Florida Department of Health 2012-2013 Year in Review

Year in Review2012–13

It’s a new day in public health

Florida Department of Health

Healthiest Weight Florida, 2

TFF Serves Florida Every Day, 4

HB 1263, 6

Partnerships, 7Born Drug-Free Florida, WaterproofFL,Living Healthy in Florida

#flhealthworks4me, 8Surgeon General Symposiums,Protecting Floridians, Prescription DrugMonitoring Program, Florida NowTests for SCID

125 Years of Florida PublicHealth, 10

Regional Highlights, 12Emerald Coast, Capital, North Central,Northeast, Southeast, Central, West,Southwest

Mission:

To protect, promote & improve the healthof all people in Florida through integrated

state, county & community efforts.

Vision:

To be the Healthiest State in the Nation

Values:

INNOVATIONWe search for creative solutions and

manage resources wisely.

COLLABORATIONWe use teamwork to achieve common goals

and solve problems.

ACCOUNTABILITYWe perform with integrity and respect.

RESPONSIVENESSWe achieve our mission by serving our customers

and engaging our partners.

EXCELLENCEWe promote quality outcomes through learning and

continuous performance improvement.

CONTENTS

Plan for thefuture because

that’s where youare going to

spend the restof your life.

—Mark Twain

FloridaHealth.gov | September 2013 1

It is my honor to share with youthe Florida Department of HealthYear In Review 2012–13. There are manyreasons to celebrate health in Florida.

DEPARTMENT LEADERSHIP TEAM Front row, left to right: Jennifer Tschetter,General Counsel; Dr. John Armstrong, State Surgeon General and Secretaryof Health. Back row, left to right: Marty Stubblefield, Deputy Secretary forAdministration; Kim Barnhill, Chief of Staff; James Boyd, Inspector General;Dr. Celeste Philip, Interim Deputy Secretary for Health/Deputy State HealthOfficer for CMS; Meade Grigg, Deputy Secretary for Statewide Services.

First, we know thatgood health startswith good jobs and

good education. Eachmonth Florida’s unemploy-ment rate is moving in theright direction. It’s working!

Next, we know from out-comes that health is movingin the right direction—hereare just three examples: nFlorida’s infant mortalityrate hit a historic low, 6.0per 1,000 live births for allinfants; most of the decreasehas resulted from an 11percent reduction in theblack infant mortality rate. nAnnual cases of activetuberculosis declinedagain by 10 percent to 679cases in a population of 19.2million. nDeaths due to oxycodoneoverdose decreased by 17percent.

Finally, your Departmentof Health is reorganized andrevitalized to focus onachieving health goals. Thethree outcomes listed camefrom collaboration acrossour Department, stateagencies, the legislature,professional societies,community organizations,local governments,businesses and health caresystems.

In the coming year, theDepartment is lookingforward to obtaining PublicHealth Accreditation andempowering Floridians topursue healthy lifestylesthrough our top priority—theHealthiest Weight Floridainitiative.

As a new day dawns inPublic Health, we lookforward to celebrating 125years of service to Florida’sfamilies.

John H. Armstrong, M.D., FACS, wasappointed by Governor Rick Scott asSurgeon General and Secretary ofHealth for Florida on April 27, 2012.Previously, he was Chief Medical Officerof the University of South Florida (USF)Health Center for Advanced MedicalLearning and Simulation, SurgicalDirector of the USF Health AmericanCollege of Surgeons AccreditedEducation Institute, and AssociateProfessor of Surgery at the USF MorsaniCollege of Medicine. He was alsoTrauma Medical Director at Shands atthe University of Florida Medical Centerin Gainesville.

Dr. Armstrong is a graduate ofPrinceton University, the University ofVirginia School of Medicine and the U.S.Army Command and General StaffCollege.

Rick Scott, Governor

John H. Armstrong, M.D., FACS,State Surgeon General & Secretary

http://www.doh.state.fl.us/

Florida Health Year in Review | Responsiveness

HealthiestWeightFlorida

2 September 2013 | FloridaHealth.gov

Healthiest Weight Florida is aboutsupporting communities so that healthyeating and active living are the norm forall people. It’s about an economicallycompetitive Florida with a healthy work-force, where the healthy choice is the easychoice. A Florida where families andindividuals eat smart and move more,lessening the burden of obesity, chronicdisease and health care costs.Visit healthiestweightfl.com.#healthiestweight | #healthiestweightfl | #healthiestweightflorida

http://www.healthiestweightflorida.com



Increase physical activityPhysical activity should consist ofheart-pumping aerobic activitieslike walking or bicycling, andactivities that strengthen musclesand bones and increase flexibility.Adults should set a weekly goal of150 minutes of aerobic activity andstrive for strengthening activitiesthat are of moderate or high

intensity on two or more days. Forchildren and adolescents, a

healthful goal is 60 minutesor more of physical activity

daily and strengtheningactivities at least three days a

week. Increase fruits & vegetables

Fruits and vegetables arenaturally low in calories andhigh in vitamins and minerals.A diet rich in fruits andvegetables means more foodand fewer calories. The DietaryGuidelines for Americansrecommend eating 2 cups offruit and 2½ cups of vegetableseach day, whether fresh, frozen,canned or dried. The guidelines

emphasize eating a variety ofcolors, especially deep green andorange fruits and vegetables, suchas spinach, kale, cantaloupe andcarrots. Decrease sugar-sweetenedbeverages Calories from regularnon-diet soft drinks account for anestimated 200 dietary calories per

day for 25 percent of Americans,and 200 to 600 dietary caloriesper day for another 20 percent ofAmericans. Reducing the numberof sugar-sweetened beverages—soda, sweet tea, energy drinks andsports drinks—cuts calories andleads to weight loss. Decrease high energy-densefoods Foods that are highenergy-dense contain morecalories, mostly from fat andsugar, in small portions of food.Americans consume an average of250 more calories per day thanthey did in the 1970s, mostly fromstarches and sugars. Eating fewercalories by decreasing the numberof high energy-dense foods anddecreasing the portion sizes ofthose foods, are proven strategiesfor managing weight. Decrease television & screentime On average, Americanadults spend half their leisure timein front of a television screen.Children now spend seven and ahalf hours every day in front ofsome type of screen, television orotherwise. Adults who watch morethan two hours of television a daytend to weigh more than peoplewho watch less, and children whowatch more television have higherbody weights. Less televisionallows more time for physicalactivity, and it reduces exposure toads for foods high in fat and sugar.

