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LaPorte CountyHealth DepartmentPartners in Progress.2011 Annual Report
TABLE OF CONTENTSMission Statement and Vision . 1Staff assignments 2Local Boards 3Executive Summary 4Organizational Chart . 5Financial Statement . 6Vital Records 11Nursing . 14Health Education . . 22Environmental/Food . . 23
MISSION STATEMENT:To engage and partner in a collaborative and responsive effort with the community and localorganizations with respect to the diversity of the community to better serve the present andfuture generations.VISION:“Serving the Public Health Needs of LaPorte County”LaPorte County Health DepartmentOffice Hours8:00am‐4:00pmMonday‐FridayMain OfficeBranch Office809 State St Suite 401 A302 W. 8th St Suite 4LaPorte, IN 46350Michigan City, IN 46360(219) 326‐6808 ext.2200(219) 874‐5611 ext. 7780(219) 325‐8628(fax)(219) 873‐3018(fax)1
HEALTH DEPARTMENT ADMINISTRATIONCharles T. Janovsky, MD, Health OfficerTony Mancuso, AdministratorNancy L. Meehan, Administrative Assistant/Office Manager LaPorte OfficeJulie Davies Downie, Administrative Assistant/Office Manager Michigan City OfficeLana Buckles, Environmental Health/Food SupervisorJenny Smith, RN, Nursing SupervisorHEALTH DEPARTMENT STAFF MEMBERSCLERKSMary Allen, Vital Records RegistrarJayme Staggers, Vital Records RegistrarMichelle Bealor, Public Health ClerkLinda Fike, Public Health ClerkKristen Joseph, Public Health ClerkDoris Wallace, Public Health ClerkJulie Fetters, Part‐time Public Health ClerkNURSESJudy Erow, RN, Public Health NurseCarrie Lafountain, RN, Public Health NurseJoanne Beckman, RN, Public Health NurseKatie Griffin, RN, Public Health NurseKatrina Kubik, RN, Public Health NurseDebra Holtzlander RN, Part‐time Public Health NurseMarcia Metzcus, RN, Part‐time Public Health NurseKaren Stringer, RN, Part‐time Public Health NurseENVIROMENTAL HEALTH/FOODAmanda Keane, Environmental Health/Food SpecialistPatty Nocek, Environmental Health/Food SpecialistCheri Johnston, Environmental Health/Food SpecialistJulie Cuson, Environmental Health/Food SpecialistPatricia Wozniak, Environmental Health/Food SpecialistKen Johnston, Environmental Health/Food Specialist/Preparedness PlannerWATER LABORATORYCynthia Ebert, TechnicianENVIRONMENTAL PLANNER/HEALTH EDUCATORAnn Klute2
LAPORTE COUNTY BOARD OF COMMISSIONERSKenneth Layton, PresidentBarbara Huston, Vice PresidentWilly MillsapJan 2009‐Dec 2012Jan 2009‐Dec 2012Jan 2010‐Dec 2013LAPORTE COUNTY COUNCILRichard Mrozinski, PresidentMark Yagelski,Matthew BernacchiEarl CunninghamScott FordTerry GarnerLois SosinskiJan 2010‐Dec 2013Jan 2010‐Dec 2013Jan 2009‐Dec 2012Jan 2010‐Dec 2013Jan 2009‐Dec 2012Jan 2010‐Dec 2013Jan 2009‐Dec 2012LAPORTE COUNTY BOARD OF HEALTHMichael Sandy, PresidentSherry Waters, Vice PresidentAmarnath Agrawal, MDRakesh Gupta, MDAileen Stiller, MDDoretha Sanders (Retired)Monique GillardAli LaunJan 2011‐Dec 2014Jan 2010‐Dec 2013Jan 2009‐Dec 2012Jan 2010‐Dec 2013Jan 2012‐Dec 2015Jan 2008‐July 2011July‐2011‐Dec 2011Jan 2009‐Dec 2012LAPORTE COUNTY BOAD OF HEALTH ATTORNEYChris Willoughby3
EXECUTIVE SUMMARY OF 2011HEALTH BOARD: The LaPorte County Board of Health consists of seven (7) members who serve four‐year terms ona staggered basis and are appointed by the LaPorte County Board of Commissioners. The Health Board elects itsown officers each year. Michael Sandy served as the President of the Health Board in 2011.HEALTH OFFICER: The Health Officer serves a four (4) year term in a part‐time capacity and is appointed by theBoard of Health. In 2009, Dr. Charles T. Janovsky, was reappointed by the Health Board to serve a second term,2010 thru 2013.ADMINISTRATOR: Our Administrator, Mr. Tony Mancuso directs and orchestrates the various day by day divisionoperations within the Health Department. Mr. Mancuso provides the department with his organizational skills withan emphasis on communication, collaboration and cooperation among the division’s departments. Over site in thestreamlining of procedural processes combined with the sharing of knowledge between the departments divisions,provides the residents of LaPorte County with efficient and effective service results.STAFF: In 2011, the LaPorte County Health Department operated with a staff of 24 full‐time employees, 4 part‐time employees, and 4 seasonal interns.DEPARTMENTS: The Health Department provides various services to the LaPorte County area. The following is abrief description of each division.VITAL RECORDS: Our Vital Records Division provides the following critical daily core services to the public fromboth office locations. The maintenance