Local Government Support and funding Strong community partnerships Competent, well-trained, dedicated staff On-going professional development for employees Access to quality technological resources Bilingual staff Highly qualified, knowledgeable billing support staff Inviting public health facilities Annex location for services, Health, WIC, and DSS Training site for numerous students and career tracks Enhanced health education and outreach programs Tele-health in health centers Comprehensive clinical and dental care Electronic health record system New partnerships and regional collaborations Strong collaboration with emergency management to respond to public health preparedness concerns Expanded Farmworker/Migrant Health Program serves as a regional leader Upgraded Animal Shelter and Equine facility Quality improvement initiatives Responsible and proactive to emerging issues and trends Future Medicaid Reform uncertainties Potential for cuts in Federal/State Public Health Programs Ability to compensate professional staff at levels that attract highly qualified workers Ability to recruit in some professional fields such as dental, nursing and nutrition Availability of mental health resources and providers in the county Limited primary care and chronic disease management services Minimal collaboration with the public school system and public health initiatives Economically diverse population Challenges related to a rapidly growing population Aging workforce Aging DSS facility Inadequate filing system for DSS programs Lack of a document management system for archiving ofinactive DSS files Internal and external communication 4 Opportunities Threats Emerging technologies to promote more efficient service delivery Established relationship with outlets Regional partnerships with UNC-W and Southeastern AHEC Leadership of staff in various professional organizations, regional, state and nationally Consolidated Health and Human Services Lack of public transportation Limited funding in chronic disease, health promotion and disease prevention services Limited funding for school-based health centers Tier 3 county ranking limits grant opportunities Potential cuts to federal, state and local programs
CHA Priority addressed Access to Care Health Behavior Concerns Activities Lead Person Partners N=new; E=existing Timeframe Health Department Activities Health Education Nursing Director Maternal Health Coordinator OBNP WIC Program On-Site Interpreters OBCM E- Pender County Schools E-DSS E-CCNC E-Pender Adult Services transportation E-Migrant Farmworker Program On-going Family Planning Clinic Health Education Family Planning Coordinator OBNP E- DSS E-Pender County Schools E- Pender Adult Services transportation E-Migrant Farmworker Program On-going Promote prenatal care through media and community education outreach Health Education E- Pender County Schools E-Local Newspapers E-DSS E- Migrant Farmworker Program E-WIC Program E-Social Media; agency website On-going 14 Goal 1-Health Improve the health status and prevent premature for all residents of Pender County. Objective #2 Reduce the death rate due to suicide by 3% Baseline Data 2010-2014 Pender 15.8; NC 12.4 CHA Priority addressed Mental Health and Substance Use Access to Care Health Behavior Concerns Activities Lead Person Partners N=new; Timeframe
E=existing Health Department Community Education Outreach Health Education E- DSS E-Sheriff’s Dept E- Emergency Services E-Local churches E-Pender Co. Schools E-Pender Memorial Hospital E-Pender County Govt E-School-based Health Center N- Coastal Horizons On-going Increase community awareness and education E- DSS E-Pender Adult Services transportation E- Local Newspaper E-Local churches E-Pender Co. Schools E-School-based Health Center E-Pender Memorial Hospital E-Website N- Coastal Horizons On-going Collaborate with NC Injury and Violence Prevention Branch N-Medical Examiner’s Office 15 Goal 1-Health Improve the health status and prevent premature death for all residents of Pender County. Objective #3 Reduce the death rate for diabetes by 2% Baseline Data 2010-2014 Pender 24.7; NC 21.7 CHA Priority addressed Diabetes Access to Care Activities Lead Person Partners Timeframe
Medical Center (including Pender Memorial Hospital); and NC Office of Rural Health to promote recruitment of primary care physicians. E-Rural Health Office Expand: medical oversight for health centers; Diabetes Program; childbirth class offerings; medical nutrition therapy; primary care and chronic disease management services at the health department Director of Nursing Certified Diabetes Health Educator Health Education staff FNP Nutritionist E- Health Centers E- Pender County Schools E-Website E-Local Newspapers E-Pender County Govt. On-going Maintain: mobile and health department dental services; Affordable Care Coordinator; health education outreach efforts Director of Nursing Dental health staff E- DSS E-Pender County Schools E-Website On-going Promote active participation with UNC-W regional community health efforts Health Director E- UNC-W E-Regional Health Depts E-Seahec On-going Increase collaborative efforts with Trillium to address the shortage of mental and substance use providers in Pender County Health Director Director of Nursing E- Pender Memorial Hospital E-Sheriff’s Dept E-Emergency Services On-going 20 Goal 3-Health Ensure Environmental Health and Safety through reduced exposure to unsafe foods, unsafe lodging, and unsanitary