02/01/2006
Y
New Hanover County Health Department
Revenue and Expenditure Summaries for December 2005
Cumulative: 50.00% Month 6 of 12
•
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,821,791 $ 1,225,161 $ 596,630 67.25% $1,944,464 $ 912,438 $ 1,032,026 46.921Y.
AC Fees $ 659,496 $ 309,679 $ 349,817 46.96% • 580,161 $ 301,043 279,118 51.89%
Medicaid $ 1,500,300 $ 545,476 $ 954,824 36.36% $1,138,039 $ 382,559 $ 755,480 33.62%
Medicaid Max $ $ - $ 151,600 $ - $ 151,600
EH Fees $ 300,212 $ 97,618 $ 202,594 32.52% $ 300,212 $ 120,475 $ 179,737 40.13%
Health Fees $ 128,000 $ 118,085 $ 9,915 92.25% $ 113,545 $ 91,981 $ 21,564 81.01%
Other $ 3,097,186 $ 1,105,887 $ 1,991,299 35.71% $2,455,135 $ 1,119,004 $ 1,336,131 45.58%
"Totals $!7,!506 ,985 $ 3,401,907 $ 4,105,078 45.32%[Ml $6,683,156 $ 2,927,500 $ 3,755,656 43.80%
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance % ! Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
• Salary &Fringe $ 11,315,151 $4,898,828 $ 6,416,323 43.29%'I, $10,410,730 $4,607,852 $5,802,878 44.26%
Operating $ 1,898,430 $ 760,655 $ 1,137,775 40.07% $ 1,636,960 $ 741,580 $895,380 45.30%
Capital Outlay $ 679,225 $ 191,655 $ 487,570 28.22% $ 216,841 $ 17,638 $ 199,203
i
IESFN~,, 2~~ OEM ME= MM-
Totals $ 13,892,808 $5,851,138 $ 8,041,668 42.12% $ 12,264,531 $ 5,367,070 $6,897,461 43.76%
Summary
Budgeted Actual %
FY 05-06 FY 05-06
Expenditures:
Salaries & Fringe $11,315,151 $4,898,828
Operating Expenses $1,898,430 $760,655
Capital Outlay $679,225 $191,655
Total Expenditures $13,892,806 $5,851,138 42.12%
Revenue: $7,506,985 $3,401,907 45.32%
Net County $6,385,821 $2,449,231 38.35%
Revenue and Expenditure Summary
For the Month of December 2005 7
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
• 12/31/2005
Summary for the New Hanover County Health Department
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Rameinin Amount Earned Remaining
Federal 8 State $ 1,821,791 $ 1,225,161 $ 596,630 67.25%: $ 1,944,464 $ 912,438 $ 1,032,026 46.92% -
AC Fees $ 659,496 $ 309,679 $ 349,817 46.96%;y $ 580,161 $ 301,043 $ 279,118 51.89%
Medicaid $ 1,500,300 $ 545,476 $ 954,824 36.36% F $.1,138,039 $ 382,559 $ 755,480 33.62%
Medicaid Max $ $ - %`5. $ 151,600 $ - $ 151,600
EH Fees $ 300,212 $ 97,618 $ 202,594 32.52%: $ 300,212 $ 120,475 $ 179,737 40.13%
Health Fees $ 128,000 $ 118,085 $ 9,915 92.25%$ 113,545 $ 91,981 $ 21,564 81'.01%
Other $ 3,097,186 $ 1,105,887 $ 1,991,299 35.71%X; $ 2,455,135 $ 1,119,004 $ 1,336,131 45.58%.
H.`•
!tT iSay
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. x.».:.n...:»._.....:....~.a.. e;.:.n:x<:.. .:...:..:'.:[`.:>...:...v
y <a
of
Totals $ 7,506,985 $ 3,401,907 $ 4105078 $ 6,683,156 $ 2,927,500 $ 3,755,656 43.80%
•
Revenue Summary 8
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
• 12/31/2005
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61030 Environmental Health -
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining - Amount Earned Remaining
Federal & State $ 15,973 $ 6,777 $ 9,196 42.43% $ 15,973 $ 5,790 $ 10,183 36.25%
EH Fees $ 300,212 $ 97,618 $ 202,594 32.52%` $ 300,212 $ 120,475 $ 179,737 40.13%
Other $ $ $ $
. .::3~!.:.. F .............:.^J:•,..[.,Jn.n.:.::.....n...~.:.....: .!!i??........ ::J>^[:.:.4>ii9:Yi i>i?~k .m:. 'm::;?5;: .)7r
...n .or %Y;.>)xo,:>;?nkr:iFZ !r.. .:r...r.!s.;. '<k9.. gri!s-a^:Jdx£::r::
.....,:.4.._... :!c9:kz;; J:: o.a.
n:.:.,:a;,e..._ .4nJ.)...:.:... ..y...~,.:.::.::..:.:x.:J... n.. ::....:..::..:.4..:.... .....~..Ym:[.9.......f.':'i1.:):... 9...... .Y: ya. £:e: %?;k:F,.Y:
,e.::.4.... ...^.....::.:..[.>:4>>vf:J;.
:.YY).4!.^n:!:):::.Y..,,..^:.^.::!.:<.::k
[:n52: '::'R! Y
.<>M:n:.•%Jix).:.4'!:::..::..'::. :[m.Ji..n>:..>•. R)iii£tY:£'c'C,
L.K .J3.li`wtYi#.k: FAl^u YX&:£
T !
otals $^.316,185 $ 104,395 $ 211,790 33.02%$ 316,185 $ 126,265 $ 169,920 39.93%
Program: 61050 Vector Control
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
• Revenue Amount Earned Remaining Amount Earned Remaining
Federal&State $ 12,779 $ 12,779 0.00%$ 12,779 $ - $ 12,779 0.00%
Other $ 135,000 $ 124,086 $ 10,914 91.92%$ 135,000 $ $ 135,000 0.00%
.e ..;[[:o:4yo>.,ii[
:.i: C: > S[9':YO:.v.':C>;^:dff.4'O»vt j w1[.yw.v,+dg:
S::....::J:,w..::)...!..i.Y>n):.):[[.)::.£'[n}><.^.....
':,`'.^;.:>i..,..
:.:9:R);[•
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aw :.......a. .,9v... 16$ s.!R...^.J. ,„xr.:<.xJ. bwaw»>:.:>^.. „3..:>^..nvro:J:.wm~+'"`: n ..n':» .
xa:Lkv'^witi£: `:i::iH':.•. v !^..wk..J4'bs':b:o^.Y:L>:cz,.:.. +yj>.w>w,...:n.<
Totals $ 147,779 $ 124,0623,693 83.97%"! $ 147,779 - $ 147,779 0.00%
Program: 61070 Animal Control
Current Year Prior Year
Typeof Budgeted Revenue Balance q, Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
s?
AC Feas $ 659,496 $ 309,679 $ 349,817 46.96%$, -580,161 $ 301,043 $ 279,118 51.89%
Other $ - $ $ ~ $ - $ - $
eywn..::...~x[>":Y'Y .
J.. n... n... .Y:.C.:.. S:..: ::.Y .x )%3::<. m+a';$:3:'],.::)i[s:'£:~°.ti 'f.`,:.:.^;':y(r."':.m£.:, •9:6 Yxn:4:wd`G`G..
n..:..::.v[).
y;?ki
v.<:.4: :i.4vY. .
dz;£i$ Gi
Eii
otals M $ 659,496 $ 309,679 $ 349,817 i~ 46.96%$580,161 $ M301,043 279,118!^51.89%
T
Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program e)penditure report and the totals on the program revenue report.
Revenue Summary 9
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
•
12/31/2005
Cumulative % 50.00% Month Reported Mon 6 of 12, Dac-05
Program: 61080 Good Shepherd
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
SF:
7 $ 28,200 $ 39,217 0.00% $ $ $ ' -
Other $ 6741
:NY..>kxpw
.':T>'.: ' .d.!.:
,..,5,..,. ..M.:....d b:.~.. . C>!%'y 3
.':d' M.
:Me(.:':.J:e}>e.}: :i>:}na.>,}<;::Lk%(::v.'>:::ba.:.i<.!%;;.J .Jnc: ?.......n..... n.: ........,_a..,... a.<c::..a.< ....:...:.:<.:r n:....:e.....,:....:.......... ~ , ::.i....: .5' •'%d
J. .ve.:.:....
;:.9.
..xC>k L:i:kP i ..v;
+iEv<. n..a:.: :LxC>'<nrtJ>:.a!W:%? ».N:%~LS#:d
..a%.>;t•.:i:[>.;>::.., r; L>.:..:,: !k::yr..Y>:::ar.:.w:.. x>:GS:
.a..e:LI:.Y:>: <>:<.}..n.:eA•.:rt[F.P.Li:::i "':xi4ii i:kJ:.o, .^E>:... .n:.>:.rnv.4.!n! .M)%! '
xF..
Totals - $ 67,417 $ 28,200 $ .39,217 0.00%$ - $ - $
Program: 61090 Laboratory
Current Year Prior Year
Type of Budgeted Revenue Balance % aw Budgeted Revenue Balance %
Revenue ` Amount Earned Remaining :E3) Amount Earned Remaining
Health Fees . $ " 200 $ - $ 200 0.00%, K~ 1.000 $ - $ 1,000 0.00%
Fed & State $ - $ $ sk%k $ -
Mod Max $ - $ - $ 0.00% ;w? $ 4,600 - -
Totals $ 200 $ - $ 200 0.00% $ 5,600 $ - $ 5,600 - 0.00%
Program: 61110 Public Health Bioterrorism •
Current Year Prior Year -
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
t'r<kk
FedBState 355,338 $ 193,341 $ 161,997 54.41%:H ~ $ 362,377 $ 103;328 $ 259,049 28.51% "
:rtw;r. .^k$kS
M'
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uk.^.
dd:
i#:w:Y; ui,''&w'}:~ "'4:ofE.J..3E&'bxE :na~2:, ..:3">a..
}kES: <:!$Ei!$z:!x<: (.,:3~5'w ':'Ert.: LESx`a~` tii5'^
e
::5:.... «o:aa..,:.: e..... .ne... ; u....
!°ii
Totals $ 355,338 $ 193,341 $ 161,997 54.41% n`e! $ 362,377. $ 103,328 $ 259,049 28.51%
Program: 61130 Care Coordination
Current Year Prior Year
Type of 'Budgeted Revenue Balance- % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Fed&State $ 88,318 $ 78,483 $ 9,835 88.86% $ 87,283 $ 66,160 $ 21,123 75.80%
TAX $ 1,036,141 $ 506,685 $ 529,456 48.90% $ 1,039,039 $ 352,347 $ 686,692 33.91%
Other $ - $ - $ BDIV/0! $ - $ -
Totals $ 1,124,459 $ 585,168 $ 539,291 52.04%~ $ 1,126,322 $ 418,507 $ 707,815 37.16%
Note: Comprised of Child Service Coordination (5133), Maternity Care Coordination (5159), Maternal Outreach Workers (5157)
and Navigator (5154) Budgets
Note:County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program expenditure report and the totals on the program revenue report.
Revenue Summary
10
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
• 12/31/2005
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61150 Women's Preventive Health "
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Fed & Stele $ 195,996 $ 210,749 $ (14,753) 107.53%:::N; $ 207,114 $ 162,563 $ 44,551 - 78.49%
Medicaid " $ 26,000 $ 12,331 $ 13,669 47.43%s>< $ 31,000 ` 10,542 $ 20,458 34.01%
Health Fees $ 30,000 $ 20,723 $ 9,277 69.08% 22,500 21,897 $ 603 97.32%
Mod Max $ - $ - $ #DIVlO! $ 70,000 $ . -
~:a:::es: x::cx:x£ta: " s£:x"s£
::<.:n.:.:... , n.... .n.
1=11N: [[....,:.[n:[..:.:a>:...n:. 6...:.... n:..:..e:::.:..~. .
S.. ::.u..~:a'...: !..LV.:
.a:.:: [Jn.n r[,. :>:iy4f4J/:. i:£' . a}A}>:c::
.n.>. .>:v. my
a } >..a.a,,:. n........ ~ lno.[:..'.,"t.x a xF
4 nuv:
m..v: hh..wn:v.w.:, x
v >.un.. nJ.A>}.:.. T.xnv'' S Fl": c :nil3£:GI'G> "t 4:W:[.%,N:mo.4 v::•
Totals $ 251,996 $ 243,803 $ (1,084 96.75% $ 330,614 $ 195,002 $ 65,612 58.98%
Note: Comprised of Family Planning (5163), BCCCP (5165) and TANF (5158) Budgets
Program: 61170 Community Health
Program:
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remalnin Amount Earned Remaining -
Qi[
Fed&State $ 29,147 $ 23,145 $ 6,002 79.41% $ 29,147 $ 24,797 $ 4,350 85.08%
TAX $ 500 $ 695 $ (195) 139.03% $ 8,000 $ 207 $ 7,793 2.59%
Health Fees - $ - $ 345 $ (345) #DIV/0! $ 3,500 $ - $ 3,500 0.00%
4;!
• Other $ 29,002 $ $ 29,002 000% $ 29,408 $ 49,408 (20 000) 168.01%
J u > ~ 2 4?..
ETV ~:u..L f.v. Q ...:v4 ESE= ,..S..w,::. nu..u..
Totals $ 58,649 $ 24,185 $ 34,464 41.24%'.0 $ 70,055 $ 74,412 $ 4,35 106.22%
Note: Comprised of Personal Health General (5161), Neurology(5172),and Children's Special Health Services (5178) Budgets
Program: 61190 Health Promotions
Current Year Prior Year
Typeof Budgeted- Revenue Balance %a Budgeted Revenue Balance %
Amount Earned Remaining
Revenue Amount Earned Remaining
' Federal BState $ 48,175 $ 21,587 $ 26,588 44.81%^}; $ 43,175 $ 23,162 $ 20,013 53.65%
..:x.. ...o'.».. v ro: ,.:n::a>:.^.'^n2C>'^x. ::AJyr4y4:^.x:>x£a:T .e:[.:>X:'F:C:..4mx: aiuC'.'r: ntn..:::n +:.::N62:y.:J:^.t[£9sxY.:v~:gP nn2y :,.:xtt4r,.:nr£.n,£'n`:
x "m ~ x n sss, oz f s s"f 4 i A& x,~G.t4 ' au f~r<ff. c~:
Totals $'[48,175 $ 21,587 V$ 26,588 44.81%;!;Sa $ 43,175 $ 23,162 $ 20,013 53.65%
Note: Comprised of Injury prevention (5180) and Health Education (5182) Budgets
Program: 61010 Administration
Current Year Prior Year
Typeof Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining 'fit# Amount Earned Remaining
Mod Max $ - $ - $ #DIV/0! $ 50,000 $ $ 50,000 0.00%
Other $ 14,300 $ 1,520 $ 12,780 10.63%?#2'~~ $ 12,000 $ 6,613 $ 5,387
Federal&Stele $ 216,117 $ 162,441 $ 53,676 75.16% $ 267,979 $ 100,292 $ 167,687 37.43%
.,:J. ti.
va wau,.L..af[.w....be Yn..i., w.v...w. 4.: :.a>,cw....,~.,:sJ.xa: '...,.mt.,.cw.xko, a.£a .k4xafa:
Totals $ 230,417 $ 163,960 $ 66,457 71,16%' $ 329,979 $ 106,905 $ 223,074 32.40%
Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program expenditure report and the totals on the program revenue report.
Revenue Summary
11
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
12/31/2005 •
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61250 Navigator-Partnership "
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned - Remaining Amount Earned Remaining
Other $ 108,113 $ 32,908 $ 75,205 30.44% g3!f~ $ 155,320 $ 46,519 $ 108,801 •29.95%
4 z:: 'ooks
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ro
'I 43
4£. 4 t. 2 y_y tss3' ~4:q:8:.. ~d~"`.gg§w?
...4R:a:.k:.,3».a4;,... ..3..a»..E...: az.z.:a ~ Jw4SU:x:.,x5 2 .4»:.%.`:eSw.`.'.w.2 :.'a'~`:&V;a..:....R.Yo,(.: »2t` vw'
Totals $ 108,113 $ 32,908 $ 75,205 30.44% s^s a$ 155,320 $ 46,519 108,801 29.95%
Program: 61270 Women Infants end Children (WIC) -
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned ~ Remaining .
R
Federal & State $ 432,588 $ 200,261 $ 232,327 4629% ;£0 $ 467,500 $ ' 121,949 $ 345,551 26.09%
.......::...n..v..:.:.[ .:..:..!.>:o..,, .::..:,.:..}:...;.,.ne£..,}.::..>: ........t 3...:..:...:.:.}....4...!.?... 9.,:....o..R..3'. , } ...,:i: . P
«.>L . :[e::.,n V.:. V. ..............:.,..n..x.::!.:.>::.: ..,:!.>;;>;:a;:n:;4}:.:,;u, a>: :.:.4 ..o 4. .0. :k3
, ;>:~[..4:£;>:,..........:;:ro:!n.~!.,:!e!.•],.r.[:[:: k::;..n ..~.Y Y:3> ...,:R:. P' n: !C:a:'o Y.
.a . L:![s[a;~.
£5}![.:,..
.'3.::.,.r.•:n> xa'cr!.• 4:!.3.,! ...a£...... .a. r...b:8c;~:w .8"w`''F;.
tr
......4:.!4:4;;:!•.:ex4:!.>:., ....x.. ~n
iACU. p:o.. :'"ow
'uGYUS.~.v:C.4 a:£9'QYt : •E<:x'Gft6 i3. a4
Totals $ 432,588 $ 200,261 $ 232,327 46.29%$~~467,500 $ 121,949 $ 345,55}7 26.09%
Program: 61290 Nutrition •
Cunent Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
!5.£y
Revenue Amount Earned Remaining Amount Earned Remaining
TAX $ 7,500 $ 3,954 $ 3,546 52.72%'y. $ 7,500 $ 3,101 $ 4,399 41.34%
Other $ 500 $ 149 $ 351 e''; $ - $ 86 $ (86) 0.00%
~0.„,„.,,rsro: ••»~^}.:w:4Ay3.... ~.».:xa.:2n:.
.:C~:>Y n:R,,.. ..Ak..»::~.v"":x. ::...`"R::>b>°£^•~ ;~y~3^3ayrg3'!n^, y
._.n4....a_:... x.. ux4»;'.x4>r. tr. ...:.5 ...a.!..:': :.R.•:R: tr::k:. a[..o:4.... ':kr£!"... •r... ''.."R>:
.o
C
....3.,.4 ,c,. >..4!..... :,?..tr<._. 4xx:!!;>zy:4a;... , :y,6,:.:>h.•:{L?:. h34 ..}::£'?kk }tPG,.}. H.:fr. tr
.RS.!v4:.[.:«.: ~!4:P:?3:::20;"s.tr.. 'k4:>:x.>:::: :}>}:eR}:4 :..o. wo <3:• a, t.
n . :4:[!.:a4..:b:a.n..........}:... ~no:.; b::: :,a,.>:::A :..::p:~:: ,..:..[4n:..4:,:.:4.P..>.a.: ::k„y S
..........n... ..n >•:!4»•:::. C;':Y"k;>;:£:3 £:3:'::..:' .n:,..,49:ti,tr::4',}, kR:~.gs. ..y.£'
IN
...:2. ,.ociY.L.. ..a.
