HomeMy WebLinkAboutFY21 Annual Report2577 NE Courtney Drive
Bend, Oregon 97701
Behavioral Health: (541) 322-7500
Public Health: (541) 322-7400
https://www.deschutes.org/health
F I S C A L Y E A R 2 0 2 1
A N N U A L R E P O R T
F Y 2 1 H i g h l i g h t s .................................................................. 3
S t r a t e g i c P l a n .................................................................... 6
P o p u l a t i o n G r o w t h ............................................................ 7
O r g a n i z a t i o n a l C h a r t .......................................................... 8
H e a l t h S e r v i c e s L o c a t i o n s .................................................. 9
B e h a v i o r a l H e a l t h ............................................................. 1 0
P u b l i c H e a l t h .................................................................... 3 4
A d m i n i s t r a t i v e S e r v i c e s .................................................... 5 1
T A B L E O F C O N T E N T S
C o n t i n u u m o f C a r e ..........................................................
B e h a v i o r a l H e a l t h A d m i n i s t r a t i o n ...................................
A c c e s s & I n t e g r a t i o n ........................................................
C o m p r e h e n s i v e C a r e f o r Y o u t h & F a m i l i e s ......................
C r i s i s & S t a b i l i z a t i o n ........................................................
I n t e l l e c t u a l & D e v e l o p m e n t a l D i s a b i l i t i e s .......................
I n t e n s i v e A d u l t S e r v i c e s ...................................................
O u t p a t i e n t C o m p l e x C a r e ................................................
P u b l i c H e a l t h O v e r v i e w ....................................................
P u b l i c H e a l t h A d m i n i s t r a t i o n ............................................
A c c e s s t o C l i n i c a l & P r e v e n t i v e S e r v i c e s ...........................
A d v a n c e m e n t & P r o t e c t i o n s .............................................
E n v i r o n m e n t a l H e a l t h ......................................................
P r e v e n t i o n ........................................................................
A d m i n i s t r a t i v e S e r v i c e s ...................................................
D i r e c t o r 's O f f i c e ..............................................................
1 1
1 3
1 6
1 9
2 2
2 5
2 8
3 1
3 5
3 6
3 9
4 2
4 5
4 8
5 2
5 5
PG | 2
Collaborate with community partners to administer vaccines and increase capacity
Provide accurate and timely public information to the public
Provide surveillance, investigation and monitoring of COVID-19
Support the planning and logistics to increase testing capacity
Develop transition plan for Incident Management Team personnel
Provide for the safety of IMT personnel, responders and the public
Maintain all essential Health Services Programs
Ensure the highest level of safety possible for clients and staff
Support IMT requests for resources to the extent essential services are maintained
Support the logistical needs for Health Services programs and staff
Maintain situational awareness and communication to support policy and operations
Incident Management Team (IMT)
Key Objectives:
Internal Response - COVID Continuity of Operations Team (COOP)
Key Objectives:
F Y 2 1 H e a l t h S e r v i c e s H i g h l i g h t
C O V I D -1 9 P a n d e m i c R e s p o n s e
Website: https://www.deschutes.org/health/page/covid-19-novel-coronavirus
Primary Contact: George A. Conway, MD, MPH, Health Services Director
At the onset of the COVID-19 pandemic in Deschutes County, the Health Services
department took immediate action to form two different emergency response teams. The
Incident Management Team was formed in partnership with the Deschutes County Sheriff's
Office Emergency Management Unit to address the needs and protect the Deschutes
County community. Additionally, an Internal Response team was formed to protect and
address the needs of the Health Services clients and staff members.
7 8 %
IMT positions
supported by
Health Services
(as of 4/1/21)
3 6 %
Deschutes Co.
population
vaccinated or have
vaccinations
in-progress
(as of 3/29/21)
6 0 %
Unvaccinated
survey respondents
likely to become
vaccinated when
available
(as of March 2021)
1 8 K
Hours logged by
Health Services
Staff for COVID
Response
(as of 4/1/21)
Incident Commander: Chris Weiler (previously, Nathan Garibay)
Internal Response Lead: Janice Garceau
PG | 3
Scaling up/down investigation, surveillance, monitoring
Maintaining sustained efforts.
Vaccine inventory.
Disseminating accurate, real-time information to residents.
Maintaining core services with significantly reduced capacity due to staff
deployments to the external Incident Management Team.
Working with community partners, set up a mass vaccination center that has the
capacity for up to 12,000 vaccines per week.
Increased testing capacity by hosting free OHA sponsored testing events and
stood up our own free County testing events.
Responded to 93% of investigations within 24-hours during non-surge periods.
Established a call center that triaged up to 1,278 phone calls weekly, providing
information to Deschutes County residents.
Recruited over 1,000 Public Health Reserve Corps members to assist with
volunteer efforts in vaccination clinics.
Safely delivered services at DCHS while protecting clients and staff in a manner
that resulted in no outbreaks at DCHS locations.
Overcoming barriers for vulnerable communities such as older adults, LatinX,
intellectually & developmentally disabled, etc.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
S t a f f i n g
An additional 20.9 limited duration FTE have been approved to support the COVID
Response above the current staff deployed. These additional FTE are included in
the Health Services project budgets.
PG | 4
The Deschutes County Stabilization Center (DCSC) serves children and adults who are in
need of short-term, mental health crisis assessment and stabilization, but do not require
the medical capabilities of an acute care hospital or longer-term residential care. The
DCSC welcomes individuals to walk in when they are experiencing a mental health crisis,
or they can be referred by local law enforcement and other community partners.
The Stabilization Center provides a wide array of crisis services to the community
including: crisis walk-in appointments, adult respite services, Forensic Diversion
programs, peer support, and more.
F Y 2 1 H e a l t h S e r v i c e s H i g h l i g h t
D e s c h u t e s C o u n t yStabilization C e n t e r
On June 1, 2020 Health Services successfully opened its doors at the Deschutes County
Stabilization Center (DCSC). This outstanding achievement followed over 5 years of
conceptualization, program development, facility design and close collaboration with
Deschutes County Sheriff's Office.
PG | 5Data as of 03/31/21 unless specified
Ensure a culture of community & clients first
Establish a culture of care, purpose & shared
accountability
Develop & support a diverse, excellent
workforce
Assure sustainable funding and efficient
practices
Health Services
FY22 Strategic Plan
Deschutes County Health Services provides leadership, programs, services, education, and
protections to improve the health of individuals, families and communities so people enjoy
longer and healthier lives.