Responsiveness | Florida Health Year in Review

Sources: Centers for Disease Control and Prevention, U.S. Department of Agriculture and the National Health and Nutrition Examination Survey(2005–2008)

Everyone should have theopportunity to make betterchoices for nutrition andphysical activity. ThroughHealthiest Weight Florida,the Department collaborateswith other state agencies tohelp citizens reach theirgoals.

Success will require:

1. Individual commitment

2. Tools that lead to betterhealth

3. Policy, environmental &cultural changes

Dr. John Armstrong, State SurgeonGeneral and Secretary of Health(front row, left), hosted a one-milewalk to promote the Department’sHealthiest Weight initiative inTampa this June. The statewideleadership of the Departmentparticipated in the walkrepresenting every county in Florida.

Small lifestyle changes can make a big difference for an individual’soverall health. By walking regularly, choosing Florida fresh fruits and

vegetables, and drinking water, you can lose poundsover time and achieve a healthy weight.The Healthiest Weight initiative is a call to actionfor families, communities and businesses to bendthe weight curve in Florida.

Small Changes Over Time Will Improve Florida’s Health


The Tobacco Free Florida Media CampaignThe Bureau of Tobacco Free Florida takes great pride in its successfulstatewide media campaign. Each year, TFF negotiates bonus spots for eachpaid spot of broadcast media, yielding an average of 250,000 free broadcastspots per year, significantly increasing the reach of the campaign.

The most recent fiscal year evaluation (2011–12) showed the TFF mediacampaign is meeting recommendations for an effective campaign as set forthby the Centers for Disease Control and Prevention. TFF awareness is high: 84percent among adult smokers, 77 percent among youth. The campaign shows apositive impact on smoking-related attitudes and behaviors. The TFF campaignachieved the following during 2012–13:nCelebrated the fifth annual Tobacco Free Florida Week as declared by Gov.Rick Scott, April 6–13, 2013. The week highlighted the progress made inprotecting Floridians from tobacco’s deadly toll. This year’s theme was HighFive: Celebrating Five Years of Tobacco Free Florida Week.nLaunched a new mobile website, m.tobaccofreeflorida.com, and Text2Quitservice to complement the program’s phone and online quit resources.Additional services allow Floridians trying to quit tobacco to easily access theprogram’s free and proven-effective resources 24/7.nRedesigned the Students Working Against Tobacco (SWAT) website,www.swatflorida.com. Launched new additions, including the Achievements

Tobacco Free Florida (TFF) works to create a healthy, sustainable,tobacco-free environment for all Floridians and visitors to the state. TFFreaches millions through hard-hitting media campaigns, cessation services,county-level grants that advance tobacco-free policies, school-basedinterventions, and surveillance and evaluation to ensure effectiveness.


Florida Health Year in Review | Protect, Promote & Improve

TFF Serves Florida Every Day

PROTECTING THEPEOPLE

500,000More than 500,000 fewer

adult smokers in Florida.

72,00072,000 people quit through

3 Ways to Quit services.

70,00070,000 fewer youth

smokers.

220,000More than 220,000

fewer youth exposed tosecondhand smoke—a mix of

7,000 plus chemicals,hundreds are toxic and 69

can cause cancer. Source: Independent Evaluation Report: ThirdAnnual Independent Evaluation of Florida’s Bureau ofTobacco Prevention Program, Fiscal Year 2010–11

http://m.tobaccofreeflorida.com/default/index


Timeline, a SWAT members only section and theFight Back section.

Cessation ServicesTFF offers Floridians 3 Easy & Free Ways to Quitas well as FDA-approved nicotine replacementtherapy (NRT), when appropriate. A combinedapproach of counseling and NRT can double ortriple a tobacco user’s chance of quitting. Since2007, TFF has helped 72,000 people quit throughthese services.

Florida Clean Indoor Air ActThe Bureau of Tobacco Free Florida isresponsible for enforcement of the Florida CleanIndoor Air Act (FCIAA), at all facilities notregulated by the Florida Department of Businessand Professional Regulation.

The bureau responded to 600 calls andinquiries, processed 46 complaints, conducted 30inspections, initiated 6 administrative actions andcollected $2,000 in fines. As a result, 59businesses are now compliant with the FCIAA.

County-level GranteesCommunity intervention grantees areresponsible for local policy change in the areas oftobacco-free campuses for K–12 schools, flavoredtobacco, multi-unit housing, point of sale and

employer cessation programs. Granteescoordinate a Tobacco Free Partnership andmaintain a SWAT chapter within their county.SWAT, Florida’s statewide youth organization,works to mobilize, educate and equip Florida’syouth to fight against and de-glamorize BigTobacco. SWAT is a united movement ofempowered youth working towards a tobacco-freefuture. nMagi Linscott, Santa Rosa County high schoolstudent and SWAT youth advocate, won theCampaign for Tobacco-Free Kids Southern RegionYouth Advocate of the Year award.nNew data released by the Department shows 23percent fewer Florida high school students arecurrent cigarette smokers compared to 2010.nMore than 54 counties and 168 cities havepassed resolutions urging local vendors to stopselling all candy-flavored tobacco products thattarget youth.nAll Florida counties participated in Through withChew Week or Kick Butts Day activities focused onflavored tobacco issues in efforts to educate andinform key audiences on flavored tobacco.nAs of March 31, 2013, grantees met with 471businesses and 427 local organizations to assesscurrent cessation benefits and encouragedemployers to cover cessation in theiremployee health benefits.