and constant updating of the Vital Records database, the issuance ofcertified birth and death certificates, establishment of voluntary paternity, amendments and corrections to birthcertificates, genealogical searches for birth and death records dating back to 1882, as well as the processing of online orders which are handled through the Michigan City office location. The integrity of Vital Statistics ismaintained through consistent and uniform procedures achieved through education and training to best serve thecitizens of LaPorte County.NURSING SERVICES: Located in both offices, this section offers immunizations, communicable disease control andinvestigation, lead screening, tuberculosis testing and counseling, blood profile screenings, HIV/AIDS testing andcounseling, travel immunizations and STD testing and counseling.ENVIRONMENTAL HEALTH/FOOD: Located in the LaPorte Office, this section issues Onsite Sewage System permitsfor new residential construction and Onsite Sewage System permits for repairs to older septic systems. Thedivision investigates complaints and advises residents on a variety of topics such as substandard housing,rodent/vector infestation and harborage, open burning, trash and garbage, and unsanitary living conditions. Thesection also inspects and issues permits for public and semi‐public pools and spas and retail food establishments.Serv‐Safe food sanitation classes are proctored here.WATER LABORATORY: Located in the LaPorte office, the water lab tests water samples from drinking watersources, surface water sources including area bathing beaches, and public swimming pools, spas, and whirlpools.The following tests are offered on water samples: Total Coliform with E. coli confirmation, E. coli (for surfacewater), lead, nitrate, nitrite, iron, fluoride, and phosphorus.ENVIRONMENTAL PLANNING/HEALTH EDUCATION: Health Educator provides education on various public healthtopics. The educator works with community agencies and partners to share knowledge of social, economic, andcultural factors impacting the health of the community.4
Board of HealthAttorneyChris WilloughbyHealth OfficerCharles Janovsky, M.D.AdministratorTony MancusoLaPorte OfficeAdministrativeAssistant/Office ManagerNancy MeehanVital RecordsJayme StaggersPublic Health ClerksMichelle BealorLinda FikeKristen JosephEnvironmental Health/Food SupervisorLana BucklesNursing SupervisorJenny SmithAssistant NursingSupervisorJudy ErowAssistant EnvironmentalHealth/Food SupervisorAmanda KeanePublic HealthNursesLaPorte OfficeJoanne BeckmanKatie GriffinEnvironmental Health/Food SpecialistPatricia WozniakCheri JohnstonPatty NocekJulie CusonPublic HealthNursesMichigan City OfficeKatrina KubikCarrie LaFountainWater Laboratory TechnicianCyndi EbertEmergency PreparednessCoordinatorEnvironmental HealthSpecialistKen JohnstonPart time NursesMarcia MetzcusDebra HoltzlanderKaren StringerEnvironmental Planner/Health EducatorAnn Klute5Michigan City OfficeAdministrativeAssistant/Office ManagerJulie DownieVital RecordsMary AllenPublic Health ClerkDoris WallacePart-time ClerkJulie Fetters
FINANCIALGENERAL HEALTH FUNDSTATEMENT OF RECEIPTSProperty TaxLicense Excise TaxPermits (Water, Food, Septic, etc.)ImmunizationsBirth & Death CertificatesMisc./Reimbursements/ReceiptsTotal ReceiptsSTATEMENT OF PERSONAL SERVICESalariesOASI WithheldMedicare WithheldCounty Retirement ContributionEmployee Group InsuranceUnemployment CompensationTotal Personal ServicesSUPPLIESOffice SuppliesEquipment Laboratory SuppliesEducation 03.5593,531.803,544.41 01,817.506,839.2394,237.503,894.70 ,290.5660,980.75199,626.051,434.00 1,227,011.61 1, 452,265.193,249.9040,640.983,130.51
Environmental SuppliesTotal Supplies:11,000.007,870.16 82,731.13 73,522.24GENERAL HEALTH FUND219SERVICESAPPROPIATIONSProfessional Services – Health OfficerCompensation – Health BoardProfessional Healthcare blishingPrintingEducation & TrainingLitigation ExpenseTotal 83,257.729,617.722,048.50 154,402.30APPROPIATIONS 1,464,145.04continue 127,481.27EXPENDITURES 1, 376920.75YEAR END BALANCE: 87,224.29ENVIRONMENTAL HEALTH FUND519STATEMENT OF RECEIPTS & 3.670.000.007201158,873.670.000.00
YEAR END BALANCE 58,873.67 58,873.67LOCAL HEALTH MAINTENANCE520STATEMENT OF RECEIPTSGrant Money from ISDHCarryoverTotal Receipts:STATEMENT OF PERSONAL SERVICESSalaries (Full /Part time)OASI WithheldMedicare WithheldCounty Retirement ContributionEmployee Group Insurance 72,672.00 26,833.00 0012,000.00Total Personal Services: or SuppliesProfessional ServiceTech/SoftwareMileage/TravelOffice Equipment/Furniture/ComputerTotal Service:TOTAL:APPROPIATIONS 05,910.48 .008,000.001,880.477,848.941,220.00665.007,876.07 25,000.00 18,825.48EXPENDITURES 85869.13YEAR END BALANCE: 13,635.878