Mission:
Vision:
Values:
To promote and protect the health and safety of our community.
Advocacy
Committing to use the best data, science, and information available to make decisions that
result in high quality services.
Collaboration
Equity & Inclusion
Healthy Workplace
Supporting individual and community health by ensuring access to health care for all.
Building relationships that reflect growth, authenticity, and mutual respect.
Demonstrating awareness and respect for the diversity in our workplace and community.
Promoting respectful interactions, healthy lifestyles, emotional and physical safety in work
environments (trauma-informed practices).
Excellence
Leadership Advancing a shared vision with inspiration that guides our work at all levels of the
organization and in the community.
Professionalism Conducting oneself with the highest level of personal integrity, conduct and accountability.
Stewardship Using public resources effectively and efficiently.
Goals:
I M P R O V E
O U T C O M E S
I N C R E A S E
S U S T A I N A B I L I T Y
Objectives:
Increase access to culturally appropriate
programs and services
Empower people to thrive in healthy,
supportive environments
Advance health equity
D e s c h u t e s C o u n t y
H i s t o r i c a l a n d P r o j e c t e d P o p u l a t i o n
PG | 7
Deschutes County Health ServicesOrganizational Chart
PG | 9
D e s c h u t e s C o u n t y H e a l t h S e r v i c e sLocations
La Pine High SBHC
Bend High SBHC
Mike Maier Main Clinic
Ensworth SBHC
South County Services
Williamson Downtown Clinic
M.A. Lynch SBHCKIDS Center
Wall Street Services
Stabilization Center North County Services
Becky Johnson Center
Sisters SBHC Redmond High SBHC
B E H A V I O R A L H E A L T H
B e h a v i o r a l H e a l t h A d m i n i s t r a t i o n
A c c e s s & I n t e g r a t i o n
C o m p r e h e n s i v e C a r e f o r Y o u t h & F a m i l i e s
C r i s i s & S t a b i l i z a t i o n
I n t e l l e c t u a l & D e v e l o p m e n t a l D i s a b i l i t i e s
I n t e n s i v e A d u l t S e r v i c e s
O u t p a t i e n t C o m p l e x C a r e
PG | 10
Level of Need &ComplexitySevere mental health disorders such as schizophrenia; substanceuse or co-occurring medical problems which complicate mental illness;often homeless; may have frequent involvement with law enforcementdue to poorly managed acute symptoms. Child with multi-systeminvolvement (foster care, Juvenile Justice), history of severeabuse/neglect, multiple placements, severe depression, anorexia,cutting self, serious suicide attempts Person with serious mental illness, but long-term stable on medications;has newly diagnosed medical condition; struggling to deal with the newdiagnosis. Life change resulting in trouble sleeping, self-doubt, mild moodchanges, no suicidal thoughts, trouble managing health due to stress,takes medications Community Mental Health Program(Safety Net Provider)Deschutes County Behavioral Health24/7 Crisis Response & StabilizationSpecialty Intensive Community-BasedServicesComplex Outpatient CareIntellectual/Developmental DisabilityServices High NeedModerateNeed withHighComplexityModerate Needwith ModerateComplexityModerate Needwith LowComplexity Low Need withLow ComplexityMinimal to NoNeedIndividuals Typically Served Hospital: suicidal or dangerous to self or others. Residential: severe mentalillness impacting ability to live safely without supports in community.Person with PTSD or major depression, history of psychiatric hospitalizations,frequent ER visits, imminent risk of losing housing, few natural or familysupports. Young adult with major depression, suicidal thoughts but noattempts, poly-substance use, doesn’t seek care, estranged from family Person with Post Traumatic Stress Disorder, eating disorder, mild-moderatedepression or anxiety, some family support, struggles to maintaincompliance with medications Self-referred after loss or life circumstance, has family connection, senseof purpose in life, history of stability, current functioning decline (drinkingdaily, job loss due to symptoms, other destructive behavior, poor insight) Overall good life satisfaction, good relationships, productive andconnected to others; experiencing minor anxiety; talking with othershelps Primary Provider Typer Hospital and ResidentialSt. Charles, Sageview, State Hospital,Sagebrush Academy Day Treatment,Youth Villages & Intercept Community Outpatient Private/Non-Profit TreatmentProviders Non-Profit Agencies PrivatePractitioners Behavioral Health Consultants inPrimary CareMosaic Medical, St. Charles, La PineCommunity Health No Treatment Needed Community Supports: Family, Friends,ReligiousOrganizations, Support Groups, Etc.Low Need withModerateComplexityReferral Sources & Community Partners: Schools, Child Welfare,Law Enforcement, Primary Care, Community Members, and OthersLevel of Impaired Functioning in CommunityCommunity Behavioral Health Service Continuum
Crisis & Stabilization Walk-In Crisis and Stabilization Services24/7 Mobile Crisis (MCAT)Forensic DiversionMental Health CourtFamily Drug CourtCivil Commitment InvestigationsCo-Responder ProgramPhone or face to face intervention and brief stabilization.Crisis response in community (primarily with law enforcement).Reducing recidivism and entry to state hospital.Coordinating intensive treatment for adults with legal charges.Treatment for adults with substance use disorder who have committed acrime and whose children are at risk of removal.Determining if individuals placed on involuntary holds are a danger toself or others and in need of commitment. Clinician rides with Bend PD officers to respond to mental health callsAccess and IntegrationAccessMedical Team Main entry point for all Behavioral Health programs. Providesscreenings, placement and referralsIntegrates psychiatry into all clinical services. Intellectual/Developmental Disability ServicesCoordination of services for children and adults withintellectual/developmental disabilities; provision of adult protectiveservices and abuse investigations.Comprehensive Care for Youth and Familiies Early Assessment & Support Alliance (EASA)Wraparound (WRAP)Young Adults in Transition (YAT)System Of CareCoordinated specialty care for 12-29 year olds at clinical high risk orexperiencing a first episode of psychosis.Intensive team based care coordination and treatment for children anyouth with serious mental health conditions.Intensive care coordination and treatment for under supported youngadults from ages 14-25 with serious mental health disorders. Family driven governance structure to increase access for children andyouth with serious mental health conditionsIntensive Adult Services Assertive Community Treatment (ACT)Forensic (ACT)Community Support Services (CSS)Community Outreach and Stabilization Team (COAST) Older Adults Mental Health Services Intensive community based services for individuals with serious mental illnessunder civil commitment or at-risk of state hospital admission.Intensive community based services and treatment for individuals with seriousmental illness concurrently involved with the criminal justice system, and partof court/state ordered diversion program.Treatment for individuals with a serious and persistent mental illness withtherapy, groups, outreach, skills training and more.Special programs for individuals with serious mental illness: integrated healthcare support, rental assistance, supported housing, assistance for transitionsfrom homelessness.Services for adults over age 65 with seriousmental illness and at risk of losinga community placement.Outpatient Clinic Hubs (Bend, North County, South County) School-Based Health CentersMediationComprehensive mental health and alcohol and drug services for adults, youth,children and their families.Mental health treatment for students and their families co-located with schoolbased primary care clinics.Child custody mediation for parents in dispute about post separationarrangements for their children.Outpatient Complex Care
D C H S - B e h a v i o r a l H e a l t h
B e h a v i o r a l H e a l t h A d m i n i s t r a t i o n
This program staffs the leadership team for the behavioral health service area. It ensures that
behavioral health programs receive the vision, guidance and resources needed to meet statutory
service obligations and strategic objectives.
