Johnston County Public Health Strategic Action Plan - 2010 through 2014

10 JCPH Strategic Action Plan - 2010 – 2014 Mission To provide quality healthcare , promote a safe environment , and partner with the citizens of Johnston County to improve healthy lifestyles The Mission encompasses four basic core functions Assessment Policy Development Assurance Health Promotion Revised December 2011Page1 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 The objective of this document is to identify and set priorities for operation of the Department for the next four years Priorities are based upon statistical data relative to the health status indicators of the Johnston County population ongoing population growth of the county community surveys and assessment experience and expertise of staff in identifying resources and needs Community Health Assessment and SOTCH Report The areas of priority in this document are intended to outline areas of emphasis based on community needs These are not intended to exclude or discourage any existing or other program goals or interests The Health Director , Board of Health , and Management staff will continue to address current health problems issues and intervene with appropriate practice This plan will serve as a road map with modification and intervention , and evaluation as the ongoing methodology of operation Johnston County Health Department strives to meet the essential function of public health which is the foundation of the Strategic Plan Strategic Action Plan This plan is to reflect the areas of focus of the Johnston County Health Department for the years 2010 – 2014 The Johnston County Health Department is committed to implementing the plan to improve the health status of the residents of Johnston County The Administrative Team and Board of the Johnston County Health Department strive to be an agency that seeks to achieve the following guiding principles Department seeks Local Health Department Accreditation Standards as defined in policies and procedures for all current programs Expand and provide services that are based on community need Quality assurance program that assures quality service Maintain internal collaboration and communication Maintain a qualified workforce Expand service availability as necessary Provide a comprehensive response to public health emergencies Maintain adequate physical facilities to meet community needsPage2 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 The Strategic Planning Committee identified our strengths , weakness and gaps that impact the delivery of service to the community They are as follows Strengths Weaknesses Opportunities Threats Core public health Ability to fill Health Bilingual staff focus vacant Net Safety Net Lack of public Community Health professional System transportation Education positions in a Electronic Full - time Strong partnerships timely manner Health Record preparedness and collaboration Adequate Maintain coordinator Competent well staffing for Accreditation Extended trained staff timely Special Medical operational Support for appointments Needs hours continuing education Clinical health Committee with for employees education community Comprehensive Adequate involvement clinical services number of Technology used to bilingual staff improve services Number of Access to bilingual IT Billing staff staff Grant funding - allows innovation Educational opportunity for cultural diversity Preparedness coordination through county government Physical location of public health facilities Accredited Health Department Strong collaboration with community colleges and universities Primary Care Clinic Local Government funding and supportPage3 Johnston County Public Health Department Strategic Action Plan – 2010 - 2014 Strategic Goals To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Provide a coordinated response to a public health event or communicable Goal 2 disease outbreak Ensure environmental health and safety through reduced exposure to unsafe Goal 3 food and an unsanitary environment Ensure safe lodging Maintain a competent public health workforce that has had training on HIPAA , Goal 4 OSHA , Public Health Law , Public Health Preparedness , and any necessary training to perform job description Increase public awareness of public health programs and services in Johnston Goal 5 County PagePage pageNumber54 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 GOALS & OBJECTIVES 1 To improve the health status and prevent premature death for all residents of Johnston County To reduce teen pregnancy by 2 2005 – 2009 rate was 538 Increase the percent of women receiving prenatal care in first trimester by 2 The rate was 880 in 2005 - 2009 Decrease low birth weight rate by 2 In 2005 - 2009 the rate was 80 Reduce the diabetic death rate by 2 In 2008 the rate was 254 Increase the number of diabetics who are controlling their diabetes by monitoring blood glucose levels To reduce the death rate of breast cancer by 2 The 2009 death rate was 202 Increase the number of women reporting mammogram screening Reduce the rate of CVA and Heart Disease ; reduce the death rate resulting from CVA and heart disease by 2 In 2008 the rate was 489 Reduce the rate of Adult and Childhood obesity by 2 The