Health Services FY21 Budget PresentationCopyrighted
February 24, 2020
City of Dubuque Public Hearings # 1.
ITEM TITLE:
SUMMARY:
SUGGESTED DISPOSITION:
Health Services FY21 Budget Presentation
ATTACHMENTS:
Description Type
Health Services FY21 Policy Budget Outline Supporting Documentation
Presentation Supporting Documentation
Health Services
This page intentionally left blank.
-2-
HEALTH SERVICES DEPARTMENT
Budget Highlights
Employee Expense
Supplies and Services
Machinery and Equipment
Total
Operating Revenue
State Grant
Total
Property Tax Support
Percent Increase (Decrease)
Personnel - Authorized FTE
FY 2019
Actual
FY 2020
Budget
% Change
FY 2021
From FY 2020
Requested Budget
476,220 508,010 550,974
322,983 336,362 345,706
3,439 1,875 3,200
802,642 846,247 899,880
360,088 356,914 465,778
7,660 12,099 8,808
8.5 %
2.8 %
70.7 %
6.3 %
30.5 %
(27.2)%
367,748 369,013 474,586
434,894 477,234 425,294
5.58
5.86 6.14
28.6 %
(51,940)
(10.9)%
Improvement Package Summary
1 of 5
This improvement package would increase one part-time Animal Control Officer to full-time (+0.28 FTE or
582 hours annually), increasing Animal Control staffing by 11 hours. Another full-time Animal Control Officer
would provide additional coverage and more timely follow-ups on animal control incidents and complaints.
The Fiscal Year 2020 budget funded one part-time animal control officer as full time. The additional full time
coverage would reduce the amount of calls Police respond to, increase the number of impounded animals
and their subsequent revenue, and provide more prompt and efficient service to residents. This increase in
staffing would also provide more coverage for when Animal Control staff is in training, City business, or for
personal time. Currently, when one of the Animal Control Officer requires time off, coverage hours are
decreased, since the part-time Animal Control Officer cannot go above 29 hours per week or 1,508 hours
per year. Annexations have also added travel time and coverage ability for Animal Control. In addition, now
that pets are allowed on trails and in some parks, Animal Control can address enforcement for pets in these
areas in conjunction with park patrol.
When Animal control is not on -duty, i.e., evenings, nights, weekends, holidays, training, etc., Police cover
animal emergencies and complaints. This strains the Police Department, who are not specifically trained in
Animal Control. Current staffing levels still do not allow any time for community outreach and education on
animal control and responsible pet ownership issues. Increasing the part time Animal Control officer's
hours from 29 to 40 per week may allow necessary time to provide education to neighborhood associations,
civic organizations, schools and animal organizations, etc.
In addition, the amount of dogs and cats licensed in the city has steadily increased since FY95. 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. FY19 pet licenses totaled 10,439 or 41 % of the estimates.
The number of animal control complaints continues to rise, with a 31 % increase in the number of
complaints/requests from FY18 to FY19.
-3-
This improvement package would support City Council Goal 2: "Vibrant Community: Healthy and Safe" by
encouraging a sense of safety in the community through increased enforcement as well as ensuring
residents feel they are part of a collaborative solution through increased outreach and pet -ownership
education efforts.
Animal Bites
120
100
80
60
40
20
0
Police Animal Calls
FY13:717 FY15:569 FY17:525 FY19:641
FY14: 854 FY16: 647 FY18: 539
Animal Bites
1, 1, 1, I, I, 1
FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Dog Bites
Fiscal Year
• Cat Bites Other Animal Bites
Note: Average number of bites each calendar year from 2006 - 2016 is 131. The average number of
bites for 2017 - 2019 is 166, a 26% increase.
In addition, the amount of dogs and cats licensed in the city has steadily increased since FY95 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. Recent and proposed annexations have also added travel
time and coverage ability.
Fiscal Year
Animal Licenses
Sold
Fiscal Year
Animal Licenses
Sold
FY95
7,050
FY08
8,675
FY96
6,900
FY09
8,370
FY97
7,110
FY10
8,190
FY98
7,333
FY11
9,055
FY99
7,147
FY12
9,341
FY00
7,294
FY13
9,437
-4-
Fiscal Year
Animal Licenses
Sold
Fiscal Year
Animal Licenses
Sold
FY01
7,792
FY14
9,486
FY02
8,005
FY15
9,897
FY03
7,574
FY16
10,091
FY04
8,036
FY17
10,086
FY05
6,293
FY18
10,309
FY06
7,683
FY19
10,439
FY07
7,990
This improvement package also includes an increase in fuel (+$234) and vehicle maintenance (+$300). In
addition, it is expected that animal impoundments fees would increase (+$1,000), court fines (+$2,000) and
animal licenses (+$5,000) due to enforcement and outreach.
