dshs organizational chart
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DSHS Organizational Chart
CommissionerDepartment of State Health Services
Eduardo J. Sanchez, MD, MPH
DSHS Council
Internal AuditThomas Martinec
Chief Operating OfficerRandy Fritz
Chief Financial OfficerMachelle Pharr
Deputy Commissioner forBehavioral and Community
Health ServicesDavid Wanser, PhD
Assistant CommissionerFamily & Community
Health ServicesEvelyn Delgado
Assistant CommissionerMental Health & Substance
Abuse ServicesJoe Vesowate
Assistant CommissionerPrevention &
Preparedness ServicesAlecia Hathaway, M.D.
AssistantCommissioner
Regulatory ServicesRichard Bays
Center forProgram
CoordinationDebra Stabeno
Center for DSHSPolicy &
InnovationRick Danko, PhD
CommunityHealth Services
SpecializedHealth Services
NutritionServices
CommunityMental Health &
SubstanceAbuse Services
Hospitals
CommunityPreparedness
DiseasePrevention &Intervention
LaboratoryServices
Health CareQuality
Environmentaland Consumer
Safety
AccountingWilson Day
BudgetKathleen Barnett
Executive &Staff Operations
LegalCathy Campbell
HealthInformation &Vital Statistics
Center forConsumer &
External AffairsJayne Nussbaum
July 2004
InformationTechnology
Tom Thornton
Regional &Local Services
ContractMonitoring &
Oversight
Deputy Commissioner forPublic Health Services
Nick Curry, MD, MPH
DSHSStrategic Budget Structure
• DSHS was created by H.B. 2292, 78th Texas Legislature, Regular Session.
• Includes the functions of the:– Texas Commission on Alcohol and Drug Abuse,– Texas Department of Health,– Texas Health Care Information Council, and – Mental health (MH) services of the Texas Department of Mental
Health and Mental Retardation (TDMHMR)
• Begins operations on September 1, 2004.
• In order to address the physical and behavioral health service priorities of a growing Texas population, DSHS staff worked with legacy agency staff, HHSC leadership, the Legislative Budget Board, and the Governor’s Office to develop the strategic budget structure for the new agency [See ATTACHMENT A].
Goal 1: Preparedness and Prevention
Services DSHS will protect and promote the public’s health by decreasing health threats and sources of disease. Example of programs in this goal include, but are not limited to:
– Coordinate Public Health Services
– Public Health Preparedness
– Immunizations
– HIV/STD and Hepatitis C Prevention
– Kidney Health
– Children with Special Health Care Needs
– Laboratory Services
Goal 2: Community Health Services
DSHS will improve the health of children, women, families and individuals, and enhance the capacity of communities to deliver health care services. Examples of programs within this goal include but are not limited to:
– WIC and Farmer’s Market Nutrition Services
– Women and Children’s Health Services
– Primary Care and County Indigent Services
– Mental Health Services for Adults and Children
– Substance Abuse Prevention, Intervention and Treatment
– EMS & Trauma Care Systems
Goal 3: Hospital Facilities Management and Services
DSHS will promote the recovery and abilities of persons with infectious disease and mental illness who require specialized treatment. The programs included in this goal are:
– Texas Center for Infectious Diseases
– South Texas Health Care System
– Mental Health State Hospitals
– Mental Health Community Hospitals
Goal 4: Consumer Protection Services
DSHS will achieve a maximum level of compliance by the regulated community to protect public health and safety. The strategies under this goal include:
– Food (Meat) and Drug Safety
– Environmental Health
– Radiation Control
– Health Care Professionals
– Health Care Facilities
Goal 5: Indirect Administration Goal 6: Capital Items
Indirect Administration includes:– Central Administration– IT Program Support– Other Support Services– Regional Administration
Capital Items include:– Laboratory Bond Debt– Construction of Health Care Facilities– Capital Repair and Renovation – Mental Health Facilities– Capital Item
2004-2005 Baseline Spending Level
The baseline spending level is the starting point for the DSHS Legislative Appropriations Request for 2006-2007. It is based on :
- fiscal year 2004 estimated expenditures, and
- fiscal year 2005 budgeted
Towards this end, the new agency has developed its 2005 Operating Budget and has also restated the estimated expenditures of the three legacy agencies into the new DSHS strategic goals.