percent of children ages 2 - 4 was 186 in 2009 For children ages 5 - 11 the percent was 293 in 2009 The 2009 overall obesity BMI of 30 or = rate for Adults and Children in Johnston County was 386 Improved health status of Johnston County population through continued Primary Care Clinics , to provide health care for uninsured citizens The uninsured rate in 2009 was 200 To ensure all children served by Johnston County Health Department are properly immunized and listed in NCIR ; to continue a comprehensive immunization program The Health Department rate in 2010 was 93 The County rate was 68 Decrease smoking including teens and exposure to second hand smoke Reduce the number of Johnston County residents that smoke by 2 The rate in 2009 was 193 Promote good Dental Health to access and refer for appropriate care The number of children with dental decay in 2009 was 10 Increase services to meet the Primary Care needs of the growing population especially the Spanish speaking population PagePage pageNumber65 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 GOALS & OBJECTIVES continued 2 Provide a coordinated response to a Public Health event or communicable disease outbreak Maintain a communicable disease surveillance and reporting system that will allow for timely reporting and intervention as required by NC Communicable Disease Laws , increase communicable disease reporting from outside medical facilities Maintain a current All Hazard Plan and a coordinated response to a bioterrorism event or communicable disease outbreak , to be positioned for the competent management of hazardous materials , a bioterrorism event , or a communicable disease outbreak 3 Ensure Environmental Health and Safety through reduced exposure to unsafe foods and unsanitary environmental conditions Ensure safe lodging and environmental health and safety Maintain current monitoring system of food , food handlers , and lodging facilities and environmental safety issues 4 Maintain a competent Public Health workforce that has had training on HIPAA , OSHA , Public Health Law , Public Health Preparedness , and any necessary training to perform according to job descriptions Recruit and retain competent staff and reduce voluntary external turnover rate by 5 The present turnover rate is 11 5 Increase Public awareness of Public Health Programs and services in Johnston County To inform and keep citizens of the County informed of current health issues , available services , and educational programsPagePage pageNumber76 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Community Health Assessment Preface The community diagnosis is the health department’s mechanism of assessing the County’s health status by utilizing the statistical data that is available to us , our knowledge of economic factors , and social influences within the County Statistical data sets were researched from a variety of sources including , US Census , State Data Center , NC Employment Security Commission , NC Department of Commerce , Federal Statistics , Center for Disease Control , National Institutes of Health and numerous others The data from these various sources will be somewhat different based on the comparative analysis utilized However , a fairly close picture of the health needs and resources is developed herein A community assessment is a continued work in progress The top six priorities identified in the 2010 - 2014 Community Assessment are 1 Heart Disease CVD 2 Diabetes 3 Obesity 4 Cancer 5 Access to care 6 Unintentional injury Health Priorities & Important Points in the Johnston County Community Diagnosis The top health concerns expressed by the citizens of Johnston County through the Community Health Survey that relate to Public Health are the following Obesity Diabetes Teen Pregnancy Motor Vehicle Accidents Heart Attacks and Strokes CancerPagePage pageNumber87 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 The assessment identified several issues that are non medical that affect Health Care and these include Geography Johnston County is becoming less rural because farmland is turning into subdivisions due to growth Population Growth The projected population growth rate for Johnston County is 346 for 2010 - 2020 thus , increasing the need for Health Care Ethnicity of the Population The increase in the Latino population grew from 103 in 2005 to 117 in 2009 In 2010 , there were 2,257 births in the county and 467 were to women of Hispanic descent , representing 207 Poverty 174 of residents were identified at poverty level Twenty percent of residents between the ages of 0 - 64 received no health insurance benefits In Johnston County , 27,600 individuals are eligible for Medicaid which represents 16 of the total population Education Only 173 of the county’s population has a bachelor’s or higher degree level of education The higher the education attainment , the higher the income and higher affordability of Health Care Medical Care Issues The percent of women receiving prenatal care in first trimester of pregnancy needs to increase The percent of teen pregnancies , particularly 10 - 14 years old , has increased The rate of Gestational diabetes mellitus has increased in recent years High parity and short birth intervals among pregnant women