N:isi:£::4%:k.>:a.,.'.'I.;:t4:..:.:... ..v '2:4'x'2.: 44. .P»::"'?•~fJ'~:.§'t.: P':
...ao:;.,..,.,...:,>0:4 ,:e...> £:'£"i>3 .........n....>.2.`:~:%:a .34.4k}:k<}1.,.<......v;::.! 4oc>>.6?'<:!u;(!:~: ;:£ar" .:3.G.o '<':y„. 4,L:,:.k,[. ;:3.. m::a r• .r,.oa .R>.5.4°, 6R.a.
....,,,n....4:G:4tx r0w.4:Y.~aO~...... vi w.v:.:G>:........4.wbS...n.s..a.~v...<4R....w...wvES`.xK>.S.w,»Y ..v.. ~ .s'v4vn:`'~'.'.'> .aas "•n:. f£ . .
Totals. $ 8,000 $ 4,103 $ 3,897 51.29% .7,500 $ 3,186 $ 4,314 42.49%
Program: 61300 Mobile Dental Unit
Current Year Prior Year
<s3::.
Type o1 Budgeted Revenue Balance % Budgeted Revenue Balance. ~ %
Revenue Amount Earned Remaining Amount Earned Remaining
TAX $ 380,159 $ - $ 380,159 0.00% - $ - $ - 0.00%
e.3,.
Other $ 502,420 $ - $ 502,420 0.00% $ $ - $ 0.00%
:3Y n.»s!:, ye: .Y.4s'F.t4:..»}i••...vny..}.rm
`Y4>"'kY;4kr..4,
n:.R;4;:R4::x •"n,.....,, ...4+...a„kGkk>52::...,. ....:£Y; . 4;!£;p.
:4.:c . n.: .n ....v......,:... ......:.:......4n:.4:.:::.} :2:£P ~::k:^£r2e:£?:>}»:!;;3 :..a'>. i£:,.: ;;4:... • ...~i
1.4:... ...[.a.. ....tr..>...!.}.e. ..,.;^...i>YC:<k....~.~..:. :.v.
. ....E :.............n. .....£;£•;£:;ai:_:: ...n. ^ i:.::~.: "~i~:i<~:76~!,.:a •[<.4$T}:: trk,R;4i)
vim s...~.<...... ..:.:.[!.4:4>:.>~>:a:.Y..}.... ;(ae.:.}
.y..>, 4....,.,.......;.:...'.k::v~k:?::k:.....::.
....fA..:..nx 0 .R.w ny:6:[....0:. ...v%iS2:rR::e>C'~2~: '?`,R',~',!(~v.GB
Totals $ 882,579 $ - $ 882,579 .:.w 0$ -Is Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program expenditure report and. the totals on the program revenue report
Revenue Summary 12
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
• 12/31/2005
Cumulative % 50.00% Month Reported man 6 of 12 Dec-05
Program: 61310 Epidemiology
Current Year Prior Year
Type of - Budgeted Revenue Balance %Budgeted Revenue Balance 9'>
Revenue Amount Earned Remaining f Amount Earned Remaining
Federal 8 State $ 73,140 $ 57,625 $ 15,515 78.79%$ 73,140 $ 63,528 $ 9,612 86.86%
Medicaid $ 35,000 $ 13,321 $ 21,679 38.06% pv $ 35,000 $ 9,938 $ 25,062 28.39%
Health Fees $ 74,800 $ 76,623 $ (1,823) 102.44% $ 69,545 $ 50,896 $ 18,649 73.18%
Mod Max $ - $ - $ pDIV/0! of $ 27,000 $ - $ 27,000
Other $ 24,000 $ 78,636 $ (54,636) 327.65%$ 45,427 $ 23,247 $ 22,180 51.17%
.>:[.;<:[zs
m I
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e:.. y.I.,.u..... • C
....Yx•[!u..9......w.. F:~:.:.:....fo n[..:.:..e...v... ~.r..... <b: 5:'<:.4.... .
nn..P.<[;'.v.c.~ .......n. a sA .nn:;.£:a:~:....... .:s:.T:• x..,. ::Ebi::F:o:. a'P:?y u,:e.
ca:
e::........,.}.. . >e':: .x:5:;:<.>:[;ro1:E:45"!Ei b .:##:t<.5E!<
:<e'«9.. o::e:.. n:>...•:.[.ai;[. n:.:n ::..,,,.n:e
..gin..:'.<.nn[. ...Y....::•w»: .:.::aO;i:~
. b.bn 5... b.. a, a.... MINN. .v,..><e.e:.: ;......e...,. ......n; ....,...b.Y ,.wv< ......e... .a :.e.... n. : . ......:a,.<...'^`:C>'c:.aJ£iaA!
we.a...5... .b..:E..J...e Y;/ .....]u. 3.m.e...e. ,iie£'uY.ew.w'aa6 '<~EE.3,«.,„ nRrdPnOn~ v1
Totals a $ 206,940 $ 226,205 $ 19,265 109.31$~-250,112::R£'4 $ 147,608 $ 102,504 59.02%
Program: 61330 TB
Type of Budgeted Revenue Balance % z Budgeted Revenue Balance % -
Revenue Amount - Earned Remaining Amount Earned Remaining
Federal & State $ 61,609 $ 61,609 $ - 100.00%ti1E: $ 79,249 $ 58,249 $ 21,000 73.50%
Medicaid $ 5,000 $ 1,260 $ 3,740 25.20% $ 7,500 $ 629 $ 6,871 8.39%
Health Fees $ 22,000 $ 18,705 3,295 85.02%$ 16,000 $ 17,550 $ (1,550) 109.69%
. p.,e,
:..£:5<.
n.. e::.,:.}.:na:n :...::[i.
........:<.a:::;.::::,..;..., ..rt ...:.a. ....s,....: ON ..a.:.,.,... nw.A . P.:£p <Eaatie'=EJJ [[<iY
wvvbv,.....;. :ucn...<vg :kw.nwY:..n§?.r::.};a .?;.£:F! 2..wtiy3aL':<:`ii%auf#' i;'~p:xe#w$' `~'w:.kaoY[::Rkw;i:6
• Totals $,.,v.,. 88,609 81,574 $ 7,035 92.06%3z^:' $ 102,749 $ 76,428 $ 26,321 74.38%
Program: 61530 Child Care Health Consultant
Current Year Prior Year
Type of - Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining` Amount Earned Remaining
aw`
Other $ 81,300 $ 19,180 $ 62,120 23.59% !8:'s $ 68,481 $ - $ 68,481 0.00%
g[::<:a:<'£S:A;:>'<....
v . t. m:.... £:vx.n.nv,.<....... .....::en....:: ..<£k Sk:Y:S £::k:Neut?':
v.Y......
.
.::i:Na'v":E:Yi [
nvc:.o : .'a!i;itiE'a'....
n:2b' G<#FUw:E:a'>Sb#.:F •k£k..xn 4:::Y,L.:.Ec.6.,S.J
Totals r$'"<,£„ 81,300 $ 19,180 $ 62,120 0.$ 68,481 .b`
- $ 68,481 0.51%
Program: 61450 Health Check
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue- Amount Earned Remaird ''1 i~ Amount Earned Remainin
Other $ 43,800 $ 11,526 $ 32,274 26.31%;'"3 $ 41,747 $ 14,036 $ 27,711 33.62%
:::«a£rs :•<o,r..v:r::nY::? ..ri.: o}:::r..:3 . r<a
r:
a..:a.:..........n ....n:..: n r:.. ;~[}.:£>.::::;.:...;e:n:.:..:., . `::°.f ~'$~M.':E~'~':9..' .v: iP;n
....n.:...:...av..:.c.o :::...........n.......rt::.a.::,: .o£:.......}.yea<.:.. ........n....,:<J....:.;:; E:£v`£`E>a:':i#::f:f!...:
:.POC
~
.3,::c.a:..ro.: ....~.:v .,.}w.:. ..:.;,e:. ,<k.•.: ....e.:.n<R.:[<,.:..;i4n:.a.ai wui :..:..::J'"[. n: p:..:..::..
Totals $ 43,800 n 11,526 $ 32,274"ei; 26.31'% $ 41,747 $ 14,036 $ 27,711 33.62%
Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program expenditure report and the totals on the program revenue report.
Revenue Summary 13
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
•
12/31/2006
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61490 Maternal Health
Current Year Prior Year
Type of Budgeted Revenue Balance % r Budgeted Revenue Balance %
Revenue - Amount Earned' Remaining Amount Earned Remaining
...........L[
r.,
Federal & State $ 121,115 $ 82,329 $ 38,786 67.98% $ 121,115 $ 72,706 $ 48,409 60.03%
f..
:..,.r: .n ....(....WO." is<n.:
....n....
93iiG
.n.v. .w:. .
Totals $ 121,115 $ 82,329 $ 38,786 67.98%$ 121,115 $ 72,706 $ 48,409 60.03%
Program: 61390 Partnership for Children
Current Year Prior Year
Typeoi Budgeted Revenue Balance % Budgeted Revenue - Balance
Revenue Amount Earned Remaining Amount Earned Remalnin
Other $ 170,000 $ 46,332 $ 123,668 27.25% $ 172,500 $ 57,016 $ 115,464 33.05%
.....n...rm'a:•.iny»:wyr n~n.+....v^
i3" E"3"r'
:..M
Y ~9
(;:^,•;J~'q •z'o:,:;:,(..<:oo p;,n:,,.
s .:.5.(:;?.n.. ya4:$4.r..
.;:(<r:Ma.:<?;;R:.:.An ~..C F... n:..n n.:a.r>::<'ii!!i:'::2r:4ivur1.(.r:B:oxLrv:'u:<bw`:3":e:(:eR<u40:"i::w`e::xa&c?.xr..GUO'9x:cR:A,2R.W:r^.
Totals $ 170,000 $ 46,332 $ 123,656 27.25% $ 172,500 57,016 $ 115,484 33.05%
Program: 61550 Child Health
Current Year Prior Year - -
Type of Budgeted Revenue Balance %4s Budgeted Revenue Balance %
Revenue Amount 63054.29 Remaining Amount Earned. Remaining
Federal & Stale $ 90,027 $ 89,058 $ 969 98.92%:.,:. $ 90,028 $ 91,450 $ (1,422) 101.58%
54'
Health Fees $ 1,000 $ 1,689 $ (689) 168.92% 'tt, $ 1,000 $ 1,638 $ (638) 163.81%
Medicaid $ 10,000 $ 7,230 $ 2,770 72.30% $ 10,000 5,796 $ 4,204 57.96%
1 bxs5
Totals $ 101,027 $ 97,977 $ 3,050 96.98%%% $ 101,028 $ 98,884 $ 2,144 97.88%
Program 69200 School Health
Current Year Prior Year
Type of Budgeted Revenue Balance Budgeted Revenue Balance
Revenue Amount Earned Remaining Amount Earned Remaining
Other $ 1,796,745 $ 718,698 $ 1,078,047 40.00% $ 1,686,300 $ 843,150 843,150 50.00%
,'}j;`V S(; 4 = ~ i ~ 4: s G x.0 3 $ .2 L L~3F? ~S?Y 234 .F& yS 6.~C~~~~~Fa
a x'w.Sw w.:u :"wa:.,n..a. 05~ .?fi nF nns:.n?r. 4a .:.3[1" :'.osa :n::a n::.:' ~j a o:lw Zoo "~y~.o.c.c:a, auk' 9~~oF.oo.:`'<.,.~„x .w:nour"°e`<.ck~S~.GS~
Totals $ 1,796,745 $ 718,698 $1,078,047 $ 1,686,300 $ 843,150 $ 843,150 50.00%
Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program expenditure report and the totals on the program revenue repot.
•
Revenue Summary 14
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
12/31/2005
•
Cumulative % 50.00% Month Reported Mon 6of 12 Dec-05
Program 61610 NCWisewoman
Current Year Prior Year
Type of Budgeted Revenue Balance % y Budgeted Revenue Balance %
Revenue Amount Earned - Remaining Amount Earned Remaining
Federal BState $ 20,328 12,076 $ 8,252 59.41%si`! $ 20,328 $ 3,521 $ 16,807 17.32%
. a.: +.,.v. .a., .:....:.......4:...4..w....A.vA.. .....n........ ,vn.:.u:;a :.4: a: ^y4..;. £:,:a`k;:4:.y:
n:.>:;:.;:.:o..i:::: n .[...a i.,.: <::::.[..:.R:S:,...
................:.:..:.:.:?aF..:94}
4
44~3~ .'!6n2£A.f
:4.'~"~d'£Wf'£~tiiLk'kSftro `lFi:»FW
'ou n:w
wa^ 8$i<v'
<e}20328 $8~8 3,621 $
'
Totals iii?328a~~~ $ 12,076 8,252 %R $
, 16,807 17.32%
Program: 61670 Project Assist
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal BState $ 61,141 $ 25,681 $ 35,460 42.00%$ 67,277 $ 14,943 $ 52,334 22.21%
tc'
^a R. .
tr<nt .triFk
.a..Y,a ..d .~:atrH92^F.
: . a.:,.,...$f.... n:,..k .5.:4;,a:::.^:.i: . • n.:...... :4:»: :<.<<i.:. :...::.;<:u<[i'i: 4a.4 J'.
.c<..k. ...,.:.4 a; zmG;:o:::w:<nF[1.>,?;»i~#.r£:%: £:FSi •">~~"A!t`i ~ £.»:F :f
£:•y.::?i%i ~iif!i$!'%'+, ~Y'4~%:f~j<f ^ Rh"CCRa':. ...G ,~C:kG:.
,.k... F . 'y n.4
:k
.[[.'<.>xtr;:[..~[::: :.>:.:a:'s4;:R:axx£k:}:;. .,.:..,:«[':x:»£::F: ,<4i:[<•e:[«.: :ia'GiBi} :::,:8.... .ea.r.... iF.'.8!.r...[
d}n. .
„':Gia:auR29~8
Totals $ 61,141$ 25,681 $ 35,460, 42.00%$,a<67,277 :k$ua 14,943 $ 52,334! 22.21%
• Program: Safe Communities -
Current Year Prior Year.
Type of Budgeted Revenue Balance % € Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Other $ 41,197 $ 25,000 $ 16,197 0.00% M~ % $ 12,500 $ . 27,500 $ (15,000) 100.00%
n£5:[
ii"£•R;; a.'4i.::..>.:.:k.> .:.a4..:.,.w ::£42::[4:£. .<:m~.:.r....;.:.'. .n4.,... :
.^...a..:.)...... a.. s.....t ...[.:...4'.}::
.:.....a.._:.n^.k. .......a ....0_ .......<....C.....................a............ .n............................ ...>.:.i£.[Fa:F:T^a ' ,.w
6 [:F'
4;.y. .
a.<Fhy
iRi~i~..... .
. a.
v...Ls
Totals ~$J :p41,197A a$` .£.25,000 16,197 m 60.68% ` a tM$ur~12,6W 27,500 $ 15,000 100.00%
Program: Project Stop
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining - Amount Earned Remaining
Other $ 20,268 $ - $ 20,268 0.00% $ 33,852 $ 33,229 $ 623 98.16%
:ff:~9 `e6'k
i+i. J
'2aty
%if:!iif ~kFt%%
aw4
n:0 a:dp••,avnr n u 0 .n:.v
Totals $ 20,268 $ - $ 20,268 0.00% $ 33,852 $ - 33,229 623 98.16%
Note: County Appropriation is not figured on the individual program report. The County appropriation in each program is -
the difference between the total amounts on the program expenditure report and the totals on the program revenue report.
•
Revenue Summary 15
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY REVENUE REPORT
12/31/2005 •
Cumulative 50.00% Month Reported Man 6 of 12 Dec-05
Program: TB Outreach
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned - Remaining
-E
Other $ 10,700. $ 2,675b`
$ 8,025 25.00% $ 10,700 $ 5,350 $ 5,350 50.00%
:......:vd::. xJ' :i>: y. 4x£:5£,, .J`
Y.:aRxy"9
4
4u, a.
b..
u5?...
v. E.:
n.l.: :'Y:b:a•
R:~:EY C;..
!sx;9:4;,,> 4%~~.9' J .E::...43•' • ~.':i~:".~e%i ji4:4; c .94,J. , a .e. 9[^J:(:.. [';.9; 'Sj:8's5
:S:.c:EY..(,(kv..3:..,:.:wMw.n:: a~ ,.n s x
.v»s$4~$4):4i
Totals $ 10,700 $ 2,675 $ 8,025 25.00% 10,700 $ 5,350 $ 5,350 0.00%
Program: 61770 Safe Schools
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned' Remaining
Other $ 52,424 $ 16,977 $ 35,447 32.38%$ . 51,900 $ 12,850 $ 39,050 24.76%
. s:kxs:' J:m:s.J.:54n.:...):. Y
:Y.Yn::;.[..,,,, ..,^)x.,'!^!:.:.Y =x5;:55 :![c};v::.
. .n.o- .............:..:....:.:..:.e.:.....n..'4.....5a.. :.Y.'a..n...... k...G.
,k..,::~ L.....:...^:.::J:...:}.: n[x...n:..:. w... .<.n :...e .....J...;..: pn:.:.:..a; ,...:.5:?....:..).:unJ:J).J»:e:. a.?>..}..:,.. pp,, .yb.o:R•''.
n:J^n:;)..e....;J: [:n,.::.o.::..::.n.:::.... }..n+; v:: ;!(...,?.~.,...cn.:..:.... ~....n......:o.» :.:...:.:........:......r:.......::. :.::.!«J..E.n..:.....;.
•.J::.:.::R}.„.:...,'[...,.,} .....:::.:.:.>.):Jn!x RJ:!p: .u...
;J);...(..;.........:. av:.:..:..:.......... ...,....055,^.:; 5.':::.'d..:k.xaJ;..,.3i.;; 9..: C."'
..n...n Y...... n..... vJ. Vin:.
:.<..}x:,....., ..::SRaR}`,R`a:!!.k;e}: (::.)xx.a: ~ b:.::b YJ
k... :Fn...... x..S.n : 3$
..n:L'((!L'n:.:..:,.. ...:.(..:.4..!.. .[.):;:.5 u:}\:55. :E:: $iEG xE'S'$'a
.Rau~.J.n w .S;
'k:.X:ktlv:ni°R:E):c •En..n..
R.... . , \ . » :F:vx'.::: M..$'fiF$'aEE { rc... R'v1i:dn.AVntrE .di
Totals $ 52,424 $ 16,977 $ 35,447 32.38%2 $ 51,900 $ 12,850 $ 39,050 0.0096
Note:County Appropriation is not figured on the individual program report. The County appropriation in each program is
the difference between the total amounts on the program a)penditure report and the totals on the program revenue report.
