Annual Report - Oswald Marketinghealth.vanderburghcounty.in.gov/.../2019/08/vchd_annual_report_201… · for our programs such as diapers, baby items, vouchers, weight loss items,

2018

Annual Report

1

Table of Contents

Foreword……………………………………………………………………………….………… 2

Vanderburgh County Board of Health and Leadership………………………………………….. 3

Mission, Vision, Organizational Values…………………………………………………………. 4

Organizational Chart……………………………………………………………………………... 5

Pre to 3 Program Highlight…………………………………………………………………….… 6

Health Promotions Outreach……………………………………………………..……………. 7-8

Environmental Health Services

Public Health Emergency Preparedness and Response……………..…………..……. 9-10

Vector Control Program………………………………………………………….…. 11-13

Laboratory Division………………………………………………………………….……… 14-19

Women, Infants and Children (WIC)………….……………………………………………. 20-23

Vital Records……………………………………………………...………………………… 24-26

Finance Division…………………………………………………………………………….. 27-30

2

Foreword

I will start my fifth year of leading the Vanderburgh County Health Department as Health

Officer on March 24th, 2018.

It has been an extremely full four years, not quite a retirement job, but a time of building,

changing and challenging the status quo.

This past year we had the Public Health Accrediting Board in for our review. We have been

working on this for at least two years almost non-stop. We felt very good about our site review

as we had a mock visit from some friends in another state who grilled us with multiple

questions and concerns.

Now it is a waiting time to see if we join the other 188 accredited local health departments.

We also received a large grant (the Safety Pin Grant) and started a home visitation program for

expectant mothers and mothers with children up to 3 months of age. The program utilizes an

evidenced based curriculum known as GGK (Growing Great Kids) and follows these individuals

and families prenatally until the child’s third birthday. We are hoping to reduce infant mortality,

Adverse Childhood Events (ACE’s) and have children ready to take on the challenges of school

and the world.

We expanded our Public Health Nursing area to take on the project with four nurses, five

Community Health Workers and one social worker.

We also grew our ability to develop and process primary data with a new data hire and now

have a department of two that can use SPSS, R and other sophisticated tools for assessing data.

Our employees have developed and presented posters at numerous conferences, served on

numerous committees, inspected thousands of restaurants and worked every day to increase

efficiency and improve the health of this county and surrounding counties. Numerous problems

remain including the opioid crisis, childhood lead poisoning, infectious outbreaks, and water

safety but this team is ready to make a difference in the lives of their friends and neighbors

across the city, county, state and even the country if given a chance.

Dr. Kenneth Spear

Health Officer

3

Vanderburgh County Board of Health

Name Position Original Appointment Date

Mark E. Wohlford, D.D.S., PhD Chair January 1, 2008

R. Michelle Galen. M.D. Vice-Chair January 1, 2013

John D. Pulcini, M.D. Member May 1, 1987

Maria Del Rio, M.D. Member August 15, 1989

Fred Mulfinger Member July 25, 2005

Timothy Hubert, Esq. Member June 23, 2014

Sandie Strader-McMillen Member July 1, 2016

The previous members listed, served on the Vanderburgh County Board of Health during the

2018 year. Each member who holds a titled position (chair, vice-chair, etc.), serve a term of four

years. These members may be reappointed or replaced during the term, yet are still able to serve

until a successor has been named. For those whom do not serve in titled positions, a set term

length does not exist. The Mayor and County Commissioner make all appointments under the

Indiana Statute IC 16-20-2-6 &7, according to the population ratio. The members receive no

compensation for serving on the Vanderburgh County Board of Health.

