|Increasing Revenue Generation
|The Department’s annual budget includes a number of revenue streams, including: State and federal grants, City General Fund monies, third-party insurance reimbursements, licensing and permit activities, and non-governmental grant funds. Responsibility for cultivating, managing, and maximizing these funding streams, however, is diffused throughout the Department. Consideration should be given to adopting a more holistic approach to managing revenue-generating and grants-procurement functions. Convening monthly meetings specifically aimed to assemble the managers responsible for these assorted functions to share information and to develop coordinated strategies could have beneficial impacts on the Department’s multiple revenue streams. Specific strategies include:- Designating a single deputy or assistant health commissioner to be responsible for managing all revenue generating and grants procurement functions;- Revising the Department’s outdated fee structure;- Instituting a structured gain-sharing program to provide the Department a financial incentive to increase inspection efforts;- Increasing the frequency of air quality and food inspections through the establishment of performance goals and the regular monitoring of inspector productivity;
– Marketing the Department’s Medical Assistance Personal Care services to other jurisdictions;
– Relocating services in the Department’s Federal Hill facility to available underutilized space in its Druid Hill facility making the Federal Hill site available for public sale and eventual private or commercial development;
– Pursuing increased State funding by focusing lobbying efforts on securing funds for non-recurring needs such as improving the Department’s information technology infrastructure; and
– Identifying and assisting eligible Baltimore City residents to enroll in existing public insurance programs.
It is the hope of the Greater Baltimore Committee and Presidents’ Roundtable Health Department project team that the recommendations set forth help address some of the organizational, operational, and financial challenges that the Department confronts and improves its ability to respond to Baltimore’s public health needs. The members of the Greater Baltimore Committee and Presidents’ Roundtable Health Department project team would like to acknowledge the tremendous level of cooperation received from the Health Department personnel during the conducting of this effort.
Introduction: Health Department