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Jefferson County Health Department 2018 Annual Report

Our Mission

Provide Essential Public Health Services to promote and protect quality of life through education, leadership, partnership, prevention and response

Our Vision

Jefferson County Health Department is a highly qualified, trusted team that is nationally recognized for advancing the health and safety of the community

Core Values

  • Passion
  • Integrity
  • Accountability
  • Competence
  • Commitment
  • Adaptable to Change
Board of Directors

John Scullin, Chair

Dennis Diehl, Co-Chair

Tim Pigg, Treasurer

Dr. Amber Henry

Dr. Vernon Cherry

Administration

Kelley Vollmar, Director

Richard Tufts, Assistant Director

Steve Sikes, Operations Manager

Jennifer Pinkley, Administrative Services Manager

2018: By the numbers

Organizational Chart

Vital Records

Family Planning Services

Jefferson County Health Department provides reproductive health care and education through its Title X Family Planning Clinic that enables individuals and families to make informed voluntary decisions about sexuality, reproduction, and parenthood. JCHD ensures that safe, effective and confidential family planning and reproductive health care services are available and financially accessible to all that choose to use our services.

A genuine concern for the client is exhibited and service of the highest possible standard is provided. Clinics are offered five days per week, exams are scheduled by appointment. There is no residency requirement for the Family Planning clinic; at least 25% of clients seen reside in neighboring counties. JCHD operates one of the largest public family planning programs in Missouri.

Pregnancy Testing

Pregnancy testing is done by appointment for those needing this service; however, every effort is made to accommodate those who come to the office without an appointment. Clients who have a positive pregnancy test are provided with Medicaid enrollment information if needed; JCHD offers to send in their application the same day to ensure the most rapid enrollment. With all pregnancy options counseling is offered and referrals are made as needed to ensure healthy outcomes for both mother and baby.

Immunizations

Vaccines are necessary to prevent many diseases in children and adults. They are provided on a daily basis by our Registered Nurses in all Jefferson County offices. Appointments are encouraged but not required. Prior to the administration of any vaccine, a nurse will review the client’s previous immunization record to evaluate what vaccines are necessary at the time of the visit and will provide education regarding the vaccine(s) as needed. Vaccinations at the health center are provided to clients from 6 weeks of age and up. Vaccines are provided for children up to age 19 with Medicaid or who are uninsured at no cost through the Vaccines For Children program (VFC). JCHD is able to offer insurance billing for most plans for children and adults. Other vaccines for under insured or uninsured adults are available for a nominal fee.

Books For Babies

The Books For Babies program is overseen by the Immunization Coordinator and is sustained through grants from the community and fundraisers through the health center. The program ensures that every child ages 6 months through 6 years is provided a book when coming to the health center for immunizations. It promotes literacy in the county and provides a good experience when visiting the health center.

The Wellness Clinic at JCHD

The Wellness Clinic has been developed to provide individuals an affordable option for chronic disease screening and management. Laboratory tests are a critical part of diagnosing and managing chronic diseases such as diabetes and high cholesterol. Being uninsured and/or without a primary care physician can make getting recommended lab testing difficult.

The Wellness Program is designed to help those individuals bridge the gap between unmanaged chronic disease and affordable laboratory testing. Services are available by appointment at all JCHD locations.

Lead Testing and Follow-up

The primary focus of lead testing is for children 6 months to 6 years of age to be screened for elevations in blood lead levels. This age group is at an increased risk for lead poisoning because they are growing rapidly and tend to put their hands or other objects in their mouth. Nurses provide and encourage lead screenings for walk-in clients as well as community groups, such as WIC and Head Start.

Any child with an elevated blood lead level is provided with a follow up screening, educational material and any recommendations that need to take place. For extremely high lead levels referrals and a home inspection by the environmental department are provided. All children are closely monitored until their levels return to normal.

Communicable Disease Control

Screening, treatment, preventive services and referrals are provided for diseases including tuberculosis, sexually transmitted diseases and other communicable diseases. Investigations are conducted and appropriate intervention measures taken in the event of disease outbreaks. Confidential HIV testing, education and counseling is provided.

Show Me Healthy Women

This program offers free breast and cervical cancer screenings for Missouri women who meet the age, income and insurance guidelines listed below:

  • Income < 200% of Federal poverty level for household, and
  • Age 25-64, or older if they do not receive Medicare Part B, and
  • NO insurance to cover program services

Wise Woman

The WISEWOMAN program serves low-income, uninsured, and under-insured women aged 40 to 64 years, with heart disease and stroke risk factor screenings and services that promote healthy behaviors to reduce the risk for heart disease and stroke.

