NCALHD

Local Health Department Question for FY 2015-2016

(To be completed July 2015)

SERVICES PROVIDED

  1. Does the Health Department offer the following services and/or is the Health Department responsible for these services?

Pediatric Dental Care

If YES, is the Dental Clinic self-sustaining?

Adult Dental Care

If YES, is the Dental Clinic self-sustaining?

Gynecological Care

Pediatric Primary Care/Medical Home

Adult Primary Care/Medical Home

Behavioral Health Services

Which services are provided?

Does the Health Department use an Integrated Approach for Primary Care and Behavioral Health Services?

On-site School Health Services

Jail Health

Employee Health or Wellness Services/Clinic

If YES, are the funds budgeted under the Health Department?

Employee Pharmacy Program

In-House Pharmacy Services

School Nurses

Project Lazarus Local Coalition

Diabetes Education Recognition Program (DERP)

Chronic Disease Management Program / Healthy Living – Hypertension

Animal Control

Animal Shelter

School-Based Health Center

If YES, are the staff of the School-Based Health Center employees of the Health

Department?

Eye Clinic

If YES, what are the hours of operation?

Monday through Friday

Weekly

As needed

Nurse Family Partnership

Community Alternatives Program for Disabled Adults (CAP-DA)

Community Alternatives Program for Children (CAP-C)

Free Clinic

Home Health

Has the Home Health program experienced a decrease in the number of referrals in the past 6 months?

Hospice

Has the Hospice program experienced a decrease in the number of referrals in the past 6 months?

  1. Which Clinical Services are offered?
  2. Which Primary Prevention Programs are offered?

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GENERAL

YES/NO

  1. Is the health department approved by Blue Cross Blue Shield for Roster Billing?
  1. Is the health department fully credentialed by Blue Cross Blue Shield?
  1. Do you offer an integrated pest management program?
  2. If YES, can the health department provide funding methodology for a pest management program?
  1. Does the Health Department pay an on-call stipend for those staff designated for after-hours call?
  1. Does the Health Department have a 24/7 call system for patients?
  1. Does the Health Department have a method for admitting patients to the hospital (contracts, a provider who has admitting privileges)?
  1. Does the Health Department conduct Pre-Employment Drug Screenings through the Health Department Lab?
  1. Does the Health Department have an Assistant or Deputy Health Director position?
  1. Does the Health Department have a pay plan?
  1. Does the County provide cell phones and communications equipment, including data plans?
  1. Does the Health Department have a Quality Improvement/Accreditation Coordinator?
  1. Does the Health Department have responsibility for a Community Care of North Carolina (CCNC) Network?
  1. Does the County have any Social Services Programs or Social Services Staff located in the Public Health Building(s)?
  1. Does the Health Department have a policy on how to handle stray animals declared

dangerous or that have bitten someone?

  1. Does the Health Department employ an IT person that maintain current electronic public health information for the staff and for the general public?
  1. Does the Health Department work with the local hospital for the completion of the

Community Health Assessment?

  1. Has the Health Department contracted for services using the NC Alliance for Public Health Agencies in the past 3 years?
  1. In FY 2014-2015 were the Local Health Department’s Pregnancy/Obstetrics Care

Management (OBCM) and Care Coordination for Children (CC4C) totally funded by the Per Member/Per Month Payment you are currently receiving?

  1. In FY 2015-2016 will the Local Health Department’s Pregnancy/Obstetrics Care

Management (OBCM) and Care Coordination for Children (CC4C) be totally funded by the Per Member/Per Month Payment you will receive?

