Saint Paul-Ramsey County Public Health



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Saint Paul-Ramsey County Public Health To improve, protect, and promote the health, the environment, and the well being of people in the community. City employees work in the Administration, Environmental Health, Clinical Services and WIC sections. Administration and Support Services Budget and Accounting Birth and Death Records Employee Health Health Education House Calls/FIC County 26.60 FTE 13.60 FTE RC Correctional Facility Juvenile Services Center Boy s Totem Town Adult Detention Center CO: 27.70 Correctional Health Environmental Health Health Protection Healthy Communities Ci: 0.00 FTE Solid and Hazardous Waste Food Beverage and Lodging Yard Waste Program Resource Recovery Project Co: 45.80 FTE Ci: 3.00 FTE CHS Plan Policy Development Health Status Data Evaluation & Outcome Development Public Health Emergency Preparedness Co: 6.00 FTE Ci: 0.00 FTE Adolescent Health Community Violence Prevention Injury Prevention Co: 10.50 Ci: 0.00 FTE Family Health Home Visiting Services Adolescent Parent Program Child and Teen Check-up Outreach Childhood Lead Poisoning Prevention Co: 84.20 FTE Ci: 0.00 FTE Immunizations Refugee/Immigrant Health Tuberculosis Control Family Planning STI/HIV Services Co: 21.00 FTE Clinical Services Ci: 6.60 FTE Screening and Case Management Screening and Case Management Waiver Programs PCA Assessments Co: 36.70 Ci: 0.00 FTE WIC (Women, Infants and Children) WIC grant services Co: 35.30 Ci: 9.40 (Total 326.40 FTE) 341 County= 293.80 City= 32.60 7/31/

Proposed Budget Public Health 342 Department Description: The Mission of the Saint Paul - Ramsey County Department of Public Health is to improve, protect, and promote the health, environment, and well-being of people in our community. In 1997, the City's public health function was merged, through a joint powers agreement, with Ramsey County's. The administration of this function now resides with the County. As resignations or retirements of City staff occur, the positions are filled by the County, and the City budget shows a decline in FTEs and dollars associated with paying their salary and benefits. All costs are reimbursed by Ramsey County and the County is responsible for the portion of the tax levy that covers these expenses. The City of Saint Paul does not levy for public health services. Department Facts Total General Fund Budget: $0 Total Special Fund Budget: $3,129,688 Total FTEs (City): 32.62 Department Goals Assure an adequate public health infrastructure Promote healthy communities and healthy behaviors Prevent the spread of infectious diseases Protect against environmental hazards Prepare for and respond to disasters Assure the quality and accessibility of health services Recent Accomplishments 53,454 birth and death certificates provided 30,141 persons provided with WIC related services 15,102 clinical service visits provided 6,920 immunizations provided at public health clinics and community sites to prevent infectious diseases 21,170 laboratory tests performed

Proposed Budget Public Health Fiscal Summary Spending 250: Public Health Total 2014 Proposed Change % Change FTE Proposed FTE 3,492,901 3,573,455 3,129,688 (443,767) -12.4% 38.42 32.62 3,492,901 3,573,455 3,129,688 (443,767) -12.4% 38.42 32.62 Financing 250: Public Health Total 3,492,901 3,573,455 3,129,688 (443,767) -12.4% 3,492,901 3,573,455 3,129,688 (443,767) -12.4% Budget Changes Summary In 1997, the City's public health function was merged, through a joint powers agreement, with Ramsey County's. The administration of this function now resides with the County. As resignations or retirements of City staff occur, the positions are filled by the County. As City employees resign or retire, the City budget shows a decline in FTEs and dollars associated with paying their salary and benefits. All salary and benefit costs are reimbursed by Ramsey County and the County is responsible for the portion of the tax levy that covers these expenses. The proposed budget decreases by $443,767 compared to the adopted budget. 250: Public Health The Public Health fund includes salary and fringe benefit costs for the City's remaining Public Health employees. These costs are entirely reimbursed by Ramsey County. Current Service Level Adjustments Change from Spending Financing FTE Personnel costs (443,767) (443,767) (5.80) Subtotal: (443,767) (443,767) (5.80) Fund 250 Budget Changes Total (443,767) (443,767) (5.80) 343

344

Spending Reports 345

CITY OF SAINT PAUL Department Budget Summary (Spending and Financing) Department: PUBLIC HEALTH Budget Year: 2013 2014 Mayor's Proposed Change From Spending by Fund PUBLIC HEALTH 3,248,970 3,357,366 3,573,455 3,129,688 (443,767) TOTAL SPENDING BY FUND 3,248,970 3,357,366 3,573,455 3,129,688 (443,767) Spending by Major Account EMPLOYEE EXPENSE 3,239,934 3,347,803 3,562,161 3,118,394 (443,767) SERVICES 8,736 9,189 11,294 11,294 MATERIALS AND SUPPLIES 300 375 TOTAL SPENDING BY MAJOR ACCOUNT 3,248,970 3,357,366 3,573,455 3,129,688 (443,767) Financing by Major Account CHARGES FOR SERVICES 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) TOTAL FINANCING BY MAJOR ACCOUNT 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) 346 As of August 1st,, actual spending and financing amounts for 2014 listed above remain unaudited due to a delay in the 2014 financial audit. Because of this delay, these reports may significantly deviate from final audited numbers.

