2018 ICHD Annual Report

2018

Annual Report

Partners for Health

Table of Contents

Health Officer’s Letter..................................................................................................3
About Ingham County..................................................................................................4
Finance............................................................................................................................4
Ingham Community Health Centers..........................................................................5
Communicable Disease................................................................................................6
Environmental Health..................................................................................................7
Health Promotion and Prevention..............................................................................8
Maternal and Child Health...........................................................................................9
Community Health, Planning and Partnerships.....................................................10
Ingham County Boards and Administration...........................................................11

2

Welcome
Ingham County Commissioners and Residents

Letter from As Health Officer, I spend the majority Now, people who are experiencing
the Health Officer of my day thinking about health and behavioral health challenges can
wellbeing. I think about how to stop be screened anywhere and receive
Linda S. Vail, MPA disease, how to keep people safe, how prompt referral. They can even screen
to ensure that all people have equal themselves. Also in 2018, we entered
Ingham County Health Officer opportunity to achieve health, how into a partnership with Sparrow Health
to promote a healthy environment... Systems to co-locate a lab inside of
The list goes on. I rarely stop thinking Forest Community Health Center.
about health. That’s not typical for This eliminates another barrier and is a
most people, especially healthy people, convenience for patients needing blood
who may only occasionally think about drawn. In another partnership with
health. That’s understandable. Life is Sparrow and Dean Transportation, we
busy, and the list of things that demand took health care directly into medically
people’s attention is long. People want to underserved neighborhoods with the
be healthy, but there are barriers. Mobile Health Clinic for the third year.

In 2018, much of the work we did One challenge that the Ingham County
to improve health involved removing Health Department and many other
barriers. Some of the most obvious health departments faced this year was a
changes at the health department large hepatitis A outbreak. Michigan has
in 2018 were the renovations at the had more than 900 cases of hepatitis A
Human Services Building. We created since the statewide outbreak began. Our
a centralized check-in and waiting area, county was affected, and our response
bringing our Immunizations, WIC, included the removal of barriers to
Cedar Pediatrics and Registration vaccination. Our Immunizations
and Enrollment clients together. A program ran 161 pop-up clinics in the
shared space has led to more program community to reach those at risk. Clinic
integration where people can more easily locations included restaurants, bars,
connect to multiple services. festivals, the jail and homeless shelters.
We also worked to eliminate many Our Immunizations Program gave more
access-related barriers. For instance, our than 3,000 doses of the hepatitis A
staff had noticed that pregnant patients vaccine to combat the outbreak. More
often struggled to attend additional than a third of those doses went to
appointments for dental care due to people who would have otherwise been
time, transportation or insufficient unable to receive the vaccine due to
dental coverage, so we made it easier income and/or lack of health coverage.
to get dental care while pregnant by
collocating a dental hygienist in the Looking ahead, the Ingham County
Women’s Health Center. We also Health Department remains committed
expanded use of SBIRT (Screening, to removing barriers to health. We are
Brief Intervention, and Referral to your “Partners for Health.”
Treatment) this year by partnering with
Community Mental Health of Clinton, Sincerely,
Eaton and Ingham Counties to develop
an online behavioral health screening. Linda S. Vail, MPA
Ingham County Health Officer

3

About Ingham County

County Seat Mason, Michigan

Population Density 505.1 persons per square mile

Births 3,175 (2017)

Deaths 2,215 (2017)

Leading Causes of Heart Disease, Cancer, Unintentional Injuries,
Death Chronic Lower Respiratory Disease, Stroke

Infant Mortality Total: 6.0 ± 1.5 deaths per 1,000 births
Rate (2014-16) White: 4.3 ± 1.6 deaths per 1,000 births
Black: 14.5 ± 5.6 deaths per 1,000 births
Population
292,735 Age Group Under 5 years: 5.7%, 5-19 years: 19.7%, 20-44 years:
39.1%, 45-64 years: 22.0%, 65+ years: 13.5%
Median Age
32.3 years Race/Ethnicity White: 75.6%, Black: 12.2%, Hispanic or Latino (any
race): 7.9%, Asian/Pacific Islander: 7.4%, American
Median House- Indian/Alaskan Native: 0.6%, Two or More Races:
4.2%
hold Income
$49,109 Persons in Poverty 20.2%