•
Revenue Summary . 16
For Month of December 2005
New Hanover County Health Department
FY 05-06
MONTHLY EXPENDITURE REPORT
12/31/2005
•
Summary for the New Hanover County Health Department
cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Current Year Prior Year
Type of - Budgeted Expended Balance % Budgeted Expended Bolan" %
Ex nditure Amount Amount Remaining Amount Amount Remaini
i
Salary & Fringe $ 11,315,151 $ 4,898,828 $ 6,416,323 43.29% $ 10,410,730 $ 4,607,852 $5,802,878 44.26%
Operating $ 1,898,430 $ 760,655 $ 1,137,775 40.07% $ 1,636,960 $ 741,580 $ 895,380 45.30%
Capital Outlay $ 679,225 $ 191,655 $ 487,570 28.22% w:A216,841..$ . 17,638 $ 199,203 81^%
yv ;%',^<•'kfh g 3 ry zr m 2 x£'c c C g'~cy'a r T o-u:
w&<uta~ce4h wfw.n~ow3,fH&a ,ew S.,S a. W, v.o...6.w uf., t? ..U ...c .wvt ..k V* i....n ..v J. a,wu..uR .w..u bum. WiA ~w .w:uK ,S Qdcr v'.:
Totals Is 13,892,806 $ 5,851,138 $ 8,041,668 42.12% $ 12.264,531 $ 5,367,070 $5,897,461 43.76%
•
•
Expenditure Summary
For Month of December 2005 17
New Hanover County Health Department
FY 05-06
MONTHLY EXPENDITURE REPORT
• 12/31/2005
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61030 Environmental Health
Current Year - Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount - Amount Remain)
Salary & Fringe $ 1,140,040 $ 483,646 $ 656,394 42.42% $1,011,926 $ 418,640 $ 593,286 41.37%
Operating $ 92,266 $ 51,434 $ 40,832 55.75%$ 71,340 $ 31,591 $ 39,749 44.28%
Capital Outlay $ - $ $ ~ 0.00% $ - $ $
"r(..:.:...,.n:<;..:^:<y:.•;,, i5 .y;.:. . >:sn. ~iimmxiz f^'. :dJ+tsx
5..
p
i''f:ha.... an i~C:JnW:w {[1CC}Af~m:<ou..dxC:~
TotelsAf $ 1,232,306$T^J535,080 3 697,226 Amy 43.42%y$ 1,083,266',W$ 450,231 633,035 41.56%
Program: 61050 Vector Control
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance f42.44%,
Expenditure Amount Amount Remaining Amount Amount Remaining
4
Salary & Fringe $ 354,328 $ 135,521 $ 218,807 38.25%;v $ 329,389 $ 168,458 $ . 160,931 Operating $ 127,693 $ 94,559 $ 33,134 74.05%$ 114,463 $ 45,989 $ _ 68,474 Capital Outlay $ 111,460 $ 25,260 $ 86,206 0.00% $ 61,500 $ $ 61,500 Y
,..v(..,..:(^..,,:m3in..>.:.:i:..:CV.i:f
?rz::
. ...ii::x:ri.. " . .....:.:a'wv:ui~::°:.'d~R: :..ux.,i<vl:Totals $ 593,481 $ 255,340 $ 338,14143.02%$ 505,352$ 214,447.$ 290,905 .
Program: 61070 Animal Contrd
Current Year Prior Year
Type of Budgeted Expended Balance % vi Budgeted Expended Balance %
Expenditure Amount Amount Remain) Amount Amount Remain)
Salary & Fringe $ 948,391 $ 425,700 $ 522,691 44.89% `:y' $ 766,164 $ 379,838 $ 386,326 49.58%
Operating $ 183,576 $ 84,500 $ 99,076 46.03% $ 189,293 $ 86,277 $ 103,016 45.58%
Capital Outlay $ - $ $ - 0.00% $ 1,817 $ 1,779 $ 38 0.00%
:(:x::vq'(:r[)p:i,d:::.::n.>:C:C::a::&:(i::(:f::::`::i::aCks .elG#5 ::di::.::n[:`:[: q:..Cnw(n.:...(:ryi'::ci:`v..:: ~<i: a5::: `ix :i::vi ':~:i:$:;vz;s:f:.i•.::
s wa.a.,.,,.~.. a. [ ~ z GF r:c. d • ,-A _Yx+.,Aa ?a dy~adi a`3.2s AYttff`S.z.~Y,.a
Totals $ 1,131,967 $ 510,200 $ 621,767 45.07%<. $ 957,274 $ 467,894 $ 489,380 48.88%
Program: 61080 Good Shepherd
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended [Remal alance %
Expenditure Amount Amount Remains Amount Amount n)
Salary &Frin ge $ 28,458 $ 7,385 $ 21,073 25.95% $ $ Operating $ 38,959 $ 5,500 $ 33,459 14.12% $ $ `Capital Outlay $ $ - $ $ $ 4~.' ;RC
d,Totals 67,417 $ 12885 $ 54,532 19.11%$ $ •
Expenditure Summary
For Month of December 2005 18
New Hanover County Health Department
FY 05-06
MONTHLY EXPENDITURE REPORT
12/31/2005 •
Cumulative % - 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61090 Laboratory - -
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remain)
Salary &Fringe $ 298,404 $ 135,955 $ 162,449 45.56%.': $ 291,165 $ 132,144 $ 159,021 45.38%
Operating $ 76,319 $ 33,308 $ 43,011 43.64%yR
$ 74,483 $ 32,709 $ 41,774 43.91%
:
:<:<:
Capital Outlay $ - $ $ 0.00%'.: $ $ $ 0.00%
e ip:3f.:.x:rm:.?3•'•<r: r .~:a: .or :c
evx :.;.eee:w:ea .K33.yn>xe:<...w:...:.r.2r•:r>»s... :;»...y..>n n:.:.:x ....:iokY<:: £ 3:.3".; SCk:3;: .~SYR:.
~F3io ..s. 3:':k2>;
1 . e. . v.. d.........,.n.... ,:.),exn:<l;:!po: ,!.fin: ..ne3: f.
:.::.<f(•:: ~:2i<:2.:C:3k:><`.j:.: .ic:2;32L(.:> 4 0'.0
. lei. .y.,
.a..m v. .b.. , Q2 >ud. 3.:.1W. o. sw3aY'n
Totals $ 374,723 $ 169,263 $ 205,460 45.17% 111 $ 365,648 $ 164,854 $ 200,794 45.09%
Program: 61110 Public Health Bioterrorism
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount
Remaining Amount Amount Remaini
$a
Salary & Fringe $ 329,149 $ 147,486 $ 181,663 44.81% t%;q $ 308,091 $ 138,603 $ 169,488 44.99%
Operating $ 26,189 $ 15,516 $ 10,673 59:25% .:e°$ 53,584 $ 27,329 $ 26,255 51.00%
Capital Outlay $ - $ $ - 0.00% H $ - $ $ -
3 0.00%
3w£R3YGS...b~~ro. ~.W: ..m, r.... ~nC F GS.. y on' Y 'b i k> ~0 33'o S JAS 'o 0 o~yn
Totals $ 355,338 $ 163,002 $ 192,336 45.87% $ 361,675. $ 165,932 $ 195,743 45.88% -
Program: 61130 Care Coordination •
Current Year Prior Year
Type of Budgeted Expended Balance % rF: Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaini
Salary & Fringe $ 1,067,902 $ .470,868 $ 597,034 44.09% 5`' $ 1,049,095 $ 426,618 $ 622,477 40.67%
Operating $ 136,370 $ 19,221 $ 117,149 14.09%:,,'s>sk $ .54,760 $ 23,684 $ 31,076 43.25%
Capital Outlay $ $ $ 0.00% $ - $ $ 0.00%
b~ >~.2. .fire ~ 4..a, ~3° :.J..: o>b ..LRa>R:~k aab,d ~>23•.:
Totals: r $1,204,272 $ 490,088 $ 714,184 40.70%s:''^.i $ 1,103,855 450,302 $ 653,553 r 40.79%
Program: 61150 Women's Preventive Health -
Current Year Prim Year
Type of Budgeted Expended Balance % Budgeted Expended Balance - %
Expenditure Amount Amount Remaini Amount Amount Remaining
Salary & Fringe $ 625,041 $ 251,707 $ 373,334 40.27%$ 593,449 $ 251,954 $ 341,495 42.46%
Operating $ 188,600 81,079 $ 107,521 42.99% e` $ 199,718 $ 75,283 $ 124,435 37.69%
Capital Outlay - $ - $ - 0.00%z q..$ $ - $ - 0.00%
s>
r :n
.yx:Jo
<k?k34.<r:Y
XI
=i S
:i:"::3i i3!i£:ias _ _ c.:k<`•."333'v~~%i::
.o.:o..:.wv.,:.: s; "'G.3:kkob:<;;
Totals $ 813,641 $ 332,786 $ 480,&55 40.90%$ 793,167 $ 327,237 $ 465,930 41.26%
•
Expenditure Summary
For Month of December 2005 19
New Hanover County Health Department
FY 05.06
MONTHLY EXPENDITURE REPORT
12/31/2005
• Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: 61170 Community Health
Current Year Prior Year -
Type of - Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining <f` Amount Amount Remain)
>qG;"
Salary &Fringe $ 581,556 $ 255,495 $ 326,061 43.93%$ 534,924 $ 228,473 $ 306,451 42.71%
Operating $ 78,695 $ 34,148 $ 44,547 43.39% v> $ 78,786 $ 22,704 $ 56,082 28.82%
Capital Outlay $ $ $ - $ - $ $ . '
.x:n ar.. a ^":n :.'.w x^ ve:r^:^yy:.:.s[
f`..: ...o :v;f.,. ...a . ^..'?.aa:[[o;:[5....:, £':'%:2"20:"¢ 0.0" .H~.
tr?...........~.2.~ q.
'.,,[yy£:' ~':at;.~~..
Totals $ 660,251 $ 289,642 $ 370,609 43.87% $ 613,710 $ 251,177 $ 362,533, 40.93%
- Program: 61190 Health Promotions
Currerd.Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remains
Salary &Fringe $ 166,915 $ 78,462 $ 88,453 .47.01%<a $ 151,359 $ 64,709 $ 86,650 42.75%
Operating $ 16,821 $ 972 $ 15,849 5.78%'i` $ 71,821 $ 2,399 $ 9,422 20.29%
r::S:::v.,. i Ye:s:':'n.. ...o'/.'££:•:.^ ~ :e^;£A:y^.^:ti[:?zs„P. z::yrc£"'<^+n;^f .yea
w'i. wo;c' w`SYiYtroa$i~YCS;','o"
S::it;.9~»aa>£w
Totals $ 183,736 $ 79,433 $ 104,303 43.23%;aE $ 163,180 $ 67,108 $ . 96,072 .41.12%
Program: 61010 Administration
• Current Year Prior Year
e %
Type of Budgeted Expended Balance % ez Budgeted Expended rRs"
Expenditure Amount Amount Remain) Amount Amount Salary &Fringe $ 739,141 $ 354,750 $ 384,391 47.99%$ 703,746 $
322,603 43 45.84%
Operating $ 258,326 $ 99,856 $ 158,470 38.66% $ 322,983 $ 143,229 54 44.35%
CapitalOutlay $ 59,815 $ 9,815 $ 50,000 16.41%3 117,945 $ 45 0.00%
.:.c xx a[;:
, ii+•.:waY"' Totals $1,057,282$~464,421 $ 592,861 3$1,144674 46583242 40.70%
Program: 61210 Board Members
Current Year Prior Year
Type of Budgeted Expended Balance % 3f; Budgeted Expended Balance %
Expenditure Amount Amount Remainin?> Amount Amount Remains
i'sw
Operating $ 3,900 $ 619 $ 3,281 15.87% F'. $ 3,900 $ 810 $ 3,090 20.77%
c..~....c.:....a.,[,.., w.:....:.a.~:;:..:.; 0
Totals $ 3,900 $ 619 $ 3,281 5.87%: $ 3,900- $ 810 $ 3,090 20.77%
•
Expenditure Summary
For Month of December 2005
20
New Hanover County Health Department
FY 05-06 -
MONTHLY EXPENDrrURE REPORT
12/31/2005 •
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: Child Service Coordination
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ - $ pis $ - $ 7,964 $ (7,964) 0.00%
Operating $ $ $ $ 746 $ 746) 0,00%
Totals - $ < $ $n 8,710 $ - 8,710 0.0094
.Program: 61250 Navigator Partnership
Current Year Prior Year -
_Type of Budgeted Expended Balance % S't Budgeted Expended Balance - %
t#
Ex nditure Amount Amount Remaining Amount Amount Remalnl
Salary& Fringe $ 104,814 $ 59,908 $ 44,907 57.16% $ $ 146,820 $ 40,825 $ 105,995 27.81%
Operating $ 3,299 $ 2,888 $ 41187.54%'4: $ 8,500 $ 3,207 $ 5,293 37.73%
Captial Outlay $ - $ $ 0.00% $ - $ $ 0.00%
~;?z~m;~.:-f^=*:sw s,:ffi:x.x
'3?:cnyrn:; 3:3
x.. n. o..: . "°'c„>~'°:°Sfii1n.c.
ao:4..., n•.Am :3L>: AwY.~. ,.<:?N>.. ,....w. 9.
.:s. ;e
n.p..
F3:e:n
tCf:i?j
•o;:w:o»;axas::e>:u:°[& `:~2!Gi.n..c:.nG:.i~»~. s„>,.ffz;[.¢roota,rS'
.csTotals $ 108,113 $ 62,795 $ 45,318 58.08%` $ 155,320 $ 44,031 $ 111,289 28.35%
Program: 61270 Women, Infants and Children
Current Year Prior Year - •
Type of Budgeted Expended Balance % Budgeted Expended Balance .
Expenditure Amount Amount Remains Amount Amount Remaining
Capital Outlay $ - $ - $ NDIV/01 $ 21,979 $ 3,058 $ 18,921 13.91% .
Salary & Fringe $ 407,711 $ 208,970 $ 198,741 51.25% " $ 414,426 $ 168,943 $ 245,483 40.77%
u
e
Operating m $ 11,823 $ 5,428 $ 6,395 45.91%$ 27,460 $ 27,174 $ 286 98.96%
s:.
w [o
_ ;'reRkraf
• .:~....214398[ ~~~~~µ205~1~~~~~
Totals we tr$t~419,594 $ $ 51.10% $463,865 $ 199;175 $ 245,769 42.94%
Program: 61290 Nutrition
Current Year Prim Year
Typo 01 Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary& Fringe $ 68.893 $ 35,978 $ 32,915 52.22% $ 65,043 $ 28,115 $ 36,928 43.22%
Operating $ 2,000 $ 672 $ 1,328 33.61% $ 2,000 $ 223 $ 1,777 11.14%
roar°.»>nx„a..atf;:f:S li?:.........., n....:....v..to;:>:.:;:.:..[::. ....~........3.... : t':. n....,: . ..n .,y,..a.4...: >bf:$:Y3:: ff:N.::at`< y8:x'k>Y:'tn ae... »k:Ye:: S'.R'.rn..,;
s:3: Pet
..3b
xa xa.x:ts3„ v e,r.F:P":..... .33. 't8ft['S.:
._„„3~>•',.w.3»e?:.xx.3•.::'.r:o>a S.:e>r.:ba ::3;:w>F~AF;r ::»,w P.,:.i?a•`':~.er .>r;::2£:7:3`s<~3:s„~: ~5;:<?3„`:s::s 'aan.[.a[...:~3.,,~ .,.,~,>...n.>•::w:xz'$'
Totals $ 70,893 $ 36,650 $ 34,243 51.70% & $e 67,043 $ 28,338 $ 38,705 42.27%
•
Expenditure Summary
For Month of December 2005
21
New Hanover County Health Department'
FY 05-06
MONTHLY EXPENDITURE REPORT
12/31/2005
Cumulative % 50.00% Month Reported Mon 6 <012 Dec-05
Program: 61300 Mobile Dental Unit
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Baton" % .
Expenditure Amount Amount Remaining ~0 Amount Amount Remaining -
Salary&Fringe $ 154,151 $ - $ 154,151 0.00%N9° $ - $ - $ - 0.00%
Operating $ 223,428 $ 4,115 $ 219,313 1.84%s! $ - $ $ 0.00%
Capital Outlay $ 505'000 156,580 $ 348,420 $ $
?;..?:P:;`rfP::.r,. •.K<» 0.00%
:??S:<.^.'Rri;.... ::..w.,
n:::
P
Y
a
>?:o::
n>VO`<S+AkZ
[~~,:aRw: `°C+'~,kvX`~R3s :SoY 4u,naa
yr. non w 3,a
MEMO ??:x :.w ?'o"<R:A :n n
ku.<en......>..,.w.,::...n. x;. o......
Totals $ 882,579 $ 160,695 $ 721,884 18.21%'F!&. $ - $ $ - 0.00%
Program: 61310 Communicable Disease (Epidemiology)
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance - %
Expenditure Amount Amount Remaining Amount Amount Remain)
Salary &Fringe $ 1,207,221 $ 509,143 $ 698,078 42.17%'s?' $ 1,095,921 $ 498,057 $ 597,864 45.45%
RP..
Operating $ 174,039 $ 144,534 $ 29,505 83.05% 166,350 $ 118,372 $ 47,978 71.16%
Capitel outlay $ 2,950 $ $ 2,950 rY~t $ - $ - $ - 0.00% -
aeKO,igg»#:nxf
3y..~
..R4::": •'y'GiA:.,^.;.w ..SS.v,P ..P .P? o ,q.
F.v^ .
^:#C'LS':£#u:aS; wxS:tt< A S
290'
R?..ciiSK?'..; a
Totals ^ < $ 1,384,210 ~ $ 653,677 $tV 730,533 47.22% $`1,262,271 $ 616,429 $ 6453842 48.83%
Program: 61330 Tuberculosis
• Current Year Prior Year _
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Ex nditure Amount Amount Remaining Amount Amount Remaining
ss
Salary & Fringe $ 293,934 $ 132,092 $ 161,642 44.94% $ 276,667 $ 127,335 $ - 149,332 46.02%
Operating $ 38,849 $ 15,541 $ 23,308 40.00%$ 38,886 $ 17,151 $ 21,735 44.11%
Capital Outlay $ $ $ - 0.00% $ $ $ - 0.00%
:«on~xe:<yP~ :KR:9" ..P>:P:<P::yovMMC :dP: ^'^Nr,.2'C. :>:o»
:[n:[ q<q: n,y[:aa......
>
oen . 1<r::o:., .
3
NY:;
au:
y+ ~t 6
N.. ?~5'.0 . s 066 45.79%
Totals` ,332,783$147,633$ 185,150:. <44.36%:;.":::, $ 315 , 591 144 487 $ 171
Program: Navigator
Current Year Prior Year -
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaini Amount Amount Remaining
V f'.