9 5 %
Individuals offered
an appointment
within 7 days of
discharge from the
hospital
6 %
Increase in
number of client
visits since CCBHC
implementation in
2017
4 5 %
Coordination with
Client Primary
Care Providers
[target = 90%]
Primary Contact: Janice Garceau, Deputy Director for Behavioral Health
Website: https://www.deschutes.org/health/page/behavioral-health
Certified Community Behavioral Health Clinic (CCBHC)
Intended Benefits for Community Mental Health
Expand array of addictions and mental health services
Integrate primary care screening and coordination
Receive enhanced Medicaid payment rate based on anticipated costs
Broad Health Goals: Saving Lives
Reduced mortality & suicide rates
Reduced substance abuse
Reduced hospitalization
Reduced incarceration
Reduced homelessness
Healthcare Integration Focus
Increase coordination with primary care
Conduct routine BMI - hypertension, diabetes, etc.
Enhance systems to stabilize individuals outside of emergency department and hospital -
Peers, Stabilization Services, Psychiatry
Focus on reducing costly, negative health outcomes upstream
2 3 %
Decrease in
PHQ9 scores that
are >10 by at
least 5 points
[up from 15%]
Data as of 12/31/20 unless specified PG | 13
Behavioral Health Vision:
Deschutes County Behavioral Health is a responsive, equity focused and trauma informed
organization serving the community through integrated, transdisciplinary, and highly skilled teams
improving the health and well-being of people of all ages experiencing serious mental health and
co-occurring substance use disorders and/or intellectual & developmental disabilities.
Returning behavioral health to robust in-person services, including
making up for decreased referrals and service hours and restoring
full, on site benefits of integration with primary care.
Determining and responding to the behavioral health recovery needs
for the community in a post-pandemic emergency recovery period.
Accounting for growth by addressing space and infrastructure needs.
Maintained existing service levels throughout the COVID 19 pandemic
emergency while simultaneously supporting the Incident
Management Team emergency response.
Successfully increased resources to the behavioral health service
area through achieving the CCBHC Expansion Grant, IMPACTS Grant,
System of Care Grant and no loss in the Coordinated Care
Organizations (CCO) contract.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 14
Anticipated increase in CCBHC revenue
Covering costs of CCBHC Expansion positions, which end April 30, 2022
Addition of a new Program Manager
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
None
FTE Changes
+1.00 BH Program Manager to oversee Access & Integration
program in FY22
Project Codes: HSBHGEN
PG | 15
D C H S - B e h a v i o r a l H e a l t h
A c c e s s & I n t e g r a t i o n
Access
Psychiatric Services
Main entry point for most of behavioral health programs. The program
provides screening, assessment, placement, and referrals for mental
health and substance use disorder services.
Integrates psychiatry into all clinical services. Provides health screening
and collaboration with primary care providers.
This program ensures individuals are rapidly assessed and connected to the behavioral
health care that best meets their needs.
“Evan did my intake
assessment and he did an
awesome job working with me
to find the perfect therapist for
me and my goals”
Clients offered a
face-to-face
appointment
within one week
[target=100%]
DHS children in
foster care seen for
an assessment
[target=90%]
Program data
integrity rate, semi-
annually
[target=90%]
9 9 %9 9 %8 1 %
Primary Contact: Molly Wells Darling, Program Manager
Website: https://www.deschutes.org/health/page/how-access-services
(quote from a recent client survey)
PG | 16Data as of 12/31/20 unless specified
Ongoing lack of intake/referral coordinator position affects ability to better
coordinate care with community partners.
Reduced ability to see clients and staff in person created challenges for
managing intake paperwork, navigating safety planning when someone was
in crisis, and maintaining team morale.
Increase in crisis referrals, resulted in an increase in designated crisis
assessments slots from five per week to twelve per week (140% increase).
Upcoming implementation of a pilot project for the Rapid Engagement
Model in 2021.
Encountered psychiatric staffing challenges during the pandemic including
difficulty filling open psychiatrist FTE after candidate fell through and then
had little action around relocations during past year.
Maintained Access services throughout FY21 despite COVID-19 restrictions.
Implemented telehealth services, which improved attendance rates
Implemented use of the Service Menu tool for assigning a level of care to
clients based on impairment, acuity, and diagnosis.
Met our goal of offering clients face-to-face appointments within one week at
99% despite the timeline decreasing from 14 days to 7 days in 2020.
Psychiatric services team staffed vaccination clinics until broader community
effort could be fully activated and maintained psychiatric services to clients.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 17
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
None
Program Changes
Implementation of an intake/referral specialist position to help
improve care coordination with community partners during FY21.
Upcoming implementation of a pilot project for the Rapid
Engagement Model in 2021.
FTE Changes
+1.00 Admin Support Spec.
0.90 CHS I and 1.00 CHS II moved from HSADLTINT
HSINTEGRAT
Project Codes: HSACCESS; HSMEDICAL; HSINTEGRAT
PG | 18
D C H S - B e h a v i o r a l H e a l t h
C o m p r e h e n s i v e C a r e f o rYouth a n d F a m i l i e s
8 7 %3 9 0 9 7 %
WRAParound
families are actively
participating in
strengths-based
planning
Early Assessment & Support Alliance (EASA)
Wraparound (WRAP)
Young Adults in Transition (YAT)
System Of Care (SOC)
School-Based Health Centers
Individual, group and family treatment for students with mental health
disorders and their families.
