Austin Public Health Bond presentation — original pdf

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Austin Public Health Bond Proposals Process March, 2025 Agenda • Department Overview • Guiding Principles • APH Bond Funding History • APH Bond Success • Health Disparity Data • Bond Proposals Video on next slide... Austin Public Health: The Heart Mission: To prevent disease, promote health, and protect the well-being of all. Low-cost vaccinations Health screenings Infant & maternal health Birth and death certificates Diabetes education and prevention classes Food truck, restaurants, pool and water feature inspections Mosquito testing and abatement Rent assistance, food pantries, job application support Austin Public Health: Centers of Service Mission: To prevent disease, promote health, and protect the well-being of all. 14 WIC Clinics 6 Neighborhood Centers 2 Shots for Tots and Big Shots Clinics + Weekly Mobile Clinics Sexual Health Clinic Refugee Services Clinic Mom's Place Lactation Support Center Office of Vital Records Austin Public Health: Divisions Community Services Disease Prevention Health Promotion Environmental Health Services Health Equity and Community Engagement Epidemiology and Public Health Emergency Preparedness Office of the Medical Director Administrative Services Bond History- Austin Public Health -CIP Primary Funding Source = 100% General Bond Obligations -Less than 1% of the City Bond Funding since 1998 Year 1998 2000 2006 2010 2012 2013 2016 2018 2020 2022 Sum of Bond Appropriation $339,663,387 $163,342,202 $566,503,269 $89,930,362 $306,621,128 $64,995,063 $720,000,000 $925,000,000 $460,000,000 $350,000,000 Sum of APH Appropriation $11,145,000 $16,000,000 Grand Totals $3,986,055,411 $27,145,000 Bond History- Austin Public Health Bond Appropriation by City Department Transportation and Mobility Affordable Housing Transportation Infrastructure Transportation Parks and Recreation Flood Mitigation, Open Space, and Water Quality Protection Transportation Mobility Improvements Drainage and Open Space Libraries, Museums and Cultural Arts Faciities Public Safety Central Library Mobility Parks Parks Land and Facilities Public Safety Facilities Library and Cultural Centers Cultural Facilities Open Space and Watershed Protection Austin Public Health Open Spaces Flood Control, Erosion Control, Water Quality 0.00 200,000,000.00 400,000,000.00 600,000,000.00 800,000,000.00 1,000,000,000.00 Bond Appropriation by City Department What have APH bond projects done for you lately? Making our 2012 & 2018 Bond $tretch Dove Springs Public Health Center, 2024 Video on next slide... What have APH bond projects done for you lately? Making our 2012 & 2018 Bond $tretch MPOX mass vaccine distribution: Montopolis Recreation & Public Health Center, 2020 Multi-Agency Resource Center, Winter Storm, 2023: What have APH bond projects done for you lately? Making our 2012 & 2018 Bond $tretch: Women & Children’s Center, 2018 What have APH bond projects done for you lately? Making our 2012 & 2018 Bond $tretch: Betty Dunkerley Campus Renovations & 50 Additional Animal Shelter Kennels, 2017 Parking expansion at two APH Sites, 2016 Bond Selection Process Outline COA Guiding Principles APH Guiding Principles APH Technical Criteria COA Master Plans APH Grading Matrix Austin Public Health: Guiding Principles • Advancing Equity • Promoting Affordability • Fostering Innovation Travis County Life Expectancy 2015: Advancing Equity Health Equity Programs • Initiatives: Implement programs supporting marginalized communities to reduce health disparities and promote inclusive health services. • Community Engagement: Collaborate with local organizations to ensure services reach underserved populations. Eliminating Racial Disparities • Data-Driven Approaches: Use data to identify and address racial disparities in health outcomes. • Strategic Initiatives: Programs like the Maternal Infant Outreach Program address racial health inequities. Mitigating Unintended Consequences • Community Feedback: Engage regularly with community stakeholders to assess the impact of public health programs. • Continuous Improvement: Implement policies like Culturally and Linguistically Appropriate Materials (CLAMS) to deliver services effectively and fairly. Promoting Affordability Providing Affordable Services • Community Clinics and Neighborhood Centers: Enhance public health access through strategically located clinics offering free or low-cost services. • Public Programs: Support affordable programs, community improvements and service enhancements to provide broad community benefits. Reducing Community Costs • Safety Net Facilities: Build new public health facilities and promote projects to improve health outcomes and decrease primary health care costs. • Coordination and Partnerships: Maximize coordination opportunities and partner with other agencies to leverage funding sources effectively. Vetted Construction Estimates and O&M Impacts • Comprehensive Planning: Ensure accurate construction and operational cost estimates, along with long-term staffing and