Table of Contents I DSHS
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- This page is intentionally left blank - TABLE OF CONTENTS I. Agency Contact Information .......................................................................................... 1 II. Key Functions and Performance .................................................................................... 3 III. History and Major Events ............................................................................................ 43 IV. Policymaking Structure ............................................................................................... 51 V. Funding ....................................................................................................................... 77 VI. Organization ............................................................................................................. 105 VII. Guide to Agency Programs ........................................................................................ 113 Narratives Executive Offices and Centers .................................................................................. 113 Chief Financial Officer ............................................................................................... 115 Chief Operating Officer ............................................................................................. 116 Chief Operating Officer Health Information and Vital Statistics ..................................................................... 119 Mental Health and Substance Abuse Services Division ..................................................... 132 Community Mental Health Services ......................................................................... 133 Substance Abuse Prevention, Intervention, and Treatment .................................... 148 NorthSTAR Behavioral Health Waiver ...................................................................... 165 Hospital Services ....................................................................................................... 174 Family and Community Health Services Division ............................................................... 184 Women and Children’s Health Services .................................................................... 185 Family Planning ......................................................................................................... 201 Primary Health Care Services .................................................................................... 209 Specialized Health Services ....................................................................................... 218 Nutrition Services and Obesity Prevention ............................................................... 231 Community Capacity Building ................................................................................... 243 Regulatory Services Division .............................................................................................. 252 Emergency Medical Services and Trauma ................................................................ 253 Food and Drug Safety ................................................................................................ 264 Environmental Health ............................................................................................... 282 Radiation Control ...................................................................................................... 295 Healthcare Professionals .......................................................................................... 307 Healthcare Facilities .................................................................................................. 321 ______________________________________________________________________________ Table of Contents i DSHS Disease Control and Prevention Services Division ............................................................. 336 Environmental Epidemiology and Disease Registries ............................................... 337 Infectious Disease Prevention .................................................................................. 349 Health Promotion and Chronic Disease Prevention ................................................. 371 Laboratory Services ................................................................................................... 385 Regional and Local Health Services Division ...................................................................... 393 Regional and Local Health Services Administration ................................................. 394 Community Preparedness......................................................................................... 405 VIII. Statutory Authority and Recent Legislation ............................................................... 419 IX. Major Issues.............................................................................................................. 461 Issue 1: Should the State continue to provide certain services offered in the private sector? ............................................................................................................................... 461 Issue 2: What is the best use of limited State Hospital resources? .................................. 464 Issue 3: Should DSHS have flexibility in its ability to oversee certain regulated entities?. ............................................................................................................................ 466 Issue 4: Do certain functions currently housed at DSHS detract from the Department’s public health focus? ........................................................................................................... 468 Issue 5: Do existing regulatory caps on fees limit available funding? ............................... 470 X. Other Contacts .......................................................................................................... 473 XI. Additional Information .............................................................................................. 505 XII. Agency Comments .................................................................................................... 515 Attachments ..................................................................................................................... 521 ______________________________________________________________________________ Table of Contents ii DSHS I. AGENCY CONTACT INFORMATION Department of State Health Services Exhibit 1: Agency Contacts Telephone & Name Address E-mail Address Fax Numbers HHS Executive Kyle Janek, Brown- 512-424- [email protected]. tx.us Commissioner M.D. Heatly 6502 Building 4900 N. Lamar Blvd. Austin, TX 78751-2316 Agency Head David L. 1100 W. 49th 512-776- [email protected] Lakey, M.D. Street 7363 Austin, TX 512-776- 78756 7477 Fax HHS Sunset Kelly Garcia Brown- 512-487- [email protected] us Liaison Heatly 3395 Building 4900 N. Lamar Blvd. Austin, TX 78751-2316 th DSHS Sunset Carolyn 1100 W. 49 512- 776- [email protected] Liaison Bivens, Street 2370 Center for Austin, TX 512-776- Consumer 78756 7671 Fax and External Affairs ______________________________________________________________________________ I. Agency Contact Information 1 DSHS - This page is intentionally left blank - ______________________________________________________________________________ I. Agency Contact Information 2 DSHS II. KEY FUNCTIONS AND PERFORMANCE A. Provide an overview of your agency’s mission, objectives, and key functions. Mission The mission of the Department of State Health Services (DSHS) is to improve health and well- being in Texas. Objectives To fulfill its mission, DSHS has the following main objectives. Improve health status through preparedness and information. To enhance state and local public health systems’ resistance to health threats and prepare for health emergencies; to reduce health status disparities; and to provide health information for state and local policy decisions. Provide infectious disease control, prevention, and treatment. To reduce the occurrence and control the spread of preventable infectious diseases. Promote health, prevent chronic disease, and provide specialty care. To use health promotion to reduce the occurrence of preventable chronic disease and injury; to administer abstinence education programs; and to administer services related to certain chronic health conditions. Operate the state public health laboratory. To operate a reference laboratory in support of public health program activities. Provide primary healthcare and nutrition services. To develop and support primary healthcare and nutrition services to children, women, families, and other qualified individuals through community-based providers. Provide behavioral health services. To support mental health services and substance abuse prevention, intervention, and treatment. Build community capacity. To develop and enhance the capacity of community clinical service providers and regional emergency healthcare systems. Provide state-owned hospital services and facility operations. To provide residential and/or inpatient services to individuals with diagnosed infectious diseases or mental illness through state-owned hospitals. Provide privately owned hospital services. To provide for the care of persons with mental illness through privately owned hospitals. ______________________________________________________________________________ II. Key Functions and Performance 3 DSHS Provide licenses and ensure regulatory compliance. To ensure