Salary& Fringe $ - $ - $ - $ 2,129 $ (2,129)
Operating $ $ $ $ $ 378 $ (378)
•M:avam..evn...:.... ::.;:H.or,. Y: q,~~g,P :P^'
'Ur <sy^ $ } -y 0 ` o n~.n.:.. ;.Y>, ^~y~«6Tw~ ~ 94',f"': ^P~~§+d P. .
kn:Yna .,:nna,re.~: r.P 9Rn.n:.0. £ d`«x ~z«<oen'ik€:A:,' `la'>$SsR'RS~: aA.R.x#;aa'.'~;aa
Totals $ ^ $ $ - $ 2,507 $ 2,50
•
Expenditure Summary
For Month of December 2005
22
New Hanover County Health Department
FY 0"6 -
MONTHLY EXPENDITURE REPORT
12/31/2005
Cumulative % 50.00% Month Reported Mon 6 of 12 Dee-05 •
Program: 61390 Child Care Health Consultant
Current Year Prior Year
Type of Budgeted Expended Balance % Y Budgeted Expended Balance %
Remaining Amount Amount Remaining
Expenditure Amount Amount
Salarys Fringe $ 77,297 $ 7,013 $ 70,284 9.07%K^2 $ 57,376 $ 34,236 $ 23,140 59.67%
Operating $ 4,003 $ 293 $ 3,710 7.33% a°i $ 10,714 $ 464 $ 10,250 4.33%
ppryital $ $ $ 000% P $ $ $ 000%
CTy4 F s.~ k P J Pk; 4j )R CSEy C kJ CC JP)##A:J P)C E~ r:SS`kK?SC ,
a...2.. .....R
Totals $ 81,300 $ 7,307 $ 73,993 8.99%'ry`:: $ 68,090 $ 34,700 $ 33,390 50.96%
Program: Maternal Outreach Workers -
Current Year Prior Year -
Type of Budgeted Expended Balance % t> Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaini
WI,
salary 3. Fringe.. $ $ $ < $ $ 1,607 $ (1,807) 0.00%
$ $ $ 399 $ 0.00%
Operating $ - - -
- s ;rox cal,: - c^t y. .,s.k:grP n r-s ,..4`.:<<^o:^'P :)as • nw :.4 pr,cy
~o<'Nt;'ni P:o<Soo ?,i
'u'~kb`k'~~RS.:
k.:
Totals $ A$.° $ - $ 21206 $ 1,80 0.00%
Program: Maternity Care Coordination - -
Current Year Prior Year •
Type of Budgeted Expended Balance % 9! Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
a??:
Salary & Fringe $ - $ ~ - $ $ - $ 7,775 $ - 0.00% -
';al
Operating $ - $ $ - $ 345 $ 0.00%
Capital $ ,.:S.a.xS:.<;:8..ze°:
Totals $ $ $ $ 8,120 $ 0.00%
Program: 61450 Health Check
Current Year Prior Year
Type of Budgeted Expended Balance % f Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaini
Salary a Fringe $ 39,812 $ 18,677 $ 21,135 46.91%::-E ' $ 36,752 $ 17,410 $ 19,342 47.37%
Operating $ 3,988 $ 485 $ 3,503 12.17% $ 4,404 $ 723 $ 3,681 - 16.42%
Capital $ $ 0.00%
Totals $ 43,800 $ 191162 $ 24,638 $ 41,156 $^J,18,133 $ 23,023 44.06%
Expendiftwe Summary
For Month of December 2005 23
New Hanover County Health Department
FY 05.06
MONTHLY EXPENDITURE REPORT
12/31/2005
• Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: Personal Health
Current Year Prior Year -
Type of - Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary 8 Fringe $ - $ t~k $ - $ 10,623 $ (10,623) 0.001X
Operating $ • $ - $ - - R $ - $ 157 $ (157) 0.001X
Capital $ - $ • $ 0.00% %tr $ 12,800 $ 12,800 $ 100.00%
Totals $ - $ • $ - 0.00% $ 12,800 $ 23,580 $ 10,780 0.00%
Program 61490 Maternal Health
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure - Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ 305,018 $ 142,629 $ 162,389 46.76% g<% $ 288,506 120,098 168,408 41.63%
Operating $ 27,600 $ 9,241 $ 18,359 33.48% fib;? $ 28,252 $ 17,358 $ -10,894 61.44%
Capital $ .n..<::.i..:;>. $ $ $ - $ _
:..n.....:.n~. : eq.^
r,:.Y.:: :..k...
o'!S''~3
:63'ti..:. L;2>Z• u w''a i!':0.3isw¢: kn>.tiaOa'n`>R"~i3E1eti ' o£<C:£:tt>Lc
va.:o i£um7.»ga >n
Totals $ 332,618 $ 151,870 180,748 w {45.66%?'>? h$^;316,758 $2 137,457 $ 179,301{ 43.39%
Program Fatuity Planning _
. Current Year Prior Your
Type of Budgeted Expended Balance %r Budgeted Expended Balance %
Expenditure Amount Amount Remainin Amount Amount Remaining
Salary & Fringe $ - $ 15,702 $ (15,702) $ - $ 10,235 $ (10,235) 0.00%
+<t
Operating $ - $ 9 $ (9) <ayi $ - $ - $ 0.00%
Capital Outlay $ $ $ $ $ $
[:.n.ev:+:....{[a: :;....v: t%,>;n:::n:i•v..::ni:{[.. :..vvn.:.v :.....:.......n .v.an;n:;nam:.{.<..> :
Y.C:n:N.Cn
a... ::a::9..:2...
..f: e
as':r)`:!'~"L'<i tit;
"i >.x8 :wc . 0>z:.iuRU{?2<£" w,[3 a.a;x
:
o_
Totals, $ $ 15,711 $ 15,711 >a« $ $ 101235 $ 10,235 0.00%
Program: 61530 Partnership for Children
Currant Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expend] ure Amount Amount Remaining 0 Amount Amount Remaining
Salary & Fringe $ 162,921 $ 74,916 $ 88,007 45.98% Fuk` $ 166,875 $ 75,848 $ 91,027 - 45.45%
Operating $ 7,079 $ 1,017 $ 6,062 14.37% $ 4,824 $ 1,153 $ 3,671 23.90%
Capital $ - $ . - 0.00% ° 800 $ - $ 800 0.00%
Totals $ 170,000 $ 75,932 $ 94,068 44.67%:' $ 172,499 $ 77,001 $ 94,698 44.64%
•
Expenditure Summary
For Month of December 2005 24
New Hanover County Health Department
FY 05-06
MONTHLY EXPENDITURE REPORT
1:Z/31/2005
Cumulative % - 50.00% Month Reported Man 6 d 12 DW-05
Program: 61550 Child Health
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted- Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remain)
Ygi'
Salary & Fringe $ 340,279 $ 155,579 $ 184,700 45.72% $ 332,107 $ 137,096 $ 195,011 41.28%
Operating $ 40,380 $ 13,172 $ 27,208 32.62% 1 $ 43,252 $ 17,442 $ 25,810 40.33% -
CapitalOutley $ $ $ ;es $ $
Y(.i:'•5 :.YR" :::?i:R.:MM?.bw[ ...:F'(?.[...Y.>.N'(<:. ;Sxt:'^:oyrjvt?.,
3n >
J'iPA.v2" ::efuSY"w'ki@ti:LRS: '[CL'R:CtlRRR:4:i":
Totals $ 380'6591$ - 168,751 $ 211,908 44.33%c'c: $ 375,359 $ 154,538 $ 220,821 41.17%
Program: 61570 Dental Health
Current Year - Prim Year
Type of Budgeted Expended Balance % %i Budgeted Expended Balance %
Expenditure Amount Amount Remaining - Amount Amount Remaining
as3
Salary &Fringe $ - $ - $ 0.00%:~ 42,377 $ 1,855 $ 40,522 4.38% ,
Operating $ 5,200 $ 65 $ 5,135 1 25% R $ 5,200 $ 60 $ 5,140 1.15% NO. 2o..Yk:s~r`E.~2Jy~3;
WON :.::t.R9:ax: 1111-W a v..,yx<kxi.:$ax:w:2<c
Totals $ 65 $ 511,135 1$ 47,577 $ 1,915 $ 45,662 4.02%
Program: 61590 School Health
Current Year Prim Year - •
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remain I Amount Amount Remaining
Salary & Fringe $ 1,736,234 736,732 $ 999,502 42.43% Ri„ $1,601,861 $ 724,565 $ 877,296 45.23%
Operating $ 60,511 $ 21,998 $ 38,513 36.35% $ 70,582 $ 28,025 $ 42,557. .39.71%
Capital Outlay $ - $ $ 0.00% $ $ $ 0.00%
Totals $ 1,796,745 $ 758,730 $1,038,015 42.23%$1,672,443 $ 752,589 $ 919,854 45.00%
Program: 61610 wisewoman
Current Year Prim Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe $ 15,224 $ 5,369 $ 9,855 35.27% :'ar $ 15,224 $ 6,995 $ 8,229 45.94%
Operating 5,104 $ 979 $ 4,785 18.01%`i $ 5,104 $ 563 $ 4,541 11.04%
n..: q..n .........:..f,... ::v ..vX.C. y.: ..............:.:'.>?<ni: ;"n"ii :,x :v.. i`,. C. A >;a~/iC•.
C. b:°e%"~'?w>:.v.h. .CI ~',C'^u'.'2f~:
Totals $ 20,328 $ 6,288 $ 14,040 30.93%t'' $ 20,328 7,558 12,770 37.18%
•
Expenditure Summary
For Month of December 2005 25
New Hanover County Wealth' Department
FY 05-06 .
MONTHLY EXPENDITURE REPORT
• 12/31/2005
Cumulative % 50,00% Month Reported Man 6 of 12 Dec-05
Program: - Children Special Health Services
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended- Balance %
Expenditure Amount Remaining ` Amount Amount Remaini
Amount
gv:
Salary & Fringe $ - $ - $ $ - $ 200 $ (200) 0.00%
Operating $ $ $ $ - $ $ 000%
b ; y ° ° ; f f 6 } g VK
.k}iNr E LRrv 65r<
.01,11
Totals $ $ 200 $ 200 0.00%
Program: Risk Reduction
Current Year Prim Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount -Amount Remaining Amount Amount Remaini -
Salary & Fringe $ - $ - $ f - $ 926 $ (928) 0.00%
Operating $ $ $ - $ $ $ 0.00%
x. 4k.::$''
Y.:S^
'C:kS. 'Gh C
::FRS°i
Totals $ $ - $ 928 $ 928 0.00%
Program: 61670 Project Assist
Current Year Prior Year -
Type of Budgeted Expended Balance % Budgeted Expanded Balance
?g.'
Ex ntllture Amount Amount Remaining Amount Amoui
Salary & Fringe $ 43,305 $ 22,388 $ 20,917 51.70%yu. $ 45,609 $ 20,2,374 44.37%
Operating $ 17,836 $ 1,317 $ 16,518 7.39%$ 23,830 $ 3,9,914 16.43%
0 00% $
Capital Outlay $ $ . -
f Crq @'&°:1~+Totals $ 61,147 $ 23,705 $ 37,436 $ 69,439 $ 24,1,288 34.78%
Program: Health Education
Current Year Prim Year
Type of Budgeted Expended Balance % €St Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaini
Salary &Fringe $ - $ - $ $ 1,978 $ (1,979) 0.00%
Operating $ - $ . $ $ 38 $ 0.00%
Capital outlay $ $ $ sb $ $ $
Totals$ A$ $ $ 2,017 $ 1,979 0.00%
•
E7penditure Summary
For Month of December 2005 26
New Hanover County Health Department
FY 05-06
MONTHLY EXPENDITURE REPORT
12(3112005 •
Cumulative % 50.00% Month Reported Mon 6 of 12 Dec-05
Program: - 61710 Safe Communities
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remain Amount Amount Remaining
Salary &.Fringe - $ - $ 'q $ - $ - - $
Operating $ 41,197 $ 17,557 $ 23,640 42.62%:s $ 12,500 $ 10,741 $ 1,759 0.00%
.
.%.4:
, ..;.._n......., .,;:•..k.bi'RRi:fffi!::R.^rs>Rn^iiJ%4::>::.Y'
RR
R
a..:w:..:::un \.S ::e S.`'SRi.... .w.. :v,C.i, .N'C^'
ifR"'.1 ~:nG3%, Y:~ Fw'd.:.i. Y'`A':N wuaG4i;•
Totals- Y V^+41,197 17,557 $ 23,640` 42.62% " ij$ io, nnV 10,741 $ 1,759 <J` 0.00%
Program: 61730 Project Stop
Curren Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure - Amount Amount Remainin Amount - Amount Remaining
R`
Salary & Fringe $ 20,268 $ - $ 20,268 0.00% $ 26,034 $ 9,476 $ 16,558 36.40%
Operating ~ $ - $ - $ 0.00% >jq $ - 7,195 $ 206 $ 6,989 2.87%
capital outlay $ $ - $ - E, $ - - $ - $
".N .
.R!?:;.. f g&fs xo: b.. L R^:!:i: r'~^'
.CnQ.Y: ..:'yiD.. d
. R' .
:..En. 6..
! ::`:p8iife~ ..R?8. 'i::~'E?r'RNe#
R
:d:' au%8'3.Q~C:G;4:'fiY 6..b.('.6:ESaL45>'aC,iy ~
Totals $ - 20,268 $ _1$ 20,268 0.00% $ 33,229 $ 9,682 $ 23,547 29.14%
Program: 61750 TB Outreach
Current Year Prior Year
%
Type of Budgeted Expended - Balance Budgeted Expended rRemainin
Expenditure Amount 'Amount Remaining - Amount Amount Salary &Fringe $ 10,700 $ 3,106 $ 7,594 $ 10,700 $ -
0.00%
Operating $ - $ 61 $ (61)$ _ $ _ $ $ $ $ ..>'b:..>lxq
$ 10,700 $::,3,167 $7.533 s: $10,700 $ 0.00%
Program: 61770 Safe Schools- United 4 Youth
Current Year Prior Year
Type of Budgeted Expended Balance %Sj Budgeted Expended Balance %
Expenditure Amount Amount Remainin " Amount Amount Remaining
Salary &Fringe $ 48,044 $ 23,653 $ 24,391 49.23%$ 49,124 $ 21,085 $ 28,039 42.92%
Operating $ 4,380 $ 630 $ 3,750 14.39% 2,776 $ 734 $ 2,042 26.46%
capital outlay $ $ $ $ $ g
nr.R,'.
;1:3f. skF'fy g .gm E~
8...! ...~...,....YaY:4:!l.Rd .i:k!Y.wv:>.A:.:.;...:b..r: Ks W
.i.%...,ax.:n;y...:.'....p.:...,.C......>::.::;::!::!
.v. , pw.3 3w:R.~eLRZ.ROR2 [.>.,...e;:4:us5u:d: E. v<,NOW, ON
.a.:...._._.,:.,......,...,:.Y:..,sc
Totals $ 52,424 $ 24,283 $ - 28,141^46.32% $ 51,900 $ 21,819 $ 30,081 42.04%
•
Expenditure Summary
For Month of December 2005 27
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05.06 -
I` r Date BOH Grant Requested Pending Received Denied
Cape Fear Memorial Foundation- Obesity
• 1/4/2006 Grant 3 year period) - $300,000 $300,000
Cape Fear United Way- Panorex Grant $38,000 $38,000
NC Office of Minority Health & Health
Disparities- Interpreter Grant $20,000 $20,000 .
NACCHO Grant-Addressing Disability in
Local Public Health. Collaboration with
12/712005 UNCW. $25,000 $25,000
Office of Research, Demonstrations and
11/2/2005 Rural Health- Pediatric Prima Care Grant $50,000 $50,000
Health Carolinians- Contract Coordinator $5,000 $5,000
10/12/2005 No activity for October 2005.
9[7/2005 No activity for September 2005.
Wolfe-NC Public Health Association
Prenatal Grant for FY 05-06 and FY 06-07-
8/3/2005 assistance for diabetic prenatal patients. $5,000 $5,000
allocating
North Carolina Alliance(NCAH) for $5,000 from
Secondhand Smoke- Local Control e,usnng PA
Initiative-if approved and awarded PA funds "allocating budget- 'Grant was
$5,000 from approved by not approved
to be used for educational purposes and existing PA NHC-CC by RWJ
media campaigns only. budget 9/19/05 Foundation
7/6/2005 No activity for Jul 2005.
NC Dept of Insurance- Office of State Fire
6/1/2005 Marshall- Risk Watch Continuation Grant - 25,000 $ 25,000 -
HUD (partnership with City of Wilmington)
• Lead Outreach and Education Program (3
year funding) $ 275,000 $275,000
Ministering Circle- Good Shepherd
Ministries Clinic supply & Equipment $ 15,000 $ 15,000 $
No activity for May 2005.
Cape Fear Memorial Foundation- Living
4/6/2005 Well Program $ 20,000 $ 20,000 $
National Safe Kids Coalition- Mobile Van for
3/2/2005 CarSeat YChecks $ 49,500 $ 49,500 $
Smart Start- Child Care Nursing Program $ 239,000 $ 170,000 $ 69,000
Smart Start- Health Check Coordination
Program $ 43,800 $ 43,800
Smart Start- Navigator Program $ 155,000 $ 44,000 $111,000
2/2/2005 No activity for February 2005.
Champion McDowell Davis Charitable
1/5/2005 - Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No activity for December 2004.
March of Dimes- Maternity Care Coordination
Program educational. supplies and incentives
11/7/2004 for pregnant women. - $ 3,000 $ 3,000 $
10/6/2004 No actM to report for October 2004.
9/1/2004 No activity to report for September 2004.
Office of the State Fire Marshal- NC
Department of Insurance- Risk Watch
8/4/2004 continuation funding 3 ears $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch-
Eat Smart Move More North Carolina $ 20,000 $ 20,000
• NC March of Dimes Community Grant
717/2004 Program, Smoking Cessation- $ 50,000 $ - $ - $ -
Wolfe-NCPHA Prenatal Grant- Diabetic
Sup lies for Prenatal Patients $ 5,000 $ 5,000
Totals $1,424,700 $383,000 $456,700 $535,000
As of 1/4/2006 26.88% 32.06% - 37.55% 28
NOTE: Notification received since last report.
" Program did not apply for grant.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05-06
Date BOH Grant Requested Pending Received Denied
i
Pending Grants 3 17%
Funded Total Request 8 44%
Partiall Funded 2 11% _ •
Denied Total Request 5 28%
Numbers of Grants Applied For 18 100%
•
As Of 11412006 29
• NOTE: Notification received since last report. -
Program did not apply for grant.
y NEW HANOVER COUNTY
' HEALTH DEPARTMENT F
NNNNNY _ NfW H.NOVEE WUNIY NENES~
N
To: New Hanover County Board of Health Executive Committee
From: Kimberly Roane, Business Officer
Date:. January 17, 2006
Subject: Budget Summary Packet Fiscal Year 06-07
Attached is your Budget Summary packet for Fiscal Year 2006-2007. Our total Budget
Request for FY 2006-2007 is $13,786,171. This is an increase of $ 822,071 (6.34°/x)
over the Adopted Budget FY 2005-2006 amount of $12,964,100. We are requesting six
and one-half (6.5) new positions for this fiscal year, to include one social worker, one
fiscal support technician (billing unit) and one nurse for Care Coordination, one
interpreter to be shared between Child Service Coordination and WIC, one half-time
• LPN for our new Travel Shot program, one administrative support technician in Support
Services to provide program support to Environmental Health, and one administrative
support technician in Support Services to provide combined administrative support to
our Assistant Health Director, Personal Health Services Manager and Business
Manager. Projected salary and fringe figures for these positions are included in the
information provided. However, overall salary and fringe projections do not include any
projections for salary market adjustment or merit increase.
