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Nevada_Executive_Budget_2013-2015

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HHS-DPBH - COMMUNITY HEALTH SERVICES<br />

101-3224<br />

PROGRAM DESCRIPTION<br />

The Community Health Nursing (CHN) Program provides public health services in fourteen of <strong>Nevada</strong>'s rural counties. Eleven of these counties have community health nursing clinics;<br />

Elko, Eureka, and Storey Counties have Federally Qualified Health Centers (FQHC) but no CHN clinics. The CHN program provides public health preparedness (PHP) coverage and<br />

epidemiology assistance in twelve counties; Lyon and Douglas Counties began receiving their PHP and epidemiology coverage by Carson City Health and Human Services in the fall of<br />

2011. Essential public health nursing services include adult and child immunizations, Early Periodic Screening Diagnosis and Treatment (EPSDT) examinations, including lead testing;<br />

family planning, cancer screening, and identification/treatment of communicable diseases such as Tuberculosis (TB), Sexually Transmitted Infections (STI) and Human Immunodeficiency<br />

Virus (HIV). Two Community Health Nurses (CHNs) function as the school health nurse in those rural districts without school nurses (Lincoln and Esmeralda Counties).<br />

In SFY12, the CHN program started formal relationships with the <strong>Nevada</strong> Statewide Coalition Partnership through subgrants. The goals of these subgrants are to provide outreach and<br />

education to the community so that the CHNs can be in the clinics providing direct services.<br />

In SFY12, the CHN program received federal family planning dollars to expand the practice management system software, Lytec, to purchase LytecMD, an electronic health record program<br />

that meets the federal requirements for meaningful use. This system is fully operational, and captures time and effort, service reports, accounts receivable documentation and reports, and<br />

many other useful features to assure the clinics are individually and collectively maximizing their revenue enhancement opportunities, and complying with federal regulations.<br />

BASE<br />

This request continues funding for 31.25 positions and associated operating costs. One-time expenditures have been eliminated and partial year costs have been annualized.<br />

2012-<strong>2013</strong> <strong>2013</strong>-2014 <strong>2013</strong>-2014 2014-<strong>2015</strong> 2014-<strong>2015</strong><br />

2011-2012 WORK AGENCY GOVERNOR AGENCY GOVERNOR<br />

ACTUAL PROGRAM REQUEST RECOMMENDS REQUEST RECOMMENDS<br />

RESOURCES:<br />

APPROPRIATION CONTROL 1,083,651 1,064,232 1,235,858 1,149,410 1,221,474 1,175,164<br />

REVERSIONS -194,113 0 0 0 0 0<br />

BALANCE FORWARD FROM PREVIOUS YEAR 55,623 0 0 0 0 0<br />

FED FAM PLAN PROG GRANT 762,673 656,000 727,743 647,361 732,060 647,319<br />

CHARGES FOR FAMILY PLANNING SERVICES 82,808 126,935 105,561 119,383 101,917 117,445<br />

CHARGES FOR SERVICES - OTHER FUND 205,217 183,389 176,813 212,827 167,763 208,271<br />

COUNTY PARTICIPATION FUNDS 631,422 638,766 683,318 564,077 681,016 564,077<br />

GIFTS AND DONATIONS 38,345 141,043 0 0 0 0<br />

TRANS FROM 3220 PHHS 186,819 219,000 186,278 164,037 187,557 164,037<br />

TRANS FROM 3218 ASPR 162,799 319,515 37,129 29,411 37,466 29,411<br />

TRANS FROM 3220 STD ELIM 5,918 6,715 6,528 6,528 6,528 6,528<br />

TRANS FROM 3220 TB ELIM FED 12,522 14,781 10,337 10,337 10,337 10,337<br />

TRANS FROM 3208 26,236 27,444 0 0 0 0<br />

TRANS FROM 3214 13,533 13,722 0 0 0 0<br />

TRANS FROM 3218 CDC 184,173 278,707 215,879 215,194 218,862 217,817<br />

TRANS - TRANSFER FROM BA 3218 INFRASTRUCT 0 0 10,218 0 10,682 0<br />

TRANS FROM 3194 41,964 42,584 30,182 31,212 30,252 31,981<br />

TRANSFER FROM BA 3222 - MCH GRANT 168,166 186,224 206,385 183,197 207,540 182,325<br />

TRANSFER FROM SAPTA 87,263 139,571 143,479 139,571 143,716 139,571<br />

DEPARTMENT OF HEALTH AND HUMAN SERVICES DHHS-PUBLIC HEALTH - 121<br />

DHHS - PUBLIC HEALTH

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