1	Shiawassee County Health Department 2007 Organization Plan
2	Shiawassee County Health Department Locations and Hours of Operations Administration 210 Corunna Ave. Corunna, MI 48817 8am-12pm, 1pm-5pm Environmental Health Division 201 N. Shiawassee St. Corunna, MI 48817 8am-12pm, 1pm-5pm Personal Health Division 110 E. Mack St. Corunna, MI 48817 8am-12pm, 1pm-5pm
3	Satellite and Early/Late Clinics for Personal Health Programs Women, Infant Health Program Satellite Clinic 7315 W. Beard Rd Shaftsburg 2^nd and 4^th Tuesday of every month 8am-12pm and 1pm-5pm Satellite Clinic 215 W. Clinton St. Durand Every Thursday 8am-12pm and 1pm-5pm Late Clinics at Health Dept. 110 E. Mack St Every 2^nd and 4^th Wednesday of the month open until 7pm.
4	Satellite and Early/Late Clinics for Personal Health Programs Immunization Early Clinic 2^nd Wednesday of the month 7:15am at the Health Dept (110 E. Mack St.) Early and Late Flu Clinics scheduled during Flu Season
5	SHIAWASSEE COUNTY BOARD OF HEALTH Deborah Brewer, Chairperson, Morrice Commissioner Henrietta Sparkes, Vice Chair, Laingsburg Commissioner Kim Van Pelt, Owosso Mary Buginsky, Owosso Margaret Gulick, Ovid Richard Kos, Durand James Capitan, Owosso
6	WHAT IS PUBLIC HEALTH ? PUBLIC HEALTH IS THAT AREA OF HEALTH CARE THAT CONCERNS ITSELF WITH THE HEALTH STATUS OF THE ENTIRE POPULATION.
7	WHAT DISTINGUISHES PUBLIC HEALTH FROM CLINICAL MEDICINE ? IT’S FOCUS IS ON POPULATION AND COMMUNITIES RATHER THAN THE INDIVIDUAL PATIENT. IT’S EMPHASIS IS ON PREVENTING DISEASE RATHER THAN CURING IT. IT EMPHASIZES PROMOTING HEALTHY LIFESTYLES
8	Legal Mandate Michigan's constitution of 1963 states "The public health and general welfare of the people of the state are hereby declared to be matters of primary public concern. The legislature shall pass suitable laws for the protection and promotion of public health."
9	Legal Mandate Michigan's Public Health Code, Act 368 of 1978, as amended, describes the responsibilities of state and local health departments as follows "Continually and diligently endeavor to prevent disease, prolong life, and promote the public health through organized programs, including prevention and control of environmental health hazards; prevention and control of diseases; prevention and control of health problems of particularly vulnerable population groups; development of health care facilities and agencies and health services delivery systems; and regulation of health care facilities and agencies and health service delivery systems to the extent provided by law." (Sections 2221 & 2433 of Act 368, 1978, as amended.)
10	Our Mission The mission of the Shiawassee County Health Department is to prevent disease, protect the public’s health and enhance the quality of life by providing information and services.
11	Our Vision We are an exceptional human service organization providing high quality health care, health protection and leadership to our community. We are committed to being user friendly, efficient, responsive, accurate, cost effective, knowledgeable, and results orientated. We are committed to teamwork within our own organization, with the people we serve and with other organizations in the community.
12	Our Vision Because of our reputation, everyone in the community is proud to be associated with us as consumer, volunteer, board member or employee. We enjoy enthusiastically doing our best every single time.
13	ORGANIZATION CHART OVERVIEW
14	OFFICE OF THE DIRECTOR
15	The Management Team George J Pichette, J. D. Director/Health Officer 38 years of sequenced local government management experience, the last 27 of which have been in local public health management, the last 14 of which have been as Director of this organization Dennis Chernin, M.D. M.P.H. Medical Director 22 years experience as Medical Director of various county health departments and 30 years in private practice with board certification in preventive medicine Dawn Buhler, B.S.N. 20 years of nursing experience and 5 years of supervisory experience. Gene Paez, M.P.H. Director of Environmental Health 38 years in environmental health, of which 21 were with the Michigan Department of Environmental Quality as a consultant, 16 years local health department experience, the last 6 years as Environmental Health Director. Lisa M. Smith, B.B.A. Director of Finance 11 years of sequenced government finance experience, the last 9 of which have been in health care Don Dickinson, Director of Information Technology 19 years of sequenced governmental and military information technology experience Courtney Herrick, B.S. Emergency Preparedness Coordinator 5 years of public health experience
16	PERSONAL HEALTH DIVISION
17	PERSONAL HEALTH DIVISION
18	ENVIRONMENTAL HEALTH DIVISION
19	ENVIRONMENTAL HEALTH DIVISION
20	West Nile Virus (WNV) Infections Source: James J. Sejvar, MD, CDC Fourth National Conference on West Nile Virus in the United States February 9-11, 2003
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22	Our Market OUR MARKET CONSISTS OF THOSE INDIVIDUALS, AND PUBLIC AND PRIVATE ENTITIES THAT ARE EITHER OBLIGATED OR WILLING TO PAY FOR SERVICES RELATED TO PROTECTION OR IMPROVEMENT OF THE HEALTH STATUS OF OUR LOCAL POPULATION.