Revenues through federal and state grants, fees, Medicaid, and other sources show an
increase of $739,091 (+10.96%). The net increased cost to the county is $ 82,980
(1.33%).
Our Budget Request for FY 2006-2007 is due to the County Budget Office on February
15, 2006, for review by the County Manager, Bruce Shell, and his Budget Committee.
In May we will receive the County Manager's Recommended Budget for FY 2006-2007
for the Health Department. Any revisions to our original Budget Request will be
presented to you at a later date. On May 15, 2006, a Public Hearing is scheduled
providing you with the opportunity to appear before the County Commissioners to
discuss budget matters.
C: Board of Health Executive Committee
David E. Rice, Health Director
Health Department Management Team 30
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36
NHCHD
Budget Preparation Considerations
• FY 06-07
• Eliminated Safe Communities, Child Care Health Consultant (QEP) and Children's Special
Health Services (CSHS) programs
• Included Medical Records Imaging project first year expenditures:
o $11,650 for Smeadlink Document Imaging expansion (12 concurrent users)
o $1,150 for annual maintenance/support
o $3,000 for installation/training/implementation
o $6,200 for two high-speed duplex scanners
o $38,000 for two temporary clerks to scan documents for one year.
• New positions include:
o CSC Social Worker, MCC PHN, Fiscal Support Technician (Billing), LPN (.5 FTE)
(Travel Shots), Administrative Support Technician (EH), Interpreter (WIC & CSC),
Administrative Support Technician (supporting Asst. Health Dir., PHS Manager,
Business Manager)
• New positions and all operating and capital expenditure requests included in Personal Health
Services are fully funded through either existing expenditure budget or additional revenues
.budgeted 06/07.
• Increased Epidemiology expenditures to cover increased vaccine costs for flu and other
vaccines
• Included Environmental Health software ($200,000)
• Vector Control truck replacement transferred to County Vehicle Replacement program (4
trucks, $96,000)
• • Included Vector Control building concrete apron ($25,000)
• Included Vector Control program's GPS units for spray trucks ($30,000)
• Included four (4) laptop computers for Vector Control ($11,000)
• Included imaging services for EH records (estimated at $20,000)
• Included CO Chamber for Animal Control Services
• ACS laptop printers & vehicle mounts to be purchased in current fiscal year - not included in
06-07 budget
• Increased operating expenses for postage, fuel and mileage reimbursement cost increases.
• Budgeted $310,000 in Medicaid Maximization revenues, with corresponding increase in
expenditure budget:
o 2 temporary clerks for Medical Records scanning project
c, 4 temporary clerks for flu clinic support from October-December
o 2 temporary nurses for flu clinic support from October-December
o Contract services for Physician Extender clinic relief
o Six months salary/fringe for CSC and MCC new positions (will self-support after first 6
months)
o Salary/fringe for full year for Fiscal Support Technician in Billing
o First year operating expenses for new positions in CSC/MCC
o New copier
o Medical Records imaging project expenses, including expansion of Smeadlink,
additional licenses, 2 high speed duplex scanners, installation support and first year
maintenance/support costs.
o Increased postage costs
o Increased printing costs for flu clinic
o Epidemiology increased vaccine and supply costs
o Administration travel cost increases for IT and admin staff.
Included all of IT items submitted by D. Toth, (except did not include 10 hours/week of Admin
support time).
37
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:? Consent Meeting Date: 02/06/06
Agenda:
Department: Health Department Presenter: David Rice, Health Director
Contact: Kim Roane, 343-6522
Subject: Request for approval of budget amendment to increase revenues and
expenditures in Epidemiology. Division. Additional revenues have been received for
administration of flu and pneumonia vaccine.
Brief Summary: The New Hanover County Health Department has administered over
10,000 flu shots, nearly twice the projected number. Demand for shots was greater this
year due to critical vaccine supply issues resulting in shortages of vaccine in private
physician offices. To provide community protection against an outbreak, flu clinics were
held over a 3 month period to immunize the public. Resulting Medicare and health fee
revenues have already well exceeded budgeted revenues by over $109,000. We request
approval for an increase of $100,000 in the Epidemiology Division's revenue and
expenditure budgets. Funds will be used to pay for the increased costs of vaccine, clinic
supplies, costs incurred in the administration of the vaccine (temporary help, printing,
• office supplies), patient service enhancements to the clinic cashier office (remodeling to
improve access), billing office equipment, medical records document scanning and lab
patient processing programs to improve efficiency and patient flow to allow increased
capacity for greater numbers of patients served in the clinic.
Recommended Motion and Requested Actions: To approve the budget amendment for a
$100,000 increase in the Epidemiology revenue and expenditure budgets.
Funding Source: Medicare revenues and patient fees.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Chan e in Position(s)
Ex lanation:
Attachments:
•
38
7
•
•
•
i
a
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:? Consent Meeting Date: 02/06/06
Agenda:
Department: Health Department Presenter: David Rice, Health Director
Contact: Kim Roane, 343-6522
Subject: Decrease in State Health Promotion Funding
Brief Summary: The New Hanover County Health Department has received notification
of a state funding reduction for the Health Promotion program. This is a statewide
funding cut, based on the final state's allocated Public Health & Human Services Block
Grant funding. All counties throughout the state are now funded at no more than
$35,000. This results in a reduction of $8,175 for New Hanover County, which is being
processed as a reduction in Health Promotion state revenues and a corresponding
decrease in Health Promotion expenditure budget for program operating expenses.
Recommended Motion and Requested Actions: To approve the budget amendment for a
• decrease of $8,175 in the revenue and expenditure budgets for the Health Promotion
program.
Funding Source: State of North Carolina PHHS Block Grant funds
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: Letter from Marcus Plescia, Chief, Chronic Disease and Injury Section, NC
Division of Public Health and State Budgetary Estimate.
•
40
1
•
•
r
Kim Roane To: Marilyn Roberts/NHC@NHC
0118/2006 05:02 PM cc: Scott Harrelson/NHC@NHC
Subject: Request for Board Action - Health Promotion Funding Reduction
JEN
WIATI
Req for Board Action Health Prom.doc
Letter and attachment with Budgetary estimate are below, so you can use to attach to this request for
Board Action.
Thanks,
Kim
Forwarded by Scott Harrelson/NHC on 01/18/2006 04:56 PM
Marcus Plescia To: "The phleaders mailing list" <phleaders@listserv.unc.edu>
<Marcus.Plescia@ncm cc:
ail.net> Subject: [phleaders] Final Budget PHHS Block Grant
01/03/2006 02:46 PM
Please respond to "The
phleaders mailing list"
In the last weeks of 2005 Congress finally passed a health and human services budget. It is now
• official that $100 million have been allocated for the block grant. While this is a 25% reduction
from previous years it is good news that no further reductions were made.
With the funding now formally approved I have asked the DPH business office to release the
remaining funds to counties. As agreed upon at one of the previous Association of Local Health
Director's meetings, all counties that previously received more than $35,000 will be reduced to
this amount. Those receiving less will get the same amount as in previous years.
I apologize for the confusion this has caused over the last few months. For the purposes of
clarification please bear the following points in mind.
• If you have already drawn down some portion of your total 2005 allocation you
can now draw the remainder.
• Cost reductions at the state level have allowed us to generate some additional
funds which are being allocated to multi-county health departments.
We are very concerned about the impact that these cuts have had on local health department
capacity for health promotion and I know many of your programs and staff have been seriously
harmed by these reductions. We want to support you in this transition as much as possible. We
have absorbed some of the reduction at the state level by significantly reducing the number of
• salaries supported by the block grant and scaling back or eliminating existing programs. We will
continue to search for additional ways to make reductions at the state level. We are also pursuing
41
several opportunities to develop additional funding resources.
Despite the reductions, I would like to thank all of you for your efforts to advocate for these
funds at the federal level. I have heard from several seasoned public health advocates that they
were stunned that Congress put PHHSBG funding back into the budget after the President
eliminated it. National advocates for the block grant have repeatedly thanked me for North
Carolina's very visible efforts. Our state is increasingly being held up as a national example of
how PHHSBG funds should be used to build capacity for health promotion.
Please let me know if you have any questions
thanks
Marcus
Marcus Plescia MD MPH
Chief, Chronic Disease and Injury Section
NC Division of Public Health
•
If you need to change/update your e-mail address, please go to
http://ncinfo.iog.unc.edu/forms/listservchange.htm and use the online form to submit the
change/update.
To access messages through a Web browser go to http://webmail0.isis.unc.edu:82/lists/.
To unsubscribe send an unsubscribe message that says [unsubscribe phleaders] to
F
pyoung@email.unc.edu ian 06 memo.doc Final Bdgt Cuts.xls
•
42
N.C. Division of Public Health
r Original _X_
Revision#
aow,
Total o, All
Proposal A amount
COUNTY Current Fm I Pro oxd Funding A cut
01 ALAMANCE $21,009.00 $ 21009.00 $0.00
202 ALBEMARLE REG 7 $198,261.00 $ 140 000.00 $58,261.00
02 ALEXANDER $21,063.00 $21,063.00 $0.00
04 ANSON $53,095.00 $ 35 000.00 $18,095.00
201 APPALACHIAN 3 $110586.00 $ 78750.00 $31,836.00
07 BEAUFORT $26634.00 $26634.00 $0.00
09 BLADEN $67,240.00 $ 35 000.00 $32,240.00
10 BRUNSWICK $30,355.00 $30,355.00 $0.00
11 BUNCOMBE $95,475.00 $ 35 000.00 $60,475.00
12 BURKE $28,827.00 $28,827.00 $0.00
13 CABARRUS $29,202.00 $29,202.00 $0.00
14 CALDW ELL $87,065.00 $ 35 000.00 $52,065.00
16 CARTERET $36,501.00 $ 35 000.00 $1,501.00
17 CASW ELL $45,504.00 $ 35 000.00 $10,504.00
18 CATAW BA $24,461.00 $24,461.00 $0.00
19 CHATHAM $65,657.00 $ 35 000.00 $30,657.00
20 CHEROKEE $24451.00 24,451.00 $0.00
• 22 CLAY $21,011.00 $ 21 011.00 $0.00
23 CLEVELAND $37015.00 35000.00 $2,015.00
24 COLUMBUS $51,641.00 $ 35 000.00 $16,641.00
25 CRAVEN $73,946.00 35 000.00 $38,946.00
26 CUMBERLAND $76899.00 $ 35000.00 $41,899.00
28 DARE $21,011.00 21 011.00 $0.00
29 DAVIDSON $25164.00 25164.00 $0.00
30 DAVIE $42,013.00 $ 35 000.00 $7,013.00
31 DUPLIN $78099.00 $ 35000.00 $43,099.00
32 DURHAM $46011.00 $ 35000.00 $11,011.00
33 EDGECOMBE $72.957.00 $ 35 000.00 $37,957.00
34 FORSYTH $21,011.00 $ 21,011.00 $0.00
35 FRANKLIN $21,826.00 $21,826.001 $0.00
36 GASTON $65,742.00 $ 35 000.00 $30,742.00
38 GRAHAM $21,009.00 $ 21 009.00 $0.00
203 GRAN-VANCE 2 $45424.00 $45,424.00 $0.00
40 GREENE $24,461.00 $24,461.00 $0.00
41 GUILFORD $138,735.00 $ 35 000.00 $103,735.00
42 HALIFAX $30.751.00 $30,751.00 $0.00
43 HARNETT $21,011.00 $ 21 011.00 $0.00
44 HAYWOOD $30528.00 $30,528.00 $0.00
45 HENDERSON $21,011.00 $ 21 011.00 $0.00
46 HERTFORD $54,739.00 $ 35 000.00 $19,739.00
47 HOKE $20,996.00 21 000.00 -$4.00
48 HYDE $22,577.00 $22.577.001 $0.00
49 IREDELL $24,399.00 $24,399.00 $0.00
50 JACKSON $44,054.00 $ 35,000.00 $9,054.00
• 51 JOHNSTON $32,777.00 $32,777.00 $0.00
52 JONES $26,033.00 $26,033.00 $0.00
53 LEE $40,509.00 35 000.00 $5,509.00
54 LENOIR $24,697.00 $24,697.0 0 $0.00
55 LINCOLN $21,015.00 $ 21 015.00 $0.00
56 MACON $85,328.02 $ 35 000.00 $50,328.00 43
57 MADISON $21,011. 021 011.00 $0.00
N.C. Division of Public Health
Original _X_
Revision#
ROW 1
Total of All
ropoae amount
COUNTY Current FuvN Proposed Funding A ow
205 MAR-TYR-WASH 3 $101,730.00 0 $22,980.00
60 MECKLENBURG $43,319.00 0 $8,319.00
62 MONTGOMERY $21,544.00 .00 $0.00
63 MOORE 20996.00 0 -$4.00
64 NASH $34,757.00 .00 $0.00
65 NEW HANOVER $43,175.00 0 $8,175.00 -
66 NORTHAMPTON $43,257.00 00 $8,257.00
67 ONSLOW $24453.00 $24453.00 $0.00
68 ORANGE $24,461.00 $24,461.00 $0.00 -
69 PAMLICO $31,773.00 $31,773.00 $0.00
71 PENDER 39386.00 $ 35000.00 $4,386.00 -
73 PERSON $34993.00 $34993.00 $0.00
74 PITT $48,098.00 $ 35 000.00 $13,098.00
76 RANDOLPH $25,854.00 $25,854.00 $0.00
77 RICHMOND $21,011.00 $ 21 011.00 $0.00
78 ROBESON $41,978.00 35 000.00 $6,978.00
79 ROCKINGHAM $51,810.00 $ 35 000.00 $16,810.00
80 ROWAN $31016.00 $31,016.00 $0.00 -
207 R-P-M 3 $76,839.00 $ 76 839.00 $0.00
82 SAMPSON $45481.00 $ 35000.00 $10,481.00 •
83 SCOTLAND $60143.00 $ 35000.00 $25,143.00 -
84 STANLY $21,011.00 $ 21 011.00 $0.00 -
85 STOKES $21.011.00 $ 21 011.00 $0.00 "
86 SURRY $34,716.00 $34,716.00 $0.00
87 SWAIN $24460.00 $24460.00 $0.00
206 TOE RIVER 3 $102,802.00 $ 78 750.00 $24,052.00 -
88 TRANSYLVANIA $21,011.00 $ 21 011.00 $0.00
90 UNION $21,011.00 $ 21 011.00 $0.00
92 WAKE $30,811.00 $30811.00 $0.00 _
93 WARREN $84,957.00 $ 35 000.00 $49,957.00
96 WAYNE $35159.00 35000.00 $159.00
97 WILKES $28192.00 28192.00 $0.00
98 WILSON $24461.00 $24461.00 $0.00
99 YADKIN $21,011.00 $ 21 011.00 $0.00
TOTALS BY CENTER $3,707,484.00 $ 2,795 375.00 -
Total Cost Reduction $ 912,109.00
•
44
I
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:? Consent Meeting Date: 2/06/06
Agenda:
Department: Health Presenter: David Rice or designee
Contact: Janet McCumbee 343-6559
Subject: Family Assessment Coordination Grant- $113,000
Brief Summary: The Family Assessment Coordination (FAC) Program has been funded
for 4 years as part of the Cape Fear Memorial Foundation (CFMF) NAVIGATOR grant.
CFMF funds have ended and the FAC part of the grant has been picked up by Smart
Start for the rest of the current FY. We are submitting an application for continued Smart
Start funding for FY 06-07. The goal of the FAC Program is to provide universal'
screening for prenatal and post partum.women. Surveys are done in OB offices and
prenatal clinics to determine the needs of parents for resources such as social, financial,
developmental, nutrition, medical, and educational. Social workers or nurses follow up
with the families, based on their needs. This funds one position (SW or nurse) and
.
administrative support for the program.
• Recommended Motion and Requested Actions: To approve the submission of the
Family Assessment Coordination Smart Start grant and any budget amendment related to
the receipt of the grant funds, if there is a difference in what is already budgeted in the
health department 06-07 count budget for organization 110 61250.
Funding Source: NHC Partnership For Children (Smart Start); No County match of cash
funds is required - only in-kind contribution of administration and supervision (currently
in place). No additional space is required, as staff are currently working in existing
space. Program will not be continued if grant funding ends.
Will, above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: The grant currently covers one (1) Social Worker or Nurse position and one
1 art time adm. support tech.
Attachments:
•
45
Application Cover Sheet
Project Title: Navigator/Family Assessment Coordination
Agency Legal-Name: New Hanover County Health Department
Mailing Address: 2029 S. 17 Street
Street Address: same
City:Wilmington New Hanover Co. NC 1Zip: 28401
Phone: 910 343-6522 Fax: 910 341-4146
Email: kroane@nhcgov.com Website: www.nhcgov.com
Program Contact Person
Name: Juanita Sneeden Title: Public Health Nurse Supervisor
Phone: 910-343-6566 Email jsneeden@nhcgov.com
Fiscal Contact: Kim Roane, Business Officer, 343-6522, kroane@nhcgov.com
Person Authorized to Sign Contract
Name: David E. Rice Title: Health Director
Phone: 910-343-6591 Email: drice@nhcgov.com
i
Tax-Status:. OFor Profit (X )Public ()Tax-Exempt Organization
• Federal Tax ID Number: 56-6000324
Total Project Budget: $ 125,800
Other Funding Sources: $12,800 _
I Funding Requested from NHCPFC
Year (2006-2007) $ 113,000
- - - - - -
Total Request $ 113,000
Signatures indicate completeness and-accuracy of proposal packet. _
Proarall ntact Person 1h
Date
i Person Authorized to Sign Contracts
• Date
46
r,
Attachment 5
I I
r4
Projected Budget for Direct Services Provider Activity
Partnership:New Hanover County Partnership for Children, Inc. Fiscal Year: 200607
Direct Services Provider: NHC Health Department Smart In-Kind Cash Total
Contract N: Activity A: 219 Start Funds Match Funds
Activity Name: Navigator/FAC Funds Amount Amount Amount
11) Personnel $110,700.00 $9,000.00 _ $119,700.00_
12 Contracted Services -
$0.00
13) Total Personnel/contracted Services $110,700.00 $9,000.00 $0.00 $119,700.00
14) Supplies & Materials- _ _ $1,100.00 $1,1_00.00
15) Service-Related Sup Ipies and Materials $300.00 $300.00
16) Total. Supplies & Materials _ $1,400.00 $0.00 $0.00 $1,400.00
17) Travel _ - 0.__
$600.00 $
$6000..00
18) Communications & Postage $200.00 $2_00.00_
19) Utilities_ $400.00 $400.00
20) Printing & Binding $200.00 $200.00
21) Repair and Maintenance $0,00
22) Meeting/Conference Expense _ $0.00
23Employee Training (no travel) _ $300.00 $300.00
24) Advertising and Publicizing _ $0,00
25) Not Available for Use $0.00
26) Total Non-Fixed Operating Ex enses $900.00 $800.00 $0.00 $1,700.00
27) Office Rent (Land, Bulldingis, etc._)_ $3,000.00 $3,000.00 •
28) Fumiture Rental $0.00
29)_Equipment Rental (Phones, Computer, etc. _ $0.00
30) Vehicle Rental $0,00
31 )_Dues & _Subscriptions $0.00
32) Insurance & Bonding__ $0.00_
33) Books (LibraryReference Materials $0.00
34) Not Available for Use $0.00
35) Other E_px eoses_ _ $0,00
36) Total Fixed Charges Other Expenses $0.00 $3,000.00 $0.00 $3,000.00
37) Not Available for Use
$0.00
38) Not Available for Use $0.00
39) Furniture/Non-Computer Eqpt., $500+ per item $0.00
40) Computer EquipmenVPrinters, $500+ per item $0.00
41) Fumqure/Eypt_ under $500 per hem $0.00
42) Total Prolarty_ Equipment Gulley - $040 $0.00 $0.00 $0.00
43) Purchases of Services__ $0.00
4)4 Not Available for Use $0.00
.
