1. Welcome to Walla Walla— the land of wheat, wine and windmills… Department of Community Health Presentation to the Washington State Board of Health Harvey R. Crowder, DVM, MS, DACVPM

2. Agenda The Department –Merger of Health and Human Services Regional Support

3. Department of Community Health Combined public health and human services –July 1, 2014 Total Combined Budget of $6.25M Staff of 29 (Plus two CDC Public Health Associates this year) –4 RN –4 RS –1 RD –1 MD –1 DVM –7 with Masters-level public health training Great relations with staff, faculty and students from: – Our medical community (Providence, Adventist Health, Walla Walla Clinic, Family Medical Center, VA Medical Center), Academia (Whitman College, Walla Walla University, Walla Walla Community College, Washington State University) and others

4. Our Structure

5. Our Budget – 2010-2015 2010$2.05M 2011$1.83M 2012$1.77M 2013$1.75M 2014$1.71M Actual Expenses

6. Our Work Places

7. Regional Support Columbia County –Environmental Public Health –Access to Baby and Child Dentistry –Developmental Disability –Health Officer Garfield County –Environmental Public Health Whitman County –Electronic Medical Record (Trial Coming Soon!) Confederated Tribes of the Umatilla Indian Reservation –Environmental Public Health Training Regional Support Works –But ONLY if it benefits both sides EQUALLY—both the provider and the receiver

8. And… Challenges –Aging leadership and workforce –Limited opportunities for advancement –Increased ID / STI work Opportunities –Integrated HS / PH is an opportunity to really influence social determinates of health –Great community support –Great support from community leadership –Collective Impact

9. Questions? hcrowder@co.walla-walla.wa.us 509.524.2655