Accountability Report: Fiscal Year 2018-2019South Carolina Department of Health and Environmental ControlDHEC_ab968296-1c02-11e9-b4d3-037ed5e8efbcDavid WilsonActing Director, S.C. Department of Health and Environmental ControlMark ElamChairman, S.C. Board of Health and Environmental ControlHealthy people living in healthy communities_ab9683a4-1c02-11e9-b4d3-037ed5e8efbcTo improve the quality of life for all South Carolinians by protecting and promoting the health of the public and the environment. _ab968458-1c02-11e9-b4d3-037ed5e8efbcEducationEngage our team members, stakeholders, and communities by providing them access to relevant and timely information and education to improve quality of life and health outcomes.EngagementScienceScience in Action -- Utilize sound science, quality data, and analytical processes to make fully informed, well‐reasoned decisions that instill trust and confidence in the agency’s expertise and decision‐making capabilities.LeadershipCollaborate with our partners, contribute expertise, and lead efforts to establish a strong public health system that advances health and environmental protection on a state, regional, and national level.CollaborationServiceFacilitate access to and delivery of dependable, timely, professional, and culturally appropriate services to meet the needs of communities and our partners.AccessibilityPerformanceContinuous ImprovementOperational ExcellenceDevelop our people, strengthen our processes, and invest in our technology to support a high‐performance organization and a culture of continuous improvement.Health & QOLImprove and protect the health and quality of life for all._ab96866a-1c02-11e9-b4d3-037ed5e8efbc1CareAssure access to care for residents by linking community services and facilitating systems of care for women, children, and infants.  _ab968750-1c02-11e9-b4d3-037ed5e8efbc1.11.1.1 Percent of counties with at least one National Diabetes Prevention Program.  Base: 53.25% Actual: Target: 60.00% ~ Time Applicable: 30-Jun ~ Data Source and Availability: CDC grants Diabetes Heart Disease Prevention, Obesity and school health ~ Calculation Method: # of counties with a program divided by the total # of counties (46) (%) ~ Meaningful Use of Measure: Reduce the burden of chronic diseases by promoting evidence-based interventions. 1.1.2 The percent of school districts implementing model tobacco-free policies, including electronic cigarettes. 52.50% 60.00% 30-Jun Tobacco Cessation and Prevention Grant # of school districts implementing model policies divided by the total # of school districts (82) (%) Reduce tobacco use in SC by preventing youth from starting and supporting cessation among tobacco users.1.1.1 Percent of counties with at least one National Diabetes Prevention Program.  Base: 53.25% Actual: Target: 60.00% ~ Time Applicable: 30-Jun ~ Data Source and Availability: CDC grants Diabetes Heart Disease Prevention, Obesity and school health ~ Calculation Method: # of counties with a program divided by the total # of counties (46) (%) ~ Meaningful Use of Measure: Reduce the burden of chronic diseases by promoting evidence-based interventions. 1.1.2 The percent of school districts implementing model tobacco-free policies, including electronic cigarettes. Base: 52.50% Actual: Target: 60.00% 30-Jun ~ Data Source and Availability: Tobacco Cessation and Prevention Grant ~ Calculation Method: # of school districts implementing model policies divided by the total # of school districts (82) (%) ~ Meaningful Use of Measure: Reduce tobacco use in SC by preventing youth from starting and supporting cessation among tobacco users.1.1.3 Percent of women enrolled in Best Chance Network who receive a mammogram and are 50 years or older. Base: 89.25% Actual: Target: 95.00% 30-Jun ~ Data Source and Availability: Cancer grant ~ Calculation Method: # of women ≥50 receiving a mammogram divided by total # of women receiving a mammogram (%) ~ Meaningful Use of Measure: Strengthen cancer prevention and control efforts by collaborating with key stakeholders and increasing screening for breast and cervical cancer.Lifestyles & Chronic DiseasesPrevent and control chronic disease and promote healthy lifestyles for all South Carolinians._ab9687fa-1c02-11e9-b4d3-037ed5e8efbc1.21.2.1 Percent of newly diagnosed HIV positive