in Johnston County remain high but lower than the State rate PagePage pageNumber98 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Recent data indicates that the percent of obese children ages 2 - 4 was 186 in 2009 For children ages 5 - 11 , the percent was 293 in 2009 Type II Diabetes is being more frequently diagnosed in adolescents Morbidity or disease management is a major concern for children Heart Disease , Cancer , CVA , Respiratory Diseases , Accidents , and Diabetes continue to plague our community and correlates to mortality and morbidity data Tuberculosis rates are lower ; however , there is a concern with resistant cases and co - infection with HIV Chlamydia , Strep infection group A , and Cryptosporidiosis are the most significant communicable disease increases Food borne illness , Camphylobacter and Rocky Mountain spotted fever are the highest reported cases Increase the number of dentists accepting Medicaid The projected county growth may affect air and water quality Johnston County Health Department’s objective is to prevent illness , disease , injury , promote healthy living , and to keep the environment clean , healthy and safe The needs of the community are identified through the Needs Assessment Process and state database information that were reviewed and analyzed Johnston County Health Department functions in accordance to the regulatory agencies , state laws , and is accountable to the office of Johnston County Government The Board of Health functions to assist with the leadership , policy development , assessment , and planning for the current and projected health needs of the county residents Proactive planning and community education training will ensure available health care Rapid population growth has and will continue to increase the service demands of the entire organization and future health issues such as Bioterrorism Johnston County Health Department has been aggressive in order to be positioned to provide health care for the population The current medical facility was constructed utilizing joint planning with the hospital so that services could be shared and easily accessible to each facility This facility is one of the few health departments in the State that provides primary care services five days per week Currently , there are four physician positions including the Health Director and five mid - level positions that staff all clinics The Electronic Medical Record links access to various hospital computerized programs and are a valuable asset Patient information is readily available in the Emergency and Obstetrical Units for health department patients and likewise for the hospital North Carolina Electronic Disease Surveillance System links the local Health Departments to the state for the purposes of communicable disease reporting Page09 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Quality Assurance is an ongoing process in each department The information reported at quality assurance meetings is reported to the Health Director The Health Director and the Board of Health review and utilize this information to do organizational and strategic planning A Board of Health member actively participates in the writing of the Strategic Plan The Community Health Assessment , SOTCH Report , and Strategic Plan are approved by the Board of Health Planning and recommendations are made based on the use of current data and organizational need During the annual Strategic Plan Review and throughout the year , the Board of Health has opportunity for discussion and approval of the overall Department objectives Page110 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Department WorkplanPage211 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 1 To reduce teen pregnancy rate by 2 Baseline Data The teen Pregnancy Rate for Johnston County girls ages 15 - 19 in 2009 was 538 per 1,000 as compared to the State Rate of 560 The 2010 pregnancy rate for girls 15 - 19 years old in Johnston county was 499 compared to the State rate of 497 In the same age range , there was a decrease in Johnston County Teen Pregnancy number from 315 in 2009 to 278 in 2010 CHA Priority addressed Teen Pregnancy Activities Lead Person Partners Timeframe N new ; E existing Continue current task force addressing issues Health Education E - Adolescent Ongoing CH – MD Pregnancy Pediatrics Coalition , APP Program Maintain Family Planning at hours convenient WH Program E - Family Ongoing to teens Manager Planning Advisory Council – Media Review Encourage programs as “ Baby Think It Over ” Health Educators E - Johnston Ongoing County Schools Community Education Health Educators E - APP Program Ongoing Family Planning Contraception Availability WH Program E - Realo Drug Ongoing Johnston County School Peer Education Johnston County E - Johnston Ongoing Program PEP for sexual health School System County SchoolsPage312 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 2 Increase the percent of women receiving prenatal care in first trimester by 2 Baseline Data Increase the percent of women receiving prenatal care in first trimester by 2 The rate was 880 in 2005 - 2009 CHA Priority addressed Late Prenatal Care Activities Lead Person Partners Timeframe N new ; E existing Maternal Health