Stanly County Health Department
Strategic Plan FY 2008-2010
Mission
Statement
_________________________________
To protect, promote, and preserve the
health of the citizens and communities of Stanly County.
Vision
Statement
_________________________________
Building a legacy of healthy people,
families, and communities together.
Introduction
The FY 2008-2010 Stanly County
Strategic Plan describes our county’s local public health priorities and the
Stanly County Health Department’s (SCHD) plan for addressing them over the next
two years. Results from the 2007
Community Health Assessment and data from North Carolina Center for Health
Statistics were utilized to determine these priorities. Members of the Stanly County Health
Department Management Team and supervisors met with a representative from the
North Carolina Institute of Public Health, on August 20, 2008 to deliberate on
these findings and plan our approach to address identified health priorities. During this process discussion was held
concerning the department’s mission statement, vision statement, opportunities
and threats, strengths and weaknesses, and stakeholder analysis. Over-arching strategic goal statements and
guiding principles were also developed.
Local health data and priorities were not the only influential factors in the development of the Strategic Plan goals and objectives. A review of department resources played a significant role as well. Health issues and associated risk factors will be addressed as the department has the capacity to do so. Individual contracts and agreement addenda for various department programs will also address some of these goals and priorities.
The success in addressing health priorities will be dependent
upon the Stanly County Health Department’s continued commitment to providing
quality services to the public and collaborating with various community
partners. Community partners include
private and non-profit agencies, elected officials, businesses, faith community,
school system, and last, but not least, Stanly County citizens. In some instances the health department will
be the lead agency; in others we will play a more supportive role. Regardless
of the structure, a primary function of the Stanly County Health Department is
to serve as a catalyst to stimulate action in the community to effectively and
appropriately address public health concerns that may jeopardize our
community’s health and limit our potential.
Public Health Core Health Functions
(Source: American Public Health Association)
The Stanly County
Health Department plays an invaluable role in the protection and improvement of
the public’s health in Stanly County.
The three core public health functions are assessment, policy
development, and assurance. These core
functions are implemented through collaborative relationships with public and
private entities, elected and non-elected officials, communities, and residents
of Stanly County. The following ten
essential health services are the framework for these core health functions.
Assessment
·
Monitor
health status to identify community health problems.
·
Diagnose
and investigate health problems and health hazards in the community.
·
Evaluate
effectiveness, accessibility, and quality of personal and population-based
health services.
Policy
Development
·
Develop
policies and plans that support individual and community health efforts.
·
Enforce
laws and regulations that protect health and ensure safety.
·
Research
for new insights and innovative solutions to health problems.
Assurance
·
Link
people to needed personal health services and assure the provision of health
care when otherwise not available.
·
Assure
a competent public health and personal health care workforce.
·
Inform,
educate, and empower people concerning health issues.
·
Mobilize
community partnerships to identify and solve health problems.
Stanly County Health Department
Guiding
Principles
The Stanly County
Health Department strives to meet the following guiding principles:
·
Become
accredited and maintain accreditation standards.
·
Utilize
“best practices” in implementing public health activities.
·
Recruit,
develop, and retain a well-qualified staff.
·
Adopt
new technologies to improve effectiveness and efficiency.
·
Seek
private and public funding sources to support and improve services.
·
Be
fiscally responsible.
·
Improve
communication and collaboration internally as well as in the community.
·
Develop
a positive image in the community.
·
Deliver
services driven by community needs.
·
Improve
residents’ health outcomes and quality of life.
·
Prepare
to respond to a public health emergency or disaster.
·
Serve
as a health information resource for the community.
Strategic
Goal Statements
·
Ensure
the optimal capacity and infrastructure to carry out public health functions.
·
Increase
the number of individuals adopting and sustaining healthy and environmentally
sound behaviors.
·
Promote
prevention, surveillance, and control of communicable diseases.
·
Promote
prevention strategies and/or manage injuries and chronic disease and mitigate
the associated disabilities.
·
Assess
and assure access to appropriate health care and services to infants, children,
and adults.
·
Prevent
and reduce the environmental risks to the public and our natural resources.
·
Prepare
for and respond to public health emergencies and disasters.
·
Effectively
communicate internally and with external stakeholders about activities and
accomplishments of the Stanly County Health Department and important public
health issues.
