HomeMy WebLinkAbout127 Public HealthJEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 1 of 100
2019 DEPARTMENT SUMMARY
Revenues were impacted substantially in 2017 in both Environmental Health Division (EH) and Community Health Division (CH) grants and fees. In
2018, Jefferson County Public Health brought the responsibility of medical billing back inhouse instead of outsourcing it. CH fees are projected to
exceed budgeted revenues; first time since 2014. The Washington State Legislature approved a Capital Budget in 2018, which returned funding to the
Solid Waste programs and allowing Solid Waste programs to resume.. The health department, was without the Coordinated Solid Waste Prevention
Grant funding from July of 2017 until the Capital Budget went into effect in 2018. Staff hours were reallocated to other programs within EH and also
the Water Quality Department during the interim without funding.
Client numbers have decreased over the last few years in nearly every CH program with the exception of Syringe Exchange and TB. Outreach
became a focus in 2017, using The Leader to promote our programs. In 2018, the Family Planning program was awarded a grant with an element
focused on outreach. A social media campaign was conducted, aimed to outline services, hours of operations, and reach a targeted population. Public
Health has learned that both print media and social media have their purpose and specific benefits. In 2019, Public Health will continue to do more
with outreach using social media.
As the State moves towards full implementation of Medicaid Transformation with funding for medical care flowing through Managed Care
Organizations, the change will result in funding for all Medicaid lives being given to primary care providers. This means that as currently planned,
the health department clinical services would no longer be able to direct bill Medicaid for the services we provide through our Family Planning and
School Based Health Clinics as well as potentially our immunization clinics (except Travel). We have begun discussions with the Olympic
Community of Health and Jefferson Healthcare. We will also have discussions with the Managed Care Plans that operate within Jefferson County.
This issue should not affect our Title X Family Planning grant, our State Take Charge funding or private insurance and uninsured. However, because
we serve a large Medicaid population with our clinical programs, this issue will need to be resolved before full integration becomes final in our
region.
Key notes and changes in JCPH 2019 Budget:
FTEs increase by 2.20
o Increase hours in Finance Operations Coordinator (Medical Billing returned)
o CHIP Executive Director
o End temporary increases in ARNP and PHN II and make permanent
o Increase in Community Health Educator
o HRSA Project Coordinator
o Other hours moved from WQ
Step increases for bargaining members reflected
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 2 of 100
1.75% increase for non-union employees reflected
CH client numbers and fee revenue will need to be closely monitored on a program by program basis
EH Division is requesting a one-time only add of $200,000, transfer from the County General Fund, in order to complete existing site abatement
projects.
In 2018, Public Health was unsuccessful at recruiting a Finance Manager. Management will revisit this position and consider opening the
position again or hiring a Financial Operations Coordinator.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 3 of 100
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 4 of 100
BUDGET/PROGRAM: 127 DEPARTMENT
REVENUES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Restricted Fund Balance 244,548 244,548 244,548 244,548 244,548 -
Reserve Fund Balance 189,922 406,999 486,691 525,298 541,320 54,628 CHIP Program & HRSA Grant (Also CHIP Related)
Beg Fund Balance 120,900 186,579 199,020 274,271 319,512 120,493 Unexpected Vacant positions
Taxes 45,123 46,410 46,284 47,459 47,568 1,284 Based on projections
Licenses and Permits 265,179 273,687 248,037 272,002 336,646 88,609 Based on projections & expected CPIW increase
Federal Grants 744,876 573,625 406,301 424,726 456,637 50,336 Increase in federal funding
State Grants 557,291 484,028 469,034 565,822 620,322 151,288 Increase in state funding
State Entitlements 135,821 177,821 180,487 177,821 177,821 (2,666) Based on projections
Intergovernmental 71,368 48,259 48,259 55,759 48,259 -
Charges for Goods & Svcs 1,436,825 1,712,063 1,805,912 1,919,220 1,961,551 155,639 Based on projections
Misc. Revenue, Contributions 2,324 3,621 1,025 3,265 1,015 (10)
Interfund Chg. For Service -
Disposition of Capital Assets 1,710 1,058 150 40 100 (50)
Special Purpose Tax 104,043 107,180 110,404 110,407 113,719 3,315 Special Purpose Tax increase approx. 3%
Transfer from Solid Waste 18,200 20,971 20,971 20,274 20,274 (697) Based on projections
Other Transfers (one-time/payout)17,117 - 417,541 200,000 200,000
$327,000 transferred in 2018 for purchase of Energov.
Request $200,000 Add for Site Abatement Projects in 2019.
General Fund Revenue 616,289 597,770 619,583 619,583 638,170 18,587 Dept GF increased by approx 3% + GIS
Total Revenue 4,554,419 4,901,735 4,886,706 5,678,036 5,727,462 840,756
BUDGET/PROGRAM: 127 DEPARTMENT
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 5 of 100
BUDGET/PROGRAM: 127 DEPARTMENT (cont’d)
EXPENDITURES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Wages & Benefits 2,671,325 2,549,440 2,818,778 2,796,225 3,153,432 334,654
Step increases for bargaining members and
1.75% for non-bargaining members
Supplies 130,354 117,069 113,986 135,736 109,878 (4,108) Based on projection/grant deliverables moved
Tool & Equipment 4,938 - - - - -
Professional Services 388,134 423,029 543,032 548,849 940,858 397,826 Projections & Abatement Projects in 2019
Communication 19,798 20,933 18,609 18,557 18,118 (491) Based on projections
Advertising 4,372 9,795 2,350 12,696 19,535 17,185 Projections and Adv Campaign for Dept
Travel 16,135 22,187 15,048 18,340 19,268 4,220 Based on anticipated conferences and training
Machinery & Equipment -
Operating Rents & Leases 1,613 855 - 985 1,760 1,760 Grant deliverables
Insurance 39,466 44,458 45,760 43,260 45,760 -
Miscellaneous 27,101 39,870 28,769 29,224 49,480 20,711 New maintenance fees
Intergovernmental Services 1,650 1,650 1,650 5,950 24,606 22,956 Grant deliverables
Capital Outlays - - - 327,000 - - Software Replacement in 2018
Interfund Prof Svcs 211,037 326,674 335,575 339,331 333,014 (2,561) Based on projections
Interfund Rents & Leases 277,310 300,010 297,799 296,503 285,426 (12,373) New County Cost Allocation
Interfund Payment for Svcs - - - - - -
Sub-Total Expenditures 3,793,232 3,855,968 4,221,356 4,572,656 5,001,135 779,779
Adjustment - 1,649 - - - -
Reserved Fund Balance 422,846 525,298 282,656 541,319 354,260 71,604
Required Fund Balance 244,548 244,548 244,548 244,548 244,548 -
Total Expenditures 4,460,626 4,627,463 4,748,560 5,358,524 5,599,942 851,383
Balance Forward 170,732 274,272 138,146 319,512 127,520 (10,627)
STAFFING:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request
Annual Hours 67,989 64,667 70,022 66,725 74,675
FTE’s 32.6 31.1 33.6 32.0 35.8
BUDGET/PROGRAM: 127 DEPARTMENT
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 6 of 100
BUDGET/PROGRAM: 127 DEPARTMENT (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 7 of 100
BUDGET/PROGRAM: DEPT ADMINISTRATION
REVENUES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Restricted Fund Balance 216,000 216,000 216,000 216,000 216,000 -
Reserve Fund Balance 68,539 19,607 31,373 42,484 118,681 87,308 CHIP Program & HRSA Grant
Beg Fund Balance 48,538 56,606 91,781 77,436 91,221 (560)
Taxes -
Licenses and Permits -
Federal Grants - 12,000 3,000 5,589 124,030 121,030 New federal grant
State Grants - - - - -
State Entitlements -
Intergovernmental 48,259 48,259 48,259 55,759 48,259 -
Charges for Goods and Svcs 321,985 447,437 494,845 561,528 540,193 45,348 Funding for CHIP Program started in 2018
Misc. Revenue, Contributions 160 138 - 98 - -
Interfund Chg. For Service -
Disposition of Capital Assets -
Special Purpose Tax -
Transfer from Solid Waste -
Other Transfers (one-time/payout)24,221 - - 9,535 - -
General Fund Revenue 210,555 178,622 103,981 103,981 107,100 3,119
GF increased by approx. 3% and distributed
to all divisions
Total Revenue 938,256 978,669 989,239 1,072,410 1,245,484 23,565
BUDGET/PROGRAM: DEPARTMENT ADMINISTRATION
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 8 of 100
BUDGET/PROGRAM: DEPT ADMINISTRATION (cont’d)
EXPENDITURES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Wages & Benefits 538,745 529,924 609,243 592,881 743,751 134,507
Step increases for bargaining members and 1.75%
for non-bargaining members. Staff hours moved
from CH to Admin
Supplies 4,046 4,325 4,356 13,657 7,496 3,140 Based on projections
Tool & Equipment -
Professional Services 13,601 11,174 14,467 14,467 53,367 38,900 Based on projections
Communication 2,474 2,933 3,222 2,697 3,919 697 Based on projections/department allocation
Advertising 553 398 650 2,179 11,340 10,690 New Advertising Campaign for Dept
Travel 1,779 841 1,095 967 3,205 2,110
Based on anticipated conferences and
training
Machinery & Equipment -
Operating Rents & Leases 500 - - 240 240 240 Based on projections
Insurance 39,466 40,243 45,760 43,260 45,760 -
Miscellaneous 4,916 4,869 4,740 4,138 4,900 160 Based on projections
Intergovernmental Services 10,919 10,919
Capital Outlays
Interfund Prof Svcs - - - - - -
Interfund Rents & Leases 39,963 46,712 47,045 47,022 45,424 (1,621) Based on projections
Interfund Payment for Svcs -
Sub-Total Expenditures 646,043 641,420 730,578 721,508 930,321 199,742
Adjustment 1,329 -
Reserved Fund Balance 35,454 42,484 43,681 88,756 88,756
Required Fund Balance 216,000 216,000 216,000 216,000 216,000 -
Total Expenditures 897,497 901,233 946,578 981,189 1,235,077 288,499
Balance Forward 40,759 77,436 42,661 91,221 10,407 (32,254)
STAFFING:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request
Annual Hours 14,687.13 14,361.74 15,098.85 14,541.06 17,894.40
FTE’s 7.03 6.90 7.26 6.96 8.57
BUDGET/PROGRAM: DEPARTMENT ADMINISTRATION
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 9 of 100
BUDGET/PROGRAM: DEPT ADMINISTRATION (cont’d)
PROGRAMS: Administration, Public Records Requests, Local Capacity Development Funds, , Public Health Emergency Preparedness and Response, Foundational Public Health
Capabilities including Assessment and Public Health Policy, Community Partnership and Communication.
MISSION: The mission of the Administration and Finance Division is to provide excellent internal and external customer service, provide strategic budgeting with vision for
sustainable funding, and minimize the risk to the department with effective policies, procedures, and trained staff. The mission of the Administration Division’s Director’s Office
and Health Officer’s Office is to provide internal and external leadership in the development of recommended public health policy based on data driven decisions designed to
improve the public’s health throughout East Jefferson County and preparation of same for the Board of Health.
Goal Objective Task Performance Measure
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Provide
complete
financial and
administrative
support to
departments
Assure funding sources
are maximized Renew existing contracts and assist
with application process for all
grants
# total grants (federal & state) 56 40 43 39 40
Leverage Contracts-Professional
Service Agreements, MOU’s, for
maximum program effectiveness
# total contracts 188 167 76 92 91
Bill other sources; Medicaid, Private
Insurance, Clients/Customers
% of Community Health (clinic)
budget funded by fees 22.3% 18.7% 15.0% 16.7% 19.0%
% of Environmental Health budget
funded by fees 29.5% 42.3% 71.7% 75.5% 78.5%
Goal 2:
Conduct duties
of PH to the
benefit of other
agencies & the
community
Provide services to
other agencies and
community
Supply certified birth and death
records to requesters in a timely
manner
# of certified birth certificates
issued
443 384 408
# of certified death certificates
issued
1,742 1,671 1,942
Provide
Assessment/Data
Evaluation
Collect, evaluate, and present data
to boards and committees
# of boards and committees
supported directly or indirectly 10 8 9 9 9
Assure response to
public record requests
Maintain admirable response system
for public records requests; replying
in a timely manner to all requests
# of public record request received 281 188 78 50 44
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 10 of 100
Goal Objective Task Performance Measure
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 3:
Improve and
streamline grant
billing, reporting, and
tracking
Track revenue and
expense transactions
with multiple levels of
coding
Hold monthly finance meetings to
review financial status
% of monthly meetings held 83% 75% 75% 58.3% 100%
Present financial data at staff
meeting (# of mtgs.) N/A N/A 4 4 4
% of total Public Health revenue
budget received 97.4% 110.1% 102.4% 100% 100%
% of total Public Health expense
budget expended 99.4% 95.9% 92.5% 100% 100%
% of total WQ revenue budget
received 68.2% 85.0% 100% 100%
% of total WQ expense budget
expended 56. 7% 83.9% 100% 100%
Reduce/eliminate coding errors
# of errors resulting in coding
corrections – monthly invoices 19 79 26 26 26
# of errors resulting in coding
corrections – monthly payroll 148 293 126 42 42
# of errors resulting in coding
corrections – monthly revenue
transactions
29 57 36 38 38
Goal 4:
Standardize
community messages
from JCPH
Increase awareness
and trust in
community using
standardized logo,
letterhead, signs, and
website
Form new outreach team and
identify goals and events # of outreach activities completed 28 11 13 18 20
Goal 5:
Assure federal/state
guidelines are met
Track grant
deliverables,
contractual agreements
Ensure all audits/reviews of
federal/state grants are passed with
no findings
# of findings 0 0 0 1 0
Participate in statewide conference
calls and attend training to
maintain knowledge of grant
requirements
# of webinars, conferences, and
trainings attended 22 11 17 20 20
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 11 of 100
Goal Objective Task Performance Measure
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 6:
Maximize State
funding to ensure
stable and adequate
funding for local
public health services
in Jefferson County
Provide input on
proposed public health
statutes amendments
and seek stable and
ongoing funding
Participate in WSALPHO
meetings, conference calls, funding
workgroups and initiative
development including funding
methodology/allocations
Number of meetings, conference
calls, document development N/A N/A 12 100 100
Goal 7:
Ensure Jefferson
County Board of
Health and Jefferson
County Public Health
(JCPH) Staff
understand the
Foundational Public
Health Services and
Capabilities and
Additional Important
Public Health
Services provided by
JCPH
Transition JCPH
budget and reporting
to capture
Foundational Public
Health Services and
Capabilities and
Additional Important
public health services.
Develop documents and
PowerPoint information that
illustrates and crosswalks JCPH
programs with the Foundational
Services and Capabilities.
Align the budget with FPHS and
Capabilities and evaluate per the
corresponding metrics.
Institutionalize continuous quality
improvement and program
evaluation throughout the
department to assure effectiveness
and efficiency in all program areas.
Number of presentations to
internal and external partners
regarding FPHS and Capabilities
and the changes to the
governmental public health
systems.
Begin to shift, where possible,
from output measures to outcome
measures to ensure the services
we provide are providing the
outcomes we expect.
Provide staff training on program
evaluation and quality
improvement
N/A N/A 2 4 12
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 12 of 100
Goal Objective Task Performance Measure
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 8:
Support and Enhance
the Community
Partnerships created
through the
Community Health
Improvement Plan
(CHIP) and the
Regional Olympic
Community of
Health (OCH) and
align the work
between the two as
appropriate.
Ensure that the
Jefferson County
communities continue
to be served by
periodic Community
Health Assessments
(CHA) to inform
countywide public
health policy and
actions.
Ensure that Jefferson
County continues to be
served by a robust
Community Health
Improvement Plan that
is adequately staffed to
work with community
partners and residents
to improve health.
Work with partners at the local and
regional levels to encourage
participation in the next CHA in
2019 and to modify the CHIP, if
needed, based on the information
learned from the data gathered for
the CHA.
Seek funding to stabilize and
provide ongoing staff support for
CHIP implementation to improve
the health of individuals, families
and Jefferson County communities.
Completion of a Broad
Community Health Assessment in
Jefferson County in 2019. Work
with Kitsap County to leverage
funds for a regional Community
Health Assessment in 2019 with
regional and county-specific data
available to each county.
Seek on-going funding to enable
continued health improvement in
Jefferson County through the
participation of all sectors and
interested residents in both the
CHA and the CHIP process.
CHA
Completed
including
Jefferson
County
specific
data.
Continued
active
engageme
nt with
OCH
(Kitsap,
Clallum
and
Jefferson)
to assure
alignment.
SUMMARY OF KEY FUNDING/SERVICE ISSUES FOR 2017-2018:
Staffing changes in 2016 came with unexpected costs. The 2017 budget is dependent upon a change in the county general fund contribution, which
will provide assistance to three divisions in the department.
In 2014, a reorganization of the Department Administration occurred when three employees ended their employment. Budget restraints made it
necessary to reduce staff. Doing so created more errors in certain areas within the financial and support staff teams. In 2016, three major programs
funded by grants required approximately 100 coding corrections. This was not due to administration staff, but in order to provide adequate
documentation of appropriate use and accountability.
In order to reduce errors, continue to ensure all federal and state audits have no official findings, and provide management and program leads with
reports and other documentation necessary to track their budgets and grants, .175 FTE was added in July, 2016.99
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 13 of 100
Local and State public health leaders in Washington have been working to develop Washington’s Foundational Public Health Services (FPHS)
framework since 2011. The FPHS framework is based on the role of the governmental public health system. The FPHS framework defines the
services residents need to have access to or have provided for them everywhere statewide. Foundational Public Health Services include
Communicable Disease Control, Chronic Disease and Injury Prevention, Environmental Public Health, Maternal, Child and Family Health, Access to
Clinical Care and Vital Records.
Foundational Capabilities are the cross-cutting capacities and expertise that are essential to supporting public health programs.
In mid-2018 local health departments and the State Department of Health were directed to record time under new BARS codes reflecting the
Foundational Public Health Capabilities which reflect the infrastructure necessary for any agency to effectively provide services to the communities
we serve. Foundational Capabilities are:
1. Assessment (Surveillance and Epidemiology)
2. Emergency Preparedness (All Hazards)
3. Communication
4. Policy Development and Support
5. Community Partnership Development
6. Business Competencies
Together, the foundational capabilities and foundational programs are the limited statewide set of core public health services that must exist
everywhere for services to work anywhere. In other words
Because Foundational Capabilities cross all divisions of public health jurisdictions, they are reflected in the Administration Budget. A summary of
the Foundational Capabilities definitions follows:
Assessment (Surveillance and Epidemiology)– The ability to collect sufficient, statewide and community level data and develop and maintain
electronic information systems to guide public health planning and decision making at the state, regional and local level; the ability to access,
analyze, use and interpret data; ability to conduct a comprehensive community health assessment, including analysis of health disparities and the
social determinants of health.
Emergency Preparedness (All Hazards) – The ability to develop emergency response plans for natural and man-made public health hazards; train
public health staff for emergency response roles and routinely exercise response plans; the ability to lead the Emergency Support Function B – Public
Health and Medical and/or a public health response for the county, region, jurisdiction and state; the ability to activate and mobilize public health
personnel and response teams; request and deploy resources; coordinate with public sector, private sector and non-profit incident command system;
and the ability to communicate with diverse communities across difference media, with emphasis on population that are disproportionately
challenged during disasters, to promote resilience in advance of disasters and protect public health during and following disasters.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 14 of 100
Communication – The ability to engage and maintain ongoing relations with local and statewide media; and the ability to develop and implement a
communication strategy, in accordance with Public Health Accreditation Standards, to increase visibility of public health issues. This includes the
ability to provide information on health risks, healthy behaviors, and disease prevention and culturally and linguistically appropriate formats for the
various communities served.
Policy Development and Support - The ability to develop basic public health policy recommendations. These policies must be evidence-based, or,
if innovative/promising, must include evaluation plans; the ability to work with partners and policy makers to enact policies that are evidence-based
(or are innovative or promising and include evaluation plans) and that address the social determinants of health and health equity; and the ability to
utilize cost-benefit information to develop an efficient and cost-effective action plan to respond to the priorities identified in a community and/or
statewide health assessment.
Business Competencies
Leadership Capabilities. Ability to lead internal and external stakeholders to consensus and action planning (adaptive leadership) and to serve
as the public face of governmental public health in the community.
Accountability and Quality Assurance Capabilities. Ability to uphold business standards and accountability in accordance with local, state
and federal laws, regulations and policies and to align work with national and Public Health Accreditation Standards.
Quality Improvement Capabilities. Ability to evaluate programs and continuously improve processes.
Information Technology Capability. Ability to develop, maintain and access electronic health information to support operations and analyze
health data. Ability to support, maintain and use communication technology.
Human Resources Capabilities. Ability to develop and maintain a competent workforce, including recruitment, retention and succession
planning functions; training; and performance review and accountability.
Fiscal Management, Contract and Procurement Capabilities. Ability to comply with federal, state, and local standards and policies.
Facilities and Operations. Ability to procure, maintain, and manage safe facilities and efficient operations.
Legal Capabilities. Ability to access and appropriately use legal services in planning and implementing public health initiatives.
Meeting these core capabilities and core services will require additional investments statewide at the local, regional and state levels. It is the intent of
the State Department of Health, the Washington State Association of Local Public Health Officials (WSALPHO) and the Washington State
Association of Counties (WSAC) to request state funding in 2019 to fund the first of those foundational services and capabilities. The areas of the
first ask are Communicable Disease, Environmental Public Health, and Assessment plus an initial investment in foundational capabilities to support
public health basic infrastructure and cross-cutting services as identified above.
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2019 BUDGET REQUEST Page 15 of 100
BUDGET/PROGRAM: DEPT ADMINISTRATION (cont’d)
FORM F
BARS #PROGRAM TITLE
ESTIMATED
2018
REVENUES
BUDGET
2019
REVENUES
NET COUNTY
EXPENDITURES 2019
(SEE NOTE**)Additional Information
332.93.20.1000 Billing Update Incentive 3,000 3,000 678,099
Multiple funding sources, see below (Grant
Admin, State Block Grant, Charges for Goods
& Svcs. & County General Fund)
333.93.06.8800 PHEPR - 20,196 -
333.93.06.8801 PHEPR Admin - 6,529 - Multiple funding sources, see first row
331.93.91.1270 Rural Health Network-CHIP - 71,265 -
331.93.91.1271 Rural Health Network-Indirect - 23,040 -
3,000 3,000 678,099
**Note: Net County Expenditures includes the total annual cost for the program, including adminstration, minus grant revenue received.
Rural Health Network (RHN) & RHN Indirect
are the same grant just coded to two BARS
lines.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 16 of 100
BUDGET/PROGRAM: DEPT ADMINISTRATION (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 17 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH
PROGRAMS: Drinking Water, Food Safety, Onsite Sewage & Septic Operations & Monitoring, and Solid & Hazardous Waste
MISSION: The mission of Jefferson County Public Health services is to protect the health of Jefferson County residents by promoting health communities and environments.
REVENUES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Restricted Fund Balance -
Reserve Fund Balance (6,636) 267,344 357,553 384,325 363,081 5,527
Program Specific Projects & Grants Carry
Forward
Beg Fund Balance 99,875 89,072 120,859 134,173 45,101 Based on rev & exp projections
Taxes -
Licenses and Permits 265,179 273,687 248,037 272,002 336,646 88,609 Based on projections & expected CPIW
Federal Grants 315,677 28,971 - - - -
State Grants 241,966 181,504 131,045 157,493 208,728 77,683 State Grants returned
State Entitlements -
Intergovernmental -
Charges for Goods and Svcs 256,988 507,793 551,720 542,731 573,921 22,201 Based on projections & expected CPIW
Misc. Revenue, Contributions - 5 - - - -
Interfund Chg. For Service -
Disposition of Capital Assets -
Special Purpose Tax -
Transfer from Solid Waste 18,200 20,971 20,971 20,274 20,274 (697) Based on projections
Other Transfers (one-time/payout)9,500 3,760 - 353,316 200,000 200,000
$327,000 transferred for purchase of Energov
(Tidemark replacement). Request $200,000 Add
for Site Abatements in 2019
General Fund Revenue 94,914 55,202 60,738 60,738 72,560 11,822
GF increased by approx. 3% and
distributed to divisions + GIS
Total Revenue 1,195,787 1,439,111 1,459,136 1,911,737 1,909,383 450,247
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 18 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH (cont’d)
EXPENDITURES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Wages & Benefits 651,593 702,561 867,096 809,711 982,593 115,497.44
Step increases for bargaining members and
1.75% for non-bargaining members
Supplies 8,476 12,347 7,740 11,041 11,807 4,067 Based on projections/project needs
Tool & Equipment -
Professional Services 9,767 6,832 60,174 51,730 388,740 328,566 Abatement Projects in 2019
Communication 6,103 5,189 2,969 4,030 4,016 1,047
Based on projections/department
allocation
Advertising 957 2,700 800 1,270 1,775 975 Based on projections
Travel 3,413 2,604 1,925 3,342 4,800 2,875 Based on projections/projects
Machinery & Equipment -
Operating Rents & Leases 175 140 - 70 70 70
Insurance -
Miscellaneous 8,715 9,907 13,100 5,233 32,477 19,377 New maintenance fees
Intergovernmental Services - - - 4,300 10,000 10,000 Grant deliverables
Capital Outlays - - - 327,000 - - Software Replacement
Interfund Prof Svcs 65,432 105,000 109,609 113,365 125,374 15,765 Based on projections
Interfund Rents & Leases 73,936 86,647 79,896 83,392 87,613 7,717 New County Cost Allocation
Interfund Payment for Svcs -
Sub-Total Expenditures 828,568 933,927 1,143,309 1,414,483 1,649,265 505,956
Adjustment -
Reserved Fund Balance 267,344 384,325 267,467 363,081 208,915 (58,551)
Required Fund Balance - - -
Total Expenditures 1,095,912 1,318,252 1,410,776 1,777,564 1,858,180 447,404
Balance Forward 99,875 120,859 48,360 134,173 51,203 2,843
STAFFING:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request
Annual Hours 17,980.84 18,876.40 22,759.20 20,199.57 24,422.40
FTE’s 8.61 9.08 10.90 9.67 11.70
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 19 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Food Safety Program
MISSION: The mission of the Food Safety Program is to minimize the risk of the spread of disease from improperly prepared, stored or served foods handled in commercial retail
settings and community events.
