DHS 140.04(1)(a)6.
6. Provide or arrange for continuity of health care for individuals and families requesting or referred for nursing services and provide them with or otherwise arrange for the availability of timely, cost-effective and quality nursing and clinical preventive services through all of the following:
DHS 140.04(1)(a)6.b.
b. Development of effective, efficient and equitable nursing plans of care for families and individuals who will be receiving services for a period of time.
DHS 140.04(1)(a)6.c.
c. Implementation of nursing plans of care and collaboration with other agencies and organizations, as necessary, to achieve goals included in the plans of care.
DHS 140.04(1)(a)6.d.
d. Documentation and evaluation of the responses of families and individuals to public health nursing services and actions, in order to provide evidence of professional nursing services provided, determine progress toward goal achievement for a particular family or individual and provide a basis for updating that family's or individual's nursing plan of care.
DHS 140.04 Note
Note: The Department recommends that local boards of health and other local governing authorities employ the public health nurse responsibilities set out in par. (a) as the basic framework for carrying out the statutorily mandated generalized public health nursing program.
DHS 140.04(1)(b)1.1. Activities required of local health departments under
ch. DHS 144, relating to immunization of students.
DHS 140.04(1)(b)2.
2. Activities required of local health officers under
ch. DHS 145, relating to control of communicable diseases, including the conduct of epidemiological investigations as directed by the department and measures taken to prevent, exercise surveillance over and control diseases transmitted by animals and insects.
DHS 140.04 Note
Note: Section
254.51, Stats., directs the Department to promulgate rules that establish measures for prevention, surveillance and control of human disease resulting from animal-borne and vector-borne transmission, and directs local health departments to enforce those rules. The particular diseases are included in the list of reportable communicable diseases in Appendix A to ch.
DHS 145, and therefore local health officers are responsible under ch.
DHS 145 for investigating those diseases and employing appropriate methods of control of them as they are for other communicable diseases covered by that chapter.
DHS 140.04(1)(c)
(c)
Services to prevent other diseases. Development and delivery of services to reduce the incidence or prevalence of the chronic diseases or injuries that are the leading causes of disability and premature death in the jurisdiction of the local health department, the chronic diseases or injuries for which resources are available to the local health department from the department or the chronic diseases or injuries identified through a community needs assessment under s.
251.04 (6) (a), Stats., as priority public health problems, or by the regular and systematic collection of information on the health of the community as required under s.
251.05 (3) (a), Stats. These services shall include all of the following:
DHS 140.04(1)(c)1.
1. Informing local elected officials, educators and the general public about the incidence and prevalence of these diseases and injuries in the community.
DHS 140.04(1)(c)2.
2. Disseminating department-endorsed prevention guidance related to these diseases and injuries, including information about behaviors known to reduce the risk of contracting them, and training interested members of the public in department-endorsed prevention techniques.
DHS 140.04(1)(c)3.
3. Arranging screening, referral and follow-up for population groups for which these activities are recognized by the department as effective in preventing chronic diseases and injuries.
DHS 140.04(1)(c)4.
4. Implementing measures or programs designed to promote behavior that is known to prevent or delay the onset of chronic disease or prevent or ameliorate injuries.
DHS 140.04(1)(d)
(d)
Services to promote health. Disseminate information to the community or ensure that information is disseminated to the community about the causes, nature and prevention of diseases and health conditions prevalent in the community or for which the incidence could become significant in the community, and about how to maintain and improve health.
DHS 140.04(1)(e)1.1. Pursuant to s.
251.06 (3) (f), Stats., investigate and supervise the sanitary conditions of all premises within the local health department's jurisdictional area.
DHS 140.04(1)(e)2.
2. Pursuant to s.
254.59, Stats., order the abatement or removal of human health hazards found on private premises and, if an owner or occupant fails to comply, enter the premises and abate or remove or contract for the abating or removal of the human health hazard. As permitted under s.
254.593, Stats., the local health department may declare that specified housing that is dilapidated, unsafe or unsanitary is a human health hazard and proceed in accordance with s.
254.59, Stats., to have the human health hazard abated or removed.
DHS 140.04(1)(f)
(f) Services to prevent the future incidence of occupational disease, environmental disease and human health hazard exposure. Reporting and investigation of occurrences of occupational disease, environmental disease or exposure to a human health hazard, as required by any rules the department may promulgate under ss.
250.04 (7) and
254.02 (5), Stats.
DHS 140.04(2)
(2) Optional services. A level I local health department may provide any services, in addition to the services required under
sub. (1), that a level II local health department is required to provide under
s. DHS 140.05 or a level III local health department is required to provide under
s. DHS 140.06.
DHS 140.04(3)
(3) Annual reports. Within 120 days after the close of the calendar year, a level I local health department shall submit the following reports to the department:
DHS 140.04(3)(a)
(a) A copy of the local health department's annual report for the preceding calendar year, if required by the local governing body.
DHS 140.04(3)(b)
(b) Annual survey of local health departments for the Wisconsin public health data system in a format prescribed by the department.
