Health Services Fiscal Year 2016 Budget PresentationCity of Dubuque Public Hearings # 1.
ITEM TITLE:
SUMMARY:
SUGGESTED DISPOSITION:
Copyright 2014
Health Services Fiscal Year 16 Budget Presentation
ATTACHMENTS :
Description Type
❑ Health Services FY16 Recommended Budget Supporting Documentation
Health Services
-8-
HEALTH SERVICES DEPARTMENT
Budget Highlights
Employee Expense
Supplies and Services
Machinery and Equipment
Total
Operating Revenue
Cable TV Charges
State Grant
Total
Property Tax Support
Percent Increase (Decrease)
Personnel - Authorized FTE
FY 2013/14
Actual
419,938
280,987
16,100
717,025
290,494
29,918
11,802
332,214
384,811
5.58
FY 2014/15
Adopted
437,536
302,323
19,046
758,905
290,750
10, 000
300,750
458,155
5.58
FY 2014/15
Amended
437,062
304,992
19,046
761,100
290,750
10,000
300,750
460,350
5.58
FY 2015/16
Recomm'd
435,012
292,541
874
728,427
298,425
8,000
306,425
% Change
from Adopted
FY 2014/15
- 0.6%
- 3.2%
- 95.4%
- 4.0%
2.6%
0.0%
- 20.0%
1.9%
422,002 -36,153
5.58
- 7.9%
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. 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 1,513 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 and in FY14, Police responded to 854 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.
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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. Recent and proposed annexations
have also added travel time and coverage ability. Recent and proposed annexations have also added
travel time and coverage ability.
FY
Animal Licenses Sold
FY94
6495
FY95
7050
FY96
6900
FY97
7110
FY98
7333
FY99
7147
FY00
7294
FY01
7792
FY02
8005
FY03
7574
FY04
8036
FY05
6293
FY06
7683
FY07
7990
FY08
8675
FY09
8370
FY10
8190
FY11
9055
FY12
9341
FY13
9437
FY14
9486
This improvement package also includes an increase in fuel (+$703) and vehicle maintenance (+$673).
In addition, it is expected that animal impoundment fees would increase (+$3,000), court fines
(+$5,000) and cat licenses (+$1,000) and dog licenses (+$2,000) due to enforcement and outreach.
Related Cost: $75,170— Tax Funds - Recurring
Related Revenue: $11,000— Tax Funds — Recurring
Net Cost: $64,170
Property Tax Impact: +$.02841+.26%
Activity: Animal Control
Recommend - No
2 of 3
This improvement package would provide funds for new office furniture for the Environmental
Sanitarian to provide appropriate ergonomic standards and improved office efficiency.
Related Cost: $2,600 — Tax Funds —Non -Recurring
Property Tax Impact: +5.00121-F.01%
Activity: Inspections
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Recommend - No
3 of 3
This improvement package would provide funds for contractual grant writing services for community-
wide health and wellness initiative and/or Smarter Health Project. Assistance will be needed for
securing funding through opportunities such as the CMS Innovation grant submitted in August, 2013.
The City Council adopted Health and Safety as a twelfth Sustainability Principle. Efforts to implement
models for environmental, and policy change, and citizen engagement will ensure residents' access to
healthy and safe lifestyle choices.
Related Cost: $10,000 — Tax Funds —Non -Recurring
Property Tax Impact: +$.0044/+.04%
Activity: Community Health Services
Significant Line Items at Maintenance Level
(Without Recommended Improvement Packages)
Employee Expense
Recommend - No
1. The City wage plan for non -bargaining unit employees will not increase and bargaining unit
employees will receive a 2.25% wage increase in FY 2016.
2. The Iowa Public Employee Retirement System (IPERS) City contribution remains at 8.93% and the
employee contribution remains at 6.18% in FY 2016.
3. The City portion of health insurance expense decreased from $1,190 in FY 2015 to $1,040 in FY
2016 per month per contract, resulting is a savings of $6,300.
4. FY 2016 is the fourth year that eligible retirees with at least twenty years of continuous service in a
full-time position or retired as a result of a disability and are eligible for pension payments from the
pension system can receive payment of their sick leave balance with a maximum payment of one -
hundred twenty sick days payable bi-weekly over a five year period. Sick leave payout expense of
$1,080 is budgeted in the Health Services (for one employee) in FY 2016.
5. Workers' Compensation decreased from $8,253 in FY 2015 to $7,823 in FY 2016 based on FY
2014 plus 6%.
Supplies & Services
6. Postage decreased from $7,238 in FY 2015 to $6,154 in FY 2016 based on FY 2014 actual $5,861
plus 5%.
7. Printing decreased from $3,200 in FY 2015 to $2,029 in FY 2016 based on FY 2014 actual $1,990
plus 2%.
8. Legal Notices and Ads decreased form $500 in FY 2015 to $0 in FY 2016. This includes a
reduction of $350 budgeted in FY 2015 for vacant positions and a reduction of $150 for radon ads
and service of citations and law enforcement in Food Inspections as law enforcement is no longer
used for citations.
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9. Conferences increased from $4,675 in FY 2015 to $5,634 in FY 2016 due to an increase of $400 for
the Public Health Specialist based on location of conferences and increase of $559 for the
Sanitarians' conferences.