Goal Objective Task Performance
Measure
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Better educate
food service
workers,
owners and the
public on
proper food
handling and
food safety
topics+
Offer food safety
training,
educational
materials and
technical assistance
for identified needs
Provide food worker
education that meets
the needs of the
community
# of food workers
trained 1568 1721 1631 1775 1650 1650
Provide business
owners facility
specific education and
information re: Fats,
Oils and Grease
(FOG)
# of FOG
inspections
completed
10 48 20 20 55 55
Goal 2:
Improve
operational
efficiency
Ensure effective
program
management
system is in place
to ensure ongoing
stability of the
program
Coordinate with Ener
Gov database
transition team to
ensure that food
service permitting is
properly accounted
for
Pass/Fail NA PASS PASS
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 20 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Food Safety Program (cont’d)
Goal Objective Task Performance
Measure
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 3:
Work to ensure
safe food is
served to the
public
Inspect all food
service
establishments at a
frequency adequate
to assure
compliance with
state and local
regulatory
requirements
Timely and accurate
inspections
% of required
inspections
completed
98.6% 99.5% 100% 90% 100% 100%
# of critical
violations 309 303 271 274 274 274
# of repeat critical
violations 48 74 50 40 40 40
# of establishment
re-inspections 13 8 3 6 6 6
Timely
investigation of
foodborne illness
and establishment
complaints
Investigate and
respond to all
foodborne illnesses
and complaints
# of foodborne
illness
investigations
10
7
11
11
11
11
# of complaints
investigated 40 27 33 44 44 44
Inspect all
temporary food
establishments at a
frequency adequate
to assure
compliance with
state and local
regulatory
requirements
Ensure all temporary
food vendors are
permitted consistently
# of temporary
food service
inspections
171 179 197 228 228 228
# of temporary
food service
permits
185 188 204 260 260 260
% of temporary
food
establishments
inspected
92% 95% 96.6% 88% 92% 95%
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 21 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Food Safety Program (cont’d)
FOOD WORKER EDUCATION 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Total # of food workers trained 1568 1721 1631 1775 1775 1775
# of Food Workers trained in class 54 91 51 71 71 71
# of Food Workers trained on-line 1514 1630 1580 1704 1704 1704
# of Instructor-led classes 9 11 9 11 11 11
# of food worker classes at Health
Department 8 7 7 9 9 9
# of food worker classes at other locations 1 4 2 2 2 2
# of Fats, Oils and Grease (FOG) inspections
completed 10 48 20 20 20 20
ANNUAL FOOD SERVICE
ESTABLISHMENTS
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
# of food establishment permits 255 254 223 229 229 229
# of complex menu food establishments 109 113 98 137 137 137
# of non-complex menu food establishments 146 141 125 92 92 92
% of required inspections completed 98.6% 99.5% 100% 90% 95% 97%
# of required routine inspections completed 364 365 341 328 328 328
# of critical violations 309 303 271 274 274 274
# of repeat critical violations 57** 74 50 40 40 40
# of re-inspections required due to violations 13 8 3 6 6 6
# of Pre-opening Inspections done 28 38 24 30 30 30
# of foodborne illness investigations 10 7 11 11 11 11
# of Complaints received and resolved 40 27 33 44 44 44
* Routine Inspections Only. Pre-opening inspections and complaint inspections were removed from this category and individually categorized.
** Repeat critical within 2014 for Complex menu.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 22 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Food Safety Program (cont’d)
TEMPORARY FOOD SERVICE
ESTABLISHMENTS
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
# of temporary food service permits 192 188 204 260 260 260
# of temporary food inspections 177 179 197 228 247 247
% of temporary establishments inspected 92% 95% 96.6% 88% 95% 95%
FOOD PROGRAM ADMINISTRATIVE TASKS 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
# of establishments receiving Outstanding Achievement
Awards
23 21 26 21 23 23
# of newsletters, press releases and meetings done 0 2 5 7 7 7
# of plan reviews done 34 33 30 23 30 30
# of plan reviews that opened 28 30 26 17
26 26
CHANGES IN FOOD TEAM MEMBERSHIP
The new Environmental Health Programs Manager and a new Environmental Health Specialist will receive field training and attend inspector training in December 2018. Both
will have full capability to conduct inspections in 2019.
MEETINGS
Food Program staff will continue to participate in Quad County Meetings, the purpose of which is to share updates of important activities in each the various local health
jurisdictions (LHJs), WSDA, FDA and WA DOH and any other invited agencies, find solutions to challenging issues faced by LHJs and generally to network.
The EH Director or EH Manager will continue to attend Jefferson County Food Council Meetings when feasible. Topics discussed are geared towards solutions of challenges faced
by the food industry and regulatory authorities.
INTERAGENCY COLLABORATION:
The Food Team will continue to work with agencies such as WA DOH and WSDA to protect the health of the public. We are specifically interested in better cooperation and
understanding with WSDA as they have changed some of their practices, and those changes are impacting our operations.
INTER DEPARTMENTAL COLLABORATION:
Food Program staff and Communicable Disease staff will continue our important collaboration in relation to complaints of food borne illness lodged with JCPH.
The CD Program Lead takes time to discuss symptoms of food borne illness with the Food Inspectors. This not only facilitates the food borne illness investigation but provides
educational information to the Food Inspector(s).
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 23 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Onsite Sewage (OSS) Permitting & Onsite Operations and Monitoring (O&M)
MISSION: The mission of the Onsite Sewage Program is to minimize the threat of surface and ground water contamination from failing or improperly designed, installed or
maintained onsite sewage systems. The mission of the Operation and Monitoring Program is to protect public health by ensuring onsite sewage systems are monitored, identify
failures, and items that may lead to costly premature failures of OSS that contaminate ground and surface waters.
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Educate homeowners,
builders, real estate
personnel, banks,
installers, designers
and onsite system
maintenance personnel
in the proper operation
and maintenance of
onsite sewage systems
(OSS)
Conduct workshops for
the public addressing
OSS operation and
maintenance, program
incentives for initial
inspection, installation
of monitoring access
risers and homeowner
inspection program
Provide training to
community groups to
increase awareness of
OSS regulatory
requirements
Maintain written and
web accessible
educational materials
Conduct OSS operations
and maintenance needs
and requirements
workshops for
homeowners &
professionals
# of workshops and
presentations
4 10 7 6 6 6
Goal 2:
Ensure a high quality-
onsite sewage system
monitoring program
Send Monitoring
Inspection Reminders to
property owners
Create and send
inspection reminders # of reminders sent 0 4,980 2,375
see
summary
1,842
see
summary 2.000 2,000
Review monitoring and
inspection reports,
provide timely follow-
up and coordinate with
online submittal
program data
Increase percentage of
OSS receiving required
monitoring inspection.
% of OSS receiving
monitoring inspection 5.1% 7.8% 14.4% 14.4% 18% 15%
see summary
re capacity
Review reports, triage,
send follow-up
letters/notices
# reports reviewed 685 1060 980 2,731 1,500 2,400
# follow-up letters sent 156 168 157 247 220 240
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 24 of 100
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 3:
Investigate
complaints and action
requests in a timely
manner to reduce the
threat of human
contact with
untreated wastewater
Utilize existing data
systems to track action
requests and
complaints1
Report complaint
investigation response
% OSS complaints
investigated within 30
days
94% 98% 96% 98% 98% 98%
Goal 4:
Document all onsite
sewage systems in
Jefferson County
Identify previously
unknown onsite sewage
systems
Complete sanitary
surveys to move sites
served by OSS from
unknown to known status
# of systems identified 69 107 76
See
summary
64
See
summary
70 75
% of estimated existing
13,500 systems identified 78.5% 79.2% 81.5% 81.9% 82.7% 83.3%
Goal 5:
Implement the
Homeowner
Inspection Program
adopted in code
revisions May 2012
to comply with
monitoring
requirements under
WAC 246-272A
Establish access to
training programs
(Septics 101 and 201)
for homeowners to
obtain authorization to
complete monitoring
inspections
Provide trainings and
link to online trainings
# of homeowners who
take in person and online
trainings
81 251 591 533 500 500
Respond to requests for
authorization to inspect
by homeowners
# of homeowners
authorized
75 147 354 553** 500 500
Provide trainings and
link to online trainings # of homeowners that
submit inspection reports 3 66 216 190 250 250
Goal 6:
Implement conversion
to new data base -
Energov
Create clean data/
information in database
and identify workflows
to create a successful
conversion to new
database
Work on implementation
teams to clean existing
data, create work flows
and respond to requests
from contractor
Meet benchmarks
identified in scope of
work
NA NA NA NA NA PASS
Create work flows for
database NA NA NA NA NA PASS
1 Complaints include all reports from the public and others regarding onsite sewage issues. These range from reports of someone parking or driving on their drainfield, living on property without a
permitted septic system to surfacing sewage.
**We are not currently able to identify the date that an owner registers for training, only when they complete the Authorization process, therefore the number of people Authorized very closely
approximates the number who take the training.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 25 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Onsite Sewage (OSS) Permitting & Onsite Operations and Monitoring (O&M) (cont’d)
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Tracking is done with existing data systems to evaluate effectiveness of permitting and monitoring programs.
Implementation of the Tidemark database replacement is anticipated in 2018 and 2019. The purchase of the program occurred in June 2018. Assignment of Program Manager
from EH and DCD as well as the Steering Committee, Functional Leads, Power Users and Technical Support have been completed. Major considerations for the new program
were accessibility on the web and reporting capability for program efficiency and effectiveness. Funding for annual program costs and to update and/or replace the system in the
future was established in 2018 via adoption of a Technology Fee that will be added to each fee charged by Environmental Health and the Department of Community Development.
Permit activity has remained steady from 2017 - 2018. The addition of staff hours in 2016 to support septic system installation inspection and permit completion to improve
customer satisfaction and efficiency was successful. Staff turnover has at times limited our ability to maintain the additional support. The team continues to strive to maintain
effective communication with our clients and partners (other state and local departments) to effectively manage workload and requests for information while diligently reviewing
and enforcing county code and policies. We look forward to efficiencies gained with the new database and work flow systems.
The O&M fee per septic system that is collected via the property tax statement funds all activities associated with the program. Implementation is focused on: sending site specific
inspection reminders, follow-up with homeowners on inspection results, training and providing resources to homeowners. Staff follow-up with homeowners on inspection results
is critical to the understanding of how systems work and why maintenance and proper operation is important. Previously unknown systems continue to be identified via
monitoring inspections, pump reports and sanitary surveys. Records are updated to reflect decommissioned systems and the Assessor and Treasurers offices are notified to remove
the O&M Fee.
Improvements to the web-based Homeowner Authorization Program will occur in 2019 as our interface with the new permitting database evolves.
The capacity of monitoring inspection providers reduced the number of site specific inspection reminders we send during the year. We found that a maximum of 500 reminders
every 2 – 3 months is their capacity based on the response rate of property owners. Assistance is provided to property owners to take advantage of the incentives and online
training for Homeowner Authorization to complete their monitoring inspection.
Outreach:
Septics 101 and 201 classes spring and fall
Incentive/rebate program to assist homeowners in completing inspections and installing access risers and monitoring ports continues to be available via grant $$.
Provide low interest loan information for those with systems that are not functioning properly
Maintain current information on the website regarding classes and other resources for homeowners and professionals
Provide training to professionals in the onsite sewage field
Update brochures and pamphlets
Septic System Operation - Monitoring Inspection Follow-up and Complaint Investigation
A triage is used for follow-up letters where deficiencies are identified. Response to these follow-up letters has been excellent and offers an opportunity to give additional
information to new property owners.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 26 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Onsite Sewage (OSS) Permitting & Onsite Operations and Monitoring (O&M) (cont’d)
PROGRAM STATISTICS
PERMITS 2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
# of septic permit applications submitted 1 118 147 148 156 163 205 245 245 245
# of Monitoring Inspections/evaluations of existing
system (EES)
469 511 641 781 1060 1941 1758 1900 1900
# of systems repaired/upgraded 31 43 40 46 43 42 46 40 45
% of system failures less than 5 years in use 0 0 0 0 0 0 0 0 0
% of failures/major maintenance identified by
Professionals
<2% <2% <2% <4% <5% 6% 6% 6% 6%
# of complaints received* 36 20 60 52 109 67 67 65 65
# of complaints closed** 25 26 25 43 42 166 125 95 100
# of Installers Certified 36 34 31 31 27 27 34 30 34
OPERATION, MAINTANANCE &
MONITORING
2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
% of existing systems receiving monitoring
inspection. 2
3.40% 3.80% 4.7% 5.1% 7.8% 14.4% 14.4% 18% 15%
# of previously unknown systems having a
monitoring inspection
15+ 854 14+934 204 69 107 19 + 834 65 + 214 20 + 404 45 + 254
% of monitoring inspections resulting in some
maintenance needed.
68%5 59%5 63%5 63%5 64% 57% 55% 60% 55%
EDUCATION AND OUTREACH 2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
# of educational workshops 4 9 20 4 10 7 6 6 6
# of workshop participants – live + online 156 220 410 131 354 237 + 354 156 + 397 500 500
* Includes COM cases created when violation identified during a sanitary survey.
**The number of Closed complaints can be greater than Received because cases from previous years may have been closed during the current year.
1Number of applications does not equal approved permits
2 Based on estimated 13,500 systems in the County (from the Local Sewage Management Plan)
4The first number indicates systems that were identified and observed via regular monitoring inspections. The second number indicates systems that were identified (and had some level of
observation) via sanitary surveys or pump report and are sites where no previous records exist.
5 Includes inspections where the only maintenance item identified was that the tank needed to be pumped. Previous to 2010 did not include this maintenance item.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 27 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Onsite Sewage (OSS) Permitting & Onsite Operations and Monitoring (O&M) (cont’d)
216
160 148 103 132 138 148 147 186 180
15
9 10
15
15 10 8 16
19 65
0
50
100
150
200
250
300
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
SEPTIC CASES CREATED
Septic Permit Applications Monitoring Inspections
295 255
463 469 511 641
781
1060
1941 1948
0
200
400
600
800
1000
1200
1400
1600
1800
2000
1 2 3 4 5 6 7 8 9 10
Monitoring Inspections Completed
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 28 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Solid and Hazardous Waste Program
PROGRAMS: Small Business Technical Assistance Program (Local Source Control, EnviroStars Certification), Waste Reduction and Recycling Outreach, Solid Waste
Permitting and Enforcement, and Hazardous Waste Investigations.
MISSION statement for Solid and Hazardous Waste Program is to:
Enforce Washington State and Jefferson County solid and hazardous waste code
Educate the community about proper disposal and reduction strategies for solid and hazardous waste
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Timely
investigation of
Solid and
Hazardous
Waste
complaints
Investigate within 30
days Contact solid waste (SW)
complainant within 30 days
Conduct complaint
investigation within 30 days
Determine if complaint is
actionable
SW complaints investigated
within 30 days 90% 100% 75% 75%* 100% 100%
* Funding for Solid Waste enforcement interrupted between July 2017 and December 2017. Very little complaint response conducted, although critical complaints were
investigated. Backlog of complaints received and not investigated during this period.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 29 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Solid and Hazardous Waste Program (cont’d)
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 2:
Timely
resolution of
non-abatement
solid waste
complaints
Resolve non abatement
solid waste complaints
within 90 days
Determine type of
enforcement response
Issue Warning Letter or
Notice and Order to Correct
Violation (NOCV)
Issue citations as needed
SW cases resolved within 90
days 60% 75% 60% 75%* 20%* 75%
Goal 2.1
Timely
Resolution of
solid waste
“abatement”
cases
Resolve at least one
abatement from the SW
“abatement” list per
year
Obtain warrants of abatements
as needed
Obtain contractors for cleanup
Number of SW abatement
cases resolved 0 1 0 0 1 2
* Funding for Solid Waste enforcement interrupted between July 2017 and December 2017. Very little complaint response conducted, although critical complaints were
investigated. Backlog of complaint cases were investigated, however a majority of them are still open (Aug 2018) due to staffing issues.
* One warrant of abatement obtained in 2018. There are currently 11 cases awaiting a warrant of abatement from Superior Court (Aug 2018).
Goal 3:
Increase small
businesses
understanding
of waste
reduction,
recycling, and
green
alternatives
Provide on-site technical
assistance to Small
Quantity Generators
(those businesses that
produce less than 220
lbs. of hazardous
materials per month)
Provide support for
Jefferson County
businesses to join new
EnviroStar program.
Pollution Prevention
Assistance site visits
Hold regular meetings to
facilitate exchange of ideas on
greening your business
Conduct 75 LSC visits per
year 73 130 60* 90 40* 80
Certify 5 new EnviroStars 0 3 3 0 5 5
Migrate all current
EnviroStars into new
program
-- -- -- -- 24 5
*Staffing changes and training in 2016 & 2018 contributed to the reduced amount of sites visited.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 30 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Solid and Hazardous Waste Program (cont’d)
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 4:
Increase Public
Education about pre-
cycling, moderate
risk waste, and
household hazardous
waste as identified in
the Solid Waste
Management Plan
Conduct education and
outreach to the public on
pre-cycling, waste
reduction, composting,
recycling, and less toxic
alternatives
Develop presentations to
school and community groups
# of school-based
presentations 24 52 44 60 20 40
# waste reduction campaigns 10 9 10 10 5 10
# of public outreach events 23 19 13 15 10 15
Develop and distribute
publications
# of waste reduction and
recycling articles 13 9 6 10 5 10
# of other publications 2 7 6 5 2 5
*due to a lack of funding, these programs are on hold.
Goal 5:
Ensure compliance
with permits
Ensure compliance with
SW regulations at
permitted sites
Conduct one site visit per year % compliant with
requirements 100% 100% 100% 100% 100% 100%
*there are currently 7 facilities permitted through JCPH
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 31 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Solid and Hazardous Waste Program (cont’d)
PROGRAM STATISTICS
SOLID WASTE ENFORCEMENT 2014 2015 2016 2017 2018
Projected
2019 Planned
Total number of solid waste complaints received 42 33 24 20 50 40
Total number of solid waste violations resolved 31 57 14 18 40 40
# of illegal dumps complaints received 6 9 12 6 4 5
# of illegal dumps complaints resolved 6 9 12 6 4 5
Tons/cubic yards of solid waste removed/recycled through
compliance efforts (not including junk vehicles) (these are
verified #s, actual #s are higher)
58 95 20 19 20 20
Total number of solid waste violations awaiting legal
action/abatement
10 15 4 6 11 10
# of warrants of abatement obtained/completed 0 1 0 1 1 4
# of Jeff. Co. permitted facilities meeting current regulation
standards (out of 7) Nav Mag II closed 2017
8 8 7 7 7 7
# of Jeff. Co. exempt facilities inspected/ meeting current
regulation standards (out of 4)*
4 4 4 4 4 4*
* There are four conditionally exempt facilities but actual number may be higher. These facilities have not been inspected and compliance is assumed.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 32 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Solid and Hazardous Waste Program (cont’d)
SOLID WASTE EDUCATION, OUTREACH & SBA 2014 2015 2016 2017 2018
Projected
2019
Planned
# of Pollution Prevention Assistance site visits 10 6 10 10 10 10
Total number of active EnviroStars businesses 24 22 24 24 24 24
# of new EnviroStars businesses 0 3 3 0 0 0
# of public outreach events 23 19 13 15 15 15
# of waste reduction and recycling articles 13 9 6 10 10 10
# of waste reduction advertisements 3 23 1 2 2 2
# of other publications 2 7 6 5 5 5
# of Envirostars promotional Ads 2 19 0 15 15 15
# of waste reduction campaigns 6 9 10 10 10 10
# of participants enrolled in waste reduction campaigns 174 880 4,576 4000 4000 4000
# of School-based Education programs delivered 24 52 12 15 15 15
# of students served 480 1,300 1,119 1000 1000 1000
HAZARDOUS WASTE 2014 2015 2016 2017 2018
Projected
2019
Planned
ERTS Received/Investigated 4 8 6 6* N/A N/A
# Initial Investigations Completed 3 8 6 5* N/A N/A
# of Local Source Control Visits 86 130 60 80 40 80
Spill Kits Distributed 7 6 1 2 2 2
* The Green Business program was merged with the EnviroStars program at the State level in 2017.
* The Site Hazard Assessment program has been discontinued as of August 31, 2017. All files and open cases were transferred back to Ecology on that date.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 33 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Drinking Water
MISSION: The mission of the Drinking Water Program is to protect public health by assuring that residents and visitors to Jefferson County have access to a safe and reliable
supply of quality drinking water and that it is reasonably available. By enforcing and monitoring laws regulating public and private water supplies, the Drinking Water Program
minimizes the threat of waterborne disease.
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Assure that all new
and decommissioned
wells are constructed
in accordance with
requirements
established by the
Washington
Department of
Ecology (ECY) or
defer enforcement to
ECY
Inspect at least 50%
of all new wells
constructed with
50% of these with
the well driller
present and 100% of
all wells being de-
commissioned
Be available when well
start notifications are
received to conduct
inspections within 3 days
of start
When a well application is
received for a
decommissioning, contact
the well driller to discuss
timing and schedule.
Percent of new wells (starts)
inspected 60% 71% 86% 81% 50% 50%
Percent of inspected wells with
driller on site
66% 42% 63% 68% 25% 25%
Percent decommissioned well
inspected 88% 88% 94% 95% 100% 100%
Goal 2:
Integrate water
adequacy review with
compliance with Water
Resource Inventory
Area (WRIA) 17 and
the In-Stream Flow
Rule (ISFR)
Comply with
reporting
requirements from
ECY by updating
database to include
means to track ISFR
information
Determine through review
of building permit
applications and
subdivision potable water
review if subject to
requirements of ISFR rule
(map check and parcel
info)
Determine the sub-basin
and management area in
accordance with rule.
Add activities and
conditions that allow for
data tracking
Number of reviews in Coastal
Management area of WRIA 17 10 14 14 13 17 17
Number of reviews in Reserve
Management area of WRIA 17 10 7 6 5 7 7
Number of reviews in
Chimacum Sub-basin of WRIA
17
2 4 3 4 5 5
Number of reviews that were
exempted from WRIA 17 rule.