Strengths, Weaknesses, & Gaps
|
Strengths |
Weaknesses |
Gaps |
|
·
Caring and
dedicated staff, creates experience of a “health care home” ·
Have good
educational programs and staff ·
Effective
relationship with Partners in Health, Stanly County Healthy Carolinians task
force; Local Health Department
(LHD) provides leader and coordinator ·
Preparation for
accreditation, i.e., getting policies and procedures in order ·
County is
generally supportive and fiscally solvent ·
Have two
Spanish interpreters ·
Some specialty
care capabilities in Home Health Program ·
Staff very
supportive of each other |
·
Limited funding
available to promote/expand existing, generally successful programs ·
Ineffective
communication among departments about activities and issues ·
Lack of
effective communication with community regarding activities and services
provided by LHD ·
Inadequate IT
support (local and state) ·
Limited access
to LHD services ·
Limited clinic
hours ·
Limited
transportation ·
Long waiting
period for some appointments ·
Limited
training staff for emergencies and disasters ·
Negative public
image of LHD ·
Animal Control
public image as “dog catcher” |
· Limited adult dental care for low income residents · Unable to present educational programs in the
schools · Need additional physical therapist/pediatric
occupational therapist in Home Health Program · Additional capacity needed for coordinating and
implementing community health interventions and outreach. |
2007 Community Health
Assessment
Introduction
Stanly County citizens and leaders were asked
to participate in the 2007 Community Health Assessment from March through
September. Citizen participation was
elicited through the local media outlets (Stanly News & Press, The Weekly
Post, WZKY/WSPC), county libraries, Partners in Health task force members,
community presentations/announcements, and displays at The Stanly Commons. Leader participation was elicited by
contacting municipality leaders, directors of governmental agencies/boards, and
leaders of community groups. There were
1,304 citizens and 264 leaders who responded and completed surveys. A complete copy of the 2007 Community Health
Assessment can be accessed at the Stanly County Health Department’s web pages
located at www.co.stanly.nc.us.
Community Health
Assessment Survey Results
Overall
Overall, Drug Abuse was cited as the #1 concern as
a community issue in Stanly County. Drug
Abuse was seen as “very serious” by 43.4% of the community survey results and
51.5% of the leader survey results. Both
community and leader survey respondents cited Access to Affordable Medical
Care, Obesity, and Unemployment/Underemployment in their top five concerns
after drug abuse. However, Child Abuse
(34.2%) was listed as #5 on the community survey results and Tobacco Use
(39.0%) was listed as #4 on the leader survey results.
TOP FIVE
LOCAL COMMUNITY ISSUES
(Based on survey respondents listing concerns as “very serious”)
COMMUNITY RANKINGS LEADER
RANKINGS
1. Drug
Abuse (43.4%) 1. Drug Abuse (51.5%)
2. Access to Affordable Medical
Care (39.9%) 2. Obesity (50.0%)
3. Unemployment/Underemployment (37.8%) 2.
Unemployment/Underemployment (50.0%)
4. Obesity (35.2%) 4.
Tobacco Use (39.0%)
5. Child Abuse (34.2%) 5. Access to
Affordable Medical Care (38.6%)
Community
Survey Results
Females (46.1%) and males (37.4%) cited
Drug Abuse as their #1 community issue.
Males cited Unemployment/Underemployment (35.3%) as their second highest
concern while females (39.2%) cited it as their third. Females listed Access to Affordable Medical
Care (42.5%) as their second highest concern and males (33.8%) listed it as
their third highest concern. Obesity
(38.1%) and Child Abuse (37.3%) were female respondents’ fourth and fifth top
choices. Quality of Education K-12
(32.6%) was the fourth highest concern for males. Teen Pregnancy (30.0%) and
Tobacco Use (30.0%) tied for male’s fifth highest concern.
African American respondents
(55.9%) and Caucasian respondents (44.3%) listed Drug Abuse as their highest
concern. Asian respondents listed Water,
Air, Noise, etc. Pollution (46.2%) and Native American respondents listed
Obesity (67.9%) as their top concerns.
Racial/Ethnic Discrimination (68.4%) and Access to Affordable Medical
Care (68.4%) tied for Hispanic/Latino respondents’ top concerns. The top concerns for “Other” respondents were
Alcoholism and Teen Pregnancy tied at 50.0%.
Leader
Survey Results
Females and males agreed on their
top three highest concerns. Females
listed their top concerns as: Unemployment/Underemployment (56.7%), Obesity
(55.2%), and Drug Abuse (54.5%) Males
listed Drug Abuse (48.5%), Obesity (46.2%), and Unemployment/Underemployment
(43.1%) as their top concerns. Child
Abuse (44.0%) and Access to Affordable Medical Care (41.8%) rounded out women’s
top five concerns. Tobacco Use (41.5%)
was the fourth highest concern for males.
