COUNTY OF ALBEMARLE

 

EXECUTIVE SUMMARY

 

 

AGENDA TITLE:

Fiscal Year 2009 County of Albemarle & State Health Department Local Government Agreement

 

SUBJECT/PROPOSAL/REQUEST:

Approve FY09 Agreement with the State Board of Health for the provision of public health services through the Thomas Jefferson Health District (TJHD)

 

STAFF CONTACT(S):

Messrs. Tucker, Elliott, and Davis

 

LEGAL REVIEW:   Yes

 

AGENDA DATE:

November 12, 2008

 

ACTION:                 INFORMATION:   

 

CONSENT AGENDA:

  ACTION:   X          INFORMATION:   

 

 

ATTACHMENTS:   Yes

 

 

REVIEWED BY:

 

BACKGROUND:

Virginia Code § 32.1-31 allows local governing bodies to enter into contracts with the State Board of Health for the operation of local health departments.  It also requires that these contracts specify the services to be provided in addition to those required by law, and contain such other provisions as the State Board and the governing body may agree on.  The County’s contract specifies both the scope and costs for the services to be provided locally.

 

STRATEGIC PLAN:

Enhance the Quality of Life for all Albemarle County Residents

 

DISCUSSION:

The Thomas Jefferson Health District (TJHD), in cooperation with the Virginia Department of Health, is the primary provider of public health services and programs for Albemarle County and surrounding localities. TJHD offers specific health programs targeted at preventing and controlling infectious diseases, as well as initiatives aimed at improving the health of low income women, children and infants.  In addition, the Health District provides dental services and an inspection and monitoring program to ensure the safety of food and private well/septic systems.

 

Non-local funding for these programs is provided by the Commonwealth of Virginia, as well as from grants and income from fees charged to individual clients. In addition, the localities served by TJHD provide matching local funds for the allocations made by the state.  Moreover, the County of Albemarle and City of Charlottesville have historically funded the following programs that are not mandated by the federal and/or state governments:

 

·         The Jefferson Area Child Health Partnership (CHIP) - An in-depth home visiting program for at-risk children (ages 0-6) and families provided by public health nurses and family support workers aimed at enhancing awareness and use of community resources to promote health;

·         A dental care program for low-income children.

 

The County Attorney’s Office has reviewed the proposed contract and has approved it as to form.

 

BUDGET IMPACT:

The County’s original FY09 appropriation for the Thomas Jefferson Health District totaled $938,097 of which $262,716 was designated for the Jefferson Area CHIP program.  Effective January 1, 2009, this program will be administered through the newly established Jefferson Area CHIP agency.  A separate appropriation request has been submitted to the Board to reallocate $131,358 from the Thomas Jefferson Health District to the Jefferson Area CHIP.  After this reallocation, the FY09 funding for the Thomas Jefferson Health District will total $806,739. Of this amount:

 

RECOMMENDATIONS:

Based on the vital nature of the services provided by the TJHD, staff recommends that the Board of Supervisors approve the Fiscal Year 2009 County of Albemarle & State Health Department Local Government Agreement and authorize the County Executive to execute the Agreement.

 

ATTACHMENTS

A – Agreement

B – Charlottesville-Albemarle Health Department Budget

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