## Documentation demonstrating that MOA will continue to fund air quality monitoring in Anchorage.

 December 23, 2011, letter from Mayor Sullivan (MOA) to Cindy Heil (ADEC)

 December 27, 2011, email from Steve Morris (MOA) to Claudia Vaupel (EPA), Cindy Heil (ADEC), et al.

 2012 Proposed Operating Budget referenced in December 27, 2011 email.

## Anchorage AQ Budget Morris, Steve S. to: Claudia Vaupel 12/27/11 03:33 PM Cc: "Eastman, Molly J.", "Heil, Cynthia L (DEC)", "Matero, Britteny J." 

## http://www.muni.org/Departments/ budget/operatingBudget/2012%20Ppsd%20GGOB/Book %2010%20-%20Health.pdf Hi Claudia, I've attached a link to the Department and Health and Human Services 2012 budget. You can find the budgeted funding for the AQ program on page 10-15 (see Air Resources 105). You will note that this is the proposed budget; it was just approved by the Anchorage Assembly so there is not a clean "final" version available yet. There were no amendments to the proposed budget that affect AQ program funding, however. If you have questions, please feel free to give me a call. If you have detailed questions, I can enlist the help of our budget analyst Molly Eastman. Steve Morris 907 343-6976

# Municipality of Anchorage



# Health and Human Services

### Aging & Disability Resource Center Vehicle Inspection Program Human Services Division Support Public Health Division Support

Interpersonal Violence Prevention Neighborhoods Air Quality Program 

# Health and Human Services

Health and Human Services Director

Medical Director Health & Human Services Debt Service 

### Municipal Manager

Fiscal Services Cemetery

Grant and Contract Mgmt Child/Adult Care Licensing
Family Nutrition & Health Services

Anchorage Safety Center Administration Human Services

Clinical Services

Safety Links Customer Service
Food Safety and Sanitation Public Health

H&HS Information Systems Administrative Division Support

### Direct Cost by Division H&HS Administration 3,945,562 4,055,245 3,835,008 <5.43%> H&HS Director 359,987 368,926 366,833 <0.57%> Human Services 2,089,797 3,672,658 4,099,193 11.61% Public Health 4,430,224 4,439,662 3,384,562 <23.77%> Direct Cost Total 10,825,571 12,536,491 11,685,596 <6.79%> 

### Intragovernmental Charges Charges by Other Departments 10,088,711 7,805,715 8,703,399 11.50% Charges to Other Departments (7,456,038) (5,632,322) (6,852,890) 21.67% Function Cost Total 13,458,244 14,709,884 13,536,105 <7.98%> Program Generated Revenue (3,680,488) (3,881,499) (3,725,829) <4.01%> Net Cost Total 9,777,756 10,828,385 9,810,276 <9.40%> 

### Direct Cost by Category Personnel 5,821,342 5,839,448 5,003,248 <14.32%> Supplies 163,816 218,470 217,870 <0.27%> Travel 4,788 25,660 10,290 <59.90%> Contractual/OtherServices 4,567,887 6,091,582 6,102,847 0.18% Debt Service/Depreciation 210,036 313,327 316,337 0.96% Equipment, Furnishings 57,703 48,004 35,004 <27.08%> Direct Cost Total 10,825,571 12,536,491 11,685,596 <6.79%> 

### Position Summary as Budgeted Full-Time 61 54 49 Part-Time 8 8 8 Position Total 69 62 57



# Health and Human Services Department Summary

2011 Revised 2012

Proposed 2010 Actuals 12 v 11 % ChgDirect Costs FT PT T
12,536,491 54 7 1

- None - - - -

- None - - - -

- General Obligation Bonds Debt Service for Senior Center and Anchorage

Memorial Cemetery 3,010 - - -

- Salary and benefits adjustments 310,064 - - -

- Animal Control contract cost increase 40,500 12,890,065 54 7 1

- None - - - -

- None - - - -

- Leave cash-out adjustment (186,331) - - -

- Partially unfund Principal Administrative Officer position; move 20% of funding to

Neighborhood Grant (28,233) - - -

- Reduce local funding due to increase in State Clinic Nursing Services Grant (736,782) - - -

- Directly charge non-labor expenses to State Public Health Nursing Grant (no

impact on services) (82,849) - - -

- Additional funds to cover shortfall in Childcare Licensing Program 379,631 - - -

- Reduce Facility Manager from full to part-time (36,084) (1) 1

- Consolidate office management structure - unfund accountant position and

equalize salaries of administrative management (90,107) (1) - -

- Delete funded Health Educators: will affect program administration of Women's

Commission and Obesity Plan, data analysis and program evaluation (203,059) (2) - -

- Delete payroll specialist due to Kronos implementation (89,841) (1) - -

- Delete funded but vacant permit clerk position; last filled May 2009 (no impact on

services) (72,609) (1) - -

- Reduce non-labor expenditures (58,205) - - - 

### 2012 Proposed Budget 11,685,596 48 8 1 

# Health and Human Services

Debt Service Changes

Changes in Existing Programs/Funding for 2011 Transfers (to)/from Other Agencies 2011 Revised Budget 2011 One-Time Requirements 

# Reconciliation from 2011 Revised Budget to 2012 Proposed Budget

Positions



### 2012 Budget Changes 

### 2012 Continuation Level

Transfers (to)/from Other Agencies 2012 One-Time Requirements2010 Actuals 2011

Revised 2012

Proposed 12 v 11

% Chg 

### Direct Cost by Category Salaries and Benefits 1,208,951 1,268,007 1,030,105 <18.76%> Supplies 18,495 19,920 19,920
- Travel
- - - Contractual/Other Services 2,697,846 2,755,068 2,777,233 0.80% Equipment, Furnishings 20,271 12,250 7,750 <36.73%> Manageable Direct Cost Total 3,945,562 4,055,245 3,835,008 <5.43%> Debt Service, Depreciation

