Transcription
Executive SummaryAll residents and visitors in Broward County benefit from public health programs every day.While our food and water is safer, our air is cleaner, more children are immunized fromdisease and newborns have better survival rates; the incidence of HIV and AIDS, andSexually Transmitted Diseases remain high in our community, and too many residents areafflicted with preventable chronic diseases such as diabetes and hypertension.The focus of the Florida Department of Health in Broward County is as old as the concept ofcommunity public health. Our employees work together in the spirit of public service toprevent and resolve the significant health concerns that impact the community.There are many challenges facing the Florida Department of Health in Broward County, thestate and the nation. These challenges include an aging population, emerging infectious anddrug-resistant diseases and the threat of bioterrorism, to name a few. With these challengesis the reality that the Florida Department of Health in Broward County cannot provide all theneeded public health services to all people of the county. By collaborating effectively withpartners in the community, we target the areas where we can play an effective role inimproving public health and safety without duplicating the services of others.The Florida Department of Health in Broward County’s 2015 - 2020 Strategic Plan,demonstrates our organization’s mission, vision and priorities. We ensure our organization’sresources will be utilized most effectively to meet the challenges we face as a community.We always welcome comments, feedback and suggestions from our stakeholders.Paula Thaqi, MD, MPHDirector3
Florida Department of Health in Broward CountyStrategic Plan2015 - 2020Table of ContentsIntroduction . 5About Us . 5Organizational Description . 5Services We Provide. 5Staffing . 6Funding . 6Public Health Outcomes . 6Florida Department of Health 2012-2017 Statewide Goals Linkage to Governor’s Priorities . 6#1 – Accountability Budgeting. . 7#2 – Reduce Government Spending. . 7#3 – Regulatory Reform. . 7#4 – Focus on Job Growth and Retention. . 7Florida Department of Health Long-Range Program Plan 2014-2019 Statewide Goals . 7Florida Department of Health in Broward County Strategic Planning Process, Cycle and Summary. 9Strategic Planning Process . 9Strategic Planning Process Map . 11Mission . 12Vision . 12Values . 12Florida Department of Health in Broward County Cornerstones . 12Cornerstone 1 – Leaders of the Public Health System . 13Strategic Objectives and Goals 2015 - 2020: . 13Cornerstone 2 – A Culture of Continuous Improvement . 14Strategic Objectives and Goals 2015 - 2020: . 14Cornerstone 3 – Be the Provider and Employer of Choice . 15Strategic Objectives and Key Activities 2015 - 2020: . 15Cornerstone 4 – Thriving Financially . 16Strategic Objectives and Key Activities 2015 - 2020: . 16Acknowledgements . 174
IntroducctionThe Florrida Department of Health inBroward County’s Strategicc PlanninngProcess isi the centterpieceof our maanagement system.It is thetfoundationaldocumentt on which theannual buudget and alla otheraction plans are baseed.ve that in orderotoWe believeffectivelyy allocate both finnancial anndhuman resources wee must firstt understanndthe neeeds of ourocustoomers anndstakeholders; emergging issuess that affecctthose groups; andd our owwn s that serve the same anndsimilar grooups.We acknoowledge thaat predictinng the futurrewith any accuracy remainsrthooroughly ouutach but, cleearly undersstanding thheof our reacurrent and historiccal events surroundinngus is parramount inn charting an effectivvecourse for our futuree and in exxceeding thherequiremeents of thosse we servee.About UssPublic health is a sppecialized science thaatfocuses ono the commmunity as itts client wittha focus on health promootion/diseassen activitiees.Thhe FloriddapreventionDepartmeent of Heallth in Browward Countty(DOH-Brooward) a unituunder the FloriddaDepartmeent of Healtth (DOH), iss the counttyhealth departmentdt located in ommunitty-based services totthe countyy’s 1.8 milllion residennts and oveer100 million annual visitors, and isressponsible ffor assessinng, maintaiining andim proving heealth and safety wwithin thecounty. Although DOH-Browarddates back tto 1936, the currentoorganizationnal structure datestoo 1997 whhen the leegislaturecreated the Departmment