Public Health >> in Action DEPARTMENT of HEALTH DEPARTMENT OKLAHOMA STATE 2004 ANNUAL REPORT ANNUAL 2004

public health >> in action DEPARTMENT OF HEALTH DEPARTMENT OKLAHOMA STATE 2004 ANNUAL REPORT ANNUAL 2004

commissioner’s message public healthservices central &county staff statistical summary ﬁnancial summary b oard ofhealth h public health elp 2 1 1 8 6 4 2 lines 6 8 0

it works,publichealthisinvisible.Anoutbreakthatneverhappeneddifficulttosee. and communitiesratherthantheindividualpatient.” its emphasisonpreventingdiseaseratherthancuringit,andfocuspopulations of publichealthsuggests,“Publicisbestdistinguishedfromclinicalmedicineby is, oriftheynevervisittheirlocalcountyhealthdepartmentforservices.Onedefinition ing andunappreciatedtask,especiallyifpeopleareconfusedaboutwhatpublichealth incumbent inprotectingandpromotingOklahoma’spublichealth.Thiscanbeadaunt Each day the Oklahoma State Department of Health must address the challenges that are 2. 1. to improve,protectandpromotethehealthofallOklahomans. We’re happytodothat,andmore—whateverittakeskeeppublichealthmoving alliances toworktogetherforneededchangesinpublichealthdelivery. health careindustry,businessandlabor,educators,communitygroups,faith-based of resources.Italsorequiresthatwejoinhandswithourpublichealthpartnersinthe be efficient,effectiveandaccountableinitsprogrammaticactivitiesinvestment years ofhealthylifeforallOklahomans.Achievingthisgoalmeansthattheagencymust has transformeditselfintoanagencythataggressivelyseekstoincreasethequalityand To meet these challenges, the Oklahoma State Department of Health extraordinary challengesthatrequirepublichealthaction. economic issues,andactsofterrorism,theresultisahost exposures, workplacehazards,educationaldisadvantages,socio mix riskstohealthresultingfrompersonallifestyles,environmental lation, continuetochallengeourpublichealthsystem.Addthis culosis, andthechronicdiseasesofourever-increasingagingpopu Oklahoma untilrecentyears,likeWestNilevirus.Re-emergingdiseasessuchastuber to stoptheunintentionalspreadofdisease,includingdiseasesneverseenbeforein With theriskofnewillnessesonlyaplanerideaway,publichealthmustmovequickly avoided medicalcarecosts,lostwagesandproductivity. from itsservicesintermsoflivesprotected,diseasesprevented,anddollarssaved A noneventisdifficulttomarket.”

Bloom, BarryR.,Ph.D.TheFutureofPublicHealth.HarvardHealthReview, Fall 2000. Evans, CaswellA.Jr.MD,MPH,TheJournaloftheAmericanMedicalAssociation, Jan.3,1996,p.2.

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in action 2 Howeveryoudefinepublichealth,everyonebenefits 1 Anotherdefinitionasserts,“When

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Health careisvital U.S. SurgeonGeneral C. EverettKoop,former of usallthetime. health isvitaltoall the time,butpublic to allofussome -

OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT 1 commissioner’s message

Every day, our dedicated team of public health professionals in 6677 llocalocal county health departments, two city-county health departments, and our Oklahoma City headquarters all work toward a common mission — to reduce morbidity and mortality through prevention. As part of that effort, nearly 800,000 clinical services were provided to 289,000 OOklaho-klaho- mans in 2004 through our local county health department network.

Yet we recognize that to keep Oklahomans healthy, we must collaborate with multiple partners, including the state Department of Human Services, the Oklahoma Health Care Authority, the Department of Mental Health and Substance Abuse Services, the Depart- ment of Environmental Quality and a host of nonproﬁ t organizations as well as private medicine and academia. It’s that kind of collaboration that has contributed to numerous public health successes in this and the last century, including these achievements: life expectancy has increased from 47 to 77 years; the total mortality rate has been cut by half; deaths from infectious diseases have been greatly reduced, especially in children: in 1900, 30 percent of all deaths were in children less than 5 years old and today it is only 1.4 percent; diseases such as smallpox and polio have been eradicated from the U.S.; motor vehicle death rates per miles driven have decreased 90 percent from 1925 to now; work-related death rates have decreased 90 percent since 1933; more than one million unintended pregnancies are prevented each year through family planning; and cavities in children have decreased 70 percent.

As we sustain the efforts that have achieved these phenomenal results, we must also strive to meet many new and complex challenges in public health, in particular, issues surrounding preparedness, health promotion and health disparities. Our charge now includes these three overarching goals:

· People in all communities should be protected from infectious, environmental and terrorist threats.

· All persons should be able to achieve their optimal lifespan with the best quality of life in every stage of life.

· All persons, regardless of gender, race/ethnicity, education or income, disability, place of residence, or sexual orientation should be protected against disease, injury and disability.

Secondhand Smoke Laws Make a Difference family have operated a bowling center in New secondhand smoke laws prohibiting Enid for more than 58 years. Shortly after the smoking in most public places and workplac- new smokefree laws went into effect, he of- es in Oklahoma went into effect September 1, fered this observation: “The smokefree policy 2003. The laws were designed to improve the has been very good for us. We were appre- health of all Oklahomans by reducing expo- hensive about it when the rule was adopted sure to secondhand tobacco smoke. > Some by the legislature, because a large percentage business owners were concerned about the of bowlers do smoke. And we thought that effect of the laws on their business. Such was this conceivably could hurt our business. But

DEPARTMENT OF HEALTH the case of Jack Tate, owner of Oakwood it’s turned out that (although) we lost three

OKLAHOMA STATE Bowling Center in Enid. Mr. Tate and his teams, we gained that many. Basically, we’re 2004 ANNUAL REPORT Several recent accomplishments are noteworthy in our efforts to meet these goals. In the last two years, we’ve conducted more than 25 special terrorism preparedness exercises in Oklahoma communities to test our health system’s ability to respond to a terrorist event or other public health crisis. In response to West Nile Virus being introduced into the U.S., we’ve established a statewide surveillance system that has identiﬁed 1,230 birds, 1,166 horses and 122 humans with West Nile Virus and has established that the disease is present in all regions of the state. Our Oklahoma Central Cancer Registry now collects data on 96 percent of all cancers in Oklahoma, a valuable tool in our cancer control efforts.

Several signiﬁcant successes have occurred recently in the area of health policy development. Last year, the Oklahoma Legislature appropriated funds to pay for breast and cervical cancer diagnosis treatment services for Medicaid-eligible women. A new family planning waiver just recently approved by the federal government will allow us to expand our family planning services to the Medicaid-eligible population. We’ve had substantial success in reducing secondhand smoke in indoor workplaces, and last No- vember, Oklahomans voted to increase the state cigarette tax to fund tobacco cessation programs and augment state trauma system efforts. Through the “Fit Kids” initiative, Oklahoma’s children now have improved food and physical activity choices to help them get a healthy start in life.

The challenge of modern public health is to identify the issues that contribute to poor health outcomes in the populations we serve and to implement the appropriate interventions so that as many people as possible can live long and healthy lives. The last century has shown us how effective public health can be in accomplishing these goals. There are great opportunities for further improvements in the new century, but it won’t be easy and it can only be done through the efforts of thousands of dedicated public health professionals. I’m invigorated by the challenge and look forward to working with all of you toward that end.

James M Crutcher, MD, MPH, Commissioner of Health and State Health Ofﬁcer

3 the same as we were last year and it hasn’t the state participated in “abstinence only” hurt us overall. And we have people tell us courses conducted by schools and commu- all the time that they are coming in to bowl nity organizations and coordinated through due to the fact that we are smokefree. And the Oklahoma State Department of Health’s our staff loves it. They love it! We don’t have Child Guidance Service. An “Abstinence ashtrays so it’s easier to keep clean. So all in Only” coordinator in an Oklahoma school all, we’re very happy.” offered this story about a young girl working to break a family cycle of teen pregnancy: “A “Abstinence Only” Programs Help Youth 15-year-old girl from one of the area schools Make Informed Decisions In ﬁscal year caught me after class to tell me her story. She DEPARTMENT OF HEALTH

2004, more than 11,000 youth throughout began by saying that her mother had become OKLAHOMA STATE 2004 ANNUAL REPORT 4

OKLAHOMA STATE DEPARTMENT OF HEALTH

public health 2004 ANNUAL REPORT

infectious

hypertension, O lation is growing older and more diverse

Taking action to address these and other health threats are among the varied tasks local county health departments are responsible for in their communities.

Local county health departments serve an important role in their communities by link ing individual health to community health, which assures that public health is people oriented but community focused. In recent years, county health departments have tried to be more responsive to consumer demand for public health information and services. They’ve attempted to establish themselves as leaders in the community to protect health and the quality of life, and they’ve sought more direct involvement from the health care sector, educators, civic and business leaders, and the faith community in participating in community-based public health decisions.

Local millage and other revenue sources support county health department services in 69 counties. Eight counties do not have organized health departments: Cimarron, Ellis, Nowata, Osage, Alfalfa, Dewey, Roger Mills, and Washita. Some minimum services, as deﬁned by statute, are provided to these counties by the central ofﬁce, or nearby county health departments. Oklahoma and Tulsa counties operate city-county health departments independently from the Oklahoma State Department of Health’s local health network.

The general organization of a county health department includes a medical director, administrative director, nurses, sanitarians, and child guidance personnel, as well as administrative and support staff. Most counties can offer specialized services provided by nutritionists, social workers, nurse practitioners, and others who are assigned on a regional basis to one or more health departments.

The agency’s Central Ofﬁce Services located in Oklahoma City provide program design and development; oversight, monitoring and evaluation; and technical assistance. They partner with county health departments in identifying shared values and common goals, speciﬁc roles and responsibilities in conducting public health programs, and account ability mechanisms.

klahoma is a very different place from what it was just a few years ago

pregnant at the age of 14 and her older sister had gotten pregnant at age 17. She then told me that she had just begun to date, and the guy she was dating was pressuring her to have sex. After being in the ‘Abstinence Only’ program and listening to the class on achiev ing your goals, she knew that having sex with him could jeopardize her most important goals. She wanted to be the ﬁrst one in her family to go to college and to break the fam ily cycle of teen pregnancy. By focusing on

diseases and terrorism make us more vulnerable to outside threats

and other chronic diseases threaten to erode our quality of life.*

ervices

; h

ealth care costs are soaring

her goals, she was able to attain a 4.02 grade point average and is living a healthy absti nence lifestyle. Helping teens to achieve their goals through abstinence education means we can make a difference in their lives.”

Lead Poisoning Prevention Identiﬁes Children At Risk ing built before 1978 is still seen as the greatest lead poisoning threat for children. The sources of lead in older housing could

; emerging

—

; d

ur popu-

Lead exposure from hous

iabetes,

be lead-based paint or lead solder and pipes in plumbing. In ﬁscal year 2004, the Child hood Lead Poisoning Prevention Program of the Oklahoma State Department of Health was able to secure approval to share the ad dresses of children with elevated blood lead levels with local and state housing agen cies in order to abate the lead hazards from homes whose owners participate in federally assisted housing programs. The Oklahoma State Department of Health believes this is a

major step in ﬁnding rental homes, in particu lar, that repeatedly result in lead poisoning of Standard Certiﬁcation children.