- - - Direct Cost Total 3,945,562 4,055,245 3,835,008 <5.43%> 

### Revenue by Fund Fund 101 - Areawide General 581,821 736,650 580,980 <21.13%> Revenue Total 581,821 736,650 580,980 <21.13%> 

### Positions as Budgeted 2010 Revised 2011 Revised 2012 Proposed Full Time Part Time Full Time Part Time Full Time Part Time
Accountant 2
- 3
- 3
- Administrative Officer 2
- 1
- 1
- Building/Material Coord 1
- 1
- - 1 Deputy Director II 1
- 1
- 1
- Junior Accountant 1
- - - - - Junior Admin Officer 1
- 1
- 1
- Principal Accountant 1
- 1
- - - Principal Admin Officer 1
- 1
- 1
- Senior Admin Officer 1
- 1 1 1 1 Senior Office Associate 1
- 1
- - -

Positions as Budgeted Total 12 - 11 1 8 2



# Health and Human Services Division Summary
(Dept ID # 2210, 2220, 2240, 2250, 2270, 2620, 2720)



## H&HS Administration

### Net Cost Manageable Direct Cost 3,945,562 4,055,245 3,835,008 <5.43%> Debt Service, Depreciation

- - - - Charges By Other Departments 1,592,318 1,173,935 932,368 <20.58%> Charges To Other Departments (1,903,917) (1,546,916) (1,228,506) <20.58%> Program Generated Revenue (581,821) (736,650) (580,980) <21.13%> 

### Net Cost Total 3,052,143 2,945,614 2,957,890 0.42% Direct Cost by Category Salaries and Benefits 1101 - Straight Time Labor 679,628 827,811 687,854 <16.91%> 1201 - Overtime 434 740 740
- 1301 - Leave/Holiday Accruals 112,446 55,381 14,721 <73.42%> 1401 - Benefits 416,442 473,704 416,418 <12.09%> 1601 - Vacancy Factor
- (89,628) (89,628)
-

Salaries and Benefits Total 1,208,951 1,268,007 1,030,105 <18.76%> Supplies 18,495 19,920 19,920
- Travel
- - - - Contractual/Other Services 2,697,846 2,755,068 2,777,233 0.80% Equipment, Furnishings 20,271 12,250 7,750 <36.73%>



### Manageable Direct Cost Total 3,945,562 4,055,245 3,835,008 <5.43%> Debt Service, Depreciation

- - - -



### Direct Cost Total 3,945,562 4,055,245 3,835,008 <5.43%> 

### Intra-Governmental Charges

Charges By Other Departments 1,592,318 1,173,935 932,368 <20.58%> Charges To Other Departments (1,903,917) (1,546,916) (1,228,506) <20.58%> 

### Program Generated Revenue

9191 - Animal Licenses 274,495 257,000 274,495 6.81% 9215 - Other Fines & Forfeitures 23,457 82,900 31,000 <62.61%> 9484 - Animal Shelter Fees 259,436 362,750 251,435 <30.69%> 9486 - Animal Drop-Off Fees 23,974 34,000 24,000 <29.41%> 9742 - Other Property Sales 449
- - - 9791 - Cash Over & Short 10
- - - 9798 - Miscellaneous Revenues
- - 50
-

Program Generated Revenue Total 581,821 736,650 580,980 <21.13%>



# Health and Human Services Division Detail
(Dept ID # 2210, 2220, 2240, 2250, 2270, 2620, 2720)



## H&HS Administration

2011 Revised 2012

Proposed 2010 Actuals 12 v 11 % Chg2010 Actuals 2011

Revised 2012

Proposed 12 v 11

% Chg 

### Direct Cost by Category Salaries and Benefits 316,657 301,795 306,094 1.42% Supplies 2,240 1,640 1,640
- Travel 1,423 5,000 3,000 <40.00%> Contractual/Other Services 3,206 6,300 6,300
- Equipment, Furnishings 1,880
- - Manageable Direct Cost Total 325,407 314,735 317,034 0.73% Debt Service, Depreciation 34,581 54,191 49,799 <8.10%> Direct Cost Total 359,987 368,926 366,833 <0.57%> 

### Revenue by Fund Fund 101 - Areawide General 128 50 50
- Revenue Total 128 50 50 - 

### Positions as Budgeted 2010 Revised 2011 Revised 2012 Proposed Full Time Part Time Full Time Part Time Full Time Part Time
Dir Health/Human Svcs 1
- 1
- 1
- Medical Officer

- 1
- 1
- 1 Prin Office Associate 1
- 1
- 1
-

Positions as Budgeted Total 2 1 2 1 2 1



# Health and Human Services Division Summary
(Dept ID # 2110, 2120, 2150) 

## H&HS Director

### Net Cost Manageable Direct Cost 325,407 314,735 317,034 0.73% Debt Service, Depreciation 34,581 54,191 49,799 <8.10%> Charges By Other Departments 2,658,084 1,341,508 2,158,817 60.92% Charges To Other Departments (2,645,369) (1,543,570) (2,373,373) 53.76% Program Generated Revenue (128) (50) (50)
- 

### Net Cost Total 372,574 166,814 152,227 <8.74%> Direct Cost by Category Salaries and Benefits 1101 - Straight Time Labor 184,194 195,170 201,366 3.18% 1201 - Overtime 66
- - - 1301 - Leave/Holiday Accruals 21,725 13,057 2,550 <80.47%> 1401 - Benefits 110,673 115,146 123,754 7.48% 1601 - Vacancy Factor
- (21,577) (21,577)
-