10. Education and Training increased from $4,200 in FY 2015 to $5,818 in FY 2016 due to increase of
$1,200 for training for Animal Control Officers and an increase of $750 for training of medical case
management staff on current trends in childhood lead poisoning and Healthy Homes issues.
11. Motor Vehicle Fuel decreased from $5,594 in FY 2015 to $3,654 in FY 2016 based on FY 2014
actual of $4,349 minus 20%.
12. Internet Services decreased from $1,440 in FY 2015 to $360 in FY 2014 due to data charges for the
computer tablets being charged to the telephone line and discontinued use of aircards used for
animal control. The remaining budget is for hotspots.
13. Field Operations Supplies decreased from $1,100 in FY 2015 to $581 in FY 2016 based on FY
2014 actual $570. This budget represents the supplies used by the Health Inspectors while out in
the field conducting inspections related to food, pool/spa, tanning, and tattoo, septic and other
environmental operations.
14. Survey decreased from $1,041 in FY 2015 to $250 in FY 2016 due to the City's Urban Deer
Management Program helicopter survey now being conducted every other year with FY 2017 being
the next year that it is conducted.
15. Consultant Services decreased from $6,000 in FY 2015 to $3,271 in FY 2016 based on actual
usage of after hour veterinary calls ($2,271) and the contract for medical advisor services ($1,000).
16. Bill Collection Services decreased from $43,000 in FY 2015 to $39,978 in FY 2016 based on FY
2014 actual $39,194 plus 2%. This budget is for PetData Services for animal licensing.
17. Payments to Other Agencies increased from $188,809 in FY 2015 to $187,609 in FY 2016. The
Humane Society had a new one year contract negotiated in FY 2014, which ends June 30, 2015,
with the City of Dubuque to provide animal control services; the May Consumer Price Index was
used in the new contract. The FY 2016 Human Society contract budgeted is $136,109. 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 also
$4,000 budgeted for the Visiting Nurse Association to provide medical case management of lead
poisoned children and the Green and Healthy Homes Initiative (a decrease of $2,000), which is
from the Iowa Department of Public Health grant.
Machinery & Equipment
18. Purchase of equipment for FY 2016 includes ($874):
• Smartphone (2) for Animal Control $874
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Revenue
19. Dog and cat license revenue increased from $148,500 in FY 2015 to $150,500 in FY 2016 based
on FY 2014 actual of $149,418.
20. Business license revenue decreased from $98,000 in FY 2015 to $97,600 in FY 2016 based on
prior year actual of $97,360.
21. Swimming Pool Inspection Fees increased from $8,700 in FY 2015 to $10,700 in FY 2016 based on
FY 2014 actual of $10,693.
Miscellaneous
22. The Animal Control activity is 62.7% self-supporting versus the guideline of 62.7% self-supporting.
23. The Inspection of Food Establishments activity is 61.0% self-supporting versus the guideline of
61.0%.
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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.
Public Health
i 1
Administration
I
Community
Health
Environmental
Health
Food
Inspection
Expenditures and Resources by Department and Category
Animal Control
Budget Highlights
% Change
FY 2013/14 FY 2014115 FY 2014115 FY 2015116 from Adopted
Actual Adopted Amended Recomm'd FY 2014/15
Employee Expense 419,938 437,536 437,062 435,012 -0.6%
Supplies and Services 280,987 302,323 304,992 292,541 -3.2%
Machinery and Equipment 16,100 19,046 19,046 874 -95.4%
Total 717,025 758,905 761,100 728,427 -4.0%
Operating Revenue 290,494 290,750 290,750 298,425 2.6%
Cable TV Charges 29,918 - - 0.0%
State Grant 11,802 10,000 10,000 8,000 -20.0%
Total 332,214 300,750 300,750 306,425 1.9%
Property Tax Support 384,811 458,155 460,350 422,002 -36,153
Percent Increase (Decrease) -7.9%
Personnel - Authorized FTE 5.58 5.58 5.58 5.58
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PUBLIC HEALTH
SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND
PEOPLE LEADING TO OUTCOMES
Green & Healthy Homes Initiative
PLANNING
• 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 Healthcare Preparedness Coalition
is a multi -disciplinary partnership that assesses
jurisdictional risks and responds cohesively to public health
incidents and emergencies
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PARTNERSHIPS
Partnerships allow public health to perform its activities in an effective, efficient
and inclusive manner. Partners include:
• Crescent Community Health Center
• Iowa Department of Public Health
• Dubuque County Health Department
• East Central Intergovernmental Association
• Dubuque County Early Childhood
• Dubuque County Emergency Management
• Operation New View, Community
Foundation of Greater Dubuque
• Iowa Department of Natural Resources
• Mercy Medical Center
• Finley Unity Point Hospital
• Northeast Iowa Community College
• Iowa State University Extension
• Veterinarians
• Health Care Providers
• Dubuque Regional Humane Society
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• Grocery/Retail Stores,
• Iowa Department of Agricultural & Land
Stewardship
• Dubuque Visiting Nurse Association
• Dubuque Community School District
• University of Iowa College of Public
Health
• Iowa Department of Inspections and
Appeals
• Dubuque County Sherriffs Department
• Dubuque Main Street
• PetData, Inc.
