2016

Annual Report

Howareyou?

I am pleased to share San Juan Basin Public Health’s (SJBPH) 2016 Annual Report, highlighting some of the achievements and successes of the past year. The theme of this year’s Annual Report is Population Health: A public health charge. Although population health, loosely

defi ned as promoting healthy people and healthy places, is a more recent term, public health has been practicing this since its inception. SJBPH’s mission, to protect human and environmental health and inspire well-being in the communities we serve, refl ects a population health commitment. We acknowledge that health starts where people live, work, and play, and the services we provide refl ect this reality. Some examples of population health services that SJBPH has provided last year as well as in years past, are working to stop the spread of disease, promoting healthier environments, helping people get access to family planning and disease screenings, keeping places like restaurants and child care facilities safe, and teaching communities about healthy ways to live.

Much of the population health work provided by SJBPH is in collaboration with community partners from a variety of sectors. Promoting healthy people and healthy places involves working with primary care providers, youth-serving organizations, city and county entities, mental health practitioners, organizations working on social justice issues, school districts, and many others. San Juan Basin Public Health is committed to these community partnerships as well as to expanding relationships with additional collaborators in order to be an adaptable agency, responsive to our clients’ needs.

Moving forward, SJBPH will continue to provide population health services to Archuleta and La Plata counties, working to promote healthy people and healthy places so that the greatest number of community members can reach their highest potential of health.

POPULATIONHEALTH

Population health has been defi ned as the health outcomes of a group of individuals, including the distribution of such outcomes within the group. Population health looks beyond the health of an individual by focusing on the health of populations and communities.

With prevention-focused services, SJBPH works to keep you from ending up in a doctor’s o� ce. Population health and the services SJBPH provides help to reduce the need for expensive healthcare.

SJBPH conducts food safety and restaurant inspections, responds to outbreaks, promotes health policy, works within communities to prevent disease before it starts, and works to provide anyone in the communities we serve with resources to make healthy choices.

Focusing on prevention versus

intervention.

Population health advances have

added 30 years to the life expectancy

of Americans since 1900.

2016 Program UpdatesSJBPH strives to be a responsive public health agency, adapting to the needs of our local communities. In any year we may respond to the needs of our clients by adding, discontinuing, and/or revamping the programs we o� er in the interest of providing the most relevant and needed public health services. In 2016, the following changes were made:

• In conjunction with the state health department, SJBPH revamped its retail food inspection program by adding more sta� and making it a stronger model. Retail food inspection trainings were held, bringing many retail establishments in compliance with FDA regulations.• The environmental health division added a well-testing program for residents of the Animas River valley as part of Colorado’s long-term monitoring of the Animas River.• In an e� ort to respond to a statewide initiative to increase access to integrated, comprehensive behavioral and primary care services, SJBPH applied for and received State Innovation Model (SIM) funding, and launched a three-year initiative to address this issue, focusing on youth behavioral health.• SJBPH initiated a two-year program Communities that Care; a community-based fi ve-phase process that promotes positive youth development, improves outcomes, and reduces problem behaviors among youth.• The Women, Infants, and Children (WIC) program was awarded supplemental funding in 2016 to implement a program to reduce chronic disease, with a specifi c focus on obesity prevention and increased access to healthy food and nutrition education.

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LianeJollon

EXECUTIVEDIRECTOR

PUBLICHEALTH IN NUMBERS

Clinic visits 1,286Students served 789Fluoride varnishes applied 912Teeth sealants applied 279

DENTAL

Birth certifi cates processed 2,074Death certifi cates processed 3,042

VITAL STATISTICS

Emergency preparedness exercises conducted 4

EMERGENCY PREPAREDNESS & RESPONSE

Communicable disease outbreak investigations 250

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For close to 70 years, SJBPH has

improved the health and environment of southwest Colorado.

Website visits 33,534Twitter impressions 41,086Facebook impressions 18,264Press releases sent 28

PUBLIC HEALTH COMMUNICATIONS

Health alerts sent to community and partners 31

Adult Role Model campaign nominees 308

Temporary Assistance for Needy Families (TANF) assisted households 537Options for Long Term Care (SEP) program clients assisted 381Women, Infants, and Children (WIC) clients served 1,641

Healthy Communities clients enrolled in Medicaid/CHP+ 444

Promotor Program new clients assisted 194Promotor cardiovascular health screenings provided 327

PREVENTION & POPULATION HEALTH PROMOTION

Clients assisted with interpretation services 28

Nurse Navigator client contacts 3,727Children and Youth with Special Health Care Needs (HCP)/Maternal Child Health(MCH) clients served 561HCP/MCH specialty clinics facilitated 15Health insurance enrollment clients assisted 1,189

WIC nutrition education contacts 4,870

SPARK after school physical activity hours 8,633

Healthy Communities client contacts 594

Promotor Platicas (health talks) facilitated 6

Nurse-Family Partnership home visits 975

Vaccines administered 2,392Sexual health clients served 1,343

SEXUAL HEALTH & IMMUNIZATION CLINICS

Women’s Wellness Connection outreach contacts 1,837Family planning visits 1,250Women’s breast and cervical cancer screenings 221

