Service Area Strategic Plan
11/23/2009   4:31 am
Department of Health (601)
Biennium: 2008-10
Service Area 1 of 1
Payments to Nonstate Entities (601 492 04)
Description

This service area provides payments of funds appropriated to VDH by the General Assembly for specifically identified grants to independent health care and non-state organizations. The service area’s role is similar to that of a fiscal agent as its primary function is to serve as the conduit for distribution of such payments to the specified grant funded organizations and entities.
Background Information
Mission Alignment and Authority
  • Describe how this service supports the agency mission
    This service area aligns with the agency’s mission to promote and protect the health of Virginians by providing resources in support of the execution of those designated programs.
  • Describe the Statutory Authority of this Service
    Section 32.1- 2 of the Code of Virginia requires VDH to administer and provide a comprehensive program of preventive, curative, and environmental health services. This service area provides for the distribution of payments to non state entities in support of the agency’s mission to promote and protect the health of Virginians.
Customers
Agency Customer Group Customer Customers served annually Potential annual customers
AIDS Resource and Consultation Centers 1 1
Alexandria Neighborhood Health Services, Inc. 1 1
Area Health Education Centers (AHECs) 1 1
Arthur Ashe Health Center 1 1
Carilion Health System Electronic Health Records System 1 1
Chesapeake Adult General Medical Clinic 1 1
Community based sickle cell grants Community based sickle cell grants 1 1
Comprehensive Health Investment Project of Virginia (CHIP) 1 1
Electronic Health Records (EHR) 1 1
Fan Free Clinic 1 1
Louisa County Resource Council 1 1
Northern Neck and Emporia Prenatal, OB, and Pediatric Pilots 1 1
Old Towne Medical Center 1 1
Piedmont Access to Health Services, Inc. 1 1
Poison Control Centers 1 1
Regional Health Planning Agencies (RHPA) 1 1
Southwest Virginia Graduate Medical Education Consortium 1 1
St. Mary's Health Wagon - Medical & Dental Care in Central Appalachia 1 1
Virginia Association of Free Clinics - Pharmaceuticals (VAFC) 1 1
Virginia Health Care Foundation (VHCF) 1 1
Virginia Health Information (VHI) 1 1
Virginia Primary Care Association - Pharmaceuticals and Community Health Centers (VPCA) 1 1
Virginia Transplant Council 1 1

