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FY 15 Budget Presentation_Health ServicesHealth Services Department FY 14 -2015 Budget Mary Rose Corrigan Public Health Prevent. Promote. Protect. Animal Control- trends Public Health Prevent. Promote. Protect. 9500- 9000- 8500- 8000- 7500 City of Dubuque Pet Licenses FY09 FY10 FY11 FY12 FY13 40000 35000 30000 25000 20000 15000 10000 5000 0 Dogs & Cats in Dubuque FY09 FY10 FY11 FY12 FY13 Estimated Number of Dog /Cats in Dubuque Dog /Cat Licenses Sold Public Health Prevent. Promote. Protect. I Dog & Cat License Citations Issued 1600 1400 1200 1000 800 600 400 200 0 FY08 FY09 FY10 FY11 FY12 FY13 120- Animal Bites 100- 80- 60- 40- 20- 0 FY09 FY10 FY11 FY12 FY13 ❑ Dog Bites ❑ Cat Bites ❑ Other Animal Bites Public Health Prevent. Promote. Protect. Vicious & Potentially Vicious Animals • 8 Vicious & PVD • 14 Surrendered Public Health Prevent. Promote. Protect. /\• AN- Humane Society Contract • Renewal July, 2014 • Contract workgroup beginning DUBUQUE REGIONAL SOCIETY.* SERVING ?H8 TRI- 5TATE5 Celebrating 110 years of commitment to building lifelong bonds between people and animals Food Inspections • Risk based inspections • FDA Voluntary National Retail Food Regulatory Program Standards (2011). • 3/ 9 standards complete Public Health Prevent. Promote. Protect. US EPA Consent Decree Fats, Oils, & Grease (FOG) • Health staff inspections of licensed facilities • Staff and Food establishment education • Interdepartmental project Vii? `./ t }, ° ; • 4 / 1 , 6, f`` I` I / \/ / \/ �` `, `' • ..Z, \``�+��\ / \�\ / \ - \�` k 4,.•\ ' • ■ . 4;\.:;\ /\14\/\/\/\ :* -P6 \ p ‘ : R+..., ■ Ni. :: • /0/‘ 2011 -2014 HEALTHYHOMES Healthy Families Healthy Children HEALTHYHOMES Healthy I Healthy Families I Children /0\ Lead Program History • 1994 IDPH $60,000 • 1997 HUD $3.6 million • 2003 HUD $2.4 million • 2008 HUD $3 million • 2011 HUD $3 million • Total HUD $12.2 million • 1997- present IDPH -$ 300,000 10\ Lead Program History Percent of Positive Child Lead Poisoning Test Results 5.00% 4.50% 4.00% 3.50% 3.00% 2.50% 2.00% 1.50% 1.00% 0.50% 0.00% 4.70%- 4.00% 3.50% 3.70° .50% .50% 2000 2001 2002 2003 2004 2005 Green & Healthy Homes Ac iio � AIM Helping P•ott1• iJlely M UM& 1t SUSTAINABLE DUBUQUE viable • livable • equitable Masterpiece on the Mississippi -COMMUNITY FOUNDATION of Greater Dubuque Green & Healthy Homes Initiative Empowered homeowners in Green and Healthy Homes Smarter Sustainable Dubuque Health & Wellness a M A R T E R SUSTAINABLE DUBUQUE Community Health & Wellness Economic Prosperity dl Community Design The built environment of the past, present and future which contributes to its identity, heritage and sense of place, Social /Cultural Vibrancy Smart Energy Use Energy conservation and expanded use of renewable energy as a means to save money and protect the environment, Resource Management The benefits of reducing, reusing and recycling resources. Regional Economy A diversified regional economy with opportunities for new and green markets, jobs, products and services. I CM ‹c" Green Buildings A productive and healthy built environment. Environmental Integrity Community Knowledge Education, empowerment and engagement to achieve economic prosperity, environmental integrity and social /cultural vibrancy. Healthy Local Foods The benefits of wholesome food from local producers, distributors. farms, gardens and hunters. Community Health and Safety Systems, policies and engagement to ensure that all residents have access to healthy and safe lifestyle choices. a Reasonable Mobility Safe, reasonable and equitable choices to access live, work and play opportunities. Healthy Air Fresh, clean air, reduced greenhouse gas emissions and minimized health risks. Clean Water Water as the source of life, seeks to preserve and manage it in all forms. Native Plants & Animals Biodiversity through the preservation, restoration and connection of nature and people. 0 Air Quality • Air Quality Task Force — ECIA —GDDC —City — U of IA — DNR — Region 7 EPA • PM Advance Program (EPA) Crescent Community HEALTH CENTER Mary Rose Corrigan, Board of Directors Chair Patients & Visits 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 FY08 FY09 FY10 FY11 FY12 FY13 Patients # of Visits Crescent Community HEALTH CENTER A 47.49% Medical Insurance 2013 15.44% 17.90% 4.21% 57.50% 4.93% Dental Insurance 2013 Medicaid 45% LI Private Ins. Uninsured /Sliding 7.40% Medicaid Medicare lowaCare Private Ins. Uninsured /Sliding Fee Fee Crescent Community HEALTH CENTER CCHC new services • X -ray • Additional staff • Hillcrest mental health services • Anti - coagulation clinic fi■ Crescent Community HEALTH CENTER Crescent Community Health Center Challenges • Affordable Care Act - Enrollment - Care Coordination - Iowa Wellness Plan - Patient/Community Education • Federal Budget Cuts 13 Crescent Community HEALTH CENTER Engine House Wellness • ACA Outreach & Enrollment • Nutrition Education • Wellness Fair • Stress Management • Community Meetings Crescent Community HEALTH CENTER Mom • 0 Y C as t H