persons linked to Care within 30 days of diagnosis Base: N/A New measure for FY 2019 Actual: Target: 80.00% January - December (Calendar Year) ~ Data Source and Availability: Surveillance and Tech Support and STD/HIV Data to Care Projects Reports ~ Calculation Method: Newly diagnosed HIV+ persons linked to Medical Care within 30 days of diagnosis ~ Meaningful Use of Measure: Conduct STD and HIV testing, treatment and partner services.1.2.2 Percent of clients with active TB disease that adequately complete treatment protocol. Base: 93.00% Actual: Target: 95.00% 2016 Completed Data Set ~ Data Source and Availability: TB SCION Data ~ Calculation Method: TB cases that complete treatment within the 12-month period of interest (%) ~ Meaningful Use of Measure: Prevent the occurrence and spread of tuberculosis through surveillance, contact investigations, case management and medical therapy.Communicable DiseasesPrevent and control communicable diseases of public health importance in South Carolina._ab9688ae-1c02-11e9-b4d3-037ed5e8efbc1.31.3.1 All required response plans and SOP’s are reviewed and updated in accordance with establish update timelines. Base: 100.00% Actual: Target: 100.00% 30-Jun ~ Data Source and Availability: National Response Framework and DHEC Policy ~ Calculation Method: Established Timeline Matrix ~ Meaningful Use of Measure: Collaborate with both internal and external partners to support the healthcare community recovery efforts after an all hazards event. 1.3.2 Conduct, evaluate or participate in 2 drills, 2 functional, 2 table top and 3 full scale exercises. Base: N/A New measure for FY 2019 Actual: Target: 9 Exercises/ Drills 30-Jun ~ Data Source and Availability: DHEC Policy ~ Calculation Method: Cumulative # of relevant exercises/events ~ Meaningful Use of Measure: Establish and maintain a robust preparedness training and exercise program to ensure a skilled workforce.Resident HealthCollaborate with communities to improve the health status of county residents._ab968962-1c02-11e9-b4d3-037ed5e8efbc1.4CommunitiesCountiesResidentsStatisticsAct as primary source to collect, track, disseminate and maintain public health statistics to assess South Carolina's health status and support public health decision making._ab968a16-1c02-11e9-b4d3-037ed5e8efbc1.5Preparedness & ResponseFacilitate a coordinated, comprehensive public health preparedness and response system by ensuring that the agency and its partners are prepared for, respond to and recover from events impacting public health._ab968ade-1c02-11e9-b4d3-037ed5e8efbc1.6Testing & ExpertiseProvide time-sensitive public health diagnostic and surveillance testing and expertise to prevent and control disease._ab968b9c-1c02-11e9-b4d3-037ed5e8efbc1.7Natural ResourcesProtect, enhance, and sustain environmental and coastal resources._ab968c5a-1c02-11e9-b4d3-037ed5e8efbc2AirEnsure air is healthy to breathe through regulatory oversight and monitoring._ab968d22-1c02-11e9-b4d3-037ed5e8efbc2.12.1.1 Meet National Ambient Air Quality Standards (NAAQS) for all six criteria pollutants at 100% of South Carolina ambient monitoring stations. Base: 100% Actual: Target: 100% Varies by pollutant ~ Data Source and Availability: EPA Air Quality System Database (AQS) ~ Calculation Method: Varies by pollutant ~ Meaningful Use of Measure: Ensures South Carolinians are breathing healthy air, and South Carolina meets all state and federal air quality standards for protecting public health and the environment. CommunitiesPromote healthy and thriving communities through environmental cleanup, education and community engagement._ab968de0-1c02-11e9-b4d3-037ed5e8efbc2.2Communities2.2.1 Underground Storage Tank (UST) Release Cleanup Progress (release closures per federal fiscal year or FFY) Base: 81 as of 8/22/2018 (FFY not yet complete) Actual: Target: 100 Federal Fiscal Year ~ Data Source and Availability: Environmental Facility Information System (EFIS) Database ~ Calculation Method: EFIS Report - Cumulative total number of petroleum release closures completed during the federal fiscal year ~ Meaningful Use of Measure: Oversee the investigation, remediation, and clean-up of contamination from Superfund, dry-cleaning, above-ground storage tanks, underground storage tanks, and brownfield sites.2.2.2 The number of hazardous