Administration and Core Management Team

Name Position

R. Kenneth Spear, M.D. Health Officer

Joe Gries Administrator

Lynn Herr, BSN RN CPN Director Clinic and Outreach Division

Mary Ellen Stonestreet, RD Coordinator WIC Clinic

Christian Borowiecki, BS, EHS Director Environmental Health Division

Department Supervisors

Name Position

Paulette Hoffman Financial Officer

Wallace Corbitt, MS Supervisor: STD

Ashley Libbert, BSN RN Supervisor: Public Health Nursing

Mary Jo Borowiecki, BS Supervisor: Health Promotions

Tamara Sturm, MLT (ASCP) Supervisor: Laboratory Division

Keith Goy, BS Supervisor: Rodent & Vector Control

Ginger Patton Supervisor: Administrative Assistants

4

Mission

We exist to serve our clients and the community. We will work with our community partners to:

Develop and provide quality health services;

Promote healthy lifestyles;

Protect against and prevent the spread of disease; and,

Assure preparedness to achieve and maintain the best public health

for our community.

Vision

A strong vibrant Health Department recognized as a leading advocate for the health and

well being of the community.

Organizational Values

Organizational values are those ideals, principles, assumptions, and beliefs that guide our

organization. Vanderburgh County Health Department values include:

Customer and community focus…..mindful and responsive to their needs.

Collaboration…..working together for a healthier community.

Integrity…..being respectful of, and fair and honest with, our coworkers and

community.

Preparedness…..ready to respond to threats and emergencies.

Prevent and promote…..against disease and for healthy living.

Protection and advocacy…..for vulnerable populations.

Continuous quality improvement…..nurture and strengthen the culture of quality

at the Vanderburgh County Health Department.

5

Organizational Chart

Vanderburgh County Health Department

6

Pre to 3 Program

Goal

Beginning in 2018, the Pre to 3 program is designed to support families during pregnancy and until

the baby is 3 years old.

Responsibilities and Services

Pre To 3 is a free program provided by the Vanderburgh County Health Department. A

Community Health Worker visits the family each week and uses the Growing Great Kids™

curriculum to teach important skills that build a healthy home. Each week, the Community

Health Worker will do an activity with the parent and the baby (once born). The activities teach

important skills that support healthy growth and development. Community Health Workers bring

in other professionals when needed. This includes an RN (nurse), social worker, lactation

consultant, and more.

Highlights and Accomplishments

196 Families Reached

38 Births (Documented)

95 Active Families

(Current)

2023 In-Home Visits

84.2% Births 37+ Weeks

Gestation

92.1% Birth Weights > 2500 grams

100% Adequate Prenatal

Care (APNCU Index)

84.2% Breastfeeding Initiation

B. Selected Mother Demographics A. Family Reach and

Births

7

Health Promotions and Outreach

The Health Promotion Division strives to educate community residents so they will have the

necessary knowledge, tools, and skills, to improve their health and reduce their risks for chronic

diseases. This division cares about the community’s health, and realizes the importance of

prevention and early detection methods. Poor lifestyle habits such as unbalanced diet, cigarette

smoking, lack of proper exercise, and excessive stress are all prominent risk factors for the

leading causes of death in the United States. Through education, prevention, and changes in

lifestyles, individuals have the capability to enhance their well-being.

VCHD applies for grants to fund our four evidence-based programs that are provided to our

community free of charge. We started by promoting our programs inside our community

through social media, flyers, blackboards, and community partnerships. We provide incentives

for our programs such as diapers, baby items, vouchers, weight loss items, nicotine patches, and

nicotine gum. The following is a list of our programs and the successes reached for the 2018

year:

2018 Baby & Me Tobacco Free Program

This evidence-based program helps pregnant, smoking women stop smoking and rewards them

with free diapers and baby incentives. Partners can enroll as well. The goal is to have mom

smoke free to deliver a healthy baby and then keep mom smoke free for at least a year after she

delivers the baby.

Currently, 186 babies have been born since the beginning of our program three years ago. Of

these 186 babies born, only 13 were born at a low birth rate (under 5 lbs 5 oz). This gives us a

low birth weight rate of 7%. (The March of Dimes 2020 low birth weight rate is 8% so we are

currently reaching that goal). This means that 93% of our moms delivered babies at a healthy

weight. Lastly, 93% of our moms delivered babies at 37 weeks or greater.