Salaries and Benefits Total 316,657 301,795 306,094 1.42% Supplies 2,240 1,640 1,640
- Travel 1,423 5,000 3,000 <40.00%> Contractual/Other Services 3,206 6,300 6,300
- Equipment, Furnishings 1,880
- - -



### Manageable Direct Cost Total 325,407 314,735 317,034 0.73% Debt Service, Depreciation 34,581 54,191 49,799 <8.10%>



### Direct Cost Total 359,987 368,926 366,833 <0.57%> 

### Intra-Governmental Charges

Charges By Other Departments 2,658,084 1,341,508 2,158,817 60.92% Charges To Other Departments (2,645,369) (1,543,570) (2,373,373) 53.76% 

### Program Generated Revenue

9199 - Miscellaneous Permits 125 50 50
- 9672 - Prior Yr Expense Recovery 3
- - -

Program Generated Revenue Total 128 50 50 -



# Health and Human Services Division Detail
(Dept ID # 2110, 2120, 2150) 

## H&HS Director

2011 Revised 2012

Proposed 2010 Actuals 12 v 11 % Chg2010 Actuals 2011

Revised 2012

Proposed 12 v 11

% Chg 

### Direct Cost by Category Salaries and Benefits 863,067 986,057 1,410,580 43.05% Supplies 30,835 29,890 29,890
- Travel
- 1,890
- Contractual/Other Services 1,009,147 2,392,741 2,389,241 <0.15%> Equipment, Furnishings 11,293 2,944 2,944
- Manageable Direct Cost Total 1,914,342 3,413,522 3,832,655 12.28% Debt Service, Depreciation 175,455 259,136 266,538 2.86% Direct Cost Total 2,089,797 3,672,658 4,099,193 11.61% 

### Revenue by Fund Fund 101 - Areawide General 293,177 269,800 269,800
- Revenue Total 293,177 269,800 269,800 - 

### Positions as Budgeted 2010 Revised 2011 Revised 2012 Proposed Full Time Part Time Full Time Part Time Full Time Part Time Community Health Supervisor 1
- 1
- 1
- General Services Manager 1
- 1
- 1
- Office Associate 1
- 1
- 1
- Principal Admin Officer 3
- 3
- 3
- Senior Admin Officer 1
- 1
- 1
- Senior Office Assistant

- 1
- 1
- 1 Senior Office Associate 1
- 1
- 1
- Special Admin Assistant I 1
- 1
- 1
-

Positions as Budgeted Total 9 1 9 1 9 1



# Health and Human Services Division Summary
(Dept ID # 2320, 2330, 2350, 2360, 2370, 2380, 2390, 2710)



## Human Services

### Net Cost Manageable Direct Cost 1,914,342 3,413,522 3,832,655 12.28% Debt Service, Depreciation 175,455 259,136 266,538 2.86% Charges By Other Departments 2,802,551 2,806,927 2,711,790 <3.39%> Charges To Other Departments (1,049,356) (1,066,728) (1,409,233) 32.11% Program Generated Revenue (293,177) (269,800) (269,800)
- 

### Net Cost Total 3,549,815 5,143,057 5,131,950 <0.22%> Direct Cost by Category Salaries and Benefits 1101 - Straight Time Labor 486,813 648,688 929,139 43.23% 1201 - Overtime 5,135 2,400 2,400
- 1301 - Leave/Holiday Accruals 78,802 43,397 16,273 <62.50%> 1401 - Benefits 292,317 360,711 531,909 47.46% 1601 - Vacancy Factor
- (69,140) (69,140)
-

Salaries and Benefits Total 863,067 986,057 1,410,580 43.05% Supplies 30,835 29,890 29,890
- Travel
- 1,890
- - Contractual/Other Services 1,009,147 2,392,741 2,389,241 <0.15%> Equipment, Furnishings 11,293 2,944 2,944
-



### Manageable Direct Cost Total 1,914,342 3,413,522 3,832,655 12.28% Debt Service, Depreciation 175,455 259,136 266,538 2.86%



### Direct Cost Total 2,089,797 3,672,658 4,099,193 11.61% 

### Intra-Governmental Charges

Charges By Other Departments 2,802,551 2,806,927 2,711,790 <3.39%> Charges To Other Departments (1,049,356) (1,066,728) (1,409,233) 32.11% 

### Program Generated Revenue

9426 - Sanitary Inspection Fees 24,383 25,000 25,000
- 9462 - Cemetery Fees 268,793 244,800 244,800
- 9791 - Cash Over & Short 1
- - -

Program Generated Revenue Total 293,177 269,800 269,800 -



# Health and Human Services Division Detail
(Dept ID # 2320, 2330, 2350, 2360, 2370, 2380, 2390, 2710)



## Human Services

2011 Revised 2012

Proposed 2010 Actuals 12 v 11 % Chg2010 Actuals 2011

Revised 2012

Proposed 12 v 11

% Chg 

### Direct Cost by Category Salaries and Benefits 3,432,667 3,283,589 2,256,469 <31.28%> Supplies 112,246 167,020 166,420 <0.36%> Travel 3,364 18,770 7,290 <61.16%> Contractual/Other Services 857,688 937,473 930,073 <0.79%> Equipment, Furnishings 24,259 32,810 24,310 <25.91%> Manageable Direct Cost Total 4,430,224 4,439,662 3,384,562 <23.77%> Debt Service, Depreciation