  1. Does the County Government provide funding for maintenance/repair/cleaning for the Health Department buildings?
  1. Does the Health Department have concurrence between the Health Department’s Strategic Plan and the County’s Strategic Plan?
  1. Is the Health Department considering applying to be a Federally Qualified Health Center (FQHC)?
  1. Does the Health Department have an Ethics Committee?
  1. In the County, if contracts are not completed in time, is there a lapse in services?
  1. Does the Health Department participate in the Local Government Delinquent Debt Setoff Program?
  1. Does the County have a policy regarding Department Heads residing in the County?
  1. Does the Health Department pay for Professional Registration for employed Family Nurse Practitioners?
  1. Does the Health Department pay for Continuing Education for employed Family Nurse Practitioners?
  1. Does the Health Department pay for Continuing Education for those that are International Board of Lactation Consultant (IBLCE) Certified?
  1. Does the Health Department pay the licensure renewal fees for Environmental Health Specialists?
  1. Does the Health Department pay the licensure renewal fees for Nurses?
  1. Does the Health Department specifically (not the County) have a Purchasing Agreement, i.e., Capstone?
  1. Does the County have a County-owned Gym or exercise facility that is accessible by County staff?
  1. Is the Health Department co-located with the County’s Department of Social Services? (same building)
  1. Does the Health Department bill Medicaid for STD services?
  2. If YES, does the Health Department offer Primary Care?
  1. Has the Health Director delegated any Rabies Control Responsibilities to the Animal Control Supervisor or another member of the Health Department staff?
  1. Does your County provide agency vehicles for business travel?
  2. If YES, are these vehicles part of the County fleet?
  3. If YES, is the Health Department responsible for the maintenance and cleaning of the vehicles?

MULTIPLE CHOICE

  1. How often does the Health Department conduct a Community Health Assessment (CHA)?

3 years

4 years

  1. What percentage of the total Health Department annual Revenue, including maximization is Medicaid?

0-15%

16-30%

31-45%

46-60%

61-75%

76-90%

90-100%

  1. What percentage of the total Health Department annual Budget is funded with local

County dollars?

0-15%

16-30%

31-45%

46-60%

61-75%

76-90%

90-100%

  1. What percentage of the Health Department’s Operating Budget is generated/earned from

Fees?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. What percentage of the Health Department’s Operating Budget is generated/earned from Insurance?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. What percentage of the Health Department’s Operating Budget is generated/earned from Self-Pay?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. How many Full Time Equivalents does the Health Department have for Health

Education/Health Promotion?

0

1

2

3

4

5 or more

  1. How often does the Board of Health meet for regularly scheduled meetings?

Monthly

Every 2 months

Quarterly

Every 4 months

Twice a year

  1. How well does your Regional group of Health Departments work together

collaboratively?

Very well

Moderately Well

A Little Bit

Very Little

Never

  1. How many physical locations does the Health Department have?

One

Two

Three

Four

Five or More

  1. Does the Health Department employ or contract for a Preparedness Coordinator?

Employ

Contract

  1. What percentage of the Preparedness Coordinator position is dedicated to Preparedness?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. What percentage of the Preparedness Coordinator’s salary is County funded?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. What percentage of the Agency Accreditation Coordinator is dedicated exclusively to Accreditation?

0-20%

21-40%

41-60%

61-80%

81-100%

  1. Does the Health Department have a Full-Time Health Educator on staff?

If YES, how is the position funded?

Grant

County

Partial Grant/Partial County

Other (No Blank)

  1. Does the Health Department have responsibility for the County Landfill?

If YES, how many disposal sites does the County operate?

One

Two

Three

Four

Five

Six or more

FREE TEXT RESPONSE

  1. Is the Health Department currently completing an analysis to properly evaluate the need for services or to continue some non-mandatory services?

If YES, which programs are being reviewed?

  1. Is your Health Department part of a Consolidated Human Services model?

If NO, is your County considering it during this fiscal year?

If YES, which County departments are included?

Social Services

Transportation

Senior Services

______

______

If YES, which services or administrative functions have you combined?

  1. Has your County integrated any Public Health and Social Services programs?

If YES, which programs are integrated?

  1. Does the Health Department use any vendors to support external Communication plans?

If YES, which vendors are used?

  1. Does the County allow the Health Department to have a Fund Balance?

If YES, please explain.

  1. Does the County allow out-of-state travel?

If YES, please explain.

  1. Does the Health Department have a separate Staff Training Unit?

If YES, please explain.