Smiles To Go Youth Dental Van

Smiles To Go started in 2005 with grant funding from the Missouri Foundation for Health as a school based mobile dental program. In 2014 grant funding from the Jefferson Memorial Community Foundation allowed for the purchase of our current upgraded mobile unit. This unit is a 40-foot RV style, 3 state of the art operatories “van” that brings care to the community. Dental services are available to all children up to age 19 year round no matter where the unit is located. All forms of Missouri Medicaid, most private dental insurances as well as the uninsured are eligible for services in this dental home. The unit is staffed with a Licensed Dentist, Certified Dental Assistant, Registered Dental Hygienist and office support staff member.

Senior Smiles To Go Dental Van

Senior Smiles To Go was made possible through a generous grant from the Jefferson Foundation in 2016. A state of the art 45-foot mobile dental unit with 2 operatories, lab, as well as portable dental equipment for bed side services began serving patients on April 30, 2018. The unit has served residents in local RCFs (Residential Care Facilities), as well as from the community, bringing dental care on-site to senior citizens in need in our community. All forms of Missouri Medicaid, most private dental insurance and uninsured seniors are accepted. The unit is staffed with a Registered Dental Hygienist, Certified Dental Assistant with Expanded Functions as well as a Licensed Dentist.

Community Health

JCHD Community Health Network strives to facilitate collaboration with community partners and programs, increase visibility of public health initiatives, and promotion of healthy behaviors. JCHD Health Education implemented several enhancements this year including addition of staff members, new programs, and new titles. The Community Health Network Team has been able to implement health education initiatives to increase county resident health education and healthy lifestyle transformations.

We are excited to introduce Healthy Lifestyle Coach, Resource Navigator, and Community Health Worker programs. Through internal and community wide collaborations JCHD will offer many new opportunities in the upcoming 2019 year, and continue offering exceptional education services.

Community Education Services

  • Dietitian Nutrition Services
  • Fit-Tastic Classes for School Children
  • Healthy Lifestyle Coaching
  • Group Exercise Classes
  • K-12 Presentations
  • Library Fitness Activity Kits
  • Organwise School Presentations
  • Preschool Educator Clock Hours
  • Preschool Children Health Education
  • Smoking Cessation
  • Adult Brain Injury Services
  • Bike Helmet Safety Education
  • Car Seat Safety Checks/Installations
  • Clinical Screenings
  • Community Health Focus Group Discussions

Jefferson County Drug Prevention Coalition

On October 1, 2018, JCDPC's staff became employees of JCHD to manage coalition efforts. JCDPC’s recognition and member participation continue to grow and we are looking forward to even more opportunities to continue to meet future milestones now that the coalition has joined JCHD.

During the Missouri Substance Use Prevention Conference in November 2018, JCDPC received the Milestone Prevention Award from ACT MO. They were recognized for being a leader in community organizing for passing the county wide PDMP, promoting the safe use, storage and disposal of prescription medications.

Through the utilization of the county’s 10 permanent prescription drop boxes, and local Take Back events, over 3,676 lbs. of prescriptions & over the counter medications were collected in 2018.

Jefferson County Health Network

The Jefferson County Health Department along with other health stakeholders in Jefferson County have created a collective vision for improving community health. Jefferson County is rich in health resources to serve the varied needs of its diverse population. However, limited communication between providers has resulted in silos of resources that work simultaneously, but separately toward the same goals. The Jefferson County Health Network (JCHN) has begun to break these silos down and work towards creating a strong collective vision for improving health in Jefferson County. Through collaborative efforts, JCHN is working on a three pronged approach with focus on resources, provider retention and health literacy. These separate task forces include different sectors of the community including, but not limited to, clinical, dental, mental health, social services, education, and emergency response. As additional needs have arose in the county JCHN has come along side providers to facilitate initiatives. One initiative is the creation and implementation of the Jefferson County Suicide Prevention Network. This network is comprised of providers, school districts, and members of the county. Together through education and support we can reach individuals who are at risk for suicide as well as those who love and care for them.

Adult Brain Injury Service Coordination

The ABI program assists Missouri residents, ages 21 to 65, who are living with a traumatic brain injury (TBI). Through service coordination, the program links individuals to resources to enable each person to obtain goals of independent living, community participation, and employment. Individuals who meet financial eligibility requirements may also receive community-based rehabilitation services to help achieve identified goals. Rehabilitation services include counseling, vocational training, employment supports, and home and community based support training. Jefferson County Health Department hosts two ABI Coordinators who serve 7 Missouri counties.

Children and Youth With Special Health Care Needs

The CYSHCN Program provides assistance statewide for individuals from birth to age 21 who have or are at increased risk for a medical condition that may hinder their normal physical growth and development and who require more medical services than children and youth generally. CYSHCN focuses on early identification and service coordination for individuals who meet medical eligibility guide-lines. As payer of last resort, the CYSHCN Program provides limited funding for medically necessary diagnostic and treatment .