45) Awards including scholarships and bonuses $0.00
46)_Cash Grants $0.00
47) Non-Cash Grants $0.00
48) Total Services/Contracts/Grants $0.00 $0.00 $0.00 $0.00
49) Total Participant Training Expanse _ Sl) 00
50 Total Budgeted Expenditures
113,000.00 12,800.00 0.00 125,800.00 •
47
1
.J
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 2/06/06
Agenda:
-Department: Health Presenter: David Rice or designee
Contact: Janet McCumbee 343-6559
Subject: Health Check/Smart Start Grant Request Renewal of existing grant)- $45,800
Brief Summary: The Health Check Coordination Program has been funded by Smart
Start for 9 years. We are submitting an application for continued funding for FY 06-07.
The goal of the Health Check Program is to ensure that Medicaid eligible children and
Health Choice insured children receive comprehensive health and dental care. The Health
Check Coordinator also does outreach in our community to find uninsured children and
assist their families with the application process for Medicaid and Health Choice. Health
Check is governed b state guidelines
Recommended Motion and Requested Actions: To approve the submission of the Health
Check Smart Start grant and any budget amendment related to the receipt of the grant
funds, if there is a difference in what is already budgeted in the health department 06-07
• count budget for 110 61450.
Funding Source: NHC Partnership For Children (Smart Start); No County match of
cash funds is required - only in-kind contribution of administration and supervision
(currently in place). No additional space is required, as staff are currently working in
existing space. Program will not be continued if grant funding ends.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: The grant covers one current position - Program Assistant (Health Check
Coordinator).
Attachments:
•
48
t'
Application Cover Sheet
Project Title. Health Check Coordination
- - - - - - - -
Agency Legal Name New Hanover County Health Department 11 Mailing Address: 2029 S. 170' Street
- - - - -
Street Address: same
City:Wilmington New Hanover Co. NC Zip: 28401
- _
I Phone: 910 343-6522 Fax: 910 341-4146
-
Email: kroane@nhcgov.com Website www.nhcgov.com
Program Contact Person
Name: Page Dunn Title: Community Services Supervisor
Phone: 910443-6648 Email: pdunn@nhcgov.com
Fiscal Contact: Kim Roane, Business Officer, 343-6522, kroane@nhcgov.com
Person Authorized to Sign Contract
Name: David E. Rice Title- Health Director
Phone: 910-343-6591 Email: drice@nhcgov.com
Tax Status:. ()For Profit (X )Public ( )Tax-Exempt Organization-_-_
• Federal Tax ID Number 56-6000324
Total Project Budget. $ 61,700
Other Funding Sources. $15,900
Funding Requested from NHCPFC
Year (2006-2007) $ 45,800
Total Request $ 45,800
i
signatures indicate completeness and accuracy of proposal packet.
ogra tact Person - a 0 ~0
Date
Person Authorized to Sign Contracts
.
• Date
49
t;
Attachment 5
Projected Budget for Direct Services Provider Activity
Partnership:New Hanover County Partnership for Children, Inc. Fiscal Year: 2006-07
Direct Services Provider: NHC Health Department Smart In-Kind Cash Total
Contract H: Activity M: 202 Start Funds Match Funds
Activity Name: Health Check Coordination Funds Amount Amount Amount
11) lawsonnel$43,000.00 $13,500.00 __$56,500.00
12 Contracted Serv ices $0.00
13) Total Personnel/Contracted Services $43,000.00 $13,500.00 $0.00 _ $56,500.00
14) Supplies&Materials $800.00 _ _$800.00
15)Service-Related Supplies and Materials $400.00 _ $400.00 .
16) Total Supplies & Materials $1,200.00 $0.00 $0.00 _ $1,200.00
17) Travel $1,160.00 $1,160.00
18) Communications&Postage $240.00 - $1,200.00 _$1,440.00_
19) Utilities _ $200.00 $200.00
20) Printing_8 $300.00 $300_00
21) Repair _and Maintenance__ $0.00
22) MeeOrt Conference Expense $0.00
23) Employee Training (no trave)_ $200.00 $200_00
24),Advenising_and Publicizing___ $0_00
25) Not Available for Use $0.00
26) Total Non-Fixed Operatin"Ex enses $1,600.00 $1,700.00 $0.00 $3,300.00
27)Office Rent (Land, Buildings, etc L $700.00 $700.00 •
28) Furniture Rental_ ____$0,00
29) Equipment Rental (Phones, Computer, etc. $0.00
30) Vehicle Rental $0.00 _
_
31).Dues &Subscriptions
$0.00
32)-Insurance & Bonding_ - $0.00
33)_Books (t.tbrary Reference Materials $0.00
34) Not, Available for Use _ $0.00
35) Other 6cpenses_ _ _ $0.00
36)_Total Fixed Charges & Other Expenses $0.00 $700.00 $0.00 $700.00
37) Not Available for use $0.00
38) Not Available for Use $0.00
39) Furniture/Non-0omp - Eqpt., $500+ er item $0.00
40) Computer Equipment(Pnriters, $500+ er item $0.00
41) Furniture/Egpt., under $500per item_ __$0_00
42) Total Property Equipment outlay $0.00 $0.00 $0.00 -----$0.00
43) Purchases of Se _ rvices $0.00
__-..T--
44) Nat Available for Use $0_00
45) Awards (indudin_g scholarships and bonuses) _ _ _ _ $0.00
46)Cash Grants- _$0.00_
47) Non-Cash Grants
$0_00
48) Total Services/Contracts/Grants $0.00 $0.00 $0.00 L
49) TotalPartieipant Training Ex ep nse $0.00_ 50 ota ud ate Ex endttures 45,800.00 5,900.00 0.00 0.00 •
50'
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 2/06/06
Agenda:
Department: Health Presenter: David Rice or designee
Contact: Janet McCumbee 343-6559
Subject: Child Care Nursing Smart Start Grant Renewal of existing ant -$186,600
Brief Summary: The Child Care Nursing Program has been Smart Start funded for 9
years. We are submitting, an application for continued funding for FY 06-07. The goal of
the Child Care Nursing Program is to provide preventative services to children, their
parents, and child care providers in local child care facilities. This includes immunizaton
followup, medical action plans; health and safety education, and technical assistance for
policies. Communicable disease issues are addressed and children are referred for
developmental concerns. Two child care nurses provide services to appproximately 75
-large facilities and 100 family child care homes.
Recommended Motion and Requested Actions: To approve the submission of the Child
• Care Nursing Smart Start renewal grant and any budget amendment related to the receipt
of the grant funds, if there is a difference in what is already budgeted in the health
department 06-07 count budget for organization 110 61530.
Funding Source: NHC Partnership For Children (Smart Start); No County match of cash
funds is required - only in-kind contribution of administration and supervision (currently
in place). No additional space is required, as staff are currently working in existing space.
Program will not be continued if grant funding ends.
Will above action result in:
?New Position Number of Position(s)
Position(s) Modification or change
®No Chan e in Position(s)
Ex lanation: The ant currently covers 2 nursing positions and one adm. support tech.
Attachments:
•
51
Application Cover Sheet
Project Title. Child Care Nursing
Agency Legal Name New Hanover County Health Department
Mailing Address: 2029 S.17m Street
Street Address: same
j City:Wilmington New Hanover Co NC Zip: 28401
-
P60 ne: 10 343-6522 Fax: 910 341-4146
Email: kroane@nhcgov.com Website www.nhcgov.com
Program Contact Person
Name: Page Dunn Title: Community Services Supervisor
Phone: 910-343-6648 Email pdunn@nhcgov.com
1 Fiscal Contact: Kim Roane, Business Officer, 343-6522, kroane@nhcgov.com
Person Authorized to Sign Contract
- -
Name: David E. Rice Title: Health Director
Phone: 910-343-6591 Email: drice@nhcgov.com
,Tax Status: ()For Profit (X )Public ( )Tax Exempt Organization
.
• Federal Tax ID Number: 56-6000324
Total Project Budget: $ 207,400
Other Funding Sources: $-20,800
Requested from NHCPFC
Year (2006-2007) $ 186,600
. - - - - - - - - . - Total Request $ 186,600
Signatures indicate completeness and accuracy of proposal packet.
oQ ~
Pr gran pct Person
Date
P son Authorized to Sign Contracts
• Date
52
.1
Attachment 5
Projected Budget for Direct Services Provider Activity
Partnership:New Hanover County Partnership for Children, Inc. (Fiscal Year: 2006-07.
Direct Services Provider: NHC Health Department Smart In-Kind Cash Total
Contract#: Activity 203 Start Funds Match Funds_
Activity Name: Child Care Nursing Funds Amount Amount Amount
11)_Personnel $179,300.00 $14,000.00 $193,300.00
12 Contracted Services - _$0.00
13) Total Personnel/Contracted Services $179,300.00 $14,000.00 $0.00 _$193,300.00
14)-Supplies & Materials - $685.00 $685_00
15) Service-Related Supplies and Materials $600.00 $600.00
161 Total Supplies & Materiels _ $1,285.00 $0.00 $0.00 $1,295.00
17) Travel-_- $2,400.00 _ $2,400_00
18) C_omm_unications & Postage _ $200.00 $800.00 $1,000.00
19)Utilities $1,000.00 _$1,000.0_0
21)Repair and-Maintenance______ $200.00 $200.00-
20) Printing & Binding- $300.00 V$21,800.00 $1,300.00
. 22) Meeting/Conference Expense $0.00
23) Employee Training (no travel $500.00 $500.00_
24)-Advertising and Publicizing- $0.00
25) Not Available for Use $0.00
26) Total Non-Fixed, Operating Expenses $3,600.00 $0.00 _ $6,400.00
27) Office Rent-(Land, Buildings, etc_ $4,000.00 - $4,000.00 •
28) Furniture Rental $0.00
29) Equipment Rental (Phones, Computer, etc. _ _$0.00
30) Vehicle Rental $0.00
31). Dues &Subscriptions_ $215.00 _ $215.00
32) Insurance & Bonding___ $0_00
33) Books (Libras Reference Matedals_ _ $0.00
- 34) Not Available for Use $0.00
35) Other Expenses _ $0.00_
36) Total Fixed Charges & Other Expenses $215.00 $4,000.00 $0.00 $4,215.00
37) Not Available for Use _$0.00
38) Not Available for Use $0.00
39) Fumtture/NOm _ puter Eq~, $500+ per item _ $0.00
40) Computer Equipment/Printers, $500+ per item $2,200.00 - $2,200.00
41) Furr hire/Egpt_, under $500 Per item $0.00
42) Total Property & E-guipment Outlay $2,200.00 $0.00 $0.00 $2,200.00
43) Purchases of Services
- $0.00
44) Not Available for Use $0.00
45) Awards (including scholarships and bonuses) $0.00
46) Cash Grants _ $0.00
47) Non-Cash Grants $0.00
48) Total Services/Contracts/Grants $0.00 - $0.00 $0.00 $0.00
49) Total Participant Training Expense $0.00
50 Total Budgeted Expenditures 186,600.00 20,800.00 0.00 207,400.00 •
53
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: =Agenda: sent Meeting Date: 02/06/06
Department: Health. Presenter: Scott Harrelson
Contact: Scott Harrelson, Assistant Health Director, 343-6592
Subject: Primary Care Project Grant Application
Brief Summary: Our department has been notified by the Division of Medical
Assistance, Carolina Access of the Lower Cape Fear, New Hanover County DSS and
representatives of local pediatric groups to alert us of the need for additional providers for
low income and indigent children in New Hanover County. Currently in New Hanover
County there are 14,167 children on Medicaid, 2,168 on NC Health Choice and
approximately 4,234 with no insurance coverage. When you combine all three groups
there are 20,569 children in this target' population and the number is growing.
Currently in New Hanover County there are no pediatricians accepting Medicaid clients
without restrictions.
Access to care is a number one priority of the New Hanover County Board of Health and
the health department. Our previous grant request for this inititative to the Office of
Rural' Health was not funded: Through a collaborative effort with the safety net providers
• in the area we have an opportunity to re-submit this grant request in the amount of
$30,000 to the Cape Fear United Way to begin pediatric primary care services for
underserved children. This would be one component of a larger rant.
Recommended Motion and Requested Actions: To accept and approve our request to be
included in an application submitted by New Hanover Regional. to Cape Fear United
Way for $30,000 to establish a pediatric primary care clinic geared towards low income
and indigent children as presented and to approve any associated budget amendment for
the increase in revenues and expenditures, including other funding sources, if funding is
awarded .
Funding Source: Grant funding in the amount of $30,000 would enhance our capability
to establish a much needed pediatric primary care clinic for the community. Grant would
be for start-up costs and would not continue past year one, but the program would be self-
sustained through other revenue sources based on patient services provided. Financial
projections based on the documented need, current reimbursement rates and similar
programs in neighboring health departments would create a self sustaining program
funded by revenues received from NC Health Choice, Medicaid and patient health fees.
No County match would be required. Space for this program would be current clinic
space already in use.
Will above action result in:
®New Position (2) Number of Position(s)
54
?Position(s) Modification or change
?No Change in Position(s)
Explanation: This program would include two new positions, an LPN and an
Administrative Support Assistant. The combined salary/fringe for both of these positions
would be $85,231.
Attachments:. A lication includes program budget)
•
55
r
I Overview of Organization (1-2 paragraphs)
Provide a brief description of your organization. Also include the following information
on users for the time period July 1, 2004 through June 30, 2005: total users, Medicaid
users, and the total number of uninsured insurers. Also as a subset of the total number of
uninsured users please report the number who are sliding fee scale, Medical Access Plan
(MAP), or free care users. Important: Please do not report the number of visits but the
number of unduplicated users (patients).
New Hanover County Health Department is located in Wilmington, NC. Our county has
a population of 173,554. Our health department is one of the oldest in the state. We have
been serving the public health needs of the people of New Hanover County for over 126
years. Our department was one of the first health departments in the state to become
accredited. We provide Clinic Services, Care Coordination Services, School Health
Nurses, Animal Control, Vector Control and Environmental Health Services. Beginning .
in March 2006 we will offer dental services to indigent children through a brand new
mobile dental unit.
Users from July 1, 2004 through June 30, 2005
Total Users: 26,203
Medicaid Users: 2,716
• Insured Users: 8,292
Uninsured Users: 15,195
11 Community Need (1 page) 15 points
Describe the population served by your organization and their healthcare needs. Include
and cite demographic data wherever possible.
The population that our proposed program will target is indigent children age birth to 18.
This population can be broken down in to three groups NC Health Choice, Medicaid
eligible and the uninsured. The numbers of each group in New Hanover County are as
follows:
NC Health Choice 2,168
Medicaid 14,167
Uninsured 4,234
Total 20,569
At our recent strategic planning session one of the top priorities for our department was
to improve access to care. The Division of Medical Assistance (DMA) informs us that
there are enrollment restrictions for Medicaid clients in New Hanover County that are
56
presenting barriers to care. We also received e-mail notification from our local DSS
Family & Children's Medicaid/Child Care Chief stating, "we now have no pediatricians
who will accept Medicaid patients without restrictions. Most are only seeing established
patients, though Carolina Pediatrics will also see siblings of established patients." As of
January 2006 all NC Health Choice children 0-5 will be rolled over to Medicaid, which
may mean more children will need to be placed with a provider. DMA has requested that
we provide primary care for children and enroll as a Carolina Access Provider to meet the
demand.
Data from the North Carolina Healthcare Safety Net Report provided by the North
Carolina Institute of Medicine shows that 85% of the uninsured in New Hanover County
do not have a primary care home. There are currently three safety net providers for the
uninsured listed for New Hanover County, NHC Community Health Center, AHEC
Outpatient Uninsured and Tileston Free Clinic. These providers saw approximately 17%
of the uninsured population for New Hanover County in 2003.
The Safety Net Report also included some interesting data entitled "Indicators of County-
Specific Categories of Need." They scored each county on 5 different areas in regard to
the uninsured:
• Number of uninsured in the county
• Percent of the county population that is uninsured
• Number of uninsured with no identified source for Primary Care •
• Percent of uninsured with no identified source for Primary Care
The ratio of primary care providers to the county population
Even though New Hanover County (NHC) scored high on the physician to population
ratio, in the top 25% for the state, the uninsured with no identified source of Primary
Care was one of the worst in the state, in the bottom 25%. This means that there is a
serious problem with access to care for the uninsured.
During our recent strategic planning process for our local Healthy Carolinians Task
Force we were presented four separate community assessments done for our area: the
NHC Health Dept 2003 Community Health Assessment, 2005 Cape Fear Area United
Way's health and human services assessment, Brunswick County Health Department
2003 community health assessment, and the Coastal Carolinas Health Alliance
regional health assessment. Each of these assessments listed access to care as a major
issue for our area.
III Project Description (3 pages) 40 points
Describe your proposed project/service. Discuss how this project will increase access to
primary care for uninsured and medically indigent persons. Include an implementation
timeline for your project assuming funding is received in January 2006.
The current problem in New Hanover County is that we do not have enough providers •
accepting Medicaid to meet the demand for our child Medicaid population. The
57
additional problem is with the uninsured, 85% of them do not have a medical home. The
proposed pediatric care program will offer an additional provider of primary care for
indigent children. We have most of the necessary infrastructure in place already. We
have an Open Access Schedule clinic, which means we offer all of our services every day
much like a private office. We have a part time physician on contract three days a week
in the clinic. We have a full time family nurse practitioner and a full time physician
assistant. We currently operate two clinic suites five days a week and one clinic suite
three days per week along with a general clinic five days a week. With this funding we
could add an additional contract physician extender two days a week, a licensed practical
nurse, a community health assistant and a program assistant to expand our clinic services
to three suites operating five days per week.