(ECY decision)
2 3 6 11 10 10
Subdivision lots approved 2 0 0 0 2 2
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 34 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Drinking Water (cont’d)
Goal Objective Task Performance Measure 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Plan
Goal 3:
Integrate water adequacy
review with compliance
to the Seawater Intrusion
Ordinance
Comply with the
requirements of the
(DCD) Jefferson
County Seawater
Intrusion ordinance
and update maps
annually
Create report in database
to determine through
quality testing required
for building permits and
subdivisions potable
water review if subject to
the requirements
Establish new at risk or
high risk zones
Number of wells that created a new
at-risk zone 1 2 1 1 1
Number of wells in a high risk zone 0 0 1 0 1
Number of Hydro-geological
assessments reviewed 1 1 1 0 1
Goal 4:
Minimize delay of
building permits and
subdivisions project
approval and completing
by prioritizing water
adequacy review
Conduct initial
review of all potable
water review
applications within
14 days of
application
Create reports in database
to establish date of initial
review and statistics to
better assess issues
around timely approval
Percent of reviews completed in 14
days 90% 59% 50% 20% 50%
Goal 5
Ensure consistent
compliance with
drinking water
requirements
Work toward
coordination with
other permitting
agencies. Those
agencies include but
are not limited to
DOH (in-stream
flow rule and public
water supplies),
Washington State
Department of
Agriculture (food
processing permit
applications), JC
food safety, JC
onsite and DCD
Establish regular meeting
dates and agreements
when applications trigger
coordination
Partner with WSU in
ongoing educational
workshops along with
other regulatory agencies
Presentations to public or
participation in public forums 1 2 1 1 1
*NR= “need report” these numbers were manually hand counted prior to database update to calculate from activities entered in database.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 35 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – Drinking Water (cont’d)
DRINKING WATER PROGRAM STATISTICS BY YEAR
Well inspection program 2010 2011 2012 2013 2014 2015 2016 2017
2018
Projected
2019
Planned
# of well applications received & reviewed 61 56 36 47 38 43 42 54 50 50
# of new wells start notification (drilled) (includes
some well applications from previous years)
62 57 28 23 20 31 21 31 40 40
# of wells decommissioned 13 12 12 20 8 8 17 20 15 15
# of new wells inspected 32 31 16 17 12 22 18 25 20 20
% of new wells (starts) inspected 52% 54% 78% 73% 60% 71% 86% 80% 50% 50%
# of inspected wells with driller on site (includes new
and decommissioned wells)
25 28 21 13 21 16 24 17 10 10
% of inspected wells with driller on site 55% 65% 85% 76% 66% 42% 63% 68% 25% 25%
# of decommissioned wells inspected 13 12 12 19 7 7 16 19 15 15
% decommissioned well inspected 100% 100% 100% 100% 88% 88% 94% 95% 100% 100%
Determination of adequate potable water 2015 2016 2017 2018
Projected
2019
Planned
# of potable water reviews completed
New Categories Added in 2012
90 126 148 140 140
# of reviews complete in 14 days 81 93 30 70 70
% of reviews done within 14 days 90% 74% 20% 50% 50%
# of reviews for public water. 59 84 105 100 100
# of reviews for two party wells. 7 8 7 5 5
# of reviews for individual wells. 23 34 36 34 34
# of reviews for rainwater catchment systems. 1 0 0 1 1
# of reviews for shallow/dug wells 1 0 0 0 0
# of reviews for spring water 1 1 0 0 0
# of reviews in High Risk SIPZ Zones with Hydro-
geologic assessments
0 0 0 1 1
# of reviews that required Notice to Title for quality 3 0 0 2 2
# of review that required Notice to Title for quantity 3 0 0 1 1
# of reviews in Coastal Management area of WRIA 17 14 14 13 17 17
# of reviews in Reserve Management area of WRIA
17
7 6 5 7 7
# of reviews in Chimacum sub-basin 4 3 4 5 5
# of reviews that were exempted from WRIA 17 rule. 3 6 11 10 10
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 36 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – (cont’d)
FORM F
BARS #PROGRAM TITLE
ESTIMATED
2018
REVENUES
BUDGET
2019
REVENUES
NET COUNTY
EXPENDITURES 2019
(SEE NOTE**)Additional Information
334.03.10.5300 Solid Waste Grant (DOE) - Enf.32,133 40,084 14,658 County General Fund (CGF) and Fees
334.03.10.5350 Solid Waste Grant (DOE) - Edu.25,274 33,424 13,167 CGF and fees
334.03.10.5380 LSC 49,427 80,143
334.03.10.5381 LSC (Indirect)11,982 19,590
334.04.93.5480 PSAP Onsite Systems 38,678 26,817
334.04.93.5481 PSAP Onsite Systems Indirect - 8,670
157,493 208,728 27,825
**Note: Net County Expenditures includes the total annual cost for the program, including administration, minus grant revenue received.
LSC & LSC (Indirect) are the same grant just coded
to two BARS lines.-
- PSAP Onsite Systems & PSAP Onsite Systems Indirect
are the same grant just coded to two BARS lines.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 37 of 100
BUDGET/PROGRAM: ENVIRONMENTAL HEALTH – (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 38 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH
PROGRAMS: Communicable Disease, Family Health Services, Population & Prevention, and Targeted Clinical Health Services
MISSION: The mission of Jefferson County Public Health services is to protect the health of Jefferson County residents by promoting healthy communities and environments.
REVENUES:2016 Actuals 2017 Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Restricted Fund Balance - - - - - -
Reserve Fund Balance 75,000 75,000 75,000 75,000 46,178 (28,822) PHEPR program moved to Admin Division
Beg Fund Balance 72,362 30,098 18,167 75,976 94,118 75,951
Taxes -
Licenses and Permits -
Federal Grants 429,199 532,654 403,301 419,137 332,607 (70,694)
One federal grant ended, grants changed to
state funding, & Moved PHEPR program to
Admin
State Grants 297,346 295,645 310,525 361,296 341,922 31,397 Increased State Funding
State Entitlements 135,821 177,821 180,487 177,821 177,821 (2,666) Based on projections
Intergovernmental 23,109 - - - - -
Charges for Goods and Svcs 586,111 491,180 447,063 502,504 499,309 52,246 Based on projections
Misc. Revenue, Contributions 2,143 3,210 1,000 3,150 1,000 -
Interfund Chg. For Service -
Disposition of Capital Assets -
Special Purpose Tax 104,043 107,180 110,404 110,407 113,719 3,315 Special Purp Tax increased approx. 3%
Transfer from Solid Waste -
Other Transfers (one-time/payout)43,219 13,357 - 51,141 - -
Transfers for Special one-time only
payouts
General Fund Revenue 306,962 354,972 441,621 441,621 444,870 3,249
GF increased by approx. 3% and
distributed to all divisions
Total Revenue 2,075,315 2,081,116 1,987,568 2,218,053 2,051,544 63,976
BUDGET/PROGRAM: COMMUNITY HEALTH
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 39 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH (cont’d)
EXPENDITURES:2016 Actuals 2017 Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Wages & Benefits 1,401,579 1,241,136 1,259,856 1,308,709 1,340,178 80,322
Step increases for bargaining members and
1.75% for non-bargaining members
Supplies 117,003 99,872 101,563 110,611 90,280 (11,283)
Based on projections & grant
deliverables moved
Tool & Equipment -
Professional Services 134,151 184,914 193,031 183,975 160,961 (32,070) Ended service contract for med billing
Communication 11,016 12,620 12,190 11,581 9,932 (2,258)
Based on projections/department
allocation
Advertising 1,131 6,676 850 9,166 6,340 5,490 Based on projections and projects
Travel 10,760 18,417 11,248 13,252 10,243 (1,005)
Based on anticipated trainings and
conferences
Machinery & Equipment -
Operating Rents & Leases 720 715 - - 700 700 Specific grant project
Insurance -
Miscellaneous 9,018 16,079 7,813 16,280 7,679 (134) 2018 rec'd grant funding for training
Intergovernmental Services 1,650 1,650 1,650 1,650 3,687 2,037 Based on projections
Capital Outlays
Interfund Prof Svcs 124,421 186,699 186,792 186,792 166,011 (20,781) Based on projections
Interfund Rents & Leases 158,767 161,043 165,509 160,741 145,364 (20,145) New County Cost Allocation
Interfund Payment for Svcs -
Sub-Total Expenditures 1,970,217 1,929,820 1,940,502 2,002,757 1,941,375 873
Adjustment - 320 - - - -
Reserved Fund Balance 75,000 75,000 - 121,178 46,211 46,211
Required Fund Balance - - - - - -
Total Expenditures 2,045,217 2,005,140 1,940,502 2,123,935 1,987,586 47,084
Balance Forward 30,098 75,976 47,066 94,118 63,958 16,892
STAFFING:2016 Actuals 2017 Actuals
2018
Adopted
2018
Projected
2019
Request
Annual Hours 33,232.63 29,480.38 30,049.84 29,904.17 30,257.14
FTE’s 15.92 14.17 14.39 14.32 14.49
BUDGET/PROGRAM: COMMUNITY HEALTH
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 40 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease
PROGRAMS:, Communicable Disease (CD), Tuberculosis, Immunizations, Travelers Immunizations, Sexually Transmitted Disease, HIV, Syringe Exchange Program, Public
Health Emergency Preparedness
MISSION: The purpose of the Communicable Disease Health program is to protect Jefferson County residents from serious communicable diseases by providing disease
surveillance, investigation and reporting, along with education, screening, treatment, and immunization services. The program interacts with community members, medical
providers, the Washington State Department of Health (DOH), Region 2 Emergency Management partners, and other agencies while working toward this purpose.
Goals Objectives Performance Indicators 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Timely investigation
of notifiable
conditions.
Investigate reports of
notifiable conditions per DOH
disease specific guidelines.
Develop & update protocols
and forms as needed. Use
DOH electronic reporting
systems PHRED, PHIMS, and
PHIMS-STD, to receive
reports and send completed
reports to DOH.
Total number of communicable disease
reports confirmed, interventions applied,
and processed for reporting to the State
180
(21
gonorrhea)
201
(42
pertussis)
178 155 165 165
Total number of STD cases reported to
the State 103 69 73 68 70 70
Number of chlamydia cases reported to
the State: female, male, total
Fe: 59
M: 18
T: 77
Fe: 42
M: 15
T: 57
Fe: 41
M: 15
T: 56
Fe: 30
M: 22
T: 52
60 60
Number of gonorrhea cases reported to
the State: female, male, total
Fe: 13
M: 8
T: 21
Fe: 5
M: 4
T: 9
Fe: 4
M: 7
T: 11
Fe: 6
M: 5
T: 11
8 8
Goal 2:
Inform medical
providers about
current CD trends,
outbreaks, and new
CD control
recommendations.
Provide updates, outreach, and
training to providers about
local, state, and national CD
outbreaks and disease control
recommendations. Provide
reminders about reporting
notifiable conditions and using
the after-hours reporting
number.
Number of alerts/updates/newsletters
faxed, emailed, or mailed to providers
(not including DOH Influenza Updates)
23 8 17 15 15 15
Goal 3:
Maintain the low
rate of active
Tuberculosis (TB)
in Jefferson County
Encourage appropriate
screening and treatment for
latent TB infection and active
TB disease.
Number of clients tested for TB
infection with PPD or QFT test;
Number of positive tests
149
2
148
2
180
1
145
0
150
1
150
1
Number of clients started on preventive
treatment for latent TB infection. 2 1 0 0 1 1
Number of cases of active TB reported 0 0 0 0 0 0
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 41 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Goals Objectives Performance Indicators 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 4:
Ensure access to
vaccines for all
children through the
federal and state
funded Vaccines for
Children Program
(VFC).
Work with DOH to monitor
VFC vaccine usage in
Jefferson County.
Total number of doses of publicly
funded vaccine (pediatric), administered
by private health care providers and
JCPH clinics, supplied and monitored
through JCPH immunization program
4613 4724 4627 4278 4450 4450
Number & percent of doses of publicly
funded vaccine (pediatric) administered
by private health care providers
3967
86%
4222
89.4%
4198
90.7%
3763
88%
3915
88%
3915
88%
Number & percent of doses of publicly
funded vaccine (pediatric) administered
by JCPH
646
14%
502
10.6%
429
9.3%
515
12%
535
12%
535
12%
Goal 5:
Maintain access to
vaccines for
international travel,
in part to prevent
travel associated
outbreaks in
Jefferson County.
Provide travel immunization
clinic (includes all disease
prevention recommendations,
including for malaria and
other diseases).
Number of clients immunized in travel
immunization clinic
Adults:
140
Adults:
152
Adults:
174
Adults:
162
Adults:
150
Adults:
162
0 - 18 yr:
31
0 - 18 yr:
55
0 - 18 yr:
36
0 - 18 yr:
42
0 - 18 yr:
40
0 - 18 yr:
40
Total:
171
Total:
207
Total:
210
Total:
204
Total:
190
Total:
202
Number of private supply vaccine doses
(routine and travel) administered by
JCPH (primarily for adults) 600 781 701 709 700 700
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 42 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Goals Objectives Performance Indicators 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected 2019
Planned
Goal 6:
Increase the
Jefferson County
childhood
immunization
rates.
Work with the Community
Health Improvement Plan
(CHIP) Immunization
Workgroup to increase
immunization rates. Strategies
include working with schools
and health care providers. See
CHIP Plan for details.
See below.
Assess childhood immunization
rate trends, for children seeing
Jefferson County providers,
using immunizations recorded in
WAIIS.
Note: Some children are not in
the IIS registry, and some
providers in Washington state
don’t participate in the registry.
The CDC NIS survey is more
complete.
Completeness of full immunization
series for children seeing Jefferson
County providers, at age 19-35 months:
4 DTaP, 3 Polio, 1 MMR, 3 HIB, 3 Hep-B,
1 Var, 4 PCV.
Jeff Co:
55% (IIS)
WA:
56% (IIS)
67% (NIS
Jeff Co:
58% (IIS)
WA:
58% (IIS)
77% (NIS)
Jeff Co:
66% (IIS)
WA:
59% (IIS)
76% (NIS)
Jeff Co:
64% (IIS)
WA:
NA as of
8/10/18
Jeff Co:
67%
Jeff Co:
69%
Percent of children seeing Jefferson
County providers having 1 dose of
MMR by age 19-35 months (IIS data)
Jeff Co:
78%
WA: 79%
Jeff Co:
80%
WA: 82%
Jeff Co:
89%
WA: 81%
Jeff Co:
86%
WA: NA
Jeff Co:
89%
Jeff Co:
91%
Percent of children seeing Jefferson
County providers having 4 doses of
DTaP by age 19-35 months (IIS data)
Jeff Co:
69%
WA: NA
Jeff Co:
66%
WA: 68%
Jeff Co:
80%
WA: 69%
Jeff Co:
81%
WA: NA
Jeff Co:
82%
Jeff Co:
83%
Assist schools to increase
student compliance with
Washington State immunization
requirements.
Provide training and assistance
to access WAIIS records for
students. Provide schools
immunization information for
parents. Link schools to updated
DOH information on submitting
annual immunization report.
Percent of Jefferson County
kindergarten students that are out-of-
compliance for required immunizations,
as reported to DOH in school
immunization report each fall.
Jeff Co:
21.9%
WA:
10.9%
Jeff Co:
30.5%
WA:
8.6%
Jeff Co:
11.1%
WA:
8.2%
Jeff Co:
16.4%
WA:
8.0%
Jeff Co:
10%
Jeff Co:
9%
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 43 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Goals Objectives Performance Indicators 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 7:
The Family Planning
and STD clinics will
assist in controlling
Chlamydia
transmission in
Jefferson County.
Women seen in JCPH Family
Planning clinic who are at
higher risk for Chlamydia (age
24 and under, CDC) will be
screened for Chlamydia
annually.
Number of female FP clinic clients age
24 and under screened for Chlamydia
320 311 290 249 270 270
Percent of female FP clinic clients age
24 and under screened for Chlamydia
63.4%
60.3%
WA:47.8%
US:49.8%
74.2%
WA:
Medicaid:
51%
Commercial:
43%
70.5%
WA: NA as
of 8/10/18
72%
72%
Number of chlamydia cases reported to
the State, female, male, total
Fe: 59
M: 18
T: 77
Fe: 42
M: 15
T: 57
Fe: 41
M: 15
T: 56
Fe: 30
M: 22
T: 52
60 60
Goal 8:
Maintain access to
HIV testing in the
community.
Clients at risk for HIV,
without medical insurance,
will be tested through the State
Public Health Lab, others
requesting testing will be
tested through the Quest Lab
and charged for testing.
Number of persons counseled and tested
for HIV infection 140 125 152 167 165 165
Goal 9:
Prevent the spread
of blood borne
communicable
diseases among
injecting drug users
and their partners.
Promote utilization of syringe
exchange program (SEP)
services.
Number of visits to SEP
350 238 242 308 300 300
Number of syringes exchanged 42,809 35,328 47,790 91,290 99,000 99,000
Goal 10:
Prevent fatal opioid
overdoses in
Jefferson County.
Provide overdose prevention
education to SEP clients.
Provide naloxone, for opioid
users, families and friends.
Number of naloxone kits dispensed,
included training for proper use. New
program in 2016. NA NA 45 135 135 135
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 44 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Goals Objectives Performance Indicators 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 11:
Annual report to
BOH for CD
Programs.
Complete Annual Report Pass/Fail PASS PASS PASS PASS PASS PASS
Goal 12:
Maintain and
enhance Public
Health Emergency
Preparedness and
Response (PHEPR)
capacity.
Update regional PHEPR Plan,
coordinating with Region II
partners Clallam and Kitsap
Health Departments, local
emergency response agencies,
Jefferson Healthcare, local health
care providers and agencies.
Update Public Health Emergency
Preparedness and Response Plan PASS PASS PASS PASS PASS PASS
SUMMARY OF KEY FUNDING/SERVICE ISSUES:
Communicable Disease/Immunizations
JCPH CD and Immunization programs address locally identified and defined public health problems. Communicable disease prevention is primarily a locally
funded program (county milage was returned from the state to counties for TB control). Immunization funds from the state are primarily in the form of vaccine,
this vaccine is provided to primary care clinics that care for children. Foundational Public Health Services funding from the State provided $42,000 for the 2017-
2018 fiscal year, to be split between the CD and Immunization programs. The same allocation will be received for the 2018-2019 fiscal year.
State and County funding provides professional staff that prevent, identify and respond to disease outbreaks; and immunization staff that work with the hospital,
health care providers, the schools, and local groups sponsoring trips abroad for students. Immunization staff provide routine immunization clinics and international
travelers clinics. Staff respond to public requests for information about communicable diseases and screen for reportable illnesses in the process. The CD team
continues to work on strengthening the notifiable conditions reporting system through outreach to the Jefferson Healthcare lab, ER, Infection Control Committee,
and local providers.
The number of communicable diseases reported each year is difficult to predict. The CD/Immunization team must be prepared to respond to outbreaks by working
with providers, following up with cases, making sure contacts are identified, educated and treated as appropriate, and getting information to providers, schools and
the public.
State/Federal funding for the Immunization Program Vaccine Accountability Contract provided $2,003 for the first half of 2018. JCPH completed the eight
provider clinic monitoring deliverables for this contract. The DOH Immunization Program transitioned to a new Regional/State service delivery model for these
immunization program tasks starting 7/1/18. Local Health Jurisdictions will expand and focus more on efforts to increase childhood immunization rates and will
no longer do the clinic vaccine accountability monitoring tasks. JCPH will receive $5,600 for this work for the 7/1/18 - 6/30/19 period. JCPH will also receive
$500 for case management of any perinatal hepatitis B cases reported. For comparison, the total immunization funding received from the State for 2017 was
$4,707.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 45 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Immunizations have been identified as a Community Health Improvement Plan (CHIP) priority. JCPH immunization staff will continue to monitor VFC vaccine
usage trends and immunization rates in Jefferson County. The data has been affected by the WA Immunization Information System (WAIIS) server capacity, and
issues within some modules of the WAIIS registry. As a result, reports of the annual number of doses administered by private clinics may have been inaccurate.
DOH planned to have additional server capacity and WAIIS upgrades by the end of 2017, however these upgrades have just been completed in the week of
8/10/18. These upgrades should improve the data reports over time, including the accuracy of immunization rates.
JCPH immunization staff will continue to co-chair and participate in the CHIP Immunization Workgroup, focusing on improving immunization rates for children
and adults in Jefferson County. CHIP activities and detailed outcome indicators are outlined in the CHIP plan.
The Immunization team will continue to update school staff training for using WAIIS to get immunization records for students who don’t have a complete
Certificate of Immunization Status on file. JCPH staff will expand work with the schools, provide more resources for parents, and enter out-of-state immunization
records into WAIIS. The number of students who are “out-of-compliance”, due to incomplete immunizations or having no immunization record provided to the
school, decreased in Jefferson County in the fall of 2016 and increased slightly in 2017. This is one of the CHIP indicators and JCPH will continue to support the
schools in their work on this issue.
STD
The Family Planning and STD clinic follows the CDC's STD testing recommendations. The Family Planning and CD program staff will continue to monitor and
explore ways to assure appropriate testing of high risk groups. The electronic medical records program is also being assessed for FP/STD data reports.
HIV Prevention
HIV/AIDS case management was regionalized in January 2017 and Kitsap Public Health District became the regional provider of HIV case management services
for Kitsap, Clallam, and Jefferson counties. A Kitsap staff member, provides services for Clallam and Jefferson counties. Previously, this staff member was
employed by Clallam County Health Department and provided services for the two counties. CDC funding currently focuses on prevention programs for high risk
populations, based on HIV prevalence. Jefferson County is classified as a low prevalence county, so has not had HIV prevention funding since 2012.
The State Public Health Lab continues to do a limited number of free HIV tests for uninsured high risk clients, but there is no funding for JCPH staff time for
counseling and testing services. JCPH staff will continue to provide free HIV testing services for low income high risk clients with no medical coverage. As more
clients now have Apple Health, more testing is being done through Quest lab.
The 2017 annual number of client visits, and syringes exchanged, in the SEP program was higher than in any previous year. The 2018 totals are projected to be
higher yet, as 49,780 syringes were exchanged, in the first 6 months (compared to 41,080 in the same period of 2017). DOH provides SEP supplies to supplement
our program, however, there is no State funding for staff time. Both the increase number of client visits, and naloxone distribution and training, for opioid overdose
prevention, have increased staff time required for this program. Continued funding for naloxone through the Center for Opioid Safety Education at the UW and
DOH is likely. If this supply of naloxone does not continue, JCPH will have to explore options for purchasing naloxone.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 46 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Communicable Disease (cont’d)
Public Health Emergency Preparedness and Response (PHEPR)
Federal funding includes developing response capacity for all hazards emergency response. Response capacity is developed in coordination with Region 2 PHEPR
partners Kitsap and Clallam Counties, local emergency response agencies, Jefferson Healthcare, and other health care providers. Public Health staff have been
trained in and use National Incident Management System protocols during communicable disease outbreaks. The roles, responsibilities and training have been
helpful for managing communicable disease outbreaks.
Decreased funding for any program may result in scaling back on services. The Board of Health would be involved in deciding which services would be impacted.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 47 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Population and Prevention
PROGRAMS: Drug and Alcohol prevention, School Health, Healthy Community, Health Care Access and Clean Indoor Air Act
MISSION: The purpose of the Population & Prevention Programs is to provide health education and public health interventions to county residents in order to promote a healthier
community.
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Improve
identified
social and
health
indicators for
school age
youth
Convene
Prevention
Coalition to
identify
interventions to
address drug and
alcohol prevention
in communities
Strategic Plan Milestones-
see CPC web page
http://www.jeffersoncounty
publichealth.org/index.php
?c-p-c
Completed
CPC
Strategic
Plan
Spring
2014
CPC
Strategic
Plan update
Completed
Spring 2015
Reviewed and
revised CPC
Strategic Plan
completed Spring
2016
Rewrote the
Strategic plan,
including logic
model and action
plan. Approved
June 2017.
Revise CPC
Strategic
Action Plan
and Budget as
required.
Review and
rewrite
strategic plan,
including logic
model and
action plan per
latest HYS
data
Number of Coalition
meetings 12 12 12 12 12 10
Goal 2:
Reduce
favorable
attitudes
toward
problem
behaviors
within the
youth and
adult
communities
Increase the
perception of risk
for youth and
adults regarding
alcohol, tobacco,
marijuana and
other drug use
based on Health
Youth Survey
(HYS) Implement identified
intervention strategies in
the Strategic Plan
Completed
7 weeks
Strengtheni
ng
Families
Parenting
Program
(SFP)
Classes
Oct-Nov.
2014
2 Public
Awareness
events
SFP Spring
and fall 2015
Complete 3
Public
Awareness
events
Community
Assessment
of
Neighborhoo
d Stores
spring 2015
7- week SFP
classes in 2016
were canceled;
Fall of 2016 were
held Feb.- Mar.
2017;
Public Awareness
events (KLO
5/14/2016,
Cultural
Competency
event; planned
film event for
early 2017).
District policy
2121 was
reviewed and
edited. Coalition
Coordinator
presented to Board
of Education in
early 2017.
Held 7- week SFP
classes in Feb.-
Mar. 2017 due to
change in
leadership;
Public Awareness
events (KLO
9/2017, Cultural
Competency
activity at CPC
meeting June
2017. Film event
Sept. 2017 PTFF.
District policy
2121 was
presented to Board
of Education in
early 2017. Board
took no action.
Winter and
Fall 2018
Community
and Adult
Social Norms
Campaign to
be conducted
in school
district
catchment area
by CPC
members.
Methods
include
speaking
engagements,
flyers,
postcards,
poster
campaign,
drug
takebacks,
Spring 2019
Guiding Good
Choices.
Film with
County
Library.
April DEA
Drug Take
Back event.
ACES
workshops x3
(one may be
held in late
2018 before
turn of year).
HS prevention
club to
continue.
Engage
various
regional
stakeholders.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 48 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
National Drug
Facts Week
participation,
Focus groups.
Winter and
Fall 2018
Community
and Adult
Social Norms
Campaign to
be conducted
in school
district
catchment area
by CPC
members.
