[{"_1":2,"_110":-5,"_111":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,74,86,98],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":44,"_46":47,"_48":49,"_50":51,"_52":53,"_54":55,"_56":57,"_58":59,"_60":61,"_62":63,"_64":65,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},"mediaId",6032601,"mediaKeyId","5433286-083909a0908cea37a733dc6a3925f72b","parentId",5433286,"title","Fishers health assessment: low overall infant mortality but disparities for Black mothers; falls and pregnancy-related ER visits rising","audioSeconds",0,"startMs",2983000,"endMs","viewUrl","/Search/View?dp=1&key=5433286-083909a0908cea37a733dc6a3925f72b&start=2983&end=2983","thumbnailUrl","https://assets.pipeline.soar.com/5433286-083909a0908cea37a733dc6a3925f72b/thumbnail_2983000.jpg","articleUrl","/articles/6032601/Fishers-City/Hamilton-County/Indiana/Fishers-health-assessment-low-overall-infant-mortality-but-disparities-for-Black-mothers-falls-and-pregnancy-related-ER-visits-rising","mediaUrl","https://secure.pipeline.soar.com/6032601-303f371957c14fac79187e609a747272/orig.mp4?Expires=1770694718&Signature=mBEVT03RDsOUsRlR3TfO7zdQZI4HJKzsXmvF0~3uud7Moaw3KWInXuiIXD6~ENlXIgvUKpJlwPaa9-9LSh1SUE6ceRMxyCfGsOqruqib4b3YTZhPd7S2m8Lx0pFetX7Wx3hHb4Is~wUEngLadgijTkdQCuOyCUxkkPWnk9K8~kevXJXnPk2F~mXYtdxjyODT88e5aeqMLMucXWWupqZzRh5nDuaWnpUpsCjptOxGqIZ1FwdC8c1Q9VtZzixl7aMzb27cU8cDBr3MIGeUzq0l1Ya7Lri2nt0AKdicplIU~dyxl1gHEjNOy9LM7Bqg1yD9QpCZzoFcChjLCtbMvG7EiA__&Key-Pair-Id=KUT5TJCACFTXG","author","City of Fishers","date","2025-04-28T00:00:00Z","article","Fishers Public Health staff presented an updated community health assessment at the April 24 meeting, highlighting generally favorable population health indicators overall but also identifying persistent disparities and several rising health signals.

Staff said Fishers' infant mortality rate was recently about 1.9 deaths per 1,000 live births, compared with a state average of 6.5 per 1,000. The presenter also reported that Black or African American mothers in Fishers were 2.3 times more likely to have lower birth-weight infants compared with white mothers in the jurisdiction, and that access to early prenatal care varied by payer and demographic group.

The assessment showed some concerning trends: fall-related emergency department presentations in Fishers have doubled over the past eight years, and pregnancy-related ER visits have tripled in the same period, the presenter said. Mental-health-related ER presentations and suicide-related visits have also risen; staff said overdose visits were down in the most recent year.

\"We can look at this over static time points. It's cross-sectional data to have access to this, but I can map this out across the community to look at differences across our geographic footprint,\" a health department staff member said while describing the data and analytic approach.

Staff told the board they plan to use the combined quantitative data and forthcoming resident survey and focus groups to inform priorities for a 3-to-5-year improvement plan. They said targeted outreach on maternal and child health, mental health access and fall-prevention programming are likely priorities based on current signals.

Board members asked about next steps for maternal care navigation and referral pathways; staff said pregnancy testing and early touchpoints through clinic services provide an opportunity to improve referrals and care coordination.

