When Nick Doffin, Lake County’s Health Administrator, considers the new levels of funding his department must budget in the wake of a new funding formula approved by the Indiana legislature, he imagines the possibilities.
“It’s a lot of money,” he said, with an almost imperceivable lift in his normally stoic voice. Budgeting for the best use of what will turn out to be more than $15 million over the next two years, and then, hopefully continuing forward, is a little overwhelming.The funding, made possible through the passage of Senate Bill 4 into law in May, comes as a result of the findings of a study by a health commission created by Gov. Eric Holcomb to study Indiana’s approach to public health.
“We’ve had deficiencies for years. Nobody’s kept a list,” Doffin said. Tackling deficiencies has been a bandage approach, he said. If a grant becomes available, an issue can be addressed. If the grant dries up, the program goes away as well. According to the Centers for Disease Control, Indiana has the ninth highest infant mortality rate in the nation at a rate of 6.7 deaths per 1,000 live births compared to the national average of 5.4 deaths per 1,000 live births. Indiana also has the third highest maternal mortality rate, with 44 maternal deaths for every 100,000 live births, with even higher rates among Black women.
Porter County stands to receive a minimum of $1.6 million in 2024 and a minimum of $3.3 million in 2025 if all counties opt in. The Porter County Health Department currently receives about $135,768 a year from the state. By the end of 2024, the department will develop local key performance indicators for all of the core public health services and will look to be able to show a positive impact on local health outcomes across the board in future years, Gschwind said.
“And we know that maternal and infant mortality rates are much higher in our communities than in the state and nation as a while. These are barriers to good health that we work hard to address via our hospital services and our community outreach programs,” Doyle said. At least 60% of the revenue must be spent on core public health service such as communicable disease prevention and control; vital statistics; tobacco prevention and cessation; supporting student health; child fatality review; suicide and overdose fatality review; maternal and child health; testing and counseling for HIV, hepatitis C and other sexually transmitted infections; tuberculosis control and case management; emergency preparedness; referrals to clinical care; prevention and reduction...
She said the report commissioned by Holcomb summarized that the state needs additional public funding across the board to help improve health metrics in the state and local level.
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