• Great Dubuque Development
Corporation
• Community Foundation of Greater
Dubuque
PUBLIC HEALTH
Detail by Activity
Activity: Administration
Overview
The Administration Activity 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, and to supervise and direct activities of the Health Services
Department.
Activities
• Enforce laws, regulations and policies
• Prepare department budget and utilize resources efficiently and effectively
• Participate in the community planning efforts
• Execute community based programs, services, systems and policies based on the
CHNA-HIP and other emerging public health issues
• Supervise and support staff and provide staff development opportunities
• Promote team work, cooperation, and collaboration within the department, and with
other city departments and community organizations
• Staff the Environmental Stewardship Advisory Commission
Funding Summary
FY 2013/14
Actual
FY 2014/15
Adopted
FY 2015/16
Recommended
Expenditures
$149,529
$163,508
$156,020
Resources
$30,263
$100
$350
Position Summary
FY 2015/16 FTE's
Public Health Specialist
0.50
Secretary
1.00
Total FTE's
1.50
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PUBLIC HEALTH
Supporting City and Community Goals
Partnering for a Better Dubuque
■ Participate in public advocacy for resources and input on policies at the local,
state, and federal level through professional organizations and personal contact
■ Partner with many organizations, businesses and institutions for health care and
wellness
Improved Connectivity — Transportation and Telecommunications
■ Promote "complete streets" for health & wellness
Environmental Integrity
■ Urban Deer Management Plan
Performance Measures
(--
Administration — Activity Statement
Provide an effective public health service, which protects, maintains and promotes the
physical and environmental health and well-being of the citizens of the community.
Goals
■ Provide a qualified, adequate, and competent public health workforce.
■ Review and develop public health laws, ordinances, policies and procedures regularly to
update current practices.
■ Develop and maintain written contracts and memorandums of understanding (MOU) with
entities providing for public health services.
■ Collect and utilize public health data to plan, implement and evaluate public health
programs and activities.
Objective: Assure employees comply with guidelines, licensure, certification,
and continuing education requirements and competencies for providing public
health services.
Environmental Health:
Certified Environmental Health Technician (CHEHT): 1
Registered Environmental Health Specialist/Registered Sanitarian (REHS): 1
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PUBLIC HEALTH
Registered Sanitiarians (RS): 1
Registered Healthy Homes Specialist: 3
Certified Pool Operator: 2
Animal Control Officers completing National Animal Control Association Certification: 1
Officer completed 3 levels, one officer completed 2 levels
Registered Nurse: 1
Objective: Develop system for regularly reviewing/updating ordinances and
policies and procedures enforced within the Health Services Department
Target
Evaluate/Review/Update Ordinances enforced by Health Department every 3 years:
Animal
Noise
Nuisance
Sewer Connection
Refuse Storage
FOG
Food
Objective: Review, update, and negotiate written
agreements, contracts, and MOU's with
governmental, business and partnering
organizations annually or prior to expiration, and
assure proper execution of agreements
• Iowa Department of Inspections and Appeals -
Agreement updated July 1, 2012. Expires June
30, 2015.
• Iowa Department of Public Health- Pool,
Tanning, Tattoo Agreement updated July 1,
2013. Expires June 30, 2016.
• Iowa Department of Public Health & Dubuque
County Board of Health and Dubuque VNA
• Childhood Lead Poisoning Agreements, updated
annually
• Dubuque Regional Humane Society Purchase of
Service Agreement expires June 30, 2015.
• Crescent Community Health Center Health
Services Purchase of Service Agreement
updated annually.
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Health Services Department
maintains/oversees 7
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
PUBLIC HEALTH
Detail by Activity
Activity: 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 the 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.
Funding Summary
FY 2013/14
Actual
FY 2014/15
Adopted
FY 2015/16
Recommended
Expenditures
$85,595
$94,291
$91,632
Resources
$3,799
$10,000
$8,000
Position Summary
FY 2014/15 FTE's
Public Health Specialist
0.50
Environmental Intern
0.14
Total FTE's
0.64
Supporting City and Community Goals
Partnering for a Better Dubuque
• Partner for health and wellness; Wellness Coalition, Smarter Health and
Wellness, Dubuque County Healthcare Preparedness Coalition
• Complete and update the Community Health Needs Assessment and Health
Improvement Process (CHNA-HIP)
Social/Cultural Vibrancy
■ A sufficient public health system that focuses on prevention and wellness
Environmental Integrity
• Co -Manage the Lead and Healthy Homes Programs in conjunction with the
Housing & Community Development Department
■ Serve on the Dubuque Air Quality Task Force
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PUBLIC HEALTH
Performance Measures
Comm unity Health— Activity Statement
Maintain and enhance factors that contribute to the public health and welfare of the citizens of
Dubuque.
Goals
■ Build and maintain collaborative relationships with community partners that support public
health assessment, planning and program implementation.
■ 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.
objective: Provide, maintain, and educate on measures to prevent and control
the spread of infections, communicable and environmental diseases and threats.