The department said the completed assessment will be used to shape community health improvement planning and to prioritize limited resources if staffing or program reductions become necessary given the department's budget outlook.","mediaType","Video","parentTitle","Fishers Board of Public Health Meeting: 4/24/2025","oneSentenceSummary","Department analysts presented a community health assessment showing Fishers performs well on many health measures (low infant mortality, high prenatal care uptake overall) but also shows disparities for Black mothers, rising fall-related injuries and increases in pregnancy-related emergency department visits.","taxTitle","Fishers City, Hamilton County, Indiana","taxId",4054,"location","headline","","shortSummary",{"_33":75,"_35":36,"_37":38,"_39":76,"_41":77,"_43":78,"_45":79,"_46":80,"_48":81,"_50":82,"_52":83,"_54":55,"_56":57,"_58":84,"_60":61,"_62":63,"_64":85,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},6032606,"Fishers to offer travel vaccines May 1; department sets pay-upfront fee and plans STI services in mid-May",244,1822000,2066000,"/Search/View?dp=1&key=5433286-083909a0908cea37a733dc6a3925f72b&start=1822&end=2066","https://assets.pipeline.soar.com/5433286-083909a0908cea37a733dc6a3925f72b/thumbnail_1822000.jpg","/articles/6032606/Fishers-City/Hamilton-County/Indiana/Fishers-to-offer-travel-vaccines-May-1-department-sets-pay-upfront-fee-and-plans-STI-services-in-mid-May","https://secure.pipeline.soar.com/6032606-9ceab0b94bc93cc26c94adddece0cc16/orig.mp4?Expires=1770694718&Signature=CQ2PLHyBURbqMno1oPbv97RjUF3-2fzxltHSBiar9rWFxirh5liPN4h6MxM3nIUUxkyhNphi0mPahJ6gOy-6kAjxUEWvTEp9edpmg4Hex2lzAhvEhLVdRJ0iZd3jZevUxk1GU4YHAirdB2HLsun0OiNkpolGB3ucW0yDhZzXrMhfIsAnJ3vxmg5hnssQCWFnQEBGvaPX~-c-wVUq6rDDQrqZJ3FYTFiC0KZRCSulVKZ9q2tYDGoBfwvi9atxQM7K4HoBJVdvRV8dStuowA9fjbTKiE6XLqeerq9i3ZojB8jgy7hNKQ2hSXKDnJ50igYS5F2oU-b3tNM4TBCwKjcpbw__&Key-Pair-Id=KUT5TJCACFTXG","The Fishers Public Health Department told its board April 24 that it will begin offering travel vaccination consultations on May 1 and will roll out sexually transmitted infection (STI) and pregnancy testing services roughly two weeks later.

\"That includes yellow fever? Yeah. Yes. And we've already received it. We have it in house,\" Jen Engleman, assistant director of operations, said when asked about specialty vaccines. Engleman explained the department will collect payment at the time of service and will not bill insurance for travel vaccines by default.

Under the department's fee plan presented to the board, travel services will include a $60 travel consultation fee, a $20 administrative fee per vaccine and a charge to the patient equal to 110% of the department's vaccine purchase cost. Staff said patients may submit receipts to their insurers on their own but the clinic will operate as self-pay for travel vaccines. The department also expects some insurers to reimburse depending on the plan.

Staff warned that specialty vaccines beyond the department's initial stock (for example, some Japanese encephalitis or chikungunya vaccines) will be available by order on demand, with staff saying turnaround on ordered vaccines can be within several days (\"We ordered Friday afternoon and they ordered by Monday,\") and that the department will monitor demand and quickly adapt supplies.

The board also heard that STI screening and pregnancy testing services will go live mid-May. Staff said those services are intended to provide local access to screening and, where clinically necessary, treatment referrals. Staff said they will not heavily market the STI services at launch but will list them on the department website and expand outreach if demand grows.

Board members asked about clinic revenue and billing problems. Staff described an administrative complication: the health department and Fishers Fire Department share a tax ID, which has caused some UnitedHealthcare claims to route to the fire department rather than the health clinic. Staff are working with the electronic health record and billing vendors to separate and correct those claims.

The department emphasized that the travel-vaccine strategy is partially aimed at expanding billable clinical revenue and increasing local connections with residents and visitors, and staff said they will collect early operational metrics to determine whether clinic hours or staffing must be revised.","Fishers Public Health Department plans to begin travel vaccine consultations May 1 (self-pay) with a $60 consultation fee, an additional $20 per vaccine administrative fee and a charge equal to 110% of vaccine cost. The department also intends to add sexually transmitted infection testing and pregnancy testing around May 18-19.",{"_33":87,"_35":36,"_37":38,"_39":88,"_41":89,"_43":90,"_45":91,"_46":92,"_48":93,"_50":94,"_52":95,"_54":55,"_56":57,"_58":96,"_60":61,"_62":63,"_64":97,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},6032611,"Fishers health officials warn of $1.3 million projected deficit after state HFI funding cut",112,558000,670000,"/Search/View?dp=1&key=5433286-083909a0908cea37a733dc6a3925f72b&start=558&end=670","https://assets.pipeline.soar.com/5433286-083909a0908cea37a733dc6a3925f72b/thumbnail_558000.jpg","/articles/6032611/Fishers-City/Hamilton-County/Indiana/Fishers-health-officials-warn-of-13-million-projected-deficit-after-state-HFI-funding-cut","https://secure.pipeline.soar.com/6032611-699a056358c39f56e1f6e683e953325e/orig.mp4?Expires=1770694718&Signature=MS~sU44LLTXtO0jncoWnt3gHA2w9jilSO1VL3zWBaBKke8Hqxa6k5-8N-3Gq-UVdnfa0S9v1FNkdG96EO0Z4qgssNzSRY5KBNJ6aYKY2ULRptmjm65E~BJf6g5dIkukazydexnNeR5KjhHpkFsv9A4bzfcCkiuEXZAu8q6Gsq47BWA16xtTUCAKBmm6TNObQiTqkXNVbirzWWvHqI3Lw~ftNwYBX2Jx~EWLqMKhY7YKg-PeVFN9Oe3s1KMv2WeO5U6OEvDG~Se3JyEvzAja7tPyClyM~9aaqXfIGUmbon1Rf0R2m1gdDWqbHrDjCz2oY3D~O03gGDIXpMQ45hB3EFA__&Key-Pair-Id=KUT5TJCACFTXG","Fishers Public Health staff told the Fishers City Public Health Board on April 24 that a large reduction in state Help First Indiana (HFI) funds is projected to reduce revenues and create a shortfall in the department's future budget.