- - - Direct Cost Total 4,430,224 4,439,662 3,384,562 <23.77%> 

### Revenue by Fund Fund 101 - Areawide General 2,805,362 2,874,999 2,874,999
- Revenue Total 2,805,362 2,874,999 2,874,999 - 

### Positions as Budgeted 2010 Revised 2011 Revised 2012 Proposed Full Time Part Time Full Time Part Time Full Time Part Time Accounting Clerk III 1
- 1
- 1
- Administrative Officer 2
- 2
- 2
- Community Health Supervisor 1
- - - - - Environ Sanitarian 1
- - - - - Environ Sanitarian I 2
- - - - - Environ Sanitarian II 1
- 4
- 4
- Environ Sanitarian III 3
- 3
- 3
- Environ Sanitarian IV 1
- 1
- 1
- Family Service Counselor

- 1
- 1
- 1 General Services Manager

- 1
- - - - Nurse Supervisor I

- - 1
- 1
- Nurse Supervisor II

- - 1
- 1
- Office Associate 2
- 2
- 2
- Permit Clerk II 4
- 4
- 3
- Pers Comp Tech II 1
- 1
- 1
- Physical Health Manager 1
- 1
- 1
- Prin Code Enforcement Officer 1
- 1
- 1
- Public Health Educator 1 1 1 1
- - Public Health Nurse 3 3
- 3
- 3 Public Health Supervisor 1
- - - - - Senior Admin Officer 1
- - - - - Senior Office Assistant 3
- 1
- 1
- Senior Office Associate 1
- 1
- 1
- Senior Public Health Nurse 2
- 2
- 2
- Special Admin Assistant II 1
- 1
- 1
- Veh I&M Field Inspector 2
- 2
- 2
- Veh I&M Sr Field Inspector 1
- 1
- 1
- 

# Health and Human Services Division Summary
(Dept ID # 2410, 2430, 2450, 2460, 2510, 2520, 2540, 2560, 2610) 

## Public Health

### Positions as Budgeted 2010 Revised 2011 Revised 2012 Proposed Full Time Part Time Full Time Part Time Full Time Part Time Vehicle I&M Prog Admin 1
- 1
- 1
-

Positions as Budgeted Total 38 6 32 5 30 4



# Health and Human Services Division Summary
(Dept ID # 2410, 2430, 2450, 2460, 2510, 2520, 2540, 2560, 2610) 

## Public Health

### Net Cost Manageable Direct Cost 4,430,224 4,439,662 3,384,562 <23.77%> Debt Service, Depreciation

- - - - Charges by Other Departments 3,035,758 2,483,345 2,900,424 16.80% Charges To Other Departments (1,857,395) (1,475,108) (1,841,777) 24.86% Program Generated Revenue (2,805,362) (2,874,999) (2,874,999)
- 

### Net Cost Total 2,803,224 2,572,900 1,568,210 <39.05%> Direct Cost by Category Salaries and Benefits 1101 - Straight Time Labor 1,973,448 2,108,946 1,487,850 <29.45%> 1201 - Overtime 4,076 7,810 7,810
- 1301 - Leave/Holiday Accruals 227,798 141,088 36,334 <74.25%> 1401 - Benefits 1,226,839 1,277,280 1,030,610 <19.31%> 1501 - Allow Differentials/Premiums 506
- - - 1601 - Vacancy Factor
- (251,535) (306,135) 21.71%

Salaries and Benefits Total 3,432,667 3,283,589 2,256,469 <31.28%> Supplies 112,246 167,020 166,420 <0.36%> Travel 3,364 18,770 7,290 <61.16%> Contractual/Other Services 857,688 937,473 930,073 <0.79%> Equipment, Furnishings 24,259 32,810 24,310 <25.91%>



### Manageable Direct Cost Total 4,430,224 4,439,662 3,384,562 <23.77%> Debt Service, Depreciation

- - - -



### Direct Cost Total 4,430,224 4,439,662 3,384,562 <23.77%> 

### Intra-Governmental Charges

Charges by Other Departments 3,035,758 2,483,345 2,900,424 16.80% Charges To Other Departments (1,857,395) (1,475,108) (1,841,777) 24.86% 

### Program Generated Revenue

9151 - Veh Emission Certificatn 1,512,370 1,581,749 1,581,749
- 9219 - I&M Enforcement Fines 18,164 20,000 20,000
- 9419 - Veh Emission Inspec Fees 6,100 6,000 6,000
- 9425 - Clinic Fees 80,205 56,000 56,000
- 9426 - Sanitary Inspection Fees 887,195 877,210 877,210
- 9427 - Reproductive Health Fees 298,479 332,840 332,840
- 9494 - Copier Fees 8
- - - 9672 - Prior Yr Expense Recovery 1,736
- - - 9676 - Criminal Rule 8 Collect Costs 1,139 1,200 1,200
- 9791 - Cash Over & Short (34)
- - -