• 2 extreme cold events planned for
• Influenza information provided via City Channel 8 and local media
• Seasonal health and emerging disease information provided to local media upon
request
Objective: Assure accessibility and quality of
primary care and population -based health services
•
/n
Crescent Community
HEALTH CENTER
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.
FY13
• 5,711 patients served; half of these patients from the 52001 ZIP code which includes
all of the Washington and North End neighborhoods
• 1,500 were children
• 56% have incomes at or below 100% of the federal poverty level
• 1/3 have no insurance
• Dental Visits: 7,084
• Medical Visits: 7,146
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PUBLIC HEALTH
Objective: 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.
Hospital Emergency Department Asthma Visits
# Visits in
Dubuque
500
400
300
200
100
0
2006 2007 2008 2009 2010 2011 2012 2013
CITY OF DUBUQUE
eati
HEALTHYH0MES
Healthy I Healthy
Families Children
LA_
Year
Objective: Participate in preparedness exercises and education
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 Preparedness Coalition,
Executive Committee Member
• County Public Health Preparedness exercise being scheduled/planned for 2016
• City table top exercise held April 2014
• Additional MINS required training achieved by staff
Objective: 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
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PUBLIC HEALTH
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.
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PUBLIC HEALTH
Detail by Activity
Activity: 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
Supporting City and Community Goals
Planned and Managed Growth
■ Healthy neighborhoods through nuisance enforcement
Environmental Integrity
• Serve on Air Quality Task Force
• Enforcing the Nuisance Ordinance
• Fats, oils and grease program (FOG) development and implementation
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.
Goals
■ Provide a prompt, coordinated response to environmental health issues and needs
resulting from a disaster, public health emergency or nuisance.
■ Provide information and education on environmental health risks.
Enforce environmental health rules and regulations.
\-.._ —.)
Objective: To assure safe and sanitary non-residential swimming pools and
spas, tattoo and tanning facilities by providing a minimum of one inspection per
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PUBLIC HEALTH
year within Dubuque Country under a contractual agreement with the Dubuque
County Board of Health and the Iowa Department of Public Health (IDPH).
All facilities inspected a minimum of once per year per IDPH contract:
• Pools/Spas: 44
• Tanning facilities: 16
• Tattoo parlors: 9
• Tanning operator certification exams administered: 3
• Pool/Spas closed for "Unsanitary Conditions": 7
• 100% of tanning operators maintaining/meeting training requirements
Since July 2012 to July 2014, conducted 10 onsite inspections for one pool/spa facility
while working with Iowa Department of Public Health and State Attorney General's
Office who revoked registration of pool/spa facility located in county.
A sampling of rooms at
each facility are inspected
bi-annually in accordance
with the state regulations
Did You Know?
Public swimming pools and spas are inspected for both water
quality and safety measures annually.
Objective: Assure safe and sanitary hotels, motels and
bed & breakfast inns through licensure inspection and enforcement
Hotel/Bed & inspections/Enforcement Follow -Ups: 8
Objective: Prevent conditions hazardous to public health at festivals and special
events through special event permit review and inspection
Special event inspections: 143
139 special event permit applications were reviewed. Staff inspects special events
every weekend from May -September.
Objective: Alleviate overgrown weeds,
improper garbagelrefuse storage and
disposal and other public nuisances
through code enforcement
• Nuisance citations issued: 2
• Nuisance violations corrected by hired
contractor: 19
• Nuisance complaints: 237
• Fats/Oils/Grease (FOG) assessments
conducted at Food Establishments, in
conjunction with FOG plan
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PUBLIC HEALTH
Objective: 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.
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PUBLIC HEALTH
Detail by Activity
Activity: Food Inspection
Overview
Under contract with the Iowa Department of Inspections and Appeals, this activity
assures food safety through inspection and licensing of food and food service
establishments, temporary food stands and mobile food units.
Funding Summary
FY 2013/14
Actual
FY 2014/15
Adopted
FY 2015/16
Recommended
Expenditures
$207,647
$213,714
$194,949
Resources
$121,402
$115,650
$118,975
Position Summary
FY 2015/16 FTE's
Environmental Sanitarian
1.00
Environmental Sanitarian Assistant
1.00
Total FTE's
2.00
Supporting City and Community Goals
Planned and Managed Growth
• Have a thriving downtown- Continue strong vibrant 24/7 residential/central
business core
Improved Connectivity — Transportation and Telecommunications
■ Work with not-for-profit partners: Dubuque Main Street
Performance Measures
Food Inspection — Activity Statement
Provide consistent inspections and application of the 2009 Food and Drug Administration
(FDA) Food Code to all food and food service establishment to assure safe food for
consumers.
Goals
Assure safe and wholesome food at food service and retail food establishments,
temporary/mobile food stands, schools, and vending outlets.
Provide access to education and food safety information for food establishment
managers, workers, and community.
Assure safe and sanitary food and food service establishment facilities.
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PUBLIC HEALTH
Objective: All school lunch
programs, licensed food service
establishments, mobile
unit/pushcarts, tem porary food
service establishment and retail food
establishments are inspected in
accordance with the 2009 Food Code
and 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: 736
• Risk -Based Inspections Required:
701
• Complaint Inspections: 22
• Temporary food stand licenses issued: 168
• Temporary food stand licenses inspected: 143
Objective: To assure safe and sanitary food
service establishment and food establishment
facilities by: reviewing the construction of all new
or remodeled establishments each year and
requiring existing facilities to meet current food
code requirements upon change -of -ownership.