ENVIRONMENTAL HEALTH

Animas River valley well samples 56

On-site Wastewater Treatment System permits issued 258Water bacteriological tests performed 4,032Wastewater microbiology tests performed 2,099

Animas River sediment samples 79

Retail food establishment licenses issued 534

Animas River water samples 64

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BOARD OF

HEALTH

Ann BruzzeseShere ByrdKarin DanielsGwen Lachelt, La Plata County Commissioner RepresentativeBob Ledger, Board of Health ChairpersonTerryl PetersonMichael Whiting, Archuleta County Commissioner Representative

1 Cancer2 Heart disease3 Unintentional injuries4 Chronic lower respiratory diseases5 Stroke and stroke related conditions

Top Five Causes of Death(For Archuleta and La Plata counties, 2015)

SERVICEAREA

SJBPH is a local public health agency, governed by a seven member local Board of Health, serving all residents of Archuleta and La Plata counties.

In 2016, Archuleta County’s population was 12,854 and La Plata County’s population was 55,263 for a total base of 68,477.

Marianne BallSusan BanesLisa BarrettChristian BelmanCharles BerryAmanda BlalockVanessa BohatyCheryl BowdridgeJill BrooksBarbara BrowningJanice BryanLaura ChapmanRaylene CharleyCheryl ClementKalisha CrosslandSandra DalenbergBrian DevineSherri DugdaleValerie DuMondFrancilia EhrigChad EngelhardtKaren EvansKimberly FlorineNancy FolsomPatricia Ford

Brett FrancoisVictoria GarciaKyler GarrisonJed GildenAlli GilliamSloan GinggMonika GlennLinda GonzalesAshley GonzalezCatherine GustavsonDavid HenniganMaria HernandezLibby HobbsDavid HomlbergWanda HumphreyLynette HunsworthDanette JacksonTori JohnsonLiane JollonKate JonesKelly KeeganJe� KobeEllyn KrauserDelia LaswellSandra Lee

Codi LottMarla LuckeyWhitney LukasClaire MacphersonKaren MaletichKatie ManganLesley MarieAlyssa MaynardAudrey McCabeKeri McCuneMary McManusJennifer MeyerNatalie MitchellJennifer MurphyClaire NindeKevin O’ConnorFlannery O’NeilLyola PachecoMarybeth PalettaElizabeth PeltzRosalind PenneyKari PlanteDeborah PoirierLauren PopeJenny PritchardLaura RippleKati RogersAngela RomeroLisa SanchezCindy SchultzJulia SewellShannon ShropshireGordon SouthElizabeth Strong

Ti� any SwitzerJennifer Toner-AntoniazziKacy UlamLayla VaughanStephanie WalkerCheryl WaltersLaura WarnerSylven WatsonRebecca WilmerAshley WilsonInez WinterApril WrightJenny YurechkoLori Zazzaro

Population health services provided by SJBPH include:

• Restaurant inspections (Environmental Health) • Immunizations (Clinic)• Emergency preparedness and response (Health Protection Programs)• Obesity prevention (Promotor Program, WIC, Nurse-Family Partnership)• Substance abuse prevention (Health Policy and Systems)• Breastfeeding support (WIC, Nurse-Family Partnership)• Septic system permitting (Environmental Health)• Cardiovascular health screenings (Promotor Program) • Communicable disease outbreak investigations (Health Protection Programs)• Breast and cervical cancer screenings (Clinic)• Nutrition education (Promotor Program, WIC, Nurse-Family Partnership)

Population Health Services

MissionTo protect human and environmental

health and inspire well-being in our community.

VisionWe are leaders to achieve healthy

communities and health equity.

Who currently have asthma 6.1 6.9

With diabetes 4.5 5.2

Who are obese 16.3 14.8

Who have ever been diagnosed with cancer (other than skin) 3.1 7.1

Chronic Disease Indicators(Percent of adults, 2013-15 BRFSS)

AC LPC

SJBPHSTAFF

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FINANCIALS

REVENUESState/Federal contracts 53% $2,763,761 Fees for services 14% 747,920Local government 12% 645,329Grants 7% 357,796Local agencies 6% 329,446 Medical billing 5% 269,978 Other 1% 52,419Donations 0% 0

Total revenues $5,166,649State/Federal contracts

53%

Grants7%

Fees for services14%

Other1%

Net change in fund balance $198,424

Statement of revenue, expenditures, and changes in fund balance for the year ended December 31, 2016

Salaries & benefi ts70%

Operating20%

Contract services6%

Travel3%

Capital outlay1%EXPENDITURES

Salaries and benefi ts 70% $3,482,292 Operating 20% 1,009,179 Contract services 6% 276,974Travel 3% 154,829Capital outlay 1% 44,951

Total expenditures $4,968,225

SJBPHLOCATIONS

Durango281 Sawyer Drive, Suite 300Durango, CO 81303(970) 247-5702

Pagosa Springs502 S 8th StreetPagosa Springs, CO 81147(970) 264-2409

sjbpublichealth.org

Local government12%

Medical billing5%

Local agencies6%

Copies of this report are available free of charge. Call (970)247-5702 or download at sjbpublichealth.org/reports-and-budgets