There was a tie for males on their fifth highest concern – Domestic
Violence (35.4%) and Access to Affordable Medical Care (35.4%).
African American respondents tied
Tobacco Use (72.7%) with Unemployment/ Underemployment (72.2%) as their highest
concerns. Caucasian respondents #1
concern was Drug Abuse (51.7%). Native
American respondents’ highest concern was Mental Illness/Emotional Problems
(55.6%). There were only two Asian
responses and no Hispanic/Latino or Other responses to the leader’s survey.
2007 Stanly County Community Health Assessment
Community Health Concern Matrix
|
Areas of Concern Identified through Primary Data
Collection |
Areas of Concern Identified through Secondary
Data |
Modifiable Risk Factors Associated with Identified Concerns |
|
2007
Community Survey
2007 Leader Survey
|
·
Leading Causes of
Mortality o
Heart Disease o
Cancer – all o
Cancer – trachea,
bronchus & lung o
Chronic Lower Respiratory
Disease o
Pneumonia & Influenza o
Diabetes o
Cancer – Breast (↓state average) o
Motor Vehicle
Injuries (↓ state average) o
Unintentional Injuries (↓ state average) ·
Maternal & Child
Health Factors o
Infant Mortality o
Low Birth Weight Births o
Teen Pregnancy ·
Communicable Disease o
Pneumonia o
Influenza o
Chlamydia o
Gonorrhea |
·
Chronic Diseases o
Obesity o
Inactivity o
Tobacco Use o
Nutrition o
Access to Affordable
Healthcare o
Access to Affordable
Medication ·
Infectious/Communicable
Diseases o
Drug Abuse o
Alcohol Abuse o
Adolescent Sexual
Activity o
Immunizations ·
Injuries o
Child Safety Seat/Seat
Belt Usage o
Lead Poisoning o
Substance Abuse (Alcohol
& Drugs) o
Motor Vehicle Safety ·
Infants & Children o
Teen Pregnancy o
SIDS o
Birth Defects (folic
acid) o
Access to Affordable
Healthcare |
Priorities
The Stanly County Health Department in collaboration with Partners In
Health identified county health priorities after reviewing the results of the
2007 Community Health Assessment and additional secondary data from the North
Carolina State Center for Health Statistics.
The community focused priorities for FY 2008-2010 are:
1. Health
Promotion
-Obesity
-Substance
Abuse
-Adolescent
Pregnancy/STD Prevention
2. Injury
Prevention
3. Infant
Mortality Reduction
Addressing
Priorities & Strategic Goals
The Stanly County Health Department cannot solely address all the public
health concerns that need attention due to limited staff, resources, time,
funding and in some cases, community influence. As a result, it is critical
that the department focus its direct services on high quality, effective
practices, pursue appropriate modifications in service delivery and expansion
and perhaps most importantly, serve as a catalyst to stimulate collaborative
interventions in the community among various partners. Together, we have collective strength,
wisdom, and resources.
Community partners include, but are not limited to, the following
groups/agencies: Partners in Health, a
Healthy Carolinians task force; Stanly County school system; Community Care
Clinic; Stanly Regional Medical Center; Stanly Community Christian Ministries;
churches; Homes of Hope; Pregnancy Resource Center; Partnership for Children;
fire departments; United Way of Stanly County; law enforcement; Butterfly
House; Department of Social Services; and mental health services.
One word of caution, like the
State as a whole, Stanly County’s health data reveals various health
disparities among minority populations.
These conditions are significantly influenced by economic and social
inequalities of our society. Efforts to
address this concern must include increasing our understanding of racial and
ethnic cultures and promoting economic development and educational
opportunities in addition to assuring the availability and accessibility of
health and medical services.