Program Generated Revenue Total 2,805,362 2,874,999 2,874,999 -



# Health and Human Services Division Detail
(Dept ID # 2410, 2430, 2450, 2460, 2510, 2520, 2540, 2560, 2610) 

## Public Health

2011 Revised 2012

Proposed 2010 Actuals 12 v 11 % ChgCurrent Current Award Grant Grant Program Amount Amount FT PT T Amount FT PT T Term Administrative Support Division Cook Inlet Tribal Council (CITC) 64,789 63,910 - 1 - 64,789 - - - Sep-11 DHHS Building Repairs 123,750 - - - - - - Aug-11
HUMAN SERVICES MATCHING GRANT 1,028,036 1,304,137 - - - 1,028,036 - - - Jun-12 2349XG - Provide operating funds to various non-profit social services agencies providing essential human services based on recommendations developed by the Social Services Task Force through United Way contract.
HEALTH WINDOW - Mexican Consulate 25,000
- - - - 25,000 - 1 - Jun-12 22611G Assist Hispanic families of Mexican origin in obtaining medical care
SEXUAL ASSAULT RESPONSE TEAM 2722XG 400,000 400,000 - - - 400,000 - - - Oct-12 Provide timely professional forensic and law enforcement evidence collections and enhance the

ability of the Department of Law to successfully prosecute cases of sexual assault.
Health Planning and Preparedness
PUBLIC HEALTH PREPAREDNESS AND 595,000 700,000 4 2 - 595,000 3 4 - Jun-12 RESPONSE FOR BIOTERRORISM 2658XG - Provide for public health preparedness and response for bioterrorism, infectious diseases and other public health threats and emergency training and education. Human Services Division
SOUTHCENTRAL FOUNDATION 2361XG 199,000
- - - - 199,000 - - - Jun-12 Provides Emergency Alcohol System to support Anchorage Safety Patrol(ASP)

CHILD CARE LICENSING 1,519,838 1,519,838 13 1 - 1,519,838 11 1 - Jun-12 2333XG - Provide for staff to enforce the state and municipal child care licensing regulations. EMERGENCY SHELTER GRANT 82,511 82,971 - - - 82,511 - - - Dec-12 2334XG HOMELESS PREVENTION (ARRA) 776,468 623,048 1 - - 153,420 - - - Jul-12 23360G Prevent Homelessness for those who have eviction notices or precariously housed to obtain housing ASAP Anticipated Resources Anticipated Resources 

## Health and Human Services Operating Grant Funded Programs
2011 Revised 2012 ProposedCurrent Current Award Grant Grant Program Amount Amount FT PT T Amount FT PT T Term Anticipated Resources Anticipated Resources 

## Health and Human Services Operating Grant Funded Programs
2011 Revised 2012 Proposed

CHILD CARE ASSISTANCE 1,460,676 1,460,676 14 - - 1,460,676 14 - - Jun-12 2347XG - Provide federal funding for child care assistance and program administration. AGING DISABILITY RESOURCE CENTER 230,758 162,623 1 1 - 230,758 1 1 - Jun-12 2321XG
SUPPORTIVE HOUSING PROGRAM - HUD 296,800 300,003 2 - - 296,800 2 - - Mar-12 2369XG - Increase safe, affordable housing and provide supportive services to the homeless. SUPPORTIVE HOUSING PROGRAM - AHFC 215,505 223,646 1 - - 215,505 1 - - Mar-12 23688G - Provide matching funds for the HUD grant under the same name. ANCHORAGE DOMESTIC VIOLENCE 1,500,000 1,006,656 1 - - 493,344 - 1 - Aug-12 PREVENTION (continuation) 2370XG 4 year grant of - Continuation of Base Project to 1,5M for period decrease incidents of violence against 9/1/08 - 8/31/12 women and enhancing victim safety and Includes 2.0 FTE offender accountability. Legal
EDWARD BYRNE 889,607
- - - - 889,607 2 1 - Feb-13 237211GA Decrease incidents of violence against women and enhance victim safety and offender accountability.
MMRS 265909G 311,584 - - - - 311,584 - - - Dec-11 Supports the integration of emergency

management, health and medical systems into a coordinated response to to mass casualty incidents caused by any hazard.

MMRS 265910G 301,548 - - - - 301,548 - - - Dec-12 Supports the integration of emergency

management, health and medical systems into a coordinated response to to mass casualty incidents caused by any hazard.

MMRS 265911G 267,609 - - - - 267,609 - - - Dec-13 Supports the integration of emergency

management, health and medical systems into a coordinated response to to mass casualty incidents caused by any hazard. WOMEN, INFANTS & CHILDREN (WIC) 1,312,459 1,443,471 14 1 - 1,312,459 14 1 - Jun-12 2386XG - Provide nutrition screening, education and supplemental food to low income pregnant,Current Current Award Grant Grant Program Amount Amount FT PT T Amount FT PT T Term Anticipated Resources Anticipated Resources 

## Health and Human Services Operating Grant Funded Programs
2011 Revised 2012 Proposed

breastfeeding or postpartum women, infants and young children who are at nutritional risk. Community Health Services Division
HIV PREVENTION AND PARTNER 169,500 169,500 3 - - 169,500 1 1 - Jun-12 NOTIFICATION AND FIELD WORK 2471XG - Expand AIDS education outreach, testing of high-risk individuals, and HIV disease investigation COMMUNITY HEALTH NURSING 2,897,027 1,513,264 12 1 - 2,897,027 10 8 - Jun-12 2489XG - Provide immunizations, prevention and control of TB and of communicable diseases (i.e. tuberculosis, measles, sexually transmitted diseases) and home visits to high-risk prenatal women and families.
FAMILY PLANNING 1,010,090 1,161,526 3 13 - 1,010,090 6 2 - Jun-12 2493XG - Provide family planning and information services to low-income women and teens. Environmental Services Division
AIR RESOURCES 105 475,716 484,018 4 1 - 475,716 4 1 - Est - Dec-12 2539XG - Provide for the planning, development and implementation of air quality programs that meets local, state and federal requirements. AIR QUALITY PUBLIC AWARENESS 290,192 290,192 1 - - 290,192 1 - - Jun-12 2544XG - Provides funds from AK DOT/PF to prepare a public awareness campaign on ways to reduce winter air pollution. AIR TOXINS 91,039 91,039 - - - - - - - Sep-13 2550XG Study to assess the effectiveness of new EPA regulations reducing the amount of benzene in gasoline on ambient concentrations. AMBIENT LEAD MONITORING -MERRILL FIELD 43,907 - - - - 43,907 - - - Mar-13 2560XG Study at Merrill Field airport to determine compliance with the new national ambient air quality standard for lead.
CDBG - COMMUNITY DEVELOPMENT BLOCK GRANT 152311G

