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Home My WebLink About02_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