Program WH Program E - DSS , Private Ongoing Manager OB - GYN Educational programs on importance of early Health Educators E - Local OB - Ongoing prenatal care WIC Staff GYN Physicians Encourage early prenatal care through media Health Educators E - County Health Annually and community education programs and WIC Staff Fairs , Radio and September county - wide health fair Television CCNC , Obstetrical Care Managers working Johnston County N - Providers Ongoing with pregnant women in private practices and Health Department providing OB Public Health to reduce complications in care in the county pregnancy through early access to care Page413 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 3 Decrease low birth weight rate by 2 Baseline Data The Johnston County low birth weight rate in 2005 - 2009 was 80 compared to the State rate of 91 CHA Priority addressed Low Birth Weight Activities Lead Person Partners Timeframe N new ; E existing Community Education Health Educators E - Schools , DSS , Ongoing Johnston Health Educational programs on importance of early Health Educators E - DSS - Ongoing prenatal care WIC Staff Pregnancy Coalition , Johnston Health Encourage early prenatal care through media Health Educators E - DSS - Annually and community education programs and WIC Staff Pregnancy September county - wide health fair Coalition , Local Radio and Television CCNC , Obstetrical Care Managers working Johnston County N - Providers Ongoing with pregnant women in private practices and Health Department providing OB Public Health to reduce complications in Care pregnancy through early access to carePage514 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 4 Reduce the diabetic death rate by 2 In 2008 the rate was 254 Increase the number of diabetics who are controlling their diabetes by monitoring blood glucose levels Baseline Data In 2008 , Johnston County had a 254 death rate per 100,000 population This compares to a NC rate of 230 per 100,000 population in 2008 Diabetes is the th 7 leading cause of death in Johnston County CHA Priority addressed Diabetes Activities Lead Person Partners Timeframe N new ; E existing Provide Primary Care on sliding fee scale Health Director E - Labcorp Ongoing PCC Program N - Johnston Manager Health - Project Access N - Health Net Diabetic education through Primary Care Health Educators E - Johnston Ongoing clinics PCC Program Health Education Manager Provide Diabetic Education Health Educators E - Local Ongoing PCC Program pharmacies , Manager Johnston Health , JC Diabetic Cooperative Education Program Extension Enroll in Medication Assistance Program and PCC Medication E - Drug Ongoing assist with Diabetic Supplies Nurse Companies N - Health Net Community education through media County Health Educators E - Radio and Ongoing wide health fair and health screenings Television , Agriculture Extension , Johnston HealthPage615 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Johnston Goal 1 County Objective # 5 To reduce the death rate from breast cancer by 2 Increase the number of women reporting mammogram screening Reduce the cancer rate in Johnston County through education and early detection rd Baseline Data In North Carolina , breast cancer is the 3 leading cause of cancer related death It is anticipated that 1,350 women will die of breast cancer in 2011 State rate in 2005 - 2009 was 235 The 2005 - 2009 county rates for breast cancer were 214 CHA Priority addressed Cancer Activities Lead Person Partners Timeframe N new ; E existing Educational programs on Self - Breast Exam BCCCP Program E - American Ongoing Manager Cancer Society , Health Education Johnston Health Supervisor Media coverage on warning signs and symptoms of Health Education E - Local Ongoing Cancer Supervisor Newspapers , Local BCCCP Coordinator Radio and Television Increase mammography availability BCCCP Coordinator E - Johnston Health , Ongoing Adult Health Manager Local Physicians , YWCA Encore Plus in Raleigh Annual screening exams BCCCP Coordinator E - Local Ongoing Adult Health Manager Physicians , Project Access Preventive Community Education Health Education E - American Ongoing Supervisor Cancer Society , Johnston Medical Supply Provide services through NC BCCCP BCCCP Program E - Johnston Health , Ongoing Coordinator Local Surgeons , Adult Health Manager Smithfield RadiologyPage716 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 6 Reduce the death rate resulting from and heart disease by 2 Baseline Data Heart Disease is the # 1 cause of death in Johnston County The percent of deaths in Johnston County in 2009 was 284 compared to NC 223 CHA Priority addressed Heart Disease Activities Lead Person Partners Timeframe N new ; E existing Provide community education on risk reduction PCC Program E - State Wise Ongoing Provide education in Primary Clinic on warning Manager Woman Project , signs Health Educators Johnston Health BCCCP WW Education Coordinator Department Encourage healthy lifestyles through PCC Program E - Johnston Ongoing implementation of the “ Healthy Living Manager Health Education , Initiative ” Health Educators Agricultural BCCCP Coordinator Extension N - CCWJC Provide screenings through Wise Woman PCC Program E - Health Net and Ongoing Project Manager