Methods
include
speaking
engagements,
flyers,
postcards,
poster
campaign,
drug
takebacks,
National Drug
Facts Week
participation,
Focus groups.
Work with the
YMPEP
regional
strategic
planning team
to do a
community
assessment of
assets and
Positive Social
Norms
campaign.
Continued
NFP home
visiting
program.
Work to add
“no vaping” to
JC smoking
ordinances.
Capacity
building,
webpage,
provide
trainings using
Making
Connections
Toolkit
strategies,
board of health
presentation,
evaluation of
reach.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 49 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
needs, develop
goals and
strategies, and
work on a
strategic plan
to be
submitted to
DOH in June
of 2018.
Goal 3:
Enhance
overall health
and safety of
Jefferson
County school
age children
School Health
Screening
Number of state mandated
hearing and vision
screenings facilitated by
school nurse for students in
grades K, 1, 2, 3, 5 and 7
920 initial
screening
278
rescreened
102
referred for
further
evaluation
881 Initial *
screenings
258
rescreened
92 students
referred for
further
hearing (44)
and vision
(48)
evaluations
531 Initial
screenings
142 rescreened
68 referred for
further hearing
(15) and vision
(53) evaluations
No longer
applicable
No longer
applicable
No longer
applicable
Human Growth
and Development
and HIV AIDS
education
Number of Human growth
and development classes 202 227 73 73 73 73
Numbers of students served
in school health classes 861
1064 537 437 437 437
Student Health
Care Plans
Number of Student Health
Care Plans for students
with chronic health
conditions written by or
facilitated by JCPH School
Nurse
132 153 75 No longer
applicable
No longer
applicable
No longer
applicable
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 50 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 4:
Improve
overall health
of Jefferson
County
Residents
Provide education
regarding Clean
Indoor Air Act
enforcement with
Environmental
Health Food
Services staff
Smoking in Public Places
awareness campaign:
Newsletters
Issued
tobacco
control
informatio
n to 21
retailers,
Issued 40
“no
smoking”
signs to
retailer
upon
request
distributed at
least 30 signs
“no
Smoking”
signs to local
businesses
based on
requests
*See
Narrative
below
Including
Healthy
Communities
Grant
activities and
Community
Health
Improvement
Plan Process
Education to
business based on
complaints by
Environmental
Health Food
Services staff.
Education to
business based on
complaints by
Environmental
Health, Food
Services staff. If
complaint, health
inspector delivers
DOH posters to
proprietor who is
responsible to
post, and inform
customers of
restrictions as
necessary.
Technical
assistance was
provided to 10
local
businesses and
agencies to
adopt policies
that include
“no Vaping” in
their “No
Smoking”
policy.
Education to
businesses
based on
complaints by
Environmental
Health, Food
Services staff.
New for 2014-
2015
Updated work
plan
2016
See plan for
complete
activities.
Increase
opportunity for
Physical Activity
Strengthen community
promotion of physical
activity through signage
and work site policies
Continue to work
with school
district wellness
Committees
Partnered with 5
work sites to
perform
assessment and
recommendation
report. Provided
technical
assistance to 3
worksites. Formed
wellness
committee for 2
worksites. Wrote
Healthy eating,
active living
polices for
adoption in 2
worksites, and
Lead Chimacum
school district
Wellness
Committee to
review and update
of Chimacum
School District
Wellness Policy
#6700- adopted by
CSD49 June 2018.
Provided
assessment and
recommendation
report for 5 work
sites Provided
technical
assistance to 5
worksites. Formed
wellness
committee for 1
worksites. Wrote
Work in this
area will
continue until
September 30,
2018 when the
Healthy
Communities/
Chronic
Disease
Prevention
grant funding
expires.
Areas include
continued
technical
assistance to
worksites and
their wellness
committees.
JCPH will
participate in
Work in this
area will
continue until
September 30,
2018 when the
Healthy
Communities/
Chronic
Disease
Prevention
grant funding
expires. JCPH
will participate
in CHIP
Chronic
Disease
Prevention
actives as
much as
possible after
Sept 30, 2018
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 51 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
provided tech
assistance to
implement.
Healthy eating,
active living
polices for
adoption in 2
worksites, and
provided tech
assistance to
implement.
CHIP Chronic
Disease
Prevention
actives as
much as
possible after
Sept 30, 2018
Impact systems,
policies and
environmental
strategies that
increase access to
Healthy Foods
Wellness Policy at school
district level
Port
Townsend
School
District
approved
Wellness
policy
Chimacum
School
District
active
transportatio
n Policy
Lead Chimacum
school district
Wellness
Committee to
review and update
of Chimacum
School District
Wellness Policy
#6700. Revised
and updated
policy was
adopted by
CSD49 June 2018.
Now all four of
the county school
districts have
revised Wellness
Policy adopted.
Schools are
encouraged to
review and
implement
their Wellness
Policies with
community
participation
annually.
JCPH will
participate
when funding
allows
Reduce % of
women smoking
during pregnancy
% of women reporting
smoking during pregnancy
Smoking
Cessation
info the
Health Care
Providers
Included decrease
in smoking during
PG as goal in
CHIP. Included
strategies to be
implemented.
All Pregnant
women (55) in
JCPH Family
Health Services
were assessed for
tobacco use and
provided a
smoking cessation
brief intervention
(5 A’s).
Promotion of the
WA state Quitline,
and the SmartQuit
smartphone App,
was provided to
women who use
Assess All
Pregnant
women in
JCPH Family
Health
Services for
tobacco use
and provide a
smoking
cessation brief
intervention (5
A’s).
Promote the
WA state
Quitline,
Assess All
Pregnant
women in
JCPH Family
Health
Services for
tobacco use
and provide a
smoking
cessation brief
intervention (5
A’s).
Promote the
WA state
Quitline,
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 52 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
tobacco and their
family members.
SmartQuit
App,
to women who
use tobacco
and their
family
members.
2 Family
Health
Services team
members
received
further training
in
Motivational
Interviewing.
SmartQuit
App,
to women
who use
tobacco and
their family
members.
Healthy
Community
Activities
Increase
community
system polices and
environments
strategies that
promote and
reinforce healthful
behaviors.
Work with Jefferson
County Community
development updating
Comprehensive
Development plan
Attend Comp plan
meetings and
provide
Community
Health related
input. Reviewed
sections of comp
plan that address
active
transportation and
access to healthy
food. Met with
planners and
provided
recommendations.
Presented to
Planning
Commission on
health in comp
planning.
Continued work
with DCD on
comprehensive
plan revisions.
Reviewed sections
of comp plan and
made
recommendations
that address active
living, active
transportation and
access to healthy
food. Presented to
Planning
Commission on
health in comp
planning.
Recommendations
were incorporated
into comp plan
draft that is in
process for
adoption in 2018.
Support
process for
adoption of
Comp Plan
recommendati
ons to increase
healthy eating
and active
living.
Work in this
area will
continue until
September 30,
2018 when the
Healthy
Communities/
Chronic
The Comp
Plan update
should be
complete in
2019.
Work in this
area will
continue until
September 30,
2018 when the
Healthy
Communities/
Chronic
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 53 of 100
Goals Objectives Performance Indicators
2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Increase worksite
policies, programs
and
communication
related to healthy
eating and healthy
living
Implement 5-2-1-
0 campaign in
multiple
community
sectors including
worksites,
healthcare,
schools, etc.
Disease
Prevention
grant funding
expires. JCPH
will participate
in CHIP
Chronic
Disease
Prevention
actives as
much as
possible after
Sept 30, 2018
Disease
Prevention
grant funding
expires. JCPH
will participate
in CHIP
Chronic
Disease
Prevention
actives as
much as
possible after
Sept 30, 2018
Goal 5:
Increase
access to
health care
Provide
information and
assistance for
Washington State
Health Benefits
Exchange health
insurance
applications New
2013
Number of clients assisted
with applications for
health insurance
399
Assist with
Apple Health
applications
all
Assist with Apple
Health
applications all
year long, average
of 3 a week
Provided referral
to KPHD when
answering calls
for information
over the phone.
Assisted and
signed up JCPH
clients.
Continue to
provide
referrals to
KPHD for
telephone
cases.
Continue to
assist/sign up
JCPH clients.
Continue to
provide
referrals to Sea
Mar Clinic in
Aberdeen for
telephone
cases.
Continue to
assist/sign up
JCPH clients.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 54 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Population and Prevention (cont’d)
Study/Analysis 2017-2018 results:
Jefferson County Public Health (JCPH) delivers programs that promote healthier communities and individuals. The above programs provide universal prevention services to
youth, families and businesses in the community.
Goal 1 and 2: Improve identified social and health indicators for school age youth and Reduce favorable attitudes toward problem behaviors within the youth and adult
communities
Nationally, preventing substance abuse and tobacco use have proven to be cost effective. The results of the 2016 Washington State Healthy Youth Survey were released in the
spring of 2017 and are used to determine community needs and prioritize services based on funds available. Results were used as part of the Strategic Planning revision for
Chimacum Prevention Coalition May 2017 and Action Plan update in Spring 2018. The results of the 2018 HYS will be used to revise and update strategic plan, including logic
model and action plan in Spring 2019.
The Drug and Alcohol Prevention Program continues to provide integrated prevention services that promote healthy behaviors, prevent harm and support youth and families in the
community and in the schools. Washington State Division of Behavioral Health and Recovery (DBHR), now under the Health Care Authority, funding/contracts “Statements of
Work” requires development and maintenance of a Prevention Coalition in the Chimacum School District. The Prevention Coalition Coordinator continues to develop and has
conducted focus groups among students to choose a new name and logo. In November 2013 DBHR received additional Federal funds through a Partnership for Success grant. This
grant ends in September 2018. Additional funds were secured through the Substance Abuse Block Grant, and support one full-time coordinator. Interventions identified in the
Coalition’s 2018-2019 Action Plan include parenting programs, drug take backs, partnerships with community stakeholders, and positive social norms campaigns. Dedicated
Marijuana Account funding continues and supports the Jefferson County NFP program.
Spring of 2017 the Coalition did a comprehensive revision of its Strategic Plan. Activities in 2017/18 were included sustainability and cultural competency trainings. Four coalition
members attended two trainings – one on leadership and another on understanding poverty.
Implementation Activities included:
- Environmental Strategy – Positive Social Norms postcard campaign.
- Partnerships with PTFF, Benji Project, and the Jefferson County Library to provide education via film, and provide transportation to and from Benji Project “making
friends with yourself” education workshop.
- Two DEA drug take backs at which nearly 1000 lbs. prescription drugs were properly disposed.
- Update Action Plan Spring 2018.
- Continued Coalition development
In September, 2017 coordinator achieved the Prevention Professional certificate.
2018-2019 Work with Jefferson County Board of Health to include “No Vaping” in Smoking in Public Places Ordinance for Jefferson County.
In January of 2018 began working with the Regional YMPEP team (Clallam, Kitsap, and Jefferson). This is the Strategic Planning year which required JCPH to gather
stakeholders together to work through asset and needs assessments. The results of these meetings were used to identify goals and strategies that were included in the regional
strategic plan developed by Kitsap (the region lead) and submitted to DOH in June.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 55 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Population and Prevention (cont’d)
In 2019 YMPEP work continues. The work’s approach is based on Policy Systems and Environmental change strategies which seek to go beyond programming and into the
systems that create community structures. These approaches often work hand‐in‐hand where, for example, an environmental change may be furthered by a policy or system
change. Similarly, a policy could be put in place that results in additional environmental changes. It is not a linear process. At the end of the day, an effective PSE approach seeks
to reach populations and uncover strategies for sustainable impacts. Efforts may accelerate the adoption or implementation of effective interventions by integrating approaches into
existing infrastructures. Such approaches often include advocates, decision and policy makers. Going forward, JCPH will focus on capacity building and integrating youth
advocacy strategies. Initially, JCPH planned to implement Teen Against Pot Smoking (TAPS) in the four school districts. A great deal of work was done to this end; however, late
in May 2018, DOH determined, due to data collection and status of program, the TAPS program no longer qualified for funding.
Goal 3: Enhance overall health and safety of Jefferson County school age children
Spring 2015 JCPH Director negotiated School Nursing and Human Growth and Development contracts directly with Port Townsend School District and Chimacum School District
for School Year Sept. 2015-June 2016. JCPH hired an addition Public Health Nurse to cover the contract and services. The school nurse provides: staff training so schools meet
health and safety needs of students; creates school health care plans for children with chronic health conditions; provide consultation for communicable disease and immunizations;
coordinates annual hearing and vision screening; provides information for healthy school environments; and provides individual student health education as needed.
Olympic ESD School Nurse Corp contract ended June 2015, except for an Asthma grant for Port Townsend School District that started Fall 2015.
Port Townsend School District ended contracting with JCPH for School Nursing and Human Growth and Development classes. District is contracting with a School Nursing
Services agency out of Kitsap County for 2016-2017 school year, and continues this practice.
JCPH continues to provide Human Growth and Development classes for Chimacum and Quilcene School Districts. Contracts with the schools and some Federal Family Planning
Title X funds supported the classes, which are part of the Family Planning Outreach activity.
While JCPH no longer provides school nurse services upon the retirement of our school nurse, the health department continues to provide Human Growth and Development classes
in the district.
Human Growth and Development classes, through contracts directly with the Quilcene and Chimacum school districts, continued through spring 2018 and will continue for the
2018-19 school year. Actual 2017 numbers reflect all classes taught and students served through the 2017-2108 school year. It is projected (and planned) the number of classes
taught, and students served would largely remain constant.
Goal 4: Improve overall Health of Jefferson County Residents
Healthy Community Grant ending September 30, 2018
- Provided technical support for updates to tobacco polices to include language to address vaping for JCPH policy and recommended Jefferson County adopt this same
policy.
- Continued to assess and provided recommendations and technical assistance to local worksites to update updates to tobacco polices to include language to address vaping,
- Successfully encouraged Peninsula College- PT Campus to adopt policy that included “no vaping” in SIPP policy. Providing technical assistance for implementation for
this policy at Port Townsend Peninsula college campus.
- JCPH continues to promote to medical personnel and the general public the WA State Quitline and the 2Tomoorw Smart Quit smartphone app. and its benefits. JCPH
promotes to county employees the tobacco cessation benefits of their health insurer.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 56 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Population and Prevention (cont’d)
Healthy Community Grant ending September 30, 2018 - Increase opportunities for physical activity:
- Partnered with 5 worksites to assess current policy and make evidence based recommendations for improved policy. JCPH adopted policy, Jefferson County policy
adoption is pending.
- Continued to work with Department of Community Development in include health language in 2018 update to comprehensive plan for Comp plan. Presented to Planning
Commission on health in comprehensive plan. Healthy Eating and Active Living Recommendations are included in the updated 2018 draft of the Jefferson County
Comprehensive Plan, scheduled for adoption in 2018.
Healthy Community Grant - Increase access to healthy foods
- Implemented a county wide 5210 initiative to increase healthy behaviors through systems, policies and environment strategies for four daily health behaviors: 5 for more
fruits/veg, 2 hours, or less of recreational screen time, 1 hour of physical activity, 0 sugary beverages.
- In collaboration with the Community Health Improvement Planning process, used 2014 Community Health Assessment data to identify Chronic Disease Prevention as a
Jefferson Co. Health Priority. The Community Health Improvement Planning process is currently setting goals, objectives and strategies that include increasing the
median fruits/vegetable intake of adults and children in Jefferson Co.
- Worked with community stakeholders to ensure that the Community Health Improvement Plan included goals to increase access to healthy foods and increase physical
activity. Included specific evidence based strategies to ensure these goals are met
- JCPH served as an active member on the Jefferson County Food Systems Council. Their mission statement is “Working together to create, expand, and strengthen a local
food system that is accessible, healthy, sustainable and economically vibrant.”
- JCPH partnered with Jefferson Co. Farmers Market (JCFM) to provide the “Gimme 5”program, a monetary incentive program for WIC participants, seniors and food
stamp participants. “Gimme 5” offers tokens that double the buying power of WIC/ Senior Farmers Market Nutrition Program. JCPH partnered with JCFM to submit and
received local grants to sustain this program. Expanded partnership to pilot “VegRx” program - healthcare providers ”prescribe” fruits and vegetables to high risk clients
to be redeemed at Farmers’ Market.
- Promoted “Complete Eats” pilot program for Basic Food (aka Food Stamp) recipient which provided financial incentive for purchase of fruits and vegetables with Basic
Food benefits.
- Completed partnership with Jefferson Healthcare’s point of purchase display encouraging water consumption and decrease use of sugary beverages. Provided Technical
Assistance to the Port Townsend Food Coop for potential implementation of point of purchase education to decrease sugary beverages and increase water consumption.
- Continued partnering with Jefferson Healthcare Cardiac department to develop a Self-monitoring Blood Pressure Cuff Lending Library.
Community Health Improvement Planning JCPH staff is working with CHIP Workgroups.
- Mental Health and Chemical Dependency work group has included goals, objectives and strategies that will address tobacco use in Jefferson county residents. Including
“No Vaping” in local “no Smoking” policy will address community norms as a way to address growing vaping public health concern.
- Chronic Disease Prevention workgroup and developed goals that include:
o Increase the percent of the population who get the appropriate activity levels throughout Jefferson County to >75% by 2020.
An active living section of the JCPH website was completed and updated. This Active Living page includes list of local opportunities for physical
activity, and one of the most comprehensive lists of Jefferson County walking trails for downloading by residents.
Promoted the Local 20/20 Port Townsend Walking Times map as walking signage. Partnered with Jefferson healthcare to get the map posted in all
clinic rooms at Jefferson Primary Care. These maps will serve as an opportunity to bring up the subject of physical activity in a non-threatening manner,
and promote walking .
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 57 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Population and Prevention (cont’d)
JCPH continues to be responsible to enforce Washington State’s Clean Indoor Air Act. Environmental Health staff will follow up on any enforcement. Community Health staff
will continue to provide education to help businesses comply with the state law.
Youth Tobacco Prevention funding focused on educating stakeholders and policy makers about the importance of comprehensive tobacco prevention and control. Additionally,
providing technical assistance to agencies and businesses to adopt “no vaping” language for their “no smoking” policy.
JCPH staff continued to assist clients enroll in Apple Health, insurance for low income individuals and families, until funding and contracting to assist enrollment in Qualified
Health Plans ended March 2015. In 2016, JCPH began referring clients who needed assistance with enrollment in Qualified Health Plans to Jefferson Healthcare (JHC) Financial
counseling office, or to Olympic Area on Ageing State Health Insurance Benefits Advisors (SHIBA). Beginning in fall of 2016, SHIBA and JHC quit providing assistance with
applications with Qualified Health plans. Kitsap Public Health District (KPHD) took over the Health Benefit Exchange contract to assist with QHP for Kitsap, Clallam, and
Jefferson County. Kitsap Public Health District discontinued the practice due to funding and the state now contracts with Sea Mar Clinic in Aberdeen to provide free enrollment
assistance. However, anyone who starts an application on line may request assistance at Jefferson Health Care through the HCA Community Specialist. During open enrollment
fall 2016, JCPH referred clients needing assistance with QHPs to KPHD via phone. KPHD would arrange to meet clients in person if necessary at JCPH clinic space. JCPH
continues to refer clients needing assistance to Sea Mar Clinic in Aberdeen, and lets clients know they can begin an application on line and then seek assistance at JHC. JCPH
continues to sign up its own clients for Apple Health.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 58 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Family Health Services
PROGRAMS: Family Health/Maternal Child Health (MCH) including Breast Feeding Support, Maternity Support Services/Infant Case Management, Nurse-Family Partnership
(NFP), Children with Special Health Care Needs (CSHCN), Women Infants and Children (WIC), and the Child Protective Services (CPS) Contract Programs: Early Family
Support Services (EFSS), Early Intervention Program (EIP).
MISSION: The mission of the Family Health Services is to offer health education and support to all Jefferson County pregnant women and families with young children as they
build a secure foundation for a lifetime of health, learning, and community contribution.
Goals Objectives Performance Indicators: 2014
Actual
2015
Actual
2016
Actual
2017 Actual 2018
Projected
2019
Planned
Goal 1:
Improve
pregnancy and
birth outcomes by
helping women
improve prenatal
health.
Provide comprehensive
education, risk reduction
strategies, and referrals to
community services to
pregnant women and families
about the health risks of:
substance use including
tobacco, alcohol, prescription
narcotics, and illegal
substances; domestic violence;
mental illness; and adverse
childhood experiences.
Number of comprehensive
health screenings completed
(includes ACES Questionnaire
and Mental Health Screening)
39
47 Prenatal
History
Questionna
ires
completed,
37 ACE
Questionna
ires
completed
43 Prenatal
History
Questionna
ires
completed,
15
ACE
Questionna
ires
completed
55 Pregnant
women
enrolled in
MSS.
Completed:
1. 20 ACE
questionnaires
2. 29 NEAR
discussions
3. 24
depression
screens
Enroll 50
pregnant
women in
MSS.
Complete:
1)25 ACE
questionnaires
2)30 NEAR
discussions
3)40
depression
screens
Enroll 50
pregnant
women in
MSS.
Complete:
1)25 ACE
questionnaires
2)30 NEAR
discussions
3)40
depression
screens
Nurse Family Partnership,
evidenced based nurse home
visiting program
Number of visits provided in
NFP 304 280 295 269 270 270
Number of referrals from NFP to
community resources 256 179 330 150 200 200
Goal 2:
Improve
children’s health,
safety, and
development by
helping parent’s
provide competent
and sensitive
care giving.
Educate parents on how to
support their infant/child’s
health, development and
learning. Promote and refer to
well child care, immunizations,
dental care, and childcare
resources.
Number of all Family Health
encounters recorded in
Nightingale Notes, Electronic
Medical record system (home
visits, office visits and phone
calls)
544 522 577
169 infants ≤1
referred to
Well child care
and
immunizations
150 150
Screen children’s
developmental growth using
standardized tools and refer to
community providers for
specialized services.
Number of children with special
health care needs Birth through
age 18 referred for Public Health
Nurse Case Management.
147 121 104 98 75 75
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 59 of 100
Goals Objectives Performance Indicators: 2014
Actual
2015
Actual
2016
Actual
2017 Actual 2018
Projected
2019
Planned
Goal 3:
Improve overall
nutritional health
in order to prevent
long term chronic
diseases
Educate pregnant women and
families about the benefits of
breastfeeding and healthy
eating habits
Total number of women infants
and children served by WIC in
Jefferson County (from CIMS
report)
812 663 655 550 550 550
Breastfeeding initiation rate in
WIC mothers 97% 91% 93% 93% 93% 95%
Breastfeeding at 6 months rate in
WIC mothers 59% 64% 63% 63% 63% 65%
SUMMARY OF KEY FUNDING/SERVICE ISSUES FOR 2018
WIC Program: 1. Continue to work on program outreach and recruitment through community contacts such Farmers’ Market and early learning coalition, JCPH Facebook page
with the goal of increasing program enrollment. 2. Maintain Breastfeeding Friendly Clinic Gold Status by following outlined education and policies plan, 3. Staff continues WIC
program education as needed, 4. Prepare for new electronic system in 2019 as planned by DOH. The Breastfeeding Tea will transition to the Mom’s Tea in 2018 and will support
all moms and babies.
Maternity Support Services and Infant Case Management: 1. Continue to work with HCA to meet state program guidelines with focus on meeting full composition of MSS
interdisciplinary team staff requirements. The JCPH team has lacked a behavioral health specialist on the team since late 2017, 2. Family Health Services Team Lead and JCPH
director/Community Health Director continue ongoing review of general program requirements, staff availability, program recruitment, and program budget. 3. Review program
documentation in Nightingale Notes, program goals, and program outcomes with team on regular basis. 4. Support and offer education and training to staff as needed and required
for optimal program delivery.
MSS, along with WIC, is the “gateway” to Family Health Services. Public Health Nurses and a Public Health Educator deliver the program by offering education, support and
referral to pregnant women. MSS, part of the WA state First Steps program, began in the late 1980’s to address issues around pregnancy and birth such as access to early prenatal
care and poor birth outcomes. Program guidelines and financial reimbursement to operate the program have largely remained the same in 30 years; program funding has not kept
up with the cost of program implementation, presenting challenges to program delivery. Program staffing remains limited by staff availability and program-defined requirements.
Our team lacks a behavioral health specialist; the community health worker is limited to providing only maternity support services (not infant case management services) and
public health nurses manage NFP and MSS clients in their schedules.
Nurse-Family Partnership: Continue participation on Regional NFP team with Kitsap Public Health. Current team membership consists of two nurses and one supervisor from
JCPH and three nurses from KPHD. Efforts to explore NFP expansion into Clallam County continue with discussion between JCPH, KPHD, and First Step Family Support Center
(Port Angeles). Both sites continue to work on outreach and recruitment to fulfill and maintain caseloads for the program. Team continuously works to maintain program fidelity,
support health of moms and babies, remain up to date on program requirements in terms of education, assessment tools and data collection. Outreach and recruitment continue
through agency websites, agency Facebook pages, and contact/collaboration with community agencies.
