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Jefferson County Public Health –Performance Measures 2010 - Report
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 2010:
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 2010:
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: 2007
Actual
2008
Actual
2009
Actual
2010
Planned
2010
Actual
Number of unduplicated clients served in Family Planning 1195 1128 1202 1200 1253
Number of adolescents 19 and under served 312 300 345 300 447
Number of Chimacum School Clinic Unduplicated Family
Planning Clients
66 91
Number of Port Townsend School Clinic Unduplicated
Family Planning Clients
86 87
Number of Breast & Cervical screening exams 111 110 84 100 99
Number of foot care contacts 2946** 3131** 3065** 2400 2786**
** Foot Care Senior Center and Home Visits
SUMMARY OF KEY FUNDING / SERVICE ISSUES: Preventing unintended pregnancies is a local,
state, and national Public Health Goal. Jefferson County Public Health (JCPH) provides the only Family
Planning program in east Jefferson County. Family Planning is considered a Critical Health Service by the
State Board of Health. Washington State Dept. of Health slightly decreased Family Planning funding in 2009
due to State budget shortfalls. Client numbers are staying level or slightly decreasing. JCPH identified the
need for Medical/Family Planning services at Port Townsend and Chimacum High Schools through a
planning grant from the State Department of Health in late 2008. With the collaboration of the School
Districts and Jefferson Health Care, School Based Clinics were started in 2009. JCPH hopes to continue this
program in 2010 as the clinics have been well utilized by students and supported by families and the School
Districts.
The Breast and Cervical Health Program provide 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 2010 JCPH will continue Breast and Cervical Health exams at the same level.
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Jefferson County has a high percent of over age 85 citizens. JCPH Foot Care Program helps this population
maintain independence to stay in their homes. The Foot Care program continues to provide needed services
to the senior population in Jefferson County.
Study/Analysis 2010:
School Based Health Clinic (SBHC) continues at both Port Townsend High School and Chimacum High
School in collaboration with Jefferson Healthcare. School Based Health Centers 2009—2010
Participation Report and current school year data shows an increase in students accessing a variety of
services. The complete report is available on www.jeffersoncountypublichealth.org under Data and
Publications. The number of clients 19 or younger has increased by over 100. This represents increased
outreach and access to JCPH Targeted population through the SBHC to prevent unintended pregnancies and
increase access to health care services. The teen pregnancy rate continues to decrease to lower WOMEN
UNDER AGE 18 (aged 10 to 17): In 2007-09 there were 20 pregnancies among Jefferson County teens
under age 18. In 1995-97 and 2004-09, the Jefferson County teen pregnancy rate was significantly lower
(better) than the WA rate; rates in both places have been statistically decreasing (improving) since 1992-94.
During the 6 months review of 2010 the Communicable Disease Performance Measures Goals the
Chlamydia screening percentage for clients under 25 years old was less than the goal. With careful
evaluation of process, the Family Planning and Communicable Disease teams discovered tests were being
done but not always marked on appropriate forms. Also during the evaluation process it was identified that
the satellite clinic needed updated information on annual screenings of all clients for CT under age 25. Data
will be reviewed every 6 months.
Breast and Cervical Health (BCHP) maintained expected number of clients for 2010. JCPH continues to
receive donations through Port Townsend Main Street “Girls Night Out” to support services. State and
Federal funding has been reduced. JCPH hopes to maintain the same numbers through 2011.
Foot Care visit numbers continue to remain high. No other agency in the community is currently providing
this service.
March 7, 2011