Community Impact Goals & Objectives
|
Goal |
To improve the health status of residents
of Stanly County and prevent premature death through the promotion of healthy
behaviors and reduction of risk factors. |
||
|
Objective # 1 |
- Decrease the number of adults who
are overweight or obese by 10%. - Decrease the number of children who are overweight
or at risk for becoming overweight by 10%. |
||
|
Baseline Data |
In the Stanly County region, 66% of adults are overweight or obese (2005 NC
BRFSS) and 23.4% of youth 2-18 years of age are overweight or at risk for
becoming overweight (2007 NC Nutrition and Physical Activity Surveillance
System) |
||
|
Priority Addressed |
Obesity |
||
|
Activities |
Lead Group/Partners |
Timeframe |
|
|
Collaborate with other agencies
working to reduce adult obesity. |
Partners In Health – Obesity Subcommittee |
On-going |
|
|
Collaborate with other organizations
working to reduce childhood obesity. |
Partners In Health – Obesity
Subcommittee |
On-going |
|
|
Conduct two “Battle of the Businesses”
events to promote physical activity. |
Partners In Health – Obesity
Subcommittee, Parks & Recreation |
Spring & Fall Annually |
|
|
Support healthy nutrition and physical
activities in childcare centers through the Healthy FUNdamentals program. |
Stanly Partnership for Children, Stanly
Regional Medical Center |
On-going |
|
|
Explore implementing Winner’s Circle
Program among restaurants |
SCHD Health Education, local
restaurants |
June 2010 |
|
|
Expand worksite wellness efforts &
opportunities for County & City employees |
SCHD Health Education, County of
Stanly, City of Albemarle |
June 2009 |
|
|
Implement Eat Smart, Move More, Weigh
Less program in the community |
SCHD Health Education, Cooperative
Extension, Stanly County Family YMCA, |
December 2008 |
|
|
Support nutrition & physical
activity interventions in schools (eg. Passport to Fitness & Wellness
Policy) |
Stanly County Schools, School Health
Advisory Committee, Partners in Health – Obesity Subcommittee |
On-going |
|
|
Support implementation of exercise
interventions at Senior meal sites. |
Stanly Senior Center, Partners in
Health |
June 2009 |
|
|
Identify additional opportunities to
promote & support breast-feeding. |
SCHD Women, Infant, and Children’s
(WIC) Program, Post Partum Newborn Screening Program, Maternity Care Coordination
(MCC), Child Service Coordination (CSC), Pediatric and OB/GYN practices |
On-going |
|
|
Goal |
To improve the health status of
residents of Stanly County and prevent premature death through the promotion of
healthy behaviors and reduction of risk factors. |
||
|
Objective # 2 |
Decrease the number of deaths and
injuries associated with substance abuse. |
||
|
Baseline Data |
To be established |
||
|
Priority Addressed |
Substance Abuse |
||
|
Activities |
Lead Group/Partners |
Timeframe |
|
|
Establish substance abuse indicator
data to serve as an appropriate baseline for monitoring community impact |
SCHD, Partners In Health, Sexual
Assault Response Team (SART), Piedmont Behavioral Health |
March 2009 |
|
|
Collaborate with agencies working to
address substance abuse and appropriately integrate substance abuse
strategies into scope of SART. |
Partners In Health, SART, Daymark
Recovery Services, Monarch Behavioral Services, Law Enforcement offices |
On-going |
|
|
Support “Mock Car Crash” educational
event at four high schools. |
SART, Albemarle Police Department,
Stanly County Sheriff’s Department,
Partners In Health, Stanly County Schools, Mental Health Service
providers. |
June 2009 |
|
|
Implement educational program to
increase awareness of mental health resources among students and parents and
decrease stigma associated with seeking mental health services |
Monarch Behavioral Services, Partners
In Health |
June 2009 |
|
|
Goal |
To improve the health status of
residents of Stanly County and prevent premature death through the promotion
of healthy behaviors and reduction of risk factors. |
||
|
Objective # 3 |
- Decrease the rate of adolescent
pregnancy in Stanly County by 10% - Decrease the percentage of Sexually
Transmitted Diseases (STDs) among adolescents by 10% |
||
|
Baseline Data |
After over a decade of steady decline,
the Stanly County teen pregnancy rate has risen 12% over the past three years
(56.8 in 2005 to 63.4 in 2007). Of the 207 reported STDs in Stanly County in
2006, 47% were among teens. |
||
|
Priority Addressed |
Adolescent
Pregnancy Prevention / STD Prevention |
||
|
Activities |
Lead Group/Partners |
Timeframe |
|
|
Identify community strategies to raise
awareness of teen pregnancy and STD prevention. |
SCHD, Partners In Health, SART, School
Health Advisory Committee, Faith Community, Public Housing |
On-going |
|
|
Work with school system to assure
implementation of family life curriculum and explore additional educational
opportunities. |
SCHD, Partners In Health, School
Health Advisory Committee |
June 2009 |
|
|
Identify & address barriers to
receiving Family Planning clinic services and explore implementation of “open