Early Intervention Program (EIP): Will end in 2018 as a state program.
Children with Special Health Care Needs (CSHCN): CSHCN coordinator participates in the regional Birth to Three Coalition, local Interagency Coordinating Council and
Family Health Services team to identify, provide resources and referrals, and case management for Jefferson County children with special health care needs.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 60 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Family Health Services (cont’d)
Study/Analysis of 2017-2018 Family Health Services Program Results
The programs affiliated with the Family Health Services Program include Nurse-Family Partnership (NFP), Maternity Support Services (MSS), Infant Case Management (ICM),
Women Infant and Children (WIC), and Children with Special Health Care Needs (CSHCN). The primary focus of Family Health Services programs are pregnant women and
families with young children aged birth to five. With a few exceptions, overall program participation in Family Support Services programs remained stable in 2017. As in the
previous year, JCPH maintained a contract with CPS for the Early Intervention Program (EIP) although full participation did not occur because of the lack of referrals from CPS.
The EIP contract ends in 9/2018.
Two public health nurses left JCPH in 2017, and their departures influenced FHS program delivery and numbers of families served in the year. The CSHCN/school nurse’s
retirement in the fall of 2017 presented a program shift from more direct CSHCN child-family- services to CSHCN systems work in the community. While the newly designated
CSHCN Public Health Nurse continues to manage CSHCN referrals and provide some case management, her primary role is in systems work, including collaboration with health
providers, Birth to Three and other service providers working with families.
In 2018 we saw the NFP caseload increase once the new Public Health Nurse hired in August 2017 was able to increase her caseload after she received the required NFP training
and started enrolling new NFP clients. The Regional NFP team consists of two nurses from JCPH and 3 nurses from Kitsap Public Health District.
JCPH WIC program attained the Gold Level as a Breastfeeding Friendly Facility in 2017 by meeting criteria for Breastfeeding Friendly Washington Clinics based on the Ten
Steps to Successful Breastfeeding developed by the World Health Organization, and the American Academy of Pediatrics Ten Steps to Support Parents' Choice to Breastfeed Their
Baby (PDF). Kathy Anderson RD, our WIC program coordinator, led efforts to achieve this special designation. Our WIC program served 590 individuals in 2017 compared to a
655 in 2016. WA State and National WIC numbers have followed a similar downward trend in program enrollment in the last few years. In Jefferson County, anecdotal reasons
for decreased enrollment include lack of organic food options, transportation and access issues to clinics, and challenges with procuring food in stores. In an effort to increase
WIC participation and promotion, JCPH WIC focused on 1. program outreach to agencies and organizations serving families with young children, 2. increasing public information
on benefits of WIC program through the County web page, flyers, and posters, 3. adding late afternoon/early evening hours to Port Townsend clinic twice a month to accommodate
working families, and 4. collaborating with the Jefferson County Farmers’ Market and other state programs to increase access to fruits and vegetables.
About half of pregnant WIC enrolled women participated in Maternity Support Services and received health information and support during their pregnancies and immediate
postpartum periods. MSS services included mental health screenings for depression and anxiety, ACEs (Adverse Childhood Experiences) screening and discussion, and referrals
to community resources such as medical, dental, health insurance, and immunization referrals. MSS is based on an interdisciplinary team model which includes public health
nurses, registered dietician, community health worker (educator for JCPH), and behavioral health specialist. The team lost its contracted behavioral health specialist in late 2017
and replacement of this staff is in consideration. Our current staff of public health nurses, dietician and community health worker (educator) is highly skilled and experienced in
assessment, education and treatment in maternal health. The Breastfeeding Tea continues to meet weekly and support breastfeeding moms in a social and community setting.
We continue to work towards organizing our data collection to inform our client-centered practice with pregnant and parenting women and their children. We would like to
improve assessment and collection of data on tobacco and substance use during pregnancy and postpartum periods and continue to support and promote breastfeeding. Protocols
on taking blood pressures, depression screening, suicide assessment, and mandatory reporting for childhood abuse and neglect will be accompanied with staff education.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 61 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Targeted Clinical Health Services
PROGRAMS: Family Planning, School Based Health Clinics, Breast and Cervical Health, and Foot Care
MISSION: To provide targeted health services, health screenings and prevention services to specific populations with limited access 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 Objective Performance Indicator 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Assure low cost Family
Planning Services are provided
and accessible for all women Track Family Planning
usage pattern
Number of annual unduplicated
clients served in Family Planning 917 903 826 748 824 825
Number of annual Family Planning
clients age 30-39 156 146 151 175 152 160
Number of annual Family Planning
Clients age 18-29 410 415 432 341 376 380
Goal 2:
Maintain low teen pregnancy
rate in Jefferson County
Provide access to Birth
Control Methods,
including LARCs and
Emergency
Contraception 5 days/
week with an
appointment scheduled
within a week
Annual number of clients under 19
served in Family Planning (from
Ahlers report)
356 382 274 218 266 260
Goal 3:
Decrease chlamydia and
gonorrhea infections in
Jefferson County
Provide access to
CT/NG screening,
diagnosis and treatment
for Jefferson County
residents and their
sexual partners.
# of female clients annually screened
for Chlamydia: <25yo 320 311 290 249 270 270
% of female clients screened for
Chlamydia: <25yo 63.4% 60.3% 74.2% 70.5% 72% 72%
# of male clients annually screened
for Chlamydia 75 71 78 75 78 78
% of male clients annually screened
for Chlamydia 82.4% 89.9% 86% 93% 90% 90%
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 62 of 100
Goals Objective Performance Indicator 2014
Actual
2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 4:
Improve access to health care
for high school students in
Jefferson County
Serve 40% of enrolled
students at Port
Townsend and
Chimacum High
Schools through the
School Based Clinics
Number of annual unduplicated
clients served in the Chimacum and
Port Townsend School Based Health
Clinics
287 283 236 216 230 230
Goal 5:
Support seniors’ independence
by maintaining walking
mobility
Maintain community
Foot Care program
Number of annual foot care clients in
community centers and home visits 1979 1760 1738 1777 1885 1850
SUMMARY OF KEY FUNDING / SERVICE ISSUES 2017-2018:
Changes with recommended female exam schedules, such as frequency of required Pap smears, continue to affect our total number of visits when compared to previous years; in
addition, our increased use of Long-Acting Reversible Contraception (LARCs) methods has further decreased number of clinic visits for our clients. We have noted an increase in
LARC method requests beginning 2017, with clients voicing concern regarding uncertainty of health care coverage in the future.
At the end of 2016, billing was moved to an outside vendor in Texas, which included a migration of our EHR system into the Cloud. This went “live” in February 2017. By
September 2017, serious concerns of confidentiality breaches as well as poor billing reimbursements led to internal discussions about potentially terminating the external billing
vendor. When it became clear the vendor was unable to assure teen confidentiality and billing revenues did not improve, JCPH terminated the contract early, without penalty, and
reinstated the internal billing process; JCPH has been billing internally since March 2018, with positive results in both revenue and teen confidentiality.
JCPH maintains extended clinic hours with evening appointments to increase access for our clients. In January 2018, we received Special Project funding from Washington State
Department of Health, to help with access and outreach, and to help insure that clients know how and where to find us. With these grant funds, we were able to contract with
Search Engine Optimization (SEO) experts who have helped us re-configure our webpages to optimize online search placement so potential clients can easily see available local
Jefferson County Family Planning services. We are completing the upgrades through fall 2018 and hope to increase overall knowledge of our services to our targeted population.
In addition, the grant has made social media advertising possible. This is brand new to JCPH. We are currently tracking how new clients have learned of our services and will be
evaluating its effectiveness. Unduplicated client numbers overall have increased during the first two quarters of 2018, with resulting increase in projected 2018 client numbers.
Additional funding from this Special Project grant allowed hard-wired computers in the clinic exam rooms, which has greatly increased efficiency for providers. Additional
equipment was purchased to replace worn, poorly functioning equipment, such as exam tables, IUD instruments, an autoclave, microscope and instrument tables.
JCPH continues our partnership with Jefferson Healthcare in operating two school clinics: Port Townsend High School and Chimacum High School. These clinics serve enrolled
students seeking Mental Health, Family Planning, and Primary Health Care services. Number of unduplicated students using School-Based Health Centers in 2017 is decreased
compared to the past 3 years. Possible factors include: 1) decreasing school enrollment and 2) Health Clinic at Port Townsend is not located in main building and not convenient to
students. Discussions with school administration regarding these concerns are ongoing. JCPH has provided expertise to other counties considering establishing school-based health
centers.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 63 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH – Targeted Clinical Health Services (cont’d)
Family planning services continue in Quilcene twice a month. Outreach continues to south county residents for Family Planning services. Quilcene School District is interested in
having a School-Based Health Center; community meetings to discuss needs is planned in the near future to explore this further.
State and federal funding for the Breast and Cervical Health Program (BCHP) has been reduced in 2016-2018. Most women who qualified for this program in the past now qualify
for free or reduced cost health insurance through the Affordable Care Act.
Foot Care: Jefferson County has an aging population; the median age of Jefferson County is 55.1 years, with the median age of WA State 37.8 years. The JCPH Foot Care Program
enables our older population to maintain independence and mobility by providing foot maintenance at community centers and in private homes.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 64 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH (cont’d)
BARS #PROGRAM TITLE
ESTIMATED
2018
REVENUES
BUDGET
2019
REVENUES
NET COUNTY
EXPENDITURES 2019
(SEE NOTE**)Additional Information
332.93.20.2600 Billing Update Incentive 14,000 14,000 212,028
Multiple funding sources, see below (Med. Ad. Match-FP, FP-
Clinical/Health Promo)
333.10.55.2800 WIC Nutrition 97,366 95,323 19,997 County General Fund (CGF) Note: $1,500 of expense is separate funding
333.10.57.2800 WIC Farmer's Market 500 500 -
333.93.06.8800 PHEPR 27,452 - -
333.93.06.8801 PHEPR Admin 8,523 - -
333.93.21.2700 FP Title X 27,943 28,322 -
333.93.24.2150 DBHR-PFS 58,447 - -
333.93.26.3220 Immunizations 4,154 7,223 -
333.93.30.4450 Tobacco Prevention 802 - -
333.93.53.3220 Immunizations 915 - -
333.93.73.3220 PPHF Vaccine Management 700 - -
333.93.75.2120 Healthy Communities 35,027 -
333.93.75.4300 Breast & Cervical Health 428 625 1,686 CGF
333.93.75.4450 PHBG Tobacco Prevention 8,948 8,911 - Multiple funding sources, see below
333.93.77.1200 Med. Ad. Match - CH Ad.45,373 54,900 238,492 Admin from Grants, State Block Grant, CGF
333.93.77.1210 Med. Ad. Match - MAM 6,500 6,500 2,800 CGF
333.93.77.2600 Med. Ad. Match - FP 14,566 1,000 - Multiple funding sources, see first row
333.93.77.2800 Med. Ad. Match - WIC - 1,000 115,820 Federal Grant and CGF
333.93.94.3200 Med. Ad. Match - Child Imm.1,000 - -
333.93.94.3900 Med. Ad. Match - CD 1,000 - -
333.93.95.2100 DBHR-SAPT (DASA)31,440 77,558 13,174
Special Purpose Tax - Multiple funding sources, see below
(includes program reserve)
333.93.99.2500 CWSHCN 28,919 25,143 -
333.93.99.2501 CWSHCN Admin 6,243 8,129 -
333.93.28.4300 Breast & Cervical Health 508 - -
333.93.99.2260 NFP-MCHBG - 3,473 2,500 CGF
334.04.62.2100 DBHR-SABG (DASA)2,730 6,815 - Multiple funding sources, see above (includes program reserve)
334.04.62.2290 DBHR-DMF NFP 25,897 20,042 1,285 Special Purpose Tax
334.04.67.2220 CPS 471 - -
334.04.91.2600 FP-Clinical/Health Promo 110,647 64,026 - Multiple funding sources, see first row
334.04.93.4450 Youth Tobacco & Vapor Prevention 7,378 7,348 - Multiple funding sources, see above (PHBG Tobacco Prevention)
334.04.93.4900 Marijuana Prevention 34,195 49,179 -
334.04.93.5700 Childhood Lead Inv 500 - -
334.06.91.2250 NFP Activities 163,179 164,765 -
334.06.91.2251 NFP Activities Admin 16,298 16,076 -
782,047 660,858 607,782
**Note: Net County Expenditures includes the total annual cost for the program, including adminstration, minus grant revenue received.
NFP Activities and NFP Activities Admin are the same grant just
coded to two BARS lines.
CWSHCN and CWSHCN Admin are the same grant just coded to
two BARS lines.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 65 of 100
BUDGET/PROGRAM: COMMUNITY HEALTH (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 66 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES
PROGRAMS: Community Information Activities, Child Development, Group Supported, Individual Employment, Person to Person/ITA, and Community Access
MISSION: The mission of Developmental Disabilities is to assure that citizens with developmental disabilities in Jefferson County have the choice, opportunity, and support to
achieve full, active, and productive participation in the community.
REVENUES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Restricted Fund Balance 28,548 28,548 28,548 28,548 28,548 -
Reserve Fund Balance 53,020 45,048 22,765 23,489 13,380 (9,385)
Beg Fund Balance - - - - - -
Taxes 45,123 46,410 46,284 47,459 47,568 1,284 Based on projections
Licenses and Permits -
Federal Grants -
State Grants 17,979 6,879 27,464 47,033 69,672 42,208
New grant awarded in 2017, continued into
2018, projecting new award in 2019
State Entitlements -
Intergovernmental - - - - - -
Charges for Goods and Svcs 271,742 265,653 312,284 312,457 348,128 35,844 Based on projections
Misc. Revenue, Contributions 21 269 25 17 15 (10)
Interfund Chg. For Service -
Disposition of Capital Assets 1,710 1,058 150 40 100 (50) Based on projections
Special Purpose Tax -
Transfer from Solid Waste -
Other Transfers (one-time/payout)- - - 3,549 - -
General Fund Revenue 3,858 8,974 13,243 13,243 13,640 397
GF increased by approx. 3% and
distributed to all divisions
Total Revenue 422,000 402,839 450,763 475,836 521,051 70,288
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 67 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES (cont’d)
EXPENDITURES:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request Add/<Delete>Memo
Wages & Benefits 79,408 75,819 82,583 84,924 86,911 4,327 Step increases bargaining members
Supplies 829 524 327 427 295 (32)
Tool & Equipment 4,938 - - - - -
Professional Services 230,615 220,108 275,360 298,676 337,790 62,430
Based on existing clients/grant
funding
Communication 204 191 228 249 251 23
Based on projections/department
allocation
Advertising 1,730 21 50 81 80 30 Based on projections
Travel 182 326 780 780 1,020 240 Based on projections
Machinery & Equipment -
Operating Rents & Leases 218 - - 675 750 750 Based on projections
Insurance - 4,215 - - - -
Miscellaneous 4,452 9,015 3,116 3,573 4,424 1,308 Based on projections
Intergovernmental Services -
Capital Outlays - - - - -
Interfund Prof Svcs 21,184 34,975 39,174 39,174 41,629 2,455 Based on projections
Interfund Rents & Leases 4,644 5,608 5,349 5,348 7,025 1,677 New County Cost Allocation
Interfund Payment for Svcs -
Sub-Total Expenditures 348,404 350,801 406,966 433,908 480,175 73,208
Adjustment -
Reserved Fund Balance 45,048 23,489 15,190 13,380 10,377 (4,812)
Required Fund Balance 28,548 28,548 28,548 28,548 28,548 -
Total Expenditures 422,000 402,839 450,704 475,836 519,100 68,396
Balance Forward 0 0 59 (0) 1,951 1,892
STAFFING:2016
Actuals
2017
Actuals
2018
Adopted
2018
Projected
2019
Request
Annual Hours 2,087.99 1,948.52 2,114.40 2,080.01 2,101.05
FTE’s 1.00 0.94 1.01 1.00 1.01
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 68 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Community Information and Education
MISSION: The mission of the Developmental Disabilities Community Information & Education Service is to assure that citizens with Developmental Disabilities in Jefferson
County have the choice, opportunity and support to achieve inclusive and productive participation in community life.
This department implements the following strategic objectives:
Provide advocacy, vision and leadership regarding relevant policies, plans and services to achieve the mission.
Identify new funding sources as State revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental disabilities.
It is important to see the role of the Jefferson County DD Program—not only as a broker of contracted services, but also as a promoter of community connections and
opportunities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Inform and/or educate
the general public
about developmental
disabilities services.
To oversee activities
which promote public
awareness and
involvement,
community
consultation, capacity
building, and
organizational
activities.
Use media, local newsletters,
campaigns, community forums,
workshops/trainings and a public
commentary at every Board
meeting.
# of campaigns, community
forums, workshops,
trainings, etc.
8 12 8 8 8
Support the Jefferson County
Transition Network Group to
review gaps, needs and services in
order to build goals and objectives
that will create a successful
Jefferson County off-site
Transition Program.
# of meetings with partners 4 4 4 4 4
Ensure the
accommodation and
inclusion of people
with developmental
disabilities.
Participate in local and statewide
meetings that relate to
developmental disabilities.
# of meetings statewide
meetings 10 12 10 10 10
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 69 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Community Information and Education (cont’d)
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 2: Continued
To inform and/or
educate the general
public about
developmental
disabilities services.
DD County
Coordinator will
support and maintain
strong working
relationships and open
lines of
communication with
County Providers and
DD Advisory Board
Members.
Continue positive networking
relationships with the Port
Townsend & Chimacum Special
Education Directors by
supporting effective High School
Transition Programs.
# of transition guides,
transition portfolio
workbooks and How to
Create a Portfolio Workbook
completed
25 30 30 30 30
Support the DD Advisory Board,
provide orientation of the DD
Program to new Board Members
and make available an updated
DD Advisory Board Manual.
Support a community planning
process and/or support Advisory
Board participation with Service
Information Forms when
appropriate.
Update DD Advisory Board
Manual (Pass/Fail) PASS PASS PASS PASS PASS
Organize Advisory Board
Participation with Service
Information Forms/Planned
Performance Measures
(Pass/Fail)
PASS PASS PASS PASS PASS
Continue to staff the Transition
Network MTGs that include
Adult Providers, School
Personnel about the Transition
options and Adult Service
Systems.
# of Transition Network
MTGS 4 4 4 4 4
Conduct comprehensive onsite
program evaluations; i.e.,
Program Planning and
Evaluation, Health Safety and
Regulatory Oversight
Compliance, Individual Rights,
and Contractual Outcome
Attainment.
# of evaluations 2 2 2 2 3
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 70 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Community Information and Education (cont’d)
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017 Actual 2018
Projected
2019
Planned
Goal 3:
To provide
information,
education, and
emotional support to
families of children
with developmental
disabilities and to
provide referrals to
professionals.
To promote
parent and
professional
partnerships
in Jefferson
County.
Update the DD Resource Guide,
and the Guide to The Working Age
Adult Policy and Pathway to
Employment.
# of Resource and Policy and
Pathway to Employment
Guides.
150 150 200 200 200
Forwarding Arc Newsletters &
Informing Families Newsletters,
provide information about health
and education services, legislative
activity, policy development,
conferences, and
workshops/trainings.
# of newsletters and
informational emails sent to
Jefferson County families of
adults and children with
developmental disabilities
120 120 120 120 120
Support a local Parent-to-Parent,
(P2P) Program & Counseling
Services for People with
Developmental Disabilities
through partnership with the Arc of
Jefferson & Kitsap to have a local
presence here in Jefferson County.
# of Arc P2P & Counselor
office days here in Jefferson
County
N/A N/A N/A 52 52
Support the local People First
Chapter for Adults by providing
training and individualized
mentoring in self-determination,
self-advocacy, and other skills, and
by providing outreach, &
education at Jefferson County
events. Support is also given to
increase membership.
# of People First/Self-
Advocacy meetings 9 2
Local People
First Group
Ended
Took 3
people with
DD to Arc
Self-
Advocacy
MTG
Speaking
with the Arc
about Self-
Advocacy
Group for
People in
Jeff Co.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 71 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Individual Employment
MISSION: The mission of the Developmental Disabilities Individualized Supported Employment Program is to assure that citizens with Developmental Disabilities in Jefferson
County have the choice, opportunity and support to achieve inclusive and productive participation in community life. Employment brings benefits to people in terms of opportunities
to build relationships and to be seen as a contributing member of society.
This department implements the following strategic objectives: Provide advocacy, vision and leadership regarding relevant policies, plans and services to achieve the mission.
Identify new funding sources as State revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental disabilities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Assure that each
individual can
pursue and
maintain gainful
employment, at
or above the
state’s minimum
wage.
Create either a
Vocational Client
Plan with goals
for clients to
pursue or
maintain gainful
employment or
a Person
Centered Profile
which delineates
individual skills.
Provide client support in the
form of on-the-job
coaching/training and
modification of the work
situation while establishing
natural supports within the
business.
# of persons earning wages 22 20 20 19 21
# of persons receiving
services 26 24 24 20 23
Provide training and support in
social, communication, self-care,
and job skills (such as attendance,
task completion, problem solving
and safety) that are essential to
workplace success.
Average wage per hour $10.30 $10.20 $11.00 $11.50 $12.00
Supply a variety of vocational
vendors to assist persons with
developmental disabilities to
obtain and continue integrated
employment.
Average Monthly Hours 21.3 19.2 28 32 32
Average Monthly Wage $219.30 $190.90 $308.00 $368.00 $384.00
Total Hours worked 7,202 5,853 5,503 6,448 6,448
Total Gross Wages $74,181 $59,700 $60,533 $74,152 $77,376
Total County Funding $167,716 $156,422 $151,192 $178,874 179,000
Cost Benefit Ratio 0.28.5 0.25.5 0.41.5 0.45 0.46
Goal 2: Create the opportunity for people
with disabilities to make informed
choices about the workplace and about
future employment options in the
community.
Conduct a review meeting every
six months for program
participants. Include an evaluation
and update of the Vocational
Client Plan goals and objectives.
# of 6-month review
meetings 52 48 52 52 54
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 72 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Child Development
MISSION: The mission of the Developmental Disabilities Child Development Program is to assure that citizens with developmental disabilities in Jefferson County have the choice,
opportunity, and support to achieve inclusive and productive participation in community life.
This department implements the following strategic objectives:
Provide advocacy, vision and leadership regarding relevant policies, plans, and services to achieve the mission.
Identify new funding sources as the state revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental
disabilities.
Maintain funding in the Jefferson County DD Program, to sustain quality services for Children with Developmental Disabilities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Meet the
developmental needs
of each eligible child
and families related
to enhancing the
child’s development.
Offer services that
may include
specialized
instruction, speech-
language pathology,
occupational or
physical therapy,
assistive technology,
and vision services.
To the maximum
extent possible,
provide these
services in natural
environments.
Participate with all Early
Intervention Services
Providers in order to access
as many funding sources as
possible for specialized
therapeutic and/or
educational services.
# of persons in Child
Development 10 10 10 10 10
Support effective
communication,
cooperation, knowledge and
comprehensive partnership
between all Birth-to-Three
providers in Jefferson
County.
Total # of Units of Service 120 120 120 120 120
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 73 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Community Inclusion
MISSION: The mission of the Developmental Disabilities Community Inclusion Program is to assure that citizens with Developmental Disabilities in Jefferson County have the
choice, opportunity and support to achieve inclusive and productive participation in community life.
This department implements the following strategic objectives:
Provide advocacy, vision and leadership regarding relevant policies, plans and services to achieve the mission.
Identify new funding sources as State revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental disabilities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Planned
2019
Projected
Goal 1:
Increase the
participation of
people with
developmental
disabilities in
volunteer activities,
community events,
organizations and
connections while
enhancing their
quality of life &
independence.
Support and
encourage volunteer
experiences by acting
as a consultant and
by assessing client’s
interest in volunteer
experiences on a
monthly basis.
Provide training and support
in social and communication
skills and, when applicable, in
job-related skills for the
volunteer activities.
# of persons in Community
Inclusion 3-5 3-5 3-5 3-5 3-5
Assure the creation and
continuance of community
contribution, connections and
relationships.
Average Outings Per
Month, Per Client 2-5 2-5 2-5 2-5 2-5
Total # of Outings 190 190 190 190 190
Document all progress through
the Individual Program Plan or
Person Centered Future
planning/profile.
Average Hours Per Month,
Per Client 9 9 9 9 9
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 74 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Group Employment
MISSION: The mission of the Developmental Disabilities Group Employment Program is to assure that citizens with Developmental Disabilities in Jefferson County have the
choice, opportunity and support to achieve inclusive and productive participation in community life.
This department implements the following strategic objectives:
Provide advocacy, vision and leadership regarding relevant policies, plans and services to achieve the mission.
