Download Overview - Texas Department of State Health Services

Senate Committee on Health
and Human Services
February 10, 2009
Overview: Texas Department
of State Health Services
David Lakey, M.D.
Commissioner
Health Responsibilities for DSHS
• Maintaining public health activities, such as
immunizations, sanitation and food quality
• Preventing and treating chronic disease
• Preventing and treating substance abuse and mental
illness
• Preparing for and responding to public health
threats, such as hurricanes, pandemic influenza and
bioterrorism
• Monitoring and controlling infectious diseases
• Providing community health safety net services.
• Using health care data to improve services and
guide decision-making
2
Department of State Health Services
• Vision
• A healthy Texas
• Mission
• To improve health and well-being in Texas
• Multifaceted agency
•
•
•
•
Of 178 state agencies, DSHS is 4th largest
Public health, mental health, substance abuse
Everything from Alzheimer’s to Zoonosis
Impact on millions of people
3
Agency Facts
• ~ $2.7 billion per year budget
• ~ 12,000 FTEs (~7,500 in state hospitals)
• Nearly 6000 client services and
administrative contracts
• 157 DSHS sites
4
Regulatory Services
•
•
•
•
•
•
Food and Drug Safety
Environmental Health
Radiation Control
Health Care Professionals
Health Care Facilities
Emergency Medical Services and
Trauma Care System
5
Division Facts
• 250,000 professionals and facilities
licensed, certified, or registered by DSHS
per year
• Each workday:
• Regulatory Services employees process
applications from ~ 500 people and 100
facilities
• Professional Licensing and Certification Unit,
alone, handles about 1,000 incoming phone
calls
6
Family and Community Health
Services
•
•
•
•
Specialized Health Services
Nutrition Services
Community Services Section
Title V and Family Health Office
7
Division Facts
• WIC serves more than 900,000 clients a month.
• About 65% of all infants born in Texas are WIC
clients during their first year.
• The DSHS Family Planning Program serves about
230,000 women, adolescents and men each year.
• Primary Health Care serves about 105,000
clients annually.
• FQHC Incubator Program
• 32 FQHCs in 2002  58 FQHCs in 2009
8
Regional and Local Health Services
• Eight Health Services Regions
• Serve as Local Health Authority where
there is no local health department
• Liaison with Local Health Department
9
Health Services Regions with 2005 population
estimates and states with comparable populations
Vermont
Delaware
Indiana
PHR 01
816,900
Hawaii
Wyoming
PHR 03
6,220,000
PHR 02
557,300
PHR 10
765,800
PHR 09
540,100
South Dakota
PHR 07
2,565,600
PHR 08
2,321,000
PHR 04
1,067,800
PHR 05
766,100
Alaska
PHR 06
5,416,800
Maryland
Nevada
PHR 11
1,965,000
Utah
West Virginia
10
Mental Health and
Substance Abuse Services
•
•
•
•
•
•
•
Community MH Services for Adults
Community MH Services for Children
Substance Abuse Preventions & Treatment
State Mental Health Facilities
Community Hospitals
Texas Center for Infectious Disease
South Texas Health Care System
11
Division Facts
• FY2008 Total Served:
•
•
•
•
•
SA Youth Prevention ~1,285,000
SA Adult Treatment ~ 52,000
SA Youth Treatment ~ 6,980
MH Adult Community MH ~115,000
MH Child Community MH ~29,600
• Mental Health Facilities:
• 17,090 admissions
• 2,477 staffed state hospital beds
12
Prevention and Preparedness Services
• Community Preparedness Section
• Health Promotion & Chronic Disease
Prevention
• Infectious Disease Prevention
• Environmental Epidemiology & Disease
Registries
• Laboratory Services
13
Division Facts
• Laboratory
• Receives ~ 2 million specimens per year
• People, animals, mosquitoes, food, water, and consumer
products
• Test for infectious diseases, newborn screening, clinical
chemistry, and environmental chemistry
• Immunization Program
• Distributes over 12 million doses of vaccine annually through
the Texas Vaccines for Children Program (3,400 private and
public sites) and offers uninsured adult vaccines through public
clinics statewide. New vaccines for adolescents in the past three
years have also made this age group a priority as well.
• HIV
• FY 2007 - ~29,000 persons were provided HIV medical and
support services
• FY2007 - the HIV medication program provided 200,000
medications to more than 13,000 persons with HIV disease
14
Vital Records & Health Statistics
• Center for Health Statistics
• Vital Statistics
15
Vital Records & Health Statistics
Facts
• DSHS Vital Statistics issued ~485,600
records (FY2008)
• Birth and death certificates, filing adoptions
paternities, amendments & other services
• Center for Health Statistics Web site receives
> 3,700 customer hits a day.
• Of those seeking information, 90% are
external customers.
16