Related Cost: $ 31,833 Tax Funds Recurring Recommend - Yes
Related Cost: $ 2,275 Tax Funds Non -Recurring
Related Revenue: $ 8,000 Animal Fees/Fines Recurring
Net Cost: $ 26,108
Property Tax Impact: $ 0.0103 0.10%
Activity: Animal Control
2 of 5
This improvement package request is for increasing animal license fees. The history of animal license fee
increases includes July 2003 when animal license fees increased to $10 to spayed/neutered animals and
$25 for non-spayed/non-neutered animals; and 2009 when the license fees increased to $12 for spayed/
neutered animals, and $30 for non-spayed/non-neutered animals. Additionally, the fee for late licensing has
been $10 since 2009, which is the lowest late fee of the Iowa large cities researched. Increasing the pet
license fees to $14 for spayed/neutered animals, and $34 for non-spayed/non-neutered animals along with
increasing the late fee to $16 would increase licensing revenue by an estimated $83,370 from the FY 2019
total of FY 2019 (59%). Currently, unlicensed, impounded dogs and cats that are claimed must be licensed
within 10 day of claiming the animal. In 2018, 233 unlicensed pets were returned to owners and 257 are
projected for 2019. Many of these licenses are not purchased and end up in the Municipal Infraction/Court
process, which is costly and not efficient. Requiring purchase of licensing at the time of claiming the animal
is projected to produce an estimated $6,678 in license revenue (included in the projected increase above.)
This provision of purchasing a license when claiming an unlicensed animal requires an ordinance change.
License fees are set by the city manager and therefore do not require an ordinance change.
Related Revenue: $ 83,370 Animal license fees Recurring Recommend - Yes
Property Tax Impact: $(0.0328) (0.31)%
Activity: Animal Control
3 of 5
This improvement package request is for a portable printer for Animal Control to keep in the Animal Control
truck. Animal Control officers use tablets in the field and need to be able to print citations, forms, notices etc
while they are personally working with residents. A portable printer alleviates having to go back to the office
to prepare notices and other documentation and then mail the documents or make another trip to deliver the
documents to the resident.
-5-
Related Cost: $ 200 Tax Funds
Property Tax Impact: $ 0.0001 —%
Activity: Animal Control
Non -Recurring Recommend - Yes
4 of 5
This improvement package request is for a supply of leashes for animal control to use in the field, educate
residents, provide to residents at City Expo and give to residents who do not have a leash. The leashes are
printed with animal control's phone number and provide positive reinforcement when Animal Control officers
are doing enforcement or education with residents. A supply of several 100 are ordered every few years to
get a lower price.
Related Cost: $ 650 Tax Funds Non -Recurring Recommend - Yes
Property Tax Impact: $ 0.0003 —%
Activity: Animal Control
5 of 5
This improvement package would provide funds for tick removal kits to give away at City Expo and Health
outreach events. A tick removal kit will contain a special tweezers, instructions and information about tick
prevention and the infectious diseases tick carry such as Lyme disease and Rocky Mountain spotted fever.
Related Cost: $ 500 Tax Funds Non -Recurring Recommend - Yes
Property Tax Impact: $ 0.0002 —%
Activity: Community Health
Significant Line Items
Employee Expense
1. FY 2021 employee expense reflects a 1.5% wage package increase.
2. The Iowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged from
FY 2020 The employee contribution of 6.29% is unchanged from FY 2020.
3. The City portion of health insurance expense increased from $921 in FY 2020 to $1,013 in FY 2021 per
month per contract which results in annual increase of $30,947 or 9.99%.
4. Five -Year Sick leave payout decreased from $3,291 in FY 2020 to $0 in FY 2021.
5. Overtime expense is unchanged from $1,500 in FY 2020 to $1,500 in FY 2021. FY 2019 actual was
$1,841.
Supplies & Services
6. Court Costs and Record Fees increased from $18,653 in FY 2020 to $24,905 in FY 2021 based on FY
2019 actual $24,905. 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
-6-
Fines and is $28,016 in FY 2021 . Due to time delay of reimbursements, the revenue received is more
than the expense.
7. Payments to Other Agencies increased from $188,691 in FY 2020 to $191,083 in FY 2021 due to the
annual consumer price index increase on the Humane Society contract. The FY 2021 Humane Society
contracted budget is $135,283. Most of 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
$50,000 budgeted for Crescent Community Health Center patient health and wellness programming
operating expenses. There is also $5,800 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.
8. Bill Collection Services increased from $46,238 in FY 2020 to $47,211 in FY 2021 based on FY 2019
actual $47,211. This line item represents the amount paid to PetData Services for pet licensing.
9. Consultant Services increased from $4,172 in FY 2020 to $10,641 in FY 2021 based on FY 2019 actual
$10,369. This line item represents vet services for after hour veterinarian calls. This line item is also
used for vet services for injured dogs or cats when the owner is unknown, rabies confinement of animals
when the owner is unknown, wild animal confinement, and neglect cases of animals when being held
waiting for a court appearance.
10. Education and Training increased from $9,889 in FY 2020 to $11,289 in FY 2021. This line item
represents public health and nursing continuing education ($350); National Animal Care & Control
Training for Animal Control Officers ($6,000); Iowa Department of Inspections and Appeals Training for
Sanitarians ($2,939); and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes
Training ($2,000) which is covered by a grant.
Machinery & Equipment
11. Equipment replacement items include ($3,200):
Administration
(1) Smart Phone
$ 350
Inspections
(1) Smart Phone
$ 375
Recommended Improvement Packages 2,475
Total $ 3,200
Revenue
12. Dog and cat license revenue increased from $168,373 in FY 2020 to $262,923 in FY 2021 based on FY
2019 actual of $174,554.
13. Business license revenue increased from $139,950 in FY 2020 to $150,000 in FY 2021 due to the fee
increase approved by the State of Iowa on January 1, 2019. FY 2019 actual was $130,201.
14. Iowa District Court Fines increased from $20,849 in FY 2020 to $28,016 in FY 2021. FY 2019 actual
was $26,017. This revenue represents the reimbursement of the 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. Due
-7-
to time delay of reimbursements, the revenue received is more than the expense. A majority of the
municipal infractions filed by Health Services are for failure to license a pet.
