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Home » Budget » Agency activities and performance » Agency Activities » Healthy and Safe Communities

Healthy and Safe Communities

Identify and mitigate health risk factors

Strategy: Identify and mitigate health risk factors

Agency: 303 - Department of Health

A001 - Department of Health Administration

Department of Health administration manages the day-to-day operations and leadership functions of the agency. Staff in this area provides executive leadership, policy development and review, financial services, computer and information technology services, personnel services, communications, performance management and quality improvement, internal audit, and safety and emergency management support for the agency's programs.

Account FY 2020 FY 2021 Biennium Total
FTE 55.4 105.2 80.3
001 - General Fund
Federal 20,215,000 97,334,000 117,549,000
Local 5,975,000 9,813,000 15,788,000
001 - General Fund Totals 26,190,000 107,147,000 133,337,000
002 - Hospital Data Collection Account
State 23,000 41,000 64,000
02G - Health Professions Account
State 8,025,000 8,081,000 16,106,000
02R - Aquatic Lands Enhancement Account
State 8,000 30,000 38,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 141,000 137,000 278,000
03R - Safe Drinking Water Account
State 382,000 367,000 749,000
04R - Drinking Water Assistance Account
Federal 1,156,000 795,000 1,951,000
04W - Waterworks Operator Certification
State 98,000 82,000 180,000
05R - Drinking Water Assistance Admin
State 67,000 61,000 128,000
09L - Nursing Resource Center Account
Non-Appropriated 8,000 8,000 16,000
125 - Site Closure Account
State 10,000 15,000 25,000
15M - Biotoxin Account
State 113,000 127,000 240,000
19A - Medicaid Fraud Penalty Account
State 69,000 73,000 142,000
202 - Medical Test Site Licensure Account
State 129,000 132,000 261,000
235 - Youth Tobacco/Vapor Prod Prev Acct
State 59,000 73,000 132,000
23P - Model Toxics Control Operating Acct
State 250,000 339,000 589,000
315 - Dedicated Marijuana Acct
State 366,000 369,000 735,000
319 - Public Health Supplemental Account
Local 126,000 173,000 299,000
489 - Pension Funding Stabilization Acct
State 1,908,000 1,908,000 3,816,000
608 - Accident Account
State 23,000 25,000 48,000
FY 2020 FY 2021 Biennium Total
FTES 55.4 105.2 80.3
GFS
Other 39,151,000.0 119,983,000.0 159,134,000.0
Totals 39,151,000.0 119,983,000.0 159,134,000.0
Expected Results

Leadership and organizational support ensure a reliable and responsive public health network.

A002 - Prevent Chronic Disease

Prevention is the cornerstone of public health. The Department of Health works through many channels to provide public health promotion resources, materials, and evidence-based strategies to educate and inform the public on how to be healthy and prevent disease. The Department provides technical assistance in community planning with the goal of making the healthy choice the easy choice. Activities include tobacco prevention and control; promotion of regular physical activity and proper nutrition; chronic disease prevention and disease management strategies; cancer prevention and control; and cardiovascular disease prevention and control.

Account FY 2020 FY 2021 Biennium Total
FTE 139.0 144.0 141.5
001 - General Fund
State 538,000 500,000 1,038,000
Federal 49,590,000 271,000 49,861,000
001 - General Fund Totals 50,128,000 771,000 50,899,000
235 - Youth Tobacco/Vapor Prod Prev Acct
State 433,000 522,000 955,000
315 - Dedicated Marijuana Acct
State 134,000 134,000
319 - Public Health Supplemental Account
Local 266,000 266,000
FY 2020 FY 2021 Biennium Total
FTES 139.0 144.0 141.5
GFS 538,000.0 500,000.0 1,038,000.0
Other 50,423,000.0 793,000.0 51,216,000.0
Totals 50,961,000.0 1,293,000.0 52,254,000.0
Expected Results

People have the information they need to prevent disease and injury, manage chronic conditions, and make healthy decisions.