waste facilities on the Government Performance and Results Act (GPRA) Baseline that have: (1) control of unacceptable human exposures from site contamination; (2) control of migration of contaminated groundwater; and (3) selection and construction of remedies to clean up contaminated sites. Base: 53/53 facilities with human exposure under control; 52/53 facilities with groundwater under control; 42/53 facilities with site-wide remedies constructed. Actual: Target: 50/53 facilities with human exposure under control; 47/53 facilities with contaminated groundwater under control; 37/53 facilities with site-wide remedies constructed. State Fiscal Year ~ Data Source and Availability: Meeting calendars and records ~ Calculation Method: The number of facilities on the National GPRA list that achieve those milestones ~ Meaningful Use of Measure: This effort will enhance collaborative problem solving through encouraging participation in external and internal partnerships with various stakeholders.2.2.3 Percent of high hazard and significant hazard regulated dams receiving scheduled inspection Base: 100% All High and Significant hazard dams were inspected after the flooding in October 2015 Actual: Target: High hazard once every 2 years and Significant Hazard once every 3 years Calendar Year ~ Data Source and Availability: Inspections ~ Calculation Method: Number Inspections/Total Scheduled Dams in that category ~ Meaningful Use of Measure: Provide input and assistance on regulatory and compliance issues to owners and operators of more than 2,300 dams statewide.WaterProvide regulatory oversight and monitoring to ensure water is clean and available for all uses._ab968ea8-1c02-11e9-b4d3-037ed5e8efbc2.32.3.1 Percent of surface waters meeting numeric standards (fishable, swimmable) Base: 61.08% Actual: Target: 75% BiAnnual ~ Data Source and Availability: Monitoring Data ~ Calculation Method: Utilizing impaired stream monitoring ~ Meaningful Use of Measure: Collect and evaluate ambient water and beach quality2.3.2 Maintain percent of population served by community public water systems that are in compliance with all health based standards at 95% or above Base: 97% Actual: Target: 95% Calendar Year ~ Data Source and Availability: National Database SCDW ~ Calculation Method: Population served by community public water systems in full compliance with health based standards/Population served by all community public water systems ~ Meaningful Use of Measure: Conduct compliance assistance and assurance through routine monitoring, inspections and enforcement for water programs2.3.3 Cumulative investments in drinking water, wastewater and stormwater infrastructure projects by the Clean Water State Revolving Fund (SRF) and Drinking Water SRF. Base: $1.659B Actual: Target: $1.712B ~ Time Applicable: State Fiscal Year ~ Data Source and Availability: National Database NIMS (DWSRF and CWSRF), Annual Intended Use Plans(DWSRF and CWSRF), SC Rural Infrastructure Authority ~ Calculation Method: Each state fiscal year the total binding commitments (investments) for the DWSRF and CWSRF should increase by an amount at least equal to or greater than of the total estimated repayments returning to the DWSRF and CWSRF that state fiscal year. ~ Meaningful Use of Measure: Utilitization of the CWSRF and DWSRF for drinking water, wastewater and stormwater infrastructure projects.Health CareImprove the quality, safety, and administration of health care, treatment, and services in South Carolina. _ab968f84-1c02-11e9-b4d3-037ed5e8efbc3StandardsImplement and enforce standards for licensure, maintenance, and operation of health facilities and services to ensure the safe and adequate treatment of persons served in this State._ab969056-1c02-11e9-b4d3-037ed5e8efbc3.13.1.1 Maintain the percentage of health facility and service licenses, permits, registrations, and certifications issued within the timeframe prescribed by law, regulation, or internal policy at 95% or above. Base: 97% Actual: Target: 95% ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of licenses, permits, registrations, and certifications issued by the prescribed timeframe.  ~ Meaningful Use of Measure: Review applications and issue licenses, permits, registrations, and certifications for health facilities and services. 