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Health Services Department FY 2017 Budget PresentationCity of Dubuque SUMMARY: SUGGESTED DISPOSITION: Copyright 2014 Public Hearings # 6. Health Services Department FY 2017 Budget Presentation ATTACHMENTS: Description Type Health Services FY17 Recommended Budget Supporting Documentation Health Services -147- This page intentionally left blank. -148- 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 HEALTH SERVICES DEPARTMENT % Change FY 2014/15 FY 2015/16 FY 2015/16 FY 2016/17 from Adopted Actual Adopted Amended Recomm'd FY 2015/16 419,939 435,012 435,012 468,696 7.7% 280,987 292,541 373,394 293,191 0.2% 11,842 874 874 22,975 2528.7% 712,768 728,427 1 809,280 1 784,862 7.7% 297,671 ' 300,4251 300,425 ' 299,200 -0.4% 10,200 6,000 6,000 6, 400 6.7% 307,871 306,425 306,425 305,600 -0.3% 404,897 422,002 502,855 479,262 57 5.58 5.58 5.58 5.58 Improvement Package Summary 13.6%1 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, in FY14, Police responded to 854 animal calls and in FY15 Police responded to 569 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 -149- 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 FY15 9897 This improvement package also includes an increase in fuel (+$586) and vehicle maintenance (+$914). 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: $82,135— Tax Funds - Recurring Recommend - No Related Revenue: $13,000— Tax Funds — Recurring Net Cost: $69,135 Property Tax Impact: +$.0293/+.26% Activity: Animal Control 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: $5,500 — Tax Funds —Non -Recurring Recommend - Yes Property Tax Impact: +$.0023/+.02% Activity: Inspections 3 of 3 This improvement package would provide funds for Health Department shirts. By purchasing Health Department shirts, employees would be readily identifiable as City employees while conducting -150- inspections. Departmental shirts would portray a more professional image while interacting with the public. Related Cost: $390 — Tax Funds — Non -Recurring Recommend - Yes Property Tax Impact: +$.0002/+.00% Activity: Inspections & Administration Significant Line Items at Maintenance Level (Without Recommended Improvement Packages) Employee Expense 1. FY 2017 employee expense reflects a 2.5% wage package increase. 2. The Iowa Public Employee Retirement System (IPERS) City contribution remains at 8.93% and the employee contribution remains at 5.95% in FY 2017. 3. The City portion of health insurance expense increased from $1,040 in FY 2016 to $1,325 in FY 2017 per month per contract, resulting is an increase of $11,970 (27.40%). 4. FY 2017 is the fifth 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 $5,100 is budgeted in the Health Services (two employees) in FY 2017. 5. During FY 2016 the Environmental Sanitarian Assistant (GE -27) position was upgraded to an Environmental Sanitarian (GE -32) position resulting in an increase of $11,711 in employee expense for FY 2017. Supplies & Services 6. Printing increased from $2,029 in FY 2016 to $3,171 in FY 2017 to update the Lead Paint Brochures and purchase new business cards and stationary. 7. Postage and Shipping decreased from $6,154 in FY 2016 to $4,998 in FY 2017 due to FY 2015 actual of $4,759 plus 5%. 8. Copying decreased from $2,565 in FY 2016 to $885 in FY 2017 based on FY 2015 actual of $884. 9. Office Supplies decrease from $1,336 in FY 2016 to $844 in FY 2017 based on FY 2015 actual of $810. 