Coordinated specialty care and treatment for 12-29 year olds at
clinical high risk or experiencing a first episode of psychosis.
Intensive team based care coordination and treatment for children
and youth with serious mental health conditions.
Intensive care coordination and mental health treatment for under
supported young adults from 14-25 years of age with serious mental
health disorders.
Family driven governance structure to increase access for children and
youth with serious mental health conditions.
this program provides specialty mental health care for individual’s ages 0-29 and their
families through an array of integrated, intensive outpatient care teams: EASA, YAT,
Wraparound, School Based Health Centers, and Child, Family & Young Adult
Outpatient.
WRAParound
Graduates Attending
School
[target = 90%]
Unique Client Visits
at "The Drop"
Youth Center.
Down from 1157
due to COVID-19
Project Code: HSINTYOUTH
Primary Contact: Shannon Brister-Raugust, Program Manager
Website: https://www.deschutes.org/health/page/comprehensive-care-youth-and-families
PG | 19Data as of 12/31/20 unless specified
In the 2021 bi-annual fidelity review for first episode of psychosis,
conducted by the EASA Center for Excellence, the EASA program
scored 93% demonstrating high fidelity clinical interventions.
Awarded $4 million, four-year System of Care Expansion Grant to
expand services for children with serious emotional disturbance.
Awarded School Based Health Center Outreach & Engagement Grant
and Generation Parent Training Management-Oregon Grant,
expanding in-home parenting skills and training through evidence
based supports.
Affordable and safe housing for young adults and families continues to
impact client success in treatment and recovery.
COVID-19 has greatly impacted referrals, and access to care through
drop in services.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 20
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
None
Program Changes
None
FTE Changes
None
Project Code: HSINTYOUTH
PG | 21
Walk-In Crisis and Stabilization Services
24/7 Mobile Crisis (MCAT)
Crisis response in community (primarily with law enforcement).
Forensic Diversion
Reducing recidivism and entry to state hospital.
Family Drug Court
Civil Commitment Investigations
Co-Responder Program
Phone or face-to-face intervention. Brief stabilization.
Treatment for adults with substance use disorder who have committed a
crime and whose children are at risk of removal.
Determining if individuals placed on involuntary holds are a danger to self or
others and in need of commitment.
Clinician rides with Bend PD officers to respond to mental health related calls
for services
D C H S - B e h a v i o r a l H e a l t h
C r i s i s a n d S t a b i l i z a t i o n
6 0 %
Reduction in
recidivism for
those served by
Forensic Diversion
[target=60%]
8 9 3
Individuals
served through
crisis walk-in
1 9 2
Emergency
Department
Diversions
This program provides 24/7 crisis services including face-to-face evaluations in the
community and clinic, as well as diverts individuals with a serious and persistent mental
illness (SPMI) from the criminal justice system when appropriate.
Website: https://www.deschutes.org/health/page/crisis-services
Primary Contact: Holly Harris, Program Manager
1 6 7
individuals
dropped off
by Law
Enforcement
PG | 22Data as of 12/31/20 unless specified
Opened the Deschutes County Stabilization Center (DCSC).
Awarded $2.4 million dollars through the IMPACTS grant and expanded
hours of the DCSC to 24/7.
62% increase in calls to the Mobile Crisis Assessment Team (MCAT).
129% increase in MCAT Crisis contacts since 2018.
Lack of low-barrier year-round homeless shelter.
Inability to access the State Hospital for individuals under civil commitment
and lack of long-term placement options for mental health (i.e., residential
treatment homes).
Lack of long-term sustainable funding for the Stabilization Center.
Bureau of Justice Assistance Grant will end December 31, 2021.
The Central Oregon Health Council Grant ends June 30, 2021 and the
IMPACTS grant will pick up at that time and pay for that portion of the DCSC
operations.
IMPACTS grant ends June 30, 2022. It is unknown at this point if any
additional funds will be made available. If not, the DCSC will only have
sustained funding to operate Monday – Friday 7:00 am to 9:00 pm.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 23Data as of 12/31/20 unless specified
Awarded the IMPACTS grant by the Oregon Criminal Justice Commission
in July 2020
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
All Crisis Services were moved to the new DCSC. The DCSC opened
June 1, 2020 and moved to 24/7 operations in October
FTE Changes
None
Project Code: HSCRISIS
PG | 24
D C H S - B e h a v i o r a l H e a l t h
I n t e l l e c t u a l a n dDevelopmental D i s a b i l i t i e s
1 0 0 %
Individual Service
Plans Renewed
on Time
[target = 100%]
9 8 0
Total Number of
Billable Contacts
(monthly)
[target = >946]
1 4 %
Annual Increase in
Service Population
Intellectual /Developmental Disability Child and Family Services
Intellectual/Developmental Disability Adult Services
Coordination of services for children with intellectual/developmental
disabilities and their families.
Coordination of services for adults with intellectual/developmental
disabilities; provision of adult protective services and abuse
investigations.
This program provides support to people with intellectual and/or developmental
disabilities (I/DD), to enable them to live as independently as possible in the least
restrictive environment. Services are aimed at greater access to social interaction,
community engagement, and employment opportunities.
Website: https://www.deschutes.org/health/page/intellectualdevelopmental-disabilities-program
Primary Contact: Paul Partridge, Program Manager
PG | 25Data as of 12/31/20 unless specified
Maintained robust service continuity throughout the COVID-19 Pandemic.
Although service delivery looked different, utilizing various business
innovations we continued to meet community needs while maintaining
productivity and staff satisfaction.
In collaboration with the IMT (Incident Management Team), conducted
successful vaccination outreach and coordination to Phase 1a eligible
service participants.
Onboarding of all new positions from Biennium 19-21 which strengthened
our business acumen, maintained appropriate caseload balance, added
language access for Spanish-speaking population with addition of a
bilingual Service Coordinator and increased service access in the areas of
adult abuse investigations and eligibility determination.
Moving the program toward a 100% electronic case management record,
including capacity for electronic signatures.
Diversifying the way in which we solicit and implement customer feedback,
assuring we include a lens of equity and inclusion.
Increase capacity within residential/foster provider community in order to
better serve high acuity clients locally.
