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DIVISION OF PUBLIC HEALTH STATISTICS AND PERFORMANCE MANAGEMENT The Division of Public Health Statistics and Performance Management has the primary responsibility for facilitating the collection, analysis and dissemination of health statistical data and the implementation of the county health department clinic management system and coordination of community health assessment and health improvement planning processes in support of the mission of the Department. This is accomplished through the work of the three bureaus described below. In addition, an administration unit provides oversight and special project responsibilities addressing health care reform and intra-department coordination of community health indicators. BUREAU OF COMMUNITY HEALTH ASSESSMENT The Bureau of Community Health Assessment is intended to: facilitate community health assessment and health improvement planning projects throughout the state, coordinate production of health statistics and analysis of these efforts, and support activities to augment health services in areas of need. Staff work directly with local community health improvement planning groups to provide methods, tools and technical assistance for identifying community priorities and implementing interventions. Institutionalization of the MAPP model (Mobilizing for Action, Planning and Partnerships) has made Florida exemplary in its implementation of local community health improvement projects. The bureau provides a nationally recognized, web-based community health assessment data system, www.floridacharts.com, that supports community health improvement activities throughout the state. Health statistical information and analytical tools are provided for decision support that include both aggregated health statistics and record-level data through secure access to designated DOH staff. The Bureau also supports agency-level health planning and performance management activities, including conducting state and local assessments, developing needs assessment methodologies, preparing cost analyses and projections of future trends, developing funding methodologies for selected departmental programs, coordinating the development of the Long Range Program Plan and Departmental Resource Manual, providing county health department third party billing support, and Medicaid policy analysis and assistance in transitioning to a Medicaid managed care service delivery system. In addition, this bureau obtained Medicaid Low Income Pool (LIP) funds and established hospital alternative projects to improve the health status of low income persons and reduce health care costs. Activities that augment the availability of health services are also coordinated including recruiting volunteers to provide services, developing community medical education plans, assessing primary care needs and the availability of the physician workforce, and training health professionals in medically underserved areas. BUREAU OF CLINIC MANAGEMENT AND INFORMATICS The Bureau of Clinic Management and Informatics supports the development and operation of the Health Management System (HMS), which is the County Health Departments clinical operations system. The Bureau is charged with the following: lead responsibility for the county health department development and adoption of an Electronic Health Record in HMS; coordination of clinical health information management for CHDs; and providing daily support for clinic operations conducted using HMS. Bureau activities include coordinating and assisting the 67 county health departments and DOH program office staff in the functional development and use of data systems and health information management policy coordination. Staff incorporates program specific reporting requirements into an integrated system development strategy at the field level, eliminating wasteful separate, stand-alone systems. Operational activities include functional analysis and design of application software, user training, and user testing of software, implementation and user support activities. BUREAU OF VITAL STATISTICS The Bureau of Vital Statistics is responsible for the registration, certification, archiving and statistical analysis of the states vital records. It manages the central repository for records of all births, deaths, fetal deaths, marriages, dissolution of marriages and name changes for the state of Florida. The Bureau registers over 612, 287 records per year and currently have over 22 million vital records on file. The records maintained are necessary for individuals to carry out day-to-day business, such as obtaining passports, enrolling in schools, sports participation, starting new jobs, qualifying for subsidized housing, collecting life insurance benefits, and transferring property. Each year, over 2.7 million certified copies are issued from the central office and the 67 county health departments generating almost $25.9 million in total sales. The special and routine health statistics produced from vital records form the core foundation of public health statistics and community health assessment activities in the department.
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