DHS 140.04(3)(c)
(c) A report, in a format prescribed by the department, on the activities of the local health department for the preceding calendar year, including a narrative which describes the progress and performance toward achieving the objectives that the local health department has identified as part of its community health assessment process.
DHS 140.04 History
History: Cr.
Register, July, 1998, No. 511, eff. 8-1-98; corrections in (1) (b) made under s.
13.92 (4) (b) 7., Stats.,
Register January 2009 No. 637.
DHS 140.05
DHS 140.05
Level II local health department. DHS 140.05(1)(1)
Required services. A level II local health department shall do all of the following:
DHS 140.05(1)(a)
(a) Provide or arrange for provision of all services required under
s. DHS 140.04 for a level I local health department.
DHS 140.05(1)(b)
(b) Provide or arrange for the provision of services that address at least one objective from each section of sections 2 to 8 of Healthier People in Wisconsin: A Public Health Agenda for the Year 2000, published in February 1990 by the Wisconsin division of health. A level II local health department shall show evidence of all of the following:
DHS 140.05(1)(b)1.
1. That each objective has been selected through a process which is based on assessed need, incorporates the views of citizens and leaders from the public and private sectors of the community, and formally recognizes that the objective is a public health priority for the community.
DHS 140.05(1)(b)2.
2. That the local health department has identified resources or services which it will commit to achieving the objectives.
DHS 140.05(1)(b)3.
3. That contemporary public health practices of proven merit are being used to provide services to the community to achieve the objectives.
DHS 140.05(1)(b)4.
4. That the local health department has established a process whereby it will evaluate and report to the community on progress and performance toward achieving the objectives.
DHS 140.05 Note
Note: The publication, Healthier People in Wisconsin: A Public Health Agenda for the Year 2000, may be consulted at the offices of the Department's Bureau of Public Health, the Legislative Reference Bureau or at any public library.
DHS 140.05(2)
(2) Optional services. A level II local health department may provide any services, in addition to the services required under
sub. (1), that a level III local health department is required to provide under
s. DHS 140.06.
DHS 140.05(3)
(3) Annual reports. Within 120 days after the close of the calendar year, a level II local health department shall submit the following reports to the department:
DHS 140.05(3)(a)
(a) A copy of the local health department's annual report for the preceding calendar year, if required by the local governing body.
DHS 140.05(3)(b)
(b) Annual survey of local health departments for the Wisconsin public health data system in a format prescribed by the department.
DHS 140.05(3)(c)
(c) A report, in a format prescribed by the department, on the activities of the local health department for the preceding calendar year, including a narrative which describes the progress and performance toward achieving the objectives identified as part of its community health assessment and that are linked to one objective from each section of sections 2 to 8 of Healthier People in Wisconsin: A Public Health Agenda for the Year 2000.
DHS 140.05 History
History: Cr.
Register, July, 1998, No. 511, eff. 8-1-98.
DHS 140.06
DHS 140.06
Level III local health department. DHS 140.06(1)(1)
Required services. A level III local health department shall do all of the following:
DHS 140.06(1)(a)
(a) Provide or arrange for provision of all services required under
s. DHS 140.04 for a level I local health department.
DHS 140.06(1)(b)
(b) Provide or arrange for the provision of services that address at least 3 objectives from each section of sections 2 to 8 of Healthier People in Wisconsin: A Public Health Agenda for the Year 2000, published in February 1990 by the Wisconsin division of health. A level III local health department shall show evidence of all of the following:
DHS 140.06(1)(b)1.
1. That each objective has been selected through a process which is based on assessed need, incorporates the views of citizens and leaders from the public and private sectors of the community, and formally recognizes that the objective is a public health priority for the community.
DHS 140.06(1)(b)2.
2. That the local health department has identified resources or services which it will commit to achieving the objectives.
DHS 140.06(1)(b)3.
3. That contemporary public health practices of proven merit are being used to provide services to the community to achieve the objectives.
DHS 140.06(1)(b)4.
4. That the local health department has established a process by which it will evaluate and report to the community on progress and performance toward achieving the objectives.
DHS 140.06 Note
Note: The publication, Healthier People in Wisconsin: A Public Health Agenda for the Year 2000, may be consulted at the offices of the Department's Bureau of Public Health, the Legislative Reference Bureau or at any public library.
DHS 140.06(1)(c)
(c) Conduct inspections and investigations, issue permits and enforce the department's environmental sanitation rules,
chs. DHS 172,
175,
178,
195,
196,
197 and
198, upon entering into an agreement with the department under s.
254.69, Stats., and
ch. DHS 192 to serve as the department's agent for this purpose in the local health department's area of jurisdiction.
DHS 140.06(1)(d)
(d) Conduct inspections and investigations, issue licenses and enforce the department's rules,
ch. DHS 173, promulgated under ss.
252.23 (4) and
252.24 (4), Stats., for regulation of tattooists and tattoo establishments and regulation of body piercers and body-piercing establishments, upon entering into an agreement with the department under s.