BENEFITING THE STATEnReduction in smokers has helpedsave more than $4.2 billion inpersonal health care costs.

nTwenty colleges and universitieshave enacted 100 percent smoke-free campus policies.

nJune 2011, Gov. Rick Scott signeda law amending the Florida CleanIndoor Air Act giving schoolboards authority to designate alldistrict property as tobacco free.

Florida continues to be a leader in the nationaltobacco control movement. Our Tobacco Free Floridaprogram enables people to quit smoking, andprotects our youth from secondhand smoke andinitiating tobacco use.

Protect, Promote & Improve | Florida Health Year in Review


HB1263—a Department reorg grounded in reality,

not just a lofty pursuit

Through House Bill 1263, theFlorida Legislature provided ablueprint for reorganizing theDepartment, streamliningpriorities, emphasizing regula-tory authority and identifyingareas for improvement so thatthe Department may better servethe people of Florida.The Department embracedHB1263’s guidance and has seenincreased efficiency as a result.Since 2012, the Departmentconsolidated three divisions,upgraded technology, reorgan-ized communications, legislativeaffairs and performanceimprovement areas, and furtherintegrated the state health officeand its 67 offices in every Floridacounty. Successes of HB1263 include:nIncreased efficiency by reducingDepartment operations from 11divisions down to eight divisions.nAuthorized the implementa-tion of Women, Infants andChildren (WIC) ElectronicBenefits Transfer (EBT) whichdirectly benefits 500,000 WICparticipants, 220 clinics andmore than 2,000 WICauthorized commercial groceryvendors in Florida.nReduced the health workerlicensure process by five days,granting newly-licensedpractitioners a cumulative $14million in additional wages.nExpanded collaborationbetween county health officesleading to increased service ofpublic health professionalsacross county lines and greatersharing of resources.nClosed the last TB sanatoriumin the country, A.G. Holley StateHospital, with Florida’s new TBSystem of Care quickly becominga model for the nation.

The FloridaDepartment of

Health

Florida Health Year in Review | Accountability



Born Drug-Free FloridaThe Department and itspartners believe babies shouldbe born drug-free. The BornDrug-Free Florida educationalcampaign was launched by theDepartment, the Office of theAttorney General and theDepartment of Children andFamilies to spread awareness ofNeonatal Abstinence Syndrome(NAS). NAS impacts newbornswhose mothers tookprescription or other drugs, orconsumed alcohol duringpregnancy. These babies sufferwithdrawal symptoms like fever,seizures, blotchy skin, incessantshrill cries, respiratory problemsand sensitivity to sound andlight.

Aware that 7 out of every1,000 Floridian babies born in2011 were diagnosed, theDepartment and members ofthe Statewide Task Force onPrescription Drug Abuse andNewborns launched acampaign reminding Floridiansthat one baby born addicted todrugs is one too many.

The campaign directsexpectant mothers to discusstheir prescriptions with doctorsand provides an educationalhelpline, website and ads. Formore information about thiscollaborative effort, visitwww.borndrugfreefl.com.

Collaboration | Florida Health Year in Review

WaterproofFLFlorida leads the country indrowning deaths of childrenages 1 through 4. Workingtoward a healthier Floridameans working towardprotecting children aroundwater. The Department’s

statewide drowning prevention campaign, WaterproofFL, remindsFloridians that drowning can be a silent catastrophe whose preventionrelies on three essential layers: supervision, barriers and emergencypreparedness. Led by the Department’s Injury Prevention Program,WaterproofFL teaches Floridians how to secure their pools and protecttheir families against drowning.

The Department of Children and Families (DCF) has been a crucialally in this effort. The emphasis on drowning prevention in theirsummer marketing plans sparked an inter-agency partnership that hasallowed WaterproofFL to more effectively reach younger children andtheir families. By jointly disseminating WaterproofFL’s educationalmaterials, the Department and DCF are making strides towardreducing drowning deaths in Florida and bringing the Sunshine Stateone step closer to being the healthiest in the nation. For moreinformation, visit www.waterprooffl.com.

Living Healthyin FloridaThe Departmentpartnered withAgriculture andConsumer Services,Elder Affairs,Children and Families, andEducation to promote healthylifestyles in Florida by sending aconsistent message related tohealthy nutrition for children.

Each state agency shared itsmost popular educationalmaterials about childhoodnutrition to compare what was

being distributed andidentify commonthemes. Generalinformation andideas wereconsolidated asmuch as possible.

Consideration of grandparentsand parents was included in thiseffort as they have a huge impacton the eating habits of theirchildren.

A pilot product was producedfocusing on seasonal Floridafruits and vegetables with thetagline, Living Healthy in Florida.