Miscellaneous
15. The Animal Control activity is 71.3% self-supporting in FY 2021 versus 56.0% self-supporting in FY
2020.
16. The Inspection of Food Establishments activity is 73.9% self-supporting in FY 2021 versus 70.5% self-
supporting in FY 2020.
-8-
Administration
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.
PubEic Health
r
I I I
Environmental
Health
Community
Health
Animal Control
SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE
LEADING TO OUTCOMES
People
The Health Services Department
strives to respond to conditions that
affect the overall health of the
community in a timely manner.
Planning
- The Dubuque County Community Health
Needs Assessment and Health Improvement
plan is a community -wide effort to assess
the community's health needs and decide
how to meet them.
- The Dubuque County Health Care
Preparedness Coalition is a multi-
disciplinary partnership that assesses
jurisdictional risk and responds cohesively to
public health incidents and emergencies.
__S Green 4+ Healthy Homes initiative
NINIkk
Crescent Community
HEALTH CENTER • {—
Partnerships
Partnerships allow public health to perform its activities in an effective, efficient, and inclusive manner.
Some partners include the Crescent Community Health Center, Iowa Department of Public Health,
Dubuque Community Schools, Dubuque Visiting Nurses Association, Dubuque County Health
Department, Mercy Medical Center, Unity Point Health/Finley HOspital, and many others.
-9-
$600,000
$500,000
$400,000
$300,000
$200,000
$100,000
$0
PUBLIC HEALTH
FY 2019 FY 2020 FY 2021
Full -Time Equivalent 5.58 5.86 6.14
Resources and Property Tax Support
Operating Revenue
FY 2019
State Grant Property Tax Support
FY 2020 FY 2021
The Health Department is supported by 6.14 full-time equivalent employees, which accounts
for 61.23% of the department expense as seen below. Overall, the departments' expenses are
expected to increase by 6.34% in FY 2021 compared to FY 2020.
Employee Expense
Supplies and Services
Machinery and Equipment
Expenditures by Category by Fiscal Year
$0
$3,439
$1,875
$3,200
$100,000
FY 2019
$200,000
$300,000
FY 2020 FY 2021
$476,220
$508,010
$550,9
$322,983
$336,362
$345,706
$400,000 $500,000
-10-
PUBLIC HEALTH
Administration/Community Health
Mission & Services
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 essential services necessary for an
effective public health system. Responsibilities include evaluating, reviewing, and updating
animal, noise, nuisance, sewer, refuse, and food ordinances enforced by the Health
Department.
Health Administration/Community Health Funding Summary
FY 2019 Actual
FY 2020 Budget
FY 2021 Requested
Expenditures
$258,245
$269,468
$256,111
Resources
$7,957
$13,565
$9,974
Health Administration/Community Health Position Summary
FY 2021
Public Health Specialist
1.00
Public Health Intern
0.14
Secretary
1.00
Total Full -Time Equivalent Employees
2.14
Performance Measures
City Council Goal: Vibrant Community: Healthy and Safe
1 Dept. Objective: Ensure accessibility and quality of primary care and population -based health
services.
Performance Measure (KPI) Target
2017 2018 2019 Performance
Actual Actual Estimate Indicator
Crescent Community Health Center total
patients served
8057 6437 6370 6000
patients served at or below 100% of
poverty level of total demographic in 56% 48% 58% 58%
Dubuque
of patients served without insurance
30% 33% 48% 48%
City Council Goal: Vibrant Community- Healthy & Safe
2 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program
% of children with elevated blood lead
levels
<1 % 1.5% N/A 1.4%
C�]
City Council Goal: Partnerships for a Better Dubuque
3 Dept. Objective: Mobilize community partnerships to identify and investigate public health
problems and emerging issues
Annual review, maintenance and demonstration 1 section or Animals in
(exercising) of Public Health Emergency Response Plan sections exercise/year disaster
Communication
& notification
drill
Risk
Communication
-11-
PUBLIC HEALTH
Environmental Health
Mission & Services
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. Responsibilities include responding to complaints,
inspecting pools, spas, tanning, and tattoo facilities, and inspecting and licensing food
establishments, stands, and mobile units.
Food Inspection/Environmental Health Funding Summary
FY 2019 Actual
FY 2020 Budget
FY 2021 Requested
Expenditures
$219,794
$224,391
$224,007
Resources
$151,998
$158,116
$165,494
Food Inspection/Environmental Health Position Summary
FY 2021
Environmental Sanitarian
2.00
Total Full -Time Equivalent Employees
2.00
Performance Measures
City Council Goal: Vibrant Community: Healthy & Safe
1
Dept. Objective: Assure safe and sanitary public swimming pools, spas and tattoo facilities by
providing a minimum of one inspection per year within Dubuque County.
Performance Measure (KPI) Target
FY18 FY19 FY20 Performance
Actual Actual Estimate Indicator
# of closures of public pool/spa 0 1 0 0
2 Dept. Objective: All permanent and temporary food establishments, mobile food units and hotels/motels/inns
are inspected and licensed through a contract with the Iowa Department of Inspections & Appeals.
# of new/change ownership food
establishments
N/A 89 68 80 N/A
# foodborne illness complaints 7 7 4 7
3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances
through code enforcement.