New DHS Workload Model expected to update funding allocation and
impact legislatively adopted budget in June.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 26
New agreement with Jefferson County BestCare to conduct abuse
investigations
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
None
FTE Changes
None
Project Code: HSIDD
PG | 27
Assertive Community Treatment (ACT)
Forensic (ACT)
Intensive community based services and treatment for individuals with serious and
persistent mental illness who are concurrently involved with the criminal justice system,
and part of a court or state ordered diversion or treatment program.
Community Support Services (CSS)
Treatment for individuals with a serious and persistent mental illness with therapy, groups,
outreach, skills training and more.
Community Outreach and Stabilization Team (COAST)
Special programs for individuals with serious mental illness: integrated health care support,
rental assistance, supported housing, assistance for transitions from homelessness.
Older Adults Mental Health Services
Mental Health Court
Intensive community based services and treatment for individuals with serious and
persistent mental illness who are under civil commitment or at-risk of state hospital
admission.
Services for adults over the age of 65 who are unable to receive outpatient treatment.
Individuals with serious mental illness and at risk of losing a community placement are
prioritized.
Coordinating intensive treatment for adults with legal charges.
D C H S - B e h a v i o r a l H e a l t h
I n t e n s i v e A d u l t S e r v i c e s
9 3 %
Rental Assistance
clients who are
stably housed
after 6 months
[target=95%]
1 0 0 %
PSRB clients with no
new commission of
crime while enrolled
in treatment
[target=100%]
8 9 %
Harriman
HealthCare clients
who show up for
scheduled
appointments
[target=89%]
This program provides intensive outpatient treatment, support and outreach to individuals
struggling with severe and persistent mental illness.
Website: https://www.deschutes.org/health/page/intensive-adult-services
Primary Contact: Kara Cronin, Program Manager
PG | 28Data as of 12/31/20 unless specified
Partnered with FUSE in a grant for supporting homeless clients gain
independent housing through rental assistance and peer supports.
Created a Forensic Assertive Community Treatment Team, providing intensive
treatment serving criminally involved and seriously mentally ill clients.
Harriman Heath Care integration project with Mosaic Medical, continues to
demonstrate better health outcomes in diabetes and hypertension control
compared to other Mosaic clinics.
Implemented a grant funded pilot project supporting older adult clients with
accessing treatment and social connection through Grand Pad technology.
Client acuity has increased this year as a result of COVID-19 restrictions,
and is expected to carry into FY22.
Residential treatment bed capacity locally and statewide continues to be
inadequate to meet needs.
Very limited affordable housing and very low vacancy rates in Deschutes
County leaves our clients without housing options.
Older Adult treatment needs continue to grow, with many of the required
services for complex clients not being billable to Medicare.
Bottlenecks at the Oregon State Hospital.
Increasing burden of supporting clients on Aid & Assist and Civil.
Commitment in the community.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 29
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Central Oregon Health Counsel (COHC) grant for integration pilot
projects to improve health outcomes for clients
Program Changes
Formation of the FACT Team to address the growing need to support
the Aid & Assist population in the community
FTE Changes
-0.90 CHS I moved to HSINTEGRAT
-1.00 CHS II moved to HSINTEGRAT
Project Code: HSINTADULT
PG | 30
Outpatient Clinic Hubs
Mediation
Comprehensive mental health and alcohol and drug services.
Adults
Youth, Children & Families
Child custody mediation for parents in dispute about post separation
arrangements for their children.
D C H S - B e h a v i o r a l H e a l t h
O u t p a t i e n t C o m p l e x C a r e
Decrease in ED
visits for high
utilizer population
served w/ Mosaic
Medical
These programs provide evidence based individual, group and family treatment and support
services to children, adults and families with behavioral health concerns.
2 1 %8 8 %
A1C Control Rates
4 7 %
Program
Coordination of
Care with Primary
Care Providers
[target = 80%]
Primary Contact - Outpatient Complex Care: Barrett Flesh, Program Manager
Primary Contact - Bend Child & Family Outpatient: Shannon Brister-Raugust, Program Manager
Website: https://www.deschutes.org/health/page/adult-outpatient-services
(A1C is a blood test
for type 2 diabetes
and prediabetes)
[target = 95%]
Main Clinic
Bend
North County Services
Redmond
South County Services
La Pine
PG | 31Data as of 12/31/20 unless specified
Increasing opportunities for expanding integrated care throughout all
program areas.
Maintaining comprehensive services during pandemic. Telehealth
challenging for younger clients – decline in families accessing
services.
Meet post pandemic, increased behavioral health needs.
Adaptive and smooth transition to telehealth counseling by staff while
continuing to support and provide integrated services during the
pandemic.
Increased access to care and scope of services by maximizing on
telehealth opportunities.
Implemented a Service Menu Tool to help ensure clients are assigned
to the appropriate level of care, clarify service expectations and
support quality of care.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 32
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Extended funding of Peer Support Services for Veteran's services through
Oregon Health Authority
Program Changes
None
FTE Changes
None
Please note - FTE for Bend-based youth, children and families outpatient services are reflected under the
Comprehensive Care for Youth & Families program area.
Project Codes: HSNOCO; HSSOCO; HSADULT
PG | 33
P U B L I C H E A L T H
P u b l i c H e a l t h A d m i n i s t r a t i o n
A c c e s s t o C l i n i c a l & P r e v e n t i v e S e r v i c e s
A d v a n c e m e n t & P r o t e c t i o n s
E n v i r o n m e n t a l H e a l t h
P r e v e n t i o n
PG | 34
Preparing for and responding to
emergencies and emerging health
threats
Preventing, investigating, and
protecting people from diseases
Public health promotes and protects the health of
Deschutes County communities by:
Promoting health and countering the
harmful impact of chronic diseases
Making sure our food,
water and air are safe
Ensuring access to preventive
health services
PG | 35
D C H S - P u b l i c H e a l t h
P u b l i c H e a l t hAdministratio n
9 3 %
of COVID-19 cases had
follow-up initiated
within 24 hours during
non-surge period of
calendar year 2020
[target=95%]
5 0 8 7
Communicable
Diseases/STDs
reported and COVID-19
investigated in 2020
8 5 %
of required license
facilities inspections
conducted, annually
(calendar year)
[target=95%]
This program provides leadership, management and oversight for local public health (PH)
services and assures that the county meets statutory, fiscal and programmatic requirements.
PH Admin works to efficiently leverage resources to meet public health priorities.
