July 1, 2005

Dear Multnomah County Resident:

I am pleased to present the 2004 Annual Report of the Multnomah County Health Department, available on the internet at www.mchealth.org/annual/. Multnomah County Health Department’s annual report is a celebration of the quality of service and commitment of staff, providers, and community partners who join together to ensure that each of you benefits from excellence in public health. Congratulations to everyone who has contributed to the well-being, safety, and health of Multnomah County residents.

Fiscal year 2003-2004 was a year of many changes here at the Health Department. In August 2003 an administrative restructure was implemented. The new structure emphasizes community health promotion and partnerships, supports the integration of clinical service delivery systems, and groups together all population-based community health services. Reductions in the Multnomah County general fund budget resulted in several changes including the closure of the primary care clinic at the Southeast Health Center, the consolidation of Early Childhood Services from five teams to three, and a reduction in hours at Middle School-Based Health Centers. Our challenge is to continue to provide quality services to those in need during a time of limited resources.

This 2004 Annual Report employs a format designed to facilitate year-to-year comparisons of key departmental activities. These key activities include providing direct medical and dental services as well as health promotion and planning in the areas of bio-terrorism and emergency preparedness, chronic disease prevention, communicable disease, environmental health, health disparities, immunization, maternal and child health, substance abuse, teen pregnancy and adolescent health, tobacco prevention, and violence prevention. We care for every segment of the population, often raising controversial issues, but always focused on the needs of the community. Building on the public trust and momentum that characterized the past, your Health Department continues to seek and establish alliances to maximize resources for the future. We appreciate and value our significant number of community and business partners who make it possible to keep pace with the needs of a growing county.

As Director of the Health Department, I am proud to lead an organization with a national reputation for excellence and a track record of serving those most in need. The Health Department's creativity and unflagging commitment to the public's health is a source of pride for every citizen in Multnomah County. If you would like a printed copy of the report, please contact Diane McBride at (503) 988- 3663, ext. 26567.

Sincerely,

Lillian Shirley, RN, MPH, MPA
Director, Health Department

Table of Contents

All documents are in PDF format, requiring Acrobat Reader.

Download entire report (~ 1MB)

By topic:

• Department Overview
• Strategic Plan
• Directory
• Organization Chart
• Community Health Council
• Service Area Map
• Health Center Facilities
• Clients and Visits
• Service Unit Pages:
  • Administration - Director's Office, Health Officer, Business and Quality Services
  • Community Health Promotion, Partnerships, & Planning
  • Community Health Services
  • Integrated Clinical Services
• Vital Issues
• About Multnomah County

Archive:

• MCHD Annual Report, 2002-2003
• MCHD Annual Report, 2001-2002