# municipal infractions (Mls) issued for
nuisance violations
25 7 23 32
-12-
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
FY 2019 Actual
FY 2020 Budget
FY 2021 Requested
Expenditures
$324,603
$352,388
$419,762
Resources
$207,794
$197,332
$299,118
Animal Control Position Summary
FY 2021
ANIMAL CONTROL OFFICER
2.00
Total Full -Time Equivalent Employees
2.00
City Council Goal: Vibrant Community: Healthy & Safe
1 Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs.
Performance Measure (KPI) Target
FY18 FY19 FY20 Performance
Actual Actual Estimate Indicator
# of citations issued for violations of Animal
Control ordinance
N/A 44 63 75 N/A
2 Dept. Objective: Control the spread of rabies among and between animals.
# of Pet Licenses sold/rabies licenses 11,000 10,309 10,439 11,439
# of citations for failure to license a pet
1,700 1,446 1,787 1,850
3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially
vicious and vicious animal declarations.
# of animal bites
N/A 179 182 175 N/A
City Council Goal: Partnerships for a Better Dubuque
4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque.
Maintain agreement with Dubuque Regional July1, 2020 Penalties New
Amendment
Humane Societyimposed agreement
-13-
This page intentionally left blank.
-14-
Recommended Operating Revenue Budget - Department Total
17 - HEALTH SERVICES
Fund
Account
Account Title
FY18 Actual
Revenue
FY19 Actual
Revenue
FY20 Adopted
Budget
FY21 Recomm'd
Budget
100
100
100
100
100
100
100
42105 BUSINESS LICENSES
42120 ANIMAL LICENSES
42125 CAT LICENSES
42169 TATTOO LICENSES
42235 REFUSE HAULING PERMITS
42325 SWIMMING POOL INSP. FEES
42330 ANIMAL IMPOUNDMENT FEES
42 LICENSES AND PERMITS - Total
100 45701 STATE GRANTS 5,759 7,660 11,599
100 45771 FED PASS THRU STATE GRANT 0 0 500 0
45 STATE GRANAmilIMPIIIIr 7,660
100 51987 WEED CUTTING CHARGES 3,695 4,423 3,695 0
CHARGES FOR SERVICES 4,423
139,950
121,113
47,260
3,070
725
9,533
8,850
150,000
262,923
0
2,805
775
10,650
9,040
436,193
8,808
8,808
107,579
119,613
46,260
2,640
725
7,436
7,350
291,603
130,201
126,353
48,201
3,993
375
9,123
8,040
326,286
100 53403 IA DISTRICT COURT FINES
100 53605 MISCELLANEOUS REVENUE
100 53620 REIMBURSEMENTS -GENERAL
100 53625 REIMBURSEMENTS -TRAINING
17,814
0
668
457
53 MISCELLANEOUS - Tot - 18,940
26,017 20,849
300
0
28,016
0
3,362 669 669
0 900 900
29,379 ,718 29,585
319,996 367,748 369,013 474,586
-15-
Recommended Operating Expenditure Budget - Department Total
17 - HEALTH SERVICES
Fund
Account
Account Title
FY18 Actual
Expense
FY19 Actual
Expense
FY20 Adopted
Budget
FY 21 Recomm'd
Budget
100 61010 FULL-TIME EMPLOYEES
100 61020 PART-TIME EMPLOYEES
100 61030 SEASONAL EMPLOYEES
100 61050 OVERTIME PAY
100 61070 HOLIDAY PAY
264,469
65,938
2,569
1,470
0
272,113
73,273
6,303
1,841
0
342,082
36,910
3,410
1,500
0
392,796
0
0
1,500
458
100 61091 SICK LEAVE PAYOFF 4,308 4,097 3,291 0
290 61091 SICK LEAVE PAYOFF 211 0 0 0
100 61310 IPERS 29,873 33,011 36,241 37,260
100 61320 SOCIAL SECURITY 24,860 26,260 29,620 30,195
290 61320 SOCIAL SECURITY 15 0 0 0
100 61410 HEALTH INSURANCE 55,650 50,086 48,978 79,925
100 61415 WORKMENS' COMPENSATION 7,662 6,772 5,684 6,210
100 61416 LIFE INSURANCE 239 239 294 404
100 61660 EMPLOYEE PHYSICALS 128 2,225 0 2,226
61 - WAGES AND BENEFITS
457,389 476,220 508,010 550,974
100 62010 OFFICE SUPPLIES 1,146 1,948 1,086 2,059
100 62011 UNIFORM PURCHASES 640 936 1,284 937
100 62030 POSTAGE AND SHIPPING 7,882 6,708 8,168 7,379
100 62033 HAND TOOLS/EQUIPMENT 0 337 0 0
100 62061 DP EQUIP. MAINT CONTRACTS 7,895 8,054 8,053 8,535
100 62063 SAFETY RELATED SUPPLIES (1) 0 100 0
100 62065 LAB SUPPLIES 0 0 50 0