Cancer Registry Receives National Gold

Cancer Registry is an information system designed for the collection, management and analysis of data on persons with a diagnosis of a malignant or neoplastic disease (cancer). The registry is population-based and maintains

The Oklahoma Central

ily cycle ofteenpregnancy. Byfocusing on family togo collegeandtobreakthefam goals. Shewanted tobetheﬁrstoneinher him couldjeopardizehermost important ing yourgoals,sheknewthat havingsexwith program andlisteningtothe classonachiev have sex.Afterbeinginthe ‘AbstinenceOnly’ guy shewasdatingpressuringherto me thatshehadjustbeguntodate,andthe had gottenpregnantatage17.Shethentold pregnant attheageof14andheroldersister - - The sources ofleadin olderhousing could greatest leadpoisoning threatforchildren. ing builtbefore 1978isstillseenasthe Children AtRisk Lead PoisoningPrevention Identiﬁes we canmakeadifferencein theirlives.” goals throughabstinenceeducationmeans nence lifestyle.Helpingteenstoachievetheir point averageandislivingahealthyabsti her goals,shewasabletoattaina4.02grade

Lead exposurefromhous

- - State Department of Health believes thisisa assisted housing programs.TheOklahoma homes whose ownersparticipateinfederally cies inordertoabatethelead hazardsfrom levels withlocalandstatehousing agen dresses ofchildrenwithelevated bloodlead was abletosecureapproval tosharethead the OklahomaStateDepartmentofHealth hood LeadPoisoningPreventionProgramof in plumbing.Infiscalyear2004,theChild be lead-basedpaintorleadsolderandpipes of copiesbirthanddeathrecordsareissuedfromtheOklahomaCitycentraloffice. laboratory examinationsareperformedannuallytoconfirminfectious,chronicorgenetic tory readingsincasemoreactivepublichealthinterventionisrequired.Thousandsof Department ofHealth.Centralofficestaffmonitorspecificdiseasediagnosesandlabora More than60diseases,conditionsandinjuriesarereportabletotheOklahomaState nities’ healthstatusandtheyidentifydisparities. tive measuresareinplace.Theyconductsurveillanceandevaluationtomonitorcommu health standardsandregulationsaffirmthatpreventiveservicesprotec education concerningdiseasepreventionandhealthriskreduction.Theyenforcepublic sources tofundprogramsandservices.Staffprovidepublicprofessionalhealth Central OfficeServicespursuefiscalopportunitiesthroughfederal,stateandprivate *CDC: ProtectingHealthforLife.TheStateoftheCDC,FiscalYear2004. certified forparticipationintheMedicare/Medicaidprograms.Andeachday,hundreds central office.Long-termcareandrelatedfacilities,aswellhospitals,arelicensed diseases. Severaltradesandprofessionsarelicensedthroughservicesprovidedatthe Creating aStateofHealth v 69 of77counties c $227 million a Health employees–1,422 As ofFebruary1,2005,Central 2,255 e James MCrut c os Office employees–833;County ision ounty health departments health ounty budget nnual mployees ommissioner d

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cher, MD,MPH

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each other; to say what we mean, to assure the conditions by which and todeliverwhatwepromise. ments toourcustomersand Integrit endeavors. another; tobetruthfulinallour suppliers, stakeholders,andone our Honest g our citizenscanbehealthy. prevent diseaseandinjury, of thecitizensOklahoma,to m To protect and promote the health uiding values uiding ission customers,communities, Standard Certiﬁcation The registry is population-based and maintains of amalignant orneoplasticdisease(cancer). analysis ofdata onpersonswithadiagnosis signed forthecollection,management and Cancer Registryisaninformation systemde- Cancer RegistryReceivesNational Gold children. lar, thatrepeatedlyresultinleadpoisoningof major stepinﬁndingrentalhomes,particu y y

· ·

Tofulﬁllourcommit To beforthrightwith

The Oklahoma Central

and uniqueness of each individual. candid communication through teamworkandopen, our customersandoneanother Trust to all. quality Customer Service whenever thereisdoubt. seek clariﬁcationandguidance of ouragencyandtofearlessly sibility forouractions,andthose Accountability fairness, appreciating the diversity and oneanotherwithdignity Respect

· Tobuildconﬁdencein andeffectiveservices

To treat our customers

To takerespon

To provide

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OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT 5 6

OKLAHOMA STATE DEPARTMENT OF HEALTH

ﬁscal summary 2004 ANNUAL REPORT

F Funds of Source by Expenditures Agency

Public health programs conducted by the Oklahoma State Department of Health are funded by: federal funds, state funds appropriated by the Oklahoma Legislature, local millage, and A fees collected for services. S MI by Expenditures Agency FE UP LY D P H ER

Notes: Construction Industries Board became a separate agency effective July 1, 2004. Oklahoma City and Tulsa city-county O E N A R A ote L

data on all persons with cancer in Oklahoma since 1997. American Association of Central Cancer Reg istries awarded the Oklahoma Central Cancer Registry with its “Gold Standard Award.” There are 76 eligible population-based cancer registries in North America, and Oklahoma’s registry was one of only 36 that received the gold standard certiﬁcation. The Oklahoma registry is over 95 percent complete with all reportable cancers in Oklahoma. Data health departments function autonomously; thus expenditures made by these entities are not included in this report. T L >

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9,181,124 or 36.5% of federal expenditures or 22% of total agency expenditures. PR COM STAT OTE MU E A CT N Activity PP I IT R V Y O E H H P R E E A I A A L L T T T E

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collected by the registry is used to evaluate treatment outcomes, quality of life issues and referral patterns. Registry data are also used in decision-making processes to ﬁnd ways to provide quality health care at lower costs and with increased efﬁciencies.

ﬁcials were notiﬁed of a cluster of persons Disease Detectives Identify Source of Illness In March 2004, Oklahoma public health of

ill with symptoms of fever, cough, shortness

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of the outbreak to be the bacterium Control andPrevention, identiﬁedthesource pneumophila. agencies, and the federal Centers for Disease Health Department,several other statehealth collaboration withtheOklahoma City-County the OklahomaStateDepartment ofHealth,in Oklahoma Cityhotel.Responding quickly, in OklahomaCityandwereguestsatan attending anationalbasketballtournament of breath,andfatigue.Allillpersonswere

Immediate controlmeasures Service, InjuryPreventionandRecordEvaluationSupport. > Community Health In fiscalyear2004,theservicebreakoutforeachofbrancheswasasfollows: Service Human Resources,andBuildingManagement/InternalServices/Procurement. Management, Budget and Funding, Federal Funds Development, Information Technology, Center forHealthStatistics,CivilRightsAdministrator,MinorityLiaison,Financial Internal Audit Unit, General Counsel, Director of Scientific Affairs, Office of Communications,> Support Service, ConsumerHealthServices,andQualityImprovementEvaluationService. > Protective Health Public HealthLaboratoryService. HIV/STD Service,ImmunizationTobaccoUsePreventionandthe > Disease &Prevention and WICService. Service, MaternalandChildHealthScreening/SpecialServices/SoonerStart, > Family Health as wellthesecentralofficeservices:NursingService,CommunityDevelopment includedtheCommissionerofHealth,ChiefStaff,OfficeAccountabilitySystems, includedLongTermCare,HealthResourcesDevelopmentService,MedicalFacilities includedtheStateEpidemiologist,AcuteDiseaseService,Chronic includestheFamilySupportandPreventionService,ChildGuidanceDental includedthe69localcountyhealthdepartmentsthatprovidepublicservices, Branches

Legionella

adequate dailymonitoring andmaintenance closely withhotel managementtoensure for remediation ofthepoolareaandworked persons withsymptomsoflegionellosis. Pub employees. Casefindingidentified 107of317 mission of was closedtopreventcontinued trans was associatedwithillness.Thepoolarea tigation revealedexposuretothepoolarea were initiatedandanepidemiologicinves lic healthofficialsprovided recommendations Legionella tohotelguestsand - - -

OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT 7 8

OKLAHOMA STATE DEPARTMENT OF HEALTH

statistical 2004 ANNUAL REPORT program services

Administrative Services Administrative 1,358,554 9,238 of accountable mail) mailed by agency Mail Services and 15,043 parcels shipped by Shipping and Re ceiving to county health departments and other sites. 1,364 332 New Hires, 354 Terminations 152 Promotions, 88 Salary Adjust ments, 93 Equity Adjustments, 345 Freeze Exception forms 33,000 cial Management, as well as 28,000 time reports, 54,000 Time & Effort sheets, 141,335 receipts, and more than 2,800 journal entries. Adolescent Health Adolescent 150 served through community toolkit trainings on youth suicide preven tion. 200 adults in the Oklahoma City public school system were reached through the Second Annual Youth Listening Conference. 250 vention State Plan were distributed in Oklahoma and across the country; the plan was also made available on the Oklahoma State Department of Health Web site. 2,093 atric clinical services were received by pregnant and parenting teens and their infant children. 134 infants were provided infant health care through alternative education programs. 1,835 an entire teen pregnancy prevention curriculum, including evaluation. 6,000 other adults were made involv ing education sessions, and volunteer opportunities. 1 pregnancy prevention projects were operated across the state.

community coalitions, parent

Community-based adolescent

Adults and adolescents were

High school students and 50

Copies of the Youth Suicide Pre

Parenting adolescents with their

Visits for obstetric and pedi

Adolescents participated in

Human Resources:

Contacts with parents and

Claims processed by Finan

Pieces of mail (including

of disinfectant levels of the pool and spa to prevent legionellosis.

Prepare or Beware: Emergency Response Systems Readied health threats call for innovation and re thinking of public health’s role in threats or disasters. Federal and state mandates demand the integration of public health response into existing law enforcement and emergency management structures and

summary

Bioterrorism Preparedness Bioterrorism 6

conducted (1 in each region) and after-action reports were completed to prepare regions to respond to a public health emergency requiring Sites (MIPS) full-scale exercises were mass medication or immunization. 54 Specialists from county health departments and Indian Health Service and tribal facilities trained in outbreak investigation and bioterror ism preparedness. 1,757 public health workforce trained in Incident Command System. 59 ers and satellite dishes to downlink satellite programming to county health departments, Tulsa and Oklahoma City city-county health de partments, and the Oklahoma State Department of Health central ofﬁce. 67 videoconference units at county health departments, Tulsa and Oklahoma City city-county health departments, and Oklahoma State Department of Health central ofﬁce to provide access to videoconfer ence technology. Child Abuse Prevention Abuse Child 3,500 campaign packets were distributed across the state. 21 based public and private agencies and organizations were awarded, monitored, and provided technical assistance. 2,637 potential indicators of child abuse and neglect factors.

child abuse and neglect risk factors. 1,052

to families.

parent education and support services. 15,421

Mass Immunization and Prophylaxis

New and emerging public

Placement of new satellite receiv

Sanitarians/Environmental Health

Placement of updated PictureTel

Contracts with community-

Families were assessed for

Families received home-based

State and local members of

Child Abuse Prevention Month

Families were screened for

Home visits were provided

ﬁscal year 200

4 ciplinary teams received technical assistance and consultation. parent education and support services. 3

sexual abuse investigations, child abuse and fatality investigation strat egies, drug endangered children, standardized medical documentation of domestic violence-related injuries, and forensic interviewing of children. 1,185 forcement, public health, childcare, medicine, prevention, education, and domestic violence received special ized training. 6,142 glect were systematically reviewed by the multidisciplinary child abuse and neglect teams. such as the identiﬁcation and reporting Child Care Child of child abuse and neglect, multidis 907 Emergency First Care and Injury vention trainings across the state. 46 sionals received training to serve as local child care health consultants. 2,000 Resource Calendars were printed and distributed. Child Guidance Child 38,932 screening, assessment/ evaluation, prevention and intervention services. 61,500 training, and consultation on topics related to parenting, development, speech-language, hearing and psychosocial issues. vidual 21,436

20,21 reach

health and child guidance services. designed to inform and link them with 11,327 abstinence only classes in schools

plinary team approach to child

Training events were held on topics

Existing and developing multidis

County health department profes

Child care providers attended

Families attended center-based

and promotion activities

Professionals from law en

or group consultation services.