ofHHealth and the Deparrtment ofCChildren andd Families from thefoormer Deppartment oof Healthnd Rehabilittative Services (HRS).annal DescripptionOrrganizationDOOH-Browardd is the leaad agency providingcoore public hhealth funcctions and essentialhe county aas part of a complexse rvices in thublic heallth systemm that includespuospitals, cclinics, pllanning hers. Publlic health is a funddamentaleleement of the quality of life avaailable toressidents andd visitors in Browardd Countyannd focuses on proteccting and ppromotingcoommunity hhealth throuugh organizzed stateannd communnity efforts and a coooperativeaggreement wwith the couunty. DOH-Browardcu rrently empploys a staaff of approoximately6000 and has an annual budget in eexcess of 444 million.Seervices Wee ProvideIn order to bbest achieve its misssion andvission, DOH--Broward is organizeed into anuumber of prrogram areaas that focuus on theon, detection andsu rveillance, preventiotreeatment of tthe most significant heealth andennvironmentaal issues within thee county.he major services pprovided bby DOHThBroude:oward incluDisseaseCControlandPreeventionPrrograms: HIV/AIDS Treatmeent edDisseases (STTD),TuuberculosisCoontrol(TTB),Eppidemiologyy (Commmunicable Disease5
Control, PreventionPand Surveillance), anndHealth Promotion andaSociall Marketingg.Health Seervices to Targeted Populationss:Healthy StartSData ManagemeMnt (pregnanntwomen andachildreen age 0-3),0SchooolHealth, SpecialSSupplementSal NutritioonProgram for Womenn, Infants andaChildreen(WIC), Reefugee Heealth, Family Planningg,Early Detection of Breast and CervicaalCancer, HepatitisHpreevention.Environmmental Health Servvices: FooodHygieneInspectionns ofInstitutionalFacilities,DrinkingWaterTreatment andonDistributioFacilities, Biomedicaal Waste, Tattoo anndBody Pieercing, Beeach Monnitoring anndPublic Nootification, PublicPSwimming Poooland Bathhing Placees Inspections, GrouupCare Faccilities Insppections, TrailerTPark,Mobile Home,HSanitary Nuisance anndRodent Coontrol.Other Health Serrvices: Puublic HealtthPreparednness, Emeergency annd DisasteerResponse, SpeciaalNeeds EvacuatioonVitaalCenterrs,Recordds (birth annddeath certificatess),Pharmacy,anndDental.onnmental sppecialists aand enviroonmentalenngineers.StaffingA wide variety of professsional anndblic health staff providdeparaprofessional pubwthe program areas. Thesseservices withinincludeBoardCertifiedCPhysicianss,Registered Nurses, Advanced ollogists,Dentists,Pharmacissts,andvariousother health careworkers, diseasedinterventioon/envirAt the nationaal level, pubblic health ggoals areguuided by thhe U.S. Centers for DiseaseCoontrol Healtthy People 2020. At the statelevvel, the Floorida Depaartment of Health’sLoong-Range Program PPlan identifies goals.At the counnty level, the tives.FuundingMaany of thee services provided bby DOHBrooward are funded annd mandateed by theFloorida legislature. A significant number ofservices alsoo are fundded througgh grantsproovided by various soources incluuding thefedderal govvernment, through BrowardCoounty and through fees colleected forprooviding serrvices. In aaddition, equivalentsoources of ffunding aree provided throughmaany state and loccal agenccies andinddividuals viia the offering of botth in-kindannd volunteer services.Puublic Heaalth OutcoomesPuublicheealthproogramsmeeasuresuccess byannalyzingpaatterns ofsiccknessannddissease(mmorbidity),birrths (natalitty), and deaaths (mortaality). Allpuublic healthh programms try to achievece rtain outcoomes, suchh as a deccrease ine incidencee of diseaase, a reduction inthedeeath rates from varioous causess, or aninccreased lifeespan.Florida DDepartmeent of Health012-2017Stateewide20GoalsLinkage too Governoor’s Priorrities6
#1 – Accountability Budgeting. Processmedicaldisabilitydeterminations.#2 – Reduce Government Spending. Prevent and reduce tobacco use.#3 – Regulatory Reform. Ensure health care practitionersmeetrelevantstandardsofknowledge ad care. Enhance and improve EmergencyMedical Systems.