23	EXAMPLES OF OUR MARKET SHIAWASSEE COUNTY RESIDENTS HMOS SHIAWASSEE COUNTY GOVERNMENT SHIAWASSEE COUNTY BUSINESSES STATE GOVERNMENT FEDERAL GOVERNMENT
24	Our Services: Diagnosis and investigation of health hazards in the community Informing, educating and empowering people about health issues Mobilizing community partnerships to identify and solve community problems Monitoring of community health status to identify community health problems
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27	FIRST REPORTS OF ILLNESS: SNOWFLAKE OR TIP OF THE ICEBERG?
28	Our Services: Developing policies and plans to support individual and community health efforts Enforcing laws and regulations that protect health and ensure safety Linking people to needed personal health services and assuring health care when otherwise unavailable
29	Our Services: Assuring a competent health care workforce Evaluating effectiveness, accessibility and quality of health care services Searching for and obtaining new insights and innovative solutions to health problems
30	EXAMPLES OF OUR SERVICES (HEALTH DEPARTMENT PROGRAMS): COMMUNICABLE DISEASE INVESTIGATION WOMEN, INFANTS AND CHILDREN’S NUTRITION BREAST AND CERVICAL CANCER SCREENING CHILDREN’S SPECIAL HEALTH CARE HEARING AND VISION SCREENING FOR SCHOOL CHILDREN
31	EXAMPLES OF OUR SERVICES (HEALTH DEPARTMENT PROGRAMS): IMMUNIZATIONS MATERNAL AND INFANT SUPPORT FOR HIGH RISK INDIVIDUALS GERIATRIC HEALTH ASSESSMENT HIV/AIDS COUNSELING AND TESTING FACILITATION OF COMMUNITY FORUMS AND INPUT
32	EXAMPLES OF OUR SERVICES (HEALTH DEPARTMENT PROGRAMS): RESTAURANT INSPECTION WELL PERMIT AND INSPECTION SEPTIC SYSTEM PERMIT AND INSPECTION CAMPGROUND AND MOBILE HOME PARK INSPECTION LEAD BASED PAINT AND RADON EDUCATION AND PREVENTION
33	EXAMPLES OF OUR SERVICES (HEALTH DEPARTMENT PROGRAMS): COLLECTION OF HOUSEHOLD HAZARDOUS WASTE PLANNING AND MANAGEMENT OF HEALTH RELATED EMERGENCIES (CHEMICAL, BIOLOGICAL, RADIOLOGICAL INCIDENTS) COLLECTION, STORAGE AND DISTRIBUTION OF HEALTH INFORMATION
34	EXAMPLES OF OUR SERVICES (HEALTH DEPARTMENT PROGRAMS): SEEKING AND OBTAINING NEW SOURCES OF FUNDING OR SERVICE FOR UNMET COMMUNITY HEALTH NEEDS COORDINATING ACTIVITIES WITH OTHER COMMUNITY ORGANIZATIONS AND PROGRAMS
35	Program Evaluation Efforts Weekly Management Team Meetings Quarterly Staff Meetings Suggestion Box for Consumers Program Audits Accreditation Process
36	Community Partnerships Local Emergency Planning Committee Shiawassee County Health and Human Services Council Memorial Healthcare Durand Public Schools Nurse Owosso Public Schools Nurse Child Advocacy Center
37	Community Partnerships Shiawassee County Fit Kids MSU Extension Kiwanis Club City of Owosso Mid Shiawassee Sewer District City of Durand Pollution Prevention Shiawassee County Reality Association
38	Community Partnerships Michigan Township Association American Red Cross Shiawassee County Emergency Management Shiawassee County Fire Association Regional Education Service District 0-3 program 0-5 program
39	SHIAWASSEE COUNTY HEALTH DEPARTMENT FINANCING:
40	SHIAWASSEE COUNTY HEALTH DEPARTMENT FINANCING: Reduced budget due to staff reductions as of 4/1/07
41	SHIAWASSEE COUNTY HEALTH DEPARTMENT FINANCING:
42	SHIAWASSEE COUNTY HEALTH DEPARTMENT FINANCING: Reduced budget due to staff reductions as of 4/1/07
43	COST RECOVERY IN ORDER TO RECOVER THE $2.9 MILLION IN ANNUAL FUNDING, OPERATING COSTS ARE ALLOCATED TO 54 DIFFERENT COST CENTERS AND THEN REPORTED AND BILLED TO 17 DISTINCT FUNDING SOURCES.