Child Providers Health and

Cases of child abuse and ne

Professionals received indi

Individuals received out-

Family members received

Participants in workshops,

Youth participated in the

systems. from the federal Centers for Disease Control and Prevention, the Oklahoma State Depart ment of Health created a Health Emergency Operations Center, commonly referred to as the “Situation Room.” The Situation Room will serve as an intelligence center during a threat or public health event, but already this year, it served as the command center for other urgent public health issues. The room is equipped with audio/visual and computer

Pre

In ﬁscal year 2004, with support

and community organizations. 541 curriculum orientations. 424 attended 55 abstinence curriculum trainings for the purpose of teaching abstinence only courses. 417 they could educate their youth about abstinence. 193

abstinence only messages to youth and parents. Child Health Child 11,103 5,312 received physical or developmental billboard media outlets conveyed the assessments in local county health department child health clinics and community clinics providing contract services. Children First Children 77 visitation services. 5,869 families, 52 percent of mothers were between 15 and 19 years of age. 56,398

referred for home visitation services. Chronic Disease Chronic 255 received training on sexual assault prevention that targeted males. 15 ties are collaborating to present the primary prevention program to prevent sexual assault, “Man 2 Man” program to college male students. 451 received training on bullying preven tion. 147 ferent school districts were trained in a bilingual elementary school- based curriculum providing basic asthma education and management designed to empower children and their parents to take control of their asthma.

Counties with Children First home

Public colleges and universi

Parents attended abstinence

Teachers and volunteer trainers

Parents attended training so

Radio, newspaper, TV and

Community professionals

Individuals representing 6 dif

Families served. Of those

First-time mothers were

Children ages 20 and younger

Completed home visits.

- nication equipmentfailure. communications incaseofprimarycommu phones andHAM radiosprovideredundant cal EmergencyResponseCenters. Satellite Operations Center,andthree regionalMedi posts, striketeamsatthestate Emergency health officialscancontactincident command In anurgentoremergencysituation,public and bothlocalnationalnewsreports. tion onhospitalstatus,weatherconditions, equipment thatproviderealtimeinforma gram andtheOmniplexGrossology Diabetes PreventionandControlPro ter” presentationsponsoredbythe 147 diabetes inthesepracticegroups. in diabetescontrolbypersonswith of thiscollaborativereflectchange dards ofcareandoutcomes.Results laborative toimprovediabetesstan pating inastatewidediabetescol 37 management. an updateinintensivediabetes 64 education training. 4 asthma. settings todetectundiagnosed conducted inchildcareandschool 1,362 REACH 2010ProjecttoReduceDia occur atOklahomaNativeAmerican 75 Programming.” Education andPhysicalActivity in “AdventuresExperiential Partners’ staffreceivedtraining betes andCardiovascularDisease REACH 2010ProjecttoReduceDia 152 for 2002. in 17,193incidencecancercases from 178reportingfacilitiesresulting 39,316 statewide. to heartdiseaseandstrokepartners Strategic Planweredisseminated Disease andStrokeHealthProgram 750 levels werereducedby22mg/dl. loss of8pounds,andbloodglucose points inbloodtriglycerides,weight blood cholesterol,adecreaseof58 reduction of39pointsinlowdensity astolic bloodpressureof12points,a outcomes reflectedareductionindi Of thisgroupofindividuals,clinical of heartattack,strokeanddiabetes. in apilotprogramtoreducetherisk 1, fruits andvegetablestothediet. promotes theimportanceofadding exhibit. The“SaladSister”program 1 1 2 Private practice groups are partici- 10 Physical activityeventsperweek Nursing professionalsreceived

Persons attendeda“SaladSis Professionals receivedasthma Oklahoma NativeAmerican Copies oftheOklahomaHeart

Individuals areparticipating Asthma screeningswere

Cancer casesprocessed - - - > - - - -

As part ofthis Partners sites. betes andCardiovascularDisease reviewed. 6 Dependency Chemical and Psychiatric Need, of Certificate skilled nursingunits. 4 residents. facilities formentallyretarded 32 reviewed. 32 changes, andchangesofownership. renewals, bedincreases,name and specializedfacilities,including 546 ties licensed. 4 Administration License Facility Specialized and Nursing and Need, of Certificate Take Charge!Program. of thecervixthroughOklahoma grade cervicallesionsorpre-cancer 3 Program. through theOklahomaTakeCharge! Pap smeartodetectcervicalcancer 11,182 Charge! Program. cancer throughtheOklahomaTake 44 Program. through theOklahomaTakeCharge! mammogram todetectbreastcancer 3,533 Charge! Program. cancer throughtheOklahomaTake breast examinationtodetect 3,58 Cardiovascular Disease. 2010 ProjecttoReduceDiabetesand Oklahoma NativeAmericanREACH activity interventionsthroughthe year measurementsinphysical 1,400 6 Treatment Facilities Treatment CertiﬁcateofNeedapplications 2 66 Net bedincrease,hospital-based Beds addedtoinventory.

3 CertiﬁcateofNeedapplications Net bedincrease,specialized Women foundtohavebreast

2 Total licensesissuedtonursing Nursing andspecializedfacili Women foundtohavehigh-

Women receivedaclinical Participants receivedone- Women receivedascreening

Women receivedacervical - - -

- vides theframeworkforacommon command materials teams, andotherfirstresponders. services, emergency management, hazardous enforcement, firefighters,emergency medical emergency responsepartners includinglaw structure thatensuresintegration withother Incident CommandSystem(ICS).ICSpro department employeesweretrainedinthe year 2004centralofficeandcountyhealth emergency preparednessprocess,infiscal ease-specific statisticalinformation/ Investigation and Prevention and Investigation 24, and food-bornediseases. breaks suchasinfectioushepatitis source andtocontroldiseaseout were conductedtoidentifythe unsatisfactory rabiesspecimens) (including follow-uponpositiveand 4, municable diseases. on thecausesandcontrolofcom with theprofessionalandlaypublic 21,3 two-day basicepidemiologycourses. tribal personnelalso)trainedinfour (includes IndianHealthServiceand control practitioners,andsanitarians lic healthnurses,hospitalinfection 71 outbreak investigation. health clinics)trainedindiseaseand from IndianHealthServiceandtribal both countyhealthdepartmentsand 200 Disease Communicable correctly andthatmanyrespiratory precious resources that must be used general publicthatantibioticsare campaign teachespatientsandthe practitioners, and pediatricians). This cians distributed toOklahomaphysi patient educationmaterialswere When AntibioticsWorkpostersand 1,850 statistical summariesdistributed. 6,516 ics ofinfectiousdisease. into outbreaks,clusters,andepidem 26 Service andtribalhealthsites). laboratory (includingIndianHealth ratories, andonenationalreference reports fromclinics,hospitals,labo conditions, received12,959ofthese submit reportablediseasesand a secureWebsitetoelectronically Detection inOklahoma(PHIDDO), Health InvestigationandDisease reviewed and/orinvestigated.Public and district nursing supervisors (from 2

580 61 Public healthadministrators,pub Onsite orin-depthinvestigations

1 Communicable diseasenurses Epidemiology Bulletins and 7 (generalpractitioners,family

Packets ofGetSmart:Know

Epidemiologic investigations

Consultations weremade Disease and laboratory reports

- dis ------

attended the 28th Annual Convocation 22 southern and southeastern states and other public health personnel from ologists, state bioterrorism personnel, infections are caused by germs called autopsies identiﬁed46deaths 77 autopsies ofpoten of an Medical 100 processed. 43 epidemiological techniques. on theprinciplesandapplicationof ate classes,andlocalhealthnurses groups, medicalschoolsandgradu presented tovariousprofessional hosted for theEliminationofTuberculosis Division andtheOklahomaCoalition (CSSE). TheCommunicableDisease of SouthernStateEpidemiologists 98 tive intreatingtheseviruses. viruses andantibioticsareineffec professional andmedicalgroups. 41 administered. 175 4,719 ducted infacilitiesandworkplaces. 15 tigations (casesandsuspects). 171 human casesofWestNilevirus. 78 surveillance andtesting. and processedforWestNilevirus 731 infectious diseasepathology. fatal infectiousdis critical component of disease deaths.Thispartnershipisa formed bytheOfﬁceofState 30,123 3,058 tious/communicable disease epidemi 235

State epidemiologists, state infec

Environmental specimens Seminars andlectureswere TB presentationstovarious TB contactinvestigationscon Epidemiologic investigationsof

New tuberculosis cases identiﬁed. Tuberculosis (TB)contactinves Additional autopsieswereper- Number ofsuspectsevaluated. Dead wildbirdscollected

OSDH TB x-rayconsultations. TB telephoneconsultations.

this meeting. Tuberculin skintests Examinerwiththesupport contract toincrease - eases. tia l infectious surveillance for

Additional dueto - - - - -

OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT 9 10

OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT

Communications 186 and provided to news media statewide; more received. 3 to the processed. 411,349 agency Web site, generating 18,398,402 page hits. 602 conference, satellite broadcast/dis tance learning projects completed. 176 projects completed. Consumer Protection Protection Consumer 1,062

mission inspections. 55

31 760 received permits. 31 11 device facilities licensed. (Note: There are approximately 70 to 80 unlicensed facilities, as there is no statutory authority for licensing.) 15 device facility inspections. 1 1

accredited mammography facilities. 97 performed. 49 issued. 102 9,350

licensed. 47,274 1,117

1 21,664 101 287 2,784 x-ray tubes.

, ,

,972

2 2

Mammography facility inspections

27 27

Consumer Product Safety Com

Body piercing artists licensed. Body piercing establishments

Drug, cosmetic and medical

Public bathing place permits

public service announcements

Correctional facilities licensed. Correctional facility inspections.

E-mail requests from visitors

Graphics/desktop publishing

News releases, feature articles,

Video/audio production, video

Bedding inspections.

Accredited and provisionally

Food manufacturer inspections.

than 1,600 media inquiries

Public bathing place inspections.

agency Web site were

Food manufacturers licensed.

Permits issued for diagnostic

Hotels/motels licensed. Hotel/motel inspections.

Bedding licenses issued.

Retail food establishments

Retail food Inspections.

Unique visitors to the

Injury Prevention Efforts Result in Occupa- tional Changes Assessment Control and Evaluation project is used by the Injury Prevention Service to develop descriptive, prevention-oriented reports on workplace fatality investigations. These reports describe occupational fatalities in detail and recommend prevention strate gies. Reports have focused on a variety of industries and occupations, including bowl ing centers, agriculture, construction, oil and

The Oklahoma Fatality

859 Dental Services Dental 33 education/tobacco use prevention programs. 36,449 dental education/tobacco use prevention instruction. 106,2 encounters. 4,482 workshops provided. 913 encounters in health department dental clinics. 4,730 51 procedures performed in health department dental clinics. Emergency Medical Services Medical Emergency 194 143 6

4,469

43 822 66 candidates tested, as follows: 29 26,500 Basic EMT tests, 978 candidates; 6 Paramedic and Intermediate tests, 309 candidates; and 31 First Responder tests, 672 candidates. 8 Family Planning Family 75,242 ning and related health services in 86 county health department clinic sites located across 66 counties and in 20 1,557 additional sites provided by contract community partners, for a total of 70 counties providing family planning services. 1,189 family planning services. 28 to county health departments and contract service providers for family planning program updates and spe cial topics, with a total attendance of 2,448.

Stretcher Aid Van services.

Training sessions were provided

Counties with active dental

EMS training institutions. EMS districts. Examinations administered; 1,959

Certiﬁed First Response agencies.

X-ray inspections.

Dental clinical treatment

Ambulance services.

Courses approved.

EMT Intermediate.

Dental program presentations/

Dental clinical treatment

EMT Basic.

EMT Paramedic.

Male clients were provided

Certiﬁed First Responders.

Clients received family plan

Children received classroom

Dental educational program

Health Care Information Information Care Health 6,865 completed for the Behavioral Risk Factor Surveillance System. (CY 2004) 5,427 completed for the Oklahoma Minority Behavior Risk Factor Surveillance Survey. (CY 2004) 110 Hospital Surveys processed. 1,000

tient discharge datasets. (CY 2003) 100 outpatient surgery (hospital-based) discharge datasets. (CY 2003) 45 outpatient surgery (free-standing) discharge datasets. (CY 2003) Health Resources Development Development Resources Health Services 3 care centers, including renewals, 125 bed increases, name changes, and changes of ownership. 58 rently certiﬁed. 449 trained. 52 1

1 1 members as of Dec. 31, 2003.

150 45 tinuum of care facilities and assisted living centers including renewals, bed increases, name changes, and changes of ownership. Home Care Administrator Registry Administrator Care Home 565

64 Care Administrator Preparedness Assessment). currently certiﬁed. 9 55 1

Changes of ownership processed.

