Wayne County Combined General Health District

1. Wayne County Combined General Health District An Overview of History, Governance, Activities, and Current Topics of Interest Gregory L. Halley, MD, MBA Health Commissioner

2. Public Health is … • The mission of public health is to "fulfill society's interest in assuring conditions in which people can be healthy." (IOM,, Committee for the Study of the Future of Public Health, Division of Health Care Services. 1988.)

3. Three Core Public Health Functions • Assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities;

4. Three Core Public Health Functions • Formulating public policies, in collaboration with community and government leaders, designed to solve identified local and national health problems and priorities;

5. Three Core Public Health Functions • Assuring that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services, and evaluation of the effectiveness of that care.

6. The Ten Essential Public Health Services • Monitor health status to identify community health problems • Diagnose and investigate health problems and health hazards in the community • Inform, educate, and empower people about health issues • Mobilize community partnerships to identify and solve health problems

7. The Ten Essential Public Health Services • Develop policies and plans that support individual and community health efforts • Enforce laws and regulations that protect health and ensure safety • Link people to needed personal health services and assure the provision of health care when otherwise unavailable

8. The Ten Essential Public Health Services • Assure a competent public health and personal health care workforce • Evaluate effectiveness, accessibility, and quality of personal and population-based health services • Research for new insights and innovative solutions to health problems

9. History of Public Health in Ohio • 1834: Cincinnati and Columbus formally established boards of health. • 1852: Any Ohio city permitted to establish a board of health and city councils allowed to formulate regulations. • 1875: Township trustees given limited authority to prevent spread of small pox through quarantine.

10. History of Public Health in Ohio • 1886: State Board of Health organized. • 1893: All municipalities required to establish a board of health. • 1919: Hughes Act and Griswold Amendment creates city and general health districts with varying restrictions on fulltime and part-time personnel including health commissioners and nurses.

11. History of Public Health in Ohio • 1963: State director of health to be appointed by governor and term to be concurrent with the governor. • 1985: Standards established for local health departments. • 1987: Local health departments permitted to charge costs for all state-required environmental health programs. …. Historical Summary Developed by Mansfield -Richland County Health Department

12. History of Public Health in Wayne County, Ohio • April 14, 1905: Wooster City Health Department Established • Wayne County Health Department established prior to 1908 (First records, Birth/Death Records date from 1908.) • January 28, 1952: Orrville City Health Department combined with Wayne County Health District

13. History of Public Health in Wayne County, Ohio • March 6, 1961: Rittman City Health Department combined with Wayne County Combined General Health Department • December 14, 1976: Wooster City Health Department combined with Wayne County Combined General Health District

14. Wayne County Combined General Health District Governance: • Board of Health is appointed/Confirmed by District Advisory Council. This body is composed of president of the board of county commissioners, the chief executive of each municipal corporation not constituting a city health district, and the president of the board of township trustees of each townshipand others as specified by contracts with participating cities.

15. Wayne County Combined General Health District Governance: Board of Health Appointments: • 5 members representing the county unincorporated areas and villages/cities with populations of less than 5000 • 2 members represent City of Wooster • 1 member represents City of Rittman • 1 member represents City of Orrville • 1 member Health District Licensing Council • 1 physician

16. Wayne County Combined General Health District Organization: Three functional Service Delivery Areas: 1) Patient Care Services (Includes WIC) • Environmental Health Services • Administrative (Vital Statistics) Each Service Area has a Regulatory (Rules Enforcement), Data Reporting, and Direct Service Component.

17. Immunizations Well Child Exams Blood Pressure Checks Communicable DZ Walk-In Clinics WIC Nutrition Program Health Education Medical Director Provides Oversight and Supervision of Patient Care Service Delivery HIV Testing STD Clinic DOP (Eye) Clinic TB Testing Patient Care Services

18. Environmental Health Services • Home Sewage Treatment Program • Private Water Wells • Food Establishment/Retail Food Est. • Mobile Home Parks / Camps • Solid Waste Investigation / Enforcement • Rabies Control • Plumbing Inspection Program

19. Administrative Services • Vital Statistics Collection / Reporting • Birth Certificates • Death Certificates • Genealogy Research Assistance • Administrative Management of Health Department Support Functions (Budget, Financial Services, Payroll, etc.)

20. Topics of Interest • Anthrax and Bio-Terrorism • West Nile Virus • Revamping Food Service Licensing & Oversight by State Government • Revision of State Rules for Home Sewage Treatment Systems • Health Department Website

21. Website: http://wayne-health.org