John J. Dreyzehner MD, MPH, FACOEM Commissioner Mission: To protect, promote, and improve the health and prosperity of people in the State of Tennessee. 1
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Health Departments State Wide Knox County Sumner County Loudon County Stewart County Washington County Anderson County Blount County Hamilton County Sevier County Monroe County Robertson County Perry County 3
4 Central Office
Public Health in Tennessee Protection of public health through direct services and regulation. Health improvement through public health planning and information sharing. Health promotion and improvement through awareness, screening, and preventive services. 5
General Services Provided to All Tennesseans 26,700 permits to food service establishments, hotels, and motels, requiring more than 112,000 inspections annually 244,207 health care professionals currently licensed 4,202 inspections in 1,797 licensed health care facilities in 2010 1,351 permitted ambulances and 184 new ambulances licensed by Emergency Medical Services in fiscal year 2011 1,125,000 vital records are issued annually 1,000 reports provided annually in response to data requests 2,707 complaints evaluated by BHLR; 1,070 health care professionals disciplined (.4%) in 2010 6
General Services Provided to All Tennesseans (continued) 767 cases litigated over the past five years 65 emergency preparedness exercises completed across the state in fiscal year 2011 1,400 residents with complex client needs assisted 530 grants totaling $87,565,500 were awarded in fiscal year 2011 73 federal grants totaling $248,772,500 received in fiscal year 2012 7
One in Six Tennesseans Directly Served In fiscal 2011, the department provided: o 2,384,084 total client visits with 893,319 unduplicated clients o 729,855 WIC clinic visits with over $80,000,000 of food benefits o 648,308 immunizations o 208,236 primary care visits with 88,842 unduplicated clients 131,030 children screened and 44,488 sealants provided through the school based dental sealant program 154,761 current smokers were offered tobacco cessation since October 2007 6,525 special needs children were provided special services 1,340,000 laboratory tests and screenings completed in fiscal year 2011 454,000 patient visits provided through grants to federally qualified health centers and community and faith based clinics 8
9 Services Continue to Rise
Ten Year Funding Trend All totals, except for FY 2013, reflect the estimated year budget submitted in the Governor s Budget Document. 10
Public Health Funding in Tennessee All Sources Indicates Department of Health funding for a total of $567,825,700. Total Governmental Public Health Funding $701,229,800. 11
Funding at the Local Health Department Level Total funding at the local health department level $330,933,700. 12
Governmental Public Health Workforce 5,584 Total Positions 13
Departmental Positions by Program Area 2,984 Total Positions 14
Fiscal Year 2012 2013 Recommended Budget Funding Source FY 2012 2013 State Appropriation $168,831,900 Federal Revenue $242,246,100 Other Revenue $138,822,800 Total $549,900,800 15
Comparison of Fiscal Year 2012 to the Recommended Budget Funding Source FY 2011 2012 FY 2012 2013 Difference % Change State Appropriation $173,248,300 $168,831,900 ($4,416,400) (2.5%) Federal Revenue $248,772,500 $242,246,100 ($6,526,400) (2.6%) Other Revenue $145,804,900 $138,822,800 ($6,982,100) (4.8%) Total $567,825,700 $549,900,800 ($17,924,900) (3.2%) Budget Reductions + Budget Additions = Difference 16
Budget Reductions Recommended Reductions Overappropriation Reduction ($9,549,600) Discretionary State Reduction ($2,145,300) Core Services Not Preserved ($7,451,400) Non Recurring Items ($9,082,000) Total Reductions ($28,228,300) 17
Fiscal Year 2013 Reduction Plan Overappropriation Reduction ($9,549,600) Abolish 135 Positions Held Vacant ($7,319,300) Reduce Unobligated Grants and Contracts ($2,230,300) Discretionary State Reduction ($2,145,300) Operational Expenses ($492,900) Grants and Contracts ($435,100) Tuberculosis Patient Care ($348,500) Staff Reduction (17 FT Six filled, 11 vacant) ($868,800) 18
Core Services Not Preserved Total Core Services Not Preserved ($7,451,400) Diabetes Program (partial) ($2,000,000) Metro Contracts ($1,000,000) Poison Control Center ($375,000) Epilepsy Program ($206,300) Diabetes Staff Position (vacant) ($143,500) Shaken Baby Syndrome ($30,600) Healthy Start (presently funded by DCS) ($3,060,100) Child Health and Development ($635,900) (presently funded by DCS) 19
Non Recurring Items Total Non Recurring Items ($9,082,000) ARRA Grants ($4,794,000) Direct Appropriation Grants ($2,871,200) FQHC Grants ($1,400,000) Trauma Fund Adjustment ($16,800) 20
Budget Additions Total Budget Additions $10,303,400 Cost Increases $8,575,000 Community and Faith Based Clinics* $6,000,000 Federally Qualified Health Centers* $1,400,000 Forensic Centers State Shared Cost $1,100,000 Sickle Cell Foundation Grant* (non recurring) $75,000 Shelby County Teen Grant (continuation) $1,400,000 Miscellaneous $328,400 *Funding for these programs authorized in fiscal year 2012 on a non recurring basis. 21
Core Services Preserved* Safety Net FQHCs $4,600,000 Diabetes Program (partial) $3,000,000 Minority Health Initiatives $860,100 Breast and Cervical Cancer Screening $541,100 HIV Rapid Testing $423,400 Chronic Renal Disease $413,000 Total $9,837,600 *Items included in the fiscal year 2013 base budget on a recurring basis. These items were funded in fiscal year 2012 with non recurring funds and have no net effect on the total budget. 22
Thank you for your continued support 23 and attention.