HEALTH and HUMAN SERVICES AGENCY PUBLIC HEALTH ADMINISTRATION STACEY CRYER, Director

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1 Public Health Services Administration Division is in partnership with the community to promote and safeguard the health and wellness of the people of Mendocino County. The Administration Division is responsible for the oversight of all Public Health programs through policy development, leadership, fiscal management and technical assistance. In addition to oversight, the Administration Division includes vital statistics; data collection and reporting; chronic disease, tobacco and injury prevention; medical marijuana identification cards; disaster preparedness; and Prevention and Planning Unit (PAPU) that uses evidencebased best practices to address individual, social and environmental factors that underlie and contribute to chronic disease in Mendocino County and preventing and reducing substance abuse. MAJOR ACCOMPLISHMENTS IN FY Combined the leadership to a Health Services Branch that incorporated the Public Health and Mental Health as one Director. Compiled, published and posted the 2012 Community Health Status Report (CHSR) for Mendocino County. Launched the Healthy Mendocino website in January, providing a useful tool of evaluating the health and wellness of Mendocino County residents. Conducted a Request for Proposal for a part-time Mendocino County Public Health Officer. Contracted with two local physicians to serve as Deputy Public Health Officers, with one of the physicians to handle all communicable disease outbreaks/prevention for Mendocino County. Started discussions with Sonoma County Public Health to utilize canned Public Health Officer Prevention recommendations and notifications to the community. Promoted healthy behaviors with community partners and schools, utilizing State Grant funding and objectives by focusing on Tobacco Free Living, Healthy Eating and Active Living, High Impact Evidence-based Clinical and Preventive Services, and creating and promoting a Healthy and Safe Physical Environment. Applied for Office of Traffic Safety Grant that would promote safe pedestrian and bicycling awareness with the goal of reducing number of collisions and injuries that involve bicycles and pedestrians. Worked with local policy-makers, youth, and community members to promote and implement municipal zoning changes and school district policies that support increased access to a healthy food environment through ongoing coalitions and advocacy. Focus on reducing and controlling the risk factors for cardiovascular disease including high blood pressure, diabetes, and tobacco use. Public Health and Social Services collaborated to improve community nutrition knowledge and increase access to healthy foods among vulnerable populations. Promoted and advocated for a tobacco policy to address tobacco retailer density and smoke-free multiunit housing in Mendocino County. Provided training in the community on the prevention of bullying in schools. Promoted media literacy about alcohol consumption, promoted an alcohol outlet licensing moratorium and raised community awareness about alcohol consumption in Mendocino County. Provided a research brief on the health effects of alcohol outlet density and on health equity and social determinants of health. Hired a Senior Public Health Analyst that will provide epidemiology and data support for Mendocino County GOALS/OBJECTIVES FOR FY Continue to serve on the Healthy Mendocino committee for promotion and content of the Healthy Mendocino website. Continue to recruit for a part-time Public Health Officer for Mendocino County. Continue to explore opportunities of shared resources with Sonoma County. Provide oversight to internal and external partners through use of consistent communication and audit tools. County of Mendocino D-140 Health and Human Services Agency

2 HEALTH and HUMAN SERVICES AGENCY PUBLIC HEALTH ADMINISTRATION Educate about an ordinance addressing tobacco retailer density in at least one jurisdiction. Establish voluntary smoke-free housing policy by working with multi-unit housing owners and managers throughout Mendocino County. Increase healthy eating and active living among youth and adults in Mendocino County. Build capacity for existing community coalition through training on underage drinking, cultural competency, and environmental prevention and by establishing a model program to change community practices and policies to reduce teen access to alcohol. Continue to research and apply for grants that promote prevention and public health wellness in Mendocino County. PROGRAM CHART CURRENT STAFFING Filled Full Time Equivalent (FTE) Allocated FTE County of Mendocino Recommended Budget D-141 Health and Human Services Agency Public Health Administration