A003 - Protect Drinking Water

The Drinking Water program works with the State Board of Health, local water systems, and communities to make sure that drinking water is safe and reliable. Activities include monitoring water quality tests; conducting inspections of water systems; enforcing regulations and safety measures; assisting water systems during planning, design, and construction of new facilities and upgrades; training and certifying water system operators; and providing funding for water system improvements.

Account FY 2020 FY 2021 Biennium Total
FTE 110.0 110.0 110.0
001 - General Fund
State 1,547,000 1,556,000 3,103,000
Federal 4,539,000 5,614,000 10,153,000
Local 901,000 1,462,000 2,363,000
001 - General Fund Totals 6,987,000 8,632,000 15,619,000
03R - Safe Drinking Water Account
State 2,376,000 2,412,000 4,788,000
04R - Drinking Water Assistance Account
Federal 6,974,000 6,819,000 13,793,000
04W - Waterworks Operator Certification
State 853,000 847,000 1,700,000
05R - Drinking Water Assistance Admin
State 506,000 515,000 1,021,000
FY 2020 FY 2021 Biennium Total
FTES 110.0 110.0 110.0
GFS 1,547,000.0 1,556,000.0 3,103,000.0
Other 16,149,000.0 17,669,000.0 33,818,000.0
Totals 17,696,000.0 19,225,000.0 36,921,000.0
Expected Results

People using public water systems have safe and reliable drinking water.

A004 - Prepare for Public Health Emergencies

Public health agencies play a key role in making sure our communities are prepared for emergencies. The Department of Health works with local health departments, hospitals, emergency managers, and others to help prepare our state for everything from natural disasters to bioterrorism threats. The Department coordinates the development of state, regional, and local public health emergency response plans as part of this work. The agency also works with emergency responders and others to provide training and exercises on topics such as mass vaccination and risk communication. The Department is improving preparedness in Washington State through a variety of activities including facilitating local, regional, state, and tribal partnerships, public education campaigns and activities, and building systems to quickly share health information.

Account FY 2020 FY 2021 Biennium Total
FTE 52.0 52.0 52.0
001 - General Fund
State 331,000 342,000 673,000
Federal 34,617,000 41,680,000 76,297,000
001 - General Fund Totals 34,948,000 42,022,000 76,970,000
FY 2020 FY 2021 Biennium Total
FTES 52.0 52.0 52.0
GFS 331,000.0 342,000.0 673,000.0
Other 34,617,000.0 41,680,000.0 76,297,000.0
Totals 34,948,000.0 42,022,000.0 76,970,000.0
Expected Results

Public agencies are better equipped to help people through a public health emergency.

A005 - Protect Community Environmental Health

The Department of Health works with public health partners and businesses to protect the community from hazards in the environment by educating the public about how to make and keep their environment safe and healthy; developing environmental public health standards for septic systems and swimming pools; conducting environmental surveillance and technical assistance to help the public prevent disease spread by animals; monitoring sources of radiation, radioactive materials, and radioactive waste; providing resources to clean areas that have been contaminated by dangerous materials; monitoring and preventing pesticide-related illness; and helping communities minimize or eliminate exposure to contaminants in the environment.

Account FY 2020 FY 2021 Biennium Total
FTE 192.0 192.0 192.0
001 - General Fund
State 4,229,000 4,298,000 8,527,000
Federal 11,216,000 24,239,000 35,455,000
Local 8,263,000 16,420,000 24,683,000
001 - General Fund Totals 23,708,000 44,957,000 68,665,000
02R - Aquatic Lands Enhancement Account
State 201,000 394,000 595,000
03R - Safe Drinking Water Account
State 259,000 254,000 513,000
04R - Drinking Water Assistance Account
Federal 634,000 596,000 1,230,000
04W - Waterworks Operator Certification
State 61,000 49,000 110,000
05R - Drinking Water Assistance Admin
State 38,000 41,000 79,000
125 - Site Closure Account
State 58,000 100,000 158,000
15M - Biotoxin Account
State 59,000 62,000 121,000
214 - Temporary Worker Housing Account
Non-Appropriated 156,000 164,000 320,000
23P - Model Toxics Control Operating Acct
State 1,755,000 2,121,000 3,876,000
319 - Public Health Supplemental Account
Local 12,000 19,000 31,000
608 - Accident Account
State 156,000 158,000 314,000
609 - Medical Aid Account
State 26,000 28,000 54,000
FY 2020 FY 2021 Biennium Total
FTES 192.0 192.0 192.0
GFS 4,229,000.0 4,298,000.0 8,527,000.0
Other 22,894,000.0 44,645,000.0 67,539,000.0
Totals 27,123,000.0 48,943,000.0 76,066,000.0
Expected Results