10. Subscriptions increased from $139 in FY 2016 to $289 in FY 2017 to acquire information on bed bugs. 11. Dues and Memberships increased from $1,200 in FY 2016 to $1,395 in FY 2017 to include a Healthy Homes Registration. -151- 12. Conferences increased from $5,634 in FY 2016 to $6,620 in FY 2017 due to an increase of $720 for the Public Health Specialist, 2 Sanitarians and 3 Environmental Stewardship Advisory Commission members to attend the Greater Sustainable Communities Conference and increase of $266 for the Iowa Environmental Health and Iowa Public Health Association's yearly conference for the Sanitarians. 13. Education and Training increased from $5,818 in FY 2016 to $8,725 in FY 2017 due to increase cost for continuing education for the Public Health Specialist, and an increase of $1,000 for the new training modules from the National Animal Control & Care Association for Animal Control Officers. 14. Rental of Space increased from $1,804 in FY 2016 to $2,532 in FY 2017 to provide a parking space for the Environmental Sanitarian position that was upgraded from a GE -27 to a GE -32 pay grade. All employees with a pay grade of GE -31 and above are provided a parking space. 15. Internet Services increased from $360 in FY 2016 to $600 in FY 2017 due to a change from hotspots to data charges for new computer tablets for the Sanitarians and Animal Control. 16. Hauling Services increased from $589 in FY 2016 to $2,000 in FY 2017 based on FY 2015 actual of $2,926. This represents the garbage removal from properties where owners are non-compliant with City ordinances, and the City is reimbursed for the cost through special assessments against the property owners. 17. Payments to Other Agencies decreased from $187,609 in FY 2016 to $180,836 in FY 2017. The FY 2017 Humane Society contracted budget is $126,836. 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 $25,000 budgeted for Crescent Community Health Center operating expenses. There is an increase from $22,500 in FY 16 to $25,000 in FY 17 due to removing the 10% cut in contracted service implemented in FY 16. 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, which is from the Iowa Department of Public Health grant. Machinery & Equipment 18. Equipment replacement items at the maintenance level include ($17,475): Animal Control (1) Truck $ 17,000 Administration (1) Smart Phone $ 475 Revenue 19. Dog and cat license revenue increased from $150,500 in FY 2016 to $158,500 in FY 2017 based on FY 2015 actual of $155,548. 20. Business license revenue decreased from $97,600 in FY 2016 to $95,000 in FY 2017 based on prior year actual of $94,000. -152- 21. Swimming Pool Inspection Fees decreased from $10,700 in FY 2016 to $9,000 in FY 2017 based on FY 2015 actual of $7,786. 22. Animal impounding fees increased from $8,600 in FY 2016 to $10,000 in FY 2017 based on FY 2015 actual of $9,375. Miscellaneous 23. The Animal Control activity is 63.0% self-supporting versus the guideline of 63.0% self-supporting. 24. The Inspection of Food Establishments activity is 48.8% self-supporting versus the guideline of 48.8%. -153- This page intentionally left blank. -154- PUBLIC HEALTH Public Health provides an effective service to protect, maintain and promote the physical and environmental health and well-being ofthe citizens ofthe community. Public Health Administration Community EnvironmentalAnimal Control Health Health SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE LEADING TO OUTCOMES Z �* PEOPLE The Health Services Department activities strive to respond to conditions that affect the overall health ofthe community in a timely manner. 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 --i 6 reen & Healthy Homes I nitiative GO 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 Nurse Association, and many others. 