annual report 2012 - central valley health

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ANNUAL REPORT

2012

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Angie Allmer - 2 years

Frank Balak - less than 1 year

Marcie Bata - 4 years

Anita Berland - 23 years

Marcia Bollingberg - 28 years

Coralynn Dallmann - 4 years

Tami Dillman - 10 years

Tonya Drenth - 9 years

Deb Fischer - 11 years

Sharon Frey - 5 years

Karena Goehner - 3 years

Julie Hoeckle - 3 years

Robin Iszler - 24 years

Jean Johnson - 24 years

Amy Kinzler - 1 years

Wendy Klett - 20 years

Kali Lautt - 5 years

Annette Niemeier - 21 years

Brenna Opdahl - 2 years

Wanda Opland - 19 years

Beth Schwartz - 11 years

Nancy Neary - 11 years

JoElle Thomas - 7 years

Lynn Walden - 4 years

CVHD Board -

Dr. James Torrance, Chair

Darla Reed, Vice Chair

Heidi Larson

Laurel Haroldson

Dr. Philip Jystad, Secretary

Dr. Ed Anderson

Cindy Schaar

Dennis Ova

Dean Entzminger

CENTRAL VALLEY HEALTH DISTRICT STAFF

Central Valley Health District

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EXECUTIVE SUMMARY


Frank Balak was hired at the end of 2011 and began his role as EPR coordinator

in January 2012. No other staff were hired in 2012. Staffing is adequate to meet

the needs of the programs provided. We continue to review staffing needs and

funding sources planning for succession and changes to program funding.

The main focus in 2012 was the community health assessment process. With

funding from NACCHO, CVHD and our community partners set out to assess the

health status of the community. The intense work throughout the year produced

the following priorities:

COMMUNITY HEALTH PRIORITIES:

Priority One: Obesity and physical activity – Logan and Stutsman Counties

Priority Two: Safe driving (Distracted driving & drunk driving) – Stutsman County

Priority Three: Youth alcohol and tobacco use – Stutsman County

Priority Four: Mental health awareness and suicide – Stutsman County

CVHD and our partners continue to meet and discuss priorities. This work helped the group to

receive funding from BCBS in a recess grant for physical activity. Top issues identified by

community members in Logan County include: availability of good jobs, lack of physical activity

and access to fitness facilities. During the Logan County Interagency Group meeting, the

community’s Horizons Project completion was recognized for its successful completion. The

members would like to continue with this program and develop a community health improvement

plan. The top priority ultimately selected for both Logan and Stutsman Counties is the same.

The next steps in the process will include assignment of goals, objectives and activities to

address the priorities. This process will continue for the next 3-5- years and the group of

community members will work together to help improve the health of the community.

Central Valley Health also continues to work on agency specific goals and planning for its

strategic direction.

Other major accomplishments in 2012 were:

CVHD implemented the Electronic Medical Records program; staff have embraced this

change and the process went smoothly.

CVHD continues to use technology to improve daily operations.

The CVHD website and the Facebook page have been updated to help increase exposure to

the public.

Increased radio and newspaper ads have also provided more public awareness.

We continue to deal with challenges in changing population due to oil impact and other

growth opportunities in the community.

Overall the year was very successful and we look forward to challenges of 2013.

CVHD Administrator

Robin Iszler

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Finance Manager - Tami Dillman

Accountant - Coralynn Dallmann

FINANCES

~ Previous Year vs. Current


Local State Federal Fee/Donation Other* Total

2011 $635,004 $365,129 $1,014,794 $121,000 $262,383 $2,398,310

2012 $709,006 $ 87,702 $ 926,522 $119,123 $319,153 $2,161,506

Program 2012 Budget

Title III & Chronic Disease $99,296

Logan $61,266

Stutsman (with EH) $856,094

MCH $112,729

WIC $93,330

Tobacco $295,295

Family Planning $261,805

Women’s Way $73,951

SART $60,014

PHEP $247,726

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Regional EPR Coordinator - Frank Balak