100 62067 ANIMAL CONTROL SUPPLIES 67 307 200 1,788
100 62090 PRINTING & BINDING 2,038 2,989 3,419 3,506
100 62110 COPYING/REPRODUCTION 799 707 854 707
100 62130 LEGAL NOTICES & ADS 660 317 660 1,029
100 62170 SUBSCRIPTIONS -BOOKS -MAPS 159 20 334 21
100 62190 DUES & MEMBERSHIPS 790 775 1,310 1,371
100 62204 REFUNDS 100 605 0 0
100 62206 PROPERTY INSURANCE 132 0 0 0
100 62208 GENERAL LIABILITY INSURAN 3,210 3,421 3,625 3,593
100 62230 COURT COSTS & RECORD FEES 18,653 24,905 18,653 24,905
100 62310 TRAVEL -CONFERENCES 7,842 6,173 14,369 8,114
100 62320 TRAVEL -CITY BUSINESS 51 153 564 794
100 62340 MILEAGE/LOCAL TRANSP 24 27 300 79
100 62360 EDUCATION & TRAINING 6,541 4,291 9,889 11,289
100 62421 TELEPHONE 3,409 4,072 3,421 4,072
100 62436 RENTAL OF SPACE 2,304 2,112 2,304 2,112
100 62511 FUEL, MOTOR VEHICLE 2,142 2,808 3,086 3,403
100 62521 MOTOR VEHICLE MAINT. 846 794 3,018 1,495
100 62528 MOTOR VEH. MAINT. OUTSOUR 0 0 1,030 1,030
100 62614 EQUIP MAINT CONTRACT 750 890 750 890
100 62663 SOFTWARE LICENSE EXP 142 118 150 123
100 62667 DATA SERVICES 311 424 600 415
100 62668 PROGRAM EQUIP/SUPPLIES 509 558 759 558
100 62671 MISC. OPERATING SUPPLIES 0 100 100 500
100 62683 FIELD OPERATIONS SUPPLIES 596 244 200 244
100 62696 OUTSIDE COLLECTOR EXPENSE 0 29 0 0
-16-
Recommended Operating Expenditure Budget - Department Total
17 - HEALTH SERVICES
Fund
Account
Account Title
FY18 Actual
Expense
FY19 Actual
Expense
FY20 Adopted
Budget
FY 21 Recomm'd
Budget
100 62699 CASH SHORT AND OVER
100 62716 CONSULTANT SERVICES
100 62725 BILL COLLECTION SERVICES
100 62727 FINANCIAL SERVICE FEES
100 62732 TEMP HELPCONTRACT SERV.
100 62736 CATERING SERVICES
100 62761 PAY TO OTHER AGENCY
100 62780 HAULING SERVICES
100 62781 LAWN CARE SERVICES
0 (1) 0
2,999 10,369 4,172
46,941 47,211 46,238
630 600 630
0 0 2,998
0 0 225
172,449 185,250 188,691
589 1,815 589
4,483 2,915 4,483
0
10,641
47,211
600
2,998
225
191,083
2,000
0
62 - SUPPLIES AND SERVICES
297,728 322,983 336,362 345,706
100 71111 DICTATION EQUIPMENT 0 0 400 0
100 71120 PERIPHERALS, COMPUTER 0 2,040 0 200
100 71122 PRINTER 0 495 0 0
100 71124 COMPUTER 0 0 0 2,275
100 71211 DESKS/CHAIRS 0 425 425 0
100 71550 MISCELLANEOUS EQUIPMENT 0 109 0 0
100 72418 TELEPHONE RELATED 873 371 1,050 725
71 - EQUIPMENT 873 3,439 1,875 3,200
17 - HEALTH SERVICES TOTAL 755,990 802,642 846,247 899,880
-17-
Recommended Expenditure Budget Report by Activity & Funding Source
17 - HEALTH SERVICES
FUNDING SOURCE: CABLE TV
Account
HEALTH SERVICES ADMINISTR- 17100
FY18 Actual Expense FY19 Actual Expense FY20 Adopted Budget FY21 Recomm'd Budget
EQUIPMENT
SUPPLIES AND SERVICES
WAGES AND BENEFITS
824 825 350
33,563 9,310 40,297 13,790
131,528 132,016 127,945 119,395
LHEALTH SERVICES
165,090 142,150 169,067 133,535
ANIMAL CONTROL -17200
FUNDING SOURCE: GENERAL
Account
FY18 Actual Expense FY19 Actual Expense FY20 Adopted Budget FY21 Recomm'd Budget
EQUIPMENT 582 425 700 2,475
SUPPLIES AND SERVICES 208,165 234,238 225,746 242,396
WAGES AND BENEFITS 78,766 89,940 125,942 174,891
ANIMAL CONTROL
287,513 324,603
INSP. - FOOD ESTBLMNTS - 17300
352,388
FUNDING SOURCE: GENERAL
Account
FY18 Actual Expense FY19 Actual Expense FY20 Adopted Budget FY21 Recomm'd Budget
EQUIPMENT 291 2,190 350 375
SUPPLIES AND SERVICES 27,920 26,717 33,486 27,649
WAGES AND BENEFITS 188,002 190,887 190,555 195,983
SP. - FOOD ESTBLMNTS
216,213 219,794 224,391 224,007
COMMUNITY HEALTH SERV. - 17400
FUNDING SOURCE: GENERAL
Account
FY18 Actual Expense FY19 Actual Expense FY20 Adopted Budget FY21 Recomm'd Budget
SUPPLIES AND SERVICES
WAGES AND BENEFITS
23,451 51,480
59,094 63,378
27,593 52,792
63,568 60,705
COMMUNITY HEALTH SERV.