Anticipated Changes To Agency Customer Base
The customer base is subject to increase or decrease dependent upon the actions of the Governor, General Assembly, or the contracted service agency.
Partners
Partner Description
[None entered]
Products and Services
  • Factors Impacting the Products and/or Services:
    The factors that could impact these service area products and services are directly related to the overall economic condition and financial position of the state. Future funding of these service areas are dependent upon the availability of funds.
  • Anticipated Changes to the Products and/or Services
    There are no anticipated changes to the service area products and services at this time.
  • Listing of Products and/or Services
    • AIDS Resource and Consultation Center This is an early intervention center that provides medical treatment and support services to HIV infected low income, underinsured, and uninsured persons living in the Lynchburg area. ($605,000 each year, General Funds)
    • Area Health Education Centers (AHEC’s) There are eight community AHEC’s that are committed to developing and providing a broad spectrum of health related educational programs that will improve the supply, distribution, quality, and utilization of Virginia’s health professional workforce. The eight AHEC’s are Blue Ridge, Southside, Southwest Virginia, Greater Richmond, South Central, Rappahannock, Northern Virginia, and Eastern Virginia. ($400,000 each year, General Funds)
    • Alexandria Neighborhood Health Services, Inc. This is a one-stop health center providing accessible, culturally sensitive, preventive, prenatal, primary and minor pediatric illness care to medically indigent women and children in a predominantly Hispanic neighborhood in Alexandria. ($95,625 each year, General Funds)
    • Arthur Ashe Health Center This center provides support for the AIDs early intervention and counseling programs in Richmond. ($114,750 each year, General Funds)
    • Carilion Health System - Electronic Health Records System Carilion Health System is a private, non-profit organization that provides health care services based in Roanoke with a mission to improve the health of the communities it serves. Funding supports continuation of the pilot project connecting public health providers to Carilion Health System’s electronic health records system. ($100,000 each year, General Funds)
    • Chesapeake Adult General Medical Clinic This clinic provides medical care for non-insured adults with chronic illness located in the South Norfolk area. Areas of care include diagnosis, treatment, medications and education. ($26,775 each year, General Funds)
    • Comprehensive Health Investment Project of Virginia (CHIP) The Comprehensive Health Investment Project of Virginia focuses largely on making the connection between family and the provider to develop, expand, and operate a network of local public-private partnerships providing comprehensive care coordination, family support and preventive medical and dental services to low-income, at-risk children. A portion of these funds will go to CHIP of Roanoke to be used as matching funds for three public health nurse positions to expand services in the Roanoke Valley and Allegheny highlands. ($2,141,890 in FY2007, Non-General Funds, $571,000 FY2007, General Funds; $2,712,890 in FY2008, General Funds)
    • Electronic Health Records (EHR) This is an initiative to encourage the adoption of electronic health records throughout the Commonwealth. Funds shall be used for the development of a Master Patient Index and the issuance of grants to providers. ($900,000 in FY2007 and $800,000 in FY2008, General Funds)
    • Fan Free Clinic This clinic is operated by the Richmond AIDS Ministry and provides areas of care that includes housing, nursing services, and education. ($22,500 each year, General Funds)
    • Louisa County Resource Council This council implements initiatives to connect indigent individuals to medical and dental services. Services include locating appropriate care, transportation, and payment of medical services. ($11,250 each year, General Funds)
    • Northern Neck and Emporia Prenatal, OB and Pediatric Pilots The funding shall be used for start-up costs in the Northern Neck and Emporia areas where obstetrical departments at community hospitals no longer exist. The pilot projects will provide alternative arrangements for prenatal and delivery services. ($150,000 each year, General Funds)
    • Old Towne Medical Center This center provides general medical, pediatric, women’s health, immunizations, family planning, dental and home visit health care services in Williamsburg. ($15,300 each year, General Funds)
    • Piedmont Access to Health Services, Inc. The Piedmont Access to Health Services, Inc. is a private non-profit organization whose mission is to improve the health of the community by providing the highest quality preventive and primary health care services to individuals and families who need access to these services. Funding is provided for an additional family nurse practitioner to deliver health care services at community health centers in Danville and Martinsville. ($60,000 in FY2007, General Funds)
    • Poison Control Centers The mission of the poison control centers includes poison prevention, poison morbidity and mortality reduction, and health care cost reduction. In response to poison emergencies, the centers are instrumental in the surveillance of adverse effects of foods, drugs, marketed products and promotion of poison prevention. The centers collect detailed poison exposure data which is computerized in real time therefore plays an important role in bioterrorism surveillance. Case data is submitted to the American Association of Poison Control Centers’ (AAPCC) Toxic Exposure Surveillance Center (TESS). There are three poison control programs serving Virginia. They are located at the University of Virginia in Charlottesville, Virginia Commonwealth University in Richmond, and the National Capital Poison Center in Washington, D.C. ($1,631,254 each year, General Funds)
    • Regional Health Planning Agencies (RHPA or HPA) The Regional Health Planning Agencies provide assistance in conducting data collection, research and analyses, preparation of reports and studies, state health plan review, and needs assessments. They also identify gaps in services, inappropriate use of services or resources, assess accessibility of critical services, review applications for certificates of public need and make recommendations to the department. There are five health planning agencies located in regions of Central, Eastern, Northern, Northwest, and Southwest Virginia who provides assistance to the board of health directed by the regional health planning board. ($333,072 each year, General Funds)
    • Southwest Virginia Graduate Medical Education Consortium (SWVA GMEC) The SWVA GMEC was established as a 501 3C Non-Profit Consortium to create and support medical residency preceptor sites in rural and underserved communities in Southwest Virginia. The GMEC mission is to improve access to high quality care. A program was developed to attract and retain qualified primary care physician practices to impoverished regions of Southwest Virginia. ($295,920 each year, General Funds)
    • St. Mary's Health Wagon – Medical & Dental Care in Central Appalachia This health wagon provides medical and dental services in the Central Appalachia area. ($100,000 each year, General Funds)
    • Virginia Association of Free Clinics – Pharmaceuticals (VAFC) This clinic provides funding to purchase pharmaceuticals, medically necessary pharmacy supplies, and services to low-income uninsured patients of free clinics throughout Virginia. ($1,321,400 each year, General Funds)
    • Virginia Health Care Foundation (VHCF) This foundation provides primary care for medically underserved families in the Commonwealth. The foundation is also directed to expand the Pharmacy Connection Software program to unserved or underserved regions of the Commonwealth, to improve access to free medications for low income Virginians through an Rx Partnership and to increase the capacity of the Commonwealth’s health safety net providers to expand services to unserved and underserved Virginians. Funds are matched with local public and private resources not appropriated by the state. ($3,630,571 in FY2007, General Funds and $200,000 FY2007, Federal Funds; $4,080,571 in FY2008, General Funds)
    • Virginia Health Information (VHI) This non-profit health data organization develops and implements health data projects that provide useful information to consumers and purchasers of health care, to providers including health plans, to hospitals, nursing facilities, and physicians. ($306,271 each year, General Funds)
    • Virginia Primary Care Association – Pharmaceuticals and Community Health Centers (VPCA) This association provides pharmacy services, pharmaceuticals, and pharmaceutical supplies to low-income uninsured patients of the Community and Migrant Health Centers throughout Virginia. A portion of these funds will be used to expand existing or develop new community health centers in medically underserved and economically disadvantaged areas of the Commonwealth and expand access to care provided through community health centers. Funding shall be used to match funding solicited by the Virginia Primary Care Association from local and federal sources, and other public or private organizations. ($1,108,750 in FY 2007 and $1,358,750 in FY 2008, General Funds)
    • Virginia Transplant Council The Virginia Transplant Council maintains and operates the Organ and Tissue Donor Registry of pertinent information on all Virginians who indicated a willingness to donate. ($50,000 each year, General Funds)
    • Community Based Sickle Cell Grants VDH provides grants to community based programs that provide patient assistance, education, and family centered support for individuals suffering from sickle cell disease. ($100,000 in FY2008, General Funds)
Finance
  • Financial Overview
    The funding for this service area is a combination of general and federal funds appropriated each year to non-state entities. Payments are processed in either monthly, quarterly or one total payment each fiscal year.
  • Financial Breakdown
    FY 2009    FY 2010
      General Fund     Nongeneral Fund        General Fund     Nongeneral Fund  
    Base Budget $14,865,132 $2,141,890    $14,186,077 $1,070,945
    Change To Base $-287,230 $0    $689,066 $0
               