access” scheduling and assess hours of operation. |
SCHD |
May 2009 |
|
|
Evaluate successful teen pregnancy
prevention efforts in other counties and assess applicability to Stanly. |
SCHD, Partners In Health |
April 2009 |
|
|
Goal |
To improve the health status of
residents of Stanly County and prevent premature death through the promotion
of healthy behaviors and reduction of risk factors. |
||
|
Objective # 4 |
Reduce mortality rates due to motor
vehicle injuries and suicide by 10%. |
||
|
Baseline Data |
For the 5 year period 2002-06, Stanly
County’s age adjusted motor vehicle mortality rate was 40% higher than the
state average (26.7 compared to 19.1/100,000 population). For the same
period, Stanly County’s age adjusted suicide rate was 35% higher than the
state average (15.7 compared to 11.6). |
||
|
Priority Addressed |
Injury Prevention |
||
|
Activities |
Lead Group/Partners |
Timeframe |
|
|
Implement educational programs
regarding proper use of child safety seats. |
Safe Kids Coalition, Partners In
Health, SCHD, Law Enforcement Departments, Emergency Medical Services (EMS) |
On-going |
|
|
Work with agencies to increase the
number of individuals/staff who are appropriately trained as child safety
seat checkers and assure organizational support for check point events. |
Safe Kids Coalition, Partners In
Health, SCHD, Law Enforcement Departments, EMS |
On-going |
|
|
Promote child safety education efforts
and CPR training for parents and child caregivers. |
Safe Kids Coalition, Partners In
Health, SCHD, Department of Social Services (DSS), EMS, Stanly Regional Med
Center, Pediatric Practices |
June 2009 |
|
|
Support “Mock Car Crash” educational
events at four high schools. |
Safe Kids Coalition, SART, Albemarle
Police Department, Stanly County Sheriff’s Department, Partners In Health,
Stanly County Schools |
June 2009 |
|
|
Goal |
To improve the health status of residents
of Stanly County and prevent premature death through the promotion of healthy
behaviors and reduction of risk factors. |
||
|
Objective # 5 |
- Reduce infant mortality rates and
low birthweight birth rates by 15%. |
||
|
Baseline Data |
For the 5 year period 2002-06, Stanly
County’s infant mortality rate was 35% higher than the state average (11.3
compared to 8.4/1,000 births). For the same period, Stanly County’s low
birthweight rate was 4% higher than the state average (9.5 compared to 9.1)
and 8% higher than the previous 5 year period. |
||
|
Priority Addressed |
Infant Mortality Reduction |
||
|
Activities |
Lead Group/Partners |
Timeframe |
|
|
Develop and implement a prenatal &
parenting education series on a quarterly schedule that is available to any
maternity patient in the county. |
SCHD,
Partners In Health – Infant Mortality Reduction Subcommittee, Stanly
Regional Medical Center, Prenatal Care
Providers, Pediatric practices, DSS, Child Fatality Prevention Team/Community
Child Protection Team (CFPT/CCPT), Partnership for Children |
January 2009 |
|
|
Promote Sudden Infant Death Syndrome
(SIDS) awareness and safe sleep positioning though an educational campaign. |
SCHD,
Partners In Health – Infant Mortality Reduction Subcommittee, Prenatal
Care Providers, Pediatric practices, DSS, Stanly Regional Medical Center,
Child Fatality Prevention Team/Community Child Protection Team, Partnership
for Children |
June 2009 |
|
|
Promote child safety education efforts
and CPR training for parents and child caregivers. |
Safe Kids Coalition, Partners In
Health, SCHD, DSS, EMS, Stanly Regional Medical Center, Pediatric Practices,
Partnership for Children |
June 2009 |
|
|
Promote community efforts to increase
breast-feeding and the support of breast-feeding mothers. |
SCHD (WIC, MCC, CSC, Postpartum/Infant
Screening program), Partners In Health
– Infant Mortality Reduction Subcommittee, Prenatal Care Providers, Pediatric
practices, Stanly Regional Medical Center |
June 2009 |
|
|
Increase awareness and inter-agency
communication of maternity & child health support resources and referral
procedures. |
SCHD,
Partners In Health – Infant Mortality Reduction Subcommittee, Prenatal
Care Providers, Pediatric practices, DSS, Stanly Regional Medical Center,
Partnership for Children, Child Fatality Prevention Team/Community Child
Protection Team |
December 2009 |
|
Health Department
Operational Goals & Objectives
Animal Control Program
1. Goal: Increase the availability and
utilization of Health Department services.
Objective: To increase adoption of animals to 550 total.
Program Activity: Work with schools and other community groups
to encourage adoptions from the shelter.
Also provide adoption visitation center at the Animal Control Shelter to
allow interaction between potential adopter and animal. Coordinate with Stanly County Animal Rescue
League and Humane Society the facilitation of adoptions through mutual efforts.
2. Goal: Promote the prevention and control of communicable diseases.
Objective: Increase rabies vaccinations of dogs/cats
in Stanly County by 10% over FY 2007-2008
totals.
