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District 9 Medical Examiner's Office - Orange County Comptroller

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<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Serving <strong>Orange</strong> & Osceola Counties<br />

Presentation to the<br />

Board of <strong>County</strong> Commissioners<br />

June 23, 2009


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

• Presentation Outline<br />

• Mandate<br />

• Workload<br />

• Workforce<br />

• New Facility


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

• Chapter 406: Florida Statute<br />

In any of the following conditions…the<br />

medical examiner shall determine the<br />

cause of death and shall, for that<br />

purpose, make or have performed such<br />

examinations, investigations, and<br />

autopsies as she shall deem<br />

necessary…


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Chapter 406: Florida Statute<br />

• Of CRIMINAL VIOLENCE<br />

• BY ACCIDENT<br />

• BY SUICIDE<br />

• SUDDENLY, WHEN IN APPARENT<br />

GOOD HEALTH<br />

• UNATTENDED BY A PRACTICING<br />

PHYSICIAN


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Chapter 406: Florida Statute<br />

• IN ANY PRISON OR PENAL INSTITUTION<br />

• IN POLICE CUSTODY<br />

• IN ANY SUSPICIOUS OR UNUSUAL<br />

CIRCUMSTANCE<br />

• BY POISON<br />

• BY DISEASE CONSTITUTING A THREAT<br />

TO PUBLIC HEALTH


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Chapter 406: Florida Statute<br />

• BY DISEASE, INJURY OR TOXIC<br />

AGENT RESULTING FROM<br />

EMPLOYMENT<br />

• WHEN A BODY IS TO BE CREMATED,<br />

DISSECTED, OR BURIED AT SEA


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

• Presentation Outline<br />

• Mandate<br />

• Workload<br />

• Workforce<br />

• New Facility


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

MEDICAL EXAMINER<br />

Workload Comparison<br />

Year 2000 2004 2008<br />

Autopsies 833 1,014 1,202<br />

Inspections 428 477 402<br />

CRNA’s 1,153 1,071 1,208<br />

Cremations 3,635 4,326 5,024<br />

Total 6,049 6,888 7,836


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

MEDICAL EXAMINER<br />

Workload Comparison<br />

Year 2000 2004 2008<br />

Natural 601 628 639<br />

Auto Accident 255 306 246<br />

Accident 196 297 338<br />

Suicide 121 147 171<br />

Homicide 82 93 182<br />

Undetermined 4 18 26<br />

Fetal 2 2 2<br />

Total 1,261 1,491 1,604


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

MEDICAL EXAMINER<br />

2008 Workload Breakdown<br />

By Location of Death<br />

Location of Death<br />

Total Number Percentage<br />

<strong>Orange</strong> <strong>County</strong> 1,306 81.4 %<br />

Osceola <strong>County</strong> 298 18.6 %<br />

Total 1,604


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

MEDICAL EXAMINER<br />

Breakdown of Cases in 2008<br />

Visitor Deaths in <strong>Orange</strong> and Osceola<br />

<strong>Orange</strong> <strong>County</strong><br />

Osceola <strong>County</strong><br />

Total:<br />

184 Visitor Deaths<br />

55 Visitor Deaths<br />

239 Visitor Deaths<br />

Visitor Deaths account for 14.9% of our workload


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

MEDICAL EXAMINER<br />

Visitor Deaths in 2008<br />

In-State, Out of <strong>District</strong><br />

Out of State<br />

Out of Country<br />

Total:<br />

140 Deaths<br />

75 Deaths<br />

24 Deaths<br />

239 Deaths


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

• Presentation Outline<br />

• Mandate<br />

• Workload<br />

• Workforce<br />

• New Facility


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Breakdown of Workforce<br />

<strong>Medical</strong> Examiners 5<br />

Medicolegal Investigators 11<br />

Forensic Technicians 5<br />

Administration 11


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

• Presentation Outline<br />

• Mandate<br />

• Workload<br />

• Workforce<br />

• New Facility


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong>


Viewing Room<br />

Reception/Waiting Area


Cooler


Supply Storage


Bone Storage / Paraffin<br />

& Tissue Storage Areas


Technician Workroom/<br />

X-Ray & Photography<br />

Room


Driveway


<strong>District</strong> 9 <strong>Medical</strong><br />

Examiner’s <strong>Office</strong><br />

Serving <strong>Orange</strong> & Osceola Counties<br />

Presentation to the<br />

Board of <strong>County</strong> Commissioners<br />

June 23, 2009

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