Website: https://www.deschutes.org/health/page/public-health
Primary Contact: Nahad Sadr-Azodi, Deputy Director for Public Health
Public Health Modernization
Modernization Priorities:
Improve capacity to provide foundational public health programs for every person in Oregon.
Coordinate with partners and stakeholders for a collective impact on health.
Demonstrate progress toward improved health outcomes through accountability metrics and
evaluation.
Access to health services
Infectious diseases prevention
Clean air
Safe food and water
Communities that support healthy living
The goal of public health modernization is to meet today's
challenges and ensure everyone has essential public health
services such as:
Modernization Goals:
PG | 36Data as of 12/31/20 unless specified
*due to field inspections suspended for
much of 2020, over half of inspections
were COVID outreach using telehealth
and virtual inspections.
Contained and responded to the COVID-19 global pandemic, and kept
the community safe by deploying two thirds of the Public Health service
area workforce to the incident management team.
Enhanced evidence-based decision making through establishment of the
Data for Action team comprising epidemiology and assessment,
continuous quality improvement, behavior change communications and
emergency preparedness.
Collaborated with County officials to obtain support for SB587, Tobacco
Retail Licensure, in an effort to curb sale of tobacco and inhalant
products to minors.
Lack of resilience and redundancy in Public Health service area to
address protracted crises and shocks.
Addressing the population growth and demographic and epidemiologic
transitions in Deschutes County.
Building public trust and strengthening community engagement, with a
lens on equity and inclusion.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 37
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
$1.6M Central Oregon Health Council (COHC) COVID funds to support
COVID response efforts and service gaps.
Program Changes
Transfer of Emergency Preparedness from Advancement and Protections to
Public Health Administration.
FTE Changes
All 6.0 FTE position increases are COVID FEMA positions ending 12/31/21
(with the exception of 1.0 FTE that ends 06/30/2021).
Project Code: HSPHGEN, HSEMERPREP
PG | 38
Women, Infants & Children (WIC)
Vital Records Birth & Death Certificates
Clinic Services
Family Support Services & Perinatal Care Continuum
Provides nutrition education, breastfeeding support, heathy foods and
referrals to other needed resources to pregnant and post-partum women
and their families.
Birth and death certificates can be ordered at the Health Services Vital
Records office for all births and deaths occurring in Deschutes County
within the past 6 months.
Clinics in Bend and Redmond offer free or low-cost birth control (for
women and men), annual exams for women, STD testing, outreach and
education.
Provides referrals and direct nursing support to pregnant and post-partum
women and their families in order to improve birth outcomes, increase
access to health services, and improve family relationships.
D C H S - P u b l i c H e a l t h
A c c e s s t o C l i n i c a l a n dPreventive S e r v i c e s
9 8 %
Breastfeeding
Initiation Rate
[target=98%]
9 4 %
At-risk women
served using
contraception
after services
[target=90%]
9 0 %
Pregnant women
served receiving
prenatal care in
first trimester
[target=80%]
These programs are focused on providing quality public health services to individuals and
families seeking reproductive health care, perinatal education and care coordination,
nutrition and breastfeeding education and support, and referrals to needed resources.
Website: https://www.deschutes.org/health/page/clinics-and-services
Primary Contact: Pamela Ferguson, Program Manager
8 4 2
Number of
telehealth
visits provided
during 2020
PG | 39Data as of 12/31/20 unless specified
Family Support Services will implement universally offered personal nurse
visits as well as continue to provide telehealth visits for all programs until
in-home visits are reinstated.
Clinic services will continue to assess service gaps and expand outreach to
provide access to those who are currently not receiving services
elsewhere. Being unable to do outreach, as well as having one medical
provider deployed to the ICS team for several months, decreased expected
clinic revenue in 2020.
WIC will implement a new electronic health record program in early 2022
which will streamline visits and create paperless processes for our clients.
When children return to school full-time, the community will face a gap in
food provision for those between 5-6 years old. They are too old to receive
WIC services (stops at 5th birthday) and too young to enter kindergarten
and receive free/reduced-price meals (kids who turn 5 after Sept. 1 must
wait until the next year to enter kindergarten).
Family Support Services pivoted quickly to provide personal nurse visits and
Perinatal Care Coordination via telehealth throughout the year as well as
expanded access for their Spanish-speaking clients.
Clinic services maintained consistent access levels throughout the pandemic
for all services provided; all clients who presented for services received
needed care, safely, in person.
WIC received a score of 98%, one of the best in the state, during their 2020
biennial review while seeing all clients via telehealth.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 40
Family Support Services is undergoing rate negotiations in spring/summer
for Family Connects Oregon implementation as of July 2021.
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
In July 2021, Family Support Services will implement Family Connects Oregon,
a universally offered program that will expand personal nurse services to
parents with commercial insurance as well as those using the Oregon Health
Plan
FTE Changes
None
Project Code: HSPHDIRECT
PG | 41
D C H S - P u b l i c H e a l t h
A d v a n c e m e n t a n d P r o t e c t i o n s
1 5 6
Communicable
Disease outbreaks
investigated and
controlled in 2020
6 8
Number of known
overdose reversals
from DCHS Harm
Reduction Services
These programs prevent and control the spread of communicable diseases and mitigate
health threats through surveillance, education, investigation, contact tracing, harm
reduction, and outbreak control. Moreover, we assure access to services, enhance
knowledge and skills of adolescents to develop protective factors, foster healthy
relationship building and support positive health outcomes into adulthood.
Website: https://www.deschutes.org/health/page/communicable-disease-programs
Primary Contact: Rita Bacho, Program Manager
Communicable Disease
Immunization
Harm Reduction
STD/HIV
Adolescent Health
Reduces the incidence of communicable diseases through case/outbreak
investigation, contact tracing, disease surveillance, case management and
provider communication.
Facilitates school immunization reporting, ensures access to vaccines and
works to improve vaccine rates.
Prevention of Hep C/HIV transmission, opioid overdose, and provide referral to
services.
Reduces the incidence of STD/HIV through case investigation, contact tracing,
treatment, disease surveillance, case management and provider
communication.
Assists youth to acquire the knowledge and skills to have healthy relationships
and successfully transition to adulthood.
PG | 42Data as of 12/31/20 unless specified
5 0 8 7
Communicable
Diseases/STDs
reported and COVID-19
investigated in 2020
Deployed 100% of the team to COVID-19 Pandemic Response to prevent the
spread of COVID-19 and meet community needs.
