City-County Health Department

FY 2024 ANNUAL BUDGET

The Eau Claire City-County Health Department (ECCCHD) provides a wide range of required and essential programs and services that are aimed at preventing health issues before they impact people in our community. Investing in prevention saves lives, improves community outcomes, and saves money. The projected ECCCHD 2024 budget includes revenue from local tax levy (46%), federal and state grants and other contracts (37%), and fees and other revenue (17%) as approved by the Board of Health. The local levy investment from Eau Claire City Council and Eau Claire County Board supports the provision of mandated services as well as the capacity to respond to community needs and provides a real return on investment. ECCCHD in 2023 estimates it will leverage $3.42 million of City and County tax levy to bring in $4.6 million from federal or state grant funding and $1.7 million from fee and other revenue. ECCCHD grant funding also provides $660,000 to other community agencies to promote the health of our community.


The mission of the Health Department is building a healthier community for all through prevention-focused programs and partnerships. Our vision is a community where everyone can live a healthier life. Our guiding principles include a focus on prevention, equity, collaboration, integrity, and quality. The Health Department collaborates closely with community partners to identify and respond to diseases and unhealthy conditions that are preventable. Our team provides programs and services mandated by public health state statutes and administrative rules, city and county ordinance, community priorities, and program grant requirements. The health department accomplishes this work with a staff of 70+ permanent and temporary employees. Tax levy from the City and County support less than half of the staff with the remainder of funding coming from fees and grants. Tax levy changes have not matched increases in basic personnel and non-personnel costs, so fees and grants have been used to attempt to maintain needed services.


The Health Department continues to be nationally accredited and works to assure that all key standards are met to continue this accreditation. The Board of Health oversees the department per State Statute and local ordinance.


Major initiatives for 2022 included:


  • Implementing the 2021-2024 Community Health Improvement Plan (CHIP) with a broad range of community partners. The CHIP sets community goals and objectives for the top health priorities for Eau Claire thru the Eau Claire Health Alliance. The health priorities are Drug Use, Mental Health, Alcohol Misuse, Obesity, and Healthy Nutrition.
  • Providing public health and community partnership expertise to local work being done on housing, homelessness, and poverty as determinants of health.
  • Consulting with local and state agencies related to PFAS detections in local water supplies and the human health impacts.
  • Applied for and were funded for a competitive maternal and child health (MCH) equity grant focusing on building collaborative partnerships and utilizing data to change equity related outcomes.
  • Supporting continued individual intensive work with pregnant women and families that are at risk of negative health and social outcomes through the nationally recognized Nurse Family Partnership Program.
  • Working with healthcare, law enforcement, community organizations, schools, and others to prevent substance misuse and overdose including providing community messaging, support of naloxone training, individual medication lock boxes, and community medication drop-off events/locations.
  • Brought in more than $2.5 million dollars in competitive public health grant funding to support improvements in health outcomes in Eau Claire.
  • Continuing to respond to and recover from COVID-19 pandemic including a focus on testing, treatment, vaccination, outbreak investigation, and broad public health recovery, especially for populations most negatively impacted.

City-County Health Department: Operations Division

Leads, supports, and oversees operations for all divisions, including human resources, finances, and technical support. This division includes health department leadership, finance, human resources, and interpretation services.


Outputs/Outcomes:

  • Met all fiscal requirements of multiple public and private funders with complex funding requirements and dates.
  • Reviewed and updated over 240 health department related fees.
  • Assured health care cost savings for employee health insurance through prevention and early intervention efforts.
  • Maintained national accreditation by the Public Health Accreditation Board to ensure we are providing the most efficient, effective, and targeted services to the residents of Eau Claire.
  • Collaboration between Health Department and City of Eau Claire wellness teams to offer a variety of wellness activities throughout the year – including physical, mental and financial wellness offerings.
  • Provided complex community and departmental communication support via the front desk staff, media, social media, internal updates.
  • Participated in regional, State, and national initiatives related to public health policy, provision of multi-jurisdictional services, and other critical programs and services.
  • Continued development of academic- public health partnership by having staff teaching a UWEC course and participate in development of new online Master of Public Health degree.