155- PUBLIC HEALTH Resources and Property Tax Support 600000 500000 400000 300000 200000 100000 0 Operating Revenue State Grant Property Tax Support FY2015 ■ FY2016 ■ FY20" The Health Department is supported by 5.58 full-time equivalent employees, which accounts for 50% of the department expense as seen below. Overall, the departments' expenses are expected to decrease by 3% in FY2017. Expenditures bi $22,975 Machinery and EquipmentC$874 $11,842 Category by Fiscal Year $ 293,191 Supplies and Services $373,394 $280,987 11 Employee Expense $468,696 $0 r$435,012 $100,000$200,000$300,000 $400,000 ,939 $500,000 ■ FY2017 ■ FY2016 ■ FY2015 -156- 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. Eva luate/Revl ea/Update Ordinances enforced by Health Department Animal Nose Nuisance Sewer Conection Refuse Storage Administration plans, budgets, coordinates and Food supervises the various activities of the Health Services Department and participates in public health assessment, assurance, and policy development forthe 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 2014/15 Actual Be 2015/16 Adapted FY2016/ 7 Recommended Expendltwes $128,298 $156,020 $166A26 Resources $4,292 $350 $250 Health Administration/Community Health Parking Summary Be 2016/17 FTE's Public Health Specialist 0.50 Secretary 1.00 Total Full -Time Equivalent Employees 1.50 Highlights of the Past Year Completed and updated the Community Health Needs Assessment and Health Improvement Process (CHNA-HIP) Secured HUD funds forthe Lead and Healthy Homes Program, in conjunction with Housing and Community Development staff. Participates in the Dubuque Air Quality Task Force Enrolled the City in the EPA PM Advance Program for PM 25 Air Quality and completed the Path Forward Plan. Partnered with University of Iowa forthe application of the EPA Environmental Education Grant. 157- PUBLIC HEALTH Future Initiatives • Implement EPA Education Grant (Clean Air in the River Valley-CLEAR4)with University of Iowa. • Complete an asset and resource inventory for County Preparedness. Performance Measures Community Health—Activity Statement Maintain and enhance factors that contribute to the public health and welfare of the citizens o Dubuque at *Goal: Financially Responsible & High Performance Organizations 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 CITY OF DUBUQUE program implementation. • 2 extreme cold events planned for • Influenza information provided via City Channel and local media HEALTHYHOMES Seasonal health and emerging disease information zmli': imim=. provided to local media upon request Parhnalma9 In preparednesstminln9 and dulls ensure that a the event of a duals health emergency all parhnalmay partners are Jam4ar cold their accedes role and lmdlereatimarl of the duals h ealar preparedness plan Is tested. Participate in the Dubuque County Health Care, Executive Committee Member County Public Health Preparedness exercise being scheduled/planned for 2016 158 PUBLIC HEALTH Outcome #2: Assure accessibility and quality of primary care and population - based health services Crescent Community HEALTH CENTER 5,750 patients served; 54% of these patients from the 52001 ZIP code which includes all of the Washington and North End neighborhoods 1,450 were children 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. 55% have incomes at or below 100% of the federal poverty level 35% had no insurance Dental Visits: 8,683 (up from 7,084 in FY13) Medical Visits: 7,370 (Up from 7,146 in FY13) Outcome #3: Reduce the incidence of environmental health hazards in residential living environments Did You Know? Hospital Emergency Department Asthma Visits The Public Health one Specialist and Healthy 4 Homes staff are providing local health and social %Veim l in Dubuque 3 ain agencies and providers Am with Healthy Homes 100 program information and education. D M06 M07 M08 Arm AWD 20n mu 20D ® . Partner with Housing and Health Department to implement Lead and Healthy Homes Program. 