2018 Stop Smoking Program

The Stop Smoking program is a 4-week program that has participants meet once a week for five

weeks. During this time, participants receive six weeks of free nicotine patches or nicotine gum

to help them go smoke free. The class is a success with the combination of the weekly support

group, accountability, and free patches. We had 37 participants complete the classes with 33 still

being smoke free by class four. This gives us a 89% success rate of our participants being

smoke free by class four! In 2019 we will adjust the class to five weeks to give more time for

participants to be in a support group.

2018 Weight Loss Program

The VCHD Weight loss program is a 5 week program that participants meet once a week and are

encouraged to lose weight. The goal is to lose one to two pounds during a week and to learn

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about making healthy life choices. Confidential weigh-ins and weekly incentives are provided to

encourage accountability and weight loss. In 2018, we had 179 participants complete the classes

with 80% of our participants losing weight by class 5. Total weight loss for the 179 participants

was 768 pounds.

2018 Pre Diabetes Program

Our Pre-Diabetes Program is an evidence-based program that is fully recognized by CDC! This

yearlong program encourages participants to lose at least 5% of their weight by the end of the

year. This program teaches healthy eating and lifestyle choices and encourages all to get at least

150 minutes of activity a week. Participants have to qualify for the class by the following:

fasting blood sugar greater than 100, A1c greater than 5.7, BMI greater than 25, or score high on

the CDC pre-diabetes screening tool. For 2018 we had 39 participants with 23 meeting their 5%

weight loss goal! This gives us a 60% success rate for this program.

Through our Health Promotions classes and services, we reached 11,898 residents. It is our goal

as we move forward for 2019 to increase classes and start u p a new Stress Management class for

community residents. We also continue to offer health promotion programs to businesses,

churches and preschools free of charge.

9

Vanderburgh County Health Department

Public Health Emergency Preparedness and Response

Goal

The main goal of Public Health Emergency Preparedness and Response is to enhance the ability

of VCHD to prepare for and respond to infectious disease outbreaks, natural disasters, and other

public health emergencies.


The Vanderburgh County Emergency Preparedness Coordinator is responsible for the following:

● Identifying primary and secondary command staff and other redundant contingencies

● Maintaining 24/7 contact list with District 10 public health departments, hospitals, and

other key stakeholders

● Acquiring and maintaining Memoranda of Understanding (MOU) or Memoranda

of Agreement (MOA) relating to emergency preparedness and response

● Updating the All Hazards Emergency Response Plan, Medical Countermeasure

Dispensing (MCD) Plan, Communication Plans, Continuity of Operations Plan, and

Emerging Infectious Disease Plan.

● Maintain and develop new Standard Operating Procedures (SOPs) and appropriate

appendices for departmental emergency plans

● Attending local preparedness meetings, and participating in drills & exercises

Public Health Preparedness Grants

The Vanderburgh County Department of Health advanced its preparedness capability through

participation in Centers for Disease Control and Prevention (CDC) Public Health Emergency

Preparedness (PHEP) grants. During the 2017-2018 fiscal year the grant was for $33,496. For

2018-2019 the grant is for $21,960.

2018-2019 Public Health Preparedness Grant

The 2018-2019 grant year focused on a joint development of district-wide response by health

departments, hospitals and other healthcare organizations. Deliverables include updating the

district Health Care Coalition Preparedness Plan, development of a Healthcare Coalition

Response Plan, training for development of a Community Reception Center for radiological

hazards, and a point of dispensing tabletop exercise.

10


The Vanderburgh County Health Department participated in yearly and quarterly preparedness

drills. Some of these drills included: two volunteer call-down drills, and four communication

drills with local partners. These drills serve to test communication methods and volunteer

participation within the community. The health department also participated in a district Health

Care Coalition exercise testing Indiana’s on-line communication systems. Preparedness staff

updated the Evansville-Vanderburgh County Emergency Management Plan’s ESF-8 Public

Health Support section to include the Healthcare Coalition’s support role. Two State Naloxone

grants were also applied for and managed, resulting in 265 Naloxone rescue kits being provided

to first responders and the public for use on opioid overdose victims.