Finance Funds & Expenditures, Jan. 1–Dec. 31, 2018

Funding Expenditures
$44,370,485
$44,370,485

Other Sources Jail Medical/ Health Department
11.3% Youth Center Administration
6.9% Medical Examiner
General Fund 3.1%
25.5% 1.5% Health
Federal/State Promotion
29.2% and Prevention
10.9%
Community
Health Communicable
Disease
Centers Control
Clinical 9.4%

41.3% Environmental
Health
5.3%

Fees Medicare/Medicaid/ Maternal and
(Environmental Commercial Payments Child Health
29.1% Community Health 10.1%
Health) Centers Administration
3.9% 11.5%

4

Ingham Community
Health Centers

Ingham Community Health Centers are comprised of eight primary
care centers in Lansing. They were the first public-entity administered
Federally Qualified Health Centers (FQHCs) in the state.

TOTAL 60,223 12,055 9,914
VISITS:
Medical Visits Dental Visits Behavioral
82,882 Health Visits

55,395 3,347 2,315 279

TOTAL School-Based Homeless Patients who
PATIENTS: Health Center Patients are Veterans

24,292 Patients

2018 HIGHLIGHTS 5

• The Human Service Building was remodeled
to create a centralized check-in and waiting
area for Cedar Pediatrics, Immunizations,
WIC, and Registration and Enrollment.

• Ingham Community Health Centers were
named a 2018 Leader in LGBTQ Healthcare
Equality for the second year.

• Over 55,000 prescriptions were filled using
medications purchased through the 340B
Drug Discount Pricing Program.

Department Division

Communicable Disease Control

The Communicable Disease Control Division is responsible for the
epidemiological investigation, prevention, intervention, control and
surveillance of communicable diseases in Ingham County to protect the
public’s health.

Communicable Disease
Cases Investigated

1,274 1,832 1,842 21,028

STI/HIV Vaccines
Clinic Visits
(injections, inc. flu)

1,435

5 2016 2017 2018 10

Lyme Disease Rabid Bats
Cases

2018 HIGHLIGHTS

• To combat the statewide hepatitis A outbreak, the
Immunizations Program ran 161 hepatitis A clinics
where they gave 1,745 hepatitis A vaccines. This work
and a local hepatitis A public education campaign were
funded by a grant from the Michigan Department of
Health and Human Services (MDHHS).

• ICHD worked collaboratively with local law
enforcement, MDHHS and the Centers for Disease
Control and Prevention (CDC) regarding Salmonella
found in Kratom, an herbal supplement product.

6

Department Division

Environmental Health

Environmental Health (EH) protects the public from adverse impacts of
environmental factors (man-made, natural, biological or chemical) by
responding to complaints and enforcing federal, state and local statutes.

Pounds of Household Hazardous Waste Collected

977 2018 101,535
100,112
Licensed Fixed 2017
Food Service
Establishments

134 2016 73,479

Well Permits 2018 HIGHLIGHTS

• During a four-hour tire collection
event held at the Ingham County Road
Commission, staff collected 4,233 tires.
The event was a partnership between the
Michigan Department of Environmental
Quality, Meridian Township and the Eaton
County Resource Recovery Department.

• Household Hazardous Waste Collection
saw a 39% increase in pounds of
pharmaceuticals collected.

7

Department Division

Health Promotion and Prevention

Health Promotion and Prevention works to promote wellness and
prevent illness across the lifespan. Initiatives focus on maintaining the
health and well-being of adults and families in the community.

Cancers Found through the Breast
and Cervical Cancer Control

Navigation Program (BCCCNP)

478 2016 2017 2018 15 9
23
People Screened for 13 9 3
Breast and Cervical
0 15 BCraenacsetr
Cancer CCeanrvciecral

1,276 30

People Enrolled 265
in Health Plans
by Registration &

Enrollment

Tobacco Retailer
Compliance Checks

2018 HIGHLIGHTS

• The Ingham Opioid Abuse Prevention Initiative
(IOAPI) received a $70,000 grant from the Blue Cross
Blue Shield of Michigan Foundation to support work
in the criminal justice system.

• In 2017, Ingham County saw its first decrease in
opioid-related deaths per year since numbers began to
rise in 2007.

• The HPP division trained 335 people to use naloxone
(Narcan), a rescue medication for people in opioid
overdose.

8

Department Division

Maternal and Child Health

Maternal and Child Health (MCH) provides home visiting, community
nursing, nutrition education and social work services. MCH staff meet
families in homes, schools and other community settings to provide
preventative services that focus on improving health outcomes.

