Update on Public Health
Department Research
OFFICE OF THE CITY MANAGER | ITEM 10B
PRESENATION STRUCTURE
•Minimum Requirements
•West Covina Update
•Successful Local Public Health Departments
•Potential Public-Private Partnerships & Stakeholder Feedback •Financial Considerations & Challenges
•Council Options
O F F I C E O F T H E C I T Y M A N A G E R Item #10B Minimum Requirements, Responsibilities, and Functions
11 total requirements
Collection, tabulation and analysis of public health statistics Communicable disease control services
Environmental health and sanitation services
Chronic disease prevention or mitigation services
Public health nursing services
Public health laboratory services for populations more than 50,000
O F F I C E O F T H E C I T Y M A N A G E R
Attachment 1
Item #10B
West Covina Public Health
Department Update
O F F I C E O F T H E C I T Y M A N A G E R Item #10B West Covina Public Health Department Update
•Waiting on Initial State Approval
•Performing Community Health Needs Assessment
•City Council approved contract with Long Beach Public
Health Department for laboratory testing services
•Spent 83% of contracted budget; no alternate funding
O F F I C E O F T H E C I T Y M A N A G E R
Attachment 2
Item #10B
Successful Local Public
Health Departments
O F F I C E O F T H E C I T Y M A N A G E R Item #10B
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Pasadena Public Health Department
O F F I C E O F T H E C I T Y M A N A G E R
Executive
Assistant (1)
Director of Public
Health and
Health Officer (1)
Administration
and Finance
(25.79)
Environmental
Health (18.25)
Social and
Mental Services
(15.92)
Community
Health Services
(27.82)
Health Policy
and Promotion
(13.94)
Epidemiology
and Disease
Control (13.1)
Deputy Director
(1)
Attachment 3
Item #10B
Pasadena Public Health Department
•$21.18 Million FY 2025 Adopted Budget
•19.8% lower than FY 2024 Revised Budget
•Funding Sources
•Health Realignment Fund
•County and Federal grants
•General Fund
•Fee for service
O F F I C E O F T H E C I T Y M A N A G E R
Attachment 4
Item #10B
5-Year Budget Trend (FY 2020-FY 2024)
O F F I C E O F T H E C I T Y M A N A G E R
Attachment 5
Item #10B
Community Hospital Partnership
•Huntington Hospital
•Community Health Needs
Assessment of Greater
Pasadena
•Community Health
Improvement Plan (CHIP)
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Long Beach Department of Health
O F F I C E O F T H E C I T Y M A N A G E R
•505.76 Full Time
Equivalents (FTE)
•70+ Positions Eliminated
(2024)
•Includes Housing Authority
and Homeless Services
Attachment 6
Item #10B
Long Beach Department of Health
•$117 million annual budget
•Health Fund
•Grants
•Non-grant sources
•General Fund share of the total 1% tax revenue
• Long Beach Recovery Act funding expiration
•Fees and Charges
O F F I C E O F T H E C I T Y M A N A G E R
35%
65%
Non-Grant
Sources
Grants
Attachment 7
Item #10B
Collaborations and Research
• The Long Beach Collaborative
•MemorialCare Miller Children’s and Women’s Hospital Long Beach •MemorialCare Long Beach Medical Center
•St. Mary’s Medical Center
•Kaiser Permanente South Bay Medical Center
•The Children’s Clinic, Serving Children and Their Families •Conduent Healthy Communities Institute (HCI) conduct their CHNAs (2019)
•Racial and Health Equity Data Hub
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Potential Public-Private
Partnerships &
Stakeholder Feedback
O F F I C E O F T H E C I T Y M A N A G E R Item #10B SBCCOG Feedback
•Not willing to pursue collaboration
○ Previously researched possibility with other cities
•Would need to form another Joint Powers Authority
•Recommended speaking with Beach Cities Health District if research continues beyond exploratory measures
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Providence Response
•Major Concerns
○ Competition for Employment
○ Lack of centralized, streamlined process
○ Public confusion
•Comments
○ What would the preferences of a Torrance Public Health Department?
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Torrance Memorial Feedback
•Streamline Healthcare Gaps
•Challenges with Additional Bureaucracy
•Medical Employment Shortage
•Financial Concerns
○ Potential diversion of resources from essential services •Potential Collaboration with LA County
O F F I C E O F T H E C I T Y M A N A G E R
Item #10B
Financial Considerations &
Challenges
O F F I C E O F T H E C I T Y M A N A G E R Item #10B Limitations
•No opportunity for special property tax allocation
•Challenges with grant funding adequacy
○ Does not cover overhead costs
○ General Fund would have to support any gaps in funding ○ Cost Allocation plans
•High/Unknown start-up costs
•Unknown timeline for state approval
O F F I C E O F T H E C I T Y M A N A G E R Item #10B Additional Financial Research
•Need to monitor West Covina Progress with grant funding •Potential Initial Start-Up Costs:
○ Purchase parcel(s) for Public Health Dept. location (s) ○ Hire 5-6 minimum full-time staff during initial period •Possibility of forming a Community Services District
○ Potential to generate additional revenues
○ Would come with a required voter approval
O F F I C E O F T H E C I T Y M A N A G E R Item #10B Council Options
O F F I C E O F T H E C I T Y M A N A G E R Item #10B Council Options
1. Accept/File, direct Staff to bring forth a subsequent update once the City of West Covina has established their Public Health Department for a full one-year period
2. Accept/File, direct Staff to bring forth a subsequent update based on Council’s priorities or additional research inquiries
3. Accept/File, direct Staff to halt research efforts on a potential establishment of a City-operated Public Health Department O F F I C E O F T H E C I T Y M A N A G E R Item #10B Thank you
O F F I C E O F T H E C I T Y M A N A G E R Item #10B