HSA Public Health Core Functions

Prevent Epidemics	Communicable Disease Unit composed of highly skilled professional staff performs epidemiological surveillance, investigation, and follow-up of contagious diseases. Field Public Health Nurses go into community to provide direct disease control in the home and other settings.
Protect the Environment, Workplaces, Housing, Food and Water	Environmental Health Division staffed by licensed and trained personnel have work units devoted to consumer protection, hazardous materials and solid waste management, land-use environmental protection and waste-water management.
Promote Healthy Behaviors.	Programs in place for HIV Education and Prevention, Dental Disease Prevention, Pedestrian and Bicycle Safety, Child Passenger Restraint Promotion, Comprehensive Perinatal Care, Well-Child Care, Breast Cancer Screening.
Monitor the Health Status of the Population	Maintain Vital Statistics for County with monitoring of birth and death statistics, and issuance of burial permits. Special surveillance of TB and HIV incidence and outcomes. Reports to State on incidence of reportable diseases.
Mobilize Community Action for Health.	Formation or participation in community partnerships including: Prenatal Care Access Task Force Ryan White HIV Care Consortium HIV Community Response Planning Tobacco Education Coalition Reproductive Rights Network Pediatric Death Review Committee Public Health Commission County Domestic Violence Prevention Commission County Breast Care Consortium Hazardous Materials Advisory Board
Respond to Disasters.	Maintain an active Emergency Medical Services Unit whose staff works closely with emergency medical care providers in County, plans and coordinates emergency medical response to individual emergencies as well as to external and environmental disasters.
Assure the Quality, Accessibility, and Accountability of Medical Care.	Long standing medical care system in place for County indigent patients (Medi-Cruz) and more recent leading role in preparation for local Medi-Cal Managed Care.
Reach Out to Link High-risk Disadvantaged People to Needed Services.	Special Programs in place to provide: Homeless people Case Management and treatment High-risk infants home follow-up Pregnant and parenting teens case management Teens at risk for pregnancy, outreach, counseling, birth control Comprehensive Case Management for persons with HIV and AIDS Special outreach for persons at high-risk for HIV, (testing and counseling) Directly observed therapy for TB patients with poor compliance CHDP promotes periodic health exams and follow-up for MediCal and low income children
Provide Medical Care When Needed.	Clinics located in Santa Cruz and Watsonville, open 40 hours a week, with on-site pharmacy, lab, and x-ray. In addition to family practice, services are for low income persons with wide array of conditions including TB, HIV, high-risk pregnancy, and sexually transmitted diseases. Medical services are provided to jail inmates in three facilities and to juvenile hall. Medi-Cruz finances care for county responsible (indigent) patients in the clinics and in the private sector. Immunization clinics provide free childhood vaccinations. CCS provides physical therapy to children with an eligible diagnosis. Pays for diagnosis and treatment of low-income children.
Secure a Skilled Public Health Work Force.	Provide clinical and educational placement opportunities for students in preventive medicine residencies, nursing school programs and graduate students in various community health study program.
Research for New Insights and Innovative Solutions.	Occasionally participate in clinical research projects such as current Clinical Trials for AIDS; innovative program such as Family Planning teen Demonstration Project and Sexual Assault Nurse Examiner Service have won national awards and acclaim, HIV Case Management Program (CARe Team) has lowest in-patient utilization rate in State.
Lead the Development of Sound Health Policy and Planning.	Lead role in: Planning for local MediCal Managed Care (Central Coast Alliance for Health) Establishment of State’s toughest tobacco control ordinances for all local jurisdictions (cities and County). Planning community HIV response and promotion of local AIDS anti-discrimination ordinances. Study of the impact of new small hospitals in Santa Cruz United Way Needs Assessment, Health Component Recommend positions on State Legislation concerning health to the Board of Supervisors Work with Statewide health organizations on legislation and regulations concerning health policy.

		Mailing Address: County of Santa Cruz Health Services Agency 1080 Emeline Avenue, Santa Cruz, CA 95060 \| Phone: 831 454 4000 \| Fax: 831 454 4770 Hearing Impaired TDD: 831 454 2123 \| copyright© 2000 County of Santa Cruz
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