92,248

Complaint investigated.

Approved test sites. Approved preparedness program.

Workplace medical plans cur

of 46

Caring Heart volunteers trained.

Outreach activities.

Requests for information.

Provisional Certiﬁcates issued.

Total licenses issued to adult day

Tested for OHCAPA (OK Home

of 101

Activity and social directors

Total licenses issued to con-

Oklahoma Cooperative Annual

Home Care administrators are

131

Information requests completed.

Telephone survey interviews

Facilities reported

Workplace Medical Plan

Facilities reported inpa

Facilities reported

gas, and poultry production. 2004, a review of report evaluations indicated these reports appeared to bring attention to a variety of workplace hazards and more importantly, to inﬂuence change among workers’ practices. Here’s a sample of user comments: These reports are very beneﬁcial in classroom settings. They give the students real world awareness to the importance of safety practices in everyday life and work. ~

Thank you for the information concerning

Immunizations 942,289 administered by county health 509 departments, other public provid ers, clinics, hospitals, and private physicians. 206 investigations were conducted. 595 pating in the Vaccines for Children Program on January 1, 2004. 54 297 assurance were conducted at clinics that were enrolled in the Vaccines for Children Program. 196 private, tribal, and public and schools were brought on trained to use the Oklahoma munization Information System, a statewide immunization registry. 65 up-to-date on immunizations. Injury Prevention Prevention Injury 3,852 injuries were reviewed. 110 reviewed. 4 inhalation injuries were reviewed. 161 injuries were reviewed. 111 injuries were reviewed. 19 lance data were presented to injury medical professionals. 1,045 ing injury control were distributed, including posters, brochures, training guides and fact books. 5,284 uted to households. 3,200 children. Injury Prevention – SAFEKIDS 380 state and federal lakes through the “Brittany Project”, a lifejacket loaner program.

Attended preparedness program.

Initial certiﬁcates issued.

Percent of 2-year-old children

Written reports reviewing surveil

Provider sites including public,

Renewals @ $50.00 each.

Vaccine-preventable disease

On-site visits to measure quality

Reports of submersions were

Oklahoma clinics were partici

Reports of traumatic spinal cord

Reports of fatal occupational

Lifejackets were taken to 10

Reports of burns and smoke

Educational materials regard

Car seats were distributed to

Smoke alarms were distrib

Reports of traumatic brain

Doses of vaccine were

In ﬁscal year

line and

private

survey to assessthe dental health status Assessed Oral HealthNeeds ofOklahoma’sChildren for allthecustomerstoread. safety meetings…andputthe informationout activities. ~Wediscussthe topics during be studiedandappliedtomany ofourdaily employees. ~Thelessonsandfailurescan to providethesafestworkplaceforallofour worker safety.Weshareyourenthusiasm 195 1,713 19 55 29 2 assisted livingcenters. other inspectionsconductedin investigations, follow-upvisits,and Licensuresurveys,complaint 312 licensed beds. services inapproximately6,264 119 made inadultdaycarecenters. visits, andotherinspectionswere 36 mately 1,447participants. services withacapacityforapproxi 37 Care Term Long 124 ing facilities. lockup facilities,and5012-hourhold county jails,17city37ten-day ducted in181jails,consistingof77 221 (City-County) Jails events. Wahoo WaterSafetyEducation 2,400 curriculum. the RiskWatchInjuryPrevention 8 program. statewide throughthe“Save-a- 1,318 were conducted. 61 distributed. 610 needs. loaned tochildrenwithspecial 36 subsidized seats. seats, 186discountedand265 uted tothepublic,including613free 785 the semi-annualSAFEKIDSSummit. 200 distributed toﬁredepartments 15 Enforcementactions. Newcommunitiesimplemented Adultdaycarecentersprovided Escapesrecorded. Attemptedsuicidesrecorded. Deathsinvestigated. Childsafetyseatcheck-upevents Bikerodeoswereconducted. Specializedcarseatswere

Licensure surveys,follow-up Childsafetyseatsweredistrib Complaintsinvestigated. Routinejailinspectionscon Freebikehelmetswere Childsafetyadvocatesattended

Assisted livingcentersprovided Facilities tested.

Jailerstrained. Elementarystudentsattended Free smokealarmswere

Results fromthe ﬁrststatewide Life - - ” -

24,857 and 1,adultdaycare. centers; 70,residentialcarehomes; ized facilities;83,assistedliving including: 1,757,nursingandspecial 1,911 complaints. ing incidentreportsconvertedto 1,952 Practitioner’s ExaminationofPsy 16 Practitioners. 3 Practitioners Behavioral Licensed 1 care. regulations andtomonitorpatient determine compliancewithlicensure in residentialcarefacilitiesto visits, andfollow-upvisitsmade plaint investigations,monitoring 249 approximately 3,215licensedbeds. operation representingatotalof 129 and skillednursingfacilities. inspections conductedinnursing surveys, investigations, lifesafetycode 3,574 units inoperation. 15 mately 31,356beds. and providedservicesinapproxi 342 8 other inspections. investigations, follow-upvisits,and 277 mately 2,599licensedbeds. public) providedservicesinapproxi 77 continuum ofcarefacilities. other inspectionswereconductedin investigations, follow-upvisits,and 68 participants speciﬁed). living, andcapacityfordaycare licensed fornursingorassisted proximately 1,586beds(with provided servicesinatotalofap 11 up reports. received, includinginitialandfollow- 102 1 Enforcementactions. State enforcementaction. 0 Licensuresurveys,complaint Continuumofcarefacilities Applicantsforlicensuretookthe Hospital-basedskillednursing ICF/MRfacilities(privateand Persons licensedasBehavioral Nursingfacilitieswerecertiﬁed Residentialcarehomesin Stateenforcementactions. Licensureinspections,com Licensuresurveys,complaint Complaintsreceived,includ

Licensuresurveys,complaint Complaintsinvestigated,

Facilityincidentreports follow-upvisits,andother

- - -

- - perience of thirdgrade children havedentalcaries ex including thefollowing items: among thethirdgradeschool population, found analarmingprevalence oftoothdecay Health toconducttheresearch project,which Oklahoma CollegesofDentistry andPublic ment ofHealthjoinedwiththe Universityof Health ServiceattheOklahomaStateDepart announced infiscalyear2004.TheDental of Oklahoma’sthirdgradechildrenwere - - an assessmentformedical,genetic, ed prenatalcareservices,including 7,662 Maternity 4 22 precedes issuanceofthelicense. Completion ofsupervisedexperience of hourssupervisedexperience. 287 sional counselors. 2,559 Counselors Professional Licensed 9 Therapists. Examination forMaritalandFamily 58 family therapists. 513 Therapists Family and Marital Licensed 6 precedes issuanceofalicense. tion oftherequiredsupervision of supervisedexperience.Comple accrue therequirednumberofhours chological Knowledgeandbeganto inspections. 182 submittal reviews. 2 215 investigations. waived surveys;and3complaint surveys; 7validation35 recertification surveys;22follow-up including: 22initialsurveys;135 224 rently inoperation. 2,695 in operation. 1 1 1 Certificationsurveyperformed. currently inoperation. 49 Services and Facilities Medical tors uponadmissiontoservices. psychosocial, andnutritionriskfac began to accrue the required number National Counselors Examination and Complaintsinvestigated. 1 Complaintsinvestigated. Licensedbirthingcentercurrently Licensuresurveyperformed. Disciplinary actionstaken. 6

Ambulatorysurgicalcentersare Complaints investigated. Applicants forlicensuretookthe

Applicantsforlicensuretookthe

Hospitalsubmittalreviews. Ambulatorysurgicalcenter Medicalfacilityrelated CLIAsurveyswereperformed, Persons licensedasmaritaland

Pregnant womenwereprovid Persons licensedasprofes Clinical laboratoriesarecur ; 40.2 percent ofthird grade children

- - - - -

69.4 percent 73 currently inoperation;7certiﬁcation 290 72 tion surveys,14follow-up performed including:29recertiﬁca 120 ized hospital,abortionfacility. hospital, rehabilitation; and 3 special hospital, psychiatric;7specialized access hospitals;10specialized medical surgicalhospitals;30critical in operation,including:96general 146 and 3complaintinvestigations. 77 and 25complaintsinvestigated. 36 currently inoperation. 1 visits, 12complaintsinvestigated. 68 gated. visits, and22complaintsinvesti 85 are currentlyinoperation. 15 130 reviews. 85 in operation. 12 are currentlyinoperation. 28 are currentlyinoperation. 25 surveys performed. 49 operation. 4 are currentlyinoperation. 8 investigated. 2 follow-upvisits,and1complaint currently inoperation;16surveys, 63 complaint investigations. surveys, 2follow-upand11 performed including:15relicensure 28 validation survey. 76 complaintinvestigations,and1 rehabilitation facilitiescurrentlyin 3 Comprehensiveoutpatient Communitymentalhealthcenters LifeSafetyCodesurveys. 6 Swimmingpoolinspections. Swimmingpoolplanreviews. Long-termcaresubmittal Portablex-rayunitsarecurrently Endstagerenaldiseasecenters

LicensureSurveyswere Rehabilitationagenciesare Licensuresurveys,15follow- Medicaresurveys,26follow-up PPSexcludedrehabilitationunits PPSexcludedpsychiatricunits

Licensure surveys,15follow-up Licensedhospiceprogramsare Medicare surveys,11follow- CertiﬁcationSurveyswere Long-termcareinspections. Licensedhomehealthagencies Licensed hospitalsarecurrently - - - ups, ups, -

OKLAHOMA STATE DEPARTMENT OF HEALTH

2004 ANNUAL REPORT 1 1 12

OKLAHOMA STATE DEPARTMENT OF HEALTH 2004 ANNUAL REPORT

43 in operation. 63 rently in operation 2 operation. 1

testing facilities are currently in operation; 13 licensure surveys, and 2 complaint investigations. Minority Health Minority 10 86 disparities, Culturally & Linguistically Appropriate Standards (CLAS), and technical support to local communi ties involving additional requests for data information and policy support related to health disparities impact ing minority populations. 10 meetings, including subcommittee meetings. 3 developed and implemented. 10 provision of culturally appropriate and culturally sensitive education and prevention services targeting minority populations. 18 departments assessing language assistance services to persons with Limited English Proﬁciency as required by federal standards. 1

Committee at the Latino Commu nity Development Association and the Substance Abuse Prevention Program for the youth.

4 Senior Banquet with the Education grams funded through performance- based contracts to provide services to minority and disadvantaged youth. Includes four compliance visits to each program site. 6 State Department of Health and community partners in support of minority health initiatives. 3 Classes developed. Assisted in the provision of culturally appropriate communication by training three groups of OSDH employees.

Eye Bank is currently in operation.

Participated in the Hispanic

Youth violence prevention pro

Meetings with various Oklahoma

Basic Conversational Spanish

Tissue banks are currently in

“Use of interpreter” trainings

Public presentations on health

Rural health clinics are currently

Swing bed hospital units are cur

Workplace drug and alcohol

Communities assisted in the

Site visits to local county health

Health Disparities Task Force

have untreated decay grade children have dental sealants on at least one permanent molar tooth age, each third grade child has approximately 2.8 teeth that are decayed or have been decayed. cant improvements are needed in Oklahoma before the Objectives Survey data will be used to increase efforts to educate the public about the importance of

for the nation are met in this state.

