Agenda Item 3b_Austin Public Health FY 2021 Budget — original pdf
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FY21 Budget Update Asian American Quality of Life Commission CHRIS RILEY A P H F I N A N CIA L M A N AGER Agenda Budget Overview APH Divisions Where We Invest New Investments in FY21 FY21 Budget Overview •Total Budget of $153,993,803 •General Fund Budget of $103,014,803 •Grants Budget of $50,979,000 APH Divisions Administration: Accounting, Budget and Analysis, Information Systems, Human Resources, Records Management, Facilities, Public Information and 1115 Medicaid Waiver Community Services: Neighborhood Services, Family Health, Day Labor and WIC Disease Prevention and Health Promotion: Chronic Disease, Injury Prevention, Communicable Disease and Immunizations Environmental Health Services: Inspection Services, Environmental Rodent Control, One Stop Shop Epidemiology and Public Health Preparedness: Epidemiology and Disease Surveillance, Public Health Preparedness and Vital Records Health Equity and Community Engagement: Contract Management, Social Service Policy, Planning and Evaluation, HIV Resources Administration and Health Equity Homeless Services Division (NEW in FY21): City-wide homelessness policy support, Crisis Intervention, Adult Immunizations Office of Director: Accreditation and Intergovernmental affairs Transfers and Other Requirements 11% Community Services 5% Disease Prevention and Health Promotion 7% Where we Invest APH Divisions and Programs Administration 10% Environmental Health Services 6% Epidemiology and Public Health Preparedness 3% Health Equity and Community Engagement 7% Homeless Services 1% Social Services Contracts 50% Social Services Contracts Contract Focus Areas Workforce Development, $3,309,888 Behavioral Health, $7,297,528 Health Equity, $2,883,878 Administration & Planning, $550,058 Basic Needs, $10,321,305 Child & Youth Services, $8,999,688 HIV Services, $645,191 Homeless Services, $17,371,130 New Operating Budget Investments •Additional funding for Bergstrom Tech Childcare facility •Online payment and application module for Digital Health Dept System •Increase in funding and staffing for Epidemiology •Office of Violence Prevention •Early Childhood Program Coordinator • Supporting Commissions: African American Quality of Life Comm, Hispanic/Latino Quality of Life Commission, Early Childhood Commission New Social Services Contract Investments •Re-imaginging Police: Funding for Immigrant Services, Mental Health and Family Violence Prevention - $1.1M • Supporting Commissions: African American Quality of Life Comm, Asian American Quality of Life Comm, Commission on Immigrant Affairs, Hispanic/Latino Quality of Life Commission •Family Violence Shelter and Protection - $2.1M ($100K one-time) •Permanent Supportive Housing & Services - $6.5M • Supporting Commission: African American Quality of Life Comm New Social Services Contract Investments •Substance Use Continuum of Care - $1M ($350K one-time) •Food Access - $400K ($150K one-time) • Supporting Commission: Commission on Seniors •Equitable Access to Abortion - $100K (one-time) •Increased funding for Workforce First program - $150K ($100K one-time) City of Austin Social Services Audit While the City has allocated sufficient funding to meet Council’s 2016 funding policy goal for social service contracts, it has not funded some of the additional community needs for these services due to budget constraints and other competing City priorities. Finding #1 FY19 - Commission recommended $4.4M in social services, $1.33M was funded. There are similarities and differences in the way the City of Austin provides funding for social services compared to other cities. Finding #2 Structural and operational differences make it difficult to compare social services funding. While the majority of stakeholders perceive that the City’s social service contracting process is adequately equitable and transparent, some stakeholders expressed concerns. Finding #3 star Recommendations To strengthen the City’s social service contracting and procurement process, the Director of Austin Public Health should work with the City Manager and other responsible departments to develop a Citywide social service procurement policy. The policy should clearly set out the standards and processes for the City’s social services contracting activities. At the minimum, the policy should include: a) clearly defining the term “social services” and indicating eligible and ineligible services; b) stating organizational and program requirements that service providers seeking to access the City social service funding should possess; c) explaining the social service solicitation process; and d) defining the responsibilities of involved parties and the contract award process Recommendations To ensure the City has a clear plan for delivering social services now and in the future, the Director of Austin Public Health should work with the City Manager and other responsible parties to develop a funding strategy for social services. In developing the strategy, the approach should include, but not be limited to: a) prioritizing funding of community social services; b) examining all possible funding mechanisms; c) examining the funding processes of similar cities; and d) identifying possibilities for fostering coordination and partnerships In order to provide a fair and equitable social service contracting process for selection among potential vendors, the City Manager should work with Council to determine whether the City’s Anti-Lobbying Ordinance should apply to social service contracts. Recommendations Questions