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ORANGE COUNTY HEALTH DEPARTMENT

ORANGE COUNTY HEALTH DEPARTMENT. FY 2008-09 Budget Worksession July 22, 2008. PRESENTATION OUTLINE. Mission / Vision Organization Chart Funding Increased Costs Strategies Significant Future Issues Conclusions. MISSION / VISION.

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ORANGE COUNTY HEALTH DEPARTMENT

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  1. ORANGE COUNTY HEALTH DEPARTMENT FY 2008-09 Budget Worksession July 22, 2008

  2. PRESENTATION OUTLINE • Mission / Vision • Organization Chart • Funding • Increased Costs • Strategies • Significant Future Issues • Conclusions

  3. MISSION / VISION Promote, Protect and Improve the Health of All People in Orange County, Florida “A Healthier Future for the People of Orange County”

  4. ORGANIZATION CHART

  5. PROJECTED REVENUES REQUIRED(BY FUNDING SOURCES) FY 08-09 County Contract Federal Funds Medicaid/Medicare State GR Other State & Local Fees $39,410,790 4% 9% 22% 9% 35% 21%

  6. FUNDING: REDUCTIONS FY08/09 Revenue Reductions

  7. INCREASED OPERATING COSTS • Effective October 1st, Orange County Health Department will absorb $950,000 in operating expenses previously provided by the County.

  8. INCREASED PROGRAM COSTS • Anticipated increased program costs in order to continue providing services to the community: • Women’s Health $1,007,000 • TB $150,000 • Immunizations $100,000

  9. STRATEGIES: • Strategies to meet projected required revenues • Maximize resources and revenue • Explore additional grant opportunities • LIP Grant • Healthy Communities • Expand Private & Public Partnerships • OB oversight of Midwives • Fee Increases • To avoid using patient care dollars for Environmental Health • Draw Down • Ability to draw down county side of trust fund up to 950,000 as needed

  10. STRATEGIES:INCREASED FEES

  11. STRATEGIES:NEW FEES

  12. Changes in Medicaid Funding (from Cost Based Rate to Fee for Service) Increased Population Growth and Community Demand for Services Impact of State and County Tax Revenue Decrease in Subsequent Years SIGNIFICANT FUTURE ISSUES

  13. CONCLUSION How will we close the gap? • COUNTY: • Approval of New and Increased fees $325,000 • Increased County Contribution $625,000 • Approval for County Trust Fund Draw down as needed $950,000

  14. ORANGE COUNTY HEALTH DEPARTMENT FY 2008-09 Budget Worksession July 22, 2008

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