Conference of Environmental Health Directors March 27, 2012

1. Conference of Environmental Health Directors March 27, 2012 Bureau of Community Environmental Health and Food Protection

2. Funding • Tobacco Program: • Current contract cycle - 10/1/11 - 3/31/12: All contracts have been approved by OSC. • Next State fiscal year - 4/1/12 – 3/31/13: • Funding levels unchanged • If we do not have final sign off on the funding amount to enable us to send contracts by April 1, we will send letters to LHDs to indicate our intent to contract with the LHD and the amount

3. Funding • Childhood Lead Poisoning Primary Prevention Program: • Current contract cycle - 10/1/11- 3/31/12: Contracts have been approved by OSC. • Next State Fiscal year starting 4/1/12: • Contracts were sent out to LHDs • Funding remains unchanged • Elimination of the CDC funding for the Healthy Homes and Lead Poisoning Prevention Program effective September 1, 2012 does not impact LHD contracts

4. Funding • Lead Poisoning Prevention Program • Current contract – 10/1/11 – 9/30/12: Contracts being processed. Follows the Federal fiscal year and will be changed at a later date back to the State fiscal year • Contracts and program management currently handled by CEH

5. Funding • Healthy Neighborhoods Program: • Contract cycle - 10/1/11-9/30/12: All contracts have been approved by OSC. Will remain on the Federal cycle until a new RFA is issued. • Request pending for a one year program extension to prepare and RFA and to change to the State fiscal cycle. First year of contract will cover 18 months.

6. Funding • BEACH Act: • EPA eliminated funding that supports monitoring and public notification of water quality beaches on the Great Lakes and the Atlantic Ocean. We contract with 12 LHDs and State Parks. • Funding is secure for the 2012 and 2013 seasons. • GLRI: • Funding for this Great Lakes project is currently intact. Not affected by the BEACH Act reduction.

7. Regulations Update • Children’s Camps • Regulations effective July 6, 2011 • Implementation on track for 2012 • Forms have been updated, Fact Sheets are under review for posting on the website • Questions should be directed to your regional field coordinator who will work with Bureau staff to provide assistance/guidance as needed

8. Regulations Update • Tattooing and Body Piercing • Drafting “Body Art” regulations, developing fee schedules for artist and facility • Draft material will be sent to LHDs for review and comment • Program implementation is at least 1 year away and may be longer depending on comments received from interested parties

9. Regulations Update • Tanning • Inspections are underway in numerous counties by District and Regional staff • Program issues are being identified and an update will be sent to LHDs • We are still encouraging participation in the program

10. Regulations Update • Food (Part 14) • Nothing new to report • Lead (Subpart 67-2) • Rulemaking ended • Currently reviewing all aspects of the program to determine where changes are needed • Awaiting CDC’s actions concerning the Advisory Committee on Childhood Lead Poisoning Prevention’s recommendations to lower the BLL action level

11. Lead Program Transition • Transition of Childhood Lead Poisoning Prevention Program: • Consolidated the medical and environmental programs from two Centers/Bureaus into BCEHFP in CEH • Prompted by changes in CDC grant funding and the focus on Healthy Homes • Transfer of files and network linkages completed and includes Leadweb program management and maintenance of the NYS Immunization Information System lead program linkages

12. Outbreak Management System (OMS) • Improve the ability to collect and share outbreak information • Solution that can scale with size of outbreaks; • Facilitate the collection and dissemination of outbreak data across program areas and jurisdictions • OMS will help meet Public Health and Emergency Preparedness deliverables • Continuing to release new updates as developed • Staff involved in the investigations should have access to the HCS • Suggest reviewing the information currently available on HCS

13. Members of the eHIPS Revisions Workgroup are a diverse group working together to improve the way we collect our data: Counties District OfficesRegional Offices Albany Glens Falls Capital District Chemung Hornell Metropolitan Area Columbia Oneonta Western Cortland Dutchess MadisonCenter for Environmental Health Nassau Division of Environmental Health Protection/Field Coordination Niagara Bureau of Community Environmental Health & Food Protection Onondaga Information Systems and Technology Unit Orleans Rockland Seneca Suffolk Tompkins Ulster Westchester eHIPS Revisions workgroup Thank you to all who are contributing time and effort to this project!

14. eHIPS Revisions Long-term project Workgroup meets twice a month to provide input for design and functionality of eHIPS application. Permit prototype developed Complaint module BCEHFP continues to work with ISTU to implement revisions based on program and LHD needs. Standardization, Evaluation and Reporting

15. eHIPS Revisions Considerations: Data needed for program/reporting Data and functionality needed for local program management Data entry should mimic actual workflow within LHD Workload associated with data entry Embedding business rules Electronic transactions as an option for permitting process Operator Accessibility of required documents for operator Ease of application process for operator Local Health Department Minimize workload, mailing, data entry Minimize mailing costs Minimize handling fees Standardization, Evaluation and Reporting

16. Mobile application for electronic forms NYSDOH is developing an internet service for collecting and submitting electronic inspection forms (eforms) using remote devices in the field. LHDs will have a variety of options for submitting inspection information: Scan-able forms eHIPS data entry batch data files eforms Standardization, Evaluation and Reporting

17. Mobile application The MobiTask client runs on most internet-capable devices, including: Apple iPads Android tablets (7 to 10-inch screens are optimal) Windows tablets Laptops and netbooks Android e-readers (Nook, Kindle Fire: would lack GPS and camera functions) Smartphones, such as iPhone (small screens may not be practical) Standardization, Evaluation and Reporting

18. Mobile application Runs locally on the device. Connection to the internet (“connectivity”) is not required until data are synchronized) Facility and operation information present on the device. Forms completed and saved locally. Can synchronize to NYSDOH using WiFi, cellular services, or wired connections. Simultaneously submits saved inspection data and receives new forms and updated facility/operation information. Standardization, Evaluation and Reporting

19. Mobile application: BENEFITS Eliminates faxing, scanning, and data entry, saving time. Eliminates handwriting and scanning errors, improving data quality. Increases amount of information that can be collected. Business rules and edit checks embedded in the forms, improving data quality. DOH can add fields to form(s) (e.g., to collect information on an outbreak) Standardization, Evaluation and Reporting

20. Mobile application:BENEFITS (continued) Other uses: Store reference documents on the device Internet access Record GPS coordinates Take photos Send/receive email Use word processing/spreadsheet applications Security: Password-protected device HCS credentials to access forms and sync data Standardization, Evaluation and Reporting

21. MOBILE APPLICATION: CONCERNS • Funds for purchasing devices (standard devices < $500) • No direct printing capabilities (output to email or fax) • Licensing eforms access ($20/person/month) • WiFi or internal wired connections are the targeted process; cellular connectivity at additional cost.

22. MOBILE APPLICATION:next steps • Food Service Inspection form has been developed. • Assess program needs and workflow issues. • Develop content and look of inspection reports. • Follow the same template for subsequent forms. Standardization, Evaluation and Reporting