City-County Health Department: Policy and Systems Division

Works with our partners to identify and communicate about health needs, gaps, resources, and policy and system changes. This division includes leadership for the community health assessment, community health improvement plan, health department strategic plan, Eau Claire Health Alliance, health equity, quality improvement, and communications.


Outputs/Outcomes:

  • Supported the merger of the Alliance for Substance Misuse and Eau Claire Healthy Communities into one new coalition, Eau Claire Health Alliance (ECHA). ECHA will work to engage a broad group of community partners to collaboratively improve the health of Eau Claire communities through policy, programs, and partnerships.
  • Continued to participate in Wintermission, the Robert Wood Johnson funded project to increase physical activity and decrease social isolation in winter with other local partners.
  • Supported the growth of an internal Health Equity team. The Health Equity team supported staff learning through participation in the United Way’s 21-week Equity Challenge and other efforts.
  • Provided public health and community partnership expertise to local work being done on housing, homelessness, equity, and poverty as determinants of health.
  • Received competitive state funding for Mobilizing Communities for a Just Response Grant. The grant focuses on working the Community Health Equity Workgroup for increased outreach, engagement and involvement with community partners, collaboration, and potential structure for the group for post-Covid work. Additionally, staff are exploring Community Health Worker models.
  • Continued to work with and fund the Community Health Equity Workgroup partners for their work to remove/reduce barriers to accessing COVID-19 information, testing, and vaccination.
  • Hit 10,000 followers on Facebook.

City-County Health Department: Communicable Disease Division

Works to prevent and control communicable disease, and to prepare to respond to public health emergencies. This division includes communicable diseases, immunizations, and local public health emergency preparedness including the Medical Reserve Corp.


Outputs/Outcomes:

  • Responded to 15,218 communicable diseases including COVID-19, influenza-associated hospitalizations, sexually transmitted infections, tick/mosquito related disease, enteric infections and other reportable diseases in partnership with health care organizations and academia. The health department is mandated by the State of Wisconsin to follow-up on reportable diseases to decrease the spread of illness and keep our community healthy.
  • Assisted with 16 outbreaks in long term care facilities to decrease transmission and protect residents and staff.
  • Administered 890 immunizations to assure protection against a variety of communicable diseases including influenza and other childhood vaccinations.
  • Prepared for potential outbreaks of monkeypox and avian influenza (H1N5) and monitored returning traveler for Ebola.
  • Received competitive national grant to build capacity and infrastructure for support of our Eau Claire County Medical Reserve Corp.
  • Reconvened the Public Health Emergency Preparedness Committee which involves a variety of local emergency preparedness stakeholders that work together to advance our overall emergency preparedness capabilities.
  • Supported community-wide ICS activations for two separate severe winter weather storms/power outages and mobilized our local MRC volunteers for emergency warming shelters and assistance in mass vaccination efforts.
  • Provided 4,558 COVID-19 vaccinations at 47 unique clinic sites throughout Eau Claire County. These included clinics held at the Health Department and various mobile clinics at schools, jail, shelters, businesses, UWEC, courthouse, and community service organizations.
  • Promoted and coordinated COVID-19 testing throughout the community. The health department conducted 1,132 PCR tests and distributed 3,145 antigen tests throughout Eau Claire County.
  • Convened over 60 response partners involved in our Eau Claire County Incident Command System (ICS) during the COVID-19 Pandemic. They participated in a multi-agency hotwash and completed RECAP report.

City-County Health Department: Clinical Services Division

Provides reproductive health services, including testing and treating disease and infections, and education and outreach about less-risky sexual behavior. This division includes reproductive health clinical services, regional nurse practitioner and colposcopy services, regional well woman program leadership, and regional HIV partners services.