GR-Dedicated
12%
GR 35%
Federal 48%
Other 5%
FY 2004-05 Baseline Spending Levels All Goals
Fund Type FY04 FY05
GR $800,960,885 $792,717,988
GR-Ded $259,154,760 $298,286,917
Federal $1,064,017,106 $1,086,428,158
Other $87,764,523 $149,767,289
Total $2,211,897,274 $2,327,200,352
FY 2004-05 Baseline Spending LevelsGoal 1: Preparation and Prevention
Services
Fund Type FY04 FY05
GR $152,454,653 $150,310,352
GR-Ded $13,412,086 $12,583,303
Federal $243,650,729 $251,848,745
Other $21,888,629 $20,502,896
Total $431,406,097 $435,245,296
FY 2004-05 Baseline Spending Levels Goal 2: Community Health Services
Fund Type FY04 FY05
GR $350,987,561 $345,718,798
GR-Ded $231,195,850 $271,662,822
Federal $764,549,673 $790,436,467
Other $18,869,866 $52,484,841
Total $1,365,602,950 $1,460,302,928
FY 2004-05 Baseline Spending Levels Goal 3: Hospital Facilities Management
and Services
Fund Type FY04 FY05
GR $251,957,470 $254,792,187
GR-Ded $500,181 $500,181
Federal $18,545,101 $17,475,156
Other $39,264,592 $32,553,236
Total $310,267,344 $305,320,760
FY 2004-05 Baseline Spending Levels Goal 4: Consumer Protection Services
Fund Type FY04 FY05
GR $24,794,906 $24,395,060
GR-Ded $9,590,358 $9,170,553
Federal $8,694,790 $8,804,772
Other $297,720 $262,000
Total $43,377,774 $42,632,385
FY 2004-05 Baseline Spending Levels Goal 5: Indirect Administration
Fund Type FY04 FY05
GR $20,691,295 $17,501,591
GR-Ded $1,315,605 $1,229,378
Federal $14,746,881 $13,446,984
Other $3,602,014 $3,651,701
Total $40,355,795 $35,829,653
FY 2004-05 Baseline Spending Levels Goal 6: Capital Items
Fund Type FY04 FY05
GR $75,000 $0
GR-Ded $3,140,680 $3,140,680
Federal $13,829,932 $4,416,035
Other $3,841,702 $40,312,615
Total $20,887,314 $47,869,330
Reductions to Baseline Request
The Governor's Office of Budget, Planning & Policy and the Legislative Budget Board instructed each state agency to limit its 2006-2007 baseline request for general revenue-related funds to 95 percent of the sum of amounts expended in fiscal year 2004 and budgeted in fiscal year 2005.
Under these instructions, the baseline request for fiscal year 2006 and 2007 for the Department of State Health Services must be $107.5 million less than its 2004-2005 spending levels.
Reductions to Baseline Request – Guiding Principles
The following options are being considered to achieve the reductions to the baseline request:
• Maximize the potential savings of DSHS consolidation
• Maximize the use of federal funds
• Minimize impact to services
Options for Consideration for Exceptional Items – LAR 2006-07
2006-2007 funding requests for amounts that exceed 95 percent of the baseline spending level may be submitted as Exceptional Items.
DSHS program staff have developed options for consideration for Exceptional Items [See ATTACHMENT B] in the following categories:
– Restoration
– Prevention
– Infrastructure
– Expansion
High-level information regarding the LAR will be posted at the new website of the Department of State Health Services. Comments will be accepted via the web or e-mail at:
www.dshs.state.tx.us/LAR
LAR@dshs.state.tx.us
We encourage you to submit comments by Friday, July 30, 2004 in order to be considered in the LAR preparation.
DSHS Contact: Kyle Baxter, Texas Department of Health, 512-458-7640 or kyle.baxter@tdh.state.tx.us
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