Public Health Emergency Preparedness and Response

Statistical Graph

33

61

11

26

44

37

0

10

20

30

40

50

60

70

Interagency Cooperation Mtgs/Training Outreach Activity

#

Emergency Preparedness ActivitiesTotal Services provided: 105

2017

2018

11

Vector Control Program

Goals

The main goal of the Vector Control Program is the prevention of the spread of disease by vector

organisms such as mosquitoes and ticks. This is accomplished through various control methods, and

educating the public of the types of vectors in this area along with the methods of disease prevention.

Responsibilities and Services Provided

The Vector Control Division engages in the control of mosquitoes through several methods, including

adult control, larvae control and breeding site reduction. Emphasis is placed on larvae and breeding site

reduction as the two most effective means of control. The Vector Control Program assists the public in

many areas of insect and vector control, including identification of vector or nuisance insects,

enforcement of local ordinances, and advising concerned citizens when necessary. Vector Control

believes education is important and offers educational opportunities through conversations with

individuals, media interviews, or various presentations to groups and organizations.


Mosquito Control activities started in April with mosquito larvicide treatment of standing water areas.

Mosquito control continued into the second week of October. Vector Control staff submitted 22 sample

pools of adult mosquitoes for laboratory testing which resulted in 6 pools testing positive for West Nile

Virus. There were probable cases of human West Nile Virus in Vanderburgh County, with less than 5

cases being reported.

The Vector Control program focused its efforts on controlling breeding habitats by treating sewer catch

basins, ditches, and flooded areas regularly with larvicide. Adulticiding was conducted in areas where

West Nile Virus was found in mosquitoes or the human population. Response to citizen complaints led

to extensive educational and treatment operations by program staff at residential properties throughout

the county. The Vector Control program also visited numerous used tire facilities in the county to

educate operators on proper storage methods to prevent mosquito breeding.

Although bed bugs have not been shown to transmit disease they pose a significant nuisance to

individuals of Vanderburgh County. The Vector Control Division had numerous conversations and

educational opportunities with landlords, tenants, and community health organizations regarding best

practices in preventing and eliminating bed bug infestations.

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Vector Control Section– Statistical Graph

13

06

85

169

184

4 5

16

0

10

47

15

0

178

310

0

20

40

60

80

100

120

140

160

180

200

Animal & Insect Control

Total Complaints/Consultations made = 322

2017

2018

13

Vector Control Section– Statistical Graph

12622

1819

4

1050

1683117

21

1996

6

1162

16124

0

500

1000

1500

2000

2500

#

Mosquito Control

Total Number of Services provided: 2,903

2017

2018

14

2018 VCHD LABORATORY YEAR END REPORT

5 DIVISIONS:

*SPECIALTY TESTING (STD TESTING)

*WATER TESTING

*LEAD TESTING

*PRE-3 CLINICAL OUTREACH TESTING (Urine Pregnancy / Urine Glucose/Protein

Testing)

*HEALTH EDUCATION TESTING (Cholesterol and Blood Sugar Management)

SPECIALTY TESTING The testing numbers increased from 2017 to2018 by 34%.