environmental conditions. Objective #1 Maintain current monitoring system of food, food handlers, and lodging facilities by meeting the required frequency of inspections established by the NC Environmental Health; maintain current sampling requirements on newly constructed drinking water wells to help assure a safe drinking water supply; enforce state mandated on-site waste water regulations and monitor sewage disposal systems; develop work force educational opportunities to allow the staff to become more involved with emerging environmental issues such as emergency response and technologies to help improve service. Baseline Data Statistical reports indicating compliance with state mandated programs and specific program reviews from Regional Environmental Health Consultants. CHA Priority Addressed Access to Care Chronic Disease Activities Lead Person Partners N=new; E=existing Timeframe
Ongoing inspections within regulated facilities at required frequencies Environmental Health Supervisor and Program Specialists E-NCEH, NCDA As prescribed by State Regulation Promote Food Safety Training for food handlers and Day Care Providers (Serve Safe) Environmental Health staff E- NC Env. Health Ongoing staff education, development and credentialing of staff Environmental Health Supervisor and Program Specialists E- SOP Workshops, NCPHA, RS Board, State Universities Annual Permitting and Monitoring of wells and septic tank systems Environmental Health Specialists E-NC Env. Health E-Division of Water Quality (DWQ), Training for contractors on wells and septic systems/ Pool operators Environmental Health Supervisor and Program Specialists E- State Certification Boards Yearly Implement EHS quality improvement program Health Director Environmental Health Supervisor E- NC Env. Health On-going Childhood Lead Poisoning Investigations Environmental Health Specialist E- NC Env. Health , Building Inspections As Needed Public Information and Presentations regarding Environmental Health Program Environmental Health Supervisor and staff E- Local media E-Social media and website On-going 21 Goal 4-Health Provide a coordinated response to a Public Health event or communicable disease outbreak Objective #1 Maintain the current NC EDSS reporting system that allows for timely reporting and intervention as required by NC Communicable Disease Laws, increase communicable disease reporting from outside medical facilities and ensure providers are familiar with the reporting system CHA Priority addressed Access to Care Chronic Disease Activities Lead Person Partners N=new; E=existing Timeframe Keep Communicable Disease Tracking System current Communicable Disease Nurse and TB Coordinator Director of Nursing E- DHHS On-going
Contract with Preparedness Coordinator Health Director/ Preparedness Coordinator/Nursing Director E- Emergency Management Services () E- Hospital On-going Coordination with other agencies Health Director/Preparedness Coordinator E- Law Enforcement E-School System E-Private Industries On-going Education of staff and community plans Health Director/Preparedness Coordinator/Nursing Director E- Emergency Management N- Law Enforcement, School System On-going Maintain current contact List for the health department to be used in emergency responses Health Director/Preparedness Coordinator/Nursing Director E- Local Medical Providers E- Law Enforcement On-going Participate in Bioterrorism exercises that includes Strategic National Stockpile (SNS) Health Dept Epidemiology Response Team E- NC Public Health Preparedness;Emergency Management, Law Enforcement, School System On-going 23 Goal 1-DSS Improve organizational effectiveness and efficiency Objective #1 Utilize the 2015 DSS Organizational Assessment as a blueprint to improve organizational effectiveness and efficiency Baseline Data Organizational Assessment Findings Activities Lead Person Partners N=new; E=existing Timeframe Utilize the assessment to guide processes to address organizational structure, leadership and staffing, and service delivery HHS Director DSS Program Managers and supervisors Resources E- Pender Co. Govt. N-DSS Regional Consultants N-Peer DSS and HHS Directors On-going Evaluate organizational changes and their impact on the department HHS Director DSS Program Managers and supervisors Human Resources County Manager E- Pender Co. Govt. N-DSS Regional Consultants On-going Establish and long-term goals, in collaboration with DSS leadership, to HHS Director E- Pender Co. Govt. On-going
implement organizational and program changes DSS Program Managers and supervisors N-DSS Regional Consultants Promote professional relationships between DSS staff and State/Regional consultants as well as regional peers HHS Director N-DSS State and Regional Consultants N-Regional DSS peers On-going 24 Goal 2-DSS Improve best practices, performance and measureable outcomes of social services deliverables Objective #1 Utilize the 2015 DSS Organizational Assessment as a blueprint Baseline Data Organizational Assessment Findings Activities Lead Person Partners N=new; E=existing Timeframe Increase participation in regional and professional trainings and continuing education to obtain knowledge of best practices for the department HHS Director DSS Program Managers and supervisors DSS staff E- Pender Co. Govt. N-DSS Regional Consultants N-Peer DSS and HHS Directors Identify training opportunities for leadership staff to develop knowledge about establishing objectives and activities that yield measureable outcomes to help improve service delivery HHS Director DSS Program Managers and supervisors N-DSS Regional Consultants N-Peer DSS and HHS Directors On-going