3.1.2 Meet the performance standards for the frequency, quality, and enforcement for nursing homes, other health care facilities, and CLIA laboratories.  Base: New Measure Actual: Target: 100% ~ Time Applicable: "October - September (Federal Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of performance standards met for the frequency, quality, and enforcement for nursing homes, other health care facilities, and CLIA laboratories.  ~ Meaningful Use of Measure: Conduct federal Medicare certification process to ensure minimum health and safety requirements and CLIA regulatory standards are met by providers and suppliers participating in the Medicare and Medicaid programs.  3.1.3 Conduct routine inspections and initial investigations within the timeframe prescribed by law, regulation, or internal policy.  Base: New Measure  Actual: Target: 100% ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of routine inspections and initial investigations conducted by the prescribed timeframe. ~ Meaningful Use of Measure: Conduct inspections and investigations of health facilities and services for alleged violations and noncompliance.ComplianceCertify that providers and suppliers meet minimum federal health and safety requirements and Clinical Laboratory Improvement Amendments (CLIA) regulatory standards. _ab96918c-1c02-11e9-b4d3-037ed5e8efbc3.23.2.1 Increase the number of emergency service providers trained and certified in this State by in-state training institutions for EMT level and paramedic level within the next 12 months.    Base: 2% Actual: Target: 5% ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of EMT level and paramedic level personnel trained and certified in this State by in-state training institutions. ~ Meaningful Use of Measure: Train and educate EMS providers, first responders, law enforcement, and the public with respect to their role in provision of emergency medical care. 3.2.2 Maintain the number of practitioners and registrants inspected annually Base: 1904 Actual: Target: 1904 ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Total number of inspections performed annually.  ~ Meaningful Use of Measure: Conduct inspections and audits to ensure accountability of controlled substances.EMSImplement and enforce standards for emergency medical services (EMS). _ab969286-1c02-11e9-b4d3-037ed5e8efbc3.33.3.1 Maintain the percentage of inspections of facilities that use x-ray equipment conducted within the timeframe prescribed by law, regulation, or policies Base: 85% Actual: Target: 85% ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of inspections conducted within the timeframe prescribed by law or regulation.  ~ Meaningful Use of Measure: Conduct inspections to verify compliance, protect public health, and provide safety from unnecessary exposure from ionizing and nonionizing radiation.3.3.2 Conduct all inspections of facilities that use radioactive materials within the timeframe prescribed by law, regulation, or policies.  Base: New Measure Actual: Target: 100% ~ Time Applicable: "July - June (Fiscal Year)" ~ Data Source and Availability: Electronic Document Management System ~ Calculation Method: Percentage of inspections conducted within the timeframe prescribed by law or regulation.  ~ Meaningful Use of Measure: Conduct inspections to verify compliance, protect public health, and provide safety from unnecessary exposure from ionizing and nonionizing radiation.Facilities & ServicesEnsure new and modified health care facilities and services throughout the State reflect the needs of the public. _ab96936c-1c02-11e9-b4d3-037ed5e8efbc3.4Controlled SubstancesProtect the public by ensuring accountability of controlled substances. _ab969452-1c02-11e9-b4d3-037ed5e8efbc3.5RadiationProtect the public from unnecessary exposure from radiation. _ab969560-1c02-11e9-b4d3-037ed5e8efbc3.6People, Processes & TechnologyDevelop our people, strengthen our processes, and invest in our technology to support a high- performance organization and a culture of continuous improvement. _ab969650-1c02-11e9-b4d3-037ed5e8efbc4IT InfrastructureModernize the Agency’s IT infrastructure and allow for the automation of many Agency functions._ab969754-1c02-11e9-b4d3-037ed5e8efbc4.14.1.1 By June 30, 2020, transition all outdated mainframe applications to modern platforms. Base: 