252.245, Stats., to serve as the department's agent for this purpose in the local health department's area of jurisdiction.
DHS 140.06(1)(e)
(e) Conduct an environmental health program as directed by the local board of health or other local governing body. Environmental health staff who conduct the program may be directed by the appropriate local authority to do any of the following:
DHS 140.06(1)(e)1.
1. Participate in community health assessments; collect, review and analyze environmental and community health data; and undertake management, control and prevention of environmental factors that may adversely affect the health, safety or well- being of individuals or the community.
DHS 140.06(1)(e)2.
2. Participate and provide collaborative environmental health expertise in the development of community plans that include identification of community health priorities, goals and objectives to address current and emerging environmental threats to the health of individuals, families, vulnerable population groups and the community as a whole, and contribute to planning efforts that support community strengths and assets.
DHS 140.06(1)(e)3.
3. Provide or arrange for the availability of services authorized under
ch. 254, Stats., such as for toxic substances, indoor air quality, animal borne or vector borne disease and human health hazards.
DHS 140.06(1)(e)4.
4. Implement agreements with state agencies to provide or arrange for environmental health services authorized under state statute such as for administering state rules governing retail food establishments, private wells, safe drinking water, rabies prevention and air pollution control.
DHS 140.06(1)(e)5.
5. Document findings, recommendations and requirements based on environmental health inspections and inquiries.
DHS 140.06(1)(e)6.
6. Administer regulations adopted and designated by the board of health or other local governing body.
DHS 140.06 Note
Note: The Department recommends that local boards of health and other local governing authorities employ the environmental health staff responsibilities set out in par. (e) as the basic framework for carrying out the required environmental health program.
DHS 140.06(1)(f)
(f) Provide or arrange for public health laboratory services appropriate to local health department resources and services that support current and emerging threats to the health of the community that are consistent with current state and federal rules governing public health laboratories.
DHS 140.06(2)
(2) Annual reports. Within 120 days after the close of the calendar year, a level III local health department shall submit the following reports to the department:
DHS 140.06(2)(a)
(a) A copy of the local health department's annual report for the preceding calendar year, if required by the local governing body.
DHS 140.06(2)(b)
(b) Annual survey of local health departments for the Wisconsin public health data system in a format prescribed by the department.
DHS 140.06(2)(c)
(c) A report, in a format prescribed by the department, on the activities of the local health department for the preceding calendar year, including a narrative which describes the progress and performance toward achieving the objectives identified as part of its community health assessment and that are linked to 3 objectives from each section of sections 2 to 8 of Healthier People in Wisconsin: A Public Health Agenda for the Year 2000.
DHS 140.06 History
History: Cr.,
Register, July, 1998, No. 511, eff. 8-1-98; corrections in (1) (c) and (d) made under s.
13.92 (4) (b) 7., Stats.,
Register January 2009 No. 637.
DHS 140.07
DHS 140.07
Designation of level of local health department. DHS 140.07(1)(1) Under the authority of s.
251.20 (1), Stats., the department shall direct a process to formally review the operations of all local health departments in a county or municipality at least every 5 years. A review of the operations of a local health department shall result in a written finding issued by the state health officer as to whether the local health department satisfies the requirements for a level I, II or III local health department.
DHS 140.07(2)
(2) In directing the review under
sub. (1), the state health officer shall use department personnel and other appropriate local health officials who have expertise in the field of public health and are knowledgeable about the requirements for local health departments.
DHS 140.07(3)
(3) The written finding under
sub. (1) shall include any recommendations for improvement in staffing, functions and practices.
DHS 140.07(4)
(4) When the written finding under
sub. (1) is that a local health department meets the requirements for a level I, II or III local health department, the finding shall be in force for 5 years, unless the governing body of the county or municipality takes action which would change the findings of the review.
DHS 140.07(5)
(5) When the written finding under
sub. (1) is that a local health department does not meet the requirements for a level I local health department under s.
251.05 (2) (a), Stats., and
s. DHS 140.04, the department shall do all of the following:
DHS 140.07(5)(a)
(a) Inform the governing body of the county or municipality in writing of the finding and allow the governing body a period of time, as determined by the state health officer but not to exceed one year, to correct the identified deficiencies.
DHS 140.07(5)(b)
(b) Provide necessary technical assistance to help the governing body of the county or municipality remedy the identified deficiencies so that the local health department will comply with all level I local health department staffing functions and practices.
DHS 140.07(5)(c)
(c) Conduct a formal review to ensure that the deficiencies have been corrected. If the deficiencies are not corrected, the department shall take appropriate action under s.
250.04 (2) or
252.03 (3), Stats.
DHS 140.07(6)
(6) A local health department established under
ch. 251, Stats., shall be presumed to be a level I local health department until found by the department to be otherwise following a review under
sub. (1).
DHS 140.07 History
History: Cr.
Register, July, 1998, No. 511, eff. 8-1-98.