Identify new funding sources as State revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental disabilities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Create and
implement a
Vocational Client
Plan for each
individual.
Ensure that workers who
have demonstrated a
need for ongoing
supervision and support
can gain and keep
employment in regular
business and industry
settings.
Supervise employment and
training in regular business
and industry settings for
groups of no more than eight
(8) workers with disabilities.
# of persons in Group 4 4 4 4 4
Provide training and support
in social, communication, self-
care, and job skills (such as
attendance, task completion,
problem solving and safety)
that are essential to success in
the workplace
Average Wage per Hour $9.47 $9.47 $11.39 $11.50 $12.00
Average Monthly Hours 40.5 44.69 49 40 40
Average Monthly Wage $384 $423 $558 $460 $480
Total Hours worked 1948 2145 2351 1948 1948
Total Gross Wages $18,447 $20,308 $26,786 $22,402 $23,376
Total County Funding $34,560 $34,560 $36,000 $36,000 $36,000
Cost Benefit Ratio .53 .59 .74 .60 .65
Goal 2: Create the opportunity for people with
disabilities to make informed choices about the
workplace and about future employment options
in the community.
Conduct a review meeting
every six months for program
participants. Include an
assessment of the need for
continued Group
Employment Services and an
evaluation and update of the
Vocational Client Plan goals
and objectives.
# of 6-month review
meetings 8 8 8 8 8
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 75 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES – Individual Technical Assistance
MISSION: The mission of the Developmental Disabilities *Individualized Technical Assistance Program is to assure that citizens with Developmental Disabilities in Jefferson
County have the choice, opportunity and support to achieve inclusive and productive participation in community life.
This department implements the following strategic objectives:
Provide advocacy, vision and leadership regarding relevant policies, plans and services to achieve the mission.
Identify new funding sources as State revenue shifts from the Jefferson County DD Program, to maintain quality services for all people with developmental disabilities.
Goal Objective Task Performance Measure 2015
Actual
2016
Actual
2017
Actual
2018
Projected
2019
Planned
Goal 1:
Identify and address
existing barriers to
employment through
individual assessment and
consultation for each
identified participant, in
order to assist them along
their “Pathway to
Employment” to
competitive gainful
employment.
Address existing
barriers through
employment with
individual consulting.
Provide technical
assistance to a client to
move further toward
gainful employment.
# of clients who received
technical assistance 1 3 3 2 2
*This service needs to be approved by DDA.
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 76 of 100
BUDGET/PROGRAM: DEVELOPMENTAL DISABILITIES (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 77 of 100
2019 DEPARTMENT BUDGETS: EXPENSE
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
HOURS
56200 10 40 Kirkpatrick, Vicki (J. Baldwin)Public Health Director 40.00 2,088.00 2,088.00 - - -
56200 10 41 Vacant (L. Fleming)PH Assistant 20.00 1,044.00 1,044.00 - - -
56200 10 145 Shaw, Veronica Deputy Director 40.00 2,088.00 2,088.00 - - -
Multi 10 221 Fountain, Debbie (E. Laing)Financial Operations Coord 32.00 1,670.40 1,461.60 - 208.80 -
56200 10 325 Fleming, Lori (K. Alexander)Web Maint & Digital Comm Spec 12.00 626.40 626.40 - - -
56200 10 415 Fleming, Lori (K. Alexander)CHIP Exec Director 20.00 1,044.00 1,044.00 - - -
56210 10 15 Marx, Randy EHS III (Temporary Assignment)40.00 2,088.00 - 2,088.00 - -
56210 10 16 Atkins, Linda EHS III 40.00 2,088.00 - 2,088.00 - -
56210 10 47 Parker, Roger (P. Mingo)EHS II 40.00 2,088.00 - 2,088.00 - -
56210 10 205 Satterlee, Dorian (C. Fiedler)EHS I 40.00 2,088.00 - 2,088.00 - -
56210 10 235 Kwansa, Mina EHS II 40.00 2,088.00 - 2,088.00 - -
56210 10 305 Schauer, Denese EHS I 35.00 1,827.00 - 1,827.00 - -
56210 10 410 Vacant EHS I 40.00 2,088.00 - 2,088.00 - -
56210 10 411 Mingo, Pinky EH Manager 40.00 2,088.00 - 2,088.00 - -
56210 10 680 Porto, Susan EHS III 36.00 1,879.20 - 1,879.20 - -
56220 10 20 Vacant (J. Danskin)Clinic Manager - - - - - -
56220 10 23 Vacant (T. Newton)Community Health Director 40.00 2,088.00 - - 2,088.00 -
56220 10 25 McKenzie, Lisa PHN III 40.00 2,088.00 52.20 - 2,035.80 -
56220 10 30 O'Brien, Susan Lead Nurse Practitioner 28.00 1,461.60 - - 1,461.60 -
56220 10 35 Calahan, Aimee (J. Syska)Financial Operations Coord 28.00 1,461.60 - - 1,461.60 -
56220 10 47 Boyd, Margie PHN II 40.00 2,088.00 - 417.60 1,670.40 -
56220 10 75 Kirkegaard, Sarah ARNP 22.00 1,148.40 - - 1,148.40 -
56220 10 76 Obermeyer, Karen M Community Health Educator 40.00 2,088.00 130.50 - 1,957.50 -
56220 10 90 Danskin, Julia (D. Langlois)PHN II 40.00 2,088.00 287.10 - 1,800.90 -
56220 10 100 Jane, Sarah (L. Ceehorne)PHN I 30.00 1,566.00 - - 1,566.00 -
56220 10 120 ZZ Nurse Hire ARNP 3.00 156.60 - - 156.60 -
56220 10 180 Banker, Denise (K. Matlock)Comm Health Educator 40.00 2,088.00 - - 2,088.00 -
56220 10 610 Rafferty, Kimberly J.PHN II 22.00 1,148.40 - - 1,148.40 -
56220 10 627 Umeda, Yuko PHN III 35.00 1,827.00 - - 1,827.00 -
56220 10 630 Anderson, Kathy Nutritionist 20.00 1,044.00 - - 1,044.00 -
56220 10 650 ZZ Nurse Hire Nurse Hire (PHN)- - - - - -
56220 10 660 Luch, Kathy PHN I 22.00 1,148.40 - - 1,148.40 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 78 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
HOURS
56220 10 675 MacKenzie, Mary Jo PHN II 35.00 1,827.00 - - 1,827.00 -
56800 10 30 McEnery, Anna DD Coordinator & 1/10th Coord 40.00 2,088.00 - - - 2,088.00
Multi 10 10 Whitford, Stuart (J. Keefer)Env Health & Water Quality Dir 21.00 1,096.20 - 1,096.20 - -
Multi 10 45 Parke, Susan Financial Operations Coord 35.51 1,853.40 1,853.40 - - -
Multi 10 50 Marx, Cynde A Medical Records Clerk 35.00 1,827.00 130.50 - 1,696.50 -
Multi 10 55 Larson, Aimee (H. Sebastian)Medical Records Clerk 40.00 2,088.00 - - 2,088.00 -
Multi 10 130 VonVolkli, Kelly Medical Records Clk - Lead 40.00 2,088.00 626.40 - 1,461.60 -
Multi 10 160 Vacant (C. Oppe)Financial Manager 40.00 2,088.00 2,088.00 - - -
Multi 10 245 Reynolds, Shirley Financial Support Specialist 25.00 1,305.00 - 1,305.00 - -
Multi 10 300 Locke, Dr. Thomas Health Officer 7.50 391.50 130.50 104.40 156.60 -
Multi 10 400 Tucker, Laura EHS II 32.00 1,670.40 - 1,454.40 216.00 -
Multi 10 412 Pullman, John (C. Allen)EH Tech 25.00 1,305.00 - 1,305.00 - -
Multi 10 413 Henley, Alex Permit Tech I 6.00 313.20 - 313.20 - -
Multi 10 600 ZZ Clerk Hire Clerk Hire 6.25 326.25 313.20 - - 13.05
56200 10 608 Nutsford, Joeen (S. Grimm)Medical Records Clerk 20.00 1,044.00 1,044.00 - - -
Multi 10 670 Matter, Jennifer (D. Banker)PH Assistant 40.00 2,088.00 1,983.60 104.40 - -
56200 10 676 Vacant HRSA Project Coordinator 17.30 903.00 903.00 - - -
- - - - - -
- - - - - -
TOTAL HOURS:74,674.95 17,894.40 24,422.40 30,257.10 2,101.05
FTE'S:35.76 8.57 11.70 14.49 1.01
DEPT FTE %:23.96%32.70%40.52%2.81%
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 79 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
WAGES
56200 10 40 Kirkpatrick, Vicki (J. Baldwin)Public Health Director 52.14 108,877.32 108,877.32 - - -
56200 10 41 Vacant (L. Fleming)PH Assistant 17.61 18,384.84 18,384.84 - - -
56200 10 145 Shaw, Veronica Deputy Director 41.70 87,067.63 87,067.63 - - -
Multi 10 221 Fountain, Debbie (E. Laing)Financial Operations Coord 21.34 35,653.57 31,196.87 - 4,456.70 -
56200 10 325 Fleming, Lori (K. Alexander)Web Maint & Digital Comm Spec 21.56 13,502.28 13,502.28 - - -
56200 10 415 Fleming, Lori (K. Alexander)CHIP Exec Director 34.11 35,612.50 35,612.50 - - -
56210 10 15 Marx, Randy EHS III (Temporary Assignment)33.03 68,961.52 - 68,961.52 - -
56210 10 16 Atkins, Linda EHS III 35.06 73,205.28 - 73,205.28 - -
56210 10 47 Parker, Roger (P. Mingo)EHS II 25.97 54,218.40 - 54,218.40 - -
56210 10 205 Satterlee, Dorian (C. Fiedler)EHS I 21.97 45,873.36 - 45,873.36 - -
56210 10 235 Kwansa, Mina EHS II 27.40 57,219.36 - 57,219.36 - -
56210 10 305 Schauer, Denese EHS I 24.98 45,634.75 - 45,634.75 - -
56210 10 410 Vacant EHS I 21.97 45,873.36 - 45,873.36 - -
56210 10 411 Mingo, Pinky EH Manager 32.07 66,952.08 - 66,952.08 - -
56210 10 680 Porto, Susan EHS III 35.06 65,884.75 - 65,884.75 - -
56220 10 20 Vacant (J. Danskin)Clinic Manager - - - - - -
56220 10 23 Vacant (T. Newton)Community Health Director 35.62 74,374.32 - - 74,374.32 -
Multi 10 25 McKenzie, Lisa PHN III 37.74 78,801.12 1,970.03 - 76,831.09 -
56220 10 30 O'Brien, Susan Lead Nurse Practitioner 48.84 71,384.54 - - 71,384.54 -
56220 10 35 Calahan, Aimee (J. Syska)Financial Operations Coord 20.83 30,439.25 - - 30,439.25 -
56220 10 47 Boyd, Margie PHN II 35.06 73,205.28 - 14,641.06 58,564.22 -
56220 10 75 Kirkegaard, Sarah ARNP 42.48 48,784.03 - - 48,784.03 -
Multi 10 76 Obermeyer, Karen M Community Health Educator 30.26 63,182.88 3,948.93 - 59,233.95 -
Multi 10 90 Danskin, Julia (D. Langlois)PHN II 35.06 73,205.28 10,065.73 - 63,139.55 -
56220 10 100 Jane, Sarah (L. Ceehorne)PHN I 28.03 43,892.10 - - 43,892.10 -
56220 10 120 ZZ Nurse Hire ARNP 35.53 5,564.00 - - 5,564.00 -
56220 10 180 Banker, Denise (K. Matlock)Comm Health Educator 25.73 53,718.56 - - 53,718.56 -
56220 10 610 Rafferty, Kimberly J.PHN II 30.16 34,641.24 - - 34,641.24 -
56220 10 627 Umeda, Yuko PHN III 37.74 68,950.98 - - 68,950.98 -
56220 10 630 Anderson, Kathy Nutritionist 33.81 35,297.64 - - 35,297.64 -
56220 10 650 ZZ Nurse Hire Nurse Hire (PHN)- - - - - -
56220 10 660 Luch, Kathy PHN I 31.38 36,036.79 - - 36,036.79 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 80 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
WAGES
56220 10 675 MacKenzie, Mary Jo PHN II 35.06 64,054.62 - - 64,054.62 -
56800 10 30 McEnery, Anna DD Coordinator & 1/10th Coord 29.18 60,927.84 - - - 60,927.84
Multi 10 10 Whitford, Stuart (J. Keefer)Env Health & Water Quality Dir 45.12 49,462.94 - 49,462.94 - -
Multi 10 45 Parke, Susan Financial Operations Coord 26.11 48,392.27 48,392.27 - - -
Multi 10 50 Marx, Cynde A Medical Records Clerk 20.06 36,649.34 2,617.81 - 34,031.53 -
Multi 10 55 Larson, Aimee (H. Sebastian)Medical Records Clerk 19.33 40,363.92 - - 40,363.92 -
Multi 10 130 VonVolkli, Kelly Medical Records Clk - Lead 23.39 48,838.32 14,651.50 - 34,186.82 -
Multi 10 160 Vacant (C. Oppe)Financial Manager 27.03 56,431.68 56,431.68 - - -
Multi 10 245 Reynolds, Shirley Financial Support Specialist 23.39 30,523.95 - 30,523.95 - -
Multi 10 300 Locke, Dr. Thomas Health Officer 97.61 38,214.32 12,738.11 10,190.48 15,285.73 -
Multi 10 400 Tucker, Laura EHS II 25.03 41,806.53 - 36,400.51 5,406.02 -
Multi 10 412 Pullman, John (C. Allen)EH Tech 18.69 24,389.75 - 24,389.75 - -
Multi 10 413 Henley, Alex Permit Tech I 17.66 5,529.94 - 5,529.94 - -
Multi 10 600 ZZ Clerk Hire Clerk Hire 20.00 6,525.00 6,264.00 - - 261.00
56200 10 608 Nutsford, Joeen (S. Grimm)Medical Records Clerk 18.40 19,213.56 19,213.56 - - -
Multi 10 670 Matter, Jennifer (D. Banker)PH Assistant 19.64 41,018.00 38,967.10 2,050.90 - -
56200 10 676 Vacant HRSA Project Coordinator 23.00 20,769.00 20,769.00 - - -
- - - - - -
- - - - - -
TOTAL WAGES:2,247,509.99 530,671.15 697,012.39 958,637.61 61,188.84
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 81 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
LONGEVITY
56200 10 40 Kirkpatrick, Vicki (J. Baldwin)Public Health Director - - - - -
56200 10 41 Vacant (L. Fleming)PH Assistant - - - - -
56200 10 145 Shaw, Veronica Deputy Director - - - - -
Multi 10 221 Fountain, Debbie (E. Laing)Financial Operations Coord - - - - -
56200 10 325 Fleming, Lori (K. Alexander)Web Maint & Digital Comm Spec - - - - -
56200 10 415 Fleming, Lori (K. Alexander)CHIP Exec Director - - - - -
56210 10 15 Marx, Randy EHS III (Temporary Assignment)- - - - -
56210 10 16 Atkins, Linda EHS III 2,200.00 - 2,200.00 - -
56210 10 47 Parker, Roger (P. Mingo)EHS II - - - - -
56210 10 205 Satterlee, Dorian (C. Fiedler)EHS I - - - - -
56210 10 235 Kwansa, Mina EHS II - - - - -
56210 10 305 Schauer, Denese EHS I - - - - -
56210 10 410 Vacant EHS I - - - - -
56210 10 411 Mingo, Pinky EH Manager - - - - -
56210 10 680 Porto, Susan EHS III 1,620.00 - 1,620.00 - -
56220 10 23 Vacant (T. Newton)Community Health Director - - - - -
56220 10 25 McKenzie, Lisa PHN III 2,200.00 - - 2,200.00 -
56220 10 30 O'Brien, Susan Lead Nurse Practitioner 1,260.00 - - 1,260.00 -
56220 10 35 Calahan, Aimee (J. Syska)Financial Operations Coord - - - - -
56220 10 47 Boyd, Margie PHN II 1,400.00 - - 1,400.00 -
56220 10 75 Kirkegaard, Sarah ARNP - - - - -
56220 10 76 Obermeyer, Karen M Community Health Educator 1,000.00 - - 1,000.00 -
56220 10 90 Danskin, Julia (D. Langlois)PHN II 2,200.00 302.50 - 1,897.50 -
56220 10 100 Jane, Sarah (L. Ceehorne)PHN I - - - - -
56220 10 120 ZZ Nurse Hire ARNP - - - - -
56220 10 180 Banker, Denise (K. Matlock)Comm Health Educator - - - - -
56220 10 610 Rafferty, Kimberly J.PHN II - - - - -
56220 10 627 Umeda, Yuko PHN III 1,925.00 - - 1,925.00 -
56220 10 630 Anderson, Kathy Nutritionist 500.00 - - 500.00 -
56220 10 650 ZZ Nurse Hire Nurse Hire (PHN)- - - - -
56220 10 660 Luch, Kathy PHN I 1,210.00 - - 1,210.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 82 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
LONGEVITY
56220 10 675 MacKenzie, Mary Jo PHN II 1,575.00 - - 1,575.00 -
56800 10 30 McEnery, Anna DD Coordinator & 1/10th Coord 2,200.00 - - - 2,200.00
Multi 10 10 Whitford, Stuart (J. Keefer)Env Health & Water Quality Dir - - - - -
Multi 10 45 Parke, Susan Financial Operations Coord 1,232.00 1,232.00 - - -
Multi 10 50 Marx, Cynde A Medical Records Clerk - - - - -
Multi 10 55 Larson, Aimee (H. Sebastian)Medical Records Clerk - - - - -
Multi 10 130 VonVolkli, Kelly Medical Records Clk - Lead 1,000.00 300.00 - 700.00 -
Multi 10 160 Vacant (C. Oppe)Financial Manager - - - - -
Multi 10 245 Reynolds, Shirley Financial Support Specialist 750.00 - 750.00 - -
Multi 10 300 Locke, Dr. Thomas Health Officer - - - - -
Multi 10 400 Tucker, Laura EHS II - - - - -
Multi 10 412 Pullman, John (C. Allen)EH Tech - - - - -
Multi 10 413 Henley, Alex Permit Tech I - - - - -
Multi 10 600 ZZ Clerk Hire Clerk Hire - - - - -
56200 10 608 Nutsford, Joeen (S. Grimm)Medical Records Clerk - - - - -
Multi 10 670 Matter, Jennifer (D. Banker)PH Assistant - - - - -
56200 10 676 Vacant HRSA Project Coordinator - - - - -
- - - - -
- - - - -
TOTAL LONGEVITY:22,272.00 1,834.50 4,570.00 13,667.50 2,200.00
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 83 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
BENEFITS
56200 20 40 Kirkpatrick, Vicki (J. Baldwin)Public Health Director 16.78 35,043.12 35,043.12 - - -
56200 20 41 Vacant (L. Fleming)PH Assistant 10.04 10,478.27 10,478.27 - - -
56200 20 145 Shaw, Veronica Deputy Director 13.86 28,945.94 28,945.94 - - -
Multi 20 221 Fountain, Debbie (E. Laing)Financial Operations Coord 10.48 17,513.51 15,324.33 - 2,189.19 -
56200 20 325 Fleming, Lori (K. Alexander)Web Maint & Digital Comm Spec 12.25 7,674.66 7,674.66 - - -
56200 20 415 Fleming, Lori (K. Alexander)CHIP Exec Director 12.25 12,791.10 12,791.10 - - -
56210 20 15 Marx, Randy EHS III (Temporary Assignment)12.05 25,170.81 - 25,170.81 - -
56210 20 16 Atkins, Linda EHS III 12.48 26,055.64 - 26,055.64 - -
56210 20 47 Parker, Roger (P. Mingo)EHS II 11.33 23,646.73 - 23,646.73 - -
56210 20 205 Satterlee, Dorian (C. Fiedler)EHS I 10.47 21,857.71 - 21,857.71 - -
56210 20 235 Kwansa, Mina EHS II 10.88 22,722.57 - 22,722.57 - -
56210 20 305 Schauer, Denese EHS I 11.23 20,524.07 - 20,524.07 - -
56210 20 410 Vacant EHS I 10.47 21,857.71 - 21,857.71 - -
56210 20 411 Mingo, Pinky EH Manager 12.60 26,301.70 - 26,301.70 - -
56210 20 680 Porto, Susan EHS III 12.59 23,663.57 - 23,663.57 - -
56220 20 20 Vacant (J. Danskin)Clinic Manager - - - - - -
56220 20 23 Vacant (T. Newton)Community Health Director 13.34 27,849.24 - - 27,849.24 -
56220 20 25 McKenzie, Lisa PHN III 13.04 27,222.37 680.56 - 26,541.81 -
56220 20 30 O'Brien, Susan Lead Nurse Practitioner 15.72 22,976.13 - - 22,976.13 -
56220 20 35 Calahan, Aimee (J. Syska)Financial Operations Coord 10.46 15,288.20 - - 15,288.20 -
56220 20 47 Boyd, Margie PHN II 12.48 26,055.64 - 5,211.13 20,844.51 -
56220 20 75 Kirkegaard, Sarah ARNP 14.69 16,875.62 - - 16,875.62 -
56220 20 76 Obermeyer, Karen M Community Health Educator 11.48 23,965.97 1,497.87 - 22,468.10 -
56220 20 90 Danskin, Julia (D. Langlois)PHN II 12.48 26,055.64 3,582.65 - 22,472.99 -
56220 20 100 Jane, Sarah (L. Ceehorne)PHN I 12.00 18,797.75 - - 18,797.75 -
56220 20 120 ZZ Nurse Hire ARNP 14.44 2,261.27 - - 2,261.27 -
56220 20 180 Banker, Denise (K. Matlock)Comm Health Educator 11.28 23,542.51 - - 23,542.51 -
56220 20 610 Rafferty, Kimberly J.PHN II 12.72 14,607.41 - - 14,607.41 -
56220 20 627 Umeda, Yuko PHN III 13.18 24,073.61 - - 24,073.61 -
56220 20 630 Anderson, Kathy Nutritionist 12.87 13,436.59 - - 13,436.59 -
56220 20 650 ZZ Nurse Hire Nurse Hire (PHN)- - - - - -
56220 20 660 Luch, Kathy PHN I 12.24 14,058.48 - - 14,058.48 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 84 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
BENEFITS
56220 20 675 MacKenzie, Mary Jo PHN II 12.62 23,052.72 - - 23,052.72 -
56800 20 30 McEnery, Anna DD Coordinator & 1/10th Coord 11.25 23,495.79 - - - 23,495.79
Multi 20 10 Whitford, Stuart (J. Keefer)Env Health & Water Quality Dir 15.32 16,792.67 - 16,792.67 - -
Multi 20 45 Parke, Susan Financial Operations Coord 10.61 19,669.54 19,669.54 - - -
Multi 20 50 Marx, Cynde A Medical Records Clerk 10.15 18,538.29 1,324.16 - 17,214.13 -
Multi 20 55 Larson, Aimee (H. Sebastian)Medical Records Clerk 9.89 20,640.12 - - 20,640.12 -
Multi 20 130 VonVolkli, Kelly Medical Records Clk - Lead 10.04 20,963.11 6,288.93 - 14,674.17 -
Multi 20 160 Vacant (C. Oppe)Financial Manager 11.55 24,108.20 24,108.20 - - -
Multi 20 245 Reynolds, Shirley Financial Support Specialist 10.04 13,101.94 - 13,101.94 - -
Multi 20 300 Locke, Dr. Thomas Health Officer 10.24 4,010.83 1,336.94 1,069.55 1,604.33 -
Multi 20 400 Tucker, Laura EHS II 11.13 18,590.42 - 16,186.48 2,403.93 -
Multi 20 412 Pullman, John (C. Allen)EH Tech 9.74 12,714.94 - 12,714.94 - -
