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DEPARTMENT OF HUMAN SERVICES
PUBLIC HEALTH DIVISIONAL MANAGEMENT
PROGRAM MISSION: To provide leadership and management to divisional program to
prevent health conditions that may affect the well being of the community and
ensure the overall health and safety of the community.
These goals are accomplished
through traditional public health services, which focus on the health of the
community as a whole, in contrast to private sector medical care, which focuses
on the health of individuals. While
many public health services are provided on an individual basis, the services
focus on improving or protecting the health and safety of the broader
community. There are three general
types of public health programs: programs that cannot easily or appropriately
be provided by the private sector (such as communicable disease control or
restaurant inspections); programs that the private sector traditionally has not
provided (such as prenatal care or dental care for the indigent); and
population-based preventive health measures (such as occupational health
services and public education about good health habits). Another key role of public health programs
is to monitor and assess the health status of the community, focusing
particularly on communicable disease rates, maternal and infant health
outcomes, and leading causes of morbidity and mortality in the community.
Unlike most other Virginia
localities, Arlington has special legislation that permits it to administer
public health services locally with the state paying its share of the
Cooperative Health Budget to Arlington.
The following chart provides a
summary of the budget for the Public Health Division. Expenditures are shown by program.
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PUBLIC HEALTH
DIVISION
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|
FY 2002
|
FY 2003
|
FY 2004
|
% Change:
|
|
Actual
|
Adopted
|
Proposed
|
'03 to '04
|
|
Divisional
Management
|
$1,999,178
|
$2,114,964
|
$2,164,209
|
2%
|
|
Family Health
|
4,112,519
|
4,444,436
|
4,463,757
|
-
|
|
School Health
|
3,706,103
|
3,606,894
|
3,763,603
|
4%
|
|
Environmental
Health
|
1,185,449
|
1,254,297
|
1,296,613
|
3%
|
|
Communicable
Disease
|
1,920,859
|
1,956,951
|
2,155,463
|
10%
|
|
Laboratory
|
493,602
|
532,519
|
532,908
|
-
|
|
Occupational
Health
|
177,047
|
195,412
|
213,046
|
9%
|
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Total Expenditures
|
13,594,757
|
14,105,473
|
14,589,599
|
3%
|
|
|
|
|
|
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Fees
|
460,219
|
411,014
|
604,087
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47%
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Medicaid
|
160,163
|
113,000
|
138,500
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23%
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Medicare
|
-
|
3,000
|
3,000
|
-
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State Share
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2,934,017
|
2,889,035
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2,926,937
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1%
|
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Federal Grants
|
759,442
|
841,196
|
825,119
|
-2%
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Other Grants
|
466,605
|
503,110
|
737,626
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47%
|
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LPACAP
|
-
|
200,469
|
137,550
|
-31%
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Miscellaneous
|
18,000
|
18,000
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18,000
|
-
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Total Revenues
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4,798,446
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4,978,824
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5,390,819
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8%
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Net Tax Support
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$8,796,311
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$9,126,649
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$9,198,780
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1%
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|
|
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Authorized FTEs
|
199.2
|
199.4
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204.5
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Funded FTEs
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199.2
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199.4
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204.5
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The budget for
Divisional Management includes expenditures that directly support the programs
of the Division, but are budgeted centrally in administration and not allocated
to the program level. The Divisional
Management staff consists of the County Health Officer; Public Health Division
Chief; the Physician Supervisor (who provides management and supervision of the
Division's clinical services as well as direct client services in a number of
program areas); an Administrative Officer; a Nurse Manager; two Administrative
Assistants who provide information and referral services to the public about
the Division and direct support to several programs; and one Management Analyst
and one Information Systems Analyst, both of whom support VISION, the
State-mandated automated system.
Unallocated expenses ($1,521,081) directly supporting program activities
include building and equipment rental ($863,707), telephone and utilities
($208,046), system-wide automation services and maintenance ($66,130),
malpractice insurance ($165,525), postage ($16,000), building security
($1,215), recruitment expenses ($16,000) and physician and clinical services
supervision ($184,458).
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Public Health
Divisional Management
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|
FY 2002
|
FY 2003
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FY 2004
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% Change:
|
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Actual
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Adopted
|
Proposed
|
'03 to '04
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Personnel
|
$751,618
|
$722,344
|
$758,563
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5%
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Non-Personnel
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1,247,560
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1,392,620
|
1,405,646
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1%
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Total Expenditures
|
1,999,178
|
2,114,964
|
2,164,209
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2%
|
|
|
|
|
|
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Fees
|
4,105
|
500
|
500
|
-
|
|
LPACAP
|
-
|
70,000
|
-
|
-100%
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State Share
|
678,241
|
439,503
|
435,500
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-1%
|
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Total Revenue
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682,346
|
510,003
|
436,000
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-15%
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Net Tax Support
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$1,316,832
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$1,604,961
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$1,728,209
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8%
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|
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Authorized FTEs
|
9.0
|
9.0
|
9.0
|
|
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Funded FTEs
|
9.0
|
9.0
|
9.0
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SIGNIFICANT PROGRAM HIGHLIGHTS:
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Personnel increases due to normal step increases and
pay above entry for new hires.
-
Non-personnel increases primarily due to the net impact
of elimination of a one-time grant in FY 2003 for the Arlington Free Clinic
($70,000), offset by increases for liability insurance costs ($44,975), rent
charges for 3033 Wilson Boulevard ($21,002), telephones ($10,299), electricity
($3,027), and recruitment and training ($2,260).
-
LPACAP revenue is reduced $70,000 from FY 2003 to
reflect elimination of one time LPACAP funds for Arlington Free Clinic.
PERFORMANCE MEASURES:
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|
FY 2001
Actuals
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FY 2002
Actuals
|
FY 2003
Estimate
|
FY2004
Estimate
|
FY2004
Target
|
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Mission
Outcome Measures
|
|
|
|
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Percent of approved net tax support expended
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109%
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104%
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95%
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95%
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95%
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Percent of
approved third party reimbursement revenue received
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132%
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125%
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110%
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100%
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100%
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Percent of
PHD employees meeting basic computer related competencies
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NA
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N/A
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70%
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90%
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100%
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Number of
outreach visits and programs to private doctors' offices
|
NA
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NA
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142
|
183
|
200
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Percent of
Arlington doctors contacted
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NA
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NA
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70%
|
90%
|
99%
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