local Physicians Wise Woman CoordinatorPage817 Johnston County Public Health Department Strategic Action Plan – 2006 – 2010 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 7 Reduce the rate of Adult and Childhood obesity by 2 Baseline Data The 2009 County Obesity rate BMI gt; 30 was 386 compared to the NC rate of 301 CHA Priority addressed Obesity Activities Lead Person Partners Timeframe N new ; E existing Continue multidiscipline task force and expand Health Educators N - Schools , Ongoing involvement with schools and parents Assistant Health Health Quest , Director Clayton Fitness Center Public education to include increased physical Health Educators E - Schools , Ongoing activity and healthy eating habits through Assistant Health School Health newsletters and educational programs Director Advisory Council SHAC Walk For Health , Every Step Counts Health Educators N - Living Well Annually Partnership , Boys & Girls Club , Jr Women Club , Housing Project Nutritional Counseling WIC Nutritionist E - Johnston Ongoing Health Education Team School Garden Program Cooperative E - JCHD , Ongoing Extension Schools , Cooperative ExtensionPage918 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 8 Improved health status of Johnston County population through continued Primary Care Clinics Baseline Data Johnston County is one of the fastest growing counties in the State A 31 increase in growth is expected from 2010 - 2015 The availability of Primary Care especially the 174 of residents below poverty level remains a need The NC Center of Health Statistics polled a small number of Johnston County residents in 2009 by phone and found the following results Percent rate in 2009 35 were in poor health 164 had no current health insurance 301 rate had no personal doctor 751 rate could not see a doctor due to cost 353 rate are disabled CHA Priority addressed Affordable Health Care Activities Lead Person Partners Timeframe N new ; E existing Provide care for patients without access to PCC Program N - Health Net Ongoing private physician Manager E - JMH , Labcorp , PMAP Focus on prevention and health care Health Education E - JMH , Living Ongoing maintenance Supervisor Well Partnership , Program Managers Health Net Establish off site clinics if necessary Health Director N - JMH , Living Evaluated Well Partnership , Annually July Health Net Assist with medications for qualifying patients PCC Medication E - PMAP , Ongoing Nurse Pharmacies , Health Net Provide low cost lab services Lab Supervisor N - Health Net Ongoing PCC Program E - Labcorp Manager Assist patients in securing referral services Providers E - UNC , ECU , Ongoing Program Managers Local Specialist , Health Net N - Project Access , Refer to Johnston County Health Net PCC Program Ongoing CommWell , Manager Benson Area Medical Center , Johnston HealthPage019 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 9 To ensure all children served by Johnston County Health Department are properly immunized and listed in NCIR Baseline Data The Johnston County Health Department immunization rate for children up to date on immunizations by age 24 months was 93 The private physician rate is 68 which reflects inconsistent use of the NCIR Immunization Registry CHA Priority addressed Communicable Disease Activities Lead Person Partners Timeframe N new ; E existing Continue collaboration with school health Immunization E - School Health Ongoing nurses and local providers Program Nurse Nurses , Local Coordinator Providers Documentation in NCIR Immunization E - State NCIR Ongoing Program Nurse Consultant Coordinator Staff Nurses Community education through festivals , Health Director E - Local City Ongoing website , and health fair Health Education Planner Supervisor Continue documentation of vaccines in NCIR Immunization E - Local Ongoing given by private providers from the Vaccine Coordinator Physicians Administration Log Encourage private providers to participate in the Immunization E - Local Ongoing NCIR Coordinator Physicians State Immunization ConsultantPage120 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 10 Decrease the number of Johnston County residents including teenagers , that smoke or are exposed to second hand smoke by 2 Baseline Data Based on the 2009 survey of 300 - 400 residents , the NC State Center for Health Statistics found that 193 of Johnston County residents smoke It remains factual that heart disease and cancers of trachea , bronchus , and lungs are a leading cause of death CHA Priority addressed Cancer and Respiratory Disease Activities Lead Person Partners Timeframe N new ; E existing Maintain smoke free workplace and grounds Health Director E - Johnston Ongoing Health , County Government Enforce the Regulations regarding the ban on Environmental N - DPH , State Ongoing smoking in restaurants and bars Health ABC Board , Local Law enforcement Support No Smoking Programs in school Health Director E - County School Ongoing Health Education Board Supervisor Provide Smoking Cessation Programs Health Education E - Johnston Ongoing Staff Health , Johnston County N - Schools , ACS , American Lung Association Continue to utilize NC Quit Line Health Educators E NC Quit Line Ongoing PCCPage221 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 