*GC/Chlamydia Reference Testing

* Wet Prep Testing

122134

146 146126 132 124

144 136

108122

100

162

124

164176

150 142

172

212224

206

156

116

0

50

100

150

200

250

GC/Chlamydia Reference Testing

2017 # of Tests 2018 # of Tests

18

14

9

14

7

13

1917 17

19

11 10

1612

1714

7

19 1922 23

1915

8

0

5

10

15

20

25

Wet Prep Testing


2017 # of

Tests

2018 # of

Tests

Year End

Totals

1540 2004

# +

Chlamydia

Reported by

ISDH

177 178

# +

Gonorrhea

Reported by

ISDH

80 176

2017 # of

Tests

2018 # of

Tests

Year End

Totals

168 191

15

*Gram Stain Testing

*HIV Testing

21

25

31

2321

1719

2219

14

1916

22 2124

26 27 27

22

34

2422

19

15

0

5

10

15

20

25

30

35

40

Gram Stain Testing


46 46 4435 38

4450 48

4031

40

29

56

43

66 6558 56

66

78

92 93

69

58

0

10

20

30

40

50

60

70

80

90

100

HIV Testing


2017 # of Tests

(43+

Gonorrhea

reported same

day)

2018 # of

Tests(52+

Gonorrhea

reported same

day)

Year

End

Totals

247 283

2017 # of

Tests (<5

HIV

reported by

VCHD)

2018 # of

Tests (7+ HIV

reported by

VCHD)

Year

End

Totals

491 800

16

*PR Testing *Over 100% Rise in + Syphilis reported

WATER TESTING Public pool water, spa water, private and public well, and public beach water are all tested. Testing numbers as well

as revenue increased by 3% within the last year.

* Financial Report

*Water Test Report

5250

5744 46 50 54

6249

3847

3831

51

71 66 64 60

7790

96 101

7259

0

20

40

60

80

100

120

RPR Testing *Over 100% Rise in+Syphillis Reported


194

140 157 174

474571 570

643

300

187217

155185 173 181 199

453534

698

531

340

225189 176

0100200300400500600700800

Water Test Report


2017 # of

Tests (20 +

Syphilis

reported by

VCHD)

2018 # of

Tests (44 +

Syphilis

reported by

VCHD)

Year

End

Totals

587 868

2017 # of

Tests

2018 # of

Tests

Year

End

Totals

3782 3884

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LEAD TESTING

Goal: Improve the number of Brest Feeding/ Pregnant adults tested with the implementation of the Pre-3 Program in

March 2018. Also, to test more children before the entering of Head Start.

Results: Lead testing numbers increased over 100% within the last year.

PRE-3 CLINCAL OUTREACH

URINE PREGNANCY & URINE GLUCOSE/PROTEIN TESTING The urine pregnancy and urine glucose protein testing was implemented in March 2019. A glucose/protein

screening is only performed if the pregnancy test is positive. 68% of the sample population expressed a positive

pregnancy rate.

181

1

363

370

100

200

300

400

Children 0-6y/o Pregnant BreastFeeding Adult

Lead Testing

Lead Tests in 2017 Lead Tests in 2018

165

16

326

37

0

50

100

150

200

250

300

350

Children in Head Start Children Outside ofHead Start

Lead Testing of Children 0-6

Lead Tests in 2017 Lead Tests in 2018

12

3

1413

18

1011

10

12 12

14

9

7

3

10

7

109 9

5

3

6 67

0

2

4

6

8

10

12

14

16

18

20

2018 # of Tests Pos Tests (Glucose/Protein Tests)

2018 # of

Tests

# of Pos Tests

(Glucose/Protein)

Year

End

Totals

138 82

18

HEALTH EDUCATION (CHOLESTEROL AND GLUCOSE TESTING)

Testing was executed via Community Health Fairs as well as VCHD, to assist in Health Education classes and

Employee Health. Testing numbers decreased by 67% within the past year due to an over capacitation of the class

size in 2018. Objectives are currently in place to regain and increase these numbers.