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 -159- PUBLIC HEALTH Health Services Department maintains agreements IDIA-FoodInspections 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 quartedy to assess and plan for public health emergencies. Recent accomplishments includereview and update of the Preparedness Plan, N IMS and AS training, completed a hazardous risk assessment and formation of the coalition utilizing IDPH guidance The STAR objective. Emergency Prevention and Response underthe 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 safetythrough inspection and licensing of food and food service establishments, temporary food stands and mobile food units. 160 PUBLIC HEALTH loot Inspertion�Enoironmental Health Funding Summary FV 2014/15 ARual FY2015/16 Adopted I FY 2016/17 I Remmmended Ex entll[ures $20fi,43fi $227,080 $258491 Resources 1 $119,512 1 $126,975 1 $117,350 Food Inspection/Environmental Health Position Summar FY 2016 17 FTFs Environmental Sanitarian 1.00 Environmental Sanitarian A44ant 1.00 Total FURTme Equivalent EmplWeP-* 2.00 Highlights of the Past Year Began bed bug policy/guidelines Hired and began training an additional Environmental Sanitanan which replaced the refired Assistant Environmental Sanitarian. Continued progress on meeting FDA National Voluntary Retail Food Protection Standards. Met Standard 6 to complete 4 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 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 -47. 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. A sampling of rooms at Allfacilites inspected e minimum of once peryearperIDPH contract each facility are inspected • Pools/Spas: 12 bi-annually in accordance • Tanning facilities: 0 with the state regulations • Tattoo parlors: 19 • Tanning operator certification exams administered. 2 • PooVSpas closed for"Unsanitary Conditions": 3 • 100% oftanning 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 unitipushcarts, temporaryfood 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 dome illness and outbreaks. • Food Inspections Conducted 585 • Risk -Based Inspections Required: 550 • Complaint Inspections: 22 • Temporary food stand licenses issued : 141 • Temporary food stand licenses inspected: 116 • New establish in ent/change of ownership licenses issued : 32 162 PUBLIC HEALTH • Percentage of food establishments with Certified Food Protection Staff: 43.5% • Hotel/Bed & Inspections/Enforcement Follow -Ups: 8 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: 0 • Nuisance violations corrected by hired -'*L• rnntrartnr• '17 • Nuisance complaints: 243 • Fats/Oils/Grease (FOG) assessments/referrals conducted at Food Establishments, in conjunction with FOG staff. 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. dd� I -.6v- 4 -163- PUBLIC HEALTH Animal Control 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. Aminal Control Footling Summary FY 2014/15 Actual FY 2015/16 FY 2016/17 Adapted Recommended Expenditwes $261,123 $285,826 $298,344 Resources $184,066 $179,100 $188,000 An imaI Control Position Summary Animal ContmFY 2016/17 FTE's Total Full -Time Equivalent 1.44 Equivalent Employees 1 1.00 Highlights of the Past Year • Developed Animal Control rescue procedure Secured a multi-year agreement with Humane Society • Investigating backyard chicken nuisances • Developed