#4 – Focus on Job Growth andRetention. Provide access to care for childrenwith special health care needs. Ensure Florida’s health andmedical system achieves andmaintains national preparednesscapabilities. Improve access to basic familyhealth care services. Prevent and treat infectiousdiseasesofpublichealthsignificance. Prevent diseases of environmentalorigin.Florida Department of HealthLong-Range Program Plan 20142019 Statewide GoalsEach state agency is required by Floridastatute to develop a strategic plan that setsgoals and objectives. The following goalsset by the Department of Health are stillunder review by the State Health Office(SHO).1. Prevent and Treat InfectiousDiseases of Public HealthSignificanceA major part of the Florida Department ofHealth’s mission to protect and promote thehealth of all residents and visitors in thestate is control and prevention ofcommunicable diseases. Disease Controlactivities focus on prevention, gation, public education, training ofhealthcare professionals, targeted testing,technical assistance, expert consultations,and immunization services. Several factorsinfluencetheneedforimprovedcollaborative work and integration ofprevention services especially amongHIV/AIDS, hepatitis, STD, and TBprograms.Among these are theinteractions between concurrent infections,risk behaviors, and the cumulative effectsof multiple diseases and health inequitiesaffecting at-risk populations.2. Provide Access to Care for Childrenwith Special Health Care NeedsChildren with special health care needs andtheir families are a part of every community,and their numbers are increasing.Advances in medical technology during thepast twenty years now enable children withcomplex medical conditions to be cared forat home and to survive into adulthood.Timely identification and treatment ofchildren with or at risk of chronic illness ordevelopmentaldelaypresentsanincreasing challenge to health, socialservices, education, and communityorganizations. Children’s Medical Servicesmust continue to develop and refinecomprehensive,community-based,culturally competent, quality health caredelivery systems to ensure the health andwelfare of our future citizens.3. Ensure Florida’s Health and MedicalSystem Achieves and MaintainsNational Preparedness CapabilitiesFlorida faces many threats with thepotential for negative health consequences,including disease outbreaks, naturaldisasters, and terrorist attacks. The Bureauof Preparedness and Response (BPR) roleis to protect the public health and safety ofFlorida’s residents and visitors byminimizing loss of life, injury and illnessfrom natural and manmade disasters.BPR recognizes that preparing for andresponding to these threats requires thecommitment of and cooperation among allsegments of the health care system and thepublic.7
4. Improve Access to Basic FamilyHealth Care ServicesA critical public health function is to assureaccess to basic family health care servicesfor families and individuals who havedifficulty obtaining this care from the privatesector. The provision of routine screeningsand check-ups, maternal and child healthcare, and the treatment of minor conditionsbefore they progress to major problems isvery cost effective.As such, thedepartment will continue to serve as aprimary care safety net provider over thenext five years.5. Prevent Diseases of EnvironmentalOriginThe Florida Department of Health works toprevent disease of environmental origin byassuring safe food and water, controllingdiseases from animals and vectors andpromoting safe and healthy places. Thedepartment works collaboratively with itslocal county health departments to deliveressential environmental health services.Environmental health activities focus onprevention, preparedness, and educationand are implemented through routinemonitoring, education, surveillance andsampling of facilities and conditions thatmay contribute to the occurrence ortransmission of disease.6. Prevent and Reduce Tobacco UseTobacco use is the leading cause ofpreventable death, disability and disease inour society.Tobacco prevention andcessation programs are designed to reducepremature death and disability, and reducehealth care costs through public healthevidence-based interventions at both thestate and local levels. The Bureau ofTobacco Prevention Program is outlined inChapter 381.84, F.S., and required to followthe 1999 (now updated to 2007) Centers forDisease Control and Prevention’s BestPractices for Tobacco Control Programs.Program interventions are evidence-basedand focused on achieving the HealthyPeople 2020 Objectives.7. Ensure Health Care Practitionersmeet Relevant Standards ofKnowledge and CareThe Florida Department of Health, throughits Division of Medical Quality Assurance(MQA), determines that health carepractitioners