CITY OF SAINT PAUL Spending Plan by Department Department: PUBLIC HEALTH Fund: PUBLIC HEALTH Budget Year: 2013 2014 Mayor's Proposed Change From Spending by Major Account EMPLOYEE EXPENSE 3,239,934 3,347,803 3,562,161 3,118,394 (443,767) SERVICES 8,736 9,189 11,294 11,294 MATERIALS AND SUPPLIES 300 375 Total Spending by Major Account 3,248,970 3,357,366 3,573,455 3,129,688 (443,767) Spending by Accounting Unit 25040200 PUBLIC HEALTH SUPPORT SERVICES 868,413 940,556 1,033,208 919,316 (113,891) 25040205 HEALTH LABORATORY 223,852 226,180 225,100 225,027 (73) 25040210 HEALTH LAB SPECIAL 108,225 109,890 115,369 110,749 (4,620) 25040215 BIRTH AND DEATH RECORDS 169,204 168,391 182,080 197,150 15,070 25040220 COMMUNICABLE DISEASE CONTROL 517,301 537,772 558,610 424,649 (133,961) 25040225 FAMILIES IN CRISIS 112,568 132,199 119,789 10,142 (109,647) 25040230 FAMILY PLANNING 164,815 167,383 163,122 174,219 11,097 25040235 WIC SUPPLEMENTAL FOOD 876,257 851,761 953,495 838,251 (115,244) 25040240 LEAD BASED PAINT HAZZARD 208,334 223,234 222,682 230,185 7,502 Total Spending by Accounting Unit 3,248,970 3,357,366 3,573,455 3,129,688 (443,767) As of August 1st,, actual spending and financing amounts for 2014 listed above remain unaudited due to a delay in the 2014 financial audit. Because of this delay, these reports may significantly deviate from final audited numbers. 347

348

Financing Reports 349

CITY OF SAINT PAUL Financing by Company and Department Company: CITY OF SAINT PAUL Department: PUBLIC HEALTH Fund: PUBLIC HEALTH Budget Year: Account Account Description 2013 2014 Mayor's Proposed Change From 44590-0 MISCELLANEOUS SERVICES 3,248,970 (296,416) 48005-0 PUBLIC HEALTH SERVICES 3,504,332 3,573,455 3,129,688 (443,767) TOTAL FOR CHARGES FOR SERVICES 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) TOTAL FOR PUBLIC HEALTH 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) TOTAL FOR PUBLIC HEALTH 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) 350 As of August 1st,, actual spending and financing amounts for 2014 listed above remain unaudited due to a delay in the 2014 financial audit. Because of this delay, these reports may significantly deviate from final audited numbers.

CITY OF SAINT PAUL Financing Plan by Department Department: PUBLIC HEALTH Fund: PUBLIC HEALTH Budget Year: 2013 2014 Mayor's Proposed Change From Financing by Major Account CHARGES FOR SERVICES 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) Total Financing by Major Account 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) Financing by Accounting Unit 25040200 PUBLIC HEALTH SUPPORT SERVICES 868,413 941,628 1,033,208 919,316 (113,892) 25040205 HEALTH LABORATORY 223,852 216,279 225,100 225,027 (73) 25040210 HEALTH LAB SPECIAL 108,225 105,849 115,369 110,749 (4,620) 25040215 BIRTH AND DEATH RECORDS 169,204 160,538 182,080 197,150 15,070 25040220 COMMUNICABLE DISEASE CONTROL 517,301 469,211 558,610 424,649 (133,961) 25040225 FAMILIES IN CRISIS 112,568 126,901 119,789 10,142 (109,647) 25040230 FAMILY PLANNING 164,815 160,039 163,122 174,219 11,097 25040235 WIC SUPPLEMENTAL FOOD 876,257 812,955 953,495 838,251 (115,244) 25040240 LEAD BASED PAINT HAZZARD 208,334 214,517 222,682 230,185 7,503 Total Financing by Accounting Unit 3,248,970 3,207,916 3,573,455 3,129,688 (443,767) As of August 1st,, actual spending and financing amounts for 2014 listed above remain unaudited due to a delay in the 2014 financial audit. Because of this delay, these reports may significantly deviate from final audited numbers. 351