Mchd 2018 Annual Reportmchd.Orgfamilyhealthalabama.Org from the Health Officer
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MMCHDCHD 22018018 AANNUALNNUAL RREPORTEPORT MMCHD.ORGCHD.ORGFFAMILYHEALTHALABAMA.ORGAMILYHEALTHALABAMA.ORG TABLE OF CONTENTS BOARD OF HEALTH Dr. Barbara Mitchell FROM THE HEALTH OFFICER Chairman SERVICE REPORT Dr. C.M.A. “Max” Rogers, IV APPENDIX Secretary ORGANIZATIONAL CHART Dr. D. Lawrence Bedsole FINANCIAL STATEMENT Member Dr. Matthew E. Cepeda Member Dr. Nina Ford Johnson Member Dr. William O. Richards Member The Honorable Merceria Ludgood President, Mobile County Commission 01.01.18 to 03.11.18 A HEALTHY, SAFE, PREPARED AND The Honorable Connie Hudson EDUCATED COMMUNITY President, Mobile County Commission On the cover: Services provided at the Southwest Mobile Health Center include 03.12.18 to 12.31.18 pediatric, adult health, family planning, immunizations, lab, dental and X-ray. With the onboarding of a new full-time dentist in 2018, the center was able to expand patient access to dental care within this Medically Underserved Area. 1 MCHD 2018 ANNUAL REPORTMCHD.ORGFAMILYHEALTHALABAMA.ORG FROM THE HEALTH OFFICER This past year was an- cent in seven states while it is at least 30 percent in 29 other impressive one for other states. Alabama ranks fi h in the charts with 36.3 MCHD and Family Health. percent of its adults having a Body Mass Index of 30 or Despite having to deal greater. with Tropical Storm Gor- don during the Joint Obesity can lead to many medical condi ons such as Commission visit, our heart disease, stroke, diabetes and certain types of can- Joint Commission ac- cer. This is why MCHD has declared war on physical credita on was renewed inac vity. The na onal report es mates 32 percent of again for Ambulatory Care adults in Alabama do not engage in exercise. and for being a Primary Care Medical Home. We However, there is hope. The work on the long-awaited remain the only county walking and biking path along Three Mile Creek is an in- health department in Alabama to receive this honor. dicator that change is possible. For more than 30 years, there has been talk about building a trail that would We received high marks in all other reviews. For the fi rst stretch from Langan Park to the Mobile River. One city me, our WIC program was named a Loving Support offi cial told us that ge ng this built would be like “slay- Award of Excellence winner by the U.S. Department of ing a dragon.” Agriculture. In 2012, the MCHD’s public health advisory board called Our Strategic Planning program con nues to evolve. Women Making a Diff erence (WMD) was tasked with A er having wrapped up Revenue Enhancement and crea ng the means for local ci zens to fi ght obesity. Pro- Increasing Departmental Eff ec veness last year, staff viding access to exercise was their solu on. members took on the new projects of Enhance Organi- za onal Employment Cycle and Improve Marke ng and The dream of the trail was revisited. Within a year, WMD Community Image in 2018. applied for and received a grant from the Sybil H. Smith Charitable Trust worth $218,650. This funding helped MCHD was formed in 1816 to ba le Yellow Fever, so to pay for the 0.8-mile sec on of the trail that begins at we have been fi gh ng mosquitoes from Day One. Vec- the eastern edge of Day Lake at Tricentennial Park and tor Control has begun working with the University of extends westward to Ridge Road West. In 2018, MCHD South Alabama to increase the iden fi ca on and test- sponsored the fourth annual Creek Fest at the park to ing of mosquitoes. This rela onship has allowed us to recognize the project. screen for more viruses than previously possible. Vec- tor also introduced new traps that a ract a much larger Which brings us to 2019, when we will celebrate the number of specimens. 200th birthday of Alabama along with the 40th anni- versary of Family Health becoming a Federally Qualifi ed Following the purchase of some video equipment, we Health Center. began sharing our message with the public through Facebook Live. We have a wonderful weekly show tled While we remain the oldest con nuous provider of “Wellness Wednesday” with Virginia Inge, our Behavioral health care in the state, we will always con nue to look Health Director, that has made great use of the medium. towards the future. We con nue to look for more ways to u lize the service, such as adding our “Did you know?” series focused on diff erent departments to our YouTube channel. According to the Behavioral Risk Factor Surveillance Bernard H. Eichold II, M.D., Dr. P.H., F.A.C.P. System report, adult obesity rates now exceed 35 per- Health Offi cer MCHD 2018 ANNUAL REPORTMCHD.ORGFAMILYHEALTHALABAMA.ORG 2 A LEGACY OF EXCELLENCE SINCE 1816 ADMINISTRATIVE SERVICES Performance Improvement The Administra ve Services division is