The places where people live, work and play are healthy and safe from hazards in the environment.

A007 - Ensure Shellfish and Other Foods are Safe to Eat

The Department of Health helps make sure that food served in restaurants and other businesses is safe to eat. The Department ensures that shellfish harvested from Washington waters is also safe to eat. Activities include monitoring local waters and beaches where shellfish grow for pollution and harmful toxins; developing public health standards for the safe sale and service of food; educating food service workers and the public on proper food safety; inspecting commercial shellfish companies; and investigating and controlling outbreaks of foodborne illnesses.

Account FY 2020 FY 2021 Biennium Total
FTE 23.0 23.0 23.0
001 - General Fund
State 1,186,000 1,172,000 2,358,000
Federal 6,041,000 6,843,000 12,884,000
Local 21,000 34,000 55,000
001 - General Fund Totals 7,248,000 8,049,000 15,297,000
15M - Biotoxin Account
State 384,000 395,000 779,000
FY 2020 FY 2021 Biennium Total
FTES 23.0 23.0 23.0
GFS 1,186,000.0 1,172,000.0 2,358,000.0
Other 6,446,000.0 7,272,000.0 13,718,000.0
Totals 7,632,000.0 8,444,000.0 16,076,000.0
Expected Results

Shellfish from Washington waters is safe to eat. Restaurants and other food businesses sell and serve food that is safe to eat.

A008 - Strengthening the Public Health System

The Department of Health maintains an active partnership and continuous communication with public health decision-makers at the local, state, and federal level. Coordinated response is essential in responding to widespread disease threats, negotiating policy and budget objectives for health improvement and assuring that information can flow across county lines or to other health partners. Activities include providing resources for emergency medical and trauma services; promoting access to healthcare in rural communities; increasing electronic communications between the Department, local health partners, hospitals, and emergency responders; coordinating response to emerging health issues with federal, state, and local partners; offering certified copies of birth, death, divorce, and marriage records to the public; building and supporting information networks to provide data that helps people make good decisions about public health. Blue Ribbon Commission and Local Capacity Development Funds distributed to local jurisdictions are an essential source of support to assure a minimum level of public health services everywhere in the state and are primarily used to address issues pertaining to communicable disease, maternal and child health, immunizations and community health assessments.

Account FY 2020 FY 2021 Biennium Total
FTE 312.0 303.0 307.5
001 - General Fund
State 29,263,000 29,289,000 58,552,000
Federal 3,067,000 3,297,000 6,364,000
Local 4,291,000 7,326,000 11,617,000
001 - General Fund Totals 36,621,000 39,912,000 76,533,000
002 - Hospital Data Collection Account
State 108,000 160,000 268,000
319 - Public Health Supplemental Account
Local 16,000 25,000 41,000
FY 2020 FY 2021 Biennium Total
FTES 312.0 303.0 307.5
GFS 29,263,000.0 29,289,000.0 58,552,000.0
Other 7,482,000.0 10,808,000.0 18,290,000.0
Totals 36,745,000.0 40,097,000.0 76,842,000.0
Expected Results

The public depends on a resilient and effective public health network. The public health network is coordinated and responsive to the public's needs.

A010 - Promote Family and Child Health and Safety

Working with many state and local partners, the Department of Health promotes healthy behaviors and the use of preventive health services. The agency promotes regular health checkups for everyone and prenatal care and education for parents. Some of the agency's most important work is to distribute vaccines for children and investigate and control vaccine-preventable disease. The agency provides health promotion materials and consultation on the best strategies; provides nutrition and health education for pregnant women; and helps thousands of state residents by providing healthy food through the Women, Infants, and Children (WIC) program. The Department of Health supports family planning/reproductive health services for women, men, and teens; linking children and families to health services; and providing programs to prevent injuries.

