Tuscarawas County General Health District

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Tuscarawas County General Health District Annual Report 2014

Tuscarawas County General Health District Board of Health Members Tweed Vorhees, President Jeri Middaugh, Vice-President Andrea Fanti Ph.D., Ed.D Milian Packovich M.D. James Brick D.V.M Michael Cochran Reginald Stockard District Advisory Council John Miceli, Chairman Don Ackerman, Vice-Chairman Belle Everett, Secretary

TCHD Administration Katie Seward MPH, CHES, CTTS Health Commissioner/Executive Director Daniel Blumer D.O. Medical Director Anthony J. Incarnato MA, LPCC-S Director of Accounting Andrea L. Dominick LPCC-S, LICDC Director of Alcohol and Addiction Program Myra Pancher BA, RS Director of Environmental Services Loretta Pinchek Director of Medical Records and Vital Statistics Judy Tornabene BSN, RN Director of Nursing and Medical Clinic Margaret Weber MA, RDN, LD, IBCLC Director of WIC Program

TCHD Services Alcohol and Addiction Program (AAP) We are an outpatient chemical dependency treatment program. Prior to being placed in a treatment program, individuals must complete all intake documentation and a chemical dependency assessment. Our sliding scale fees for these service are based on family size and income and county of resident. Upon completion of the assessment, the individual will develop a treatment plan including their personal treatment goals with assistance from a chemical dependency counselor. We offer multiple levels of care ranging from education and prevention to intensive outpatient programming. The level of care an individual is referred for is based on the diagnostic assessment. Child Passenger Safety The Tuscarawas County Health Department offers occupant protection help in the form of education and one on consultations by a certified car seat technician. There is assistance in the following areas: - Child car seat installation education - Special needs transportation consultation - Occupant protection displays and programs for schools - Car seat certification trainings - Monthly fitting stations for car seat help - Organized car seat check-up events - Safe Kids Buckle Up program

Dental Clinic All of our dental staff are State of Ohio Certified employees Services Provided: - Cleaning & Exams/ with Oral Cancer Screening - X-rays (needed for cavity diagnosis) - Fillings (Amalgam or tooth-colored composites) - Simple Extractions - Limited Crown & Bridgework - Partial Dentures - Limited Root Canal Therapy We accept insurance plans with CareSource, Buckeye, Molina, and UHCCP. We also have a sliding fee scale based on the Federal Poverty Level used for the qualifying low-income uninsured. Medical Clinic Clinic services include: - Adult care - Blood pressure checks - Blood work with a physician s order - Communicable disease reporting - Immunizations - Pregnancy testing - Prenatal and family planning - HIV, Herpes I and II, Hepatitis B and C, and STI testing - TB testing - Well child checkups

Environmental Services Food Safety: The Food Safety program licenses and regulates all food service operations and retail food establishments including restaurants, grocery stores, mobile, temporary and vending machine operations to assure that all comply with applicable laws. Water Safety (Well and Septic): Point of Sale Inspections of well and septic systems are completed by health department sanitarians. Soil evaluations for new septic systems and inspections of broken down septic systems are also completed. Camps, RV and Recreation Parks: The goal of this program is to reduce potential risk for the spread of communicable disease as well as injuries and assure that parks and camps and maintained in compliance with laws and rules through inspections. Pools, Spas, Beaches: Inspected to minimize safety hazards, reduce potential risk for disease transmission and assure that waters are in compliance with ordinances. Tattoo and Body Art: The program goal is to ensure that businesses who perform tattooing or body piercing do so in a safe and sanitary manner with adequately trained staff. Housing/Nuisance: The program goal is to ensure that people have minimum housing standards. Sanitarians are trained to identify bedbugs, cockroaches, rats, mice and other Nuisances. Rabies: TCHD quarantines animals that have bitten or broken skin on an individual and submits specimens to ODH for testing when necessary. Radon: TCHD provides one free test per household Schools: Inspects school safety issues, playgrounds, classrooms and cafeteria

Safe Kids Safe Kids Tuscarawas began in 1994. We provide safety resources for children and their caregivers to protect all children from accidental injury. Our focus is on keeping kids safe in places where they live, go to school, play and travel. Safe Kids Tuscarawas is a coalition comprised of dedicated public and private organizations and individuals. As our membership grows, we are able to locate more resources that help us protect more children in our community. We provide safety programs in the following areas: - Child Passenger Safety - Pedestrian safety - Fire and Burn Protection - Bicycle safety - Home and School safety - Farm safety Vital Statistics TCHD provides both birth and death certificates upon request to the public.

