Agenda - 11-13-2007-e - Laserfiche WebLink

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Comparison of Local Health Department Expenditures for Selected Counties North Carolina Division of Public Health November 13, 2007 Each year the North Carolina Division of Public Health prepares an expenditure report that compiles expenditures for all counties receiving funds through the annual agreements with the NC DHHS. The most recent published report was for FY 2005-2006. The attached tables show expenditures comparisons for selected counties in North Carolina. Counties were chosen for comparison purposes based on size of population, presence of a university (related to size of population), and those that generally have the same program mix. Health Departments across the state have different mixes of programs depending on the needs of their populations and the services offered in their communities. There was an attempt to identify programs that would have a major budgetary impact. These are listed in the "Service Comparison by County" chart for the counties selected. Robeson County is the outlier in this group, since it provides all services except a well program. • Expenditures in this chart include Aid to County Funds (Aid), Environmental Health (EH) and Categorical (Cat) funds. It does not include outside funded grant programs such as the Smart Start grants (except for the local portion) and direct federal grants (Medical Reserve Corps). It does include the public health preparedness funds. • Categorical funds can generally be thought of as "program" funds that are in service categories such as family planning, women and children's health, communicable disease, etc. • Local funds include receipts from fees, Medicaid and other third party reimbursement sources and any county general funds. • Orange County ranks the lowest in state and federal funds allocations. One historic reason for this is the Women's, Children and Infants (WIC) nutrition program. It is offered by all health departments except for Orange, Chatham, and Person counties. Piedmont Health Services, Inc. applied for and received the contract for services in these counties in the early 90's. • The county ranks 61St in per capita local funding. • The chart shows that in overall funding for public health services, Orange County ranks 74 among the 85 health departments that reported data for this report.. • The Statewide average per capita funding was $59.45 and Orange County's per capita funding was $37.97.