Partnerships



Surgeon General SymposiumsDr. John Armstrong, State SurgeonGeneral and Secretary of Health, heldfour Surgeon General Symposiums toinspire community-level conversationand action among public officials,private organizations, businesses, andlocal, state and federal agencies. NOVEMBER 28, 2012: FLORIDA STATECOLLEGE, JACKSONVILLE Theinaugural symposium fostered an in-depth discussion on effective crisis and riskcommunications.JANUARY 14, 2013: NEMOURS CHILDREN’SHOSPITAL, ORLANDO This symposium examinedhow Floridians can achieve their healthiest weight.Representatives talked about how to collectivelycreate a statewide culture that encouragesindividuals to reach and maintain their healthiestweight.FEBRUARY 20, 2013: FLORIDA INTERNATIONALUNIVERSITY, MIAMI This panel discussion focusedon how to achieve health equity and promotehealthy lifestyles in all communities.APRIL 19, 2013: DEPARTMENT OF HEALTH CENTRALOFFICE, TALLAHASSEE This event included a paneldiscussion that explored creating Florida’s Systemfor Cancer Research and Collaboration. Panelistsand attendees worked together to determine howthe areas of research, treatment and prevention willplay a role in the state’s system.

Protecting FloridiansWhether helping Floridians affected by fungalmeningitis or supporting emergency responseduring Tropical Storms Debby and Isaac, theDepartment worked daily to provide quality healthand emergency services for Floridians.nInitiated a Diaphragmatic Pacing Pilot Programfor people with high level traumatic spinal cordinjuries and ventilator dependencies.nUsed process improvement measures andcontract management to save the Department ofCorrections $20,119,236 in prescription drug costs.

nProvided health and medicalresources and information to theRepublican National Convention inTampa.nImplemented state certification for 911public safety telecommunicators. nTrained 384 Radiation ResponseVolunteer Corps members to supporthealth and medical response duringradiological events.

Florida’s Response to Fungal MeningitisThe Division of Medical Quality Assurancecompleted the inspection of Florida’s 684 sterilecompounding pharmacies between November 26,2012 and June 21, 2013. The accelerated inspectionschedule was needed because of the nationwideoutbreak of fungal meningitis related to sterileinjectables compounded by the New EnglandCompounding Center in Massachusetts. Outbreakcase totals reached 479 across 20 states, including25 Florida-specific cases.

Prescription Drug Monitoring ProgramThere has been a 17 percent reduction in deathsassociated with oxycodone use and a 58 percentreduction in individuals obtaining controlledsubstance prescription drugs from one or morepharmacies and one or more physicians. Thedatabase helps guide health care practitioners withprescribing and dispensing decisions.

Florida Now Tests for SCIDThe Department’s Newborn Screening Programbegan testing all newborns for Severe CombinedImmunodeficiency (SCID) in October 2012. SCIDbabies typically appear normal at birth but acquiremultiple life-threatening infections within a fewmonths. Early detection of SCID preventspermanent physical damage or death. A babyborn with SCID who receives newborn screening,early diagnosis and prompt bone marrow trans-plantation has the same life expectancy as a babyborn without SCID.

Florida Health Year in Review | Innovation


#flhealthworks4meEvery day the Department works to ensure Florida becomes

the healthiest state in the nation.


Innovation | Florida Health Year in Review


In 2013, theDepartment wasrecognized byMPH ProgramsList.comas having the thirdbest social mediapresence among51 public healthdepartments in thenation.

The Department’sgoal is to havethe strongest socialmedia presenceamong publichealth agencies.

http://mphprogramslist.com/


1889 The State Boardof Health (SBH) wasestablished. Joseph YatesPorter, M.D. was thestate’s first health officer.

1892 Dr. Porterintroduced a publichealth magazine,entitled Florida HealthNews, to “stimulateinterest in sanitarymatters” amongresidents.

1901 Dr. Porteremphasized theurgent need for apublic healthlaboratory service.The first specimenwas accepted forexamination in 1903.

1905 The last epidemicof yellow fever occurred. 1912 The last majorepidemic of smallpoxoccurred. 1913 Three nurses wereemployed by the SBH tocare for tuberculosispatients at home.

1917 Dr. Porter retired.The SBH had sevendistrict health officersand nurses who weresupplemented by countyagents. 1918 The flu pandemicof 1918 occurred in threewaves in the U.S. Thisevent demonstrated a

greater need forlocal health units.1921 As a result ofan outbreak of blackplague in Pensacola,the SBH establisheda Bureau ofEpidemiology. 1921 The first cancerclinic was establishedin Jacksonville.

1922 A federal initiative,the Sheppard-TownerAct, provided matchingfunds for a maternal andinfant health program.1931 The SBH andcounty commissionswere authorized vialegislation to establishcounty health units(CHUs).

Florida’s early years were largely focused on the development of military fortifications. By themid-1800s, many of these establishments evolved into international ports vulnerable to diseasesintroduced from foreign countries. It eventually became apparent that a statewide healthorganization was necessary. In 1873, the first bill to establish a state health agency was presented

to the legislature but failed because the appropriation of $200 was considered excessive.It was not until 1889 that a State Board of Health was established. Over theyears, public health programs and policies have influenced Florida’s political,social and economic infrastructure, significantly improving quality of life.

Jacksonville telephone operatorsduring 1918 influenza epidemic(Florida State Archives).

Public Health Nurses providingservices at tourist camps circa1920s (State Board of HealthArchives).



1935 Devastationwreaked by hurricanesstriking Florida’ssoutheast coast in 1926,1928 and 1935, farsurpassed any previouslyrecorded. As a result, theSBH established a healthmobilization program.1939 The statelegislature adopted theState Sanitary Code law.1941 The Maternal andChild Health Programworked to improvenutrition througheducational programs. 1944 CHUs weredesignated as countyhealth departments(CHDs).1947 Radiological andoccupational healthactivities began as theDivision of IndustrialHygiene. 1949 The legislatureauthorized state aid to 12Mosquito ControlDistricts. 1957 A radiologicallaboratory wasestablished in Orlando.1958 The SBHestablished an AccidentPrevention Program.

