DOH Financial Resources Overview Budget Contract Budget Accounting

DOH Financial Resources

Overview • • • Budget Contract Budget, Accounting and Reporting System (BARS) Contract Payments Fiscal Monitoring

Budget Process DOH budget development occurs each spring Office of Financial Management (OFM) review Governor’s budget released mid December House and Senate budgets released during legislative session • Final budget released at the end of session • Governor has 20 days to review/veto sections of budget • •

Budget – Funding for LHJs and Tribes LHJs - County Public Health Assistance funding – $36. 3 million a year – Total of $72. 7 for the biennium – Purpose to support public health services, including public health nursing. LHJs and Tribes – other funding for specific program activities.

Budget Resources Amy Ferris– DOH Chief Financial Officer (360) 236 -4503 or Amy. Ferris@DOH. WA. GOV Stacy May– DOH Budget Manager (360) 236 -4532 or Stacy. May@DOH. WA. GOV

Contract for LHJs • DOH has a master contract with each local health jurisdiction called the “Consolidated Contract” • Includes multiple program statements of work and funding streams • Contract on a 3 year cycle • Current contract period 2018 – 2020 • Contract amendments processed every two months

Contract for Tribes • Individual contracts from each DOH program service to individual tribes. • Contract periods on based on funding source time period, annual or biennial • May have multiple funding streams • Contract amendments processed as necessary

Contract Resources Link to more information on the Consolidated Contract: http: //www. doh. wa. gov/For. Public. Healthand. Healthcare. Provider s/Public. Health. System. Resourcesand. Services/Funding/Consolidat ed. Contracts Brenda Henrikson – DOH consolidated contract coordinator (360) 236 -3933 or Brenda. Henrikson@doh. wa. gov Brad Halstead– DOH Contract Supervisor (360) 236 -3904 or Brad. Halstead@DOH. WA. GOV

Budgeting, Accounting and Reporting System (BARS) • Mandated Chart of Accounts • State BARS designed and managed by State Auditors Office • DOH manages a more detailed level of BARS for public health services • BARS reporting is required from LHJs for spending and revenue data annually. • Reporting to DOH due by April each year.

How is BARS data used? • Answer questions from policy makers o o o • Legislature Governor’s office Office of Financial Management (OFM) County commissioners/local boards of health Federal agencies (e. g. CDC) National efforts (RWJ, IOM, ASTHO, NACCHO) Understand report on governmental public health funding and spending o o o Analysis of how County Public Health Assistance funds are used Analysis of how Foundational Public Health Services are used Examples: Spending; Comparisons

Example – Spending How County Public Health Assistance Funds are Used All LHJs 2017 Total Other $ 2 421 761 6, 5% Total Administrative Services Total Foundational Public $ 3 432 475 Health Services 9, 3% $ 1 052 149 2, 8% Total All Other Maternal Child Health $ 9 733 302 26, 3% Total Community Health Assessment $ 5 958 074 16, 1% Immunization $ 1 374 796 3, 7% Total Environmental Health $ 3 330 208 9, 0% Total Chronic Disease $ 4 427 046 11, 9% Total Communicable Disease $ 5 329 303 14, 4%

Example – Comparisons Revenue by Fund Sources for Two LHJs Serving Similar Sized Populations LHJ A LHJ B Misc/Fund Balance/ Other 0, 8% Misc/Fund Balance/ Other 6, 5% Licenses, Permits & Fees 22, 4% Local Gov't Contrib 3, 2% State Funds 40, 6% Federal Funds 27, 3% $4. 3 M Licenses, State Funds Permits & Fees 21, 8% 23, 9% Local Gov't Contrib 31, 9% Federal Funds 21, 0% $9. 5 M

BARS Resources Link to more information on BARS: http: //www. doh. wa. gov/For. Public. Healthand. Health care. Providers/Public. Health. System. Resourcesand. Ser vices/Funding/BARS Britni Kennedy, Fiscal Specialist (360) 236 -3950 or Britni. Kennedy@doh. wa. gov

Contract Payments • Use A-19 form produced by DOH and made available on DOH website. • Include any required support documentation for the A-19 • Payments made in 21 -30 days from receipt of A 19 Invoice and backup. This includes program review and approval prior to payment processing. • DOH maintains a Grants Contract Payment Log. • Payments typically on reimbursement basis unless otherwise stated in the contract. Payment Contact: Britni Kennedy at (360) 236 -3950 or by sending an email to LHJInvoices@doh. wa. gov.

Fiscal Monitoring Centralized Fiscal Monitoring – began in 2014 • Consistent vision and practice • Internal knowledge and shared goals • Guidance to DOH programs and Health Partners • Link Health Partners with Program Staff and Leadership

Fiscal Monitoring Site Reviews Purpose: • Understand the work you do and the processes you have in place • Review spending of DOH funds in accordance with federal and state regulations • Provide technical assistance, when necessary, to help correct any areas of concerns prior to an audit. • Provide options for improved success

Fiscal Monitoring Team Tami Davidson– Manager (360) 489 -4511 or Tami. Davidson@doh. wa. gov Danielle Van. Derhoof – Specialist (360) 790 -0278 or Danielle. vanderhoof@doh. wa. gov Nancy Wallace – Specialist (360) 236 -3716 or nancy. wallace@doh. wa. gov

DOH/LHJ Fiscal Webinars • Quarterly webinar for information sharing on key fiscal and contract activities of interest to LHJs • Opportunity for training on specific topics • Peer to peer sharing between LHJs To register or for information contact: Angel Goudeau at (360) 236 -4502 or at Angel. Goudeau@doh. wa. gov