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.
• New establishment/change of ownership licenses
issued: 55
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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
PUBLIC HEALTH
Objective: To assure all food establishments have a certified Food Protection
Manager on staff.
Percentage of food establishments with Certified Food Protection Staff:
. Retail Food Establishments: 25%
. Food Service Establishments: 36%
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PUBLIC HEALTH
Detail by Activity
Activity: 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.
Funding Summary
FY 2013/14
Actual
FY 2014/15
Adopted
FY 2015/16
Recommended
Expenditures
$274,254
$287,392
$285,826
Resources
$176,750
$175,000
$179,100
Position Summary
FY 2015/15 FTE's
Animal Control Officer
1.44
Total FTE's
1.44
Supporting City and Community Goals
Planned and Managed Growth
■ Animal Control contributes to safe, healthy neighborhoods
Financially Responsible City Government and High Performance Organization
■ Diligently enforces animal licensing requirements in the City Code
Environmental Integrity
■ Remedies animal waste and nuisance issues
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PUBLIC HEALTH
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.
Goals
■ Prevent the spread of rabies.
■ Investigate and abate animal nuisances.
•
Protect the public from dangerous animals and vicious and potentially vicious dogs and
cats.
Objective: 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.
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 1,077 complaints
• Police Department responded to 854 complaints during times
Animal Control Officers not on duty
• 6 Vicious/Potentially Vicious Declarations
• 70 citations Were issued for violations of the Animal Control
ordinance.
LAWS & RULES
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Objective: 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.
-30-
PUBLIC HEALTH
City of Dubuque Pet Licenses
9500
9000
8500
;doll I'l'i"1
FY10
FY11 FY12 FY13 FY14
1500-
1000-
500-
0
FY10
120-
100-
80-
60-
40 -
20-
0
20-
100-
80-
60-
40-
20-
0
Animal Bites
61,
FY10 FY11 FY12 FY13 FY14
Failure to License Citations Issued
FY11 FY12 FY13 FY14
❑ Dog Bites
• Cat Bites
o Other Animal
Bites
Objective: 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.
• 17 Animals (that have bitten) surrendered to Animal Control
-31-
PUBLIC HEALTH
Did You Know?
• Feral cats have an average of 1.4 litters per year, with an average 3.5 live births
in each litter. That equals 4.9 kittens per year, per female feral cat. Indeed, a
pair of breeding cats and their offspring can produce 420,000 kittens over a
seven-year period.
• Of approximately 146 million cats in the United States, about half are feral/un-
owned.
Objective: 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. Currently4 certified animal trappers do
business in the city of Dubuque.
• 23 wild animals requests for service.
-32-
Did you know?
The most popular breed of licensed
dogs in the City of Dubuque is the
Labrador Retriever.
Recommended Operating Revenue Budget - Department Total
17 -HEALTH SERVICES
Fund
Account
Account Title
FY13 Actual
FY14 Actual
FY15 Adopted
FY16 Recomm'd
Revenue
Revenue
Budget
Budget
100 42105
100 42120
100 42125
100 42169
100 42235
100 42325
100 42330
BUSINESS LICENSES
DOG LICENSES
CAT LICENSES
TANNING TATTOO LICENSES
REFUSE HAULING PERMITS
SWIMMING POOL INSP. FEES
ANIMAL IMPOUNDMENT FEES
97,165
105,538
40,301
2,654
625
9,328
8,215
97,360
109,001
40,417
3,843
925
10,693
7,470
98,000
107,000
41,500
2,700