1960 All counties hadCHDs and were underthe authority of the SBH.1966 The SBHestablished a Bureau ofAdult Health Servicesand Chronic Disease. 1969 The authority ofthe SBH was transferredto the Department ofHealth and Rehabil-itative Services (HRS). 1973 Legislationexpanded theemergency medicalservices (EMS) programauthority to include 911hotlines, EMS grants tolocal governments andmedical transportationservices throughout thestate.1979 The FloridaCancer Data Systemwas implemented.1981 The HealthProgram Office began toconduct surveillance onacquired immunedeficiency syndrome(AIDS) cases reported.1983 A new, expandedDisease Control,Epidemiology Programwas created.1988 Primary medicalcare services were beingprovided in all 67counties.1992 Hurricane Andrewwreaked havoc oncommunities south ofMiami. HRS provided

assistance to residentsaffected by the storm.1997 The legislaturesplit HRS into twoagencies: the FloridaDepartment of Childrenand Families, and theFlorida Department ofHealth.1998 The Departmentestablished the Office ofEqual Opportunity andMinority Health.1999 The FloridaTobacco Pilot Programwas placed under theDepartment.1999 The Departmentcreated SHOTS, astatewide immunizationregistry.2001 The Just Read,Florida! initiative wascreated by executiveorder. The Departmentlater created a Read forHealth initiative toimprove communicationbetween health careproviders and patients.2001 The Departmentresponded to the nation’sfirst-ever anthrax attack.As a result, theDepartment worked toprepare for, prevent,respond to and mitigatethe effects of abioterrorism attack.2008 The Tobacco FreeFlorida Campaign waslaunched.2009 The Department

created a vaccinationcampaign in response tothe H1N1 swine fluoutbreak.2011 The Departmentreceived a 98 percentcustomer satisfactionrate for refugee healthaccessibility andtimeliness.2012 Students WorkingAgainst Tobacco part-nered with the DaytonaInternational Speedwayto make the venue thefirst tobacco-freegrandstand in the U.S.2013 The Florida Boardof Nursing celebrated100 years of service.2013 Healthiest WeightFlorida launched toaddress the #1 publichealth threat challengingFlorida’s future.

Excellence | Florida Health Year in Review


ABOVE: Mother and son seekinghealth services at a county healthdepartment, 1950s.

RIGHT: State Board of Healthstaff collecting water samples ofchemical testing during the 1960s(State Board of Health Archives).

The Florida Quitline,1-877-U-CAN-NOW,was established in2001.



From United States Census:

18,801,3102010 population.

19,317,5682012 population estimate.

5.5%Persons under 5 years,

2012 estimate.

20.7%Persons under 18 years,

2012 estimate.

18.2%Persons 65 years and over,

2012 estimate.

From VISIT FLORIDA,Florida’s tourism marketing

corporation:

91,400,000Number of visitors in 2012.

Florida Health Regional Highlights


Emerald Coast


Regional Highlights | Florida Health Year in Review

EscambiaCollaborated with areahospitals, restaurantsand local businesses topromote the MeatlessMondays campaign.Results from evaluationrevealed that 66 percentof survey respondentsindicated that they planto try more meatlessmeals at home.

JacksonIn Jackson County publicschools, 99 percent ofkindergarteners and98.9 percent ofseventh graders arefully immunized.

BayDiabesity (Diabetes + Obesity) initiative—largest diabetes screening in state history.Coordinated with 30 organizations.Veteran’s Stand Down—provided urgent dentalcare to 80 homeless veterans.

Calhoun & LibertyDramatically increased community outreachefforts from 3 to 22 projects.

LibertyIncreased thepercentage of fullyimmunized 2-year-oldclients from 79 to 96percent.

Holmes& Washington2012 national recognition for Project PublicHealth Ready (PPHR). PPHR increases communitypreparedness by improving staff proficiency andconfidence in emergency response.

Okaloosa2,949 Okaloosa clientswho are of low income,or are underinsured oruninsured, receivedprimary and urgent careservices throughOpportunity Healthand One ProblemClinic programs. In thelast 12 months, bothclinics saw 2,949patients.

WaltonIncreased primarycare and dentalservices.

Santa RosaThe Santa Rosa County School District received theHealthy School District Gold Award this year.A collaborative effort of DOH-Santa Rosa, SantaRosa County School District, Sodexo, Santa RosaCounty Extension and 4-H, the group is committedto improving nutrition in local schools.

2,949

96%



Florida Health Year in Review | Regional Highlights

Capital

Madison99percent ofkindergarten studentsfully immunized.

WakullaDecreased youthtobacco use 9 percent.

FranklinNew dental program is the first in county to offeropen access to care for Medicaid and uninsuredpatients. 3,187 patient services provided.

GulfCreated ER Diversion Program with SacredHeart Hospital on the Gulf—168 new patientsreferred since December 2012 for medical, dentaland prescription assistance services.

GadsdenGet Going Gadsden2012–13, a 60-daychallenge, promotedhealthy eating and activelifestyle in Gadsdencommunities. Teamsacross the countycompeted and receivedhealth education andnutritional trainings toreach health goals.

Franklin, Gulf, Wakulla, Gadsden, Leon,Jefferson, Madison & TaylorA multi-county community health improvement collaborative resulted in thedevelopment of Big Bend Better Living, a regional healthy eating, activeliving initiative. As staff from each county developed their community healthassessments, they discovered similarities regarding obesity-related illnesses, andlack of exercise and healthy eating. The collaborative developed the websitebigbendbetterliving.org and also used television, radio public serviceannouncements, educational brochures and posters for community outreach.

TaylorImplemented successfulParent Lunch andLearn program.

