 62067 ANIMAL CONTROL SUPPLIES 689 147 700 150 100 62090 PRINTING & BINDING 2,581 2,475 3,171 2,856 100 62110 COPYING/REPRODUCTION 885 977 885 977 100 62130 LEGAL NOTICES & ADS 355 136 0 139 100 62170 SUBSCRIPTIONS-BOOKS-MAPS 0 47 289 136 100 62190 DUES & MEMBERSHIPS 1,170 695 1,395 1,130 100 62204 REFUNDS 0 208 0 0 100 62206 PROPERTY INSURANCE 166 167 173 145 100 62208 GENERAL LIABILITY INSURAN 3,715 3,586 3,692 3,791 100 62230 COURT COSTS & RECORD FEES 0 0 0 25,500 100 62310 TRAVEL-CONFERENCES 3,114 1,708 6,620 6,501 100 62320 TRAVEL-CITY BUSINESS 1,611 43 300 244 100 62340 MILEAGE/LOCAL TRANSP 332 0 245 265 100 62360 EDUCATION & TRAINING 620 4,782 8,725 9,642 100 62421 TELEPHONE 3,769 3,714 3,854 3,768 100 62436 RENTAL OF SPACE 1,464 2,154 2,532 2,304 100 62511 FUEL, MOTOR VEHICLE 3,544 2,721 3,190 2,721 100 62521 MOTOR VEHICLE MAINT.1,639 1,845 3,803 1,150 100 62528 MOTOR VEH. MAINT. OUTSOUR 7,348 848 687 1,265 100 62614 EQUIP MAINT CONTRACT 549 689 575 703 100 62663 SOFTWARE LICENSE EXP 135 125 135 129 100 62667 INTERNET SERVICES 0 318 600 720 100 62668 PROGRAM EQUIP/SUPPLIES 455 645 478 500 100 62683 FIELD OPERATIONS SUPPLIES 179 765 600 780 100 62716 CONSULTANT SERVICES 3,824 3,223 3,880 3,288 100 62725 BILL COLLECTION SERVICES 43,162 45,926 44,000 46,845 100 62727 FINANCIAL SERVICE FEES 1,452 1,462 1,475 1,491 -153- Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES Fund Account Account Title FY15 Actual Expense FY16 Actual Expense FY17 Adopted Budget FY 18 Recomm'd Budget 100 62732 TEMP HELPCONTRACT SERV.0 0 3,000 1,004 100 62736 CATERING SERVICES 0 0 225 225 100 62761 PAY TO OTHER AGENCY 118,556 200,149 178,336 177,860 100 62779 SURVEY / PLAT 0 0 250 250 100 62780 HAULING SERVICES 2,926 1,286 2,000 1,312 100 62781 LAWN CARE SERVICES 1,844 1,799 2,300 1,835 62 - SUPPLIES AND SERVICES 218,890 293,860 293,191 312,460 100 71120 PERIPHERALS, COMPUTER 1,760 0 0 0 100 71124 MICRO-COMPUTER 0 112 0 0 100 71211 DESKS/CHAIRS 0 0 5,500 0 100 71310 AUTO/JEEP REPLACEMENT 9,692 0 17,000 0 100 72418 TELEPHONE RELATED 390 1,029 475 1,125 71 - EQUIPMENT 11,842 1,141 22,975 1,125 17 - HEALTH SERVICES TOTAL 652,645 742,339 784,862 802,253 -154- Recommended Expenditure Budget Report by Activity & Funding Source 17 - HEALTH SERVICES HEALTH SERVICES ADMINISTR- 17100 FUNDING SOURCE: CABLE TV Account FY16 Actual Expense FY17 Adopted Budget FY18 Recomm'd Budget EQUIPMENT 0 475 0 SUPPLIES AND SERVICES 52,324 38,550 36,367 WAGES AND BENEFITS 123,876 127,401 129,806 HEALTH SERVICES ADMINISTR 176,200 166,426 166,173 ANIMAL CONTROL - 17200 FUNDING SOURCE: GENERAL Account FY16 Actual Expense FY17 Adopted Budget FY18 Recomm'd Budget EQUIPMENT 691 17,000 750 SUPPLIES AND SERVICES 164,252 194,788 215,965 WAGES AND BENEFITS 82,934 86,556 92,363 ANIMAL CONTROL 247,877 298,344 309,078 INSP. - FOOD ESTBLMNTS - 17300 