Goal 3-DSS Capitalize on opportunities to improve automation and the use of updated technology Objective #1 Utilize the 2015 DSS Organizational Assessment as a blueprint Baseline Data Organizational Assessment Findings Activities Lead Person Partners N=new; E=existing Timeframe Increase participation in regional and state-wide trainings to understand and implement state automated programs that will increase efficiency and improve customer service HHS Director DSS Program Managers and supervisors E- Pender Co. Govt. N-DSS Regional Consultants Increase internal training to utilize current technology for service delivery HHS Director DSS Program Managers and supervisors N-DSS Regional Consultants E-Pender Co. IT On-going Promote networking opportunities with and regional consultants as well as regional peers to enhance knowledge of new technology that is currently available for service delivery HHS Director DSS Program Managers and supervisors E- Pender Co. Govt. On-going 25 Goal 1-HHS Maintain a highly competent health and services workforce that includes required and necessary training to meet job and/or licensure expectations Objective #1 To assure a highly competent and professional staff Baseline Data Resource Data Activities Lead Person Partners N=new; E=existing Timeframe Identify training opportunities for staff in the areas of confidentiality, safety at the worksite, customer service, cultural competency and legal training as well as continuing education to meet job/licensure expectations HHS Director DSS Program Managers and supervisors E- Pender Co. Govt. E-Human Resources E-NC DHHS On-going Work closely with Human Resources to assure all new staff meet qualifications for the position hired as well as assessing current employee position classifications to verify appropriately held education and training HHS Director DSS Program Managers and supervisors HR Director E- Pender Co. Govt. On-going
Assure department leadership receives continuing education on how to manage and supervise staff HHS Director DSS Program Managers and supervisors E- Pender Co. Govt. E-Human Resources E-NC DHHS On-going Promote networking opportunities with peer counties, regional and state consultants HHS Director DSS Program Managers and supervisors E- Pender Co. Govt. E-Human Resources On-going 26 Goal 2-HHS Maximize consolidated Health and Human Services efforts to improve comprehensive service delivery efforts to shared clients, thus avoiding duplication Objective #1 Identify and reduce duplication of service delivery applicable Baseline Data Current listing of all programs and services Activities Lead Person Partners N=new; E=existing Timeframe Educate staff in health and DSS as to services provided in an effort to identify ways to coordinate service provision HHS Director Health supervisors DSS Program Managers and supervisors E- Pender Co. Govt. E-NC DHHS On-going Establish a process to improve client referral process HHS Director Health supervisors DSS Program Managers and supervisors E- Pender Co. Govt. E-NC DHHS E-Regional consolidated agency peers On-going
27 Goal 3-HHS Increase community collaboration to address Mental Health and Substance Use issues Objective #1 To promote relationship building between departments and other community agencies in addressing current or future community issues and concerns Baseline Data Health data Activities Lead Person Partners N=new; E=existing Timeframe Actively participate on inter-agency committees to increase community awareness of mental health and substance use concerns HHS Director Health and DSS supervisors and E- Pender Co. Govt. E-Coastal Horizons E-JCPC program On-going Work collaboratively to identify resources and programs to increase community awareness HHS Director Health supervisors DSS Program Managers and supervisors E- Pender Co. Govt. E-NC DHHS E-Regional peers E-Community organizations E-Pender Co. Schools On-going
Work closely with the local management entity to identify gaps in services for mental health and substance use HHS Director Health supervisors DSS Program Managers and supervisors Coastal Horizons E-NC DHHS E-NC Mental Health state programs E-Pender Co. Schools On-going 28 Goal 4-HHS Increase public awareness of Pender County Health and Human Services programs and services Objective #1 To keep Pender County residents informed of available services and educational programs. Baseline Data Current listing of available services Activities Lead Person Partners N=new; E=existing Timeframe Increase the use of social media to keep Pender County residents informed of current health and social issues, available services, eligibility guidelines, and educational programs Health and Human Services staff Health educators Social workers E- Local Media, E-County and department Websites E-Facebook On-going Increase opportunities to jointly attend community outreach events to promote services Health and Human Services staff E- Local Media, E-County and department Websites E-Facebook E-Pender Co. IT On-going Utilize a variety of media outlets to educate the public regarding current events, community concerns, and potential natural disasters or communicable disease outbreaks Health and Human Services staff E- Local Media, E-County and department Websites E-Facebook On-going