pets in parks enforcement procedure • Developed animal neglectlabandon procedure Future Initiatives Implement and evaluate pets in parks enforcement procedure • Develop policies and procedures for enforcing nuisances associated with backyard chickens Performance Measures Animal Control- Activity Statement Protect the public health by abating and investigating animal nuisances preventing the spread of fables and providing Information regarding animals to citizens Outcome SI: 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 -tapping dogs and cats. 164 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 1,096 complaints \ / Police Department responded to 569 complaints during times V Animal Control Officers are not on duty 5 Vicious/Potentially Vicious Declarations 72 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. 9,897 Pet Licenses Sold 1,037 Citations for Failure to License Pet aym Dlbw,, x1lmrses �1 -m minim dl m 1� m L nil 120 100 80 60 40 20 Mo Mi M2 M 3 M4 MS rau�,.m Dai. owm�a..�m Mo Mi M2 FY13 FY14 M5 165 PUBLIC HEALTH Outcome #3: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. The Cry Ammal Control Ordinance addresses several aspects of responsible pet ownership such as rabies vaccination, licensure, leash laws, running at large, vicious and nuisance issues. • 25 Animals (that have bitten) surrendered to Animal Control, which is up from 17 in FY14 124 Animal Bites Did You Know? • Feral cats have an average of 14 litters per year, with an average 35 live births in each litter. That equals 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 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 certified animal trappers do business in the city of Dubuque. • 35 wild animals requests for service, which is up from 23 in FY14 166 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 FY14 Actual FY15 Actual FY16 Adopted FY17 Recomm'd 100 42120 DOG LICENSES Revenue Revenue Budget Budget 100 42105 BUSINESS LICENSES 97,360 94,000 97,600 95,000 100 42120 DOG LICENSES 109,001 111,906 110,000 113,500 100 42125 CAT LICENSES 40,417 43,642 40,500 45,000 100 42169 TANNING TATTOO LICENSES 3,843 2,324 3,900 2,500 100 42235 REFUSE HAULING PERMITS 925 900 925 900 100 42325 SWIMMING POOL INSP. FEES 10,693 7,786 10,700 9,000 100 42330 ANIMAL IMPOUNDMENT FEES 7,470 9,375 8,600 10,000 42 - LICENSES AND PERMITS 269,709 269,933 272,225 275,900 100 45701 STATE GRANTS 1,929 10,200 6,000 6,400 100 45771 FED PASS THRU STATE GRANT 1,524 1,448 2,000 750 45 - STATE GRANTS 31453 11,649 8,000 7,150 100 51987 WEED CUTTING CHARGES 7,802 2,462 5,000 2,600 51 - CHARGES FOR SERVICES 7,802 2,462 5,000 2,600 100 53403 IA DISTRICT COURT FINES 19,862 18,759 20,000 19,500 100 53605 MISCELLANEOUS REVENUE 1,125 392 0 0 100 53610 INSURANCE CLAIMS 0 4,232 0 0 100 53620 REIMBURSEMENTS -GENERAL 346 444 1,200 450 53 - MISCELLANEOUS 21,333 23,827 21,200 19,950 17 -HEALTH SERVICES TOTAL 302,296 307,871 306,425 305,600 -167- Recommended Operating Expenditure Budget - Department Total 17 -HEALTH SERVICES Fund Account Account Title FY14 Actual FY15 Actual FY16 Adopted FY 17 Recomm'd 290 61010 FULL-TIME EMPLOYEES Expense Expense Budget Budget 100 61010 FULL-TIME EMPLOYEES 223,452 231,284 251,528 265,329 290 61010 FULL-TIME EMPLOYEES 18,409 (73) 0 0 100 61020 PART-TIME EMPLOYEES 65,312 68,898 71,299 72,827 100 61030 SEASONAL EMPLOYEES 935 2,871 3,228 3,297 290 61030 SEASONAL EMPLOYEES 400 884 0 0 100 61050 OVERTIME PAY 1,453 1,228 2,072 1,500 100 61091 SICK LEAVE PAYOFF 502 1,386 1,003 5,100 290 61091 SICK LEAVE PAYOFF 502 405 0 0 100 61092 VACATION PAYOFF 0 6,025 0 0 100 61310 IPERS 25,928 26,924 28,494 30,627 290 61310 IPERS 