7,167 1,082 6,180 376

Total MCH Children’s Special Total WIC Strong Start | Healthy
Home Visits Health Care Clients Start Education
Workshops
Services Clients

14,103 17,421 WIC Clients Initiating
Breastfeeding at Birth
Hearing Screenings Vision Screenings
78%

Ingham County

66%

Michigan

2018 HIGHLIGHTS

• Received a 5-year, $5,470,000 grant for Strong
Start | Healthy Start which will enable MCH to
increase services provided to African American
and Hispanic pregnant mothers, fathers, and
children up to 18 months of age.

• ICHD received a Silver Breastfeeding
Friendly Workplace Award from the Michigan
Breastfeeding Network. The MCH division
and the WIC program played a major role in
helping ICHD meet the criteria for sliver status.

9

Community Health, Planning
and Partnerships

Community Health, Planning and Partnerships (CHPP) works to power
data-informed decision-making and to address social determinants
of health, while developing partnerships and engaging in planning to
promote wellness and health equity throughout Ingham County.

1,331 68 92% 874

Volunteers Recruited Media Contacts Staff Trained in Medical Examiner
by AmeriCorps VISTA Incident Command Cases

System

2018 HIGHLIGHTS

• Local organizations hosting or managing
AmeriCorps members included: City of
Lansing, Refugee Development Center,
Community-AID Lab, MSU Student Housing
Cooperative, Edgewood Village Network
Center, Capital Area College Access Network,
Lansing Promise, Big Brothers Big Sisters,
Information Technology Empowerment
Center (ITEC), Greater Lansing Housing
Coalition, and Eastside Community Action
Center.

• Health Communications and Emergency
Preparedness worked with the Communicable
Disease Division and the Immunizations
Program to develop a hepatitis A public
education campaign.

10

ICHD LEADERSHIP

INGHAM COUNTY BOARD OF COMMISSIONERS Chris Trubac, District 7
Chairperson Bryan Crenshaw, District 4 Mark Grebner, District 8
Vice-Chairperson Ryan Sebolt, District 2 Carol Koenig, District 9
Vice-Chairperson Pro Tem Robin Naeyaert, District 14 Thomas Morgan, District 10
Victor Celentino, District 1 Emily Stivers, District 11
Derrell Slaughter, District 3 Mark Polsdofer, District 12
Todd Tennis, District 5 Randy Schafer, District 13
Randy Maiville, District 6

INGHAM COUNTY BOARD OF HEALTH Molly Polverento, MSEd, CPH
Chairperson Lynne Stauff, MPA Nino Rodriguez, PhD
Vice Chairperson Jan Bidwell, MSW, LCSW Gary Rowe, RS, MS
Denise Chrysler, JD Abby Schwartz, MPH
Nickell Dixon, DrPH, MPH Derrell Slaughter, Ingham Co. Commissioner
Dilhara Muthukuda, MPH

INGHAM COUNTY COMMUNITY HEALTH CENTERS BOARD
Chairperson Todd Heywood Florensio Hernandez
Vice Chairperson Jennifer Hanna Hope Lovell
Secretary Sam Inglot Mary Molloy
Katreva Bisbee Rachel Ruddock
Ramona Borowicz Robert Stark
Jeffrey Brown Todd Tennis, Ingham Co. Commissioner
Dr. Douglas Edema Anshu Varma
Amy Fountain Daphine Whitfield
Elsa Heenan

INGHAM COUNTY HEALTH DEPARTMENT ADMINISTRATION
Linda S. Vail, MPA, Health Officer
Debbie Edokpolo, MSW, Deputy Health Officer Our mission
Joel Murr, MPA, Deputy Health Officer is to protect,
Anne C. Scott, MPH, Deputy Health Officer/Executive improve, and
advocate for the health
Director - Community Health Centers
Adenike Shoyinka, MD, MPH, Medical Director and well-being of our
Eric Thelen, MBA, Chief Financial Officer community by identifying
Priti Pathak, MD, Interim Medical Director of the
Ingham Community Health Centers and advancing the
conditions under
which all people can
achieve optimum
health.
11

5303 S. Cedar Street • P.O. Box 30161 • Lansing, MI 48909-7661
P: (517) 887-4311 • F: (517) 887-4310 • hd.ingham.org
Ingham County is an Equal Opportunity Employer.