750
8,700
8,500
97,600
110,000
40,500
3,900
925
10,700
8,600
42 - LICENSES AND PERMITS
263,825 269,709 267,150 272,225
100 45701 STATE GRANTS
100 45771 FED PASS THRU STATE GRANT
11,802 1,929
10,000 6,000
11,508 1,524 0 2,000
45 - STATE GRANTS
23,311 3,453 10,000 8,000 I
100 51987 WEED CUTTING CHARGES
4,856 7,802
4,500 5,000
I 51 - CHARGES FOR SERVICES 4,856 7,802 4,500 5,000 I
100 53403 IA DISTRICT COURT FINES 0 19,862 18,000 20,000
100 53605 MISCELLANEOUS REVENUE 3,770 1,125 1,000 0
100 53620 REIMBURSEMENTS -GENERAL 166 346 100 1,200
53- MISCELLANEOUS
3,936 21,333 19,100 21,200
17 - HEALTH SERVICES TOTAL 295,928 302,296 300,750 306,425
-33-
Recommended Operating Expenditure Budget - Department Total
17 -HEALTH SERVICES
Fund
Account
Account Title
FY13 Actual
FY14 Actual
FY15 Adopted
FY 16 Recomm'd
Expense
Expense
Budget
Budget
100
290
100
100
290
100
100
290
100
290
100
100
290
100
290
100
290
100
290
100
290
100
100
61010
61010
61020
61030
61030
61050
61091
61091
61092
61092
61099
61310
61310
61320
61320
61410
61410
61415
61415
61416
61416
61620
61660
FULL-TIME EMPLOYEES
FULL-TIME EMPLOYEES
PART-TIME EMPLOYEES
SEASONAL EMPLOYEES
SEASONAL EMPLOYEES
OVERTIME PAY
SICK LEAVE PAYOFF
SICK LEAVE PAYOFF
VACATION PAYOFF
VACATION PAYOFF
WAGE ADJUSTMENT
IPERS
IPERS
SOCIAL SECURITY
SOCIAL SECURITY
HEALTH INSURANCE
HEALTH INSURANCE
WORKMENS' COMPENSATION
WORKMENS' COMPENSATION
LIFE INSURANCE
LIFE INSURANCE
UNIFORM ALLOWANCE
EMPLOYEE PHYSICALS
218,497
19,648
58,808
511
0
1,454
290
290
2,175
2,175
0
24,166
1,701
20,992
1,666
33,123
5,550
6,056
77
210
25
517
1,282
223,452
18,409
65,312
935
400
1,453
502
502
0
0
0
25,928
1,646
21,721
1,479
43,322
7,220
7,288
90
211
28
42
0
244,040
0
68,345
3,169
0
2,072
1,003
0
0
0
6,421
28,365
0
24,376
0
49,980
0
8,253
0
487
0
525
500
251,528
0
71,299
3,228
0
2,072
1,003
0
0
0
0
28,494
0
25,181
0
43,680
0
7,823
0
504
0
0
200
61 - WAGES AND BENEFITS 399,211 419,939 437,536 435,012
100 62010 OFFICE SUPPLIES 975 819 1,063 1,336
100 62011 UNIFORM PURCHASES 683 155 600 501
100 62030 POSTAGE AND SHIPPING 6,709 5,861 7,238 6,154
100 62033 HAND TOOLS/EQUIPMENT 0 165 0 168
100 62061 DP EQUIP. MAINT CONTRACTS 5,523 6,152 6,342 7,343
100 62063 SAFETY RELATED SUPPLIES 71 274 400 379
100 62065 LAB SUPPLIES 191 0 400 100
100 62067 ANIMAL CONTROL SUPPLIES 144 863 620 880
100 62090 PRINTING & BINDING 2,271 1,990 3,200 2,029
100 62110 COPYING/REPRODUCTION 3,175 3,613 2,704 2,565
100 62130 LEGAL NOTICES &ADS 513 0 500 0
100 62170 SUBSCRIPTIONS -BOOKS -MAPS 29 24 275 139
100 62190 DUES & MEMBERSHIPS 853 1,110 1,235 1,200
100 62206 PROPERTY INSURANCE 84 129 149 178
100 62208 GENERAL LIABILITY INSURAN 3,723 3,632 3,842 3,838
290 62208 GENERAL LIABILITY INSURAN 154 145 0 0
100 62230 COURT COSTS & RECORD FEES 116 0 120 425
100 62310 TRAVEL -CONFERENCES 2,493 2,751 4,675 5,634
100 62320 TRAVEL -CITY BUSINESS 36 179 350 287
100 62340 MILEAGE/LOCAL TRANSP 95 0 225 185
-34-
Recommended Operating Expenditure Budget - Department Total
17 -HEALTH SERVICES
Fund
Account
Account Title
FY13 Actual
FY14 Actual
FY15 Adopted
FY 16 Recomm'd
Expense
Expense
Budget
Budget
100 62360 EDUCATION &TRAINING
100 62421 TELEPHONE
100 62436 RENTAL OF SPACE
100 62511 FUEL, MOTOR VEHICLE
100 62521 MOTOR VEHICLE MAINT.
100 62528 MOTOR VEH. MAINT. OUTSOUR
100 62614 EQUIP MAINT CONTRACT
100 62667 INTERNET SERVICES
100 62668 PROGRAM EQUIP/SUPPLIES
100 62671 MISC. OPERATING SUPPLIES
100 62683 FIELD OPERATIONS SUPPLIES
100 62716 CONSULTANT SERVICES
100 62725 BILL COLLECTION SERVICES
100 62727 FINANCIAL SERVICE FEES
100 62731 MISCELLANEOUS SERVICES
100 62732 TEMP HELPCONTRACT SERV.