1,646 (7) 0 0 100 61320 SOCIAL SECURITY 21,721 23,228 25,181 26,314 290 61320 SOCIAL SECURITY 1,479 93 0 0 100 61410 HEALTH INSURANCE 43,322 49,980 43,680 55,650 290 61410 HEALTH INSURANCE 7,220 0 0 0 100 61415 WORKMENS' COMPENSATION 7,288 8,253 7,823 7,518 290 61415 WORKMENS' COMPENSATION 90 0 0 0 100 61416 LIFE INSURANCE 211 220 504 534 290 61416 LIFE INSURANCE 28 0 0 0 100 61620 UNIFORM ALLOWANCE 42 313 0 0 100 61660 EMPLOYEE PHYSICALS 0 0 200 0 61 - WAGES AND BENEFITS 419,939 421,913 435,012 468,696 100 62010 OFFICE SUPPLIES 819 810 1,336 844 100 62011 UNIFORM PURCHASES 155 854 501 990 100 62030 POSTAGE AND SHIPPING 5,861 4,759 6,154 4,998 100 62033 HAND TOOLS/EQUIPMENT 165 0 168 170 100 62061 DP EQUIP. MAINT CONTRACTS 6,152 6,342 7,343 7,594 100 62063 SAFETY RELATED SUPPLIES 274 0 379 380 100 62065 LAB SUPPLIES 0 40 100 100 100 62067 ANIMAL CONTROL SUPPLIES 863 689 880 700 100 62090 PRINTING & BINDING 1,990 2,582 2,029 3,171 100 62110 COPYING/REPRODUCTION 3,613 884 2,565 885 100 62130 LEGAL NOTICES & ADS 0 355 0 0 100 62170 SUBSCRIPTIONS -BOOKS -MAPS 24 0 139 289 100 62190 DUES & MEMBERSHIPS 1,110 1,170 1,200 1,395 100 62206 PROPERTY INSURANCE 129 166 178 173 100 62208 GENERAL LIABILITY INSURAN 3,632 3,715 3,838 3,692 290 62208 GENERAL LIABILITY INSURAN 145 0 0 0 100 62230 COURT COSTS & RECORD FEES 0 0 425 0 100 62310 TRAVEL -CONFERENCES 2,751 3,114 5,634 6,620 100 62320 TRAVEL -CITY BUSINESS 179 1,611 287 300 100 62340 MILEAGE/LOCAL TRANSP 0 332 185 245 100 62360 EDUCATION &TRAINING 3,631 620 5,818 8,725 100 62421 TELEPHONE 5,142 3,768 3,903 3,854 -168- Recommended Operating Expenditure Budget - Department Total 17 -HEALTH SERVICES Fund Account Account Title FY14 Actual FY15 Actual FY16 Adopted FY 17 Recomm'd 100 62511 FUEL, MOTOR VEHICLE Expense Expense Budget Budget 100 62436 RENTAL OF SPACE 1,464 1,464 1,804 2,532 100 62511 FUEL, MOTOR VEHICLE 4,349 3,544 3,654 3,190 100 62521 MOTOR VEHICLE MAINT. 3,437 1,639 3,857 3,803 100 62528 MOTOR VEH. MAINT. OUTSOUR 0 7,348 0 687 100 62614 EQUIP MAINT CONTRACT 517 549 526 575 100 62663 SOFTWARE LICENSE EXP 0 136 0 135 100 62667 INTERNET SERVICES 27 0 360 600 100 62668 PROGRAM EQUIP/SUPPLIES 429 455 438 478 100 62671 MISC. OPERATING SUPPLIES 58 0 0 0 100 62683 FIELD OPERATIONS SUPPLIES 570 179 581 600 100 62716 CONSULTANT SERVICES 3,226 3,824 3,271 3,880 100 62725 BILL COLLECTION SERVICES 39,194 43,162 39,978 44,000 100 62727 FINANCIAL SERVICE FEES 1,388 1,452 1,416 1,475 100 62732 TEMP HELPCONTRACT SERV. 0 0 2,540 3,000 100 62736 CATERING SERVICES 0 0 225 225 100 62761 PAY TO OTHERAGENCY 186,752 118,556 187,609 178,336 100 62779 SURVEY / PLAT 26 0 250 250 100 62780 HAULING SERVICES 577 2,926 589 2,000 100 62781 LAWN CARE SERVICES 2,334 1,844 2,381 2,300 62- SUPPLIES AND SERVICES 280,987 218,889 292,541 293,191 100 71120 PERIPHERALS, COMPUTER 0 1,760 0 0 100 71122 PRINTER 457 0 0 0 100 71211 DESKS/CHAIRS 1,500 0 0 5,500 100 71310 AUTO/JEEP REPLACEMENT 14,143 9,692 0 17,000 100 72418 TELEPHONE RELATED 0 390 874 475 71 - EQUIPMENT 16,100 11,842 874 22,975 17 - HEALTH SERVICES TOTAL 717,025 652,644 728,427 784,862 -169- Recommended Expenditure Budget Report by Activity & Funding Sounce 17 -HEALTH SERVICES HEALTH SERVICES ADMINISTR- 17100 FUNDING SOURCE: CABLE TV Account FY14 Actual FY15 Actual FY16 Adopted FY17 Recomm'd Expense Expense Budget Budget EQUIPMENT 375 390 0 475 SUPPLIES AND SERVICES 34,304 8,200 37,867 38,550 WAGES AND BENEFITS HEALTH SERVICES ADMINISTR 114,849 121,012 118,153 127,401 149,529 129,601 156,020 166,426 ANIMAL CONTROL -17200 FUNDING SOURCE: GENERAL Account FY14 Actual Expense FY15 Actual Expense FY16 Adopted Budget FY17 Recomm'd