Women, Infant and Children (WIC) Program WIC is the special supplemental nutrition program for Women, Infants and Children. WIC helps income eligible pregnant and breastfeeding women as well as infants and children up to five years of age who are at risk for health problems due to inadequate nutrition. The program improves pregnancy outcomes by providing or referring to support services necessary for fullterm pregnancies and reducing infant mortality by reducing the number of low birth weight babies. WIC provides nutrition education, breastfeeding education and support; supplemental, highly nutritious foods such as cereal, eggs, milk, wholegrain foods, fruit, vegetables, and ironfortified infant formula. WIC also provides referrals to prenatal and pediatric healthcare and other maternal and child health service programs.

2014 Financial Report 1/1/2014 beginning balance $4,747,842.55 2014 ending balance $4,621,785.23 Receipts Settlements $ 1,056,037.82 Grants $ 733,619.94 Title XIX $ 468,992.11 Environment. $ 385,930.90 Homestead $ 215,814.34 Contracts $ 168,339.97 Patient Pay $ 164,170.99 Insurance $ 151, 446.74 Adjustments $ 139,686.73 Vital Stats $ 129,771.28 Solid Waste $ 90,187.00 Capital Imp. $ 50,000.00 Dental $ 38,618.47 State Subs. $ 25,381.58 Title XIII $ 23,849.33 Other $ 1,028.70 Expenditures Salaries $ 1,963,863.18 Contracts $ 639,584.13 Medical Ins $ 384,965.55 PERS $ 268,991.08 Supplies $ 209,924.26 Adjustments $ 174,231.10 Remitt. State $ 154,900.84 Equipment $ 32,054.42 Remitt. EPA $ 30,129.61 Travel $ 29,150.89 Medicare $ 27,433.97 Vehicles $ 23,428.94 Work Comp $ 20,737.65 Other $ 5,622.42 Unemploy. $ 2,428.18 Perm. Imp $ 1, 487.00 Total $ 3,842,875.90 Total $ 3,968,933.22

Environmental Health Statistics Inspections: Water Samples 539 Water Supply Inspections 302 Chemical Water Samples 5 Housing 108 Solid Waste 772 Nuisance 75 School 36 Camp 14 Swimming Pool 64 Institution 4 Rabies 109 Heads Tested 14 Heads Positive 0 Other 8 Sewage Disposal Inspections 872 Food Service Operations 1050 Vending 29 Evaluations: New Site 178 Existing Sewage and Water 733 Totals: Total Consultations 650 Total Licenses 1023 Total Permits 228

Communicable Disease Statistics Total Communicable Diseases in Tuscarawas County: 457 349 reported to TCHD, 108 reported to NPCHD Communicable Diseases Reported to TCHD Campylobacteriosis 14 Chlamydia 179 Cryptosporidiosis 2 Giardiasis 3 Gonococcal Infection 23 Haemophilus Influenza 1 Hepatitis B Chronic 1 Hepatitis C Acute 1 Hepatitis C Chronic 28 Influenza Hospital 43 La Crosse 1 Lyme Disease 1 Mengitis Viral 3 Mumps 1 Mycobacterial disease 8 Other arthropod disease 1 Pertussis 10 Salmonellosis 10 Shigellosis 1 Streptococcus pneum. 4 Tuberculosis 4 Varicella 9 Yersinosis 1

Clinic Statistics Total clinic visits in 2014: 20,607 Clients by type: Breast/Cervical Cancer Program: Women s Health Day Participants: Prenatal: Wellchild: BCMH: Visits by type: Dental Clinic: Prenatal: Family Practice: Family Planning: 41 clients 121 clients 58 clients 80 clients 253 clients 1251 visits 303 visits 1699 visits 2222 visits Other Statistics: Total Immunizations: 4,397 Flu Vaccines: 1,339 Pneumonia Vaccines: 69 Shingles Vaccines: 35 TB Tests Administered: 1,400 Blood Pressure Checks: 4,805 Pregnancy Tests: 570

Alcohol and Addiction Program Statistics Total number of group sessions: 547 sessions Total clients served in groups: 405 clients Total assessments completed: 480 assessments Total individuals seen in AAP: 738 individuals Total number of charts closed: 817 charts Vital Statistics Total number of registered births: 712 Total number of registered deaths: 609 Total fetal deaths: 8 Total number of birth cert sold: 2,855 Total number of death cert sold: 2,155 Total WIC visits: 8,063 Number of new WIC clients: 1,093 Nutrition visits: 1 out of 3 WIC Statistics

Tuscarawas County Health Department Mission Statement The Tuscarawas County General Health District is dedicated to assuring access to affordable, quality health care for all Tuscarawas County residents by promoting healthy choices, preventing disease, protecting the environment and serving the health and well-being of Tuscarawas County residents. Contact Us 897 East Iron Avenue Dover, Ohio 44622 Phone: (330) 343-5555 Fax: (330) 343 2601 Email: tusccohd@odh.ohio.gov Website: www.tchdnow.org