100 62736 CATERING SERVICES
100 62761 PAY TO OTHER AGENCY
100 62779 SURVEY / PLAT
100 62780 HAULING SERVICES
100 62781 LAWN CARE SERVICES
2,546
4,185
1,464
4,745
3,040
0
493
480
0
80
1,496
4,616
41,433
1,331
2,268
0
0
181,955
447
394
2,527
3,631
5,142
1,464
4,349
3,437
0
517
27
429
58
570
3,226
39,194
1,388
0
0
0
186,752
26
577
2,334
4,200
4,012
1,804
5,594
3,127
100
493
1,440
500
0
1,100
6,000
43,000
1,350
0
2,540
225
188,909
1,041
450
2,500
5,818
3,903
1,804
3,654
3,857
0
526
360
438
0
581
3,271
39,978
1,416
0
2,540
225
187,609
250
589
2,381
62 - SUPPLIES AND SERVICES 281,338 280,987 302,323 292,541
100 71120 PERIPHERALS, COMPUTER 0 0 1,994 0
100 71122 PRINTER 0 457 0 0
100 71211 DESKS/CHAIRS 3,314 1,500 0 0
100 71310 AUTO/JEEP REPLACEMENT 14,143 14,143 16,500 0
100 72418 TELEPHONE RELATED 0 0 552 874
71 - EQUIPMENT 17,457 16,100 19,046 874
17 - HEALTH SERVICES TOTAL 698,006 717,025 758,905 728,427
-35-
Recommended Expenditure Budget Report by Activity & Funding Sounce
17 - HEALTH SERVICES
HEALTH SERVICES ADMINISTR- 17100
FUNDING SOURCE: GENERAL
Account
FY13 Actual FY14 Actual FY15 Adopted
Expense Expense Budget
FY16 Recomm'd
Budget
EQUIPMENT 3,314 375 462 0
SUPPLIES AND SERVICES 36,067 34,159 41,050 37,867
WAGES AND BENEFITS 84,101 85,076 121,996 118,153
HEALTH SERVICES 123,481 119,611 163,508 156,020
ADMINISTR
ANIMAL CONTROL - 17200
FUNDING SOURCE: GENERAL
Account FY13 Actual Expense FY14 Actual Expense FY15 Adopted Budget FY16 Recomm'd Budget
EQUIPMENT 0 375 1,994 874
SUPPLIES AND SERVICES 191,908 195,915 202,968 199,923
WAGES AND BENEFITS 71,749 77,964 82,430 85,029
ANIMAL CONTROL 263,657 274,254 287,392 285,826
INSP. - FOOD ESTBLMNTS - 17300
FUNDING SOURCE: GENERAL
Account FY13 Actual Expense FY14 Actual Expense FY15 Adopted Budget FY16 Recomm'd Budget
EQUIPMENT 14,143 15,350 16,590 0
SUPPLIES AND SERVICES 20,891 19,904 22,491 22,620
WAGES AND BENEFITS 159,885 172,393 174,633 172,329
INSP. - FOOD ESTBLMNTS 194,919 207,647 213,714 194,949
COMMUNITY HEALTH SERV. - 17400
FUNDING SOURCE: GENERAL
Account FY13 Actual Expense FY14 Actual Expense FY15 Adopted Budget FY16 Recomm'd Budget
SUPPLIES AND SERVICES 27,512 27,901 28,814 26,131
WAGES AND BENEFITS 52,344 54,732 58,477 59,501
COMMUNITY HEALTH SERV. 79,856 82,633 87,291 85,632
LEAD PAINT PROGRAM'17500
FUNDING SOURCE: GENERAL
Account FY13 Actual Expense FY14 Actual Expense FY15 Adopted Budget FY16 Recomm'd Budget
SUPPLIES AND SERVICES 4,807 2,962 7,000 6,000
LEAD PAINT PROGRAM 4,807 2,962 7,000 6,000
HEALTH SERVICES TOTAL $666,720.17 $687,106.85 $758,905.00 $728,427.00
-36-
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 PUBLIC HEALTH SPECIALIST
100 7500 GE -32 ENVIRONMENTAL SANITARIAN
100 7375 GE -27 ENVIRON.SANITARIAN ASST
100 0225 GE -25 SECRETARY
290 0225 GE -25 SECRETARY
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
FY 2014
FY 2015 FY 2016
FTE BUDGET FTE BUDGET FTE BUDGET
1.00 87,404 1.00
1.00 65,554 1.00
1.00 51,653 1.00
0.50 19,476 1.00
0.50 19,476 0.00
88,715 1.00
67,190 1.00
52,428 1.00
39,369 1.00
0 0.00
89,833
67,400
52,599
41,696
4.00 243,563 4.00
1.50 70,824
1.50 70,824
0.14
TOTAL SEASONAL EMPLOYEES 0.14
TOTAL HEALTH SERVICES
247,702 4.00
1.44 69,370
1.44 69,370
3,169 0.14
3,169 0.14
3,217
3,217
251,528
1.44 71,299
1.44 71,299
0.14 3,228
0.14 3,228
5.64 317,556
5.58 320,288
5.58 326,055
-37-
CITY OF DUBUQUE, IOWA
ACTIVITY PERSONNEL COMPLEMENT SUMMARY
Run Date: 01/15/15
FY 2014 FY 2015 FY 2016
ACCT FD JC WP -GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET
Health Services Administration -General Fund
10017100 61010 100 0225 GE -25 SECRETARY 0.50 19,476 0.50 39,369 1.00 41,696
10017100 61010 100 7700 GE -37 PUBLIC HEALTH SPECIALIST 0.50 43,702 1.00 44,353 0.50 44,930
Total 1.00 63,178 1.50 83,722 1.50 86,626
Health Services Administration -Cable TV Fund
29017100 61010 290 0225 GE -25 SECRETARY 0.50 19,476 0.00 0 0.00
Total 0.50 19,476 0.00 0 0.00 0
Community Health Services - FT General Fund
10017400 61010 100 7700 GE -37 PUBLIC HEALTH SPECIALIST
Total
Community Health Services - Seasonal General Fund
10017400 61020 100
0.50
0.50
43,702 0.50
43,702 0.50
PUBLIC HEALTH INTERN 0.14 3,169 0.14
Total 0.14 3,169 0.14
44,358
44,358
3,217
3,217
0.50 44,903
0.50 44,903
0.14 3,228
0.14 3,228
Inspection of Food Est./Environmental
10017300 61010 100 7500 GE -32 ENVIRONMENTAL SANITARIAN 1.00 65,554 1.00 67,190 1.00 67,400
10017300 61010 100 7375 GE -27 ENVIRON.SANITARIANASST 1.00 51,653 1.00 52,428 1.00 52,599
Total 2.00 117,207 2.00 119,618 2.00 119,999
Animal Control -PT
10017200 61020 100 7400 GE -29 ANIMAL CONTROLOFFICER
Total
1.50
1.50
70,824 1.44
70,824 1.44
69,370
69,370
1.44 71,299
1.44 71,299
TOTAL HEALTH SERVICES DEPT. 5.64 317,556 5.58 320,284 5.58 326,055
-38-
Health Services Department
Fy 201 -16 budget presentatio
[A! THOGRAPH
NO HEALTH INSURANCE
COVERAGE
Block Groups which have more than 11.8% of
the population does not have Health Insurance
coverage.