*Glucose Testing

*Cholesterol Testing

0

10

37

10

21

0

25

42

0

94

18

1

35

8 7 1012

0

34

25

0 0

19

00

10

20

30

40

50

60

70

80

90

100

Glucose Testing


0 0

37

0

21

0

25 25

0

29

18

0

10

3

7

0

12

0

25 25

0 0 0 00

5

10

15

20

25

30

35

40

Cholesterol Testing


2017 #

of Tests

2018 # of

Tests

Year

End

Totals

258 150

2017 #

of Tests

2018 #

of Tests

Year

End

Totals

155 82

19

*Lipid Panel Testing

*HgbA1c Testing

0

10

0

10

0 0 0

17

0

65

0 1

25

50

10

0 0

9

0 0 0

19

00

10

20

30

40

50

60

70

Lipid Panel Testing


0 0

23

11

0 0 0

17

8 8

15

0

25

5

0

10

0

4

9

0 0 0 0 00

5

10

15

20

25

30

HgbA1c Testing


2017 #

of Tests

2018 #

of Tests

Year

End

Totals

103 68

2017 #

of Tests

2018 # of

Tests

Year

End

Totals

82 53

20

Women, Infants and Children (WIC)

Mission Statement

To safeguard the health of low-income women, infants and children.

Goals

The goals of the Special Supplemental Food Program for Women, Infants, and Children(WIC)

are to teach the relationship between proper nutrition and health, to help individuals develop

better dietary habits, and to prevent nutrition-related problems by showing participants how best

to use the WIC foods with other nutritious foods for a proper diet. A major goal of the WIC

Program is to improve the nutritional status of infants; therefore, WIC mothers are encouraged to

breastfeed their infants, unless medically contraindicated.


WIC is a Federal grant program for which congress authorizes a specific amount of funding each

year for program operations. The Food and Nutrition Service, which administers the program at

the Federal level, provides these funds to WIC State agencies to pay for WIC foods, nutrition

education, breastfeeding promotion and support, and administrative costs. WIC serves low-

income pregnant, postpartum and breastfeeding women, and infants and children up to age 5 who

have a nutrition risk.

WIC provides nutritious foods, nutrition education and referrals to health and other social

services to participants at no charge. WIC provides supplemental foods rich in protein, iron,

calcium, and vitamins A and C. Because nutrition education is an important component of the

WIC Program, individual nutrition education contacts are scheduled on a quarterly basis for all

participants. Registered Dietitians and Nutritionists make up the staff who conduct all individual

nutrition education.

The Breastfeeding Peer Counselor program continues to support breastfeeding with three Peer

Counselors and a Breastfeeding Coordinator. The Breastfeeding Coordinator is a registered nurse

who is Certified Lactation Consultant. Peer counselors are mothers who have personal

experience with breastfeeding and are trained to provide basic breastfeeding information and

support to other mothers with whom they share various characteristics, such as language,

race/ethnicity, and socioeconomic status. The use of breastfeeding peer counselors adds a

critical dimension to WIC’s efforts to help women initiate and continue breastfeeding. WIC

breastfeeding peer counselors provide a valuable service to their communities, addressing the

barriers to breastfeeding by offering breastfeeding education, support, and role modeling. Peer

counselors are familiar with the resources available to WIC clients, have familiarity with the

questions a new breastfeeding mother may ask, and recognize when to refer mothers to other

resources during critical periods when mothers may experience difficulty. The peer counselors

21

teach an “Infant Feeding Class” and a “Breastfeeding Basics class” three times per week which

is offered to all prenatal WIC participants. All classes are available in both English and Spanish.


WIC has been issuing benefits on an eWIC card since August of 2015. This is helping meet

client needs when redeeming benefits at the grocery store. The Vanderburgh county caseload has

remained steady at 2550 clients/month, whereas in previous years it would drop slightly, as the

year progressed. The program has made other successful client friendly improvements by adding

daily text messaging appointment reminders and an INWIC App for smart phones. The App

includes scheduled appointments, benefit balance, WIC approved foods, shopping list and more,

to enhance the client’s WIC experience.

Throughout the year the WIC Program offered clinic observations for nutrition and nursing

students from University of Evansville, University of Southern Indiana, IVY Tech and ITT.

WIC hosted three Dietetic interns for four weeks each from Iowa State and Utah University.

WIC utilizes college student volunteers to keep bulletin boards current with nutrition and health

information and general office assistance, giving them experience in the WIC clinic.