Regional EHP - Amy Kinzler

Regional PIO - Kali Lautt

Preparedness Activities

CDC yearly Review of Strategic National Stockpile plans

Developed, Reviewed and Updated SEC Regional Plans

Attended Local Emergency Planning Committee Meetings in

Barnes, Logan, Stutsman, LaMoure, and Foster

Participated in the revision of the health and medical portion of the Stutsman County Emergency Management Combined Emergency Operations Plan

Attended State Hospital Preparedness Program Meetings Narrow banding of public safety radios Respirator Fit Testing for all LPHU staff in the SEC Region Trainings NDDoH Evacuation Training NDDoH Environmental Health in Response Training NDDoH HC Standard Training NDDoH PIO and Communications Training CDC Community Assessment for Public Health Emergency Response Training (CASPER) CDC Mass Antibiotic Dispensing, Public Information and Communication Training CDC Strategic National Stockpile Preparedness NEHA Environmental Health Training in Emergency Response TRANSCAER Anhydrous Ammonia Training Crisis and Emergency Risk Communication certification obtained DES Interoperable Radio Communications Training Enhanced Threat and Hazard Identification and Risk Assessment (THIRA) Hospital Preparedness Conference

Exercises

Participated in LaMoure LEPC Table Top Exercise

Participated in NDDoH Community Preparedness and Recovery Table Top Exercise

Participated in Jamestown Regional Medical Center Table Top Exercise

Observed a Fargo Nursing Home Evacuation Exercise and Bismarck POD exercise Participated in tabletop exercise in Devils Lake regarding neighborhood evacuation due to flooding

Outreach Activities

Preparedness Booth at Jamestown College Block

Party

Preparedness Booth at the Jamestown State

Hospital Health Fair

Developed Winter Survival Kit handouts that were

distributed via Dominos, Pizza Hut, and Papa

Murphy’s on to-go orders

PUBLIC HEALTH EMERGENCY PREPAREDNESS


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ENVIRONMENTAL HEALTH

Director - Marcie Bata

Environmental Health Practitioner - Amy Kinzler


2011 -2012 Comparison Consultations

Central Valley Health District’s

Environmental Health Division

provides a variety of Environmental

Health Services to the Southeast

Central Region of North Dakota.

The Region includes the following

counties; Barnes, Dickey, Foster,

LaMoure, Logan, McIntosh, Stutsman

and Wells.The Environmental Health

Division licenses and/or inspects the

following types of facilities.

In addition to licensing/inspection of facilities,

consultations are provided. These consultation

services vary from responding to complaints

received to providing education in many service

categories such as social services, nuisances, and

radon.

On-site Sewage Treatment Systems are permitted

and/or inspected by the Environmental Health

Division. Septic installer licensure and consultations

regarding systems are also provided through the

division.

In 2012 the Environmental Health Division

added school health and safety inspections

to the list of services offered. This annual

inspection of the entire school facility was

added to provide a resource to the schools

in the region regarding sanitation issues.

Additionally in 2012, the Division made some

significant changes to its website, providing

easier access to regulations and other highly

requested general environmental health

information.

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Director - Kali Lautt,

Nurse Practitioner - JoElle Thomas

Administrative Assistant - Lynn Walden

Affordable Care Act & Title X

Title X is complemented but not replaced by the Patient Protection and Affordable Care Act (ACA). According to the Institute of Medicine, “Title X’s mission is to provide grants to public or nonprofit private entities to support programs that provide contraceptive services and broadly promote reproductive health.”

The Affordable Care Act requires new insurance plans to cover preventative visits. However, a portion

Family Planning Activities

Health Education Classes at Schools and Community Locations — 267 participants

HIV Tests — 196

Lipid Screens — 33

FAMILY PLANNING

The Central Valley Family Planning Program has been providing reproductive health services (Title X) since 1970. The program assists men and women to understand and take responsibility for their reproductive health through education, counseling, and medical services. Of the men and women receiving reproductive health services in 2012, 83% were 250% or more below the federal poverty level and 47% were uninsured (no public or private health insurance).

