District Health Department #10
District Health Department #10
Evelyn Kolbe Oceana County Commissioner Chair, DHD#10 Board of Health
1
Associated Relationship DHD#1 DHD#5 M-M District HD Mecosta Co. HD
Kalkaska Crawford 16,571 14,273
Manistee 24,527
Wexford 30,484
Missaukee 14,478
Mason 28,274 Lake 11,333
Oceana 26,873
Newaygo 47,874
Mecosta 40,553
Lansing r
Established Sharing aRegional BOH Mtgs aHealth Officer/Medical Director aMIS Services aCommunity Health Assessment aBCCCP
2
Consolidation Issues a“Self Determination” of Public Health Service Area aAccreditation Requirements aLeverage of Financial & Staff Resources aImproved Efficiencies
District Health Department #10 2000 Census 255,240 Population Established-10/01/1997 Kalkaska 16,571 Manistee 24,527
Mason 28,274
Oceana 26,873
DHD #10 Rhode Island Delaware Connecticut
Wexford 30,484
Crawford 14,273
Missaukee 14,478
Lake 11,333
Newaygo Mecosta 47,874 40,553
Lansing r
5,796 Sq. Miles 1,214 Sq. Miles 2,057 Sq. Miles 5,009 Sq. Miles
3
Timeline a1985 Consolidation Concept presented at Regional BOH a1996 MDCH Consolidation Grant Awarded a10/96 Consolidation Steering Committee Established a2/97 First Steering Committee Mtg.
Timeline Con’t a7/97 First County Resolution Passed in Support of Consolidation a9/16/97 Last County Resolution Passed a9/29/97 DHD#10 BOH Organizational Mtg. a10/1/1997 First Day of Operation-DHD#10
4
Memorandum of Agreement aEstablish 10 County Health Dept. aEstablish 20 Member BOH aFreeze General Fund Appropriations for 3 Years aTransfer of all Assets and Liabilities aDevelop Unified Sanitary Code. aEstablish Oct. 1 thru Sept. 30 as Fiscal Year
Items Resolved Prior to Consolidation aBOH Bylaws Established aAgency Mission Approved aOrganizational Structure Approved aPersonnel Policies Approved aCounty Appropriation Formula Approved
5
Items for Consideration after Consolidation aKey Director Level Positions Designated aSpace Formula aBuilding an Identity aProgram Uniformity aBoard Trust
Strengths aBOH Member Participation in Steering Committee aStrong Bylaws aEstablished Relationships aCommitment to Employees
6
Challenges aFinancial aHuman Resource aStaff Emotions aTimeframe aClear Definitions
Financial aChange Legal Name aNew Tax ID Number aClose Books for 4 Departments aFour Budgets into One aNew Accounts Established with Vendors & Contractors
7
Human Resource aAll Employees Terminated aEmployees Offered Positions with DHD#10 aNew Fringe Benefit Package for Employees Hired after 10-1-97 aAligned Salary Scale, Hours of Work, Retirement Benefit
Human Resource Cont. aOut of Social Security/Vote Needed for Reinstatement aOffered Retirement Incentive
8
Lessons Learned aGet Commitments in Writing aIdentify Incentives for Consolidating-State/Local aClarify Roles and Responsibilities in Planning Process aContinue Strong BD. Involvement once Consolidated aPossible BD. Transition Team Working with Administration
Where we are Today! aReduced FTE.s aHome Care Assets Sold aReduced MDCH Funding a2001---2.5% Increase in County Appropriations Increases 2001 thru 2010 a2003 Appropriations Changed All counties provide Health Dept. Space Allocation based upon per capita
9
Where we are Today! aStrengthening Employee Morale Employee Satisfaction Survey completed twice with positive findings aBOH Accepting County Diversity aStrategic Plan in Place aVision, Mission, Core Values in Place aAgency is Financially Viable – increases to fund balance