82,546 114,857
LEAD PAINT PROGRAM - 17500
FUNDING SOURCE: GENERAL
Account
FY18 Actual Expense FY19 Actual Expense FY20 Adopted Budget FY21 Recomm'd Budget
SUPPLIES AND SERVICES
4,628 1,238 9,240 9,079
PAINT PROGRAM M
HEALTH SERVICES TOTAL
8846,247
-18-
CITY OF DUBUQUE, IOWA
DEPARTMENT DETAIL - PERSONNEL COMPLEMENT
17 HEALTH SERVICES DEPARTMENT
FD JC WP-GR JOB CLASS
61010 Full Time Employee Expense
100 7700 GE-37
100 7500 GE-32
100 7400 GE-29
100 7375 GE-27
100 225 GE-25
PUBLIC HEALTH SPECIALIST
ENVIRONMENTAL SANITARIAN
ANIMAL CONTROL OFFICER
ENVIRON.SANITARIAN ASST
CONFIDENTIAL ACCOUNT CLERK
TOTAL FULL TIME EMPLOYEES
61020 Part Time Employee Expense
100 7400 GE-29 ANIMAL CONTROL OFFICER
TOTAL PART TIME EMPLOYEES
61030 Seasonal Employee Expense
100 PUBLIC HEALTH INTERN
TOTAL SEASONAL EMPLOYEES
TOTAL HEALTH SERVICES
FY 2019 FY 2020 FY 2021
FTE BUDGET FTE BUDGET FTE BUDGET
1.00
2.00
0.00
0.00
1.00
4.00
94,676
129,313
0
0
48,949
272,938
1.00
2.00
1.00
0.00
1.00
5.00
96,836
136,293
59,967
0
48,986
342,082
1.00
2.00
2.00
0.00
1.00
6.00
1.44 75,970 0.72 36,910 0.00
97,912
141,324
114,270
0
39,588
393,094
0
1.44 75,970 0.72 36,910 0.00
0.14 3,334 0.14 3,410 0.14
0
0
0.14 3,334 0.14 3,410 0.14
0
5.58 352,242 5.86 382,402 6.14 393,094
-19-
CITY OF DUBUQUE, IOWA
ACTIVITY PERSONNEL COMPLEMENT SUMMARY
ACCT FD JC WP-GR POSITION CLASS
FY 2019 FY 2020 FY 2021
FTE BUDGET FTE BUDGET FTE BUDGET
Health Services Administration -General Fund
10017100 61010 100 225 GE-25 CONFIDENTIAL ACCOUNT 1.00 $ 48,949 1.00 $ 48,986 1.00 $ 39,588
10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 47,338 0.50 $ 48,418 0.50 $ 48,956
Total 1.50 $ 96,287 1.50 $ 97,404 1.50 $ 88,544
Community Health Services - FT General Fund
10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 47,338 0.50 $ 48,418 0.50 $ 48,956
Total 0.50 $ 47,338 0.50 $ 48,418 0.50 $ 48,956
Community Health Services - Seasonal General Fund
10017400 61030 100
PUBLIC HEALTH INTERN 0.14 $ 3,334 0.14 $ 3,410 0.14 $
Total 0.14 $ 3,334 0.14 $ 3,410 0.14 $
Inspection of Food Est./Environmental - FT General Fund
10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 $ 129,313 2.00 $ 136,293 2.00 $141,324
10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST 0.00 $ - 0.00 $ - 0.00 $ -
Total 2.00 $ 129,313 2.00 $ 136,293 2.00 $141,324
Animal Control -FT General Fund
10017200 61010 100 7400 GE-29 ANIMAL CONTROL OFFICER 0.00 $ - 1.00 $ 59,967 2.00 $114,270
Total 0.00 $ - 1.00 $ 59,967 2.00 $114,270
Animal Control -PT General Fund
10017200 61020 100 7400 GE-29 ANIMAL CONTROL OFFICER 1.44 $ 75,970 0.72 $ 36,910 0.00 $
Total 1.44 $ 75,970 0.72 $ 36,910 0.00 $
TOTAL HEALTH SERVICES DEPT. 5.58 $ 352,242 5.86 $ 382,402 6.14 $393,094
-20-
Du 11TJE
44sterpfece an the Alfissi5ippi
FISCAL YEAR 2021
BUDGET PRESENTATION
HEALTH SERVICES
DEPARTMENT
CSOCIETY
HUMANE
DUBUQUE REGI♦NA L
COMMUNITY OF UNCONDITIONAL LOVE
Green & Healthy Hennes Initiative
\INK
Crescent Community VISITING NURSE ASSOCIATION
HEALTH CENTER —.. _. —
Health Services Department
MISSION STATEMENT
Provide effective and equitable public health
services to prevent the spread of disease and
other health conditions while promoting the
health, safety and well being of our citizens
and the environment.