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NURSING SERVICES

Title III

2384 appointments

Injury Prevention

933 Education Program contacts

Car Seats

8 installed

6 car seats distributed

Flu Shots All Ages

3395

Other Vaccinations for All Ages

465 all ages

All-County School Based Flu Shots

743

School Nursing

2140 contacts all county schools

284 Logan

Newborn Visits

117 contacts

Logan County Nursing Contacts

992 contacts

James Valley Career and Technology Center

150 students

Public Health Nurses

Marcia Bollingberg - DoN

Angie Allmer

Deb Fischer

Sharon Frey

Karena Goehner

Wendy Klett

Annette Niemeier

Brenna Opdahl

Wanda Opland

Jean Johnson, Logan County

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Tobacco Prevention Director -

Nancy Neary

Tobacco Prevention Outreach

Coordinator - Julie Hoeckle

New Referrals, 21

New Enrollees,

10Completed Classes, 9

Active Participants,

21

The Baby and Me

Program of Stutsman

County has positively

affected 54 babies as

their mother’s attended

cessation sessions, with

women reducing

smoking habits, quitting

smoking, and/or

remaining smoke free.

TOBACCO PREVENTION AND CONTROL PROGRAM

BABY AND ME PROGRAM

NORTH DAKOTA IS SMOKE FREE

North Dakota Quitline and Quitnet

Help ND Residents Quit Smoking

In November 2012, 67% of North Dakota voters – consisting of a majority in every single county and legislative district of the state – passed Measure 4, creating smoke-free workplaces and protecting all North Dakotans from the dangers of secondhand smoke. The number of North Dakotans who support the Smoke-free Law, since its implementation only three months ago on December 6, 2012, has risen to 72%. In addition, 71% of North Dakotans polled responded that they find going out to restaurants and bars more enjoyable now that smoking is prohibited.

2010-2011 2011-2012

123

143

Stutsman County Quitline Participants

2010-2011 2011-2012

52

71

Stutsman County Quitnet Participants

Health Educator - Julie Hoeckle


0 10 20 30 40

Logan

Emmons

KidderLaMour

eMcIntos

hLogan

2011-2012 13 20 35 9 5

2010-2011 17 16 22 2 5

Total Usage of NDQuits and Quitline

2008 - 2012 TOTALS

Total Referrals 95

Total Enrollees 49

# Completed all 4 Sessions 46

# Smoke Free at Birth 44

# Smoke Free until baby was 3 months 39



# Smoke Free until baby was 12 months

(19)

Number of Graduates 19

Gift Certificates Distributed 348

Number of Babies Benefitting from Program

56

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The CVHD WIC program serves an average of 444 individuals

per month for Stutsman and Logan counties combined.

Coordinator - Deb Fischer

SANE Nurses - Robin Iszler, Brenna Opdahl, Julie Hieggelke, JoElle Thomas,

Tonya Busch, and Angie Allmer.

WIC & MCH PROGRAMS

SART PROGRAM

Director - Anita Berland Nutrition Educator - Julie Hoeckle

Administrative Assistant - Beth Schwartz

SANE— SEXUAL ASSAULT NURSE EXAMINER

Victim Services Provided - 13

Counseling Services - 3

Crisis Intervention - 3

Forensic exams - 4

Hospital/clinic/other medical responses - 3


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WOMEN’S WAY PROGRAM

Coordinator - Deb Fischer Administrative Assistant - Tonya Drenth

FISCAL YEAR 2011 — 2012

CVHU Screening Goals versus

Actual Women Screened/Re-Screened

CVHU = 92% of Total Goal


257

236

248

225

230

235

240

245

250

255

260

Fiscal Year2011 - 2012 Goal

Actual WomenScreened

Number of Enrollees

Women's Way FY 2011-2012

annual report 2012 - central valley health

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