LeonOffered free classesto Healthy Startclients: childbirtheducation, babybasics andbreastfeeding. 168

JeffersonObtained Project Public Health Ready(PPHR) certification. PPHR is a national publichealth preparedness program.


http://bigbendbetterliving.org/

North Central


SuwanneeFacilitated the WymanTeen OutreachProgram (TOP). TOPfocuses on teenpregnancy and dropoutprevention throughhuman services.Participating high schoolstudents completed over 975 community servicehours. Projects included starting a clothing closetfor needy students, volunteer reading to elementaryclasses, organizing and participating in a schoolRelay for Life activity, completing CPR courses andraising funds for a community skate park.

MarionOpened a GrowthServices office that pro-cesses all septic systempermits for one-stoppermitting. Allowscontractors to apply forall of their permits underone roof.

Hamilton100percentof 2-year-old clientsfully immunized.

LafayetteLafayette HealthImprovement PartnersCharter adopted.

LevyIncreased primarycare access toresidents who areuninsured.

GilchristIncreased communitypreparedness efforts bycompleting ProjectPublic Health Ready,a national public healthpreparedness program.

Bradford & UnionCommunity Health Advisory Groups increased localinterest and participation, and launchedcommunity education and walking programs.

Columbia & UnionIn each county, resolutions passed requesting localtobacco retailers limit their advertising anddisplay of flavored tobacco products.


DixieReceived Low IncomePool Grant for diabetescase management toreduce emergency roomvisits and preventablehospitalizations.

AlachuaControlled influenza through nationally recognizedSchool-located Influenza VaccinationProgram.


Northeast



BakerCompleted expansionof dental services fromfour to eight units.Expansion also includedproviding dental servicesto three neighboringcounties.

DuvalReduced the percentage of adolescents whosmoked from approximately 27 percent in fiscalyear 2010–11 to 10 percent in April 2013.Reduced the number of live births to teens age15–19 from 52.1 per a population of 1,000 in fiscalyear 2007–08, to 34 in fiscal year 2011–12.

ClayReduced facilities’ costsby $70,000.

FlaglerImplementedelectronic healthrecords.

PutnamSuccessful diseaseinvestigations ofpertussis (whoopingcough) and tuberculosisin local area.

St. JohnsRanked number onein Florida in healthoutcomes and healthfactors in national 2013County Health RankingsReport.

$70,000

from 27to10percent

NassauAddressed Community Health ImprovementPlan’s strategic issues: access to care, behavioralhealth, chronic disease prevention, injury andviolence prevention, and maternal and child health.Increased oral health access with a SchoolSealant Program, Low Income Pool Grant funds andteledentistry.

#1


Southeast


BrowardReached 100 percent of eligible clients servedfor the Special Supplemental NutritionProgram for Women, Infants, and Children(WIC), for the first time in county history via processimprovement, training and accountability.Recognized as a model practice by the NationalAssociation of County and City Health Officials forthe Paramedics as Partners back-to-schoolimmunization campaign that served 2,665children and trained 145 paramedics, nurses andvolunteers to vaccinate.

Miami-DadeImproved communicable disease interventionand control for sexually transmitted diseases andtuberculosis cases.Celebrated the 10-year anniversary of theConsortium for a Healthier Miami-Dade. Theconsortium is comprised of over 161 organizations, allunited by the common belief that throughcollaboration and prevention-focusedinitiatives, Miami-Dade residents can livelonger, happier and healthier.

MonroeProduced the MonroeCounty CommunityHealth Almanac thatincludes data contri-butions from more than75 partners (local, stateand federal). Thealmanac is a valuabletool for communitypartners applying forhealth grants.

10,736 vaccinationsgiven between July2012–June 2013 throughthe Vaccines forChildren program.

Palm BeachThe primary care networkof health centers that hasoperated at the countylevel since the 1950s wastransitioned to theHealth Care District ofPalm Beach Countyover the past year. Thedistrict provides adultand pediatric primarycare through its C.L.Brumback Primary CareClinics in Delray Beach,Lantana/Lake Worth,West Palm Beach andBelle Glade. A transitionof over 27,000 patients.

100%


10,736




BrevardReceived the 2012Community ServicesAward from the FloridaHealth Care Coalitionfor best practice forproviding primary carefor the indigent throughteamwork with the Boardof County Commission,hospitals, medicalsociety and volunteerphysicians.

Indian RiverIntegrated theCommunity HealthAssessment, Environ-mental Public HealthPerformance Standardsand Community HealthImprovement Plan withbroad communityparticipation.

OsceolaInfant mortality ratesfell from 10.6 percent in2008 to 6 percent in2012.

LakeAdults who smokeddecreased from 21percent in 2010 to 16percent in 2013. Programstaff held more than 130community outreachevents and distributed3,824 Quit Kits and21,878 educationalcessation materials.

Seminole45 percent increase intext messagingservices for sexuallytransmitted disease,family planning andprenatal programs.

MartinMoved primary careservices to FloridaCommunity HealthCenters—a seamlesstransition of approx-imately 9,000 clients.

St. Lucie54 percent decrease in new HIVinfection cases since 2005. The rate ofnew HIV cases among blacks in the countyhas declined by 65 percent since 2005.

Central

OrangeQ-Flow Implementation Team Earns NationalAssociation of County and City Health Officials(NACCHO) Model Practice and Davis ProductivityAwards. In 2010, a customer queue managementsystem was implemented resulting in a three-yearreturn on investment of $453,409, and a 10-percent reduced wait time for clients of theSpecial Supplemental Nutrition Program forWomen, Infants, and Children (WIC).

Received three Model Practice awards at the2013 annual NACCHO conference, for developingand implementing three responsive and innovativepublic health programs that address local publichealth needs. The three projects are Second Review,Provider Productivity Analysis and ClinicalProductivity Dashboard.