Monitored 44 LTCFs/congregate settings providing guidance, investigation,
and testing for 70+ outbreaks and 400+ cases (staff and residents) until 14
days past last positive test.
Expanded COVID-19 capacity, focusing on case investigation/ contact tracing,
LTCF/congregate/business outbreaks, school outreach, wraparound services,
vaccine distribution and clinics.
Maintained case investigation for 1,021 non-COVID-19 communicable
diseases, school immunization reporting, harm reduction services &
overdose prevention. Provided 650 flu vaccines for vulnerable populations
and access for pediatric vaccines and STD/HIV services.
Collaborated with schools to get “My Future My Choice" curriculum into an
online format to provide students access in English and Spanish, which was
shared state-wide.
Unable to provide non-COVID communicable disease surveillance,
community & provider outreach, field visits, program planning, and a
number of prevention activities over the past year.
Unpredictability of future communicable disease threats (emerging viruses,
measles, E.coli, Ebola, tick-borne diseases, etc.).
Opportunity to learn from the pandemic response and strategically plan for
future communicable disease public health crises.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 43
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
None
Program Changes
None
FTE Changes
-1.00 EHS III - Temporarily converted for COVID response, now
restored as CHS II position in Environmental Health
- 0.40 PHE II Vacancy Eliminated
Project Codes: HSCOMMDIS; HSEMERPREP
PG | 44
Restaurant and Health Inspections
Food Service Licensing & Training
Drinking Water
Public Pools
Tourist Facilities
Inspections of restaurants and mobile food units in Deschutes County.
Food handler training and certification and food safety manager training.
Administration and enforcement of drinking water quality standards for the
175 Deschutes County public water systems.
Inspection of over 250 public pools and spas in the County with an emphasis
on safety and disease prevention.
Inspection of hotels, motels, resorts, RV parks, and campgrounds.
D C H S - P u b l i c H e a l t h
E n v i r o n m e n t a l H e a l t h
This program provides public health protections through conducting prevention, education
and regulatory inspections at licensed facilities.
% of required license
facilities inspections,
annually (calendar year)
[target = 95%]
*due to field inspections suspended for
much of 2020, over half of inspections
were COVID outreach using telehealth
and virtual inspections.
Satisfaction score from
licensed facilities served
by Environmental Health
[target = 69%]
8 5 %
8 9 %
Website: https://www.deschutes.org/health/page/environmental-health
Primary Contact: Tom Kuhn, Program Manager
PG | 45Data as of 12/31/20 unless specified
Unknown number of licensed facilities re-opening in the next year
could result in a decrease in revenue.
With the possibility of statewide or local Tobacco Retail Licensure (TRL)
it may be possible to increase staffing to perform inspections at
tobacco retailers. Also, new requirements for campgrounds will
increase need for staffing.
Environmental Health staff capacity and training cannot effectively
address emerging and unfunded environmental health hazards such
as:
Improving air quality during wildfire season, with focus on high risk areas
Integrating health assessments and protections into decision making
Building community resilience to respond to emerging risks
Adapted and expanded its role during the pandemic by providing guidance
and technical assistance to non-traditional businesses such as gyms, retail
stores, and beauty salons.
Created and convened high-level stakeholder problem-solving team to
ensure information sharing and dissemination between regulatory local
and state agencies and law enforcement.
Enhanced Food and Drug Administration (FDA) Retail Food Regulatory
Program Standards by securing grants to build technical and evaluation
capacity. Implementing these grants will develop a safer food regulatory
program to reduce foodborne illness risk and improve public health safety.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 46
Unknown continuation of Transient Room Tax funds
Revenue from fees could increase or decrease
Received $12,300 in campground licensing fees
No increase in EH fees
Unknown whether Tobacco Retail Licensure (TRL) will be successful in
Legislation
Decrease in temporary restaurants at events due to COVID-19
Environmental Health will now license and inspect privately managed
campgrounds on public-owned lands, resulting in 70 additional
inspections per year.
Created limited duration Business Liaison position to fill a gap in
supporting non-regulated businesses.
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
FTE Changes
1.00 EHS II moved from HSCOMMDIS
Project Code: HSENVIRON
PG | 47
Substance Abuse Prevention
Mental Health Promotion and Suicide Prevention
Youth Engagement Program
Living Well Central Oregon:
Prevent Diabetes Central Oregon
Prevents and reduces problem gambling, tobacco, alcohol, marijuana and
prescription drug abuse among young people ages 10 to 25 years.
Prevents suicide death and attempts and promotes community resilience
among all age groups.
Provides leadership opportunities for youth to be actively engaged to prioritize
and develop solutions for issues affecting students .
Regional program improving the livelihood of persons living with chronic
conditions (e.g., pain, diabetes and other chronic illnesses).
Regional program preventing type 2 diabetes in persons diagnosed with
prediabetes.
D C H S - P u b l i c H e a l t h
P r e v e n t i o n
These programs assess needs, gaps and strengths in order to prioritize and work toward
solutions known to improve health, based on the capacity of the community.
Percent of 8th Grade
30-day Vaping Use,
biennially
[target = 12%]
3 3 %1 3 %
Website: https://www.deschutes.org/health/page/staying-healthy-prevention
Primary Contact: Tom Kuhn, Program Manager
Number of all suicides
in Deschutes County,
triennially - combined
[down from 121]
9 9
Percent of 11th
Grade 30-day alcohol
use, biennially
[Target 25%]
PG | 48Data as of 12/31/20 unless specified
Prevention requires long-term, investment to realize cost savings and improved
community health (e.g. reductions in costs for healthcare, criminal justice, education,
social welfare, etc.).
Current funding is stratified across few stable resources and multiple short-term
grants. This results in frequent staff turnover, instability of program delivery, and
requires staff to spend time on resource development instead of program
implementation.
Unknown funding for FY22 including:
Mental Health Promotion and Prevention beyond Dec 2021
Living Well Central Oregon (COHC funded) beyond Dec 2021
OHA allocation level for tobacco prevention, PE13 i
OHA allocation level for Youth Action Councils, PE44-02
Deschutes County contribution to Youth Success Partnership
Expanded last year’s UpShift pilot program to include seven schools. Ensures that
students who have violated the school drug policy are routed to prevention education
or specialized treatment services, providing a positive alternative for students.