11 Promote good Dental Health through increased access and referral to appropriate dental care Baseline Data Johnston County average for children in Kindergarten with untreated tooth decay was 10 in 2009 compared to state average of 18 CHA Priority addressed Dental Health Activities Lead Person Partners Timeframe N new ; E existing Assist with necessary planning and referrals for Public Health Dental E - Public Health Ongoing dental health services Hygienist Dental Hygienist Clinic Managers Community education on available resources Health Education E - CommWell Ongoing Supervisor Health , Local Public Health Dental Dentists Hygienist Provide screening for dental health through all Program Managers E - State Dental prn - Referrals clinics Health Hygienist Collaboration with State Dental Hygienist Health Director E - Dental Ongoing Dental Health Hygienist Hygienist Fluoride Treatment Program ages 6 months Child Health Program E - Dental Ongoing through 3 ½ years Manager Hygienist , Local DentistsPage322 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 12 To provide Adult and Childhood Primary Care to meet the needs of increase population growth especially among the Latino population To provide Primary Care to the increasing unemployed and uninsured population Baseline Data Johnston County is one of the fastest growing counties in NC In 2010 Johnston County’s Hispanic population was estimated to be 129 The majority of the Hispanic population is without health insurance or a primary care physician Data also reflects that in 2010 , 200 of county residents were uninsured and in 2009 , 208 of the population were Medicaid eligible CHA Priority addressed Increased Hispanic Population Activities Lead Person Partners Timeframe N new ; E existing Continue Primary Care clinics Health Director E - Johnston Ongoing PCC Program Health , Lab Corp , Manager Health Net Child Health Program Manager Expand clinic capabilities as staffing allows Health Director E - Health Net , Ongoing County Commissioners , Board of Health Educational programs on preventive health Health Director , E - Local Ongoing maintenance Program Managers , Churches , Civic Health Educators Clubs , Schools Education on available resources Health Educators E - Johnston Ongoing Program Managers Health , Human Service Council Provide culturally competent care Health Director E - Hispanic Ongoing Program Managers Coalition , Wake AHECPage423 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 To improve the health status and prevent premature death for all residents of Goal 1 Johnston County Objective # 13 Reduce the number of child motor vehicular deaths by 10 by encouraging the use of safety restraints and supporting the Teen Driving Safety committee initiatives Baseline Data In 2009 there were ten deaths from MVA in teenagers ages 15 - 19 In 2010 there were three deaths in the same age group CHA Priority addressed Injury Prevention Activities Lead Person Partners Timeframe N new ; E existing Safekids Coalition of Johnston County Partnership for E - Schools , DSS , Ongoing Children Partnership for Children , JCHD Teen Driving Safety Committee , “ Alive at Johnston County E - JC Ongoing Twenty Five Driving Course ” Emergency Government , EM , Management NCDOT , JCHR Johnston County Schools Driver Education Johnston County E - Johnston Ongoing Course Schools County Schools Enhance Safety Check Points in School Zones Johnston County E - JC Sheriffs Ongoing Sheriffs Department Department , JC SchoolsPage524 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Provide a coordinated response to a Public Health event or communicable Goal 2 disease outbreak Objective # 1 Maintain a communicable disease surveillance and reporting system that will allow for timely reporting and intervention as required by NC Communicable Disease Laws th Baseline Data North Carolina ranks 19 in overall US case rates for Tuberculosis in 2010 th verses 26 in 2009 Johnston County noted one multi - drug drug resistant case of Tuberculosis in 2010 Johnston County’s rate of TB was 30 in 2010 compared to the State rate of 31 Johnston County reports in 2011 Chlamydia , Strep infection group A , and Cryptosporidiosis are the most significant communicable disease increases Food borne illness , Camphylobacter , and Rocky Mountain Spotted fever are the highest reported cases CHA Priority addressed Communicable Disease Morbidity Activities Lead Person Partners Timeframe N new ; E existing Keep Communicable Disease Tracking System Communicable E - DHHS Ongoing current Disease Nurses Keep information available for community Communicable E - SHAC , Ongoing Disease Nurses C - BLAC , Schools , Health Education Day - By - Day Supervisor Adhere to formal surveillance program Communicable E - State EPI Ongoing Disease Nurses Consultant Access and Update the North Carolina Communicable N - DHHS , Ongoing Electronic Disease Surveillance System Disease Nurses NCEDSS Education of medical providers through Health Educators E - Local Medical Ongoing ongoing communication Communicable Providers Disease Nurses Maintain an active Epidemiology Team Epidemiology E - Regional Ongoing Program Manager Preparedness Team , State ConsultantPage625 