INDIANA LOCAL HEALTH DEPARTMENT TRUST ACCOUNT0723STATEMENT OF RECEIPTSGrant Money from ISDHCarryoverTotal receipts: 46,144.95 49,056.24 ClaimsContract employee 75,201.19 20,000.00 17,158.74 11,800.00Total: 95,201.10 28,958.74YEAR END BALANCE: 66,242.45BEACH ACT GRANTGrant Money from IDEM0718 12,503.99STATEMENT OF PERSONAL SERVICEAPPROPIATIONSalariesOASI WithheldMedicare WithheldTotal Personal ServicesEXPENDITURES 4,000.00 210.00 50.00 4,260.00 3712.20 209.24 48.94 3,970.38Claims 8,243.99 7,930.32Total 8,243.99 7,930.32SUPPLIES/SERVICES/OTHERTOTAL:APPROPIATION 12,503.99EXPENDITURES 11,900.70YEAR END BALANCE: 603.299
COMMUNICABLE DISEASE FUNDSTATEMENT OF RECEIPTSTOTAL:526APPROPIATIONSEXPENDITURES 137,341.07 106,361.45YEAR END BALANCE: 30,979.62LEAD GRANTSTATEMENT OF RECEIPTSTOTAL:626APPROPIATION 6,106.24EXPENDITURES 2,683.39YEAR END BALANCE: 3,422.85SERVE‐SAFESTATEMENT OF RECEIPTS356APPROPIATIONEXPENDITURES 8, 0 00.00 1,855.00YEAR END BALANCE: 6,145.0010
VITAL RECORDSJanuary of 2011 marked the launching of the Electronic Death Registry System (EDRS). Registration withthe system was mandated by the Indiana State Department of Health (ISDH) for all practicing physiciansthat may have cause to sign a death certificate. The EDRS is the sister program to the Electronic BirthRegistry System (EBRS) which launched in 2007. The EBRS and EDRS are part of the re‐engineeringefforts to meet the National Association of Public Health Statistics and Information Systems (NAPHSIS)recommendation for implementation of a national standard to control the potential for certificate fraud.Indiana is a leading state in its efforts to maximize its efforts in this regard to meet specific standards forthe accreditation process. The collaboration and communication that occurred between the local andstate entities was a key element in the successful debut of the program.The EDRS has proven to be successful in streamlining the procedure of filing a death certificate in aneffective timely manner. The ISDH provides an online support team that stands ready to assist allphysicians who may require assistance in maneuvering through the system.In the early stages of the program one drawback for the Vital Records Division was the inability toaccess, track and monitor statistics and data on a real time basis. The ISDH has since put forth aconcentrated effort in collaborating with local authorities to alleviate this obstacle.Our two Registrars attended the Indiana Vital Records Association (IVRA) conference training session inthe later part of April. The conference focused on ISDH procedural updates combined with an additionalconcentration placed on Indiana law revisions and its effect on the procedural execution of PaternityAffidavits. LaPorte County hosted the IVRA fall conference held in October. Mr. Mancuso provided theopening welcoming address to the IVRA members who represented the ninety‐two counties throughoutthe state. The conference offered educational workshops and break‐out sessions to provide memberswith the up to date reporting data criteria. The challenge for the vital statistics staff throughout thestate is to maintain and improve data analysis quality for public health reporting which assists inmonitoring trends and conditions at a local level.The Vital Records Division continues to be vigilant educating the public in regards to the secured storageof their certified birth certificates. Nationwide, identity theft cases have realized a steady increase. Theloss of these “breeder” documents has the potential to create chaos for the unassuming victim. It hasbeen the observation of the Vital Records staff that too many of their clients carry the entire family’scertified birth certificates as well as social security cards in their wallets or purses on a regular basis. It isimperative as the issuing agency of this document to be proactive in educating the public on proper11