Emergency Response Services

Jefferson County Health Department’s contract with the Missouri Department of Health and Senior Services and State Emergency Management Agency, focused on all hazards emergency response planning and preparedness, was renewed for 2018/2019 effective July 1, 2018. Emphasis and deliverables contained in the contract scope of work surround an all-hazards approach to planning and the preparedness of JCHD/ER for response to a broad spectrum of public health related incidents, including naturally occurring, accidental, or terrorism related /criminally focused type events. Cities Readiness Initiative (CRI) planning and implementation continues with increased emphasis surrounding regionalized coordination of public health response efforts as a primary focus.

Jefferson County Health Department’s Emergency Response Section training expertise has been recognized as a model at both the state and federal levels. Emergency Response training is provided to health department employees and throughout the region including the private sector, emergency response agencies, and elected officials.

Vector Control

Why is Mosquito Surveillance and Control Important? Mosquitoes are more than a nuisance. They are historic carriers of diseases that affect humans and animals worldwide. Global circulation of these diseases and constantly evolving local activity of new vector borne disease require maintenance of local expertise and infrastructure for surveillance and control of mosquitoes.

JCHD provided technical assistance to county municipalities with existing mosquito control programs and assisted municipalities that do not have mosquito control through contracted control activities and surveillance in 2018. The program is also recognized as a leader in mosquito surveillance and assists with the development and training of public health partners from other health agencies in the region, as well as local university students.

Reportable Conditions

Certain illnesses are required by law to be reported to health agencies for surveillance purposes. These reports often prompt further investigation by the Communicable Disease Investigation Team. The Team is able to identify current and potential threats to our local public’s health through these investigations. The results are used to develop strategies to prevent the spread of future disease.

During 2018 there were a large number of national food borne illness outbreaks. Notably, two outbreaks involving romaine lettuce, and one outbreak involving salads sold at McDonalds restaurants occurred. The JCHD communicable disease team investigated cases that were possibly related to these outbreaks and cooperated with State health officials to help mitigate any possible further illness.

Tuberculosis Program

Screening, education, referral, and treatment are provided for clients with tuberculosis infection and tuberculosis disease. Clients with insurance are provided a referral as needed. Changes to health care have resulted in changes to our follow up. Follow up with clients that seek care from a private provider or private pharmacy include phone calls, faxes, and letters to collect information.

Our department partners with an Infectious Disease Physician to offer a monthly clinic for uninsured and under insured clients by participating in the Diagnostic Services Program. The purpose of the clinic is to evaluate those with a positive PPD (skin test), positive IGRA (blood test), or signs and/or symptoms of tuberculosis disease. This clinic is also offered to neighboring counties without access to a physician for medical services. Case management is provided by the Public Health Investigative Nurse for all persons with tuberculosis infection or tuberculosis disease in Jefferson County.

Environmental Services

JCHD’s Environmental Services Section employs a certified team of professionals who strive to provide the highest standard in environmental public health services. This team works daily to carry out the mission of public health: to protect, promote, and improve health and quality of life for residents of our community.

FDA Voluntary National Retail Food Regulatory Program Standards

The Voluntary National Retail Food Regulatory Program Standards (Retail Program Standards) define what constitutes a highly effective and responsive program for the regulation of foodservice and retail food establishments. They begin by providing a foundation and system upon which all regulatory programs can build through a continuous improvement process.

The Retail Program Standards are intended to reinforce proper sanitation (good retail practices) and operational and environmental prerequisite programs while encouraging regulatory agencies and industry to focus on the factors that cause and contribute to food borne illness, with the ultimate goal of reducing the occurrence of those factors. 2018 was another successful year for Jefferson County Health Department regarding the FDA Voluntary National Retail Food Regulatory Program Standards.

Grants Awarded to Sustain Program Standards

In 2018, the Environmental Services Department was awarded 3 grants to help sustain Food Safety activities. The first grant will provide ~$12,000 to update and enhance computer software and hardware. This will allow continued use of electronic means to capture inspections in the field. This includes continuing enhancements made to our Enspectsoft program and upgrading our tablets for use in the field.

The second grant was awarded for staff training related to food safety. Three members of our staff will be attending different FDA courses around the country. The third grant was awarded to allow continuation of our Environmental Outreach Program. This includes a Food Safety Task force which engages people working in the food industry in our county and recognizes outstanding sanitary practices.

We salute our partners who help us provide access to care

2018: A Year in Review

To view a complete copy of our 2018 Annual Report, please visit http://www.jeffcohealth.org/reports

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