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Provide a coordinated response to a Public Health event or communicable Goal 2 disease outbreak Objective # 2 Maintain a current All Hazard Plan and a coordinated response to a bioterrorism event , communicable disease outbreak , and natural disaster and to assist with the competent management of hazardous materials Baseline Data Since 9 11 , Public Health involvement in bioterrorism events and communicable disease outbreaks has become more formalized through funding and training of public health staff Various plans have been developed to coordinate how we address such issues as well as training and hiring staff Mandated trainings such as NIMS has become a requirement of public health staff along with annual exercises to ensure public staff knowledge and experience in dealing with communicable disease outbreaks and bioterrorism Further , committees have been developed within the health department that also includes community partners to ensure a coordinated response to such events CHA Priority addressed Public Health Preparedness Plans and Personnel Training Activities Lead Person Partners Timeframe N new ; E existing Designation of Preparedness Coordinator Assistant Health E - Emergency Ongoing Director Preparedness Management , Coordinator Hospital Coordination with other agencies Assistant Health E - Law Ongoing Director Preparedness Enforcement , Coordinator School System , Private Industries Education of staff and community plans Assistant Health E - Emergency Ongoing Director Preparedness Management , Law Coordinator Enforcement , School System Maintain current Fax Blast List for the health Health Educator E - Local Medical Ongoing department to be used in emergency responses Health Director Providers Preparedness Coordinator Participate in Bioterrorism exercises that includes Epidemiology E - Regional Ongoing Strategic National Stockpile SNS Response Team Preparedness Team , Emergency Management , Law Enforcement , School System Maintain the Special Needs Registry JCHD E - Emergency Ongoing Management , DSS , CERT teamPage726 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Ensure Environmental Health and Safety through reduced exposure to unsafe foods Goal 3 and unsanitary environmental conditions Ensure safe lodging , water supplies , public swimming pools , and adequate sewage disposal Maintain inspections within Child and Adult Care Facilities , Residential and Nursing Care facilities , and be involved in emerging Environmental Health issues Objective # 1 Maintain current monitoring system of food , food handlers , and lodging facilities by meeting the required frequency of inspections established by the DENR ; maintain current sampling requirements on newly constructed drinking water wells to help assure a safe drinking water supply ; enforce state mandated on - site waste water regulations and monitor type IIIb sewage disposal systems ; develop work force educational opportunities to allow the staff to become more involved with emerging environmental issues such as indoor air quality , vector control , emergency response and technologies to help improve service Baseline Data Statistical reports indicating compliance with state mandated programs and specific program reviews from DENR personnel Environmental Health issues that affect a safe food supply , private water CHA Priority addressed drinking water quality , adequate sewage disposal and other regulatory and advisory matters that have a direct relationship on the public health Activities Lead Person Partners Timeframe N new ; E existing Ongoing inspections within regulated facilities at Environmental Health E - DENR , NCDA As prescribed by required frequencies Program Specialist State Regulation Offer Food Safety Training for food handlers and Environmental Health E - Agricultural Yearly Day Care Providers Program Specialist Extension , DENR , Partnership for Children Participate in certification programs for food service Environmental Health E - Agricultural As Offered workers Program Specialist Extension , Board At least twice yr of Education BOE Ongoing staff education , development and Environmental Health E - SOP Annual credentialing of staff Supervisor II Workshops , EM , NCPHA , RS Board , State Universities Permitting and Monitoring of wells and septic tank Environmental Health E - DENR , Division Daily systems Supervisor I of Water Quality DWQ , Technology Services Provide Educational programs to the regulated Environmental Health E - JCC , JCI , Ongoing community DENR , Well and Septic Installers certification BoardsPage827 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 GOAL 3 CONTINUED CHA Priority addressed Environmental Health Decontamination of Meth Labs Environmental E - Law As Needed Health Supervisor II Enforcement , Building Inspection , DSS Training for contractors on wells and septic Environmental E - State Yearly systems Pool operators Health Supervisor II Certification Boards Ongoing staff development Environmental E - HR , State of Ongoing Health Supervisor II Practice SOP Committee , State Universities Childhood Lead Poisoning Investigations Environmental E - DENR , As Needed Health Specialist Building Lead Nurse at JCHD Inspections Public Information and