Outputs/Outcomes:

  • Served 451 men and women by providing family planning services during almost 1000 clinic visits. The clinic protects and promotes reproductive health for men and women through services including family planning education/methods, sexually transmitted infection (STI) testing and treatment, and reproductive cancer screening.
  • Participated in the statewide Get Yourself Tested (GYT) campaign to increase awareness and testing for sexually transmitted infections (STIs). The health department family planning clinic provided more than 900 STI tests to individuals who may not have otherwise been tested.
  • Continued collaborative relationship with Vivent Health to increase HIV awareness, testing and treatment throughout the year and to provide outreach and education at the Gender & Sexuality Resource Center at UWEC.
  • Provided 78 syphilis tests and provided appropriate follow up services for high-risk clients. This was more than double the amount of testing in 2021.
  • Expanded our shared-services model of providing nurse practitioner services to meet reproductive health needs to an additional 3 counties, making the regional consortium a total of 8 counties receiving these services.
  • Collaborated with the Family Support Center and UWEC Nursing Program to provide Life Without Limits programming covering healthy relationships, sexual health, and other health education. Seven young adults participated in this program.
  • Followed up on 18 HIV cases and partner contacts in our 14-county jurisdiction through our Regional HIV Partner service collaborative and provided prevention education, testing and outreach at local events and schools.
  • Screened, scheduled, and administered monkeypox vaccine to 84 people, including approximately one third to out of county residents who had to travel in order to receive the vaccine.

City-County Health Department: Community Health Promotion Division

Provides education, coordinates programs, and promotes policies and practices to impact community health priorities. This division includes alcohol, tobacco, and substance misuse prevention, mental health promotion and suicide prevention, chronic disease prevention, healthy relationship promotion and sexual violence prevention, and child, overdose, and suicide review teams.


Outputs/Outcomes:

  • 130+ youth attended and completed Healthy Relationship Programming throughout EC County
  • Created a video of the information from the ACE and Resilience workshop developed by Mental Health Matters. The 30-minute video, called “Shaping Destiny” focuses on ACEs and the importance of youth-serving professionals in promoting resilience with youth.
  • Facilitated meetings of both Child Death and Suicide Death review teams.
  • Developed a plan and provided support for a tri-county (Chippewa, Dunn, & Eau Claire) suicide prevention workgroup.
  • Held 14 farmers markets at the Eau Claire County Government Center and distributed chronic disease educational materials and healthy food samples.
  • Coordinated 4-month long evidence-based Self-Measured Blood Pressure pilot program with referrals from Marshfield Clinic Health System. 9 community members graduated from the program and 3,140 pounds of food was distributed.
  • Promoted 4 vaping education videos targeted toward educating parents and other adults on local media.
  • Completed 30 tobacco compliance checks with 100% of retailers denying tobacco sales to minors.
  • Worked in partnership with ECPD to hold 2 alcohol and tobacco retailer ID check trainings for retailers and 3 Stop Excessive Intoxication classes for those wanting to reduce their fine associated with an excessive drinking ticket.
  • Hosted a Youth Advocacy Training Day for 50 SAFE (Students Advocating for Excellence) students from 6 county high schools and 1 middle school in October 2022.
  • Supported UWEC nursing students to complete a local Wisconsin Retailer Assessment Project (WRAP) at all tobacco retailers within one mile of schools. The students shared their findings at the State Capitol.
  • Offered 19 What Do You Know About Opioids Workshops to 389 individuals and distributed 632 doses of Narcan Nasal Spray to community members and professionals in Eau Claire County.
  • Distributed 424 medication lockboxes and 226 lock bags to promote safe medication storage, and 600 at-home medication disposal bags.
  • Developed three new videos in English, Spanish, and Hmong to promote a new medication disposal at Hy-Vee, Mayo Clinic Health System – Clairemont Campus and Mayo Clinic Health System – Luther Campus.
  • To gain a better understanding of opioid use and areas for prevention in Eau Claire County, staff developed an Opioid Use and Overdose Prevention Survey that 180 community members completed and hosted 3 community conversations that 16 community members participated in.

City-County Health Department: Healthy Beginnings Division

Works to support families, especially maternal and child health, by facilitating a wide variety of programs and services. This division includes Nurse Family Partnership, WIC, and other family and child health prevention services.