Account FY 2020 FY 2021 Biennium Total
FTE 114.0 59.0 86.5
001 - General Fund
State 13,532,000 11,660,000 25,192,000
Federal 74,990,000 5,034,000 80,024,000
Local 8,061,000 77,000 8,138,000
Medicaid Federal 100,000 100,000 200,000
001 - General Fund Totals 96,683,000 16,871,000 113,554,000
16G - Universal Vaccine Purchase Account
Non-Appropriated 57,085,000 83,843,000 140,928,000
235 - Youth Tobacco/Vapor Prod Prev Acct
State 1,418,000 1,868,000 3,286,000
315 - Dedicated Marijuana Acct
State 9,086,000 9,231,000 18,317,000
319 - Public Health Supplemental Account
Local 1,684,000 1,247,000 2,931,000
FY 2020 FY 2021 Biennium Total
FTES 114.0 59.0 86.5
GFS 13,532,000.0 11,660,000.0 25,192,000.0
Other 152,424,000.0 101,400,000.0 253,824,000.0
Totals 165,956,000.0 113,060,000.0 279,016,000.0
Expected Results

Washington has healthy infants, children, youth and well-informed parents. Communities are safe and supportive of children, youth and families.

A011 - Promote Accurate and Timely Public Health Laboratory Results

The Department of Health's Public Health Laboratories serve the people of our state by providing accurate and timely laboratory results. The laboratories' broad spectrum of tests are available to local health agencies, Department of Health programs, and the state's health care and emergency response system. During an emergency response, testing services are available 24/7 or on an as needed basis. The laboratories provide a broad range of tests including those that look for communicable disease, shellfish poisoning, foodborne illnesses, health issues in newborn babies, and contamination of air, water, and food that may endanger human health.

Account FY 2020 FY 2021 Biennium Total
FTE 92.0 82.0 87.0
001 - General Fund
State 4,482,000 4,446,000 8,928,000
Federal 630,000 630,000
Local 11,067,000 16,478,000 27,545,000
001 - General Fund Totals 16,179,000 20,924,000 37,103,000
15M - Biotoxin Account
State 269,000 284,000 553,000
FY 2020 FY 2021 Biennium Total
FTES 92.0 82.0 87.0
GFS 4,482,000.0 4,446,000.0 8,928,000.0
Other 11,966,000.0 16,762,000.0 28,728,000.0
Totals 16,448,000.0 21,208,000.0 37,656,000.0
Expected Results

Public health departments and health care providers receive accurate and timely, science-based information to use when making decisions about public health.

A013 - State Board of Health

The State Board of Health is housed within the Department of Health but works independently to understand and prevent disease across the entire population. The Board adopts rules that protect the public’s health and guide many public health functions, including newborn screening, food safety, public water systems, and immunizations for school and child care entry. The Board also serves as a public forum and works with many public and private partners to develop public health regulations and policy. The Board assists the Governor’s Interagency Council on Health Disparities in developing a state action plan to eliminate health disparities by race/ethnicity and gender.

Account FY 2020 FY 2021 Biennium Total
FTE 10.0 10.0 10.0
001 - General Fund
State 1,024,000 752,000 1,776,000
FY 2020 FY 2021 Biennium Total
FTES 10.0 10.0 10.0
GFS 1,024,000.0 752,000.0 1,776,000.0
Other
Totals 1,024,000.0 752,000.0 1,776,000.0
Expected Results

Public health rules and state policy recommendations reflect current scientific knowledge, public values and the perspectives of health practitioners, local governments and consumers.

