1. FY 2015-16 Budget Worksession Health Services Department July 13, 2015

2. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

3. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

4. Organization Chart Health Services Department Christopher Hunter, M.D., Ph.D. Health Services Department Christopher Hunter, M.D., Ph.D. Mosquito Control Tom Breaud, Ph.D. Mosquito Control Tom Breaud, Ph.D. Orange County Medical Clinic/PCAN Lourdes Markham(Acting) Orange County Medical Clinic/PCAN Lourdes Markham(Acting) Animal Services Dil Luther Animal Services Dil Luther Corrections Health Services Robert Buck, D.O. Corrections Health Services Robert Buck, D.O. Office of the Medical Director, EMS Christopher Hunter, M.D., Ph.D. Office of the Medical Director, EMS Christopher Hunter, M.D., Ph.D. Mental Health and Homelessness Donna Wyche Mental Health and Homelessness Donna Wyche District Nine Medical Examiner Joshua Stephany, M.D. (Acting) District Nine Medical Examiner Joshua Stephany, M.D. (Acting) Office for Drug Free Community Carol Burkett Office for Drug Free Community Carol Burkett

5. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

6. Proposed FY 2015-16 Budget Current FY 2015$ Change Proposed FY 2016 Personal Services$16.8M($0.1M)$16.7M Operating Budget$58.5M($4.1M)$54.4M Budget Change(5.5%) Staffing2461247

7. Proposed FY 2015-16 Budget Picture Current FY 2015$ Change Proposed FY 2016 Capital Improvement Projects $550K$1.1M$1.7M Budget Change204.5%

8. INVEST in Our Home for Life $300 Million

9. INVEST in Our Home for Life Funding directed at further promoting the development of affordable family housing. Housing Initiatives

10. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

11. Accomplishments  Office of the Medical Director – Completed 5 year strategic plan – National recognition of new sepsis protocol  Orange County Medical Clinic/PCAN – Provided secondary care to > 5,000 new patients – Filled > 42,000 pharmacy prescriptions  District Nine Medical Examiner’s Office – National Association of Medical Examiners accreditation

12. Accomplishments  Office For Drug Free Community – Implemented FL Department of Children and Families Partnership for Success grant to prevent underage drinking – Selected to host the Community Anti-Drug Coalitions of America Prescription Drug Community Forum “Finding Solutions to the Opioid Epidemic”  Mosquito Control – Implemented new data tracking and management system – 122 special surveys for the vectors of Chikungunya and Dengue totaling 15,805 parcels

13. Accomplishments  Mental Health and Homelessness – Funded 40 Permanent Supportive housing units for chronically homeless – Began implementation Youth Mental Health Commission of strategies  Animal Services – Increased live release more than 30% – Increased veterinarian coverage to 7 days a week  Ryan White Part A – Updated and simplified contracts – Reorganized accounting system

14. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

15. Budget Challenges Primary Care Access Network  Uncertain Future – Availability of matching funds in jeopardy – The Effects of Low Income Pool program cuts Medicaid Expansion  Affordable Care Act/Improving Economy – Access to insurance

16. Budget Challenges Mental Health Youth Mental Health Commission program funding Mobile Crisis Team (shared cost) Computer Navigation System Community Action Team Expanded Wrap-Around Orange Program

17. Budget Challenges Homelessness  Expanded Plan to Reduce Homelessness – Permanent Supportive Housing - $0.5 M Long-term housing with support services for most vulnerable population Demonstrated to successfully reduce chronic homelessness – Rapid Re-housing and Support Services - $1.5 M Immediate housing solution for families in need Shorter term, with support for finding long-term solution Funding to break barriers to permanent housing solutions

18. Presentation Outline  Organizational Chart  Proposed FY 2015-16 Budget  Accomplishments  Budget Challenges  Summary

19. Summary  Health Services Department proposed budget – 5.5% decrease in operating budget  Budget Challenges – Effects of federal and state funding on PCAN – Implementation of Youth Mental Health Commission projects – Expansion of programs to reduce homelessness

20. FY 2015-16 Budget Worksession Health Services Department July 13, 2015