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HEALTH SERVICES DEPARTMENT
FY 2011-12Budget Worksession
July 11, 2011
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Organization Chart
George Ralls M.D.George Ralls M.D.
Office of the Medical Director, EMSOffice of the Medical Director, EMS
Medical Clinic/PCANMargaret Brennan
Medical Clinic/PCANMargaret Brennan
Mosquito ControlTom Breaud, Ph.D.
Mosquito ControlTom Breaud, Ph.D.
Corrections MedicalEdwin Pont, M.D.
Corrections MedicalEdwin Pont, M.D.
Medical ExaminerJan Garavaglia, M.D.
Medical ExaminerJan Garavaglia, M.D.
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Proposed FY 2011-12 Budget
CurrentFY 11 $ Change
ProposedFY 12
Personal Services $8.6M ($0.2M) $8.4M
Operating Budget 36.2M (1.1M) 35.1M
Budget Change (2.9%)
Staffing 131 1 130
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Accomplishments
• Expanded healthcare access:– 22,500 new patients– 113,000 patient visits in 2010
• New partnership with Florida Hospital– Outlook Clinic for depression and
anxiety disorders
• Developed “PCAN Toolkit” to help others replicate PCAN
• Volunteers provided $5.9M in uncompensated care to the uninsured
PCAN/OCMC
• Mosquito Control– Conducted complaint
investigations within 2 days 99.7% of the time
– Completed spray missions for adult mosquitoes within 5 days 99.8% of the time
• Medical Examiner– Developed an enhanced case
management system
• EMS– Organized the implementation of
12 lead ECG transmission system wide
Accomplishments
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
Other
Budget Challenges
Total Budget $43.5M
13%
39% 48%
MandatedPCAN/OCMC
Other
Budget Challenges
Total Budget $43.5M
Mosquito Control 4%Public Health 4%EMS Office 3%Health Services Administration 2%
13%
Primary Care Secondary Care
$ $
PCAN Funding
Budget Challenges
Medicaid
Economy Healthcare Reform
Enrollment County Costs
Budget Challenges
0
50
100
150
200
126145
167184
Orange County Medicaid Enrollees (in thousands)
Apr08 Apr09 Apr10
Budget Challenges
Feb11
46% Increase in 3 Years
2007 2008 2009 20100
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
BilledPaid
69% increase in 3 Years
Medicaid Billed/Paid FY07-10
Orange County
Budget Challenges
• Organization Chart
• Proposed FY 2011-12 Budget
• Accomplishments
• Budget Challenges
• Summary
Presentation Outline
• Health Services Department proposed budget $43.5M– 2.9% reduction
• Budget Challenges– PCAN funding– Medicaid costs rising– Anticipating added costs
due to Healthcare reform– AHCA billing process may
change
Pictures
Pictures
Summary
FY 2011-12Budget Worksession
July 11, 2011
HEALTH SERVICES DEPARTMENT