0% Actual: Target: 50% ~ Time Applicable: Fiscal Year ~ Data Source and Availability: Internal inventory report of applications provided as needed ~ Calculation Method: Number of mainframe applications divided by number transitioned ~ Meaningful Use of Measure: Streamline and modernize the Agency’s software application portfolio to continue to strengthen coordination and performance across Agency programs.4.1.2 By June 30, 2022, replace all outdated statewide network infrastructure Base: 20% Actual: Target: 40% ~ Time Applicable: Fiscal Year ~ Data Source and Availability: Network Modernization project plan ~ Calculation Method: Number of new/up-to-date network equipment divided by number of total equipment inventory. ~ Meaningful Use of Measure: Expand the capacity and increase the reliability of our IT infrastructure. 4.1.3 By June 30, 2023 refresh all end-user computing devices Base: 0% Actual: Target: 20% ~ Time Applicable: Fiscal Year ~ Data Source and Availability: Agency Device Lifecycle Plan ~ Calculation Method: Number of end-user computing devices replaced divided by total number of devices in the agency ~ Meaningful Use of Measure: Expand the capacity and increase the reliability of our IT infrastructure.Recruitment, Development & RetentionBecome the premier employer in South Carolina by recruiting, developing, and retaining high quality employees._ab969858-1c02-11e9-b4d3-037ed5e8efbc4.24.2.1 Review, update, and finalize safety policies and plans. Base: 0% Actual: Target: 50% ~ Time Applicable: 30-Jun ~ Data Source and Availability: Safety policy and procedure manual ~ Calculation Method: Number of safety polices and plans reviewed, updated, and finalized divided by the total number of safety policies and plans (21 current policies and plans) ~ Meaningful Use of Measure: Ensures workspaces for our teams across the state are functional, safe, clean, cost-effective, and environmentally friendly, pursuing new Agency facilities as necessary.4.2.2 Provide new internal and external continuing education opportunities for our teammates to develop and learn new skills and enhance their contributions to the Agency. Base: 88% Actual: Target: 85% ~ Time Applicable: 30-Jun ~ Data Source and Availability: LEAP graduation rates ~ Calculation Method: Number of graduates from the current class divided by number of participants in the current class. ~ Meaningful Use of Measure: Provide leadership development opportunities for high performers within DHEC, allowing them to learn new skills and enhance their contributions to the Agency.CultureFoster a culture of continuous improvement and operational excellence. _ab969952-1c02-11e9-b4d3-037ed5e8efbc4.3Percentage of strategic projects actively managed and/or monitored by DHEC Project Management Office Base: N/A New measure for FY 2019 Actual: Target: 80% ~ Time Applicable: July-June (State Fiscal Year) ~ Data Source and Availability: PMO project portfolio/DHEC Strategic Project Roadmap ~ Calculation Method: % of strategic projects within PMO portfolio and/or Roadmap Reporting ~ Meaningful Use of Measure: Promote operational excellence by utilizing the Project Management Office to ensure the timely and comprehensive execution of projects that remain within budgetary parameters. Maintain the percentage of closed financial audit findings to at least 95% for the fiscal year Base: 100% Actual: Target: 95% ~ Time Applicable: July-June (State Fiscal Year) ~ Data Source and Availability: Internal tracking sheet of Audit findings ~ Calculation Method: # of closed findings/Total # of findings ~ Meaningful Use of Measure: Assure financial stability and maximize resources for implementing critical public health and environmental protection services.Maintain the amount of federal funds spent in a grant award to at least 95%. Base: 89% Actual: Target: 95% ~ Time Applicable: July-June (State Fiscal Year) ~ Data Source and Availability: SCEIS FM and GM Modules and Internal tracking database ~ Calculation Method: Federal funds awarded/Federal funds spent ~ Meaningful Use of Measure: Assure financial stability and maximize resources for implementing critical public health and environmental protection services.2018-07-012019-06-302019-01-20https://www.scstatehouse.gov/reports/aar2018/J040.pdfOwenAmburOwen.Ambur@verizon.net