    Service Area Total   $14,577,902  $2,141,890     $14,875,143  $1,070,945 
Human Resources
  • Human Resources Overview
    [Nothing entered]
  • Human Resource Levels
    Effective Date      
    Total Authorized Position level Ø    
    Vacant Positions Ø    
    Current Employment Level 0.0    
    Non-Classified (Filled)    
    Full-Time Classified (Filled)    breakout of Current Employment Level
    Part-Time Classified (Filled)    
    Faculty (Filled)    
    Wage    
    Contract Employees    
    Total Human Resource Level 0.0   = Current Employment Level + Wage and Contract Employees
  • Factors Impacting HR
    [Nothing entered]
  • Anticipated HR Changes
    [Nothing entered]
Service Area Objectives
 
  • Process the payments to each non-state entity in compliance with the requirements of the Appropriation Act and the Code of Virginia
    Objective Description
    Identify and ensure the accurate processing of payments to the independent health care organizations and other non-state entities included in the Appropriation Act as recipients of appropriated funds.
    Alignment to Agency Goals
    • Agency Goal: Provide strong leadership and operational support for Virginia's public health system.
      Comment: This objective is also aligned with the Commonwealth’s long term goal to inspire and support Virginians toward healthy lives and strong and resilient families as well for Virginia to be recognized as the best managed state in the nation.
    Objective Strategies
    • VDH will identify each organization and entity that is to receive appropriations each fiscal year.
    • VDH will coordinate the accurate processing of the payments to each organization and entity with the VDH Accounting Office and other appropriate VDH offices.
    • VDH will maintain payment history details for reporting purposes.
    • VDH will provide payment data to the state auditors, General Assembly committee members, the Department of Planning and Budget (DPB), and others as requested.
    Objective Measures
    • Percent of payments accurately processed and documented to each entity as appropriated each fiscal year.
      Measure Class:
      Other
      Measure Type:
      Output
      Measure Frequency:
      Annual
      Preferred Trend:
      Maintain
      Measure Baseline Value:
      100
      Date:
      6/30/2005

      Measure Baseline Description: Percent

      Measure Target Value:
      100
      Date:
      6/30/2010

      Measure Target Description: Percent

      Data Source and Calculation: The Virginia Department of Health (VDH) Office of Budget Services (OBS) will review appropriation acts and collaborate with the VDH Accounting Office in identifying and executing all payments required by the Acts of the General Assembly.


Back to the Strategic Planning Page
http://www.vaperforms.virgina.gov