meet minimum competencyrequirements. The division, in conjunctionwith 2 boards and 6 councils, is responsiblefor regulatory activities of 200-plus licensetypes in 43 health care professions and 34types of facilities.MQA’s three corebusiness processes are the licensure andenforcement of laws and rules governingFlorida’s 1,049,406 health care practitionersand facilities, as well as providinginformation and data.8. Enhance and Improve EmergencyMedical SystemsThe department has primary tion of all matters involvingemergency medical services within thestate of Florida. The department regulatesemergency medical technicians (EMTs),paramedics, EMS training programs,air/ground ambulance services and theirvehicles, EMS grant distribution, EMS datacollection, EMS communications, nt updates the Florida EMS StatePlan (biennially) that provides newstrategies to improve the state’s EMSsystem.Emergency medical servicesenables every Florida resident and visitor toreceive the highest quality emergencymedical care in a prompt and effectivemanner9. Increase the Availability of HealthCare in Underserved AreasThe Department of Health works toincrease access to health care in themedically underserved areas of Florida.The Goals are to support partners byaddressinghealthcarepractitionershortages, supporting providers who arelocated in underserved areas, achievingeconomies of scale, promoting the use ofshared resources, encouraging coordinatedplanning,andthoroughprogrammonitoring. In addition to providing health8
servicesthroughcountyhealthdepartments, the department works withthe private sector to sustain and improveexisting services and increase access tocare. 10. Process Medical DisabilityDeterminationsThe Division of Disability Determinationsprovides fair, consistent and timelyentitlement decisions to Florida citizensapplying for benefits under the SocialSecurity Act (Title II and Title XVI) and thestate’sMedicallyNeedyprogram(administered by the Department ofChildren and Families). Even in the face ofcontinued growth in receipts (16.2 %increase this past fiscal year) and majortechnological changes, the division cleared28% of the region’s caseload and 7.2% ofthe national workload. Florida is rankedfirst in the region in production, and third inthe nation for production.Florida Department of Health inBroward County StrategicPlanning Process, Cycle andSummaryThe strategic planning process examineshow the Florida Department of Health inBroward County sets strategic direction,how it develops the critical strategies andaction plans to support that direction, howplans are deployed and how performanceis tracked.To be effective, theDepartment’s strategic plan is integratedinto operational and fiscal planning andcommunicated to all employees.Through DOH-Broward’s Strategic Plan,we: Achieve clarity of the organization’spurpose and direction;Develop an organizational climate thatresponds to change proactively, ratherthan reactively;Identify the “critical” strategic publichealth priorities facing the community;Align the Department’s personnel andfiscal resources to address the mostcritical issues facing our community;andDescribe how we will respond inaddressing these strategic priorities,and the measurement of results.Key activities and changes for the 2014 –2019 strategic planning cycle included therevalidation of the Stakeholder Analysis,utilization of the Community HealthAssessment for environmental scanning,alignment with the Community HealthImprovement Plan, development and useof a virtual Impact and ChangeabilityAnalysis to prioritize the strategic activities;the use of Active Strategy, DOH-Broward’sperformance management system; andfinally the development and incorporationof both short term and long term goals foreach year of the strategic plan. Thesechanges will bring to the organization thefollowing benefits: Evaluate the performance of thestrategic plan each yearAlign budget planning with strategicplanning processes locally and at thestate levelImprove effectiveness in identifying andsecuring needed financial resourcesIncorporate alignment of strategic toworkforce capability and resourcesIncorporate an appeal process forunfunded strategic initiatives that mayget droppedEnhance staff efficiency throughimproved communicationStrategic Planning ProcessThe DOH-Broward Strategic PlanningProcess is used to create and deploylonger-term (strategic), shorter-term tacticalplans (business plans), and project plans.The Strategic Planning process is based ona five year planning cycle but is reviewedannually. The strategic plan aligns theDOH-Broward’sCornerstonesand9
