I.3. Liberty County Public Health Department (LCPHD)
LCPHD is located at the Nelson Center, FF and 11th Streets, Central City. The department’s primary functions include environmental health, community health, family health, and disease prevention and control services. LCPHD maintains a satellite office at the Fisherville Public Health Office, S and 3rd Streets in Fisherville. The LCPHD Director, in addition to directing LCPHD, also has oversight over the Liberty County Emergency Medical Services (EMS) Coordinator (see Appendix G, EMS). The LCPHD organizational chart is below. LCPHD is a NIMS–compliant agency, and all staff are trained in ICS according to their work responsibilities.
 
* See Appendix G, “Emergency Medical Services”
Refer to the IG/SM content for the alt text description of this image.
Figure I.2. Liberty County Public Health Department (LCPHD) Organizational Chart
Figure I.2. Liberty County Public Health Department (LCPHD) Organizational Chart Image Description

1st level: Liberty County Public Health Director. Branching from the Director are the Liberty County Board of Health and the Liberty County EMS Coordinator*.

2nd level: Deputy Public Health Director and Medical Director

3rd level: Administration; Environmental Health; Community Health; Communicable Disease Prevention and Control; and Family Health Services

Branched below Administration: Human Resources and Vital Records

Branched below Environmental Health: Food and Facility Inspections and Permitting; On-Site Sewage Treatment; Air and Water Quality; Vector Control

Branched below Community Health: Public Health Emergency Preparedness and Response; Health Promotion; School Health; Laboratory

Branched below Communicable Disease Prevention and Control: Epidemiology; Immunizations; Sexually Transmitted Illness (STI); Tuberculosis (TB); HIV/AIDS

Branched below the Family Health Services: Maternal and Child Health; Reproductive Health; Oral Health; and Family Outreach Health Services

I.3.1. Liberty County Public Health Department Services

LCPHD services include the following. Health department staffing is in Tables I.1. I.2.

  • 24-hour on-call Disease Control and Environmental Health access
  • Phone Center, with capabilities for 24/7 hotline
  • Environmental Health including permitting and/or inspections of septic systems, private drinking water, public swimming pools, hospitals, daycare centers, schools, camps, body art establishments, food handling, and lodging establishments
  • Clinical Laboratory Improvement Amendments (CLIA) Moderate Complexity Laboratory (For more information, see I.4.2.)
  • School Health
  • Women, Infants, and Children (WIC)
  • Tuberculosis (TB) Control
  • Prevention and Control
  • Foreign Travel
  • Sexually Transmitted Illness (STI) Services
  • HIV and AIDS Services
  • Family Outreach Health Services:
    • Child Service Coordination
    • Health Check
    • Nurse Home Visitation Program
    • Smart Start
    • Maternal Outreach
  • Family Health Clinic Services:
    • Family Planning
    • Adult Health Screening Clinic
    • Breast and Cervical Cancer Control
    • Child Health Clinic
  • Immunization
  • Prenatal Clinic
  • Health Promotion
  • Cardiopulmonary Resuscitation (CPR) Training
  • Worksite Wellness
  • Breast Pump Rental
I.3.2. Liberty County Public Health Department Fisherville Office

LCPHD runs a satellite office in Fisherville that provides the following services under the supervision of the LCPHD Medical Director, who rotates through the clinic weekly. Because of the nearby wetlands areas and population surges during the summer months, LCPHD provides additional services from May 1 through Labor Day weekend.

  • Year-round services:
    • Environmental Health: Food and Lodging inspections and permits; septic system inspections and permits; daycare center inspections and permits; vector control
    • Laboratory: CLIA waived testing; that is, minor laboratory studies are performed on-site. Higher-level laboratory test specimens are submitted to the LCPHD laboratory or to private or referral hospital laboratories.
    • Family planning: as above
    • STI and HIV/AIDS: STI testing and treatment, and HIV/AIDS testing and referral services
    • Immunizations: Required school vaccinations, influenza vaccinations every autumn
    • Adult health screening: as above
    • Child health clinic: monthly, as above
  • Services provided May 1 through Labor Day Weekend: Same services listed above, with the following staff increases through repositioning of staff from LCPHD:
    • Additional vector control staff: 2, with additional vector control equipment and supplies from LCPHD
    • Additional Food and Lodging staff: 2
    • Additional public health Registered Nurses: 2