responsible for The Performance Improvement Teams in 2018 were: providing professional and technical services to internal Customer Service Access Team, Services Team, Custom- departments, the public, third-party interests and other er Service Sa sfac on Team. government agencies. The Director of Administra ve Services provides oversight to the Bureau of Administra- Approximately 170 peer review and 48 collabora ve ve Services, Bureau of Finance and Human Resources. prac ce audits (218 per month) were processed through the PI Department each month. Roughly 43 providers BUREAU OF ADMINISTRATIVE SERVICES completed anonymous reviews that were emailed, tabu- lated, graphed and returned to the provider under re- Informa on Technology view for examina on. The Informa on Technology (IT) Department, which in- The PI Assistant audited approximately 200 pa ent cludes a staff of 10 full- me employees, is responsible charts every month. The majority of these were full clin- for all informa on technology services. During 2018, ic audits and fi ve-week Correc ve Ac ons Audits. The the IT department transi oned all users to a cloud- remainder were the quarterly ID audits. based produc vity so ware solu on improving avail- ability and providing many new produc vity tools. The A total of 13 clinics were audited with follow-up Correc- IT Help Desk successfully completed more than 7,500 ve Ac on Audits for fi ve weeks. service requests in 2018. Pa ent Sa sfac on Surveys were conducted in June Project Management and Facili es and October. The results were reviewed with the Fam- ily Health Governing Council, Family Health Clinical Project Management and Facili es (PM&F) consists of Administrators, clinic staff mee ngs and posted to the custodial workers, maintenance mechanics, security and MCHD intranet. public service workers. PM&F is also responsible for all projects being done at all of the MCHD facili es. The Two Pa ent Iden fi er (name & date of birth) audit was conducted in July of 2018. In 2018, Ron Chandonnet re red as Building Mainte- nance Superintendent. Selected to take over with PM&F PI provided training about The Joint Commission re- is long- me employee Mike Seback. quirements, peer review and select clinical issues at New Employee Orienta on, Nurses Mee ngs and Staff Here are some highlights of projects in 2018: Mee ngs. • Keeler Main South Project, at 95 percent comple- on The Performance Improvement Commi ee facilitated • Keeler 2nd fl oor Women, Infants & Children (WIC), the quarterly electronic Performance Improvement converted to light-emi ng diode (LED) ligh ng Leadership Commi ee Mee ngs. • Keeler roof above WIC recer fi ca on, replaced with a new Thermoplas c Polyolefi n (TPO) roof The Joint Commission (TJC) full survey was from Septem- • Keeler shipping & receiving and par al 1st fl oor roof, ber 4-7. A total of 14 fi ndings were noted by the TJC sur- replaced with a new TPO roof veyors. Eight were of moderate intensity and six were low • Keeler elevator No. 1, controls upgraded intensity. None were high intensity or cri cal. A team of • Keeler Building No. 1, exterior paint Jayne Wilson, Valencia Pa erson, Virginia Beall, Dr. Mark • Keeler Building No. 2, exterior paint, new roof, and Donahue and Link Nguyen worked diligently to correct LED light conversion the TJC fi ndings in a mely manner. All correc ons were • Keeler Building No. 3, exterior paint and new gen- completed within 60 days as required. (Complete correc- erator installed on within 60 days was new, in the past only a plan was • Keeler Building No. 4/5, exterior paint and new roof required). TJC accredita on was granted for 36 months for • Keeler Building No. 6, exterior paint both Ambulatory Care facili es and Primary Care Medical • Bayou Street parking lot, ligh ng converted to LED Home designa on. (Accredita on cycle began September • Semmes Health Center parking lot, ligh ng convert- 8, 2018). ed to LED • Eight Mile Health Center, new informa onal sign in- Steriliza on management and training was transi oned to stalled Virginia Beall, IC Nurse, and Dr. Kerri Bowie, Dental Direc- • Citronelle Health Center, new TPO roof tor. • Southwest Mobile Health Center, exterior new paint, repave & restripe parking lot Safety Offi cer In 2018, the MCHD Safety Offi cer oversaw organiza- 3 MCHD 2018 ANNUAL REPORTMCHD.ORGFAMILYHEALTHALABAMA.ORG A HEALTHY, SAFE, PREPARED AND EDUCATED COMMUNITY onal safety. The posi on conducts internal fi re drills processes employee travel expense reimbursement re- and other life safety code drills; directs the Safety quests, and provides other internal fi nancial func ons Commi ee; reviews, revises and creates policies and as needed. procedures related to safety and Environment of Care standards of the Joint Commission; performs risk as- Pa ent Billing sessments and other du es.