- - - - - - - - Dec-12

HOME - HOME INVESTMENT PARTNERSHIPS PROGRAM 152311G 1,143,582 - - - - 1,143,582 - - - Dec-12 Transfer of Neighborhoods to DHHS as of 4/1/11 CDBG - COMMUNITY DEVELOPMENT BLOCK GRANT 152312G 2,092,768 3 1 -Current Current Award Grant Grant Program Amount Amount FT PT T Amount FT PT T Term Anticipated Resources Anticipated Resources 

## Health and Human Services Operating Grant Funded Programs
2011 Revised 2012 Proposed

152311G 1,770,562 970,000 2 - - 265,000 2 2.5 - 152310G 648,450 545,000 1 - - 15239G 160,000 89,000 - - - HOME - HOME INVESTMENT PARTNERSHIPS PROGRAM 152412G 1,021,309 1 - - 152411G 1,021,309 542,000 1 - - 1,045,000 1 - - 152410G 1,065,153 850,000 15249G 669,330 569,330 300,000 - - - 15248G 103,000 103,000 Program designed to create affordable housing for low-income households. Activities include but not limited to construction,
DEPT OF ENERGY - ENERGY EFFICIENCY CONSERVATION BLOCK GRANT 152408GA 1,400,000 1,400,000 - 3 - 200,000 - 3 - Energy reduction lighting retrofit projects within Municipal facilities: Egan Convention Center, Animal Control Shelter, Spenard Recreation Center and the Loussac Library. Garage lighting Retrofits: 5th & B Garage, 6th & H Garage, 7th & G Garage and JCP Garage through ACDA. There are two regional studies; a Housing and a Transit Study.
AHFC & DOE WEATHERIZATION 1,007,750 1,007,750 20 2 -
- - - - 152610G & 152710G Weatherization Assistance Program for the low to moderate income individual households. Program transferred to Rural Cap, program closed on 3/31/11.
DOE ARRA WEATHERIZATION 152810GA Multi-unit Weatherization Assistance Program 500,884 500,884 2 4 -
- - - - for the low to moderate income individual/family households. Program closed 3/31/11. It was transferred to Rural Cap. HUD - Special Projects Economic Development Investment 15296G 302,338 302,338 - 0.5 -
- - - - Hud EDI specifically for a grantee, this was a pass-through. Total Grant Funding 20,003,570 100 30.5 - 20,801,575 77 28.5 - Total Direct Costs 12,536,491 54 7 1 11,685,596 48 8 1 Total Grant Funds and Direct Costs 32,540,061 154 37.5 1 32,487,171 125 36.5 1

## Anchorage: Performance. Value. Results

# Health and Human Services Department Anchorage: Performance. Value. Results. Mission Protect and improve the public health and well-being of all people in Anchorage. Core Services
 Develop and maintain coordinated emergency response capability for pandemics, natural disasters and bioterrorist events.

 Safeguard public health by:
o 

## Preventing, detecting, and treating communicable disease;
o 

## Assuring a safety net of services for vulnerable citizens;
o 

## Monitoring and enforcing air quality, sanitation, noise, child care, and animal control regulations.

 Strengthen the community’s ability to im prove its own health and well-being by:

o 

## Informing, educating, and empowering people about health issues;
o 

## Mobilizing community partnerships to identify and solve public health problems;
o 

## Developing plans and policies that support individual and community health efforts. Accomplishment Goals
 Improve responsiveness to public health complaints.
 Increase community and agency partnerships in public health initiatives. Performance Measures Measure: Percentage of time HHS makes contact within 24 hours (1 work day) of a high priority complaint
. * 6/30/2011 93

Measure: Percentage of time HHS makes contact up to 72 hours (3 w orking days) of a medium priority complaint
. * 6/30/2011 72
*NOTE: Revised measure to assess responsiveness to the public versus closing or resolving cases that oftentimes includes factors outside of the control of HHS.


## Measure: Percent of DHHS services and programs supported by grant and non-property tax dollars. 2010 67 6/30/2011 61

# Human Services Division Health and Human Services Department Anchorage: Performance. Value. Results. Purpose Protect the well-being of at-risk citizens, especially children, seniors, and people with disabilities. Direct Services
 Ensure safe child care in the Municipality through inspections/licensing.
 Improve economic stability for low-inco me parents through child care assistance.
 Safeguard the health of low-income women, infants, and children at nutritional risk.
 Prevent and reduce homelessness thr ough financial assistance and case management.
 Increase the number of affordable housing units in the Municipality of Anchorage.
 Assist those in need of long-term care through the Aging and Disability Resource Center. Accomplishment Goals
 Increase the well-being of children in child care by reducing the amount of time it takes to process and close a complaint (Child Care Licensing)
 Increase the economic stability of low-income parents and their access to safe child care by reducing the amount of time it takes to issue a child care authorization (Child Care Assistance)
 Improve the health of infants of low-income women by increasing the number of WIC mothers who breastfeed their newborns through 6 months of age (Women, Infants, and Children)
 Minimize homelessness by reducing the time between initial client contact and case management and increase the percentage of HUD program funding under contract to serve lower income households. (Safety Links)
 Improve the quality of life of those in need of long-term care by increasing the effectiveness of ADRC referrals (Senior Services)

. Performance Measures Performance in achieving goals shall be measured by: Child Care Licensing Measure: Average number of days to close a Child Care Facility complaint. 2009 49 2010 28 6/30/2011 29.5
Child Care Assistance Measure: Average number of days to issue a Child Care Assistance eligibility. 2009 30 2010 26 6/30/2011 32.5

## Women, Infants, and Children Measure: Percentage of mothers with newborns who continue breastfeeding their newborns through 6 months of age. 2009 not available 2010 36% 6/30/2011 44% Safety Links Measure: Percentage of HUD program funding under contract to serve low and moderate income households. 6/30/2011 85% *NOTE: New measure. Neighborhoods group, thus HUD moved to DHHS March 2011.