•
F
Source: Map created using American Community Survey Dolaset 1327010: TYPES Of HEALTH INSURANCE (OVERAGE BY AGE 2009-2013 American Community Suivey 5 -Year Estimates.
Map Credit: City of Dubuque Planning Services and City of Dubuque Health Services
LEGEND
>11.8% of Population Does Not Have Health Insurance
Parks and Open Space
Municipalities
Dubuque (aunty Block Groups
1 Water
Roadways
,.... Railways
NORTH
HOUSEHOLDS WITHOUT
VEHICLES
Block Groups which hove more than 14.8% of
the households that do not have a vehicle.
r
p
Source. Mop created using Americo° Community Survey Daloset 615044 TENURE BY VEHICLES AVAILABLE 10041013 American Community Survey 5-Yeor Estimates.
Mop Credit City of Dubuque Planning Services and Gty of Dubuque Health Services
LEGEND
>I4.8° -B of Households without a Vehicle
Parks and Open Space
Municipalities
Dubuque County Block Groups
11 Woter
Roadways
Railways
NORTH
HEALTH RISK INDEX
Rankings of Block Groups by the number of indicators
that exceeded normal thresholds.
•
tr
Map Credit: City of Dubuque Planning Services and City of Dubuque Health Services
i
LEGEND
Porks and Open Space
Municipalities
Dubuque County Block Groups
ltd Water
Roadways
Railways
NORTH
CHNA-HIP
4 Task Forces Timeline
Healthy Behaviors ►March- community
► Transitions of Care input
Environmental ►April- finalize Health
Health Improvement Plan
Prevent the Spread ►May- Draft to Board
of Disease of Health
► Summer- Publication
https://www.surveymon key.co
m/r/DubCoCHNA
Steering Committee
► City of Dubuque
► Dubuque County
► Mercy Medical Center
► Finley Hospital
► VNA
► Crescent CHC
Task Forces
► DCSD/Holy Family
► Medical Associates Clinics
► IDNR
► ISU extension
► United Clinical Lab
► Hillcrest
► Hy -Vee
► UD
► Dubuque Comm Y
TAR
COMMUNITIES
SUSTAINABILITY
TOOLS FOR
ASSESSING &
RATING COMMUNITIE
Public Health
Preparedness
Ebola
Measles
Chikungunya
Influenza
Enterovirus D68
/Flaccid paralysis
„VII.
DUNNNOlA
AND ~TINA
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W .DNC
Fp —. NmmadOn Calk 117 Rd hal
Food Inspection: New
Database
Software Includes:
► on line payment
option
► Reports
► Inspection scheduling
► On-line retrieval of
past inspection
records
https://food .iowa .gov/foodsafety
4— -" C fi https://food.iowa,gov/FoodSafety/Welcome.aspx
Home Program Inspection Reporting Tools Administration Logout
Welcome to USA Food Safety
*USAFOODSAFEY
Food/Dairy IrsFe_ -a. a -J
Slate
•
Food Safety 2.1.0.40
City of Dubuque
tlink
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Environmental
Health
Inspections
► Swimming Pool
► Tattoo
Tanning
Nuisance
► Weeds/garbage
► Path Forward Plan
► Community Engagement April 13
• EPA Education grant
IBM Smarter Cities Challenge
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990
Cat & Dog Licenses
8370
8190
9066
9341
9437
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Crescent Community
HEALTI-► CENTER
Mary Rose Corrigan,
Board of Directors Chair
Patients & Visits
20000
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
•
T;\
Crescent Community
HEALTH CENTER
Crescent Patient Revenue
Medicare
5%
Medicaid
56%
ava- e:..
No Insurance
35%
■ No Insurance
■ Medicaid
■ Medicare
Private Insurance
C
1-11.ALTH CENTER
Health Services
Department
FY 2016 Budget
Thank you