Strategic Objectives with thosee of the statteDepartmeent of Heaalth, along with needdsand recommmendationns of various customeerand stakeeholder grooups. It alsoaassureesthe alignmment of seervices, ressources anndcapabilitiees necesssary to achieveathhedepartment’s missionn and visionn.The Direector andd Leadersship Teammcollectively review thhe State Deepartment ofoHealth Loong-Range Plan and confirm . They allso gather externaleanndinternal innformation to determmine currenntissues and opportunnities to connsider durinngthe strateggic planningg cycle. Strengths, Weaknessses, Opportunitiesand Threaats (SWOT)) AnalysisInput and feedback ffrom custommers andstakeholdersd feedbackk from staaff at allInput andlevelsessionsStrategic planning seConsensuus buildingReviewingg and linkinng statewidee goalsDevelopmment of strattegic objectives andaction plansLinking the budget too the objecttivesMonthly trracking of pperformancee sTacticalPlansProjecttPlansStrengths, Weaknessses, Opportunities anndThreats (SWOT) analysis guide thison gathering and issuue synthesisinformatioactivity. Issues arre then prioritized bybconducting an Impaact and ChangeabilitCtybjectives arreanalysis. Finally, Strategic Obd along with the associateeddevelopedIndicatorss for eachh objectivee and keeyactivity.The proccess of developingdthe DOHHBroward Strategic Plan includes thhefollowing:Foollowing thhe developpment of StrategicObbjectives, iindicators and targeets, eachproogram deevelops ann action plan inaliggnment witth the priorrities establlished forthee DOH-Brooward. Proggram manaagers areressponsible for determining thhe besttobrringtheappproachesaboutim provementts necessaary to achhieve thetarrgets.Reesources aare allocatted based on thepriiorities highhlighted in each fisccal year’sbjectives.Objective targetStrrategic Obdaates are seet based oon allocatedd budgetannd workforcee capabilitiees.10
Strrategic Plaanning Process Map11
Florida Department of HealthMissionTo protect, promote & improve the health of all people in Florida through integratedstate, county, & community efforts.VisionTo Be the Healthiest State in the NationValuesI nnovation:We search for creative solutions and manage resources wisely.C ollaboration:We use teamwork to achieve common goals & solve problems.A ccountability:We perform with integrity & respect.R esponsiveness:We achieve our mission by serving our customers & engaging ourpartners.E xcellence:We promote quality outcomes through learning & continuousperformance improvement.Florida Department of Health in Broward County CornerstonesOur four Cornerstones are the foundational principles that guide our operations daily.We use them to keep focus on what is important when setting our strategies for thefuture and organizing our goals once they are established. Key factors utilized inestablishing cornerstones for the DOH-Broward are: state mandated priorities; analysisof countywide statistics that reflect key health status indicators and disease trends; andstaff/budget capabilities. These factors, combined with input received from customerand stakeholder groups throughout the year, which include clients, community-basedorganizations, contract providers and employees, coupled with the overall mission andvision of the DOH-Broward, are the basis for selection of the following fourcornerstones:1. Leaders of the Public Health SystemFlorida Department of Health in Broward County is committed to protecting the health of thecommunity through disease prevention strategies in collaboration with community partners.2. A Culture of Continuous ImprovementFlorida Department of Health in Broward County is committed to establishing a shared valuesystem that promotes the belief that what is excellent today can be made better fortomorrow.3. Be the Provider and Employer of ChoiceFlorida Department of Health in Broward County is committed to providing an environmentof excellence for both our customers and our employees and become their choice; not theironly choice.4. Thriving FinanciallyFlorida Department of Health in Broward County is committed to maximizing financialopportunities in order to thrive and not just survive to meet the needs of Broward County.12