3,824

Volusia


WestHernandoHernando scored 100 percent on its 2012–13Strategic National Stockpile annual assessment.Through the Cities Readiness Initiative of theCenters for Disease Control and Prevention, stateand large metropolitan public health departmentsdevelop plans to respond to large-scale bioterroristevents by dispensing antibiotics to the entirepopulation of an identified metropolitan area within48 hours.

HillsboroughThe City of Tampa hosted the RepublicanNational Convention in August 2012. DOH-Hillsborough was a key member of the public safetycommittee, and worked closely with federal, stateand local partners.

PascoGet Healthy Pasco!coalition brought togethercommunity partners toaddress healthy living inPasco. Its mission is toimprove communitywellness through healthylifestyle choices thatprevent chronic disease.

PinellasHealthy FamiliesPinellas, celebrated its20th anniversary. Amember of the NationalNetwork of HealthyFamilies America sites,this intensive homevisiting and familysupport program workswith families to preventchild abuse.

CitrusThe Healthy Startprenatal screening rateincreased to 94 percent,significantly better thanthe state rate of 79.3percent.

Hardee99 percent of2-year-old clients fullyimmunized.

ManateeWith grant funds fromthe American PublicHealth Association andcollaboration with localofficials, facilitated aComplete Streetspolicy for the county.Complete Streets policiesencourage activetransportation likewalking and biking, andfocus on making streetssafe for everyonetraveling along a road.

SumterSwim Safe Sumter, a drowning preventionprogram for children aged 3 to 10, graduated 136children last year, its first year of service.

PolkImplemented the Building a Healthier PolkInitiative with community partners—primary goalis to reduce the obesity rate from 37.6 percent to27.2 percent by October 2015.



99



CharlotteA 2013 resolutionrestricting the sale andmarketing of candyflavored tobacco inCharlotte County wasproposed by a 12-year-old middle-schoolstudent active in the localchapter of StudentsWorking AgainstTobacco (SWAT).

HighlandsPartnered with localagencies to offer mentalhealth services—a 386percent increase inaccess.

CollierPublic health programsfor sexually transmitteddiseases, HIV/AIDS andhepatitis target the sameindividuals for preventionand screening services. In2012, DOH-Collier fullyintegrated preventionoutreach for thesediseases with theCounseling and TestingClinic. This improved,integrated system of carereaches more high-riskpersons with fewer staff.

Hendry& GladesPartnered with FloridaGulf Coast University toallow nursing studentsto observe and learnabout public health inrural communities.

OkeechobeeCreated “Food forThought” morningannouncements heardat ten schools, reaching6,712 students and 850staff during 2012–13.The announcements were also sent as a “Tip of theMonth” via the Shared Services Network ofOkeechobee County and DOH-Okeechobee tocommunity partners and local media.


Southwest

SarasotaRed tide conference calls established unifiedmessaging for five counties. Starting in the fall of2012, weekly conference calls were held withnational, state, regional and local partners todiscuss current blooms—shared information helpedresidents and visitors stay healthy during Florida redtides.

DeSotoOn-site dental unit established at NocateeElementary School. Developed in cooperationwith the school district, the program helps eliminatebarriers to pediatric dental care.

LeeLee was one of 40 counties in the U.S. to receive aHealthy Weight Collaborative grant to help fightchildhood obesity. The initiative uses the 5210prescription: 5 servings of fruits and vegetables; 2hours or less of screen time; 1 hour of physicalactivity; and 0 sugar-sweetened beverages.

5210

386%


Alachua County224 S.E. 24th St.Gainesville 32641(352) 334-7900FAX (352) 955-6428Baker County480 W. Lowder St.Macclenny 32063(904) 259-6291, ext. 2242FAX (904) 259-4761Bay County597 W. 11th St.Panama City 32401(850) 872-4455FAX (850) 872-7626Bradford County1801 N. Temple Ave.Starke 32091(904) 964-7732FAX (904) 964-3024Brevard County 2575 N. Courtenay PkyMerritt Island 32953(321) 454-7151FAX (321) 454-7128Broward County780 S.W. 24th St.Ft. Lauderdale 33315(954) 467-4700FAX (954) 760-7798Calhoun County 19611 S.R. 20 WestBlountstown 32424(850) 674-5645FAX (850) 674-5420Charlotte County 1100 Loveland Blvd.Port Charlotte 33980(941) 624-7200FAX (941) 624-7202Citrus County 3700 W. Sovereign PathLecanto 34461(352) 527-0068FAX (352) 527-8858Clay County 1305 Idlewild Ave.Green Cove Springs32043(904) 529-2808FAX (904) 529-2802Collier County3339 Tamiami Trail EastSuite 145, HealthBuildingNaples 34112-4961(239) 252-8200FAX (239) 774-5653Columbia County217 N.E. Franklin St.Lake City 32055(386) 758-1068FAX (386) 758-3900DeSoto County34 South Baldwin Ave.Arcadia 34266(863) 993-4601FAX (863) 993-4606Dixie County149 N.E. 241st St.Cross City 32628(352) 498-1360FAX (352) 498-1363