storage annd safety proocedures. It is the departmments continu ed duty to prrotect the inteerest and welfareof the genneral public.Goalsords goals andd objectives forf 2011 weree achieved in several areass. The collabooration andVital Recocommunication betweeen the divisioon, local physsicians, hospittals and funeral homes ressulted in thesuccessful launching off the IDRS proogram. In working togetheer we were abble to advancce public healththrough immproved procedures and technology.tWeW encourageed and fosterred developmment with ourrpersonnel in their techhnical proficieency through cross trainingg in the new IIDRS programm, which resultedin our ability to better serve the public in an efficcient and effeective manneer. We will continue ourcommitment to meet oro exceed thee health needds of the com munity in 20112 by maximiizing our stafff’sabilities too create a cohhesive team thattwill functtion as one wwell‐organizedd unit.700Deliveries by Maternal AgeLaPorte HoospitalAge Groupps10 to 1314 to 1617 to 1920 to 2425 to 2930 to 3435 to 3940 Totals2009 2010006137065190 190202 199118 1244644245656 1020020111000800700600Deliveries by Maternal AgeSt. Anthonny Memorial Hospital50040012300200200920102011
Age Groupps2009 2010110 to 1301314 to 161410017 to 1979233 18620 to 24193 18625 to 29126 11830 to 345535 to 39421140 13732 638TotalsIU Health LaPorte 102011St. Anthony Memoriaal Hospital 00200920102011Total Nuumber of emale
ING SERVICESThe nursing staff strives to deliver quality health care that reflects the mission of public health. Thenursing division participates in continuing education to assure competency in the public health field.The nursing staff assists clients in accessing needed health care services, protects their health throughprompt investigation of disease threats, and identifies healthcare gaps by partnering with otheragencies in the community to better serve the population and to keep them at optimal health.The Nursing Supervisor is a member of the Child Fatality Team of LaPorte County and the PurdueUniversity North Central Department of Nursing Advisory Board.The Nursing Department is comprised of a nursing supervisor, 5 full‐time, and 3 part‐time nurses.GoalsThe Nursing Department goals in 2011 were focused on enhancing community partnerships and thedelivery of public health services in our community. This was accomplished by partnering with manymedical and public service agencies to enhance the delivery of health care services. In 2012, we willstrive to continue these partnerships and to strengthen our programs to be able to better serve ourcommunity.Immunization ServicesThe LaPorte County Health Department strives to increase immunization rates and prevent vaccinepreventable disease by providing quality vaccination services and minimizing barriers to immunization.In addition to providing general childhood and adult immunizations, the department promotes targetedimmunizations to high risk persons including international travelers and patients seen in our confidentialservices clinics. Immunizations are offered by appointment between the hours of 8:30 and 3:15 eachMonday in our main office in LaPorte and each Tuesday in our branch office in Michigan City.Childhood ImmunizationsThe LaPorte County Health Department administers immunizations in accordance withrecommendations of the Advisory Committee for Immunization Practices (ACIP) of the Centers for14
Disease Control and Prevention (CDC). The staff regularly participates in continuing education offeredby the Indiana State Department of Health, The Centers for Disease Control and Prevention (CDC), andvaccine manufactures.The LaPorte County Health Department participates in the Vaccine for Children program (VFC). Thisprogram is a federally funded program that provides eligible children vaccines at no cost to the client.The federal government covers the cost of the vaccine. The VFC program was created by the OmnibusBudget Reconciliation Act (OBRA) of 1993 and began October 11, 1994. This program removes barriersof obtaining needed immunizations. The LaPorte County Health Department is also a Federally QualifiedHealth Center (FQHC). This is a delegation of authority that authorizes the department to administerVFC vaccines at no charge to underinsured children up through the age of 18.Children from birth through the age of 18 can receive vaccine through the VFC program if they fall intoat least one of the following categories:Medicaid EligibleUninsuredAmerican Indian or Alaskan NativeUnderinsured (have health insurance that does not cover vaccines)The following vaccines are available through the LaPorte County Health Department: DTaP (Diphtheria, Tetanus,Pertussis) IPV (Polio) Hepatitis B DT (Diphtheria, Tetanus) MMR (Measles,Mumps, Rubella) Hepatitis A Hib (Haemophilus Influenza B) Td (Tetanus,Diphtheria) Varicella Meningococcal Conjugate Prevnar(Pneumococcal) Influenza Tdap (Adolescent Diphtheria,Tetanus, Pertussis) Rotavirus Gardasil (HPV)Adult ImmunizationsThe following adult vaccines are available through the LaPorte Count
Jenny Smith, RN, Nursing Supervisor . Chris Willoughby. 4 EXECUTIVE SUMMARY OF 2011 HEALTH BOARD: The LaPorte County Board of . Tech/Soft