Multi 20 413 Henley, Alex Permit Tech I 9.88 3,094.16 - 3,094.16 - -
Multi 20 600 ZZ Clerk Hire Clerk Hire 1.99 650.79 624.76 - - 26.03
56200 20 608 Nutsford, Joeen (S. Grimm)Medical Records Clerk 10.21 10,661.41 10,661.41 - - -
Multi 20 670 Matter, Jennifer (D. Banker)PH Assistant 9.95 20,784.67 19,745.44 1,039.23 - -
56200 20 676 Vacant HRSA Project Coordinator 12.70 11,467.03 11,467.03 - - -
- - - - - -
- - - - - -
TOTAL BENEFITS:883,650.16 211,244.90 281,010.63 367,872.80 23,521.82
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 85 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
SUPPLIES
Multi 31 10 Supplies Office Supplies 3,295.00 725.00 1,095.00 1,380.00 95.00
Multi 31 20 Supplies Operating Costs 26,798.00 6,771.00 10,712.00 9,115.00 200.00
56220 31 40 Supplies Pharmaceutical Supplies 79,785.00 - - 79,785.00 -
- - - - -
TOTAL SUPPLIES:109,878.00 7,496.00 11,807.00 90,280.00 295.00
EQUIPMENT
Multi 35 0 Equipment Office Equipment - - - - -
- - - - -
TOTAL EQUIPMENT:- - - - -
PROFESSIONAL SERVICES
56200 41 300 Epidemeologist/Consultant Assessment Services 14,357.00 14,357.00 - - -
56200 41 302 Epidemeologist/Consultant EPI-CHIP 38,900.00 38,900.00 - - -
56210 41 45 Various EH Lab Services - - - - -
56210 41 240 EH-Misc.Professional Services 12,500.00 - 12,500.00 - -
56210 41 300 Various Site Abatement 369,066.00 - 369,066.00 - -
56220 41 19 Infant MH Consultant NFP Program Services 1,980.00 - - 1,980.00 -
56220 41 20 Consolidated Contract FP Surgical Services - - - - -
56220 41 130 Various Lab Services 12,105.00 - - 12,105.00 -
56220 41 190 NFP Contract with Colorado NFP Data 18,312.00 - - 18,312.00 -
56220 41 220 Language Link Translation Svcs 300.00 - - 300.00 -
56220 41 240 CH-Misc.Professional Services - - - - -
56220 41 250 Stericycle Syringe Exchange Services 2,367.00 - - 2,367.00 -
56220 41 270 Medicaid Admin Match Syst Med Admin Match System 6,500.00 - - 6,500.00 -
56220 41 305 e-MDs Electronic Medical Records 14,466.00 - - 14,466.00 -
56220 41 310 Kitsap Health District NFP Nurse 92,156.98 - - 92,156.98 -
56220 41 350 Trizetto Medical Claims Processing 3,600.00 - - 3,600.00 -
56220 41 391 ASAP ASAP Inventory Application 4,740.00 - - 4,740.00 -
56220 41 394 MH Professional Maternity Support Svcs MHP 4,176.00 - - 4,176.00 -
56220 41 395 DBHR Activities Professional Services - - - - -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 86 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
PROFESSIONAL SERVICES
56800 41 45 Skookum-Indiv Employ Individual Employment 134,528.00 - - - 134,528.00
56800 41 60 Chimacum School/Concerned CitizensChild Development B-3 3,750.00 - - - 3,750.00
56800 41 75 Concerned Citizens Community Inclusion 10,300.00 - - - 10,300.00
56800 41 175 Dave Reynolds/Sky Valley JC Choices Website 700.00 - - - 700.00
56800 41 205 Concerned Citizens Child Development B-3 15,600.00 - - - 15,600.00
56800 41 208 Able Opportunities ITA/Person to Person 2,498.00 - - - 2,498.00
56800 41 225 Miscellaneous Community Info Activities - - - - -
56800 41 230 W.I.S.E.Community Info Activities - - - - -
56800 41 241 DD-Misc Professional Services - - - - -
56800 41 245 Skookum Group Supported Employment 37,440.00 - - - 37,440.00
56800 41 285 Concerned Citizens Individual Employment 65,758.00 - - - 65,758.00
56800 41 295 Concerned Citizens Other Services and Charges - - - - -
56800 41 345 Skookum Community Inclusion 17,200.00 - - - 17,200.00
56800 41 350 YMCA Community Info Activities - - - - -
56800 41 460 Various ACAC Activities 50,000.00 - - - 50,000.00
56800 41 462 Skookum Roads to Community Living - - - - -
Multi 41 165 Aaron Edwards Web Design Services/Web Maint.7,000.00 - 7,000.00 - -
Multi 41 439 CivicPlus Web Maintenance 558.00 110.00 174.00 258.00 16.00
Multi 41 440 The Leader/PDN Advertising 19,535.00 11,340.00 1,775.00 6,340.00 80.00
- - - - -
TOTAL PROFESSIONAL SERVICES:960,392.98 64,707.00 390,515.00 167,300.98 337,870.00
COMMUNICATIONS
56220 42 50 Communications EHR Fax 867.00 - - 867.00 -
Multi 42 10 Communications Postage 4,860.00 775.00 2,405.00 1,600.00 80.00
Multi 42 30 Communications Other Phone 977.00 40.00 510.00 415.00 12.00
Multi 42 40 Communications Other Communications 9,659.00 2,939.00 253.00 6,467.00 -
- - - - -
TOTAL COMMUNICATIONS:16,363.00 3,754.00 3,168.00 9,349.00 92.00
TRAVEL
Multi 43 0 Travel Travel Reimbursements 19,268.00 3,205.00 4,800.00 10,243.00 1,020.00
- - - - -
TOTAL TRAVEL:19,268.00 3,205.00 4,800.00 10,243.00 1,020.00
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 87 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
OPERATING RENTALS AND LEASES
Multi 45 10 Miscellaneous Room Rental 1,520.00 - 70.00 700.00 750.00
56200 45 20 Miscellaneous Mail Plus-CHIP 240.00 240.00 - - -
- - - - -
TOTAL OPERATING RENTS/LEASES:1,760.00 240.00 70.00 700.00 750.00
INSURANCE
56200 46 10 Insurance General Liability Insurance 43,260.00 43,260.00 - - -
Multi 46 20 Insurance Insurance Liability-Claims 2,500.00 2,500.00 - - -
- - - - -
TOTAL INSURANCE:45,760.00 45,760.00 - - -
MISCELLANEOUS
56200 47 20 Miscellaneous Confidential Shredding Services 38.00 38.00 - - -
56210 47 60 Public Works Waste Disposal Fees - - - - -
56800 49 35 Miscellaneous Other Training 2,712.00 - - - 2,712.00
Multi 48 0 Miscellaneous Repair & Maintenance 26,540.00 - 26,300.00 240.00 -
Multi 49 10 Miscellaneous Printing 1,850.00 - 275.00 950.00 625.00
Multi 49 15 Miscellaneous Subscriptions & Memberships 5,350.00 2,762.00 462.00 1,639.00 487.00
Multi 49 20 Miscellaneous Training/Registration 12,190.00 2,100.00 5,440.00 4,050.00 600.00
Multi 49 45 Miscellaneous Misc/Other Operating - - - - -
Multi 49 60 Miscellaneous Permits 800.00 - - 800.00 -
- - - - -
TOTAL MISCELLANEOUS:49,480.00 4,900.00 32,477.00 7,679.00 4,424.00
INTERGOVERNMENTAL SERVICES
56210 54 10 Payments Septic Rebates 10,000.00 - 10,000.00 - -
56220 52 10 Intergovt'l Payments KCHD-Nightengale Notes 3,687.00 - - 3,687.00 -
56200 52 10 Intergovt'l Services Jefferson Health Care - CHIP 10,919.00 10,919.00 - - -
- - - - -
TOTAL INTERGOVERNMENTAL SVCS:24,606.00 10,919.00 10,000.00 3,687.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 88 of 100
2019 DEPARTMENT BUDGETS: EXPENSE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 EXPENSE BUDGET HOURS/WK 2019 56200 56210 56220 56800
WAGE/HR EXP BUDGET ADMIN EH CH DD
INTERFUND PROFESSIONAL SVCS
56210 91 100 Interfund Prof Svcs Environmental Health Fiscal Fee 121,574.00 - 121,574.00 - -
56210 91 300 Interfund Prof Svcs On Site Septic Assessment 3,800.00 - 3,800.00 - -
56220 91 200 Interfund Prof Svcs Community Health Fiscal Fee 166,011.00 - - 166,011.00 -
56800 91 105 Interfund Prof Svcs DD Fiscal Fee 41,629.00 - - - 41,629.00
- - - - -
TOTAL INTERFUND PROF SVCS:333,014.00 - 125,374.00 166,011.00 41,629.00
INTERFUND COMMUNICATIONS
Multi 92 10 Rents/Leases - PW Telephone System 23,822.00 3,790.00 5,478.00 14,041.00 513.00
Multi 92 20 Communications Telephone-Long Distance 1,755.00 165.00 848.00 583.00 159.00
- - - - -
TOTAL INTERFUND COMMUNICATIONS:25,577.00 3,955.00 6,326.00 14,624.00 672.00
INTERFUND RENTALS/LEASES
56210 95 70 Rents/Leases - PW GIS 8,614.00 - 8,614.00 - -
Multi 95 10 Rents/Leases - PW Building Rents 82,622.00 12,763.00 17,594.00 51,514.00 751.00
Multi 95 20 Rents/Leases - PW Info Svcs - Copiers 10,470.00 1,935.00 3,829.00 4,405.00 301.00
Multi 95 30 Rents/Leases - PW Vehicles - Department 20,580.00 876.00 11,844.00 7,260.00 600.00
Multi 95 40 Rents/Leases - PW GEMS 8,430.00 1,402.00 2,042.00 4,219.00 767.00
Multi 95 50 Rents/Leases - PW Info Svcs - Computers 112,558.00 21,609.00 33,773.00 54,751.00 2,425.00
Multi 95 60 Rents/Leases - PW Info Svcs - Records Management 18,330.00 3,049.00 4,439.00 9,174.00 1,668.00
- - - - -
TOTAL INTERFUND RENTAL/LEASES:261,604.00 41,634.00 82,135.00 131,323.00 6,512.00
SUBTOTAL EXPENSES:5,001,135.13 930,320.56 1,649,265.02 1,941,374.89 480,174.66
RESERVE FUND BALANCES
50810 0 0 Reserve Fund Balance Public Health Fund 216,000.00 216,000.00 - - -
50810 0 10 Reserve Fund Balance DASA Fund - - - - -
50810 0 10 Reserve Fund Balance DDD Fund 28,548.00 - - - 28,548.00
- - - - -
TOTAL RESERVE FUND BALANCE:244,548.00 216,000.00 - - 28,548.00
TOTAL EXPENSES:5,245,683.13 1,146,320.56 1,649,265.02 1,941,374.89 508,722.66
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 89 of 100
2019 DEPARTMENT BUDGETS: REVENUE
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
BEGINNING FUND BALANCE:1,105,380.56 425,901.98 497,253.91 140,296.59 41,928.08
TAXES:
311.1 30 1100 General Property Real & Personal Property Taxes 45,147.00 - - - 45,147.00
311.3 30 1100 General Property Sale of Tax Title Property - - - - -
317.2 30 1100 Leasehold Excise Leasehold Excise Tax 360.00 - - - 360.00
317.4 30 1100 Timber Excise Tax Timber Excise Tax 2,061.00 - - - 2,061.00
- - - - -
Total Taxes:47,568.00 - - - 47,568.00
LICENSES AND PERMITS:
321.20 10 5300 EH Licenses & Permits L&P - SW Facility Permits 2,746.00 - 2,746.00 - -
321.20 10 5301 EH Licenses & Permits L&P - SW Facility Permits Admin 916.00 - 916.00 - -
321.20 10 5400 EH Licenses & Permits L&P - Liquid Waste Licenses 149,442.00 - 149,442.00 - -
321.20 10 5401 EH Licenses & Permits L&P - LW Admin 49,355.00 - 49,355.00 - -
321.20 10 5600 EH Licenses & Permits L&P - Food 86,865.00 - 86,865.00 - -
321.20 10 5601 EH Licenses & Permits L&P - Food Admin 28,955.00 - 28,955.00 - -
321.20 10 5800 EH Licenses & Permits L&P - Living Environments 4,433.00 - 4,433.00 - -
321.20 10 5801 EH Licenses & Permits L&P - Living Environments Admin 1,478.00 - 1,478.00 - -
321.20 11 5600 EH Licenses & Permits L&P - FH Online 12,456.00 - 12,456.00 - -
- - - - -
Total Licenses and Permits:336,646.00 - 336,646.00 - -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 90 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
GRANTS:
Federal
332.93 20 1000 DHHR Billing Update Incentive 3,000.00 3,000.00 - - -
332.93 20 1200 DSHS - ARRA Billing Update Incentive - - - - -
332.93 20 2600 Health Care Authority Billing Update Incentive 14,000.00 - - 14,000.00 -
332.93 20 2620 Health Care Authority Billing Update Incentive - - - - -
332.93 20 2920 Health Care Authority Billing Update Incentive - - - - -
333.10 55 2800 DOH-Con Con WIC Nutrition 95,323.00 - - 95,323.00 -
333.10 55 2810 DOH-Con Con WIC Breastfeeding - - - - -
333.10 57 2800 DOH-Con Con WIC Farmer's Market 500.00 - - 500.00 -
333.93 06 8800 DOH-Con Con PHEPR 20,196.00 20,196.00 - - -
333.93 06 8801 DOH-Con Con PHEPR Admin 6,529.00 6,529.00 - - -
333.93 21 2700 DOH-Con Con FP Title X 28,322.00 - - 28,322.00 -
333.93 24 2150 DSHS DBHR-PFS - - - - -
333.93 26 3220 DOH-Con Con Immunizations 7,223.00 - - 7,223.00 -
333.93 28 4300 Seattle/King County Breast & Cervical Health - - - - -
333.93 30 4450 CDC Tobacco Prevention - - - - -
333.93 53 3200 DOH-Con Con Imm. Registry Training - - - - -
333.93 53 3220 DOH-Con Con Immunizations - - - - -
333.93 57 2270 OESD Infant Toddler - - - - -
333.93 73 3220 DOH-Con Con PPHF Vaccine Management - - - - -
333.93 75 2120 DSHS Healthy Communities - - - - -
333.93 75 4300 Seattle/King County Breast & Cervical Health 625.00 - - 625.00 -
333.93 75 4450 CDC Tobacco Prevention 8,911.00 - - 8,911.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 91 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
GRANTS:
Federal
333.93 77 1200 Federal Med. Ad. Match - CH Ad.54,900.00 - - 54,900.00 -
333.93 77 1210 Federal Med. Ad. Match - MAM 6,500.00 - - 6,500.00 -
333.93 77 2600 Federal Med. Ad. Match - FP 1,000.00 - - 1,000.00 -
333.93 77 2800 Federal Med. Ad. Match - WIC 1,000.00 - - 1,000.00 -
333.93 77 2810 Federal Med. Ad. Match - WIC BF - - - - -
333.93 77 2900 Federal Med. Ad. Match - SCHOOL HLTH - - - - -
333.93 77 2920 Federal Med. Ad. Match - SBHC - - - - -
333.93 77 3200 Federal Med. Ad. Match - Child Imm.- - - - -
333.93 77 3300 Federal Med. Ad. Match - STD - - - - -
333.93 77 3900 Federal Med. Ad. Match - CD - - - - -
333.93 95 2100 DSHS DBHR-SAPT (DASA)77,558.00 - - 77,558.00 -
333.93 95 2170 DSHS DBHR-Other - - - - -
333.93 99 2500 DOH-Con Con CSHCN 25,143.00 - - 25,143.00 -
333.93 99 2501 DOH-Con Con CSHCN Admin 8,129.00 - - 8,129.00 -
333.93 99 2260 DOH-Con Con NFP-MCHBG 3,473.00 - - 3,473.00 -
331.93 91 1270 HRSA Rural Health Network-CHIP 71,265.00 71,265.00 - - -
331.93 91 1271 HRSA Rural Health Network-Indirect 23,040.00 23,040.00 - - -
- - - - -
Subtotal Federal:456,637.00 124,030.00 - 332,607.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 92 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
GRANTS:
State
334.03 10 5300 DOE Solid Waste Grant (DOE) - Enf.40,084.00 - 40,084.00 - -
334.03 10 5350 DOE Solid Waste Grant (DOE) - Edu.33,424.00 - 33,424.00 - -
334.03 10 5380 DOE LSC 80,143.00 - 80,143.00 - -
334.03 10 5381 DOE LSC (Indirect)19,590.00 - 19,590.00 - -
334.03 10 5390 DOE Site Hazard - - - - -
334.03 10 5391 DOE Site Hazard (Indirect)- - - - -
334.04 62 2100 DSHS DBHR-SABG (DASA)6,815.00 - - 6,815.00 -
334.04 62 2290 DSHS DBHR-DMA NFP 20,042.00 - - 20,042.00 -
334.04 67 2220 DSHS CPS - - - - -
334.04 70 9330 DOT ACAC 60,584.00 - - - 60,584.00
334.04 70 9331 DOT ACAC (Indirect)9,088.00 - - - 9,088.00
334.04 91 2600 DOH-Con Con FP-Clinical/Health Promo 64,026.00 - - 64,026.00 -
334.04 93 4300 State-Seattle/King Co.Breast Cervical & Colon Health - - - - -
334.04 93 4450 Dept of Health Youth Tobacco (Kitsap)7,348.00 - - 7,348.00 -
334.04 93 4900 DOH Marijuana Prevention 49,179.00 - - 49,179.00 -
334.04 93 5200 DOH-Con Con Safe Drinking Water System - - - - -
334.04 93 5480 DOH-Con Con PSAP Onsite Systems 26,817.00 - 26,817.00 - -
334.04 93 5481 DOH-Con Con PSAP Onsite Systems Indirect 8,670.00 - 8,670.00 - -
334.04 93 5700 DOH-Con Con Childhood Lead Inv - - - - -
334.04 99 3250 DOH-Con Con Blue Ribbon - PH Imm - - - - -
334.04 99 3950 DOH-Con Con Blue Ribbon - PH CD - - - - -
334.06 91 2250 Dept of Early Learning NFP Activities 176,829.00 - - 176,829.00 -
334.06 91 2251 Dept of Early Learning NFP Activities Admin 17,683.00 - - 17,683.00 -
- - - - -
Subtotal State:620,322.00 - 208,728.00 341,922.00 69,672.00
Total Grants:286,526.00 - 35,487.00 251,039.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 93 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
STATE ENTITLEMENTS
336.04 24 1000 Intergovernmental PH Assist-MVET-Admin 48,259.00 48,259.00 - - -
336.04 24 1100 Intergovernmental PH Assistance-LCDF - - - - -
336.04 24 1200 Intergovernmental PH Assist-MVET- CH Admin 29,684.00 - - 29,684.00 -
336.04 24 1201 Intergovernmental PH Assistance-LCDF (CH Admin)38,368.00 - - 38,368.00 -
336.04 24 3200 Intergovernmental PH Assist-MVET-CH Child Imm 7,769.00 - - 7,769.00 -
336.04 24 3205 Intergovernmental PH Assistance-Blue Ribb - Child Imm 15,000.00 - - 15,000.00 -
336.04 24 3210 Intergovernmental PH Assistance-Blue Ribb - Adult Imm 15,000.00 - - 15,000.00 -
336.04 24 3250 Intergovernmental PH Assistance-Blue Ribb - PH Imm - - - - -
336.04 24 3900 Intergovernmental PH Assist-Blue Ribbon - CD 30,000.00 - - 30,000.00 -
336.04 25 3950 Intergovernmental FPHS 13,291.00 - - 13,291.00 -
336.04 25 3250 Intergovernmental FPHS 18,448.00 - - 18,448.00 -
336.04 25 1200 Intergovernmental FPHS 10,261.00 - - 10,261.00 -
- - - - -
- - - - -
Total State Entitlements 226,080.00 48,259.00 - 177,821.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 94 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
CHARGES FOR GOODS AND SERVICES
Fees, Interfund and Intergovernmental
341.43 02 1000 Fiscal/Admin Fee Water Quality 112,481.00 112,481.00 - - -
341.43 03 1000 Fiscal/Admin Fee Environmental Health 121,574.00 121,574.00 - - -
341.43 04 1000 Fiscal/Admin Fee Community Health 166,011.00 166,011.00 - - -
341.43 05 1000 Fiscal/Admin Fee Developmental Disabilities 41,629.00 41,629.00 - - -
341.43 06 1000 Fiscal/Admin Fee Chemical Dependency 22,752.00 22,752.00 - - -
341.43 06 1100 Contracts Mgt Mental Hlth/Chem Dep.19,887.00 - - - 19,887.00
341.43 07 1000 Fiscal/Admin Fee Conservation Futures 5,625.00 5,625.00 - - -
341.44 01 8000 Assessment Fee 131 Fund - Mental Hlth/Chem Dep.14,357.00 14,357.00 - - -
341.81 00 1120 Public Records Fees PRR - Admin 50.00 50.00 - - -
341.81 10 1520 Public Records Fees PRR - EH 125.00 - 125.00 - -
341.81 20 1120 Public Records Fees PRR - CH - - - - -
341.81 30 1120 Public Records Fees PRR - DD - - - - -
341.96 10 1200 Personnel Svcs CHIP Proj-Jefferson Healthcare - - - - -
341.96 10 1260 Jeff Healthcare CHIP - - - - -
341.96 11 1260 Jefferson County CHIP 28,876.00 28,876.00 - - -
341.96 12 1260 City of Port Townsend CHIP 14,438.00 14,438.00 - - -
345.11 00 5350 Compost Project Public Works 2,182.00 - 2,182.00 - -
345.29 00 5400 Kitsap Health District Septic Education & Outreach - - - - -
346.21 20 2280 NFP MHCD 1/10 OF 1%63,710.00 - - 63,710.00 -
346.21 20 2620 Jeff Healthcare SBC - FP (Port Townsend)10,359.00 - - 10,359.00 -
346.21 20 2640 Jeff Healthcare SBC - Other (Port Townsend)10,359.00 - - 10,359.00 -
346.21 20 2900 PT School District Port Townsend - - - - -
346.21 20 2920 Jeff Healthcare SBC - FP (Chimacum)10,359.00 - - 10,359.00 -
346.21 20 2940 Jeff Healthcare SBC - Other (Chimacum)10,359.00 - - 10,359.00 -
346.21 20 8000 Assessment Svcs JHC - - - - -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 95 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
CHARGES FOR GOODS AND SERVICES
Fees, Interfund and Intergovernmental
346.21 21 2280 NFP Services Kitsap 78,315.00 - - 78,315.00 -
346.21 21 2900 Chimacum School Dist Chimacum - - - - -
346.21 22 2280 NFP Services Tribes - - - - -
346.21 22 2930 Brinnon School Dist Human Grwth&Dev-Brinnon - - - - -
346.21 23 2930 Quilcene School Dist Human Grwth&Dev-Quilcene 3,850.00 - - 3,850.00 -
346.21 24 2930 Chimacum School Dist Human Growth & Dev (Chim)9,343.00 - - 9,343.00 -
346.21 25 2930 Port Townsend School Human Growth & Dev (PT)- - - - -
346.26 60 5340 Abatement Abatement Activities - - - - -
346.26 64 5200 DOH-con con Drinking Water - SS - - - - -
346.26 65 5200 DOH-con con Drinking Water - SS State - - - - -
346.26 66 5200 DOH-con con Drinking Water - TA 1,000.00 - 1,000.00 - -
346.61 30 1100 DSHS DDD - Admin 9,583.00 - - - 9,583.00
346.61 30 4000 DSHS DDD - Comm Info 8,942.00 - - - 8,942.00
346.61 30 6200 DSHS DDD - Group Supported 18,720.00 - - - 18,720.00
346.61 30 6400 DSHS DDD - Indv. Employment 100,143.00 - - - 100,143.00
346.61 30 6600 DSHS DDD-Indv. Tech. Assistance 1,249.00 - - - 1,249.00