Presentations regarding Environmental E - News Media , Ongoing Environmental Health Program Health Supervisor II EM Regional Preparedness team , Law Enforcement , DENR Emergency Response Environmental E - EM , Local As Needed Health Supervisor II Responders , Regional Preparedness teamPage928 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Maintain a competent Public Health workforce that has had training on Goal 4 HIPAA , OSHA , Public Health Law , Public Health Preparedness , and any necessary training to perform according to job descriptions Objective # 1 Recruit and retain competent staff and reduce voluntary external turnover rate by 5 Baseline Data Staff turnover rate 2007 was 129 and for 2010 was 11 CHA Priority addressed Public Health Preparedness Personnel Training Activities Lead Person Partners Timeframe N new ; E existing Provide comprehensive orientation for new Administrative E - County Ongoing employees Department Human Resources Health Director Department Provide for ongoing educational opportunities Health Director E - State Ongoing sponsored programs , HR Maintain Orientation Manual for all employees Administrative E - State Nursing Ongoing Assistant consultant Maintain Employee Health Program Human Resources E - Human Ongoing Resources Encourage Continuing Education Health Director E - UNC , Wake Ongoing PH Nursing Director AHEC , NC Board Health Department of Nursing , Managers Office of Public Health Nursing and Professional Development Staff will meet departmental educational Health Director E - UNC , Wake Ongoing requirements as outlined in the Workforce PH Nursing Director AHEC , NC Board Development Policy Environmental of Nursing , Health Office of Public Health Nursing and Professional DevelopmentPage029 Johnston County Public Health Department Strategic Action Plan – 2010 – 2014 Increase Public awareness of Public Health Programs and services in Johnston Goal 5 County Objective # 1 To keep citizens of Johnston County informed of current health issues including safety and injury prevention , available services , and educational programs Baseline Data Johnston County 2010 Population was 174,426 residents CHA Priority addressed Community Knowledge of Public Health Programs Activities Lead Person Partners Timeframe N new ; E existing Submit health related articles to media Health Director E - Local Media , Ongoing Health Education Newspaper , Supervisor Radio and TV , County Website Maintain website health information Health Educator E - County MIS Ongoing Public education of emergency plans Health Director E - EM , Johnston Ongoing Health , School Continue collaboration with multi - agencies Health Director E - Human Ongoing Health Education Service Council , Supervisor EM , Johnston Health Department Health , Schools , Staff SHAC Participation in county wide planning Health Director E - EM , Johnston Ongoing Asst Health Director Health , Sheriff’s Health Education Department , Supervisor Human Service County Manager CouncilPage130 Johnston County Public Health Department Strategic Action Plan – 2010 - 2014 ACRONYMS ABC Board - Alcoholic Beverage Control Board ACS – American Cancer Society AHEC - Area Health Education Center APP - Adolescent Pregnancy Prevention BCCCP - Breast Cervical Cancer Control Program BCCCP WW - Breast Cervical Cancer Control Program WiseWoman BMI - Body Mass Index BOE - Board of Education C - BLAC - Community Based Learning Alternatives Center CCNC - Community Care of North Carolina CCWJC - Community Care of Wake and Johnston Counties CERT - Community Emergency Response Team CVA - Cardiovascular Accident CVD - Cardiovascular Disease DENR - Department of Environment and Natural Resources DHHS - Department of Health and Human Services DPH - Department of Public Health DSS - Department of Social Services DWQ - Division of Water QualityPage231 Johnston County Public Health Department Strategic Action Plan – 2010 - 2014 ACRONYMS EM - Emergency Management EPI - Epidemiology HIPAA Health Information Portability and Accountability Act HIV - Human Immunodeficiency Virus HR - Human Resources JC - Johnston County JC Schools - Johnston County Schools JCHD - Johnston County Health Department JCHR - Johnston County Human Resources JCI - Johnston County Industries JH - Johnston Health Meth - Methamphetamine MIS - Management Information System MVA - Motor Vehicle Accidents NCDA - North Carolina Department of Agriculture NC DOT - North Carolina Department of Transportation NCEDSS - North Carolina Electronic Disease Surveillance System NCIR - North Carolina Immunization Registry NCPHA - North Carolina Public Health Association NIMS - National Incident Management SystemPage332 Johnston County Public Health Department Strategic Action Plan – 2010 - 2014 ACRONYMS OB - Obstetrics OB - GYN - Ostetrician - Gynecologist OSHA - Occupational Safety and Health Administration PCC - Primary Care Clinic PH - Public Health PMAP - Patient Medication Assistance Program prn - as needed RS Board - Registered Sanitation Board SHAC - School Health Advisory Council SNS - Strategic National Stockpile SOP - Standard Operating Procedures SOTCH - State of the County Health Report UNC - University of North Carolina WH - Women’s Health WIC - Women , Infants , and ChildrenPage