maintenance plans. Fostering Innovation Understanding Challenges and Needs • Community Research: Conducting thorough research to understand community health challenges and needs. • Resident Engagement: Engaging with residents to gather feedback and tailor solutions accordingly. Data-Driven Solutions • Evidence-Based Practices: Using data and credible science to develop policies and track progress. • Technology Integration: Implementing new technologies to enhance health services and outcomes. Learning and Adaptation • Flexible Project Design: Designing projects with the flexibility to evolve based on community • Continuous Improvement: Encouraging a culture of continuous learning and adaptation within feedback and changing needs. public health initiatives. Austin Public Health: Guiding Principles • Sustainability and Resiliency • Proactive Prevention • Community Trust and Relationships Sustainability and Resiliency Sustainable Practices: • Energy Efficiency: Implementation of energy-saving measures in public health facilities. • Waste Reduction: Programs to minimize waste and promote recycling. Resilient Communities: • Climate Adaptation: Strategies to prepare communities for climate-related public health risks. • Disaster Preparedness: Initiatives to improve response and recovery from natural disasters. Public Health Infrastructure: • Facility Upgrades: Enhancements to public health facilities to withstand environmental and climate impacts. • Sustainable Operations: Adoption of sustainable practices in public health facility operations, including energy use and waste management. Community Partnerships: • Local Organizations: Collaborations with environmental and health-focused organizations. • Public Engagement: Involving community members in sustainability initiatives. Proactive Prevention Preventive Public Health Services: • Vaccinations: Routine immunizations to prevent infectious diseases. • Screenings: Regular screenings for chronic conditions like diabetes and hypertension. Educational Campaigns: • Health Workshops: Community workshops on nutrition, exercise, and wellness. • Online Resources: Digital platforms offering health information and preventive tips. Health Equity: • Access to Care: Ensuring all populations have access to preventive health services, including underserved communities. • Targeted Programs: Tailoring preventive programs to address specific community needs. Collaborative Efforts: • Partnerships: Working with other City departments and local organizations to enhance public health preventive measures. • Joint Initiatives: Coordinated efforts to tackle common public health issues. Community Trust and Relationships Engagement Strategies: • Public Forums: Regular forums and town halls for community input and feedback. • Surveys: Collecting community opinions on public health services and needs. Cultural Competency: • Tailored Services: Providing public health services that respect and address diverse cultural backgrounds. • Language Access: Offering translation and interpretation services to improve accessibility. Transparency: • Open Communication: Regular updates on health initiatives, policies, and performance metrics. • Accountability: Clear procedures for addressing community concerns and complaints. Community Partnerships: • Local Leaders: Collaboration with community leaders to address specific issues and needs. • Support Networks: Building and maintaining support networks with local organizations and businesses. Technical Criteria Inclusive Facility Design • Ensure all new public health facilities are designed to be accessible and welcoming to all community members, including marginalized and underserved populations. • Utilize demographic and epidemiological data to identify facility locations and incorporate features that address specific public health and accessibility needs. • Integrate universal design principles, such as barrier-free access, clear signage, and adaptable spaces, to accommodate individuals with disabilities and diverse cultural backgrounds. Cost-effective Construction and Operations • Develop public health facilities that maximize cost efficiency by employing strategic site selection, cost- effective construction practices, and sustainable materials. • Optimize facility operations by integrating energy-saving technologies and minimizing long-term maintenance costs through durable and resilient building designs. • Leverage existing APH staff and properties to reduce Bond and General Fund costs and ensure long-term affordability. Innovative Facility Solutions • Incorporate innovative design features and the latest technologies into public health facilities to enhance service delivery and adaptability. • Ensure facilities are flexible and scalable to accommodate evolving public health needs, and new treatment modalities. • Leverage collaboration with other City departments and non-profit partners to maximize service delivery. Sustainable and Resilient Infrastructure • Implement sustainable building practices, such as energy- efficient systems, waste reduction, and water