Program Activity: Hold special clinics at schools and group
locations in Stanly County to provide education to the public on rabies and to
encourage vaccinations of pets. Utilize
adoption visitation center at Animal Control Shelter to provide educational
information on pet care, rabies information, and importance of pet rabies
vaccination.
3. Goal: Improve the department image by informing the public concerning our
mission activities and accomplishments; and by encouraging visits to the Animal
Control Shelter for information on Animal Control and its function.
Objective: Provide veterinarians and public with updates on
rabies and adoptions in Stanly County.
Program Activity: Give veterinarians in Stanly County a
quarterly update report. Process and
send out news releases on adoptions and rabies updates (2) by June 30,
2009. Meet with the Board of Health to
give updates (2) by June 30, 2009.
4. Goal:
Maintain high quality animal control activities in meeting community needs and
requirements of the NC Department of Agriculture and Animal Welfare Act.
Objective: Monitor the
necessary level of staffing, contractual support and animal shelter space to
accomplish the needed impoundment, adoption, and euthanasia activities.
Program Activity: Establish a shelter officer position to
focus on shelter operations and public relations to promote animal adoptions.
Implement new changes for shelter operation per Dept. of Agriculture guidelines
including the transition to euthanasia by injection and facility structural
improvements. Implement new computer software and integrate software
capabilities into overall operations to better manage data, interface with the
internet to promote adoptions and public communication and better serve the
increasing needs of the public.
Dental Health Program
1. Goal: Increase the availability and utilization of
Health Department services, and increase effective communication between health
department staff, other agencies, and with the public.
Objectives:
·
To maintain number of dental clinic patient visits at 4800 as in FY
2007-08
·
To maintain the same number of patients treated in the OR at Stanly
Regional Medical center. One hundred
patients were completed in 2007-08
·
To work closely with local pediatricians, healthcare workers, and other
agencies to establish referrals.
Program Activity:
· Provide agency information
to other county agencies and healthcare providers, which include information
about the Dental Health Program.
· Continue to accept
referrals from local agencies, public health hygienist, Stanly County School
nurses and physicians offices to enable children with dental treatment needs to
be seen in a timely manner
· Arrange appropriate
referrals to specialist, if treatment cannot be performed on site.
2. Goal: Improve
the Health Department image by informing the public and providers concerning
our mission, activities and accomplishments.
Objective: To promote
prevention of dental disease through patient and parent education and to
combine resources with the state appointed hygienist and health educators in
order to improve community awareness.
Program Activity:
· Make available dental
educational materials to patients and parents.
· Provide dental health education
to children and parents through community projects, local newspapers and other
media sources.
· Provide staff assistance to
the state appointed hygienist in conducting school and daycare presentations
whenever possible.
3. Goal: Promote optimal health and wellness of
infants, children, and adults.
Objective: Promote prevention of dental
disease through patient and parent education
Program Activity:
· Provide oral health and
nutritional education to children and parents at all initial exam appointments
and to review diet and hygiene information at every recall visit.
4. Goal: Promote opportunities for staff development,
training, and continuing education for personnel.
Objective:
·
To provide staff training and continuing education opportunities
specifically related to pediatric dental patients
·
To build a team of dental professionals skilled in treating children.
Program Activity:
· Provide funding for
required courses such as annual OSHA updates, CPR and Radiology certification.
· Encourage CE training in
nitrous oxide sedation, coronal polishing, and medical emergencies.
· Advertise and interview as
many qualified applicants as possible to fill any open positions.
5. Goal: Maximize organizational productivity and
ensure staff awareness of finance/service program relationships.
Objective: Monitor
program budget activity and patient case load on a monthly basis.
Program Activity:
· Maintain operations within
the allocated budget.
· Limit broken patient
appointments to below 20%, while meeting estimated patient productivity goals.
· Work with health educators
in obtaining additional funds to enable the dental clinic to provide treatment
to indigent children, and to supplement the operating room program.
· Maximize utilization of
Dentrix software and integrate digital imaging technology.
Environmental Health Program
1.
Goal: Increase the availability and utilization of Environmental Health
Services
Objective:
· Respond to request and activities
in Stanly County to promote and protect the public’s health. Maintain a
response time on soil/site evaluations of less than 10 working days.
2. 
Goal: Prevention and control of
communicable diseases.
Objective:
· Provide resources to
maintain the food and lodging inspection rate at 100%.
Program Activity: Offer at least two food handling workshops
during fiscal year 2009
3. Goal: Maximize the efficiency of
the Environmental Health Program
Objectives:
· Continue to work with Central
Permitting, Building Inspections, Planning and Zoning, and IT to get software
package linking all departments operational.
