1. “A Healthier Future for The People of Orange County”

2. Overview: Our Mission Services and Programs Funding Challenges and Strategies Summary

3. Our Mission: “Promote, Protect, and Improve the Health of All People in Orange County, Florida”

4. Our Mission: Achieving Our Mission…. Provide a safety net for the uninsured Prevent and control diseases and disease outbreaks. Develop emergency plans and respond to disasters including staffing special needs shelters.

5. Our Mission: Achieving Our Mission… Provide range of preventive services at 10 primary locations and at schools, homes, and neighborhood centers.

6. Our Mission: The Board of County Commissioners assists us with our mission Chapter 154 is a contract between the state and county The board has authority to participate in our programs, establish county specific programs and to establish fees Joint programs include: PCAN clinic co- locations, Ryan White contracts, environmental health and EPD

7. Our Mission: 1. Apopka 1111 N. Rock Springs Rd. Apopka, 32712 *5. Lake Underhill 5730 Lake Underhill Rd. Orlando, FL 32807 *2. Central 832 West Central Blvd. Orlando, FL 32805 6. Lila Mitchell 5151 Raleigh Street Orlando, FL 32811 *3. Eastside 12050 East Colonial Dr. Orlando, FL 32826 *7. Southside 6101 Lake Ellenor Orlando, FL 32809 *4. Hoffner 5449 South Semoran Orlando, FL 3282 10. Ocoee Healthy Start *8. Ocoee - Winter Garden 1210 East Plant St. Winter Garden, FL 34787 ** 9. Mercy Drive - EVH * PCAN Co-locations ** EPD and EVH at Mercy Drive` OCHD Clinic Sites… 9 10

8. Services and Programs: Personal Health Services… Family Planning- 24,027 visits provided Maternity- 25% of babies born in OC come through OCHD for Pre-natal OB care Dental Care- 51,468 Procedures provided

9. Services and Programs: WIC- 364,271 services provided to over 31,000 OC residents Immunizations- Provided 56,000 baby shots

10. Services and Programs: Personal Health and Disease Control… Tuberculosis and Refugee Health (Second highest infected population in Florida) HIV/AIDS Over 7,000 clients STD Rising Rates Epidemiology- Provide services for local, as well as international population > Legionnaires’ Disease > Amoeba > Measles > Salmonella

11. Services and Programs: General Health… Emergency Operations- Joint emergency operations and special needs shelters Vital Statistics-(2007 to present) Birth Certificates- 69,792 Death Certificates- 62,805 Environmental Health Services- Nineteen programs offered and co-located with EPD.

12. Services and Programs: Community Outreach… Healthy Start/New Moms and babies 17,764 patients (10 month period) School Health 11 th largest U.S. school district Reaches 180,000 OC students

13. Funding: FY 2008

14. Funding: Proposed Cuts/Reduction…. State Revenue.… …$1,073,376 Medicaid Funding...... 397,096 $1,410,072

15. Funding: Budget Cuts and Reductions:  Additional state reduction of up to 8% was announced. This will result in an additional loss of up to $692,121.  This is added to additional $1.6 Million state cuts in last three years alone!

16. Funding: Proposed County Reduction… Orange County proposed charges for utilities, facilities, maintenance, and overhead to OCHD............$950,000

17. Funding Combined Reductions in County and State support : Forces OCHD to cap uninsured patients Eliminate discretionary programs (eg. Maternity, Dental, school health, immunizations) and/or to close up to three sites.

18. Challenges and Strategies: Challenges… Declining economy Increased service demands Increased # of uninsured Increased Infant Mortality Emerging diseases

19. Summary: Strategies … Maximize resources and revenue. Seek out additional grant opportunities. Future consideration of fees to cover increased demand for services and to offer protection for the poor. Draw down of County share/CHD trust fund.

20. Summary: Enhance community partnerships to share resources for greater public health impact. Reduce costs and improve efficiency.

21. Kevin M. Sherin, MD, MPH Director 407-858-1400