Healthy People 2010 Oral Health

These data indicate that signiﬁ

Spanish and three documents translated into Chinese for the 257 agency’s programs and commit tees including: Forms Committee, WIC, Newborn Screening, Chronic Diseases, Women’s Health, and Child Development. Provided numer ous interpretation services for the programs mentioned above as well as county health departments. 3 Spanish. Participated in the presen tation of the agency’s community services programs including HIV, Health Disparities, and Immuniza tions. 5 participation with the Hispanic Latino Tobacco Education Network initiated by the Latino Community Develop ment Agency. Developed materials and translated publications for the Latino community in an effort to reduce the use of tobacco. Formed part of the Steering Committee of this group. Nurse Aide Registry Aide Nurse 60,475 6,332

6,997 Long Term Care (LTC), 3,385 Home Health (HH), 661 Developmen tally Disabled (DD), 15 Residential Care (RC), 8 Adult Day Care (ADC), during fiscal year 2004*, as follows: 1,398 Certified Medication Aides. (A during fiscal year 2004. CMA must also have LTC, HH, or DD 12, Certification.) 89,383 category*, as follows: 51,653 Long Term Care; 20,081 Home Health; 6,227 Developmentally Disabled; 797 Resi dential Care; 127 Adult Day Care; and 10,498 Certified Medication Aides. (A CMA must also have LTC, HH, or DD Certification.) *A nurse aide may be certified in more than one category (LTC/HH/DD/RC/ADC). Occupational Licensing Occupational 434

alarm industry (or in the process of becoming licensed). Includes man agers, salespersons, technicians, and technician trainees.

2,185

Radio broadcast programs in

Meetings to provide active

Documents translated into

Alarm companies licensed.

Total nurse aides added

Individuals licensed in the

Total certiﬁed nurse aides.

Total certiﬁcations, by

Total certiﬁcations added

;

37.2 percent of third

;

n aver

3,359 apprentices. 77 5 3,478

which are inspected annually. 163

Temporary Hearing Aid Dealers and Fitters licenses). 1,428 61

and ﬁtters (which includes 15 Pharmacy currently certiﬁed. 5,715

county health departments. 6 requisitions. prescriptions ﬁlled. 10 for credit. 22,530 652 medication issues at county health departments and the central ofﬁce. Primary Care Primary 5 (MUAs) reviewed and submitted for designation. 12 not meet criteria. 16 Areas (HPSAs) reviewed and submit ted for designation. 28 (NHSC) health care provider site placement applications reviewed and scored. 9 placed in HPSA areas. 14

health center (FQHC) development. communities for federally qualiﬁed 106 waiver information requests. 15 placed in practice sites. 47 inquiries. Public Health Laboratory Health Public 243,131 on blood specimens to identify ana

Barber colleges licensed.

Medically Underserved Areas

NHSC health care providers

Program blanket medication

Areas reviewed for MUA but did

Health Professional Shortage

National Health Service Corps

Technical assistance provided

Foreign Medical Graduates

Foreign Medical Graduate waiver

Barbers instructors licensed.

Medication shipments returned

Micropigmentologists are

Licensed hearing aid dealers

Phone consultations regarding

Foreign Medical Graduate visa

barbers and 119 registered

Barbers licensed, including

Barber shops registered,

Direct Observation Therapy

Requisitioned items for local

Laboratory tests performed

oral health as a part of total health; increase access to dental care for children eligible for Medicaid; increase the use of dental sealants; increase the number of public water supply systems that ﬂuoridate; and decrease the in cidence of tobacco use to reduce oral lesions and oral disease.

Oklahoma Cares A program that could help save the lives of many low-income women without creditable

lytes for chronic or genetic diseases. 156,084 performed to detect infectious diseases, e.g., sexually transmitted diseases, tuberculosis, or enteric infections. 1,534 tested for the presence of rabies. 94 views for county health depart that perform laboratory testing. Quality Improvement Improvement Quality

365 Services Evaluation and MDS data. 200 ted OASIS data. 58 85 trained and assisted. 388,641 uploaded to the National Repository. 3,189 ﬁrst statewide Youth Risk Behavior

School Health School 23 schools participated in the com prehensive Schools for Healthy Lifestyles program. 20 districts) participated in the Youth Risk Behavior Survey administered locally by the Maternal and Child Health Service. 12,117

Survey in the 2003-04 school year.

104 34 monthly video conferences on health topics in the 2003-04 school year. 175 private, parochial, state, and tribal schools; county health departments; and agencies working with school- age children and youth) received electronic monthly school health resource packets. 4,000 calendars were mailed to schools in Oklahoma. 30,00 Okla

school year.

were distributed during the 2002-2003

Medicaid Program Designed

Laboratory Quality Assurance

Software vendors served. Medicare/Medicaid surveyors

Oklahoma County elementary

Training sessions conducted.

Schools (representing 11 school

Contacts (including public,

Home Health Agencies transmit

homa School Health Newsletter

Nursing homes transmitted

Health professionals attended

Animal brain specimens

Good Health Gets an A

Help Desk contacts worked.

Copies of the quarterly

Students participated in the

MDS or OASIS assessments

Laboratory examinations

school

ments

vical cancer forwomen whomeet eligibility for diagnosisand treatmentofbreastand cer Medicaid Program, whichwillcoverthecosts would beeligibleforthe and 65,whoarelowincome anduninsured, legislation, womenbetween theagesof19 Cancer TreatmentActin2004. Underthis Legislature fundedtheBreast andCervical a diversegroupofadvocates,theOklahoma in fiscalyear2004. health insurancehaditsorganizationalroots 55 1,579 ing withinthefirstmonthoflife. 10,951 ments, physicianofficesandother syphilis identified. 4,708 gonorrhea andchlamydia. conducted forcasesofsyphilis, 843 Control Disease Transmitted Sexually tory venoustesting. to 10ug/dlverifiedthroughconfirma lead elevationsgreaterthanorequal 123 age weretestedforleadpoisoning. 13,338 health careprofessionals. distributed tocountyhealthdepart tion educationthroughmaterials received neuraltubedefectpreven 35,500 Early Interventionservices. them thattheirchildiseligiblefor defects receivedaletterinforming 139 birth defects(provisionaldata). 2,188 disorder andreferredfortreatment. 40 not normal. 1,133 galactosemia. thyroidism, sicklecelldisease,and diseases, includingPKU,hypo 50,222 screening attheageof6months. were referredforasecondhearing considered “atrisk”forhearingloss initial hearingscreeningbutwere 2, the ageof6months. loss wereenrolledininterventionby 46 loss confirmed. audiologic assessmenthadhearing 69 assessment. referred fordiagnosticaudiologic hospital hearingscreeningwere received physiologichearingscreen 48,928 Services Special and Screening 7

Infantswerediagnosedwitha 57 Childrentestedwhohadblood- Cases ofprimaryandsecondary Infants withdiagnosedhearing Infants whoreceiveddiagnostic Epidemiologicinvestigations

Parents ofchildrenwithbirth Infantswereidentiﬁedwith Infantshadscreensthatwere

Casesofgonorrheaidentiﬁed.

Infants whodidnotpassthe

Infants whopassedthe

Cases of chlamydia identiﬁed. Newborns (96percent) Children lessthan6yearsof Women ofchildbearingage Infants screenedforgenetic >

Through theeffortsof Oklahoma Cares - - - - - 235 riﬁc OpportunitiesforChildren)to seling andtestingattestsites 204 reported. 193 settings. with disabilitiesintypicalchildcare and supporttheinclusionofchildren childcare providerstoencourage (Training InclusiveChildcare:Ter through theTIC-TOCprogram 28 cies andorganizations. individuals representingotheragen Disabilities ServicesDivisionstaff, personnel, DHSDevelopmental parents, SoonerStartstaff,school with 1,401participants,including Regional Support(STARS)Program through theStatewideTrainingand 45 at theendofFY04. counted onthemonthlycaseload 4,052 children typicallyfunction. community settingsinwhichyoung environments, includinghomeand services wereprovidedinnatural multidisciplinary teams.The intervention servicesprovidedby evaluation, assessment,andearly abilities, andtheirfamilies,received 9,471 Intervention Early SoonerStart continuum ofcareservices. 1,668 AIDS DrugAssistanceProgram. 365 quarterly newsletter. information throughHIV/STD,a 3,330 workshop. antibody counselingandtesting 52 seminar. 80 interventions. 4,433 Department ofHealth. sponsored bytheOklahomaState 35,83 identiﬁed andmedicallyexamined. 841 Workshopswerepresented PersonsattendedHIVinfection

Workshops werepresented Persons weretrainedinHIV

PersonsreceivingSTDtraining. PersonsservedthroughHIV/ New HIVinfectioncases New AIDScasesreported. New contactstoallsyphilis Persons receiving speciﬁc HIV Infantsandtoddlerswere Infantsandtoddlerswithdis 7 PersonsreceivingHIV/AIDS Personsobtainedupdated

Persons receivedHIVcoun

- -

- - - launch inﬁscal year2005. the womenof Oklahoma.Theprogramwill into placetocreatethebest planpossiblefor cies toassurequalityprocesses wereput ment ofHumanServices,and otherkeyagen Oklahoma HealthCareAuthority, theDepart Service metwithrepresentatives fromthe eral FundsDevelopmentandChronicDisease Oklahoma StateDepartmentofHealth’sFed criteria. 150,000 state cleanindoorairlaw. educational materialsregardingnew 80,000 networks. 3 5 5,000 prevention coalitions. 5 4 prevention andcessationprogram. 1 Prevention Use Tobacco wide againstatotalof135indicators. of 558recordswerereviewedstate Quality AssuranceSiteVisit.Atotal teams receivedacomprehensive 26 from afamilyperspective. to evaluatetheservicesprovided conducted usingatelephonesurvey April 2004.Theseinterviewswere the OklahomaStateUniversityduring by theBureauofSocialResearchat Point Council. 6 community groups. recreational, non-proﬁt,andother education, religious,communication, including political,economic,health, representing varioussectors Turning PointCouncil(OTPC) 1,882 health locally. and knowledge to improve community They continuetoshareexperience at variousstagesofdevelopment. 50 Point Turning schools. health careprofessionalsin479 Wars presentationsby170volunteer 23,800 No-Tobacco Usepolicies. 36 nurses serving18districts. 14 distributed. 304 70 [Students Working Against Tobacco]. 175 SoonerStart Family Survey conducted SWATregionalcoordinators. Countytobaccocoalitions. Countymobilizationprograms. Comprehensivecountytobacco MeetingsoftheOklahomaTurning Ethnictobaccoeducation SWATadultfacilitators. SoonerStartEarlyIntervention LocalTurningPointpartnerships Schooldistrictswith“24/7”

Tobacco preventionschool

Membersoflocaltobacco Families participatedinthe

MembersontheOklahoma Youth membersofSWAT >

Oklahoma businessesmailed Students participatedinTar

“Breathe Easy”decals Throughout theyear,stafffrom

to replacecertificatesoflegitimated 16,442 filed. records wereissued. 475,000 and adoptedchildren. 35,623 were filed. 50,874 Records Vital Funding Alertsdistributed. 12 Point initiatives. munity activitiessurroundingTurning partnerships coordinatethecom 284 ties acrossthestate. that focusedonTurningPointactivi 251 communities. addressing healthissuesoftheir 575 Financing. Resources, andPublic/Private on Data,Communication/Human 3 20 Committee. 6 breastfed foratleastsixmonths. Oklahoma WICProgramwhowere 7 all infants. People 2010Goalof75percentfor percentage pointsoftheHealthy WIC Program.Thisrateiswithin11 of infantsenrolledintheOklahoma 64% and 44,822children. postpartum women;23,692infants; 4,385 breastfeedingwomen;6,819 including: 12,160pregnantwomen; and childrenparticipatedinWIC, 91,878 vendors acrossthestate. 525 services in74counties. for Women,InfantsandChildren) Supplemental NutritionProgram 128 WIC OTPCSubcommitteesworking MeetingsofOTPCExecutive % CommunityHealthPartners Meetings of OTPC Subcommittees. Breastfedinfantsenrolledinthe GrocerystoresservingasWIC Fieldrepresentativeshelped Localarticlesweregenerated ClinicsprovidingWIC(Special Meetingsoflocalpartnerships Breastfeedinginitiationrate

Newcertificateswerefiled CertificatesofLiveBirth

CertiﬁcatesofDeathwere Nutritionally at-riskmothers

Copies ofbirthanddeath - - -

OKLAHOMA STATE DEPARTMENT OF HEALTH

2004 ANNUAL REPORT 13 14

OKLAHOMA STATE county health department services

COUNTY

HEALTH DEPARTMENT

di 2,1 * 1 0 1 1 * 21,614 Adair

eka 1,9 * 2 6 142 67 322 * 19,894 Beckham

lie 11,678 Blaine

tk 1,4 * 0 8 136 37,306 8 Bryan 301 * 14,142 Atoka atr 636 2 16 4 700 243 106 122 46,396 Carter evr ,8 * 3 0 12 30,070 30 Caddo 73 * 5,582 Beaver hrke 373 1 5 5 122 57 150 21 43,783 Cherokee

hca 15,431 Choctaw

aain 294 4 45 103 219,966 Cleveland 5 455 141 92,904 Canadian

ri 14,880 Craig

eaae 38,709 Delaware ol 5,946 Coal

oace 1,9 6 3 5 688 50 737 6 113,890 Comanche avn 27,218 Garvin otn 6,582 Cotton

re 68,794 Creek

rd 47,439 Grady 24,962 Custer

rn 4,973 Grant apr ,9 * 4 * 1 * 0 9 93 7 0 3 169 5 6 95 265 95 1,629 533 30 7 * 933 96 205 * * 1 * 146 * 3,398 Harper re 5,888 Greer 57,105 Garﬁeld akl 12,044 Haskell amn ,5 1 27 7 0 57 247 15 3,053 Harmon

efro 6,535 Jefferson

ontn 10,522 Johnston

a 47,260 Kay 13,898 Hughes

ako 2,3 6 7 29 86 14,072 249 Kingﬁsher 877 6 27,338 Jackson DEPARTMENT OF HEALTH 9,977 Kiowa 2004 ANNUAL REPORT

NOTES Population (2003 Est.)