Duval County900 University Blvd.NorthJacksonville 32211(904) 253-1000FAX (904) 632-5338Escambia County1295 W. Fairfield Dr.Pensacola 32501(850) 595-6500FAX (850) 595-6745Flagler County301 Dr. Carter Blvd.Bunnell 32110(386) 437-7350FAX (386) 437-7369Franklin County139 12th St.Apalachicola 32320(850) 653-2111FAX (850) 653-9896Gadsden County278 LaSalle LeFall Dr.Quincy 32353(850) 875-7200FAX (850) 875-7210Gilchrist County119 N.E. 1st St.Trenton 32693(352) 463-3120FAX 352-463-3425Glades County 1021 Health Park Dr.Moore Haven 33471(863) 946-0707FAX (863) 946-3097Gulf County 2475 Garrison Ave.Port St. Joe 32456(850) 227-1276FAX (850) 227-1766Hamilton County 209 S.E. Central Ave.Jasper 32052(386) 792-1414FAX (386) 792-2352Hardee County115 K D Revell Rd.Wauchula 33873-2051(863) 773-4161FAX (863) 773-0978Hendry County1140 Pratt BlvdLaBelle 33935(863) 674-4041FAX (863) 674-4076Hernando County 7551 Forest Oaks Blvd.Spring Hill 34606(352) 540-6800FAX 352-688-5097Highlands County7205 S. George Blvd.Sebring 33875(863) 386-6040FAX (863) 386-6048Hillsborough County1105 East Kennedy Blvd.Tampa 33602(813) 307-8000FAX (813) 272-6984

Holmes County603 Scenic CircleBonifay 32425(850) 547-8500FAX (850) 547-8515Indian River County1900 27th St.Vero Beach 32960(772) 794-7400FAX (772) 794-7453Jackson County4979 Healthy WayMarianna 32446(850) 526-2412FAX (850) 718-0383Jefferson County 1255 W. Washington St.Monticello 32344(850) 342-0170FAX (850) 342-0257Lafayette County 140 S.W. Virginia CircleMayo 32066-1806(386) 294-1321FAX (386) 294-3876Lake County16140 U.S. Hwy. 441Eustis 32726(352) 589-6424FAX (352) 589-6492Lee County3920 Michigan Ave.Ft. Myers 33916(239) 332-9501FAX (239) 332-9567Leon County 2965 Municipal WayTallahassee 32316(850) 606-8150FAX (850) 487-7954Levy County66 W. Main St.Bronson 32621(352) 486-5300FAX (352) 486-5307Liberty County12832 North Central Ave.Bristol 32321(850) 643-2415FAX (850) 643-5689Madison County218 S.W. Third Ave.Madison 32340(850) 973-5000FAX (850) 973-5007Manatee County410 6th Ave. E.Bradenton 34208-1968(941) 748-0747, ext. 1212FAX (941) 714-7236Marion County 1801 S.E. 32nd Ave.Ocala 34478(352) 629-0137FAX (352) 694-1613Martin County3441 SE WilloughbyBlvd.Stuart 34994(772) 221-4000FAX (772) 221-4966

Miami-Dade County 8175 N.W. 12th St. Suite 300Miami 33126(305) 324-2400FAX (786) 336-1297Monroe County1100 Simonton St.Key West 33040(305) 293-7500FAX (305) 809-5629Nassau County 30 South 4th St.Fernandina Beach32034(904) 548-1800FAX (904) 277-7286Okaloosa County221 Hospital Drive, N.E.Ft. Walton Beach 32548(850) 833-9240FAX (850) 833-9252Okeechobee County 1728 N.W. 9th Ave.Okeechobee 34973(863) 462-5819FAX (863) 462-5219Orange County6101 Lake Ellenor Dr.Orlando 32809(407) 858-1400FAX (407) 858-5514Osceola County 1875 Boggy Creek Rd.Kissimmee 34745 (407) 343-2000FAX (407) 343-2084Palm Beach County 800 Clematis St.West Palm Beach 33401(561) 840-4500FAX (561) 837-5197Pasco County10841 Little Rd.New Port Richey 34654(727) 861-5250FAX (727) 861-4816Pinellas County 205 Dr. Martin LutherKing, Jr. St. NorthSt. Petersburg 33701(727) 824-6900FAX (727) 820-4275Polk County1290 Golfview Ave.Bartow 33830(863) 519-7900FAX (863) 534-0293

Putnam County 2801 Kennedy St.Palatka 32177(386) 326-3200FAX (386) 326-3350Santa Rosa County 5527 Stewart St.Milton 32572-0929(850) 983-5200FAX (850) 983-4540Sarasota County 2200 Ringling BlvdSarasota 34237 (941) 861-2900FAX (941) 861-2837Seminole County400 West Airport Blvd.Sanford 32773(407) 665-3000FAX (407) 665-3259St. Johns County1955 U.S. 1 South,Suite 100St. Augustine 32086(904) 825-5055FAX (904) 825-6875St. Lucie County5150 N.W. Milner Rd.Port St. Lucie 34983(772) 462-3800FAX (772) 873-4941Sumter County415 E. Noble Ave.Bushnell 33513(352) 569-3102FAX (352) 793-1506Suwannee County915 Nobles Ferry Rd.Live Oak 32060(386) 362-2708FAX (386) 362-6301Taylor County1215 North PeacockAvenuePerry 32347(850) 584-5087FAX (850) 584-8653

Union County495 East Main St.Lake Butler 32054(386) 496-3211FAX (386) 496-1599Volusia County1845 Holsonback Dr.Daytona Beach 32117(386) 274-0500FAX (386) 274-0840Wakulla County 48 Oak St.Crawfordville 32327(850) 926-0400FAX (850) 926-1938Walton County362 State Highway 83DeFuniak Springs 32433(850) 892-8015FAX (850) 892-8457Washington County 1338 South Blvd.Chipley 32428(850) 638-6240FAX (850) 638-6244

Contact the FloridaDepartment of Healthin your county

FloridaHealth.gov | September 2013


Mission:To protect, promote and improve the healthof all people in Florida through integratedstate, county and community efforts.

Vision:To be the Healthiest State in the Nation

Florida Department of Health4052 Bald Cypress Way, Bin A04Tallahassee, Florida 32399-1705850-245-4444

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Florida Department of Health 2012-2013 Year in Review

Documents

florida nowtests

health caresystems

secretaryof health

departmentof health

drugfree florida

onachieving health goals

state surgeon general

new day dawns inpublic