The WIC clinic has increased outreach in the community. For example; the Healthy Families

Christmas party, Baby Shower at St Vincent, Evansville, Little Lambs and speaking to

Community Nutrition classes at The University of Southern Indiana are just a few of the

community partners with whom WIC collaborates. WIC has also increased their outreach and

promotion to a variety of local Latino organizations.

The most successful outreach program has been the certification of newborns and breastfeeding

mothers at St Vincent Hospital for Women and Children. By certifying participants in the

hospital, they are able to receive their WIC benefits 10 days sooner; therefore able to provide

nourishment for their baby without having to wait for an appointment in the WIC clinic.

Grocery/ Pharmacy Vendors

There are 2 grocery stores in Vanderburgh County that have been trained to perform WIC benefit

issuance. Representatives from all stores receive mandatory training every September and

optional training in March. $1,790,358 revenue in WIC benefits was generated in Vanderburgh

County in 2018.

Farmer’s Market

The Farmer’s Market Nutrition Program (FMNP) was established by congress in July 1992 to

provide fresh, nutritious, unprepared locally grown fruits and vegetables. FNMP was also created

to expand awareness and generate more use and sales at farmers’ markets and roadside stands.

22

The local WIC staff went to the Farmers Market each Saturday during the season, to distribute

vouchers to WIC clients. The staff helped the clients shop for ripeness and comparisons of fresh

produce, along with distributing shopping bags and recipes. This plan evolved from the 2015 low

redemption rate. The redemption rate increased by 24% in FY16, and has steadily risen each

year.

Redemption Rate for Farmers Market checks:

FY15- 34.5%

FY16- 57.8%

FY17- 58.7%

FY18- 69.9%

Childhood Obesity declined by 1% over the course of 2018.

Breastfeeding Initiation Rates increased by 1.2% over the course of 2018.

13.2% 13.3%13.1%

12.2%

QTR1 QTR2 QTR3 QTR4

Decline In Chi ldhood Obesi ty FY18

64.3%

65.8%

64.9%

65.5%

QTR1 QTR2 QTR3 QTR4

2018 Breas t feeding In i t i a t ion Rates

23

WIC Outreach 2018

Activities Date Description

St. Vincent WIC Certifications Ongoing Certification of breastfeeding mothers

and newborns

CAPE Advisory Board Quarterly Collaboration on community needs

Help serve community at Little Lambs Store 1/10/2018 Collaboration on community needs

USI Community Nutrition Students at WIC Feb.-March 2018 Collaboration on community needs

Latino Collaboration Table 3/6/2018

Promotion of WIC services and

collaboration on community needs

IHWI/CADI Conference; Deaconess 2/23/2018 Discussion of WIC program

Life Choices Youth Home 3/12/2018 Collaboration on community needs

Healthy Communities Partnership 1/19/2018 (monthly) Collaboration on community needs

Farmers Market 06/2018 - 09/2018 Distribution of fresh produce vouchers

Hola Evansville 8/18/2018 Promotion of WIC services

Host Dietetic Interns for community rotation Ongoing Promotion of WIC services

WIC Breastfeeding Awareness Month 08/2018 Promotion of breastfeeding support

services

Pre to 3 Baby Shower 9/9 & 11/4/2018 Promotion of WIC services

Host Anthem, CareSource, Familia Dental 11/2018 (monthly) Collaboration on community needs

Familia Dental Health Fair 8/25/2018 Promotion of WIC services

Fiesta Evansville 10/8/2018 Promotion of WIC services

Community First Health Fair 11/3/2018 Promotion of WIC services

University of Southern IN RD Panel & Class

Speaker 2/28 & 11/19/18

Joined a panel of dietitians to discuss

WIC program

Healthy Families Christmas Party 12/8/2018 Promotion of WIC services

24

Vital Records

Goal

The Vital Records Division’s goal is to maintain accurate and complete vital event records such

as birth and death certificates along with legal changes to those records.