Data is not currently available * Service is not available at this health department.

5 3 26 35 356 *

0 3 386 32 100 *

3 6 40 68 235 *

4 10 46 100 243 *

5 83 3 6 14 165 ,4 15,021 3,944 11,695 114 63 839 853 150 *

,5 19 179 119 1,754 *

5 0 48 80 85 *

9 7 89 17 29 *

6 19 9 12 7 ,2 19 8,034 179 4,625 57 182 390 149 161 *

5 2 5 25 150 *

2 19 6 32 *

6 18 7 7 9 478 ,2 681 3 95 7 746 316 4,390 23,116 7,456 772 975 236 6,851 1,324 4,788 90 172 57 128 267 *

0 5 127 57 706 *

6 6 178 6 168 *

,3 23 171 233 1,037 *

5 15 46 165 257 *

8 6 58 163 98 *

1 10 179 100 219 *

9 35 2 79 *

4 2 236 120 84 *

9 2 183 2 193 *

,6 45 115 445 1,763 * 1 12 6 132 113 * Adolescent Health 1

Family Planning Waiver Set to Begin in 2005 After literally years of work and waiting the Oklahoma Family Planning 1115 Demonstra tion Waiver neared approval by the Centers for Medicare and Medicaid Services in ﬁscal year 2004. Once approved, the waiver will provide women and men ages 19 to 65, who have incomes less than 185 percent of the federal poverty level, with a comprehensive array of family planning services. Greater access, choices and information regarding

Adult · Chronic General 2

Child Health 1

for o Communicable Disease 1

ther community and population-based services.

6 ,5 9 1,493 97 1,059 16 *

0 6 6 2,336 62 962 40 *

31 9 ,8 12 8 5 5 281 3 ,8 74 1,187 73 2,841 851 25 18 122 1,289 49 371 1 *

3 1,644 43 *

1 6 5 209 18 8 170 ,3 1 192 214 1,942 12 5,433 1,780 287 178 1 2,029 50 660 31 *

1 353 3 5,278 430 3,573 112 *

9 ,6 7 2,399 79 1,561 69 *

1 ,5 3 1,8 78 4 164 ,6 2,5 3,027 26,452 5,265 1,634 541 798 10,381 38 3,554 31 *

0 275 569 2 50 ,4 399 608 1,908 16,048 3,939 1,549 520 327 5,679 1 2,755 107 *

8 ,3 86 ,2 18 6 75 ,3 1,4 228 ,9 519 1,193 2,208 14,844 4,136 705 467 128 4,328 806 3,836 88 *

0 1,448 70 *

1 5 8 1,871 8 651 31 *

4 747 2 9,227 625 7,457 142 *

8 6 1 ,0 2 0 9 ,9 357 27 3,547 1,591 99 50 2 1,104 1 469 18 *

8 1,111 18 *

1 ,4 2 ,3 23 2 113 ,2 1,5 1,076 11,953 2,721 1,143 324 203 4,137 2 1,944 41 *

4 ,3 5 2,479 51 1,835 24 *

4 ,5 10 5,317 140 2,453 74 *

8 ,5 6 2,936 61 2,551 38 *

47 1,424 6 437 0 *

1 462 31 *

5 299 35 *

8 ,8 27 2,196 247 1,287 88 *

5 8 42 2,515 412 681 35 *

5 2,335 75 *

2 498 42 *

4 8 9 219 4 26 ,9 508 3 17 105 197 135 5,058 1,293 296 43 0 2,169 94 689 34 *

34 56 ,0 0 3 83 ,4 1,4 124 1,274 15,548 5,047 803 633 0 5,408 546 3746 4 *

6 32 6 ,7 44 4 52 ,5 903 8 305 178 3,025 583 9,053 1,159 522 140 414 3,071 56 1342 26 * 6 8 0 ,8 8 0 6 122 ,3 39 309 3,539 1,202 165 20 8 1,381 0 486 26 * Dental 3

Dysplasia Take Charge 1

SERVICES

CLINIC Family Planning 1

3,562 *

,7 3 2 76 ,4 743 ,0 1,202 7,433 2,144 776 326 3 2,277 *

2,868 *

1014 *

0 7 5 9 2 194 30 1,914 522 89 35 7 608 *

,2 49 6 247 ,4 1,3 1,027 14,739 4,240 2,477 665 409 3,320 * 1,398 * Guidance 1

Immunization 4

( New data system implemented by July 1, 2005.)

7 5 166 ,2 111 ,7 232 1,274 1,171 4,826 1,616 456 87 *

8 59 ,0 669 1 246 178 2,476 214 6,619 2,006 579 189 *

8 66 ,2 958 7 378 9,558 2,929 666 183 *

5 120 ,8 1,9 151 1,541 15,892 3,981 1,250 750 *

2 58 ,2 771 2 8 565 289 32 7,751 2,522 558 220 *

,7 174 441 172 ,5 1,5 2,355 12,454 6,750 51,762 14,491 1,714 2,878 *

1 2 94 ,7 9 225 57 2,255 91 5,776 944 128 91 *

,8 302 017 432 ,1 1,4 1,789 11,949 4,214 44,352 20,187 3,052 2,181 *

3 4 244 ,4 83 8 217 380 843 6,848 2,474 149 93 *

4 162 ,9 2,3 172 ,3 649 5,730 1,712 25,534 6,594 1,652 845 *

6 4 208 ,7 137 4 1,049 541 1,367 7,074 2,088 444 96 *

0 75 ,1 866 3 131 8,686 3,117 705 305 *

4 98 ,8 897 ,9 1,192 8,957 1,486 988 545 *

3 9 3 416 1 4,106 639 39 53 *

5 3 97 ,6 7 76 3,167 997 130 65 *

1 29 ,5 644 8 150 168 1,540 483 6,414 1,953 209 115 *

8 7 156 ,0 76 ,4 179 3,445 726 6,302 1,546 577 38 * 1 7 122 ,3 323 3,530 1,252 173 51 0 Maternity 1

family planning services should result in improved fertility control, fewer unintended pregnancies, and reduced pregnancy related costs. It is anticipated the waiver will be ap proved for implementation in early 2005.

Survey Measures Self-reported Risk-taking Behaviors Among Oklahoma Adolescents In early 2004, the Centers for Disease Control and Prevention (CDC) provided Oklahoma with the results of the Youth Risk Behavior

STD 1

Tuberculosis 1

NOTES

continued on page WIC 5

Total Clinic Services

20... C1 & E1 Home Visitation 6

COMMUNITY

SERVICES

785 *

510 *

68 *

514 *

693 *

45 *

183 *

88 *

476 *

487 *

118 *

413 *

578 *

61 *

59 *

559 * 182 * Dental · School Other 7

Consumer 8

Protection

- COUNTY DEPARTMENT HEALTH ,3 1 4 9 24 92 149 1 8,835 Tillman Woodward 61,827 Wagoner 19,935 Texas 8,670 Woods T 42,474 Stephens 39,979 Sequoyah 24,489 77,193 Seminole 462 365 Rogers 462 11,750 71 Pushmataha 1,551 1,402 P 35,174 3 18 Pontotoc 44,168 71,059 Pittsburg 16,789 Payne 32,761 Pawnee 716 Ottawa 125 39,681 Okmulgee 11,679 379 90 11,251 Okfuskee 214 1 176 Noble 70,255 251 106 12,718 Muskogee 107 155 Murray 19,735 2 McIntosh 34,006 28,595 McCurtain 38,870 McClain 168 Mayes 13,652 7,422 277 402 Marshall 8,905 697 666 Major 35,420 1,135 7 Love 32,262 1 Logan 48,896 Lincoln LeFlore Latimer 49,121 Washington otal ott health care costs. ity, over time to premature death and disabil originating inadolescencecan contribute — sinceweknowthatrisky health behaviors our adolescents’health—an importantstep opportunity totakethepulse ofthestate developed byCDC.Thesurvey providedan had participatedinthestatewidesurvey 2003. ThiswastheﬁrsttimeOklahoma Survey, administeredinschoolyear2002- a w s majorsocialproblems, andincreased a **

t o

mie

** 67,348 2

by statelaw,suchasconsumerprotectioninspectionsandcommunicabledisease program services,areprovidedbysurroundingcounties. Cimarron, Ellis,Nowata,Osage,Alfalfa,Dewey,RogerMills,andWashitacountiesdo nothaveahealth , 10,575 1 1 8,4 7 7

, Population 2 6 1 0 (2003 Est.) 4

4 6 62 9 2 6 319 7 4,172 478 3,159 61 144 121 109 535 49 54 390 85 652 430 * 98 365 * 312 535 * 334 217 * 710 * 10 * 40 79 181 200 313 157 34 73 29 * 10 593 * 1 169 * 55 54 * 112 * 97 30 205 * 2 12 139 124 * 37 7 49 82 208 2 * 90 1,149 * 687 51 * 118 1,232 * 13 * 72 2,210 * 4 18 4 5 6 127 5 275 3 23 7 241 ,1 101 1 455 114 1,041 8,818 2,411 274 233 237 2,795 650 1,217 64 53 142 33 198 37 15 544 311 126 430 * 21 482 * 111 * 178 * 54 100 555 * * 25,58 51 Adolescent 1 > Health

The survey gathered data Adult · Chronic 2 2 9,571 9,571 2 General 1 2 2 3 180 4 456 0 11 8 367 11,999 3,677 383 101 905 4,586 240 1,880 31 120 22 * 48 3 9 444 0 4,525 803 4,474 97 233 468 1 Child Health 1 1 1,5 Communicable

1 1 1 1 Disease - 9 5 0 7 632 5 26 9 324 165 ,2 252 326 2,522 2,626 11,695 3,274 699 256 448 256 3,492 6,312 2,145 16,742 13,984 474 830 4,474 4,334 4,316 746 20 1 740 828 697 191 35 2,693 459 * 538 619 40 4,687 1 * 5,857 609 65 4,930 * 307 16,996 736 3,164 2,918 3,306 * 2,661 126 406 666 9 84 2,244 909 * 7,469 3,549 98 2,410 328 29,512 * 853 7,936 469 7,147 * 2,240 142 67 83 1,654 9,320 3,115 1795 30 * 1,389 1223 6,263 86 2,905 3,425 1,535 8,556 797 3,985 251 6,489 3,426 * 1,701 23,188 13 101 5,931 * 7,118 4 1,813 2,793 440 1,173 * 1,217 258 1,759 30 2,844 11,568 * 324 4,512 71 777 94 * 1,264 2,623 4,805 135 23 1,100 * 422 * 374 5,627 2,431 * 306 405 5,130 819 61 446 3,382 * 1,702 5,554 13 392 32 1,589 27 2,710 1,034 * 145 1,443 5,366 18,774 82 364 1,608 5,314 * 33 861 5,981 39 1,689 2,941 289 279 12,943 * 957 4,853 3,104 1 37 2,115 11 1,627 * 978 2,631 1,382 2,275 68 1,033 29,548 91 * 285 207 8,406 148 41 3,374 106 4,635 * 1,085 450 571 38 136 752 4,286 * 0 26 3,797 1,047 141 * 1,663 7,162 46 2,075 * 1,463 0 71 5,147 * 996 150 * 75 * * 4 ,2 1673 296 5,7 920 690 579 234, 45,799 26,980 9,240 256,474 22,956 146,723 4,025 44 3 Dental