Health Services Department
Environmental
Sanitarian (2)
Tim Link
vacant
(6.14 Full -Time Equivalents)
Public Health Specialist
Mary Rose Corrigan
Secretary
Connie Mueller
Public Health
Intern
(vacant)
FT Animal
Control Officer
McKinzie
Flanagan
PT Animal Control
Officer
Jenny Cook
HIGHLIGHTS
Dubuque
bard
All -America City
NAT1ONAI _ CIVIC LEAGUE
'1111'
0
2007*2012*2013
2017*2019
• All America City team
BEAKERS Coffee
• Digital / electronic food inspection reports
• Animal Control increased to 1.75 FTE
• Crescent Community Health Center expansion & new CEO
iNFOCUS Pharmacy
FUTURE
INITIATIVES
• Dubuque Regional Humane Society Contract
• Review PetData contract and study in-house pet
licensing in conjunction with new Finance
system
• Revision of FDA Food Protection Standards
• Brain Health Task Force: improve brain health
care system and access to services
• Crescent Community Health Center expanded
services
• New/ emerging infectious disease preparedness
• Pet Friendly community
• Animal Control brochure translation
Health Services Department
FY2021 REQUESTED PROPERTY TAX SUPPORT
I:1
$425,294
Net Property
Tax Support
titit
$7.31
Average homeowner's*
property tax cost for Health
Services
(*Avg. home value of $146,567)
ENVIRONMENTAL HEALTH
Promote a safe and healthy environment by
assuring sanitary conditions and practices
• Food Inspections
• Swimming pool/spa
inspections
• Tattoo inspections
• Nuisance control
$150,000
$125,000
$100,000
$75,000
$50,000
$25,000
$101,095
$96,949
$107,579
$122,015
$139,951
FY 2016 FY 2017 FY 2018 FY 2019 FY 2020
FOOD LICENSE REVENUE
FOOD ESTABLISHMENTS
28
New
16
2 2
Change Remodel New Food
Ownership Truck
FY 19
26
22
FY16 FY17 FY18
New Food Establishments
28
FY19
OOLONG
ASIAN cuISINE
0
pS&v
1 {'r{}[ShM1[7.41 rl Lil T.4
AIM
coNVIV/ET4
PETE'S
al KITCHEN
Pita Pit
FROZEN CUSTARD a
STEAKBURGERS`
-p
•
bteOpeeck
bakeni
OLD CHICAG
—PIZZA t TAFR00M—
I976
Igor
" Domino's
ENVIRONMENTAL HEALTH
Hotel/Pool/Tattoo/Tanning Inspections
• Tanning: 11 (discontinued)
• Hotels: 9
• Pools: 27
• Tattoo: 10
Total: 57
NUISANCE
CONTROL
NUISANCE
COMPLAINTS
FY2019
77% of
nuisance
complaints
occurred
between May
and
September
70
60
50
40
30
50
64
20 18
I .
13
10 11 10 $ ,.
8
0 16
10 6
_ 5 0 10 1 III1
0
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
. Garbage/Junk/Nuisance Grass/Weed
NUISANCE ENFORCEMENT
80
70
60
50
40
30
20
10
0
7
70
7
39
FY17 FY18
21
47
FY19
Citations . Hired Contractor
Elevated Blood Level
6
4
3
2
1
0
CITY OF DUBUQUE
lead Poisoning Levels
CDC level of concern 10 ug/d I
CDC level of
concern revised
5 ug/d
in 2012
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
2015-2016
data inconclusive
fi0 617
fir 1111111 4:-rt,
e s4 DEN 0
BUILDINGA •
HEALTHYH NEIGHBORHOOD
City of Dubuque: Health & Housing
iALTHYH0 ES
Fyni{4F I C n
• Lead Poisoning Prevention- IDPH
• HUD Lead Paint Program -HUD
• Bee Branch Healthy Homes Program-
NDRC
Community Partners:
• Dubuque VNA
• IDPH
• GHHI Resource group
11P, Green & Healthy Homes Initiative
\JNk
VISITING NURSE ASSOCIATION
A subsidiary & Finlcy Tri•Srnres Health Group, Enc. -
BEE BRANCH
HEALTHY HOMES
BEE BRANCH HEALTHY HOMES PROGRAM
28%
HEALTH
Health insurance
Dental insurance
Dental Home
Dental Heed Gap
Smoking
Medical Equipment
Food
Pest.
Mental. IlLness
Blood lead levels
Nutrition
Medical Home
1496
ECONOMIC
Underemployed
Unemployed
Financial
Utility Bill
Childcare SS
Vfi
EDUCATION
Skills Gap
NI.. Cert
Parent Education
Absenteeism
IEP-Child
5chciclSupplies
K-1 2
Intake Challenge Buckets
21 32
SOCIAL
Childcare
Youth Ac ti'i t?.
Parent Education
Food
Legal
Transportation
Clothing
Pest.
Housing
Counseling
5odial Support
clack of)
BUILT
ENVIRONMENT
Home Maintenance
We ath a rizati o n
CO2/Smc'ke alarm
Lead Hazards
Pest Control
ANIMAL CONTROL
717
113
854
4 1153
FY13
569
1096
647
1187
525
1073
539
942
i
641
1299
583
798
1
FY16 FY19 FY20*
'Animal Control Complaints • Police Complaints
48
23
36
99
30
56
117
FY13 FY14 FY15 FY16 FY17 FY18 FY19
r_
it)
x
-z.
rz)
rn
9<ila_ ' IPcL- .\
,Po 'ZS 1. KEN INIEDk RD
<7"Y" GRA HG R D
9.
f- ----.0"--
-.- A. .
7 4.' II ....•-4 0..
0Fd RO
'
0
(---) ,
MI
13.