  1. Does the Health Department require certain disciplines to wear uniforms (scrubs for nurses, shirts for Environmental Health, etc.) and if so which disciplines and what is the methodology used to calculate this reimbursement.

PERSONAL HEALTH

YES/NO

  1. Do you provide primary care services?

If YES, are the Primary Care services available only to clients seen in your Program

Clinics (Family Planning, Maternity and Child Health)?

If YES, Are primary care services available to any County resident?

If YES, Do you bill third party payors (Medicaid and Commercial Insurance) for

Primary Care visits?

  1. Do you provide the required 72 hour initial Health Assessment and the 30 day

Comprehensive Child Health Assessment for Children that the Department of Social

Services places in Foster Care?It was noted that some may not be familiar with this type of assessment – this probably means you are not completing it.

  1. Do you have a relationship with a local Federally Qualified Health Center in your area?

If YES, does the Federally Qualified Health Center (FQHC) provide services regardless of a patient’s ability to pay?

If YES, are you open to providing copies of Memorandums of Understanding or Contracts that would be helpful when trying to implement in other counties?

  1. Does the Health Department contract for the services of a

Medical Director?

Pharmacist?
Mid-Level Provider?

  1. Does the Health Department employ a Medical Director?
  1. Is the Health Department the primary source of ambulatory care in the County?It was noted that “primary source” may be too vague. Does this refer to adults or primary care in general? Is there a better way to word the question?
  1. Has the Health Department experienced a decrease in the number of scheduled appointments and an increase in ‘No Shows’ in the last 6 months?
  1. Has the Health Department moved to open access scheduling?
  1. If the Health Department offers dental services, does the Health Department have a mobile Dental Unit?
  1. Does the Health Department have an Epidemiologist/Data Analyst on staff?
  1. Does your Health Department utilize any method of social media to communicate with patients, such as texting to schedule appointments, appointment reminders or to give patients results?

MULTIPLE CHOICE

  1. Does the Health Department employ Pharmacists?

If YES, how many?

One

Two

Three

Four

Five or More

  1. What is the School Nurse to Student Ratio in the local School System?

1:750 or below

1:751 – 1:850

1:851 – 1:950

1:951 – 1:1000

1:1001 – 1:2000

1:2001 – 1:3625

  1. What is the average patient No Show Rate for the past 12 months?

<10%

11-15%

16-20%

21-25%

26-30%

31-45%

46-60%

>61%

FREE TEXT RESPONSE

  1. Besides a Mobile Dental Unit, what other mobile units does the Health Department provide?
  1. If the Health Department is part of a Consolidated Agency, how is HIPAA handled?

ENVIRONMENTAL HEALTH

YES/NO

  1. Does the health department currently contract for Environmental Health services?
  1. Is your Environmental Health program adding new positions to meet Quality Assurance Program demands?

If YES, what is the job title of the new position?

  1. Does the Environmental Health staff conduct maintenance assessments on all Type III, IV and V wastewater systems as required in the Administrative Code?
  1. Does the Health Department respond to Methamphetamine lab calls after hours?
  1. Does the Health Department respond to Food Protection issues after hours that are not related to Foodborne Outbreaks? (For example, restaurant fires)
  1. Does the Regional Environmental Health staff in your area provide in-person assistance and training on quality assurance?
  1. Are the County’s Permitting Functions co-located (Environmental Health and Code

Enforcement - Building inspections, Fire and Planning and Zoning)?

MULTIPLE CHOICE

  1. How many inspections are required to achieve 100% compliance with state Food and Lodging Inspection standards in your county (Facility Types 01-61)?

Need Choices

  1. What is the Environmental Health’s Compliance Rate for Food and Lodging Inspections?

0-25%

26-50%

51-75%

76-100%

  1. How many Full Time Equivalents (FTEs) are allocated to completing Food and Lodging Inspections (staff actually in the field conducting inspections)

0-5

6-10

11-15

16-20

20+

FREE TEXT RESPONSE

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