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Jefferson County Public Health – REPORT Performance Measures 2011
CLINICAL HEALTH SERVICES
PROGRAMS: Family Planning, School Based Health Clinics, 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 2011:
1. Assure Family Planning Services are provided in community and accessible
2. Decrease unintended pregnancy rates in Jefferson County (measure)
3. Improve access to health and mental health care for high school student population in Jefferson
County.
4. Insure access to breast and cervical health exams to women age 40 to 65 years old
5. Support seniors’ independence by maintaining their mobility
OBJECTIVES FOR FY 2011:
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. 40% of enrolled students at Port Townsend and Chimacum High Schools will be serviced by School
Based Clinics.
4. Maintain breast and cervical health program in Jefferson County
5. Maintain the current level of community foot care and continue expanding into home care
PERFORMANCE INDICATORS: 2008
Actual
2009
Actual
2010
Actual
2011
Actual
Number of unduplicated clients served in Family
Planning 1128 1202 1253 1170*
Number of adolescents under 19 served in Family
Planning 300 345 447 419
Number of Chimacum and Port Townsend High School
Clinic Unduplicated Clients
152 253** 255**
% of 9-12th grade enrolled students served by School
Based Health Clinics
Chimacum High School 34% 41%
Port Townsend High School 26% 23%
Number of Breast & Cervical screening exams 110 84 99 76***
Number of foot care contacts 3131 3065 2786 2635****
* Funding reduced and clinic closed 1 day/week
** 2010, 2011 Actual from 2009-2011 School year reports SBHC
*** Services were stopped in October when funding stopped
**** Foot Care Senior Center and Home Visits, decrease of staff hours
Study Analysis 2011 results:
The goal of the Family Planning program is to provide the support for families and individuals 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. Clinical fee revenue in the first half of 2011 has
decreased by up to 20%. In this year’s legislation session ending May 2011 Washington State Legislature
increased the income eligibility for “Take Charge” (Family Planning services) from 200% of the Federal
Poverty Level (FPL) to 250% FPL. The State has not implemented the higher income eligibility for “Take
Charge” as of Feb. 2012.
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. JCPH Family Planning reduced Nurse Practitioner
staffing and services at the main office in Port Townsend to provide Nurse Practitioner staffing at Chimacum
and Port Townsend High School, School Based Clinics (SBC). As a result there is a slight reduction in
overall Family Planning clients and the numbers of younger clients increased at the SBCs.
Family Planning services at the Quilcene Clinic, Wednesdays, 10 AM to 2 PM, was reduced to two
Wednesdays a month instead of four, starting summer 2011. Hours at Port Townsend clinic were reduced by
one day a week in 2010 and decreased further for 2 months in 2011. This was due to decreased funding. The
Quilcene Walk-In Clinic usage is variable. Quilcene continues to have a need for access to Family Planning
services. Family Planning Clinic staff will continue to evaluate client needs and staffing/funding available.
In 2011 the Breast and Cervical Health Program (BCHP) had significant reduction in funding limiting the
number of clients that could be signed up for BCHP at JCPH to 76. BCHP addresses the need for cancer
screening and early treatment to decrease deaths from breast and cervical cancer in Jefferson County. In 2012
funds continue to be reduced for BCHP contract limiting the number of clients to 65 in 2012.
Jefferson County’s senior community continues to grow rapidly. In 2009 Jefferson County’s median age
was 50.2 years, an increase of 15 years since 1980, 12 years above Washington State’s median age. 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.
March 16, 2012