Budget EQUIPMENT 375 1,760 874 17,000 SUPPLIES AND SERVICES 195,915 177,002 199,923 194,788 WAGES AND BENEFITS 77,964 82,362 85,029 86,556 ANIMALCONTROL 274,254 261,123 285,826 298,344 INSP. - FOOD ESTBLMNTS - 17300 FUNDING SOURCE: GENERAL 27,901 2,308 26,131 Account FY14 Actual Expense FY15 Actual Expense FY16 Adopted Budget FY17 Recomm'd Budget EQUIPMENT 15,350 9,692 0 5,500 SUPPLIES AND SERVICES 19,904 28,060 22,620 27,022 WAGES AND BENEFITS 172,393 163,057 172,329 193,138 INSP. - FOOD ESTBLMNTS 207,647 200,809 194,949 225,660 �WMMUNITY HEALTH SERV. - 17400 LEAD PAINT PROGRAM FUNDING SOURCE: GENERAL 3,319 6,000 6,364 Account FY14 Actual Expense FY15 Actual Expense FY16 Adopted Budget FY17 Recomm'd Budget SUPPLIES AND SERVICES 27,901 2,308 26,131 26,467 WAGES AND BENEFITS 54,732 55,483 59,501 61,601 COMMUNITY HEALTH SERV. 82,633 57,791 85,632 88,068 LEAD PAINT PROGRAM -17500 FUNDING SOURCE: GENERAL Account FY14 Actual Expense FY15 Actual Expense FY16 Adopted Budget FY17 Recomm'd Budget SUPPLIES AND SERVICES 2,962 3,319 6,000 6,364 LEAD PAINT PROGRAM 2,962 3,319 6,000 6,364 HEALTH SERVICES TOTAL $717,024.79 $652,643.57 $728,427.00 $784,862.00 -170- 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 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 2015 FY 2016 FY 2017 FTE BUDGET FTE BUDGET FTE BUDGET 1.00 88,711 1.00 89,833 1.00 91,796 1.00 67,190 1.00 67,400 2.00 128,563 1.00 52,428 1.00 52,599 0.00 0 1.00 39,369 1.00 41,696 1.00 44,970 4.00 247,698 4.00 251,528 4.00 265,329 1.44 69,370 1.44 71,299 1.44 72,827 1.44 69,370 1.44 71,299 1.44 72,827 0.14 3,217 0.14 3,228 0.14 3,297 0.14 3,217 0.14 3,228 0.14 3,297 5.58 320,284 5.58 326,055 5.58 341,453 -171- CITY OF DUBUQUE, IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY Run Date. 01/22/16 FY 2015 FY 2016 FY 2017 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 10017100 61010 100 7700 GE -37 PUBLIC HEALTH SPECIALIST Total Community Health Services - FT General Fund 10017400 61010 100 7700 GE -37 PUBLIC HEALTH SPECIALIST Total Community Health Services - Seasonal General Fund 10017400 61030 100 PUBLIC HEALTH INTERN Total Inspection of Food Est./Environmental 10017300 61010 100 7500 GE -32 ENVIRONMENTAL SANITARIAN 10017300 61010 100 7375 GE -27 ENVIRON.SANITARIAN ASST Total Animal Control -PT 10017200 61020 100 7400 GE -29 ANIMAL CONTROLOFFICER Total TOTAL HEALTH SERVICES DEPT. 0.50 39,369 1.00 41,696 1.00 44,970 1.00 44,353 0.50 44,930 0.50 45,898 1.50 83,722 1.50 86,626 1.50 90,868 0.50 44,358 0.50 44,903 0.50 45,898 0.50 44,358 0.50 44,903 0.50 45,898 0.14 3,217 0.14 3,228 0.14 3,297 0.14 3,217 0.14 3,228 0.14 3,297 1.00 67,190 1.00 67,400 2.00 128,563 1.00 52,428 1.00 52,599 0.00 0 2.00 119,618 2.00 119,999 2.00 128,563 1.44 69,370 1.44 71,299 1.44 72,827 1.44 69,370 1.44 71,299 1.44 72,827 5.58 320,284 5.58 326,055 5.58 341,453 -172- Po t o s i ,  WI :  8. 7 Ba c k b o n e  St a t e  Pa r k :  9. 0 Cl i n t o n ,  Ra i n b o w  Pa r k :  23 Cl i n t o n ,  Ch a n c y  Pa r k :  26 So u r c e :  EP A  20 1 1  Na t i o n a l  Em i s s i o n s  In v e n t o r y • 80 %  of  PM 2 . 5  em i s s i o n s  ar e  na t u r a l  (s o i l  an d  ag r i c u l t u r a l  du s t ) • Pr o f i l e  is  si m i l a r  to  th a t  of  Sc o t t  Co u n t y • 20 1 1  –a c t i v e  ma n a g e m e n t  of  PM  em i s s i o n s  at  Je l d ‐We n • 20 1 1  –c o a l  to  na t u r a l  ga s  at  Al l i a n t • 20 1 3  –J e l d ‐We n c e a s e s  op e r a t i o n s CS 3 Sl i d e 1 1 CS 3 Be f o r e w e t e l l t h e m a b o u t t h i s , w e h a v e t o e x p l a i n p r i m a r y v s . s e c o n d a r y . 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