· Continue cross training
staff to provide overlapping coverage in all program areas.
· Schedule incoming work on a
daily basis to ensure an even distribution of work.
· Implement new filing system
4.
Goal: Provide opportunities for staff development,
training, and continuing education for all personnel.
Objective:
· Maintain/develop staff
proficiency on laws, rules, and regulations.
· Assure that each
environmental health specialist receives at least fifteen hours of continuing
education each year in order to maintain registration as a Registered
Sanitarian.
· Provide opportunities for
staff to attend workshops to develop new skills and strengthen existing skills
in the area of environmental health.
General Departmental Services
(General
Departmental Services include: Women’s Preventative Health Services, Breast and
Cervical Cancer Control Program, Immunizations, General Clinic, Adult Health,
Child Health Services, Communicable Disease, Tuberculosis, STDs, WIC services,
CSC, MCC, Post Partum Newborn Home Visiting, Health Choice/Health Check, HIV
Case Management, Smart Start, and Health Promotion)
1. Goal: Increase the availability and utilization of
Health Department Services and promote optimal health and wellness of infants,
children and adults
Objective: Increase the utilization of all services included
in this program by 5% by 6-30-09
Program Activity
· Publish Clinic hours and
services in the local media at least quarterly. Media to include, but not
limited to Stanly News and Press, The Weekly Post, and local Radio Station.
· Provide health department
pamphlets (program specific) to the community and other county agencies.
· Review all eligibility
requirements, fee schedule for all clinics, and update fee policies at least
yearly.
· Instruct all staff in
referrals between all service areas.
· Continue to provide
postpartum/newborn home visits to all new mothers requesting the service.
2. Goal: To improve the Health Department image by
informing the public and providers concerning our mission, activities and
accomplishments
Objective: Increase awareness of general health services for
providers and public by 6-30-09
Program Activity
· Provide local health care
provider offices and service agencies with information about Stanly County
Health Department programs and services by 12-1-2008.
· Make available an Annual
Report of Health Department activities for previous fiscal year.
· Develop program fliers and
educational materials in English as well as other languages for distribution.
· Continue efforts to attract
participants into all programs through small local industry, churches, etc.
· Prepare and send provider
service letters to all Carolina Access clients at least annually.
· Provide agency
representation to the CFPT/CCPT quarterly.
· Promote the Health
Check/Health Choice Programs by providing brochures at daycares, schools,
health fairs, etc.
· Prepare and submit for
publication at least six media releases.
· Prepare at least four
bulletin board displays in The Stanly Commons.
· Participate in at least two
health fairs.
· Provide at least six
prevention and control programs for high risk and chronic diseases in
community, school, church, or worksite settings.
· Develop at least two
educational displays regarding health department programs/services.
· Participate in at least two
community organizations, including Partners in Health, School Health Advisory
Council.
· Maintain health department
web pages on the county website.
· Prepare Health Department
report card and make available to the public.
3. Goal: Maximize organizational
productivity and ensure staff awareness of finance/service program relationship
Objective: To utilize a record keeping system that would
increase productivity, allow for streamlining of clinics, and increase storage
capacity of current records room by 6-30-09.
Program Activity
· Review current record
keeping system and update to allow for more storage.
· Review charting and other
forms to eliminate duplication and streamline flow through clinic.
4. Goal: Increase the effective
communication within and between health department staff, other agencies and
within the public
Objective: Provide medical community with information about
communicable disease and bioterrorism in Stanly County and the reporting
procedure by 6-30-09
Program Activity
· Update, prepare, and
distribute Communicable Disease Newsletter.
· Provide a program to local
office managers about communicable disease reporting.
· Utilize a fax system to
inform providers about Communicable Disease and/or Bioterrorism updates and
events.
· Develop and maintain a
community plan for varicella exposures in conjunction with community partners
at Stanly Regional Medical Center, area OB-GYN providers, etc.
5. Goal: To provide opportunities
for staff development, training, and continuing education for all personnel
Objective: Ensure all required training for current staff is
up to date and allow for professional growth by 6-30-09
Program Activity
· Assess the availability of
state supplied trainings and send appropriate staff.
· All clinic RNs will
complete Adult Physical Assessment course.
· All staff involved with the
assessment, testing and treatment of STD’s will have completed the required
state provided training.
· Provide more flexibility
and cross training of staff.
· Attend at least four health
education workshops, such as Healthy Carolinians, North Carolina Society For
Public Health Education, Coordinator’s Coalition Network.
