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Jefferson County Public Health – 2009 Report Performance Measures
TARGETED CLINICAL HEALTH SERVICES
PROGRAMS: Family Planning, Breast and Cervical Health, and Foot Care
MISSION statement for Targeted Community Health Service: to provide outreach, access, health
education, support treatment to specific populations in Jefferson County in order to improve the health of the
community.
Mission Statement for Family Planning Program: To provide accessible, high quality confidential
reproductive health services in a safe, respectful environment.
GOALS FOR FY 2009:
1. Assure Family Planning Services are provided in community and accessible
2. Decrease unintended pregnancy rates in Jefferson County (measure)
3. Insure access to breast and cervical health exams to women age 40 to 65 years old
4. Support seniors’ independence by maintaining their mobility
OBJECTIVES FOR FY 2009:
1. Track Family Planning usage patterns and produce annual report
2. Emergency contraception to be provided under standing orders, 5 days per week, and expand
community education and clinical services
3. Maintain breast and cervical health program in Jefferson County
4. Maintain the current level of community foot care and continue expanding into home care
PERFORMANCE INDICATORS: 2006
Actual
2007
Actual
2008
Actual
2009
Planned
2009
Actual
Number of unduplicated clients served in Family Planning 1257 1195 1128 1200 1202
Number of adolescents under 19 served in Family Planning 332 312 300 300 345
Number of Chimacum School Clinic Unduplicated Family
Planning Clients
66
Number of Port Townsend School Clinic Unduplicated
Family Planning Clients
86
Number of Breast & Cervical screening exams 122 111 110 100 84
Number of foot care contacts 2765 2946** 3131** 2400 3065**
** Foot Care Senior Center and Home Visits
SUMMARY OF KEY FUNDING / SERVICE ISSUES: The aim of the Family Planning program is to
control the timing of pregnancy and prevent unintended pregnancies. Jefferson County Public Health (JCPH)
provides the only family planning program in east Jefferson County. In 2009, JCPH, in partnership with
Jefferson Healthcare, opened two school clinics: one at the Port Townsend High School, and one at the
Chimacum High School. These clinics help to serve student health issues, among which an estimated 60% of
visits are family planning. Family planning receipted fees in 2009 increased by five percent from 2008.
Revenue from clients increased 22%, excluding private insurance and Medicaid.
The Breast and Cervical Health Program addresses the need for cancer screening and early treatment to
decrease deaths from breast and cervical cancer in Jefferson County. With continued community support and
level funding from Washington State in 2009 we will continued Breast and Cervical Health exams at the
same level in 2008.
Jefferson County’s senior community has grown rapidly in the last few decades. In 2008 Jefferson County’s
median age was 49.8, which was an eight year increase since 1990. 9% of Jefferson County’s population is
over the age of 75. The JCPH Foot Care Program helps this population maintain independence and mobility
by providing foot maintenance at community centers and at clients’ homes. Foot maintenance includes
services that a client can no longer perform on themselves, such as filing calluses, cutting nails, and tending
to sores resulting from diabetes.
Study/Analysis 2009 Results
JCPH started School Based Health Clinics (SBHC) at Port Townsend High School and Chimacum High
School in collaboration with Jefferson Health Care in the beginning of 2009. Initial data from the spring 2009
shows the clinics were well utilized and services were meeting the needs of the students. Feedback from
School staff has been very positive. Initial overall number of JCPH Family Planning clients which include
SBHC clients have remained the same with a major shift to increase services to the under 19 populations.
This is due to increase in services to SBHC and increase services at JCPH clinic facility.
Breast and Cervical Health overall numbers were down in 2009. The BCHP outreach staff has identified
strategies to identify women who may qualify, and as of Feb. 2010, BCHP number of exams per month has
increased.
Foot care visit numbers continue to remain high. Demand could be a reflection of increased in the older
population in Jefferson.
March 11, 2010