44	Final Comments on Finances: While the $292,172 General Fund contribution represents a small portion of the County General Fund Budget (1.5%), it is an indispensable foundation upon which $2.6 million in additional Public Health funding is generated to protect the health of Shiawassee County residents. From an economic standpoint, the County's General Fund contribution yields over 867% return on investment for Health Care Service delivery in Shiawassee County. Secondly, the bulk of the Department’s $2.9 million budget is spent in Shiawassee County, thereby bolstering the local economy. In addition, 75% of the Health Department’s budget is generated from sources outside of the County. Finally, the Health Department provides thirty-five good paying jobs for professional technical and clerical staff in our community at a time when the State’s economy continues to struggle.
45	Challenges and Opportunities: Federal, state and county budget constraints will require us to continue to critically rethink how we do business. There is a limited supply of nurses and sanitarians; these knowledge workers form the backbone of our professional staff and our capacity to effectively serve the public. The demand for and the cost of health care are both rapidly increasing.
46	Challenges and Opportunities: Emergency Preparedness issues such as Pandemic Influenza and Bioterrorism (Smallpox and Anthrax attacks) focus public attention on the importance of public health while diverting scarce resources from our existing services and needs.
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49	Challenges and Opportunities: Bad habits of over-eating the wrong things and lack of physical activity have become part of American culture; Public Health needs to find ways to turn back the tide of 40 to 50 years of gradually increasing poor health behaviors by imagination, innovation and thinking outside the box to reverse this sad paradigm.
50	Challenges and Opportunities: Reductions in sickness and death due to infectious diseases and the post war baby boom has resulted in an older population that requires public health to focus on chronic diseases such as heart disease, cancer, etc. These chronic diseases are the major killers in Shiawassee County.
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53	2002 DEATHS IN SHIAWASSEE COUNTY BY AGE AND CAUSE:
54	2003 DEATHS IN SHIAWASSEE COUNTY BY AGE AND CAUSE:
55	2004 DEATHS IN SHIAWASSEE COUNTY BY AGE AND CAUSE
56	2005 DEATHS IN SHIAWASSEE COUNTY BY AGE AND CAUSE
57	Challenges and Opportunities: Population growth coupled with past and present human activities has resulted in environmental deterioration; especially in the areas of drinking water and managing sewage control. Some infectious diseases, such as tuberculosis, are beginning to reappear in drug resistant forms. The high cost of health care insurance and the ability of employers to continue paying for it in a slow economy pose additional problems for accessing health care.
58	Challenges and Opportunities: The burden of mental illness on physical health has been profoundly underestimated. Mental health is a public health issue because it is indispensable to personal well being, family and interpersonal well being and relationships. As health care becomes more complex, so does the potential for medical errors. This problem needs to be treated from a systems standpoint not as an individual issue.
59	Challenges and Opportunities: Technology, information and communications are a double edged sword because advancements in these areas can be used in both beneficial and harmful ways. Potential confidentially breaches and security efforts to prevent them increase health care costs while these new technologies present opportunities for cost reductions, improved efficiencies and new hope for many victims of disease.
60	Challenges and Opportunities: Managed care is another two edged sword replacing compassion with cost containment, services with products, and stakeholders with stockholders. The challenge is to realize the potential that these large organizations have to better prevent disease and promote health.
61	Challenges and Opportunities: Lastly, public health needs to make use of the significant potential of genetics to improve health and prevent disease while avoiding discrimination, stigmatization and other societal harms which could result from its misuse.
62	Business Concept Provide a marketable service to our customers and clients that promotes health, prevents disease and assists in the long term battle to prolong life affordably.
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