Cornerrstone 1 – Leaderss of the PublicPHeealth SysttemFlorida DepartmenDt of Health in Broward County is committed to protectinng the health ofthe community throough diseasse preventioon strategiees in collabboration withh communitypartnerss.Champiion: DOH-BBroward DirrectorStrategiic Objectivves and Gooals 2015 - 2020:S tate Fiscal YYear GoalsStrrategic ObjecctivesPlannningFYFYFYFYFYFYY2015 - 201662016 - 20172017 - 201820118 - 20192019 - 2002089.8%922.5%95%GoalDirectionState Goal:GDemonstrate readinness for emeerging healthh threats1.1.1.2.1.3.Inncrease the percent of 2 year olds fullyimmmunized to 95%% by December 2019.281.7%Inncrease the percent of children innKindergartenKfully immunized to 955% byDecemberD2017.93.5%Inncrease the percent of 7th Graders fullyimmmunized to 97%% by December 1%977.2%97.3%%7.16.5HP 202096.5%97%DOH-BrowardState Goal:GAssure access to health care1.4.1.5.ReduceRthe black infant mortality raterto6.0 per 1000 live birthsbby December019.208.99Inncrease the percentage of childreen ages0 to 18 years with health insurance to900% by Decembeer 2019.86.5%8.37.76.0HP 2022087.2%87.9%88.6%899.3%90%DOHBrowardState Goal:GIncreasse healthy lifee expectancyy1.6.1.7.1.8.1.9.DecreaseDthe ratee of infectious sypphilis to5.7 per 100,000 byb December 20119.Eliminate the inciddence of congenitalsyyphilis by Decemmber 2016.817.811Eliminate the inciddence of perinataaltrransmission of HIV by December 2015.11.12. ReduceRthe perceent of black adults whoare obese to 30.5% by December 2019.10.68.25.7300047.2444.50DOH-Broward455.41.11. To meet or exceed the target for 4 of the 4CDCCmeasures reegarding contactss ofspputum smear possitive culture possitive TBcaases by Decembber 2016.13.0HP 20220DecreaseDthe ratee of new HIV infeection to41.6 per 100,000 by December 20019.1.10. ReduceRannual ree-inspection rate ofenvironmental heaalth inspections tot 20%byy December %25%100%100%DOH-Broward34.3%33.5%32.7%30.5%%HP 2022013
Cornerrstone 2 – A Cultuure of Conntinuouss ImproveementDt of Health in Broward County is committed to establishhing shareddFlorida Departmenvalue syystem that promotespthhe belief thaat what is eexcellent todday can be made betterfor tomoorrow.Champiions: Orgaanizational Developmeent Directorr, Chief Infoormation OffficerStrategiic Objectivves and Gooals 2015 - 2020:Sttate Fiscal YYear GoalsStrrategic ObjecctivesPlannningFYFYFYFFYFYFYY2015 - 201662016 - 201722017 - 20182018 - 20192019 - 20200GoalDirectionState Goal:GEstablissh a sustainable infrastructure, whicch includes a competent workforce,sustainnable processses and effeective use off technology,, which suppports all of thhe Department’s corebusiness functionss.2.1.Immprove business efficiencies by pilotingpatt least one new innnovative technoologyannnually.2.2.Esstablish a Knowleedge ManagemeentPllatform for all seggments of theorrganization by Juune 2017.2.3.Increase the perceent of performancemetrics that meet or exceed targett byuttilizing multiple leevels of businesss reviewsto 90% by June -Broward90%DOH-Broward2.4.Immplement 5 key processpimprovemmentacctivities/projects annually.a5555552.5.Suubmit at least 10 applicationsprrojects/practices for recognition awardsaannnually.10010101010102.6.Auutomate 5 manuaal processes annnually.3995555514
Cornerrstone 3 – Be the Provider and Empployer of ChoiceFlorida DepartmenDt of Health in Broward County is committed to providing anenvironmment of exccellence forr both our customers aand our empployees and become ttheirchoice; notn their onnly choice.Owner: Organizattional Development Director, Humman Resources DirecttorStrategiic Objectivves and Keey Activitiees 2015 - 20020:Sttate Fiscal YYear GoalsStrrategic ObjecctivesPlannningFYFYFYFFYFYFYY2015 - 201662016 - 201722017 - 20182018 - 20192019 - 20200GoalDirectionState Goal:GEstablissh a sustainable infrastructure, whicch includes a competent workforce,sustainnable processses and effeective use off technology,, which suppports all of thhe Department’s corebusiness functionss.3.1. Increase the percenntage
Dental of profes lic health program a ertified Advanced ners, illance), an Marketing Populations nt (pregnan-3), Schoo al Nutritio nd Childre ly Planning nd Cervica ices: Foo Tattoo an itoring an mming Poo ons, Grou railer Par isance an blic Healt d Disaste nse, Specia Evacuatio s, Vita s (birth an certificates acy, an. sional an staff provid .