conservation, to minimize the environmental impact of public health facilities. • Design facilities to be resilient against climate-related risks and natural disasters, ensuring uninterrupted service delivery during emergencies. • Incorporate renewable energy sources, like solar panels, to reduce reliance on non-renewable energy and to lower operational costs. Preventive Health-Centric Facility Planning • Select facilities with designated areas for essential public health services, including immunization clinic, refugee clinic, diagnostic screening rooms, health promotion and education spaces, and consultation rooms for early intervention and community outreach. • Incorporate multi-use spaces that support collaborative public health initiatives and programs aimed at prevention and wellness. • Include outdoor spaces and walking paths that promote physical activity and wellness for both staff and community members. Community-Centered Facility Development • Engage with community members, leaders, and stakeholders throughout the planning and construction phases to build trust and ensure the facilities meet local needs. • Maintain transparency in the decision-making process and provide culturally appropriate and accessible environments that promote public confidence and use. • Develop partnerships with local organizations and service providers to offer complementary services and create a comprehensive health hub. COA Master Plans Alignment • Environmental Investment Plan • Parks and Recreation Department’s Long-Range • Joint Sustainability Committee Report • Austin Climate Equity Plan • Water Forward • Watershed Protection Strategic Plan Plan and Land Management Plan • Austin-Travis County Community Wildfire Protection Plan • Urban Forest Plan • One Austin: The Climate Resilience Action Plan • Heat Resilience Playbook • Austin Strategic Mobility Plan • Austin Energy Resource, Generation, and Climate Protection Plan • Collaborative Travis County-City of Austin initiatives, for example, the Northeast Planning District. • Austin Strategic Housing Blueprint • Austin Travis County Food Plan APH Grading Matrix APH 2026 Bond Technical Criteria Grading Matrix - DRAFT # COA Guiding Principles APH Technical Criteria COA Master Plans Alignment Available Points Awarded Points Awarded Points Project Proposal #1 Project Proposal #2 1 Equity Inclusive Facility Design Austin Climate Equity Plan, Austin Strategic Housing Blueprint 2 Affordability Cost-effective Construction and Operations Austin Energy Resource, Generation, and Climate Protection Plan 3 Innovation Innovative Facility Solutions Austin-Travis County Community Wildfire Protection Plan 4 Sustainability and Resiliency Sustainable and Resilient Infrastructure Environmental Investment Plan, Water Forward, Heat Resilience Playbook, Watershed Protection Strategic Plan 5 Prevention Preventive Health-Centric Facility Planning Austin-Travis County Food Plan, Parks and Recreation Department's Long- Range Plan and Land Management Plan 6 Community Trust and Relationships Community-Centered Facility Development Austin Strategic Mobility Plan, Collaborative Travis County-City of Austin Initiatives 20 16 10 14 20 20 100 Total: 0 0 Epidemiological, Health Effects, and Quality of Life Data that determines our proposals. Colony Park Public Health Needs • This map displays the need of the Colony Park Austin area, focusing on 2 Travis County Zip codes that the data pointed to: • 78724 • 78725 Colony Park Area Equity Gap Analysis: The grey areas need and deserve accessible public health services, each of the factors below puts them at risk for adverse health effects and lower quality of life. CEJST information for the dark blue outlined area: Climate and Economic Justice Screening Tool Inequitable Travel Times to Each Current APH Location from Colony Park Zip Codes Start: Random Apartments within 78724 zip code Time: 8:00am; One way trip Shots for Tots – St Johns 7500 Blessing Ave Neighborhood Center 2800 Webberville Rd WIC Clinic 1101 Camino La Costa Child Care Facility 5706 Reicher Dr 10-15 minutes 14-30 minutes 10-26 minutes 8-20 minutes 40 minutes 1 hour 8 minutes 31 minutes 31 minutes Northeast Public Health Needs • This map displays the need of the northeast Austin area, focusing on 6 Travis County Zip codes that the data pointed to: • 78752 • 78753 • 78754 • 78757 • 78758 • 78660 Austin/Travis County Northeast Equity Gap Analysis: The grey areas need and deserve accessible public health services, each of the factors below puts them at risk for adverse health effects and lower quality of life. CEJST information for the dark blue outlined area: Climate and Economic Justice Screening Tool Inequitable Travel Times to Each Current APH Location from NE Zip Codes Start: Random Apartments within 78753 zip code Time: 8:00am; One way trip Shots for Tots – St Johns 7500 Blessing Ave Refugee Services 1000 Toyath Street Sexual Health/TB Clinic 15 Waller St Child Care Facility 2411 W. Braker Ln 10-18 minutes 24-45 minutes 22-40 minutes 8-16 minutes 1 hour 8 minutes 1.5 hours 1 hour 21 minutes 1 hour