346.61 30 6700 DSHS DDD - Comm Inclu Svcs 13,750.00 - - - 13,750.00
346.61 30 6710 DSHS DDD - Roads to Comm Living - - - - -
346.61 31 1100 DSHS DDD - Admin 11,712.00 - - - 11,712.00
346.61 31 4000 DSHS DDD - Comm Info 10,930.00 - - - 10,930.00
346.61 31 6100 DSHS DDD - Child Development 19,350.00 - - - 19,350.00
346.61 31 6200 DSHS DDD - Group Supported 18,720.00 - - - 18,720.00
346.61 31 6400 DSHS DDD - Indv. Employment 100,143.00 - - - 100,143.00
346.61 31 6600 DSHS DDD-Indv. Tech. Assistance 1,249.00 - - - 1,249.00
346.61 31 6700 DSHS DDD - Comm Inclu Svcs 13,750.00 - - - 13,750.00
346.61 31 6710 DSHS DDD - Roads to Comm Living - - - - -
- - - - -
Subtotal Interfund and Intergovernmental:1,075,882.00 527,793.00 3,307.00 196,654.00 348,128.00
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 96 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
CHARGES FOR GOODS AND SERVICES
Fees, Admin Client Fees
346.22 00 7100 Admin Fees Vital Records 12,400.00 12,400.00 - - -
- - - - -
Subtotal Admin Client Fees:12,400.00 12,400.00 - - -
Fees, EH Client Fees
346.23 10 1520 EH Fees Client Fees - Tech/Scanning Fee - - - - -
346.23 10 1530 EH Fees Client Fees - Tech/Scanning Fee 80,709.00 - 80,709.00 - -
346.23 10 5200 EH Fees Client Fees - Drinking Water 10,183.00 - 10,183.00 - -
346.23 10 5201 EH Fees Client Fees - Drinking Water Admin 2,760.00 - 2,760.00 - -
346.23 10 5300 EH Fees Client Fees - SW Tech Asst. - - - - -
346.23 10 5301 EH Fees Client Fees - SW Tech Asst. Admin - - - - -
346.23 10 5350 EH Fees Client Fees - SW Education 3,000.00 - 3,000.00 - -
346.23 10 5400 EH Fees Client Fees - Liquid Waste 28,635.00 - 28,635.00 - -
346.23 10 5401 EH Fees Client Fees - LW Admin 9,545.00 - 9,545.00 - -
346.23 10 5420 EH Fees Client Fees - O&M 279,309.00 - 279,309.00 - -
346.23 10 5421 EH Fees Client Fees - O&M Admin 93,103.00 - 93,103.00 - -
346.23 10 5600 EH Fees Client Fees - Food Fees 13,929.00 - 13,929.00 - -
346.23 10 5601 EH Fees Client Fees - Food Admin 4,643.00 - 4,643.00 - -
346.23 10 5800 EH Fees Client Fees - Living Environments - - - - -
346.23 10 5801 EH Fees Client Fees - Living Enviro Admin - - - - -
346.23 11 5200 EH Fees Client Fees - DCD Water Avail.11,212.00 - 11,212.00 - -
346.23 11 5201 EH Fees Client Fees - DCD Water Avail. Admin 3,695.00 - 3,695.00 - -
346.23 11 5400 EH Fees Client Fees - DCD Bldg Review 20,785.00 - 20,785.00 - -
346.23 11 5401 EH Fees Client Fees - DCD Bldg Rev Admin 6,929.00 - 6,929.00 - -
346.23 11 5800 EH Fees Client Fees - DCD Short Plat 1,814.00 - 1,814.00 - -
346.23 11 5801 EH Fees Client Fees - DCD Short Plat Admin 363.00 - 363.00 - -
- - - - -
Subtotal EH Client Fees:570,614.00 - 570,614.00 - -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 97 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
CHARGES FOR GOODS AND SERVICES
Fees, CH Client Fees
346.23 20 2600 CH Fees Client Fees - FP 9,983.00 - - 9,983.00 -
346.23 20 2620 CH Fees Client Fees - PT SBHC FP 12.00 - - 12.00 -
346.23 20 2640 CH Fees Client Fees - PT SBHC Other 685.00 - - 685.00 -
346.23 20 2910 CH Fees Client Fees - Foot Care 37,520.00 - - 37,520.00 -
346.23 20 2920 CH Fees Client Fees - Chim SBC FP 240.00 - - 240.00 -
346.23 20 2940 CH Fees Client Fees - Chim SBHC Other 555.00 - - 555.00 -
346.23 20 3200 CH Fees Client Fees - Child Imm 2,500.00 - - 2,500.00 -
346.23 20 3210 CH Fees Client Fees - Adult Imm 13,814.00 - - 13,814.00 -
346.23 20 3230 CH Fees Client Fees - Traveler Imm 9,000.00 - - 9,000.00 -
346.23 20 3300 CH Fees Client Fees - STD 5,869.00 - - 5,869.00 -
346.23 20 3400 CH Fees Client Fees - TB 2,479.00 - - 2,479.00 -
- - - - -
Subtotal CH Client Fees:82,657.00 - - 82,657.00 -
Fees, CH Private Insurance
346.24 20 2600 CH Fees Priv Ins - FP 22,364.00 - - 22,364.00 -
346.24 20 2620 CH Fees Priv Ins - PT SBHC 156.00 - - 156.00 -
346.24 20 2640 CH Fees Priv Ins - PT SBHC Other 1,338.00 - - 1,338.00 -
346.24 20 2920 CH Fees Priv Ins - Chim SBHC 541.00 - - 541.00 -
346.24 20 2940 CH Fees Priv Ins - Chim SBHC Other 1,215.00 - - 1,215.00 -
346.24 20 3200 CH Fees Priv Ins - Child Imm 5,850.00 - - 5,850.00 -
346.24 20 3210 CH Fees Priv Ins - Adult Imm 9,081.00 - - 9,081.00 -
346.24 20 3230 CH Fees Priv Ins - Traveler Imm 9,500.00 - - 9,500.00 -
346.24 20 3300 CH Fees Priv Ins - STD 3,565.00 - - 3,565.00 -
346.24 20 3400 CH Fees Priv Ins - TB 800.00 - - 800.00 -
- - - - -
Subtotal Private Ins Fees:54,410.00 - - 54,410.00 -
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 98 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
CHARGES FOR GOODS AND SERVICES
Fees, CH Medicaid
346.25 20 2200 CH Fees Medicaid - MSS 23,878.00 - - 23,878.00 -
346.25 20 2600 CH Fees Medicaid - FP 79,730.00 - - 79,730.00 -
346.25 20 2620 CH Fees Medicaid - PT SBHC 19,522.00 - - 19,522.00 -
346.25 20 2640 CH Fees Medicaid - PT SBHC Other 4,420.00 - - 4,420.00 -
346.25 20 2920 CH Fees Medicaid - Chim SBHC 19,400.00 - - 19,400.00 -
346.25 20 2940 CH Fees Medicaid - Chim SBHC Other 3,366.00 - - 3,366.00 -
346.25 20 3200 CH Fees Medicaid - Child Imm 4,636.00 - - 4,636.00 -
346.25 20 3210 CH Fees Medicaid - Adult Imm 3,271.00 - - 3,271.00 -
346.25 20 3230 CH Fees Medicaid - Travelers Imm 780.00 - - 780.00 -
346.25 20 3300 CH Fees Medicaid - STD 6,063.00 - - 6,063.00 -
346.25 20 3400 CH Fees Medicaid - TB 522.00 - - 522.00 -
Subtotal Medicaid Fees:165,588.00 - - 165,588.00 -
Total Charges for Goods and Services:1,961,551.00 540,193.00 573,921.00 499,309.00 348,128.00
MISCELLANEOUS
361.40 30 1100 Miscellaneous DNR-Other Interest Earnings 15.00 - - - 15.00
362.50 30 1100 Miscellaneous DNR Timber Leases - - - - -
367.00 00 1000 Miscellaneous Admin - Private Source Donation - - - - -
367.00 20 2600 Miscellaneous CH - Private Source Donation - - - - -
367.00 20 2620 Miscellaneous CH - Private Source Donation - - - - -
367.00 20 2640 Miscellaneous CH - Private Source Donation - - - - -
367.00 20 2920 Miscellaneous CH - Private Source Donation - - - - -
367.00 20 2940 Miscellaneous CH - Private Source Donation - - - - -
367.00 21 2600 Miscellaneous CH - UGN Donor Option 1,000.00 - - 1,000.00 -
367.00 30 1100 Miscellaneous DD - Private Source Donation - - - - -
369.80 00 0000 Miscellaneous Cash Over/Short Adjustments - - - - -
369.90 00 499 Miscellaneous Prior Year Refunds Under $500 - - - - -
369.90 00 1000 Miscellaneous Other Miscellaneous - - - - -
369.90 00 2640 Miscellaneous Mscellaneous PT SBHC - - - - -
Total Miscellaneous:1,015.00 - - 1,000.00 15.00
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 99 of 100
2019 DEPARTMENT BUDGETS: REVENUE (cont’d)
JEFFERSON COUNTY PUBLIC HEALTH DEPT
2019 Revenue Budget 2019 56200 56210 56220 56800
REV BUDGET ADMIN EH CH DD
NON REVENUE
388.80 00 0000 Non Revenue Prior Year Correction - - - - -
- - - - -
Total Non Revenue:- - - - -
DISPOSITION OF CAPITAL ASSETS
395.10 30 1100 Timber Sales DNR Timber Sales DNR 100.00 - - - 100.00
- - - - -
Total Disposition of Capital Assets:100.00 - - - 100.00
OTHER FINANCING SOURCES
397.00 00 160 Transfer from G/F Public Health 634,174.00 107,100.00 68,564.00 444,870.00 13,640.00
397.00 00 320 Transfer from G/F S/A Prev. - Spec. Purpose 54,881.00 - - 54,881.00 -
397.00 00 330 Transfer from G/F Public Hlth Nurse - Spec. Purpose 58,838.00 - - 58,838.00 -
397.00 00 505 Transfer-LV Payout Public Health-LV Payout - - - - -
397.00 10 300 Transfer from G/F GF - EH GIS 3,996.00 - 3,996.00 - -
397.00 10 355 Transfer from G/F Public Health (one-time)-Admn - - - - -
397.00 10 360 Transfer from G/F Public Health (one-time)-EH 200,000.00 - 200,000.00 - -
397.00 10 365 Transfer from G/F Public Health (one-time)-CH - - - - -
397.00 10 370 Transfer from G/F Public Health (one-time)-DD - - - - -
397.00 10 401 Transfer from SW Public Works Solid Waste 20,274.00 - 20,274.00 - -
- - - - -
Total Other Financing Sources:972,163.00 107,100.00 292,834.00 558,589.00 13,640.00
TOTAL PROJECTED REVENUES:4,622,082.00 819,582.00 1,412,129.00 1,911,248.00 479,123.00
TOTAL PROJECTED EXPENSE:5,001,135.13 930,320.56 1,649,265.02 1,941,374.89 480,174.66
ENDING FUND BALANCE:726,327.42 315,163.42 260,117.89 110,169.69 40,876.42
LESS DEPT/DIVISION RESTRICTED RESERVE:244,548.00 216,000.00 - - 28,548.00
LESS PROGRAM/PROJECT RESERVE:354,259.58 88,756.33 208,915.07 46,211.12 10,377.06
PROJECTED AVAILABLE CASH FOR 2020:127,519.84 10,407.09 51,202.82 63,958.57 1,951.36
JEFFERSON COUNTY PUBLIC HEALTH
2019 BUDGET REQUEST Page 100 of 100
2019 SALARY SCHEDULE
JEFFERSON COUNTY PUBLIC HEALTH
2019 Budget - Salary Schedule
Retirement Soc Sec Emp Sec L & I Post Ret Total WAGE BENEFIT
Cost Center BARS Name Title Grade Hire Date Step Date Step 1 Step 2 Hrs/wk Fixed Salary Annual Salary Longevity Medical 12.70%7.65%1.25%Status Hrs x Rate 0.50%Benefits RATE RATE
55310 200 Weissman, Tim (E. Dobrowski)EHS I 29 11/21/2016 11/1/2019 3 4 40 48,390.56 48,390.56 - 11,480.08 6,145.60 3,701.88 604.88 5306 239.62 241.95 22,414.01 23.18 10.73
55310 215 Pokorny, Tami EHS II 35 8/16/2004 5/1/2019 8 9 40 69,112.40 69,112.40 - 9,930.22 8,777.27 5,287.10 622.50 5306 239.62 345.56 25,202.27 33.10 12.07
55310 225 Bachman, Anna (A. Petty)EHS II 32 5/26/2015 5/1/2019 2 3 35 46,672.01 46,672.01 - 10,229.13 5,927.35 3,570.41 583.40 5306 209.66 233.36 20,753.30 25.55 11.36
55310 226 Stone, Brad (A. Watkins)EHS I 29 10/10/2016 10/1/2019 3 4 40 48,497.28 48,497.28 - 11,480.08 6,159.15 3,710.04 606.22 5306 239.62 242.49 22,437.59 23.23 10.75
55310 230 Stenman, Jacquelyn (T. Weissman)EHS I 29 6/20/2018 6/1/2019 1 2 40 46,542.16 46,542.16 - 11,480.08 5,910.85 3,560.48 581.78 5306 239.62 232.71 22,005.51 22.29 10.54
55310 262 Vacant (C. Allen)EHS I 29 1/1/2019 1/1/2020 1 1 40 45,873.36 45,873.36 - 11,480.08 5,825.92 3,509.31 573.42 5306 239.62 229.37 21,857.71 21.97 10.47
55310 405 Dawson, Michael B Water Quality Manager EXE - 18 9/25/2009 5/1/2019 6 7 40 71,732.72 71,732.72 - 9,930.22 9,110.06 5,487.55 622.50 5306 239.62 358.66 25,748.61 34.35 12.33
55310 685 Clerk Hire Clerk Hire - Sumer Intern
56200 40 Kirkpatrick, Vicki (J. Baldwin)Public Health Director EXE - 22 3/15/2016 3/1/2019 11 max step 40 108,877.32 108,877.32 - 11,480.08 13,827.42 8,329.11 622.50 5306 239.62 544.39 35,043.12 52.14 16.78
56200 41 Vacant (L. Fleming)PH Assistant 23 1/1/2019 1/1/2020 1 1 20 18,384.84 18,384.84 - 6,295.41 2,334.87 1,406.44 229.81 5306 119.81 91.92 10,478.27 17.61 10.04
56200 145 Shaw, Veronica Deputy Director EXE - 20 10/1/1990 2/1/2019 9 10 40 87,067.63 87,067.63 - 9,930.22 11,057.59 6,660.67 622.50 5306 239.62 435.34 28,945.94 41.70 13.86
56200 221 Fountain, Debbie (E. Laing)Financial Operations Coord 27 3/16/2017 3/1/2019 2 3 32 35,653.57 35,653.57 - 9,442.38 4,528.00 2,727.50 445.67 5306 191.69 178.27 17,513.51 21.34 10.48
56200 325 Fleming, Lori (K. Alexander)Web Maint & Digital Comm Spec 28 2/15/2016 5/1/2019 1 2 12 13,502.28 13,502.28 - 4,197.43 1,714.79 1,032.92 168.78 5306 71.88 67.51 7,253.32 21.56 12.25
56200 415 Fleming, Lori (K. Alexander)CHIP Exec Director EXEMPT 5/1/2018 5/1/2019 1 2 20 35,612.50 35,612.50 - 6,295.41 4,522.79 2,724.36 445.16 5306 119.81 178.06 14,285.58 34.11 12.25
56210 15 Marx, Randy EHS III (Temporary Assignment)35 5/1/1995 6/1/2019 8 9 40 68,961.52 68,961.52 - 9,930.22 8,758.11 5,275.56 622.50 5306 239.62 344.81 25,170.81 33.03 12.05
56210 16 Atkins, Linda EHS III 35 8/14/1989 8/1/2019 11 max step 40 73,205.28 73,205.28 2,200.00 9,930.22 9,297.07 5,600.20 622.50 5306 239.62 366.03 26,055.64 35.06 12.48
56210 47 Parker, Roger (P. Mingo)EHS II 32 9/2/2014 9/1/2019 3 4 40 54,218.40 54,218.40 - 11,480.08 6,885.74 4,147.71 622.50 5306 239.62 271.09 23,646.73 25.97 11.33
56210 205 Satterlee, Dorian (C. Fiedler)EHS I 29 1/1/2019 1/1/2020 1 1 40 45,873.36 45,873.36 - 11,480.08 5,825.92 3,509.31 573.42 5306 239.62 229.37 21,857.71 21.97 10.47
56210 235 Kwansa, Mina EHS II 32 10/6/2010 7/1/2019 5 6 40 57,219.36 57,219.36 - 9,930.22 7,266.86 4,377.28 622.50 5306 239.62 286.10 22,722.57 27.40 10.88
56210 305 Schauer, Denese EHS I 32 4/1/2013 4/1/2019 1 2 35 45,634.75 45,634.75 - 10,229.13 5,795.61 3,491.06 570.43 5306 209.66 228.17 20,524.07 24.98 11.23
56210 410 Vacant (New)EHS I 29 1/1/2019 1/1/2020 1 1 40 45,873.36 45,873.36 - 11,480.08 5,825.92 3,509.31 573.42 5306 239.62 229.37 21,857.71 21.97 10.47
56210 411 Mingo, Pinky (New)EH Manager EXE - 18 9/4/2018 9/1/2019 4 5 40 66,952.08 66,952.08 - 11,480.08 8,502.91 5,121.83 622.50 5306 239.62 334.76 26,301.70 32.07 12.60
56210 680 Porto, Susan EHS III 35 4/5/1999 11/1/2019 11 max step 36 65,884.75 65,884.75 1,620.00 9,088.44 8,367.36 5,040.18 622.50 5306 215.65 329.42 23,663.57 35.06 12.59
56220 20 Vacant (J. Danskin)Clinic Manager EXE - 15 1/1/2019 1/1/2020 1 1 40
56220 23 Vacant (T. Newton)Community Health Director EXE - 20 1/1/2019 1/1/2020 3 3 40 74,374.32 74,374.32 - 11,480.08 9,445.54 5,689.64 622.50 5306 239.62 371.87 27,849.24 35.62 13.34
56220 25 McKenzie, Lisa PHN III 37 2/12/1991 5/1/2019 11 max step 40 78,801.12 78,801.12 2,200.00 9,930.22 10,007.74 6,028.29 622.50 5306 239.62 394.01 27,222.37 37.74 13.04
56220 30 O'Brien, Susan Lead Nurse Practitioner 44 11/1/1997 11/1/2019 11 max step 28 71,384.54 71,384.54 1,260.00 7,302.22 9,065.84 5,460.92 622.50 5306 167.73 356.92 22,976.13 48.84 15.72
56220 35 Calahan, Aimee (J. Syska)Financial Operations Coord 27 3/5/2018 3/1/2019 1 2 28 30,439.25 30,439.25 - 8,393.39 3,865.78 2,328.60 380.49 5306 167.73 152.20 15,288.20 20.83 10.46
56220 47 Boyd, Margie PHN II 35 9/1/2002 9/1/2019 11 max step 40 73,205.28 73,205.28 1,400.00 9,930.22 9,297.07 5,600.20 622.50 5306 239.62 366.03 26,055.64 35.06 12.48
56220 75 Kirkegaard, Sarah ARNP 42 9/2/2010 9/1/2019 8 9 22 48,784.03 48,784.03 - 5,962.56 6,195.57 3,731.98 609.80 5306 131.79 243.92 16,875.62 42.48 14.69
56220 76 Obermeyer, Karen M Community Health Educator 31 10/16/2007 10/1/2019 11 max step 40 63,182.88 63,182.88 1,000.00 9,930.22 8,024.23 4,833.49 622.50 5306 239.62 315.91 23,965.97 30.26 11.48
56220 80 Vacant (M. Haley)PHN I 32
56220 81 Vacant (K. deVeaux)PHN I 32
56220 90 Danskin, Julia (D. Langlois)PHN II 35 4/8/1991 7/1/2019 11 max step 40 73,205.28 73,205.28 2,200.00 9,930.22 9,297.07 5,600.20 622.50 5306 239.62 366.03 26,055.64 35.06 12.48
56220 100 Jane, Sarah (L. Ceehorne)PHN I 32 8/1/2017 8/1/2019 6 7 30 43,892.10 43,892.10 - 8,917.89 5,574.30 3,357.75 548.65 5306 179.71 219.46 18,797.75 28.03 12.00
56220 120 ZZ Nurse Hire ARNP 3 5,564.00 5,564.00 - 1,720.29 - 425.65 69.55 5306 17.97 27.82 2,261.27 35.53 14.44
56220 180 Banker, Denise (K. Matlock)Comm Health Educator 31 2/24/2014 8/1/2019 4 5 40 53,718.56 53,718.56 - 11,480.08 6,822.26 4,109.47 622.50 5306 239.62 268.59 23,542.51 25.73 11.28
56220 610 Rafferty, Kimberly J.PHN II 35 1/25/2013 2/1/2019 4 5 22 34,641.24 34,641.24 - 6,819.90 4,399.44 2,650.06 433.02 5306 131.79 173.21 14,607.41 30.16 12.72
56220 627 Umeda, Yuko PHN III 37 9/1/1988 2/1/2019 11 max step 35 68,950.98 68,950.98 1,925.00 8,865.16 8,756.77 5,274.75 622.50 5306 209.66 344.75 24,073.61 37.74 13.18
56220 630 Anderson, Kathy Nutritionist 34 11/1/2007 11/1/2019 11 max step 20 35,297.64 35,297.64 500.00 5,516.00 4,482.80 2,700.27 441.22 5306 119.81 176.49 13,436.59 33.81 12.87
56220 650 ZZ Nurse Hire Nurse Hire (PHN)
56220 660 Luch, Kathy PHN I 32 4/16/1991 7/1/2019 11 max step 22 36,036.79 36,036.79 1,210.00 5,962.56 4,576.67 2,756.81 450.46 5306 131.79 180.18 14,058.48 31.38 12.24
56220 675 MacKenzie, Mary Jo PHN II 35 11/1/1997 7/1/2019 11 max step 35 64,054.62 64,054.62 1,575.00 8,865.16 8,134.94 4,900.18 622.50 5306 209.66 320.27 23,052.72 35.06 12.62
56800 30 McEnery, Anna DD Coordinator & 1/10th Coord 30 1/1/1992 1/1/2020 11 max step 40 60,927.84 60,927.84 2,200.00 9,930.22 7,737.84 4,660.98 622.50 5306 239.62 304.64 23,495.79 29.18 11.25
Multi 10 Whitford, Stuart (J. Keefer)Env Health & Water Quality Dir EXE - 20 2/15/2017 2/1/2019 11 max step 40 94,215.12 94,215.12 - 11,480.08 11,965.32 7,207.46 622.50 5306 239.62 471.08 31,986.05 45.12 15.32
Multi 45 Parke, Susan Financial Operations Coord 27 3/29/2000 3/1/2019 11 max step 40 54,517.68 54,517.68 1,400.00 9,930.22 6,923.75 4,170.60 622.50 5306 239.62 272.59 22,159.27 26.11 10.61
Multi 50 Marx, Cynde A Medical Records Clerk 22 4/16/2012 4/1/2019 7 8 35 36,649.34 36,649.34 - 10,229.13 4,654.47 2,803.67 458.12 5306 209.66 183.25 18,538.29 20.06 10.15
Multi 55 Larson, Aimee (H. Sebastian)Medical Records Clerk 22 10/7/2016 10/1/2019 6 7 40 40,363.92 40,363.92 - 11,480.08 5,126.22 3,087.84 504.55 5306 239.62 201.82 20,640.12 19.33 9.89
Multi 130 VonVolkli, Kelly Medical Records Clk - Lead 24 7/10/2006 2/1/2019 11 max step 40 48,838.32 48,838.32 1,000.00 9,930.22 6,202.47 3,736.13 610.48 5306 239.62 244.19 20,963.11 23.39 10.04
Multi 160 Vacant (C. Oppe)Financial Manager EXE - 17 1/1/2019 1/1/2020 1 1 40 56,431.68 56,431.68 - 11,480.08 7,166.82 4,317.02 622.50 5306 239.62 282.16 24,108.20 27.03 11.55
Multi 245 Reynolds, Shirley Financial Support Specialist 24 2/25/2008 2/1/2019 11 max step 40 48,838.32 48,838.32 1,000.00 9,930.22 6,202.47 3,736.13 610.48 5306 239.62 244.19 20,963.11 23.39 10.04
Multi 300 Locke, Dr. Thomas Health Officer 2/16/1996 8 40,761.94 40,761.94 - - 3,118.29 509.52 1501 446.60 203.81 4,278.22 97.61 10.24
Multi 400 Tucker, Laura EHS II 32 3/5/2014 3/1/2018 1 2 40 52,258.16 52,258.16 - 11,480.08 6,636.79 3,997.75 622.50 5306 239.62 261.29 23,238.02 25.03 11.13
Multi 412 Pullman, John (C. Allen)EH Tech 24 2/1/2018 2/1/2019 1 2 40 39,023.60 39,023.60 - 11,480.08 4,956.00 2,985.31 487.80 5306 239.62 195.12 20,343.91 18.69 9.74
Multi 413 Henley, Alex (New)Permit Tech I 22 6/1/2017 6/1/2019 2 3 12 11,059.87 11,059.87 - 4,197.43 1,404.60 846.08 138.25 5306 71.88 55.30 6,713.54 17.66 9.88
Multi 600 ZZ Clerk Hire Clerk Hire 6.25 6,525.00 6,525.00 - - - 499.16 81.56 5306 37.44 32.63 650.79 20.00 1.99
Multi 608 Nutsford, Joeen (S. Grimm)Medical Records Clerk 22 10/23/2017 10/1/2019 4 5 20 19,213.56 19,213.56 - 6,295.41 2,440.12 1,469.84 240.17 5306 119.81 96.07 10,661.41 18.40 10.21
Multi 670 Matter, Jennifer (D. Banker)PH Assistant 23 8/29/2016 8/1/2019 5 6 40 41,018.00 41,018.00 - 11,480.08 5,209.29 3,137.88 512.73 5306 239.62 205.09 20,784.67 19.64 9.95
56200 676 Vacant HRSA Project Coordinator EXEMPT 9/1/2018 9/1/2019 1 1 35 31,119.50 31,119.50 - 10,229.13 3,952.18 2,380.64 388.99 5306 209.66 155.60 17,316.20 23.03 12.82
1,831.25 2,737,035.98 2,737,035.98 22,690.00 489,237.98 340,891.50 209,383.25 28,372.21 11,128.98 13,685.18 1,092,699.10