The clinic would be set up to see children 0-18 on NC Health Choice, Medicaid and those
with no coverage. A 250% sliding fee scale would be utilized to offer a maximum price
break to the undocumented and the working poor with no insurance coverage. The
sliding scale would slide to 0 for truly indigent children. We would be able to offer 50
appointments a week to this target population. We will apply to be a Carolina Access
Provider to accept 750 Medicaid children as our patients. With the ability to place 750
new Medicaid patients it should relieve the strain on DSS for placement issues. The
funds realized from the Medicaid and patient pay clients will also provide us with a
method to provide charity care to the uninsured. We will act as a referral source for other
safety net providers in our community to treat indigent children. We would meet the
• requirements for 24/7 coverage and hospital admissions for the Carolina Access Program
with the assistance of local partnerships with other medical providers in the community.
Financial projections show sustainability through Medicaid reimbursements as well as fee
for services for those that pay out of pocket at a reduced rate. Cost settlement dollars for
Medicaid services should also increase due to increased volume of Medicaid services
provided to Medicaid children. This would infuse more money to our local cause to treat
indigent children.
IV Collaboration (1 page) 15 points
Describe any collaborative activities with other safety net providers in your community
related to this project; when possible include letters of support.
Our collaboration with each of the safety net providers in the community is spear headed
through our local Healthy Carolinians Task Force, the Cape Fear Healthy Carolinians.
One of our four sub-committees is Access to Care. New Hanover Health Network will be
applying for a larger grant on behalf of area safety net providers to include our $30,000
request. Letters of support from our local partners and human service agencies will
evidence this.
•
58
•i
Salary/Fringe •
LPN (f/t) 48,152.00
Physician Consultation (16 hours/month) 10,512.00
dmin Support Asst (f/t) 37,079.00
Total Salary/Fringe. $95,743.00
Operating Expenses
Contract Services - Interpreter 17,000.00
Contract Services - FNP (40%) 45,760.00
On-Call Services ($400/mo) 4,800.00
M&R Equip 1,000.00
Printing 2,000.00
Supplies 18,000.00
Dues & Subscriptions 500
Employee Reimbursements 350
Training & Travel 1,760.00
Total Operating Expenses $91,170.00
Total Expenditure Budget 186,913.0
Revenues •
Medicaid 139,950.00
Health Fees (private.pay patients) 14,900.00
Health Choice 12,600.00
United Way/NHRMC grant 30,000.00
Total Revenues $197,450.00 $197,450.0
Net Income (Revenues - Expenditures) $10,53
•
59
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
i Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® 2161
Department: Health Presenter: Janet McCumbee
Contact: Janet McCumbee
Subject: NC Institute for Public Health Improvement Fund Grant Application- $17,034
Brief Summary: The NC Institute for Public Health Accreditation Board is offering
funds to local health departments who have been through the accreditation process over
the last few years. These funds are to be used to improve performance relative to
activities that were found to be less than optimal by the Accreditation Board. We
received our accreditation in may of 2004, with very few deficiencies. We are requesting
funds to get temporary clerical assistance for the remainder of this FY, to improve and
standardize our documents such as policies/ procedures/standing orders per
recommendation of the accreditation committee. We also need to enter all staff
continuing education hours into a datadase for annual review and to be able to prove
staff competency. If received, the 2 mini-grants ($8517 each) would fund 2 FT clerical
temps to work form March through June 2006. This is a one-time grant funded project
which will end when ant funding ends.
• Recommended Motion and Requested Actions: To approve the applications, and if
awarded, the acceptance of the state grant of $17,034 (Two separate requests for $8517
each are being submitted, due to the request covering two different activities); and to
approve any associated budget amendment related to the receipt of the grant funds in the
health dept. 05-06 count budget.
Funding Source: NC Institute for Public Health Accreditation Board. No County match
required. Existing space will be used.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
?No Change in Position(s)
Explanation: Funds would be for 2 temporary clerical staff-contract services for 17
weeks. March-June 2006
Attachments: 2006 NC Institute for Public Health Improvement Fund Grant Applications -2
60
i
2006 NORTH CAROLINA PUBLIC HEALTH
i IMPROVEMENT FUND GRANT APPLICATION
This fund is intended to assist local health departments that have been through the
accreditation process and wish to improve performance relative to activities that were found to
be less than optimal by the Accreditation Board. Please submit one completed form for each
benchmark or activity not met for which you are seeking funds for improvement.
PLEASE SUBMIT ALL FORMS TO: Craig Michalak, Accreditation Administrator
CB 8165, Chapel Hill, NC 27599-8165
Health Department Name: New Hanover County Health Department
5/28/04
Date of' Full or ? Conditional Accreditation:
Benchmark not met:
Activity not met: Section One: Standard 24 Translates adopted policies into operating procedures;
Activity 24:1 and Activity 24:4
Remedial action for which funding is requested: N/A
• Estimated date of completion: June 30, 2006
Budget requested: $8517
Budget Narrative: Request a temporary clerical person for 40 hours per week X 17 weeks (estimated
from March through June 2006); Temp would cost $501 per week. This clerical person would provide
much needed support to translate all policies into newly adopted format. He/She would also provide
assistance to the Quality Assurance team as they review, revise and develop policies, and standardize
annual review processes. This person would also assist all Divisions and teams with updating
procedures and standing orders per recommendations of accreditation committee.
Outcome or Deliverable - Document, Policy, or Physical Improvement
All Health Department Policies will be available on the website in a standard format.
All program specific procedures will be standardized, with scheduled annual reviews, and in notebooks
that readily identifiable
All standing orders will be standardized, and in a format that can be reviewed annually with
appropriate signatures.
The Quality Assurance Team will have procedures in place for annual reviews, creation of new
policies, etc.
61
y
Contact Persons: David Rice, Health Director or Scott Harrelson, Assistant Health Director
Telephone: 910-343-6591 or 910-343-6592 Email: driceanhcgov.com; sarrelson@nhcgov.com
Please note:
APPLICATIONS FORMS ARE DUE ON OR BEFORE JANUARY 31 2006.
Forms received after that date may not be considered for funding.
Health Department: New Hanover County Health Department
Health Director's Signature and Date Submitted
•
l 'or Inte]-Mll Use Only: Form received tdatej----------_ br_
62
v
2006 NORTH CAROLINA PUBLIC HEALTH
IMPROVEMENT FUND GRANT APPLICATION
This fund is intended to assist local health departments that have been through the
accreditation process and wish to improve performance relative to activities that were found to
be less than optimal by the Accreditation Board. Please submit one completed form for each
benchmark or activity not met for which you are seeking funds for improvement.
PLEASE SUBMIT ALL FORMS TO: Craig Michalak, Accreditation Administrator
CB 8165, Chapel Hill, NC 27599-8165
I-lcalth Department Name: New Hanover County Department
Datc of full or L7 Conditional Accreditation: _5_17R/04 _
Benchmark not met:
Activity not met: Section Three: Standard 3 The agency has and implements a performance
appraisal plan, that identifies the continuing education needs of the staff.
Remedial action for which funding is requested: N/A
Estimated date of completion: June 30, 2006
• Budget requested: $8517
Budget Narrative: This would pay for a temporary clerical person for 40 hours per week X 17 weeks
at $501 per week (based on March through June 2006). A clerical person is needed to provide support
for the new performance appraisal process, which includes documentation of the staff s need for
continuing education (Section 3: Standard 3). The accreditation document recommends that all staff
have continuing education needs review at performance appraisal time, and additional education needs
identified. We need all staff continuing education entered into a new database for 05-06, so that this
process can occur with the new FY (06-07).
Outcome or Deliverable - Document, Policy, or Physical Improvement
All staff continuing education will be available in a database, to include 05-06 continuing ed units.
Additional mandatory certifications or trainings will be documented.
Staff training specific to competencies such as required for Bioterrorism mandates and core functions
can be queried as needed.
• Continuing ed can be easily retrieved and documented at performance appraisal time each year, to plan
for meeting continuing ed needs for new year.
63
r
Contact Person: David Rice, Health Director or Scott Harrelson, Assistant Health Director a
Telephone: 910-343-6591 or 910-343-6592 Email: Brice@,nhceov.com or sharrelson(a~nhcgov.com
Please note:
APPLICATIONS FORMS ARE DUE ON OR BEFORE JANUARY 31, 2006.
Forms received after that date may not be considered for funding.
Health Depart nt: Hanover County Health Department
Health Director's Signature and Date Submitted
Par Internal Use Only: Form received_(date)-____ - bY
•
64
David E Rice/NHC To imccumbee@nhcgov.com, sharrelson@nhcgov.com
01/3012006 09:46 AM cc Kim Roane/NHC@NHC.
bcc
Subject Fw: United Way Grant
I have discussed this with Scott Whisnant and left a voice message with Alfred Thomas.
Stay tuned.
Forwarded by David E Rice/NHC on 01/30/2006 09:45 AM
Alfred Thomas
<nhchcl@earthlink.n To "Scott Whisnant"<Soott.Whisnant@nhhn.org>,"Rep.
at> Thomas Wright" <tomw@ncleg.net>, drice@nhcgov.com
01 /27/2006 09:50 AM cc
Subject United Way Grant
Mi. Whisnant,
I was unable to make the meeting yesterday, however I did read the
second draft of the proposed grant application to the United Way.
Perhaps I misunderstood the section regarding $30,000.00 for the
New
Hanover County Health Department to begin a pediatric primary
health
care program. Are you proposing that their request be a part of
this
grant application? I have a problem if this is correct. I don't
feel
that New Hanover Community Health Center should foster this type
of
competition. As you know, we are one of two agencies in New
Hanover
County currently providing these services. We still have capacity
for
this. If. the Health Department is interested in providing
services to
this group, we are more than happy to discuss developing a proces
for
referrals.
Alfred Thomas, CEO
New Hanover Community Health Center
•
Health Department: New Hanover County, NC Page I of 2
New Hanover County NORTH-.-CAROLINA
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2006 Carl Durham Award
tw «.xovt. coon*. «t.oe
Presented to:
GENERAL Mr. Donald P. Blake, Chairman
Department Home Page New Hanover County Board of Health
Department information
Staff - -
Services
F.A.O.S
Aga,
,r
DIVISIONS
Board of Health
i
Administration .
Animal Control Services
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Envfronmenlel Health „
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Personaf,ileaith Services
Support Servilces "
Page malydained i
by Joshua Grenert._
Lest modeled
on 01!302006.
Mr. Donald P. Blake has been a member of the New Hanover County Board of
Health (NHCBH) for thirteen years, three as chairman. Mr. Blake served as the
County Commissioner representative 1981-84, as the General Public-at-Large
representative from 1986-91, and again as the General Public-at-Large
representative from 2003 to present. Mr. Blake has been reappointed through
2008. Mr. Blake has served as Chairman of NHCBH in 1991, 2005, and has been
reelected as Chairman for 2006.
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{W NINOV[COL'OLYMV.Ar~40 2006
GENERAL
Executive Committee:
Department Home Page
Department Information Mr. Donald P. Blake, Chairman
Staff
Services Dr. Edward Weaver, Jr., Vice-Chairman
F.A.Q.s Dr. Sandra L. Miles
Dr. Robert M. Shakar, Jr.
Mr. John S. Tunstall
DIVISIONS Environmental Health Committee:
Board of Health
Administration Mr. John S. Tunstall, Chairman
Animal Control Services Mr. James R. Hickmon
Dental Health Dr. Edward Weaver, Jr.
Environmental Health Dr. G. Robert Weedon
Health Programs Administration
Personal Health Services
Support Services Personal Health Committee:
Mr. Marvin E. Freeman, Sr.
Dr. Robert M. Shaker, Jr., Chairman
~°s° "nod."edmOa/2suanoos. Gr'"°" Mrs. Cheryl Lof9ren
Lnt ",odmed on osrz
Dr. Sandra L. Miles
Mr. Stanley G. Wardrip, Jr.
Animal Control Services Advisory Committee:
Dr. G. Robert Weedon
Association of NC Boards of Health:
Mr. Donald P. Blake
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Disclaimer Privacv Notice
http://www.nhcgov.com/HLTH/NHCBH-CommiUees.asp 1/31/2006
t _ '
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•
~ _ ~
• INFLUENZA SURVEILLANCE, NC 2005-2006
Influenza-Like Illness in Sentinel Site Patients (Solid Line)
Comparative prior years, Dashed Lines
- Data available as of 25 January, 2006 -
8.0% e
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•
•
The Avian Flu Pandemic
2006 State Health Director's Conference - North Carolina
January 27, 2006
Walter A. Orenstein, M.D.
Professor of Medicine and Pediatrics
Director, Emory Vaccine Policy and Development
Associate Director, Emory Vaccine Center
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pandemic strain - and soon! Lifelong
students of this disease are much more
humble about their predictions!"
Theodore C. Eickhoff, MD
Chief Medical Editor
Infectious Disease News
December 2005,18(12) p4
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1997 Outbreaks in peuhry, one residents of Hong Kong - 16 -
hosph6lired; 6 cieadls
1998-2002 Sporedic poultry outbreaks (Hap Kong)
Early 2003 Two new human infections in Hong Kong residents
LarrppaassI epizootic of highly pathogenic avian influence n
Dec 2003 =ever described
6 countries reported poultry Outbreaks
Mar 2009 - More than 100 million birds died or were culled
First 'Wave' d human cases (Vietnam and Thailand)
Stunner 104 'Claims of control & eradication
Aug _ Oct 'Detected in Malaysia
2000 Documented In pigs in China
Stan of second have a human Wes
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Major Causes of Death from
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Median or mean range on %of
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Age (yrs.) 13.7 - 22 years
Time from illness onset to 0 - B days (314 studies)
presentation at hospital
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Myalgla 0-53%(3/4 studies)
Diarrhea 41-70% -
Abdominal pain 24- 50%(2/4 Studies)
Vomiting 0-24%(3/4 studies)
Cough 94-100%
Rhlnorrhea 0-53%(3/4 studies)
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Clinical Characteristics of Confirmed Cases
of Avian Influenza Reported from Thailand
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Shortness of breath 76-100% (314 studies) _
pulmonary Infiltrates 100%
Lymphopenle 33 - 80% (3/4 studies) -
Thrombocytopenle 33 - 50% (3/4 studies) .
Increased aminotransferase 67-83%(3/4 studies)
Respiratory failure 70-100%
Renal dysfunction 10-24%(314 Studies)
°Flulike Illness" in Households in
an Area of Vietnam Affected by
Exposure to Poultryt
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Epidemiology of H5N1
Reservoir - Migrating waterfowl -
asymptomatic or
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•
7
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JOURNAL of MEDICINE .
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W,3 person' family cluster in Thailand
• Index patient, 11 y.o. girl, lived with aunt
• 26 y.o. mother provided unprotected nursing care for .
16-18 hrs; onset 4 days later; no chicken exposure
• 32 y.o. aunt provided unprotected nursing care for
12-13 hours; onset 9 days later
Seroprevalence of Antibody in Contacts
of Infected Patients or Animals with
Avian Influenza in Hong Kong 19971
Country Population Year Seroprevalence
Hong Household 7987 6/51 12%
•
Kong contacts
Tour group 1997 126 4%
Workplace 1997 0147 0%
Poultry cullers 1997 9/293 3%
Healthcare 1997 81217 4%
Workers
t ln. wmam Cmnmftl. a WO. N Errol J lba 2tW 1 WA V1 1a!
Seroprevalence of Antibody in Contacts
of Infected Patients or Animals with
Avian Influenza in Asia 2004-20051
Country Population Year Seroprevalence
Vietnam Household 2004 0/51 0%
contacts
Vietnam Contact of 2004 0/25 0%
sick poultry
Vietnam Healthcare 2004 „ 0/83 0%
workers
Vietnam Healthcare 2004 0/60 0%
workers
Indonesia Poultry Cullers 2005 1/79 1%
tT Mons Cwnmm.r a MO. N Enyr J e.e 2M; Snnn.nsss
•
Molecular Determinants of
Human Infection
• Host cell receptor for hemagglutinin
-Avian N-acetyl sialic acid linked to
galactose with a 2, 3, linkage
-Human linkage with a 2, 6
-Ephhelial cells in human trachea primary a
2,6
-Duck trachea and intestines a 2, 3
-Pigs both
Diagnosis of Avian Influenza" -I
• Clinical Suspicion
-Travel to countries with H6 during the 7 -14
days before onset of symptoms .
-contact within 1 meter with live or dead
• domestic fowl or wild birds or domestic
ducks
-Unprotected contact (touching or speaking
distance) with a person for whom diagnosis
of avian flu being considered
IN EnVIJN 2M; M: 127~IM5
Diagnosis of Avian Influenza"-II
• Clinical Suspicion (continued)
-Unprotected contact with a person with
an unexplained acute respiratory illness
resulting in severe pneumonia or death
-Occupational exposure
1NWJM02 ;2A: 1]741M5
•
9
Laboratory Confirmation of
Avian Influenza'
• Viral Isolation
• H5 specific RNA
• Pharyngeal samples > nasal samples
¦ RT-PCR better than rapid antigen tests
only 4/11 (36%) patients with culture
positive disease in Thailand positive in
rapid tests
• Immunofluorescence positive for H5
¦ Four-fold rise In serum antibody to H5
.NF91JWi ;a]]:1nM1%]
Minimizing the Burden of
Avian Influenza
• Isolation
¦ Public health containment measures
-T Quarantine
-T Closure of facilities such as schools, •
workplaces, and sporting events
-Other
• Use of antivirals
¦ Vaccines
Therapy for Avian Influenza*- I
• Isolation"
• Negative pressure room, if available
¦ Supportive care
• Neuraminidase inhibitor
• N-95 respirators, gowns, goggles,
gloves for health care workers
• Restrict visitors
N E pl J ME ]061; ]]]:1 T41 ]6
ny yyl lp wwn Wy •11v OM],v][]rc• •M poa•bry WW ]t Wy
•
10
Therapy for Avian Influenza' -II
• Exposed health care workers (HCWs)
monitor temperature BID
• HCWs with fever should be evaluated.
If no alternative cause identified, treat
with neuraminidase inhibitor
• HCWs with possible exposure to
infectious aerosols with potential
technique lapse should be considered
for prophylaxis with oseltamivir, 75 mg
qd x 7-10 days
IN &60J WAN: SA: 1374IM
Therapy for Avian Influenza'-III
• Household contacts(HH) should monitor for
fever. If febrile, treat empirically for avian
influenza
• Travelers: Immunize with TIV or LAIV
• -Avoid contact with poultry or surfaces
contaminated by poultry feces or secretion
-Good handwashing
-Eat only thoroughly cooked poultry
-Contact physician If fever and respiratory
.
symptoms
• N FnwJW AN: }U: 1374-IM
~eMti <
.A wiwn.~
•Me.coruA NFn/IJMO AN:IbJ:ll6}1D7]
•
11
Effectiveness of Oseltamivir
Given Within 48 Hours of
Onset Versus No Therapy'
C of Reduction In Length of
Group Studies Illness
Healthy adults 3 1-2 days
Elderly and high pooled 0.5 dayys (34% decrease in
risk data antiblotice for lower -
respiratory illness)
Children 1-12 1.5 days (44% decrease, In
years othis media)
. 1MeMMMw xEnaJMM2e)6; m:12w.1m
Effectiveness of Oseltamivir
for Prophylaxis of Influenza'
• 68 - 92% effective in healthy adults,
children, and the elderly
• In one study, where overall effectiveness
was 68% •
-if patients Initially virus positive at start of
prophylaxis were excluded then
effectiveness Increases to 85% overall and
80% In children
•MeNaMA NEn6IJ MEf006: r.A:1M}IIJ!