## Senior Services Measure: Percentage of Aging and Disability Resource Center (ADRC) clients who indicate that their situation improved as a result of the long-term care referrals



# ADRC Client Satisfaction Survey, FY 2011

0% 20% 40% 60% 80% 100% Staff member was

knowledgeable about services? Information received was helpful? Client was given a number of options to choose from? Client would recommend ADRC to others?

Unsure No Yes

## Senior Services (con’d)



# ADRC Client Satisfaction Survey, FY 2010

0% 20% 40% 60% 80% 100% Staff member was

knowledgeable about services? Information received was helpful? Client was given a number of options to choose from? Client would recommend ADRC to others?

Unsure No Yes

## Reducing job-related injuries is a priority for the Administration by ensuring safe work conditions and safe practices. By instilling safe work practices we ensure not only the safety of our employees but reduce the potential for injuries and property damage to the public. The Municipality is self-insured and every injury poses a financial burden on the public and the injured worker's family. It just makes good sense to WORK SAFE. Results are tracked by monitoring monthly reports issued by the Risk Management Division.

$0 $5,000 $10,000 $15,000 $20,000

As of 7/31/2010 As of 7/31/2011 

# Workers Compensation Claims Health & Human Services

# Administration Division Health and Human Services Department Anchorage: Performance. Value. Results. Purpose Provide administrative, fiscal, and grant management support for the Department and leadership for the Animal Control, Information Technology, and Emergency Preparedness programs. Direct Services
 Support all DHHS functions by centralized fiscal, grant and contract, personnel and IT service.
 Protect people and pets in the Municipality by enforcing animal laws, encouraging responsible pet ownership, and promoting animal welfare.
 Prepare and implement public health emer gency response measures for natural disasters, pandemics, and bioterrorism events. Accomplishment Goals
 Improve the cost effectiveness of DHHS operations through efficient centralized accounting and effective grant and contract management. (Administration)
 Improve response to animal-related complaints in the Municipality. (Grants & Contracts, Animal Control)
 Improve coordinated emergency response capability for rapid deployment during a medical surge event by training DHHS personnel and reactivating a Medical Reserve Corps for Anchorage. ( Emergency Preparedness) Performance Measures Administration
Measure: Number of material financial audit exceptions identified by MOA internal audit or in the SOA or Federal granting agencies’ single audit.

2007 1 2008 3 2009 2 2010 1 2010 1 6/30/2011 0

## Animal Control Measure: Average number of hours to respond to a dog bite/attack complaint. * 

# Dog Bites / Attacks
743 731 704 717 704 697 661

338

0 200 400 600 800

2004 2005 2006 2007 2008 2009 2010 2011Number of Calls



## * NOTE: Measured updated to reflect what agen cy considered the most critical complaint. 

## 7.2 8.4 9.0 10.6 9.7 13.6 10.6 13.6

0 10 20 30 40

2004 2005 2006 2007 2008 2009 2010 2011Response Time (minutes)



### Average response time (minutes) Required response time (minutes)

## Emergency Preparedness Measure: Percentage of personnel trained in emergency response procedures, including FEMA-certified DHHS personnel and Medical Reserve Corps (MRC) members who have participated within the last 12 months in DHHS plan development, review or drills. ICS Course ALL DHHS Staff % Change DHHS Supervisors % Change DHHS Execs % Change ICS 100 +.63 +9.09 +8.89 ICS 200 +2.35 +9.09 +8.89 ICS 700 +8.81 +13.64 +28.89 ICS 800 +14.79 +59.09 +37.78



## DHHS ICS Course Completion 2010 Compared to YTD 2011

0 % 1 0 % 2 0 % 3 0 % 4 0 % 5 0 % 6 0 % 7 0 % 8 0 % 9 0 % 1 0 0 %

Y T D

2 0 1 1 ( N

= 1 45

) 20 10

( N

= 13 8) Y T D

20

1 1 ( N

= 2 2) 2 0 10

( N

= 22 ) Y T D

20

1 1 ( N

= 9 ) 20 10

( N

= 10 )



## ALL DHHS Staff DHHS Supervisors DHHS Execs ICS 100 ICS 200 ICS 700 ICS 800

## Emergency Preparedness (con’d) ICS Course ALL DHHS Staff DHHS Supervisors DHHS Execs YTD 2011

(N=145) 2010 (N=138) YTD 2011 (N=22) 2010 (N=22) YTD 2011 (N=9) 2010 (N=10) ICS 100 87.59% 86.96% 95.45% 86.36% 88.89% 80.00% ICS 200 39.31% 36.96% 90.91% 81.82% 88.89% 80.00% ICS 700 83.45% 74.64% 90.91% 77.27% 88.89% 60.00% ICS 800 22.76% 7.97% 72.73% 13.64% 77.78% 40.00%
100: Introduction to Incident Command System 200: ICS for Single Resources and Initial Action Incidents 700: NIMS (Nation a l Incident M anagement System) An Introduction 800: National Response Fram ework , An Introduction ICS 100 and 700 are requi red for all non-supervisory DHHS Staff. ICS 100, 200, 700 and 800 are required for all D HHS Supervisors and Executives 

## Emergency Preparedness Measure: Percentage of DHHS employees that affirmatively respond (indicate they are available for service) to quarterly test of emergency call down procedures.* 6/30/2011 65% *NOTE: New measure. DHHS Utilizes the Rapid Reach Emergency Call Down System to notify all staff of any event requiring a DHHS emergency response and w hat steps to take to respond. Rapid Reach is a telephonic notification and verification software system.