856 * Dysplasia Take Charge 1 SERVICES CLINIC Family 1 atically targeted siximportant riskbehaviors high schoolstudents statewide. permitted itsresults toadequatelyrepresent criteria forobtainingweighted data,which was oneof32statestosuccessfully meetthe school andstudentparticipation. Oklahoma if thesurveymetaminimum standardof weighted toreﬂectallhighschool students sampled schoolsacrossthestate.Datawere through a statistical methodology that system Planning

,3 15 1 9 110 ,4 7 4,644 1,170 195 71 135 2,133 * 1,345 * 7 2 8 23 ,0 338 40 3,398 1,105 263 1,573 81 * 22 977 * 2,111 * Guidance 1 selectedasampleofclassroomsfrom

Immunization 4

5 88 ,8 1,2 164 ,1 369 5,017 1,634 12,221 1,846 3,882 73 16,804 848 5,215 5,666 2,180 489 357 214 742 91 * 65 5,129 * 863 373 1,052 * 9,583 1,152 350 2,309 432 87 56 217 3,017 6,668 1,020 194 1,669 * 11,096 88 2 244 2,477 * 7,348 539 4,500 179 2,232 1,478 129 * 529 51 2,207 * 26 * * 9 4 67 ,5 440 3,756 429 637 3,703 676 42 13,175 195 5,975 701 * 358 * 576 1,807 3,138 13,809 2,350 3,776 380 17,027 719 6,652 4,732 1,841 2,769 980 244 596 19,730 365 338 7,429 4,714 * 83 3,552 948 * 23,538 525 4,936 * 950 * 789 * Maternity 1

department. Minimalservicesrequired STD 1

Tuberculosis 1 >

The survey

988 WIC 5 that

79 6 ,

3 Total 44 Clinic Services

75,9 -

,4 374 5,844 * * C1 & E1 Home

0 6 1

Visitation COMMUNITY

NOTES SERVICES 0,9 25, 108,596 177 * 476 174 * 157 * * 243 295 * 242 * * 273 139 * * 553 * 196 * 120 * 575 * 332 * 142 746 * * 735 * Dental · 7 C School Other ont.

Pg.

870 Consumer OKLAHOMA STATE 8 8 20 Protection DEPARTMENT OF HEALTH

2004 ANNUAL REPORT 15 16

OKLAHOMA STATE DEPARTMENT OF HEALTH

board of health 2004 ANNUAL REPORT

can negatively impact adolescents and have consequences that follow them into adult- hood: tobacco use; alcohol and other drug use; sexual behaviors; dietary behaviors; and physical activity. are being studied for their consequences and possible interventions.

New Food Service Control Plan Established A new enforcement procedure for food

intentional and unintentional injuries;

The Oklahoma State Board of Health has nine members appointed by the Governor with Senate conﬁrmation. The board’s current membership includes the following:

Ann A Warn, MD, President Dr. Warn is a board-certiﬁed comprehensive ophthalmologist practicing in Lawton. She also is a clinical assistant professor at the University of Oklahoma, Department of Ophthalmology. Dr. Warn represents Blaine, Kingﬁsher, Canadian, Caddo, Grady, Comanche, Jefferson, Stephens and Cotton counties.

Ron Osterhout, Mr. Osterhout holds bachelor’s and master’s degrees in civil engineering. He has specialized in domestic and international oil and gas exploration and production. Mr. Osterhout represents Ellis, Dewey, Custer, Roger Mills, Beckham, Washita, Kiowa, Greer, Jackson, Harmon, and Tillman counties.

Barry L Smith, JD,

Mr. Smith is an attorney in private practice specializing in health care law, litigation, and advocacy. He has served as General Counsel for Saint Francis Health System and continues to represent multiple health care entities. Mr. Smith represents Adair, Se- quoyah, Cherokee, Wagoner, Muskogee, Haskell, McIntosh, and Okmulgee counties.

Jim Lee Anderson Mr. Anderson is an Enid restaurateur who has been active in the state’s hospitality industry, including serving more than 30 years on the Oklahoma Restaurant Asso- ciation’s Board of Directors. He has been an adjunct professor at Oklahoma State University’s (OSU) School of Hotel and Restaurant Administration, serving as the school’s interim director in the early 1990s. Mr. Anderson has a master’s degree in meat science from OSU and a bachelor’s degree in animal science from Oklahoma A&M College. He represents Cimarron, Texas, Beaver, Harper, Woodward, Woods, Major, Alfalfa, Grant, Garﬁeld, Kay, and Noble counties.

Gordon H. Deckert, MD Dr. Deckert is retired from the University of Oklahoma Health Sciences Center, where he was a David Ross Boyd Professor in the Department of Psychiatry and Behavioral Sciences. He continues to maintain a clinical private practice and is a consultant to hospitals and physicians’ groups. Dr. Deckert is also a nationally recognized public

Most assuredly, these data

Vice President

Secretary-Treasurer

service establishments was implemented in ﬁscal year 2004 providing for more active managerial control through risk control plans. If an establishment fails a compliance inspec- tion, the facility is given the opportunity to use a “Risk Control Plan” to obtain control of critical violations. If the plan fails, the establishment is referred to the agency’s Consum- er Protection Service for enforcement. Active tracking and some legal intervention have speaker. He is past president of the State Board of Health. Dr. Deckert represents Logan, Oklahoma, Cleveland, McClain, Garvin, Murray, and Payne counties.

Glen E Diacon, Jr, MD Dr. Diacon is the immediate past president of the Oklahoma State Board of Health. He is a urologist on staff with the Valley View Hospital, Ada. He is a Fellow in the American College of Surgeons. Dr. Diacon represents Creek, Lincoln, Okfus- kee, Seminole, Pottawatomie, Pontotoc, Hughes, Johnston, and Coal counties.

Haskell L Evans, Jr, RPh Mr. Evans has served the health care profession as a registered pharmacist in Law- ton for more than 35 years. He is Chief Executive Ofﬁ cer of RPH3, Inc., in Lawton. He has served as president, vice president, and secretary of the Oklahoma Pharmaceuti- cal Association – District No. 6. Mr. Evans is a past president of the Board of Health and represents the state at large.

Dan H Fieker, DO* Dr. Fieker is Chief Medical Ofﬁ cer and consultant in infectious diseases, and Director of Medical Education at the Tulsa Regional Medical Center. He also serves as clinical professor of medicine at the Oklahoma State University College of Osteopathic Medicine. He is a past president of the State Board of Health. Dr. Fieker represents Ottawa, Delaware, Craig, Mayes, Nowata, Rogers, Washington, Tulsa, Pawnee, and Osage counties.

Ron L Graves, DDS Dr. Graves is a board-certiﬁ ed oral and maxillofacial surgeon in private practice in Ardmore. He has served as president of both the Oklahoma Society and Southwest Society of Oral and Maxillofacial Surgeons. He has also served as Chief of Surgery and Chief of Staff at Memorial Hospital of Southern Oklahoma. Dr. Graves is a past president of the Board of Health. He represents LeFlore, Latimer, Pittsburg, Atoka, Pushmataha, McCurtain, Choctaw, Bryan, Marshall, Carter, and Love counties.

* Dr. Feiker’s term expired June 30, 2005. Governor Brad Henry has appointed Jenny Alexopulos, DO, to replace Dr. Feiker effective July 1, 2005.

17 allowed for many violations to be corrected; Rules for Hospice Facilities Established The in addition, some ﬁ nes have been collected. need for the availability of free-standing hospice facilities in Oklahoma was recognized Farmers Markets Get Nod The popularity several years ago since some patients do not of “farmers markets” throughout the state have the support needed for terminal illness prompted an agreement with the state De- care in their home. Legislation to clarify the partment of Agriculture in ﬁ scal year 2004 to authority of the Oklahoma State Department create a set of food establishment guidelines of Health to establish rules for these facilities for these unique entities that was palatable became effective in November 2003, and sub-

for both the industry and the agencies that sequently, rules for inpatient hospice facilities DEPARTMENT OF HEALTH regulate these enterprises. were effective in May 2004. OKLAHOMA STATE 2004 ANNUAL REPORT 18

OKLAHOMA STATE DEPARTMENT OF HEALTH

Kelly Baker, MPH

Health Care Information

Director of Scientiﬁc Affairs

Leslea Bennett-Webb, MPH

Ofﬁce of 2004 ANNUAL REPORT Ofﬁce of General Counsel

Civil Rights Administrator

COMMISSIONE

centra

Sue Mallonee, RN, MPH

Demetrio Gutierrez, EdD

Accountability Systems

Minority Health Liaison

HEALTH STATISTIC HEALTH

Gary Gardenhire, JD

Charles Smith, MA

John C Burks, Sr

Internal Audit Unit

State Registra

Communications

John C Burks, Sr

Lloyd Smith, CPA

Vital Records

405 2 405

CENTER FOR FOR CENTER

405 2 405

Chief of Staff

405 2 405

Ken F

Kevin Pipes

5 2 5

Director

1 6225 6225 1

1 222 1

Ofﬁce of

Director

1 4200 71

1 60 71

1 71

James M Crutcher, MD

R OF HEALTH & STATE HEALTH OFFICER HEALTH STATE & HEALTH OF R

1 4200 1

1 2224 1

1 1

1 56 1

eagins

1 5 1

Chief

1269

& c

155

337

765

4 4

Caring Hearts Reaches Out to Nursing Facil ity Residents residents of nursing homes with personalized visits and individualized activities got a foot

2004. Caring Hearts of Oklahoma recruits, screens, and trains volunteers to provide special services to nursing facility residents hold in several nursing facilities in ﬁscal year with physical and mental restrictions. In addi tion to training recruits, Caring Hearts works with existing volunteer groups to support

405 2 405

1 4200 71

unty

ADMINISTRATIVE ADMINISTRATIVE

Tim Tall Chief Deputy Commissioner

Ray C Hankins, CPA

Budget and Funding 2 405 Dennis Johnson Chief

405 Tamela Gibson-Agahnia Building Management, Internal Services, Procurement

Chief Chief Financial Ofﬁcer 405 2 405

Accounting Grace Brown Chief

405 2 405 Federal Funds Development

Chief

405 Doyle Fortney, PhD Joe Camp Chief Yvonne Myers

405 2 405

Information Technology Chie

405 2 405

Ofﬁce of Human Resources

, MPH

A special program to provide

1 4042 71

1 9663 71

1 71

1 1

1 4 1

1 1

1 4542 1

1423

1777

8861

staff

042

Services

DISEASE & PREVENTION & DISEASE

405 2 405 2 405 Joe Mallonee, MPH Deputy Commissioner

Interim State Epidemiologist Kristy Bradley, DVM, MPH

Adeline Yerkes, RN, MPH Acute Disease Service Joe Mallonee, MPH Chief

Chronic Disease Servic

Chief

405 2 405 HIV/STD Service Michael Harmon, MA Interim Chief

405 2 405 Immunization Service 2 405 Don Blose, MA Chief

Injury Prevention Service Shelli Stephens-Stidham Chief

405 2 405 T and Response Service

Chief Shawna McWaters-Khalousi, MS 2 405

Doug Matheny, MPH, CHES Prevention

Ch 405 2 405

Public Health Laboratory S Jeff Mathewson, PhD Chief 405 2 405

405 405

Tobacco

errorism Preparedness

ief

1 3272 71

1 4060 71

1 5070 1

1 32 1

1 3430 1

1 1

1 4636 1

1 1

1 3619 1

4072

0900

Use

Service

ervice

health and safety training and to be a training resource for nursing facility owners, admin istrators, activity directors and social service directors. presented at 52 public information or speak ing engagements, screened and trained 58 volunteers, and trained another 449 activity and social service directors. Caring Hearts of Oklahoma is a positive and cooperative complement to the Oklahoma State Depart ment of Health’s traditional regulatory efforts