CI
P004 Mi DDL ERD ----7=-rrfl —,P E NN SYLVAN !WE
'S.. ',J---.—,
z as
o
t
4. 0
40
1-...------*2-- HUMHE RD CHOElikiLE.igr
J1' •ri.
ss
o- •
).-- OLD HIGHW AY-R D_
v„,
WILD ANIMA COMPLAINTS
A
NORTH
- t-WE, •klaitr1i, :40.r&1006.49 OtrigalL/LV,a :114:3 aggr arsuirik
ANIMAL CONTROL ENFORCEMENT
1489
1153
License Citations
1037
1318
1532
1446
1787
918
FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20*
73
47
Other Citations
72
48 48
44
63
24
FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20*
PET LICENSES
8,1
FY10
9.055
FY11
9,437
9,341
9.48
9.897
10,439.00
10,309 moo
10,091 10,086
000.00
FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Estimated unlicensed pets in Dubuque: 15,249
CRUELTY & NEGLECT
VIOLATIONS
44 41
26 26
21
1
1
45
56
68
103
72
o
Animals left in Vehicles Neglect / Cruelty to Animals
. FY16 . FY17 . FY18 . FY19 . FY20*
ANIMAL BITES REPORTED
134 136
124
128
138
179
183
139
FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20*
• Bites
Number of Animals Picked Up
296
101
371
107
252
a.
rid
275
120
248
129
230
147
365
142
FY13 FY14 FY15 FY16 FY17 FY18 FY19
Police Animal Control
PET FRIENDLY COMMUNITY TASK FORCE
ow�FaP
Community Assessment
• City Profile
• Community Survey
• Shelters
• Homes
• Parks
• Businesses
Pets in Parks recommendation
co
O
0
0
.
..o
stoltdi
�fo
0' Vie
tY
CoR'q ame
ate& addres8
g
rao l° 3lation
• HEALTH0,PE7,
PesLfr. S
hous'n9 efCly
allexistf�t$o,,tarnil�$s
4
,p?PY Pk-7,64
49‘-s
co Betters:
CITIES
forpetsl
A MARS PETCARE US PROGRAM
CO me
10
eta?, en
aq
tsasy8 make
with °beotut
°'r pet
9
People 1c CEO %
me ota
exP it
for P—, Ges
public Pia
H-L7V3H + dIHS -3\\\
,�a
BRAIN HEALTH
• Brain Health Task Force
• County Stakeholders &
East Central Region Access Center
• Crescent Community Health Center
Expanded brain health
IOWAHELPLIN E
COMMUNITY NEEDS ASSESSMENT
MENTAL HEALTH SERVICES
KEY FINOlNGS, NOVEMBER 2016
Communiey Pounds€ion
gFrfar PriyAr
CRESCENT COMMUNITY HEALTH CENTER
•
Crescent Community
HEALTH CENTER
•
4 t
Mr rra
CRESCENT COMMUNITY HEALTH CENTER Crescent Community
EXPANSION HEALTH ctIN �k
• On -site wellness center &
education kitchen
• Employee training center
• Brain health and substance
use
• Population health
CRESCENT COMMUNITY HEALTH CENTER
PAI IENTS
9,000
8,000
7,000
6,000
5,000
4,000
3,000
5,376
4,009
Et7s-o,
Crescent Community
HEALTH CENTER
6,377 6,228 6,263 6,437 6,46!
6,001 6,069
5,711 5,750
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2019
v Patients
Projected
8,057
2020
CRESCENT COMMUNITY HEALTH CENTER
PAIIENTS BYAuc
5,000
4,000
3,000
2,000
1,000
1,535
<18
4,443
Etys-o,
Crescent Community
HEALTH CENTER
487
18 - 64 65+
CRESCENT COMMUNITY HEALTH CENTER
PAI TENT CHARMCI tRISTICS
Race/Ethnicity
▪ Hispanic
• Black
Other
• White
▪ Pacific Islander
Et7s-o,
Crescent Community
HEALTH CENTER
Medical Insurance Source
49.3%
35.5%
o
7.5/a
Medicaid 1 Medicare third party
Uninsured
7.6%
CRESCENT COMMUNITY HEALTH CENTER
Preventive Screenings
120.00%
100.00 %
80.00 %
60.00 %
40.00 %
20.00%
i
76.80%
81.00%
97.00% 96.00%
13
Crescent Community
HEALTH CENTER
63.00%
88.00%
Weight for Adult BMI Tobacco Use Depression BP controlled Asthma
Children and medication
Adolescents
Dubuque
Pacific Islander
Health Project
PI Patients
Staff
• 74 (69 FTE)
Gary Collins CEO
Dr Kruse MD
Dr Stingley DDS
Crescent Community
HEALTH CENTER
Dr Breitbach DDS
FY2021
RECOMMENDED
IMPROVEMENT
REQUESTS
717
854
Police Animal Calls
569
647
525 539
Upgrade Part -Time Animal Control Officer to
Full -Time
Recurring I $31,833 + Non -Recurring I $2,275 (Expense)
Recurring I $8,000 (Revenue)
Net Property Tax Cost: $26,108
641
583
1
FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20*
$180,000
$160,000
$140,000
$120,000
$100,000
$80,000
Pet License Revenue
FY08 FY19
• Animal License Fee Increase
Recurring I $83,370
Fee Type
Current Animal
License Rate
Requested FY21
Animal License Rate
Total
Increase
Spayed/Neutered
Animal
$12.00
$14.00
$2.00
Non-Spayed/Non-
Neutered
$30.00
$34.00
$4.00
Late Fee
$10.00
$16.00
$6.00
$280,000
$240,000
$200,000
$160,000
$120,000
$80,000
74,54•A/1-
2003
121,751
2009
260,000
2020
RECOMMENDED
IMPROVEMENT
REQUESTS
(Continued)
3. Portable Printer (Animal Control)
Non -Recurring I $200
4. Pet leashes
Non -Recurring I $650
City Expo
5. Tick Removal Kits
Non -Recurring I $500
City Expo