Thank You
Questions/Comments
10
Evelyn Kolbe Oceana County Commissioner Chair, DHD#10 Board of Health
1
Associated Relationship DHD#1 DHD#5 M-M District HD Mecosta Co. HD
Kalkaska Crawford 16,571 14,273
Manistee 24,527
Wexford 30,484
Missaukee 14,478
Mason 28,274 Lake 11,333
Oceana 26,873
Newaygo 47,874
Mecosta 40,553
Lansing r
Established Sharing aRegional BOH Mtgs aHealth Officer/Medical Director aMIS Services aCommunity Health Assessment aBCCCP
2
Consolidation Issues a“Self Determination” of Public Health Service Area aAccreditation Requirements aLeverage of Financial & Staff Resources aImproved Efficiencies
District Health Department #10 2000 Census 255,240 Population Established-10/01/1997 Kalkaska 16,571 Manistee 24,527
Mason 28,274
Oceana 26,873
DHD #10 Rhode Island Delaware Connecticut
Wexford 30,484
Crawford 14,273
Missaukee 14,478
Lake 11,333
Newaygo Mecosta 47,874 40,553
Lansing r
5,796 Sq. Miles 1,214 Sq. Miles 2,057 Sq. Miles 5,009 Sq. Miles
3
Timeline a1985 Consolidation Concept presented at Regional BOH a1996 MDCH Consolidation Grant Awarded a10/96 Consolidation Steering Committee Established a2/97 First Steering Committee Mtg.
Timeline Con’t a7/97 First County Resolution Passed in Support of Consolidation a9/16/97 Last County Resolution Passed a9/29/97 DHD#10 BOH Organizational Mtg. a10/1/1997 First Day of Operation-DHD#10
4
Memorandum of Agreement aEstablish 10 County Health Dept. aEstablish 20 Member BOH aFreeze General Fund Appropriations for 3 Years aTransfer of all Assets and Liabilities aDevelop Unified Sanitary Code. aEstablish Oct. 1 thru Sept. 30 as Fiscal Year
Items Resolved Prior to Consolidation aBOH Bylaws Established aAgency Mission Approved aOrganizational Structure Approved aPersonnel Policies Approved aCounty Appropriation Formula Approved
5
Items for Consideration after Consolidation aKey Director Level Positions Designated aSpace Formula aBuilding an Identity aProgram Uniformity aBoard Trust
Strengths aBOH Member Participation in Steering Committee aStrong Bylaws aEstablished Relationships aCommitment to Employees
6
Challenges aFinancial aHuman Resource aStaff Emotions aTimeframe aClear Definitions
Financial aChange Legal Name aNew Tax ID Number aClose Books for 4 Departments aFour Budgets into One aNew Accounts Established with Vendors & Contractors
7
Human Resource aAll Employees Terminated aEmployees Offered Positions with DHD#10 aNew Fringe Benefit Package for Employees Hired after 10-1-97 aAligned Salary Scale, Hours of Work, Retirement Benefit
Human Resource Cont. aOut of Social Security/Vote Needed for Reinstatement aOffered Retirement Incentive
8
Lessons Learned aGet Commitments in Writing aIdentify Incentives for Consolidating-State/Local aClarify Roles and Responsibilities in Planning Process aContinue Strong BD. Involvement once Consolidated aPossible BD. Transition Team Working with Administration
Where we are Today! aReduced FTE.s aHome Care Assets Sold aReduced MDCH Funding a2001---2.5% Increase in County Appropriations Increases 2001 thru 2010 a2003 Appropriations Changed All counties provide Health Dept. Space Allocation based upon per capita
9
Where we are Today! aStrengthening Employee Morale Employee Satisfaction Survey completed twice with positive findings aBOH Accepting County Diversity aStrategic Plan in Place aVision, Mission, Core Values in Place aAgency is Financially Viable – increases to fund balance
Thank You
Questions/Comments
10