# Public Health Division Health and Human Services Department Anchorage: Performance. Value. Results. Purpose Promote and protect health in the Anchorage community through monitoring, education, regulation, and clinical services. Direct Services Safeguard public health by:
 Preventing and controlling disease outbreaks.
 Protecting air quality.
 Ensuring food safety and sanitation in public venues

.  Reducing vaccine-preventable illness and communicable disease incidence and complications. Accomplishment Goals
 Improve disease prevention and control by effective tracing of contacts. (Epidemiology)
 Reduce days non-compliant with federal air quality standards by monitoring key indicators and developing strategies to reduce air pollution. (Air Quality)
 Maximize industry compliance with safe food handling practices by inspecting facilities and effectively enforcing regulations. (Food Safety and Sanitation)
 Ensure compliance with safe food handling practices by inspecting every permitted food establishment at least once per year. (Food Safety and Sanitation)
 Improve community health by ensuring acce ss to immunizations for all children and seniors and ensuring effective access to screening and treatment services for communicable disease. (Clinical Services) Performance Measures Epidemiology Measure: Percent of identified close contacts to a smear positive sputum tuberculosis (TB) case who are contacted for clinical evaluation within 2 weeks and number of TB cases annually.
Year Number of TB cases Number of identified close contacts % of identified close contacts reached for clinical evaluation within 2 weeks* 2009 11 22 50% 2010 14 46 26 seen for 56.5% 6/30/2011 8 19 17 seen for 89%

## Air Quality Measure: Percent of days in the year having an Air Quality Index (AQI) value of “Good”.

 2005 – 90.9
 2006 – 89.6
 2007 – 93.1
 2008 – 95.0
 2009 – 86.0
 2010 – 88.5
 6/30/2011 – 84.0
% of Days having an Air Quality Index in the Good Category

90.9% 89.6% 93.1% 95.0%

83.3% 85.8% 84.0%

75.0% 80.0% 85.0% 90.0% 95.0% 100.0%

2005 2006 2007 2008 2009 2010 2011 Q1 & Q2 

## NOTE: The apparent decrease in the percentage of good air quality days between 2008 and 2009 is a consequence of the inclusion of additional monitors in the Anchorage network. The addition of new monitors increases the probability of at least one of them measuring air pollution levels high enough to bump air quality out of the good category. Thus, t he apparent reduction in the percentage of good air quality days does not reflect any “real” degradation in air quality. The relatively low percentage of good days observed thus far in 2011 should increase in subsequent quarters. Anchorage normally experiences a much higher frequency of good air quality days in the summer and fall. 

## Food Safety Measure: Percent of food establishments inspected with fewer than two critical items.

Year Percent of food establishments inspected with fewer than two critical items. 2007 81 2008 79 2009 82 2010 64 6/30/2011 65 (Food Safety con’d)% of Facility Inspections with less than 2 Critical Violations

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9

2009 2010 1st Qtr 2011 1st Half 2011% ofRegular Inspections



## NOTE: The graph shows the percent of food establishments that had fewer than 2 critical items marked on an inspection. The data for 2010 reflects changes in the Municipal Food Code which added several new critical violations, resulting in a hi gher percentage of establishments with critical violations. The chart may differ from prior reports in that it shows the percent of establishment wi th fewer than 2 critical violations rather than the percent with 2 or more violations.


## Measure: Percent of active establishments inspected within the last 12 months.*



## % ACTIVE FOOD ESTABLISHMENTS WITHIN FIRST HALF 2011

91% 9% % INSPECTED WITHIN FIRST HALF 2011
% NOT INSPECTED WITHIN FIRST HALF 2011



## * NOTE: New measure implemented in 2011 show s 91% out of a total of 1699 facilities.



## Clinical Services

## Measure: Percent testing positive for Chlamydia or gonorrhea who are treated within 14 days of DHHS being informed of positive test results.

Year Percent testing positive for Chlamydia or gonorrhea who are treated within 14 days of DHHS being informed of positive test results. 2008 97.0 2009 100.0 2010 99.2 6/30/2011 100.0

2010-2011 Clients Positive for Sexually Transmitted Infections

0 20 40 60 80 100 120JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember



### MonthNumber of Clients 2010 Chlamydia Cases
2011 Chlamydia Cases

2010 Gonorrhea Cases

2011 Gonorrhea Cases



## NOTE: This chart shows the trends of the number of clients that were seen in the MOA Reproductive Health Clinic on a monthly basis that were positive for either Gonorrhea (GC) or Chlamydia (CT). During 2008, chart reviews show that 97% of of the clients that were notified of being positive for STI's were treated within 14 business days. For 2009, chart reviews show that 100% of the c lients that were notified of being positive for STI's were treated within 14 business days. During 2010, 99.2% of clients were notified of being positive for STI's were treated within 14 business days. One client was not able to be treated during this time frame due to a failure to make contact with them because of wrong phone numbers