Outputs/Outcomes:

  • Served 2,051 mothers, infants and children in the Women, Infant, and Children’s (WIC) program to support healthy pregnancy and early childhood growth and development virtually.
  • Provided 97 high risk pregnant women with intensive home visitation services including more than 1,188 visits through the evidence-based Nurse Family Partnership (NFP) program.
  • Received American Rescue Plan funding to provide emergency supplies to our Nurse-Family Partnership families.
  • Nurse-Family Partnership team continued monthly reflective supervision sessions with a mental health consultant.
  • Assisted 404 women participating in the WIC program initiate and continue breastfeeding through the program’s WIC Breastfeeding Peer Counselor.
  • Provided education and distributed 29 portable pack n’ plays to promote safe sleeping environments and 45 child passenger seats to eligible families.
  • Improved partnership between WIC and L.E. Phillips Memorial Public Library.
  • Helped provide vision screening in Eau Claire County elementary schools, trialing a new method. We've screened 1975 students and counting.
  • Partnership between the health department, Mayo Clinic, Simple Traditions Family Clinic, and the Augusta Lions Club to provide “Stop the Bleed” training for rural sawmill owners.

City-County Health Department: Regulation and Licensing Division

Inspects and educates facilities that provide food, housing or other necessities to the public. The division also inspects lodging, recreation, and body art facilities. This division includes DATCP agent programs, DSPS agent programs, housing/human health hazards, and the regional radon center.


Outputs/Outcomes:

  • Completed 704 inspections at restaurants and 314 inspections at retail food stores for health and safety of food served and sold. Investigated 5 potential foodborne outbreak complaints.
  • Supported safer and healthier housing in Eau Claire County through 2,145 phone consultations, 1,117 housing inspections, and 475 garbage inspections.
  • Completed external housing survey on the Far Westside of the City of Eau Claire which included rating 3,056 buildings for potential need to conduct health and safety inspection as part of the proactive housing program.
  • Received CDBG Funding Grant to continue Intensified Housing Program and conducted 117 full inspections of properties in 2022.
  • Conducted hoarding cases and dangerous living situation investigations in cooperation with law enforcement, human services, and housing agencies to support community residents. 13 residences were placarded as unsafe.
  • Updated risk assessments and categories for retail food establishments to meet the current Wisconsin Food code.
  • Coordinated the successful Pack it up, pass it on student move out event with mattress recycling added in 2022.
  • Provided inspections to assure healthier special events such as Country Jam, Blue Ox and the Mekong Market.

City-County Health Department: Environmental Science

Works to enhance and protect our environment and educate about how the environment affects our community’s health. This division includes the public health laboratory, the private onsite wastewater treatment systems (POWTS)/well program, and other local ordinance support and community collaboration support for potential environmental hazards.


Outputs/Outcomes:

  • Conducted weekly testing of beaches for bacteria and surveillance for harmful algae blooms to ensure public safety. A total of 473 samples were collected and analyzed from local beaches.
  • Tested 793 food service samples for bacteriological contamination in the public health laboratory.
  • Performed 6,407 laboratory analyses on drinking water samples.
  • Followed up on 196 animal bites/exposures to assure protection against rabies.
  • Conducted vector surveillance of mosquitoes and ticks to monitor for west nile virus and lyme disease, respectively.
  • Collectively issued 165 permits for the installation, replacement, and reconnection of POWTS in Eau Claire County.
  • Issued 108 private well location permits under the State of Wisconsin’s County Well Delegation Program.
  • Consulted with local and state agencies related to PFAS detections in local groundwater and municipal water.
  • Participated in the Seven Mile Creek Landfill Negotiating Committee which successfully came to an agreement regarding the terms of a landfill expansion.
  • Conducted lead-in-water sampling at 11 area childcares and were able to fund remediation through a state grant.
  • Participated in a FEMA evaluated exercise with other teams across the state at the Prairie Island Power Plant.

City-County Health Department Organizational Chart

Health Department Revenues & Other Financing Sources

Health Department Expenditures & Other Financing Uses