Department

Classification/Title

Staff

AdministrationPublic Health Director

1

AdministrationDeputy Public Health Director

1

AdministrationFamily Health Services Director

1

AdministrationCommunity Health Services Director

1

AdministrationAccountant

3

AdministrationHuman Resources Manager

1

AdministrationVital Records Specialist

1

AdministrationAdministrative/Clerical Support (all services)

17

AdministrationPhone Center Staff

5

Emergency PreparednessEmergency Preparedness Coordinator

1

Emergency PreparednessStrategic National Stockpile (SNS) Coordinator

1

Communicable Disease Prevention and ControlProgram Director (Registered Nurse [RN])

1

Communicable Disease Prevention and ControlRN

5

Communicable Disease Prevention and ControlEpidemiologist (Master of Public Health [MPH])

1

LaboratoryLaboratory Director

1

LaboratoryMedical Laboratory Technologist

3

Environmental HealthProgram Director

1

Environmental HealthRegistered Environmental Health Specialist (REHS)

10

Environmental HealthVector Control Specialist

3

Family Outreach Health ServicesProgram Director

1

Family Outreach Health ServicesPublic Health Outreach Worker

3

Family Health Clinic ServicesProgram Director (RN)

1

Family Health Clinic ServicesChild Health Practitioner (2 Advanced Practice RN, 1 RN)

3

Family Health Clinic ServicesAdult Health Practitioner (2 Advanced Practice RN, 1 RN)

4

Family Health Clinic ServicesPhysician (Medical Director)

1

Oral Health ServicesProgram Director (Dentist, DDS)

1

Oral Health ServicesDental Hygienist

3

School Health ServicesSchool Nurse (RN)

3

Nurse Home Visitation ProgramRN

2

WIC (Women, Infants, and Children)Program Director (Nutritionist)

1

WICNutritionist

2

Family Health ServicesNursing Assistant/Medical Office Assistant

4

Information TechnologyIT Specialist

2

Fisherville Satellite Office of LCPHD:  
Fisherville Satellite Office of LCPHD: Office Manager

1

Fisherville Satellite Office of LCPHD: Environmental Health: 
Fisherville Satellite Office of LCPHD:

Food and Lodging Inspections

2

Fisherville Satellite Office of LCPHD:

Septic Inspections

2

Fisherville Satellite Office of LCPHD: Laboratory

2

Fisherville Satellite Office of LCPHD: Family Planning

2

Fisherville Satellite Office of LCPHD: STI Services and HIV/AIDS Services

2

Fisherville Satellite Office of LCPHD: Adult Health Screening and monthly Child Health Clinic (Advanced Practice RNs)

2

Fisherville Satellite Office of LCPHD: Nursing Assistant/Medical Office Assistant

2

Fisherville Satellite Office of LCPHD: Administrative/Clerical Support

4

Fisherville summer surge staff (May 1–Labor Day Weekend; repositioned from LCPHD):  
Fisherville summer surge staff (May 1–Labor Day Weekend; repositioned from LCPHD): Vector Control Specialist

2*

Fisherville summer surge staff (May 1–Labor Day Weekend; repositioned from LCPHD):Food and Lodging

2*

Fisherville summer surge staff (May 1–Labor Day Weekend; repositioned from LCPHD):Advanced Practice RNs

2*

 TOTAL FTE LCPHD STAFFING

111

* Not counted in total since repositioned

Table I.1. Liberty County Public Health Department Staffing

Function

Staff

Administration

10

Clerical/Phone Center/Administrative Support

26

Emergency Preparedness

2

Public Health Nurse (RN), including Advanced Practice RNs

25

Nursing Assistant/Medical Office Assistant

6

Physician

1

Laboratorian

6

Dentist

1

Dental Hygienist

3

Environmental Health Specialist

18

Nutritionist

3

Epidemiologist

1

Information Technology

2

Family Outreach

4

Health Promotion

3

TOTAL FTE LCPHD STAFFING

111

Table I.2. Liberty County Public Health Department Staffing Summary