1. Department of Health and Social Services Division of Public Health Joint Finance Committee Hearing Fiscal Year 2013 Karyl Rattay, MD, MS, FAAP, FACPM Division Director Tuesday, February 21, 2012

2. Delaware Health and Social Services Overview Our vision is healthy people in healthy communities. Our mission is to protect & improve the health of all people in Delaware. DPH partners with others to have the greatest positive impact on the health of all people in Delaware by using available resources in the most efficient way to achieve desired results. Prevention is key to public health.

3. Delaware Health and Social Services What Does Public Health Do? Monitor health status to identify community health problems. Diagnose and investigate health problems and health hazards in the community. Inform, educate, and empower people about health issues. Mobilize community partnerships to identify and solve health problems. Develop policies and plans that support individual and community health efforts.

4. Delaware Health and Social Services What Does Public Health Do? Enforce laws and regulations that protect health and ensure safety. Link people to needed personal health services and assure the provision of health care when otherwise unavailable. Assure a competent public health and personal healthcare workforce. Evaluate effectiveness, accessibility, and quality of personal and population-based health services. Research for new insights and innovative solutions to health problems.

5. Delaware Health and Social Services Making our Dollars Work Harder: Integrating CHAP and Screening for Life Saved more than $100,000 in administrative overhead by consolidating contracting processes. Integrated dual enrollment process to create a “one stop shop” for SFL and CHAP services. Enrolled 600 CHAP clients in SFL. Improved outreach to CHAP clients and coordination across programs.

6. Delaware Health and Social Services Percentage of Adults Ages 50+ Who Have Ever Had a Sigmoidoscopy/Colonoscopy U.S. vs DE, by Race, 2002 - 2010

7. Delaware Health and Social Services

8. FY 13 Governor’s Recommended Budget $328.61% provider rate increase for providers in various programs $480.1Medical Marijuana ASF

9. Delaware Health and Social Services FY 13 Governor’s Recommended Budget Tobacco Funds $13,287.2 Cancer Council Rec. $ 2,880.5Contractual Services $ 653.7Personnel $ 357.4Diabetes $ 529.9Uninsured Action Plan $ 75.0Public Access Defibrillation

10. Delaware Health and Social Services Challenges and Opportunities Obesity & Diabetes

11. Delaware Health and Social Services Challenges and Opportunities Health Equity Age-Adjusted Cancer Incidence Rates in Delaware by Race and Site : 2003-2007

12. Delaware Health and Social Services Our Strategic Priorities Promote Healthy Lifestyles Improve Access To Quality and Safe Healthcare Achieve Health Equity Improve Performance

13. Delaware Health and Social Services