A014 - Access to Quality Healthcare Services

All people in Washington State deserve to have access to competent and safe, quality healthcare. The Department's programs work to build and maintain systems so that people in all parts of the state can access healthcare. Programs include: a specialized emergency medical services and trauma care system that sets standards and works with hospitals and ambulance/aid services to ensure that the critically ill and injured get timely, high quality and appropriate care; Indian health planning, providing technical assistance to help address health disparities in this population; rural healthcare systems development and health professional shortage area designations, providing federal funding and technical assistance to hospitals and medical services to help maintain and improve care in rural communities. The Department of Health assists communities to recruit and retain physicians, dentists, and nurses in rural and underserved parts of the state.

Account FY 2020 FY 2021 Biennium Total
FTE 24.0 24.0 24.0
001 - General Fund
State 3,968,000 3,964,000 7,932,000
Local 66,000 97,000 163,000
001 - General Fund Totals 4,034,000 4,061,000 8,095,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 5,026,000 4,684,000 9,710,000
315 - Dedicated Marijuana Acct
State 250,000 250,000 500,000
319 - Public Health Supplemental Account
Local 80,000 18,000 98,000
FY 2020 FY 2021 Biennium Total
FTES 24.0 24.0 24.0
GFS 3,968,000.0 3,964,000.0 7,932,000.0
Other 5,422,000.0 5,049,000.0 10,471,000.0
Totals 9,390,000.0 9,013,000.0 18,403,000.0
Expected Results

People receive professional, safe and reliable health care from qualified providers and facilities.

A015 - Patient and Consumer Safety

Patient and consumer safety are among the Department of Health's top priorities. The Department works to ensure that health care providers and facilities comply with health, safety, and professional standards through licensing, investigation, and disciplinary activities. The Department collaborates with health profession boards, commissions and committees to regulate care by providers. The Department of Health provides information to health care facilities, health care professionals, and consumers that allows them to make informed decisions.

Account FY 2020 FY 2021 Biennium Total
FTE 638.0 645.0 641.5
001 - General Fund
State 3,323,000 3,141,000 6,464,000
Federal 8,088,000 9,280,000 17,368,000
Local 11,842,000 19,431,000 31,273,000
001 - General Fund Totals 23,253,000 31,852,000 55,105,000
002 - Hospital Data Collection Account
State 12,000 18,000 30,000
02G - Health Professions Account
State 64,258,000 64,382,000 128,640,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 51,000 52,000 103,000
09L - Nursing Resource Center Account
Non-Appropriated 548,000 550,000 1,098,000
19A - Medicaid Fraud Penalty Account
State 580,000 604,000 1,184,000
202 - Medical Test Site Licensure Account
State 1,213,000 1,229,000 2,442,000
315 - Dedicated Marijuana Acct
State 950,000 766,000 1,716,000
319 - Public Health Supplemental Account
Local 1,000 1,000 2,000
FY 2020 FY 2021 Biennium Total
FTES 638.0 645.0 641.5
GFS 3,323,000.0 3,141,000.0 6,464,000.0
Other 87,543,000.0 96,313,000.0 183,856,000.0
Totals 90,866,000.0 99,454,000.0 190,320,000.0
Expected Results

Details pending.

A016 - Prevent and Respond to the Transmission of Communicable and Infectious Disease

The Department of Health works with many partners to protect people from communicable and infectious disease. The agency educates the public on ways to stay healthy and avoid contracting and spreading communicable and infectious disease. It monitors and tracks disease trends as well as the rate and frequency of infectious disease. State health programs pay for drugs and limited medical care for HIV clients and works with local health agencies to investigate disease outbreaks. The Department also works to prevent and reduce the spread of communicable and infectious disease.

Account FY 2020 FY 2021 Biennium Total
FTE 119.0 134.0 126.5
001 - General Fund
State 11,785,000 11,640,000 23,425,000
Federal 73,169,000 101,315,000 174,484,000
Local 38,578,000 23,971,000 62,549,000
001 - General Fund Totals 123,532,000 136,926,000 260,458,000
FY 2020 FY 2021 Biennium Total
FTES 119.0 134.0 126.5
GFS 11,785,000.0 11,640,000.0 23,425,000.0
Other 111,747,000.0 125,286,000.0 237,033,000.0
Totals 123,532,000.0 136,926,000.0 260,458,000.0
Expected Results

Details pending.