· Hold quarterly staff
trainings related to bioterrorism plans for the health department to ensure all
staff are aware of plans.
· Each Enhanced role RN will
maintain the appropriate number of contact and training hours required in order
to continue the Enhanced role function.
6. Goal: Prevent and control
communicable diseases
Objective: Reduce STD’s in Stanly County by careful
assessment, testing, and treatment of clients that present with symptoms and
their contacts and by providing educational materials and counseling by 6-30-09
Program Activity
· All staff involved with the
assessment, testing, and treatment of
· Appropriate current
clinical and laboratory reference materials will be made available to staff to
support clinical diagnosis and treatment of clients.
· All clients presenting with
a request for
· Encourage all clients to
use condoms and to provide them free of cost to the clients.
· Provide appropriate
pamphlets and other educational materials regarding the prevention, diagnosis,
and treatment of STD’s.
· Review the materials
currently in use for relevance and accuracy.
· Provide at least two
educational programs to high risk populations.
7. Goal:
Enhance child health and development in
childcare centers through Nurse Child Care Health Consultant (CCHC) activities
funded through the Stanly County Partnership for Children (Smart Start).
Objective:
A. By June 30, 2009, 85% (170 of 200) of
childcare providers participating in trainings by the CCHC’s will show
increased knowledge of the topic as measured by pre/post knowledge assessment
or will report improved knowledge of health topics that will improve their
childcare
·
Provide
trainings on identifiers for children at risk at times convenient for childcare
providers to attend.
·
Provide
training on Safe sleep/SIDS at times convenient for childcare providers to
attend.
·
Provide
trainings on sanitation and communicable disease at times convenient for
childcare providers to attend.
B. Of childcare facilities that have received
child care health consultation services by Outreach Health Services, 50% (8 of 16) will have an approved emergency
plan
·
Assess to
see if each childcare facility that receives technical assistance has a
approved emergency plan in place.
·
If no plan
in place, share sample plans with the providers and encourage them to have in
place by June 30, 2009.
C. Of the childcare facilities that have an
approved emergency plan and receive child health consultation services funded
by Smart Start 50% (8 of 16) provide
documentation that at least 2 routines from the emergency routines outlined in
the facilities emergency plan have been practiced
·
Assess to
see if facilities with approved plans have exercised at least 2 parts of the
plan by June 30, 2009.
·
Assist
facilities in planning ways to exercise plan.
D. By June 30, 2009 at least 33% (18 of 53) of
children referred for vision, hearing or other health programs by the CCHC will
be diagnosed and treated
·
Follow-up with
parent/guardian of all children in need of referral that child has made a
follow-up visit.
·
Follow-up
with the childcare facility to ensure that child is receiving services.
Home Health Agency
1. Goal: Improve availability of and accessibility to Home
Health services.
Objective: Increase the number of client admissions served
through Home Health by 3%.
Program Activity:
·
Network with local and surrounding county providers.
·
Staff to visit discharge planners at local and regional hospital twice a
year.
·
Staff to visit local MD offices and letters sent to offices once a year.
·
Agency to contact discharge planners at 5 surrounding hospitals once a
year.
·
Solicit suggestions for improvement from current and discharged clients
via program evaluation annually.
·
Solicit suggestions for improvement from physicians via program
evaluation forms once a year.
·
Maintain excellent patient satisfaction survey results from current and
discharged patients twice a year.
·
Marketing/advertising via radio/newspaper once a year regarding home
health services.
·
Staff to visit 4 nursing homes and 3 assisted living centers once a
year.
· Quality patient care will
be maintained and improved as evidenced by 3% improvement of Stanly County Home
Health Agency reportable quality trends: Acute Care Hospitalization and
Improvement in Management of Oral Medications.
2. Goal:
To provide opportunities for staff development.
Objective: All disciplines will attend at least 1
continuing education program this year, and obtain the amount of in-service
credit hours per policy.
Program Activity: (1). Increase staff knowledge of client
care through continuing education; RN’s 16 hours and HHA’s 12 hours of
continuing education.
3. Goal:
Maximize organizational productivity, staff awareness of program
relationships.
Objective: Increase
client participation by 3%.
Program Activity:
·
Network with local and surrounding providers.
·
Review/update policies and procedures annually.
·
Increase/maintain patient census to between 50-60 to accommodate current
staff.
·
Quality Improvement (QI) thresholds to remain at 95% or greater.
·
Increase staff participation and involvement in QI via
participating/monitoring QI activities.
·
Participate in community-wide opportunities to promote awareness of
agency, ie: provide blood pressures at community events, etc.