The Vital Records Division’s primary duty continues to be the registration of vital events (birth

and deaths) that occur in the City of Evansville and Vanderburgh County. The statistics gathered

by this division are the basis for identifying major health trends; identifying problems and

determining areas of need; evaluating the effectiveness of public health efforts; and helping

formulate public policy regarding the allocation of health resources and funds. In addition, it

helps to ascertain whether new programs are needed to lower the number of preventable deaths.

This division is charged with issuing certified birth certificates and death certificates, filing home

births, executing Paternity Affidavits, paternity Affidavits upon marriage, and issuing other vital

event permits and documents designated by the State, including birth records due to adoptions

and /or court ordered changes.


There were a total of 1409 births in Vanderburgh County. Of those 671 were Vanderburgh

County residents. There were 2760 deaths in Vanderburgh County and of those 1,765 were

Vanderburgh County residents. This division issued 8,610 birth certificates and 13,163 death

certificates to requesting individuals that either came into our office or mailed in a request. A

Square system was implemented in 2018 allowing for detailed individual receipting and end of

day reporting.

The Vital Records Division participated in the 10th annual Homeless Connect of Vanderburgh

County providing free birth certificates to eligible participants. This free event helps those in our

community who are homeless or near homeless. A birth certificate is a key document needed by

anyone trying to obtain identification, employment and housing assistance. The Vital Records

Division is proud and honored to be a part of such an event to assist our community.

25

Total Births in Vanderburgh County

The quantity of births in Vanderburgh County increased for the resident but decreased for the non-

residents of the area.

The top causes of death fluctuated within the past year. Primarily, more individuals died of cancer in

2018.

624

780671 728

RESIDENT NON-RESIDENT

Total Births in Vanderburgh County

2017 2018

388362

255217

76 94

391

294

364

13884 99

Vanderburgh County Top Causes of Death

2017 2018

26

Lung cancer is increasingly considered to be the lead cause of cancer death within Vanderburgh

County.

97

27 25 8

118

4225 18

LUNG COLON BREAST PROSTATE

Vanderburgh County Top Cancer Deaths

2017 2018

27

Finance Division


The Finance Division manages the financial records of the Vanderburgh County Health

Department including all expenditures, revenue, and awarded grants in an accurate and

professional manner according to procedures set by the Indiana State Board of Accounts. The

Finance Division also, directs all accounting and business office functions of the Health

Department. This includes preparation and administration of Health Department and grant

budgets. Tracking and balancing all financial accounts for revenue, expenditures, time accruals,

and payroll.

Expenditure Highlights and Accomplishments

1,675,598

124,301184,437

434,005

15,903

1,801,344

133,436

199,702

485,441

17,889

SALARY FICA PERF INSURANCE ACCRUED PAYMENTS

2018 Salary & Benefits

2017 2018

28

Revenue

1,720 4,495 235

10,273

2,503 2,000 3,431 11,401 18,420 26,405

33,369

2,168

46,691

90,090

273,337

2018 Ependitures

2,124,308

177,288787 16,464 17,033

2,379,786

193,928769 16,641 17,683

PROPERTY TAX EXCISE TAX IN LIEU OF TAXES FINANCIAL INSITUTION COMM VEHICLE EXCISE

2018 Tax Revenue

2017 2018

29

36,534

118,015

335,231

12,750

17,446

7,116

43,40971,073

6,721 4,72544,318

127,199

371,394

10,299

17,095

7,26631,944

69,395

12,517 4,700

2018 Miscellaneous Revenue

2017 2018

30

2018 VCHD Financial Statement

In our efforts to provide quality information concerning the Health Fund, grant funds and all

miscellaneous accounts, the Finance Division has listed our 2018 Financial Statement showing

the amount of money brought in and expended last year.

Documents

Annual Report - Oswald Marketinghealth.vanderburghcounty.in.gov/.../2019/08/vchd_annual_report_201… · for our programs such as diapers, baby items, vouchers, weight loss items,