Oseltamivir Resistance
• Two patients In Vietnam who died from H5N1
influenza developed resistance while on
therapy and continued to be virus positive
after therapy was complete t _
• Studies In Japan with oseltamivir in children
suggest up to 18% of Isolates become
resistant tt
• No human to human transmission of id'sistant
strains
• No Isolates resistant to zanamivir
1aJ McMA NEnwJW 2606:]6]:2669-3
1{ 1.bKpM A N Ensi J MM SY65:=:Y 2626
•
12
Table 1. Number of Episodes of Illness,
Healthcare Utilization, and Death Associated
with Moderate and Severe Pandemic
Influenza Scenarios*
Moderate Severe
Characteristic (1958/68-like) (1918-like)
Illness 90 million (30%) 90 million (30%)
Outpatient medical care 45 million (50%) 45 million (50%)
Hospitalization 865,000 9,9D0,000
ICU care 128,750 1,485,000
Mechanical ventilation 64,875 742,500
Deaths 209,000 1,903,000
• W.'b.wd on .rtnP.lxlon ft.. p.x P.M. ks In M. unlud
shin.. NPW that a . exi.M. do not IMlue. the PoeaN.l I.,a Pt
int.rv.". n.1..xl.ble during a. 2M amur, p.nd.mio
soum, ~.Ppndemjm,ow u.
Role of Vaccine in Pandemic
Influenza
¦ Optimal prevention measure
a Likely to be in short supply early in a
pandemic
¦ 4-6 months to produce first doses
• a US production capacity -6 million
standard doses per week
a May require 2 doses
a May require up to 90 mcg per dose
compared to usual 15 mcg of
hemagglutinin per dose
Priorities for Vaccination
• Critical infrastructure
• Patients at high risk
i
13
1.
i
Proposed Antiviral Priori Target Groups
. E]11nmNd .CPUren lm mNWl
TerPIOmW 9o0P414n BuxKY TrWi Cumu1NM
lmuuoN) 9rPPp '
hINM. MmMMlo lgplbl IOA T 60 L0
NCN1 mIlY Olnm p~i4M 9] T M 169
CeMeit
HIpMM NY MpNNMe 25 T OT 11.1
hrlMmk IwM IepwW n,
pP9 wmeY.E p99 a.meNn u r ne 1ze
meMn
Ilrnntl NYOmgMn4 us T LA NA
ONNMY nepmx Y1/PEP 1A X9
WM ME151CU,EM9,dNIy94 12 P 9A 913
htlemk wcWlnepwlden IN T 21 929 - '
9 MMr MCWe
OlMromwwN 100 T 972 $,a '
Nw. NY Om W1 ]3 P I" 1015
gMrHCNf 4/pP1NM CwdM l0 P ]20 tAS
Conclusions I
• It Is not known whether current avian
influenza viruses will adapt to humans
and cause a pandemic
Consequences of a pandemic could be
severe
• Vaccines are likely to be in extremely
short supply, if available at all, early in a
pandemic
Conclusions II
N Neuraminidase inhibitors are the primary
means of treatment and prevention early
in a pandemic -
N Potential limited quantities of drug means
priorities may need to be set
• The health care delivery system must get
prepared to deal with potentially large
numbers of cases of avian influenza and
its complications
•
14
1 L^ Questions About Flu?
2. Do we have Avian Flu in the United States?
~ stir ~ ~ ~ G
QP. ° There are no reports of avian flu among birds in the US of the type that is
currently being watched in Asia.
VV HANOVER COUNTY HEAV~~
r 3. Will a flu shot this year protect me from Pandemic Flu?
Thetoptely. With so much news coverage ? The annual flu shot is a good idea every year, and it will offer protection
news lately. With so much news coverage • ; ' i2 from seasonal flu viruses. It will not protect you from a possible new
coming at us from every possible source, pandemic flu. y it can be very confusing to understand the
information being presented. This article contains some basic information about
the flu, and answers to many frequently asked questions regarding some different 4. Is North Carolina ready to respond if Pandemic Flu develops?
types of influenza. North Carolina is better prepared to respond to a flu pandemic or any
The most important thing to note is that North Carolina is more prepared than other public health threat than ever before. In large part, this is a result of
ever before to respond to all types of flu. Our annual flu season in North Carolina new federal funds that have been invested in public health preparedness
typically runs from November to April. Annual flu shots only offer protection for following the events of September 11, 2001. There is a Pandemic Flu Plan
one, so it is important to get a shot each and every year. It is a good idea to get your that is part of a larger State Emergency Operations Plan. There are seven
shot between October and March each year. Public Health Regional Surveillance Teams to cover early detection and
response to a public health threat. One of those teams is housed right here
Q & A: in New Hanover County (www.phrst2.org).
1. What is the difference between Avian Flu (Bird Flu), Pandemic 5. How can I protect myself from the flu?
Flu, and the yearly seasonal flu? The best message is to get an annual flu shot. Second to that, practice good
Avian (Bird) Flu: This is a type of virus that infects birds, and is currently health and hygiene, just like your mother and grandmother taught you! .
circulating in birds in Southeast Asia. It has been associated with some Cover your mouth when you cough or sneeze, wash your hands frequently,
transmission to humans. Currently it is not easily transmitted from human and stay home from work or school if you do not feel well.
to human. It is the focus of a worldwide public health monitoring effort. It
may or may not emerge in pandemic form. 6. Is there medicine I can take if I get the flu?
Pandemic Flu: Pandemic flu can emerge at any time during the year, and Yes, in some cases there are anti-viral medications that you can take to ease
is the result of a new or novel flu virus that becomes easily transmitted the symptoms if taken soon after symptoms appear. It will not stop the !
from human to human. There have been 3 flu-pandemics in the 1900's: illness, but may shorten the time that you are sick. See your healthcare
Spanish Flu in 1918, Asian Flu in 1957, and Hong Kong Flu in 1968. There provider as soon as you have symptoms to choose the best medication for
is no pandemic flu in the US or the world at this time. your illness
Seasonal Flu: This occurs every year in North Carolina usually from a ar t ~ lT ISN'T TOO LATE!
November through April, with peak activity in January and February. } r(( to get a flu shot
This is the flu that many of us have had at least once in our lives. The The Health Dept. has FREE flu vaccine
i yearly vaccine is designed to help boost the immune system response to available, NO APPOINTMENT NECESSARY.
this annual flu. There is an adequate supply of vaccine this year, and New Please bring insurance card if available
Hanover County H%alth Department still has vaccine available, free of and picture I.D.
charge. It isn't too late to vaccinate!
~i Hours of Operation for Main Office: NEW HANOVER COUNTY
Office Hours: Monday-Friday, 8:00 a.m. - 5 p.m. HEALTH DEPARTMENT j
tit Clinic Hours: Monday - Friday, 8:00 a.m. - 4:30 p.m. BOARD MEMBERS
-&J Se Habla Espanol os~ Donald P. Blake, Chairman, Public Member
NEW HANOVER COUNTY HEACSa Servicio de Interprete Gratis -
Edward Weaver, Jr, OD, Vice Chairman, Optometrist ;
Marvin E. Freeman, Sr, Public Member
i New Hanover County Offsite locations: James R. Hickmon, RPh, Pharmacist
Health Department Cheryl Lofgren, RN, Nurse
.029 South 17th Street Animal Control Environmental Sandra L. Miles, DDS, Dentist
Services Health Services Nancy H. Pritchett, County Commissioner
Wilmington, NC 28401 180 Division Drive 230 Marketplace Drive Robert M. Shakar, MD, Physician
phone 910.343.6500 Wilmington, NC 28401 Wilmington, NC 28403 John N. Tunstall, PE, Engineer
fax 910.341.4146 910-341-4197 910-798-6667 Stanley G. Wardrip, Public Member
(located in County Annex at
www.nhchd.org Market Place Mall) G. Robert Weedon, DVM, Veterinarian
Janelle Rhyne, MD, Medical Consultant
r
t
0
al
Personal Health Quarterly Update Your Loc ar
from Your Health Department: Agency
specialty services as identified through Early
Childhood Intervention. The WIC Hispanic rat"tnersh
caseload continued to climb, serving more to thy, 1 I
July and August 2005 than in the first three ri _f 1ildren
months of last fiscal year. WIC experienced V
a routine state review in July, with a good _
' report. NEW HANOVER COUNTY
It was back to school for
nurses in School Health, NOW IS THE
t, with their annual training
completed and student TIME FOR
emergency action CHAMPIONS
ryYish...:. .5 i1 Y' h.
plans created; they
were also trained by and we need to know who your
As families relocated from Katrina affected; 11,
areas to New Hanover County, healthy NHCS on the use Champion for Children is!
department staff provided services to meet of the NCWISE
database for student
the needs of the new population. Services The New Hanover County Partnership for
accessed by the displaced families included: records. The- school Children is currently planning the annual
school health, child service coordination nurses, speech therapists, Breakfast for Children's Champions, scheduled
(CSC), family planning, maternity care, and the dental hygienist coordinated a Health- for the morning of Wednesday, March 1, 2006.
immunizations, and WIC (Women, Infants and O-Rama at each of the elementary and middle At this, our fifth Breakfast, we will honor`s
Children). We also served some emergency schools. Vision, hearing, and dental screenings year's Children's Champions and we wily. ie
workers going to the affected areas, updating were completed on students in the 1 st, 3rd, and entertained by a variety of speakers, including
their immunizations. Then we dealt with our 6th grades. Results of the student's screening Mick Mixon, play-by-play announcer for the
own hurricane, Ophelia, with staff in shelters were sent home along with a flyer with health Carolina Panthers.
and the Laboratory processing well samples information and resource numbers for the The nominees for Children's Champion are
for 13 residences after the storm. parents. proposed by their peers in the community for
their efforts on behalf of, young children and
The Maternity Care Coordination team The clinic and lab implemented new HIV their families. A Selection Committee con-
completed participation in the two-year Baby testing forms and procedures. The Clinic vened from the Partnership's Board of Direc-
Love Best Practices Pilot Program. After Team welcomed Dr. Rachel Baldwin, who tors and staff will make its choices based on the
evaluation, they decided to continue some moved to Wilmington from California. The substance of the nomination and other objective .
of the "best practices" (such as using the Women's Health Programs were audited by criteria developed from past selection expert-
state consultants in Jul and faired well, with ence. Nomination forms can be accessed by
Family Strengths & Needs Assessment tool), y
and revise others (care plans) to best meet all corrective actions and recommendations calling the Partnership at 815-3731 or by visit-
our needs here in Newt Hanover County. The satisfied. ing the website at www.newhanoverkids.org.
Child Service Coordination team entered into
a contract with the Children's Developmental It continues to be our pleasure to serve the If you have any questions regarding the
con-
Services Agency to provide Targeted Case citizens and visitors of New Hanover County! nomination or the event, feel free con-
tact Sarah Currier or by phone at
Management, and clients are already being Your health is, as always, our priority. 815-3731 or by e-mail at
enrolled. Staff will monitor and coordinate sarah.currier@newhanoverkids.orD
Nominations are due by February 15, 2006.
New Hanover County Health Department
Phone 910.343.6500
0
-
routine can help lead to a healthier mind and babies. That tradition continues today, with other child care items. Community suppori,
body. Taking a vitamin pill will not make up some innovative additions to improve the for this program has been astounding
for having a poor diet, it is meant to enhance health of mothers while pregnant, and in the with many donated items received frorr
Memories your healthy diet! hopes of improving the health of children community groups, churches, and othei
from Childhood... when they are born. organizations. The Boutique has grown into
Some tips for taking vitamins Some traditional examples of the health a positive experience for pregnant womec
Howmany ofus remember backto every day: department's efforts in maternal health and new mothers, and has been so successful
childhood,
If you have trouble swallowing pills, include Maternity Care Coordination that additional hours and opportunities have
C when taking a daily chewable vitamin was i
- of the routine? But somewhere along try the chewable kind. (MCC) and Maternal Outreach efforts. MCC been added. It was quickly realized that this
way, it no longer became "coole to chew services include education, information, time provided a perfect opportunity to add
4 a kid's vitamin, so we stopped that routine. Many generic brands are just as good support, . resource referral, post-delivery some health education into the experience.
It's time to make another resolution, and as name brands, and may be less follow-up, and clinical services for pregnant
reintroduce those multivitamins back into expensive. Be sure to compare labels. women. Services are provided at Coastal Last year, the Baby Bucks Boutique added
our lives! OB/GYN at New Hanover Regional an evening Learning Center component)
,
Combine taking a vitamin with another Medical Center, New Hanover County Families are encouraged to attend these
Life is so hectic that we sometimes forget to regular routine, such as brushing your Health Department, and at several other monthly sessions to shop at the boutique
fit proper nutrition into our routine. That's teeth. offices in Wilmington. Maternal Outreach and to participate in group education and
why a daily vitamin is so important - it is Workers provide community based support fellowship. Recent topics have included
packed with vitamins and nutrients that we Check the expiration date on the bottle. services in combination with Maternity Care child passenger safety, smoking cessation,)
all need to stay healthy. The health benefits The longer they sit on a shelf, the less Coordination to give pregnant women the and even developing a cookbook filled with
include stronger bones, a healthy heart, and effective they will be. direct help they need to prepare for ahealthy low-cost, healthy recipes.
a lower risk for cancer. And for women, baby and positive parenting experience.
taking a vitamin with folic acid before This information was provided by the North News of these innovative ideas has spread
getting pregnant reduces the risk of birth Carolina Folic Acid Council, the March of In addition to these programs, the New to other counties that want to duplicate
defects that affect the- brain and spinal cord, Dimes, the Healthy Start Foundation, and Hanover County Health Department created the Baby Bucks Boutique and Learning
such as spina bifida. the Division of Public Health. Please visit a different opportunity to further enhance the Center. Clients enjoy the opportunity learn
www.getfolic.com for more information'on experiences of our maternal health clients. about better health for themselves and their
Did you know that half of all,pregnancies folic acid and prevention of birth defects: Several years ago, the Maternal Health and children, and they become more involved iii
in the United States are unplanned? This Health Promotion teams developed the Baby their own traditional healthcare services as
is another crucial reason to take a daily Bucks Boutique as an incentive program. well. This program is a wonderful example,
multivitamin each and every day, even if As clients progress through their pregnancy, of creative minds at work! For more
you aren't planning on becoming pregnant. they receive "bucks" as an incentive to information about the Baby Bucks program,
Vitamins should contain at least 400 mcg of reach personal goals, attend appointments, contact Andrea Carson, Health Educator, at
folic acid in order to offer this protection. Spotlight on and to be proactively involved in their (910)343-6576.
Folic acid, or folate, is a B vitamin, and can health and the health of their babies. They
e found naturally in foods such as leafy are then invited to "spend their bucks" at a
_ en vegetables, strawberries, cantaloupe, Baby Bucks monthly Baby Bucks Boutique opportunity,
d enriched pastas, breads and cereals. Boutique which takes place at the health departmental
k . facility.
Folic acid is good for men too, and has been The New Hanover County Health
linked to improved memory function later Department has a long history of providing Items available at the Boutique are all related of Dimes -
in life. Combined with a healthy diet and help and support for pregnant women, to to healthy and happy babies, including Sooi+4[.Aata+artclln• _
lifestyle, adding a daily multivitamin to your `
achieve healthy pregnancies and healthy clothing, personal care. items, toys, and
asl'~i~ ~'r 4~
FOR MORE INFORMATION 1 ' 1 , B p i
I 1 ~
ABOUT
F"HMEALTH DEPARTMENT SERVICES I, I 1 1 .
I 1 1 a
a'
Please visit our
newly updated website at:
i r r r r r r r ~~f ~ ~xsl + 1
k~
r ,i ek
i r r I L ~~M t[J (:AG
O _ y+~ (]~~~~r To advertise in this publication please ~
1 l YY A7 call your Account Executives
910.343.2342
W r New Hanover County Health Department
Phone 910.343.6500
ce muxn xeco"xxa
O
New Service Available to Help
xw n+xwe o aar`Fe_
NC Residents Deep New Year's Resolutions
the single most important thing that a person
V can do to prolong their life. Studies show that
V most tobacco users want to quit, but many i
O are unable to overcome the powerful urges of
O their addiction to tobacco.
Telephone "quitlines" help users quit the
addiction by offering free advice, support and
referrals to local resources. They have been
proven to be effective tools in helping people
successfully quit their tobacco habit. The North ~ptC ~4A I
QUltline NC can help North Carolina Health and Wellness Trust Fund, in O~
Carolina tobacco users to partnership with the North Carolina Division y
quit of Public Health, recently launched the first
successfully state-funded Quitline service, available to all
state residents at 1-800-QUIT-NOW (1-800-
Have you ever made a New Year's resolution? 784-8669). I
It is familiar to most of us....it is a new and
year, time for a fresh start, time to dedicate Quitline NC is available every day, from 8 a.m. `
yourself to being healthier and happier. Many
until midnight. Trained quit coaches" help
people successfully take this opportunity to tailor a plan for each tobacco user who wants
make a personal behavior change. However, assistance, including those who use chewing or
many more people need a little boost to keep spit tobacco. Coaching is available in English, E E
this behavior change moving in a positive Spanish, and a variety of other languages. ®~MlMG
direction!
"Quitting smoking can create a lot of stress,
Quitting smoking is one of the most popular ;,`A
so without the right support it is easy to fall NC
resolutions that Americans make every year. back into old habits like smoking," said Erin xon~ws
Unfortunately, many people pick up those Cummings, local Project ASSIST Coordinator
This logo will be appearing around i
cigarettes again in a matter of weeks or even for New Hanover, Pender and Brunswick North Carolina to signify a 100% Smoke
days. This year can be different for North Counties. "Quitline NC provides trained Free establishment. Stay tuned for more
Carolinians, because of a new service that cessation specialists who can help you through information on this campaign, and how
is available to all state residents. The North this difficult process. Quitting smoking or to access a list of 100% Smoke Free
Carolina Tobacco Use Quitline, 1-800-QUIT- using other tobacco products is the best gift restaurants in the Wilmington area!
NOW, is available to offer free support services you can give yourself for a healthier future." •
to those who want to quit. P ROJ EC
S
For more information, please visit www. RSSI ¦
Tobacco use is the #1 preventable cause of QutthneNC.com or call Ms. Cummings at the
death in the United States, killing more than New Hanover County Health Department, at of New Hanover,
440,000Americans ever
yyear. It is also the top 910-343-6658. For more information on the Brunswick and
cause of preventable death in North Carolina, Pender Counti
North Carolina Health and Wellness Trust
and a leading cause for deadly cancers and Fund, please visit www.HealthwellNC.com.
debilitating illnesses such as emphysema,`
heart disease, and asthma. Quitting tobacco is
I
New Hanover County Health Department
- Phone: 910.343.6500
xe x xwo <avxrrxo~"O