FUNDING SOURCE: GENERAL Account FY16 Actual Expense FY17 Adopted Budget FY18 Recomm'd Budget EQUIPMENT 450 5,500 375 SUPPLIES AND SERVICES 23,342 27,022 26,764 WAGES AND BENEFITS 183,045 193,138 203,967 INSP. - FOOD ESTBLMNTS 206,837 225,660 231,106 COMMUNITY HEALTH SERV. - 17400 FUNDING SOURCE: GENERAL Account FY16 Actual Expense FY17 Adopted Budget FY18 Recomm'd Budget SUPPLIES AND SERVICES 49,821 26,467 26,900 WAGES AND BENEFITS 57,482 61,601 62,532 COMMUNITY HEALTH SERV.107,303 88,068 89,432 LEAD PAINT PROGRAM - 17500 FUNDING SOURCE: GENERAL Account FY16 Actual Expense FY17 Adopted Budget FY18 Recomm'd Budget SUPPLIES AND SERVICES 4,122 6,364 6,464 LEAD PAINT PROGRAM 4,122 6,364 6,464 HEALTH SERVICES TOTAL $742,337.91 $784,862.00 $802,253.00 -155- C I T Y O F D U B U Q U E , I O W A DEPARTMENT DETAIL - PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2016 FY 2017 FY 2018 FD JC WP-GR JOB CLASS FTE BUDGET FTE BUDGET FTE BUDGET 61010 Full Time Employee Expense 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 1.00 89,833 1.00 91,796 1.00 93,274 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 1.00 67,400 2.00 128,563 2.00 137,554 100 7375 GE-27 ENVIRON.SANITARIAN ASST 1.00 52,599 0.00 0 0.00 0 100 225 GE-25 SECRETARY 1.00 41,696 1.00 44,970 1.00 46,718 TOTAL FULL TIME EMPLOYEES 4.00 251,528 4.00 265,329 4.00 277,546 61020 Part Time Employee Expense 100 7400 GE-29 ANIMAL CONTROL OFFICER 1.44 71,299 1.44 72,827 1.44 77,723 TOTAL PART TIME EMPLOYEES 1.44 71,299 1.44 72,827 1.44 77,723 61030 Seasonal Employee Expense 100 PUBLIC HEALTH INTERN 0.14 3,228 0.14 3,297 0.14 3,350 TOTAL SEASONAL EMPLOYEES 0.14 3,228 0.14 3,297 0.14 3,350 TOTAL HEALTH SERVICES 5.58 326,055 5.58 341,453 5.58 358,619 -156- CITY OF DUBUQUE, IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2016 FY 2017 FY 2018 ACCT FD JC WP-GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET Health Services Administration-General Fund 10017100 61010 100 225 GE-25 SECRETARY 1.00 $41,696 1.00 $44,970 1.00 $46,718 10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $44,930 0.50 $45,898 0.50 $46,637 Total 1.50 $86,626 1.50 $90,868 1.50 $93,355 Community Health Services - FT General Fund 10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $44,903 0.50 $45,898 0.50 $46,637 Total 0.50 $44,903 0.50 $45,898 0.50 $46,637 Community Health Services - Seasonal General Fund 10017400 61030 100 PUBLIC HEALTH INTERN 0.14 $3,228 0.14 $3,297 0.14 $3,350 Total 0.14 $3,228 0.14 $3,297 0.14 $3,350 Inspection of Food Est./Environmental 10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 1.00 $67,400 2.00 $128,563 2.00 $137,554 10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST 1.00 $52,599 0.00 $—0.00 $— Total 2.00 $119,999 2.00 $128,563 2.00 $137,554 Animal Control-PT 10017200 61020 100 7400 GE-29 ANIMAL CONTROLOFFICER 1.44 $71,299 1.44 $72,827 1.44 $77,723 Total 1.44 $71,299 1.44 $72,827 1.44 $77,723 TOTAL HEALTH SERVICES DEPT.5.58 $326,055 5.58 $341,453 5.58 $358,619 4 3.5 3 2.5 2 1.5 1 0.5 0 City of Dubuque Lead Poisoning loo ug/dl 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 EBL 8 7 6 5 4 3 2 1 O Lead Poisoning City of Dubuque vs 10 largest cities Bio cities Dubuque Columns 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 5,000.000 4.500,0100 .. 4,000,000 3.300,1000 cl 3.000..DOG - CI cl 32— 2,500,0100 - 4.009 a It cei 2,000,000 - it 0 o.0o% U.S. Totals Blood Lead Surveillance, 1997-2015 ft. 7.00% 5.00% 1997 1990 199 2000 2091 2002 2003 2004 2005 1005 2001 2.10026 200 x010 2011 2012 2015 2014 2015 Number €.fchildren tested mEmCorrfirrned BILIA.e19 pg{dLas%ofChildren, tested 011's 5-9 mfdLais %. f Children tested HEALTHYHOME Healthy Families Healthy Children HUD Resiliency Areas Healthy Home Initiative Projects Completed 4' g 1111 I"1II 111 BEE BRANCH HEALTHY HOMES • Heeiehe tes...eF Ene,reg.er Area ▪ Or.ner fIet.(Pry HT)rmg.. Pee jeers CSBee Branch &armee keen Deilititiitty City Limit, ...1.00,1.1.1.. 001.14,1. eAN BUILDING A 1, 11111 l'e4N D TEAL 1 1-IY HEApizipv" NEIGHBORHOOD Calls investigated by Animal Control Neglect / Cruelty to Animals FY15 FY16 P1.0 PETS ALLQWED THE CITY OF DUJE Pvla5terpiece on the Mississippi City of Dubuque Animal Control 12000 10000 8000 6000 4000 2000 0 fy o8 fy o9 fy 10 fy 11 fy 12 fy 13 fy 14 fy 15 fy 16 180000 160000 140000 120000 100000 80000 G0000 40000 20000 0 Series 1 fy o8 fy o9 fy 10 fy 11 fy 12 fy 13 fy 14 fy 15 fy 16 COOL EATS AND TASTY SANDWICHES IN DUBUQUE, IOWA Feeling Queasy? Call, it's Easy! 844-IowaSic (or your local health department) to report food poisoning POWER BLUETOOTH BUTTON CONNECTION INDICATOR CLE R C LEa n Air in the River Valley Environmental Education 1 Technology Partnerships I Planning k1. TI -IE UN IVERS I1Y OF IOWA LANYARD ATTACHMENT POINTS Greater ubuqu EVELOPMENT CORP 1(4 STA Tis 'L PROS INTAKE EXHAUST BATTERY CHARGING INDICATOR MICRO -USB PORT BELT CLIP ATTACHMENT POINT ADD' -ON SENSOR PINS Regional Response to Local Needs YE AR Crescent Community HEALTH CENTER "The Crescent Community Health Center is one of the most important and impactful of the needs identified during the Envision 2010 prixess, The Schmid, Christiansen, Piekenbrock, and Rhomberg fmillies are extremely proud to lend their ongoing support and the mune of our family company to this community project. 91,41(011,91,044 Covedeed fvlantea Schmid, Chair, Paula Cormors: Eva Donclanville; Faye Finnegan CC 01:0111L1130 Foundation of Greater Dubuque); Sr. Helen Huewe, OSF1 Julie Wcod.yard. Thursday, October 27 2016 Grand River Center PROJECT COMMUNITY NEEDS ASSESSMENT MENTAL HEALTH SERVICES KEY FINDINGS, NOVEMBER 2016 Community Foundation of Greater Dubuque united Aelik Way