FAMILY

405 2 405 Edd D Rhoades, MD, MPH Deputy Commissioner

Family Support and Prevention Service Annette Jacobi, JD Chief

Child Guidance Service Debra Andersen, MA Chief

405 2 405 Dental Service

405 2 405 Maternal and Child Health Service Michael L Morgan, DDS, MPA Ch 405 2 405

Screening, Special Services, SoonerStart John Corpolongo, MS Suzanna Dooley, MS, ARNP Chief 405 2 405

WIC Service Tom Freeman, MS Chief

405 2 405

ief

1 4480 71

1 4676 1

1 4200 1

1 76 1

1 4477 1

1 5502 1

1 6 1

HEALTH

In ﬁscal year 2004, Caring Hearts

PROTECTIVE HEALTH PROTECTIVE

Rocky McElvany, MS Deputy Commissioner

Dorya Huser Development Chief

405 2 405

Long Term Care

Chief 405 2 405

Medical Facilities Service

Chief

405 2 405 Consumer Health Service Tom Welin

Chief Ted Evans, RPS 405 2 405 Quality Improvement and Nancy Atkinson Chief 405 2 405 Henry Hartsell, Jr, PhD

405 2 405

Health Resources Resources Health

Evaluation Service

1 5288 71

1 6868 1

1 6576 1

1 524 1

1 5278 1

Service

Development Chief Nancy Atkinson and Quality Improvement Chief Consumer HealthService Chief Medical FacilitiesService Chief Chief Dorya Huser Deputy Commissioner Rocky McElvany, MS HEALTH PROTECTIVE Ted Evans,RPS Tom Welin Long Term Care 2 405 405 2 405 2 405 2 405 2 405 2 405 Henry Hartsell,Jr, PhD Health Resources Resources Health

Evaluation Service

7 7 7 7 7 5288 71 1 5278 1 524 1 6576 1 6868 1 6868 1

Service

Toni Frioux,MS,CNS,ARNP 405 2 405 405 2 405 Di Mike Ewald and Support Record Evaluation Chief Diana Pistole,MPH,RN Nursing Service Turning Point · Primary CareandRural · Health Promotion · Chief Neil Hann,MPH,CHES Service Community Development (CHD) Administrators County HealthDepartment Pamela Rollins,ARNP Special Assistant Asst. DeputyCommissioner Deputy Commissioner Stephen WRonck,MPH COMM 405 2 405 40 2 405 405 2 405 405 2 405 405 2 405 2 405 HealthDevelopment Director Larry Olmstead Director Mike Brown Director Kathy Payne,MHR,AASECT rec 5 2 5

tor 1 5585 71 5183 71 71 5585 71 5585 71 5585 71 in Oklahoma’s facilities. Presentations were based onthetop tendeficienciesidentified training agenda toaddressareasofconcern Staff fromLongTermCare Services crafteda was successfullyplannedin fiscalyear2004. effort toimprovecaredelivered toresidents ing tolong-termcarefacility providersinan A long-heldgoalofofferingspecifictrain Long-term CareProviderTrainingPlanned to ensurequalityservicesinnursingfacilities. 1 71 7 6127 71 U

6 NITY NITY

127 8428 6 1

HEALTH

departments independently from the OSDH network. OSDH the from independently departments health city-county operate Tulsa Counties & Oklahoma NOTE: Departments Health County of Directors Administrative Regional SALISBURY Cimarron (Minimal services provided by surrounding counties.) surrounding by provided services (Minimal department. health a without Counties Headquarters Administrative 580 298 6624 298 580 918 456 8826 456 918 918 423 1267 423 918 Muskogee, OK74401 530 S34thSt Muskogee CHD Linda Hattaway McAlester, OK74501 620 SThird Pittsburg CHD Michael Echelle Antlers, OK74523 318 WMain Pushmataha CHD Rhonda Dennis Tahlequah, OK74464 912 SCollege Cherokee CHD Linda Axley 918 683 0321 683 918 SALISBURY Texas

- SALISBURY Beaver

918 3 918 2157 273 405 Claremore, OK74017 2664 NHWY88,UnitA Rogers CHD Mary BethMurray Duncan, OK73533 1401 BoisD’Arc Stephens CHD Mike Milton Norman, OK73071 250 12thAveNE Cleveland CHD Shari Kinney Shawnee, OK74801 1904 GordonCooperDr Pottawatomie CHD Tina Johnson 405 321 4048 321 405 580 252 0270 252 580

1 3166 41 Harmon SALISBURY

Roger Mills

Ellis Beckham THUR

SALISBURY Harper

THUR

SCHWENKE Greer

Jackson

Woodward THUR

Evaluation Servicesstaff ofProtective Health their clients,the QualityImprovementand Customer Service Evaluated Quality Indicatorreports. reduction inprevalenceofcare issueson goal forthesetrainingswill be tonotea Penalties fromtransgressing facilities.The through ﬁnescollectedasCivilMonetary ﬁscal year2005.Thetrainingswillbefunded polished andreadiedforimplementationin SALISBURY

WATTENBARGER WATTENBARGER Washita WATTENBARGER Custer Dewey RAMSEY Kiowa SMITH Tillman 918 253 4511 253 918 Canadian CHD Steve Ramsey 1883 756 918 Okmulgee, OK74447 1304 RDMillerDr Okmulgee CHD William RPierson Stillwater, OK74074 1321 West7thAve Payne CHD Annette O’Connor Jay, OK74346 PO Box370 Delaware CHD Jane AnnNichols El Reno,OK73036 100 SRockIsland 405 262 0042 262 405 405 372 8200 372 405 Woods REMPE Major REMPE Comanche WATTENBARGER SCHWENKE Blaine SCHWENKE SMITH Cotton Caddo Alfalfa REMPE

Canadian

Kingfisher RAMSEY SMITH

Stephens

Jefferson MILTON Grady MILTON Garfield Grant SPOHN REMPE REMPE

McClain Oklahoma KINNEY Cleveland Logan SMITH Garvin KINNEY MILTON O’CONNOR 580 233 0650 233 580 Logan CHD Jay Smith Lawton, OK73501 1010 SSheridanRd Comanche CHD Karen Schwenke Woodward, OK73801 1631 TexasAve Woo Terr Enid, OK73701 PO Box3266 Steve Rempe Guthrie, OK73044 580 248 5890 248 580 6416 256 580 405 282 3485 282 405 Garﬁeld CHD 215 Fairgrounds Rd, Ste A O’CONNOR Carter Noble SPOHN SPOHN Love Kay Murray

O’CONNOR i LSalis JOHNSON Payne dward MILTON

Lincoln

SMITH Pottowatomie To betterserve Pawnee Marshall Pontotoc DENNIS

Johnston ECHELLE

TURNER

CHD SPOHN JOHNSON bury

Okfuskee Seminole MURRAY Osage Creek TURNER

JOHNSON Hughes

JOHNSON ECHELLE DENNIS Bryan Coal

Okmulgee PIERSON

ECHELLE MURRAY Tulsa

Atoka

Pittsburgh Washington ECHELLE Rogers Nowata MURRAY PIERSON McIntosh MURRAY 918 486 2845 486 918 580 726 3316 726 580 David Wattenbarger Coweta, OK74429 PO Box962 28596 E141stSt,South Wagoner CHD Jim Turner Altus, OK73521 401 WTamarackRd Jackson CHD John Thur Ardmore, OK73401 405 SWashington Carter CHD Mendy Spohn Hobart, OK73651 431 WestElm Kiowa CHD 580 482 7308 482 580 9705 223 580 Wagoner Choctaw Muskogee TURNER DENNIS HATTAWAY Pushmataha DENNIS Mayes MURRAY Craig AXLEY PIERSON Latimer Cherokee PIERSON Haskell

AXLEY

Delaware Ottawa NICHOLS

NICHOLS

McCurtain Sequoyah HATTAWAY

DENNIS

Adair AXLEY LeFlore PIERSON

OKLAHOMA STATE DEPARTMENT OF HEALTH

2004 ANNUAL REPORT 19 2

0 OKLAHOMA STATE DEPARTMENT OF HEALTH

helplines 2004 ANNUAL REPORT

NOTES

General Information 800 522 0203 271 5600

Emergency Response (after hours/man-made or natural disaster) 405 590 2554

Birth and Death

405 271 4040

AIDS/HIV 800 535 AIDS Certiﬁcates 800 535 2437 800 243 7889

Chronic Diseases 1 888 669 5934

Epidemiologist on Call 405 271 4060

Family Planning 1 800 426 2747 271 6302

Home Health Care and Medical Facilities Complaints 800 234 7258

Immunizations 800 234 6196

vey in ﬁscal year 2004. Eighty-two percent of

Services conducted a client satisfaction sur

those surveyed ranked the overall quality of the Minimum Data Set Help Desk telephone support as Very Satisfactory or Superior. Ninety percent of those surveyed thought the ability of Help Desk staff to diagnose their problem was Very Satisfactory or Superior and 89 percent rated the knowledge of the Help Desk support staff as Very Satisfactory or Superior.

Appointments attended for social

Appointments attended. Source:

Appointments attend OSDH PHOCIS Data System

work, other chronic disease and general adult services. OSDH PHOCIS Data System Appointments attended OSDH Dental Program Reports.

OSDH Immunization Program OSIIS Data System.

to County Health Department Service

(OKC metro)

(OASIS)

ed.

Source:

ource:

Infant, Child, and Adolescent Health 800 426 2747 271 6302

Lead Poisoning Prevention 800 766 2223 271 6617

Newborn Hearing Screening Program 800 766 2223 271 6617

Newborn Metabolic Screening Program 800 766 2223 271 6617

Nurse Aide Registry 800 695 2157

Nursing Home Complaints 800 747 8419

Oklahoma Birth Defects Registry 800 766 2223 271 6617

Oklahoma Pregnancy Risk Assessment Monitoring System 800 766 2223 271 6761

dren): Certiﬁcation, recertiﬁca

WIC (Women, Infants and Chil

tion, nutrition education, and food instrument distribution. OSDH PHOCIS Data System H (C1) and Early Intervention (EI) programs. Data System

(

ome visitations by Children First

continue

(PRAMS)

d from p.

Source:

(OKC metro)

OSDH PHOCIS

(OASIS)

)

Source:

I health education nursing homes, and child care facilities Program Reports. I food establishments, hotel/ motels, and pools. investigations and rabies control not included. sumer Protection Report System.

ndividuals contacted for dental

nspections for

Oklahoma Toddler Survey 800 766 2223 271 6761

Poison Emergencies (Oklahoma Poison Control Center) 800 222 1222 271 5454

Prenatal Care 800 426 2747 271 6302

Protective Health Services 405 271 6868

Tobacco Use Prevention 1 866 4 OKSWAT 1 866 ONLYAIR 1 866 PITCHEM

Warm Line for Child Care Providers 888 574 5437 271 7437

WIC 888 OKLAWIC 888 655 2942

Visit the Oklahoma State Department of Health Web site: http://www.health.ok.gov

. Source:

(OKC metro)

Source: OSDH Con

arber shops,

in schools,

(OASIS)

OSDH Dental

Complaint

Oklahoma State Department of Health

Press at a cost of $2,340. in June 2005

1,000 copies

Copies have been deposited with the

Oklahoma Department of Libraries.

as authorized by James M. Crutcher,

This publication was issued by the

MD, MPH, Commissioner of Health.

Publications Clearing

Design Communication

Public Health in Action

Leslea Bennett-Webb

200

Shauna Schroder

were printed by Mercury

Annual Report

Editor

house of the