Maintained high quality service delivery of Prevent Diabetes Central Oregon through
virtual sessions to 44 clients through six, year-long classes of cohorts allowing pre-
diabetic Central Oregon residents gain skills to remain diabetes free.
Published the County’s first ever Suicide Data Report, providing further
understanding, recommendations, and key findings for suicide prevention in
Deschutes County.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 49
Drug Free Communities Grant application successful for five additional years of
adolescent alcohol, tobacco and marijuana prevention in Bend, $125K per year
through September 2025
Garrett Lee Smith Grant application successful for four additional years of adolescent
focused suicide prevention throughout the County, $117K per year through June 2024
Loss of Marijuana Tax funds to support adolescent drug prevention in La Pine and
Sisters
Fund 270 resources (Behavioral Health transfer) added back $82K to reinstate
substance abuse prevention specialist work in La Pine and Sisters
Alternatives to Incarceration funding transferred out of Health Services
Justice for Families grant ended September 2020 and moved to Saving Grace as
applicant
Mary’s Place filing fees allocated directly to Saving Grace
End of limited duration 1.0 FTE for substance abuse prevention program. Extension
of position is in requested budget through Behavioral Health OHP Reserve grant
COVID-19 deployment of staff reduced productivity and progress for Living Well
Central Oregon program and Youth Engagement Program
Long-term vacancy of Program Coordinator reduced productivity and service toward
suicide prevention efforts
Re-classification of Suicide Prevention Program Coordinator from Community Health
Specialist level II to III to accurately align duties with classification
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
Program Changes
FTE Changes
None
Project Codes: HSPREVENT
PG | 50
*special request
*
A D M I N I S T R A T I V E S E R V I C E S
A d m i n i s t r a t i v e S e r v i c e s
D i r e c t o r 's O f f i c e
PG | 51
D C H S - H e a l t h S e r v i c e s
A d m i n i s t r a t i v e S e r v i c e s
7 7 %
Valid Behavioral
Health Claims
(internal audit score)
[target = 90%]
8 5 %2 5 8
These programs provide operational and fiscal support, as well as oversight of assets
and quality. This includes billing, credentialing, contracting, fiscal, health information
technology, infrastructure, workforce development, safety, compliance, quality
assurance, data & analytics and project management.
Primary Contacts: Cheryl Smallman, Business Officer & Chris Weiler, Operations Officer
Business Intelligence
Operations
Conducts fiscal and analytical activities, as well as initiatives and
quality improvement efforts to improve the efficiency, effectiveness,
and/or improve the financial stability of the department.
Manages a complex and diverse set of business support services and
ensures the department has the tools, equipment and facilities
necessary to serve the community safely.
Employee
Satisfaction Score
[target = 75%]
Estimated Hours
Saved through
Automation
[previous year 280]
Fiscal Services & Accounting
Billing & Credentialing
Contract Services
Data & Analytics
Project Management
Compliance & Quality Assurance
Medical Records
Language Access
Health Information Technology
Behavioral Health Front Office
Procurement
Workforce Development
Infrastructure: Facilities/Fleet
Management/Safety
PG | 52Data as of 12/31/20 unless specified
Administrative Services transitioned quickly to an almost entirely remote
workplace to accommodate the rapid growth in Contact Tracers and
Investigators. This required converting many paper processes to digital and
creating new workflows and systems, all while maintaining support to
programs amid COVID-19 efforts.
Implemented messaging system that increased communication with clients.
Functionality includes customized appointment messages by type,
dissemination of real-time updates, such as building closures or emergencies,
and allows for interactive texting in a HIPAA-secure environment.
Administrative staff as a percentage of overall department FTE has not kept
pace with that of the department, creating challenges in providing support
to increasing Public and Behavioral Health requirements.
Rapid growth in department workforce highlighted Health Services' limited
infrastructure. Opportunities exist to optimize building use, leverage remote
work policies, and identify appropriate purchased or leased infrastructure to
increase access to services as the population grows.
Supporting a remote and mobile workforce working non-traditional hours
requires a shift from traditional operations, including greater demands on
technology and accessibility of both staff and assets.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 53
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
End of 2018 CCBHC Expansion Grant in FY21
Program Changes
None
FTE Changes
-3.0 limited duration FTE supported by 2018 CCBHC Expansion Grant
1.00 FTE Admin Support Tech converted to Admin Support Spec.
-9.0 COVID FEMA reimbursable FTE that transition to HSPHGEN, HSINTEGRAT,
or HSBHGEN
HSADMIN:
HSALL:
Project Code: HSADMIN; HSALL
PG | 54
D C H S - H e a l t h S e r v i c e s
D i r e c t o r 's O f f i c e
7 8 2 K
Health Services
webpage views
[460K in FY20]
3 8 >2 7 0
This program provides agency-wide leadership and oversees programs and activities
with broad public, community partner, inter-agency and cross-jurisdictional impact
and involvement, including; communications, health information, assessment and
epidemiology.
Primary Contact: George A. Conway, MD, MPH, Health Services Director
Website: https://www.deschutes.org/health
Public Information
Epidemiology
Manages department-wide public information, builds community
trust and awareness through accurate and timely information.
Conducts epidemiological surveillance projects and monitors data
on the health status of Deschutes County residents, including
chronic disease, behavioral health, injuries and other areas of
concern.
Media interviews
completed by
Health Services
[65 in FY20]
Press releases
issued by Health
Services
[20 in FY20]
PG | 55
Led, coordinated and strengthened partnerships with other
agencies to share accurate and timely COVID-19 information.
Fostered strong media partnerships to increase media coverage
and improve public awareness.
Developed presentations for weekly live Board of County
Commissioners (BOCC) situation updates.
Continued ongoing public information efforts to share about
Health Services programs in addition to COVID Response
deployment.
Increased and improved access to communications in Spanish.
Providing accurate and timely information during a rapidly
changing situation to increase public trust and combat
misinformation.
Public Information Officer position is limited duration.
1.0 FTE Epidemiologist remained vacant throughout FY21.
Director's Office staff were deployed to the COVID-19 incident
response.
C h a l l e n g e s & O p p o r t u n i t i e s
H i g h l i g h t s & A c c o m p l i s h m e n t s
PG | 56
FTE Detail
B u d g e t I n f o r m a t i o n
Funding Changes
None
Program Changes
Addition on 1.0 FTE limited duration Public Information
Officer
FTE Changes
None
PG | 57