02_01_2017 BOH Minutes1
New Hanover County
New Hanover County Health
Department
Requested Budget FY2017‐2018
Health DepartmentJanuary 23, 2017
Bunny McClure, Deputy CFO
New Hanover County Slide 2
General Summary
Health DepartmentJanuary 23, 2017
•Request for continuation of services
•Exceptions:
•PREParefor Success
•New Environmental Health (EH) –EH Specialist –
Full‐time
•Two School Nurses from 80% to 100%
•Electronic Health Record project cost –FY17 only
2
New Hanover County Slide 3
Health DepartmentJanuary 23, 2017
Summary of Expenditures & Revenues
HEALTH DEPARTMENT
SUMMARY OF EXPENDITURES & REVENUES
ACTUALREVISEDREQUESTED $ Change% Change
FY 15-16FY 16-17FY 17-18 FY 18 -vs-FY 17FY 18 -vs-FY 17
Salaries & Benefits $10,689,472 $11,106,986 $11,697,356 *$ 590,370 5.32%
Operating Expenses $1,517,377 $2,107,994 $1,932,374 $ (175,620)-8.33%
Capital Outlay/Projects $447,952 $356,077 $73,209 $ (282,868)-79.44%
Total Expenditures$12,654,800 $13,571,057 $13,702,939 $ 131,882 0.97%
Revenues $7,934,753 $8,274,540 $7,906,002 $ (368,538)-4.45%
Net County Cost$4,720,047 $5,296,517 $5,796,937 $ 500,420 9.45%
*Estimated FY18 Salary Amounts Including Position Addition ($57,975) and Change ($22,627) Requests
New Hanover County Slide 4
New Position Requests
Health DepartmentJanuary 23, 2017
•Environmental Health Specialist
•One full‐time position
•Funded by County
•School Health Nurses –Two positions
•80% to full‐time
•Funded by NHC Schools
3
New Hanover County Slide 5
Salary & Benefit Assumptions
Health DepartmentJanuary 23, 2017
•3% Increase in salaries
•5% Increase in benefit costs
•Note for estimate purposes only:
•Budget Department budgets personnel costs
County‐wide
•No merit/market decisions made
•No data on benefit cost changes at this time
New Hanover County Slide 6
Health DepartmentJanuary 23, 2017
Revenues vs County Funds Requested
$5,296,517
39%$8,274,540
61%
Revenues vs County Funds
FY 16‐17
County Funds
Earned and all
other revenues
$5,796,937
42%$7,906,002
58%
Revenues vs County Funds
FY 17‐18
County Funds
Earned and all
other revenues
4
New Hanover County Slide 7
Net County Cost Estimate ‐$5.80 Million
Health DepartmentJanuary 23, 2017
•$1.7M ‐Environmental Health (Including Vector
Control)
•$1.1M –Epidemiology
•$0.71M ‐Administration
•$0.65M –Community Health (Including TB)
•$0.50M –Women’s Preventive Health
New Hanover County Slide 8
Operating Expenditure Change –Primary
Components
Health DepartmentJanuary 23, 2017
In Thousands
PREPare for Success110$
Grant Changes ‐ Good Shepherd
Ebola, Local Bioterrorism(93)
Divisions without direct County support
School Health, School Mental Health,
Family Counseling(220)
(203)$
5
New Hanover County Slide 9
Capital Outlay Expenditure Change –
Primary Components
Health DepartmentJanuary 23, 2017
In Thousands
Electronic Health Record Project(350)$
Vector Control ‐ Sprayers and Utility Vehicle44
Laboratory ‐ Equipment Replacement23
(283)$
New Hanover County Slide 10
Revenue Change –Primary Components
Health DepartmentJanuary 23, 2017
In Thousands
PREPare for Success110$
PCM/CC4C 50
WIC(63)
Grant Changes ‐ Good Shepherd
Ebola, Local Bioterrorism(107)
Electronic Health Record Project(350)
(360)$
6
New Hanover County Slide 11
Major Goals/Projects FY18
Health DepartmentJanuary 23, 2017
•Fully transition to electronic health record
system
•Implement functional collaboration initiatives
•Implement LEAN projects
•Explore Mobile Dental Unit potential
•Creation of a collective impact coalition for
health in New Hanover County
New Hanover County Slide 12
Challenges FY18
Health DepartmentJanuary 23, 2017
•Electronic Health Record implementation
•Increasing needs due to economic and population growth
•Environmental Health inspections and permits
•Vector control and surveillance activities
•Other Health services
•Increase community outreach for flu and other
vaccinations
•Medicaid reform and/or expansion
7
New Hanover County Slide 13
Many Thanks To …
Health DepartmentJanuary 23, 2017
•Kelley Davis, Accountant
•Paula Jenkins, Billing Supervisor
•Gary Martin, Fiscal Support Technician
•Maria Standfest, Accountant
New Hanover County Slide 14
Health DepartmentJanuary 23, 2017
Questions?
NEW HANOVER COUNTY BOARD OF COMMISSIONERS ORDINANCE
AMENDING NEW HANOVER COUNTY CODE CHAPTER 32
The Board of County Commissioners finds and declares that, in order to promote the public health
and welfare, it is in the best interest of public health to adopt an ordinance creating a Tobacco and E-
Cigarette Free campus at the New Hanover County Health Department.
The Board hereby ordains and decrees that the New Hanover County Board of Health is authorized
to supplement this ordinance by rule for the purpose of creating a Tobacco and E-Cigarette Free
campus.
The Board hereby further ordains and decrees that New Hanover County, Chapter 32, Health and
Sanitation, Article 3, County Property, is enacted and amended as follows:
1. Amend existing Section 32-81, Smoking prohibited in County-owned or leased buildings and
vehicles, variance, as follows:
Add the following sentence to the end of the paragraph:
(b) The New Hanover County Health Department as a real estate parcel is designated as a
Tobacco and E-Cigarette Free campus.
2. Amend existing Section 32-83, E-Cigarettes Prohibited, as follows:
Add the following sentence to the end of the paragraph:
The New Hanover County Health Department as a real estate parcel is designated as a
Tobacco and E-Cigarette Free campus.
Except as specifically amended above, Chapter 32 shall remain unaltered and in full force and effect.
ADOPTED this the _____ day of ___________, 2017.
NEW HANOVER COUNTY
[SEAL] ____________________________
Woody White, Chairman
ATTEST:
____________________________________
Kymberleigh G. Crowell, Clerk to the Board