3 SUMMARY OF MAJOR BUDGET ACCOUNTS Acct Public Health Realignment revenue. Acct Federal grant for prevention services. Acct State grants for prevention services. Salaries & Employee Benefits Acct Salaries. Services & Supplies Acct Contract for Public Health Officer and Deputy Public Health Officers. Acct HHSA administration costs. Expenditure Transfer & Reimbursement Acct Operating transfers out of administration costs. SOURCE OF FUNDS USE OF FUNDS Net County Cost 1% 53% Expenditure Transfer & Reimbursements 46% Salaries and Employee Benefits 58% Services and Supplies 35% Other Charges CEO RECOMMENDED BUDGET COMMENTS Department submitted budget consistent with the County s Maintenance of Effort (MOE) obligation. County of Mendocino D-142 Health and Human Services Agency

4 State Controller County of Mendocino County Budget Form County Budget Act State of California Schedule Budget Unit Financing Uses Detail CEO Recommended Budget for Fiscal Year Classification: Function: 4 Health & Sanitation Budget Unit: 4010 Public Health Administration Activity: 401 Health and Sanitation - Health Fund: 1100 County General Financing Uses Classification Budget Actuals Budget Actuals Request Recommend Adopted (1) (2) (3) (4) (5) (6) (7) (8) as of 5/31/ Misc Court Fine 3,500 1,624 3,000 1,801 3,000 3, Motor Vehicle in Lieu 0 431, , Realignment Hlth Svcs 744, , , , , State Other ,000 30, Federal Other 0 42, ,000 61, , , Health - Vital Stats 23,700 26,106 23,700 30,487 23,700 23, Other Charges 80,724 43,271 83, ,385 61,801 61, Other Sales 1,400 1,022 1,400 2,497 1,400 1, Grant Revenue 429, , ,770 18, , ,244 Total 1,282, ,156 1,517, ,043 1,291,610 1,297,517 0 Salaries & Employee Benefits Regular Employees 1,095, ,208 1,064, , , , Extra Help 19,442 12, , Overtime Reg Emp 0 2, , Co Cont Retirement 194, , , , , , Co Cont OASDI 65,168 39,074 63,035 31,034 53,944 53, Co Cont Medicare 15,433 9,279 15,307 7,322 12,575 12, Co Cont Retire Incr 86,936 55, ,413 60,434 88,966 88, Co Cont Health Ins 168, , ,031 81, , , Co Cont Unemp Ins 2,960 2,997 4,518 3,968 6, Co Cont Workers Comp 44,416 44,851 45,850 5,342 12,942 9,031 Total Salaries & Employee Benefits 1,692,547 1,084,894 1,716, ,181 1,426,529 1,416,122 0 Services & Supplies Communications 10,785 11,383 12,997 19,188 11,554 11, Insurance - General 15,689 15,413 17,238 22,370 22,024 38, Insurance - Other ,242 1,155 1,155 1, Maint - Equip Maint - Strc Impr & Grnds 0 1, ,200 1, Memberships 5,000 4,295 5,000 2,325 5,150 5, Office Expense 31,673 13,931 26,046 15,094 21,362 21, Education & Training 3,700 2,001 4,150 1,929 7,856 7, Prof/Spec Svcs - Other 96,700 48, ,409 92, , , Publ/Legal Notice , ,000 1, Info Tech Equip 0 0 6,800 6, Spec Dept Expense 455, , , , , , Trans/Travel 15,732 3,202 15,174 2,621 13,473 13, Travel Out of County 17,450 7,355 16,468 7,471 19,904 19, Utilities 14,350 8,885 13,873 11,630 10,773 10,773 Total Services & Supplies 666, , , , , ,383 0 Other Charges Pymts Other Gov Agnc 318,848 41, ,141 49, , , Contr Other Agency ,923 67,700 67,700 Total Other Charges 318,848 41, , , , ,239 0 County of Mendocino D-143 Health and Human Services Agency

5 Financing Uses Classification Budget Actuals Budget Actuals Request Recommend Adopted (1) (2) (3) (4) (5) (6) (7) (8) as of 5/31/13 Fixed Assets Equipment Total Fixed Assets Expend Transfer & Reimb Intrafund Transfer (1,372,179) (670,895) (1,354,325) (529,698) (1,129,978) (1,129,978) Oper Transfer Out Total Expend Transfer & Reimb (1,372,179) (670,895) (1,354,325) (529,698) (1,129,978) (1,129,978) 0 Total Net Appropriations 1,305, ,865 1,539, ,726 1,312,859 1,318,766 0 Total Net County Cost 22,849 17,709 21, ,683 21,249 21,249 0 County of Mendocino D-144 Health and Human Services Agency