\"For 2026, our revenue will be decreased to $2,400,000 and we will still have expenses around $3.7 million,\" Laura Grama, health department staff, told the board. \"So we are projecting a deficit of about $1.3 million.\"

Grama and Laura's colleagues said the department received a little more than $3.7 million in HFI funding in the current year and that the governor's budget, as discussed with staff, represents roughly a 73% reduction in new HFI money compared with the prior funding cycle. Staff said the department is evaluating multiple responses including moving into a city community center (which will cut rent and utility costs), billing and clinical revenue changes, and other revenue-capture steps.

\"I think our commitment to this board is that we will be back before you at the next meeting with a real concrete plan on how to address this,\" said a board member during the discussion. Staff asked for 30 to 60 days to re-scrub revenue assumptions, firm up forecasts and present recommended options to the board.

Board members pressed staff on whether statutory requirements or new mandates accompany the reduction in state funding. Staff said they had not received clear guidance from the state and were still reviewing whether any new administrative directives (from the Indiana Department of Health or the governor's office) would require changes to mandated services.

Staff added they have contingency work underway: recapturing clinic revenue, expanding billable clinical services and reducing facility costs by relocating to the community center in October. The board did not adopt formal budget cuts at this meeting; staff will return with options for program priorities and possible reductions.

The department also flagged uncertainty about how the state consolidated or reapportioned prior federal COVID-era funds into general grants, which complicates projections for program continuity and grant-eligible spending.","Fishers Public Health staff told the board that a sharp reduction in Help First Indiana funding will reduce anticipated revenue in 2026 and create an approximate $1.3 million gap unless offset by other sources or spending changes.",{"_33":99,"_35":36,"_37":38,"_39":100,"_41":101,"_43":102,"_45":103,"_46":104,"_48":105,"_50":106,"_52":107,"_54":55,"_56":57,"_58":108,"_60":61,"_62":63,"_64":109,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},6032616,"Fishers board approves prior minutes and 2024 annual report",94,15000,109000,"/Search/View?dp=1&key=5433286-083909a0908cea37a733dc6a3925f72b&start=15&end=109","https://assets.pipeline.soar.com/5433286-083909a0908cea37a733dc6a3925f72b/thumbnail_15000.jpg","/articles/6032616/Fishers-City/Hamilton-County/Indiana/Fishers-board-approves-prior-minutes-and-2024-annual-report","https://secure.pipeline.soar.com/6032616-60dacfa2b61308e3aa0f1c4c7c38a4c3/orig.mp4?Expires=1770694718&Signature=fr7NKLyd42s5pDjLgYYvBmlFh9jnQgb3l1UKBHjLbbAI8FvrZ4NEdsxOQoaJA4wV~JaV7hg3hu5jrlA-nYAaNFoFz9EMKkt7c5l7BOy50T1RJtpTLPhMQeYTv-BJvnEObtPMbj6hrs4x83fvlRweKLbTZRMyXS~GXgmhxBKvXmlOdYCEmsuAROvgKBqY-kzbkpqZpFzqpPinofPvNNgdhl~fBjYWz5-zIRxZHux6U30rQ58wHSKXozlUiEeyutfu0cCAC4QvTyPUVJaqZA83QC0E6fib2Kus7yl~DiYZc0BC6pbnfjPrSQhSHjfFJ89EP1T1JaRDhlUeT56exxHygg__&Key-Pair-Id=KUT5TJCACFTXG","The Fishers City Public Health Board approved the previous meeting minutes and the department's 2024 annual report during its April 24 meeting.

Both approvals were taken by voice vote. A board member moved to approve each item and another member seconded; the record in the meeting transcript notes only unanimous \"aye\" responses and no named roll-call votes.

The annual report approval occurred after department staff summarized service volumes and program outcomes from the last year, including clinic visits, inspections and community education. The board did not specify further conditions or amendments when approving the report.

The approvals were the only formal motions recorded in the transcript. Other business at the meeting centered on financial projections, clinic expansion plans and the department's community health assessment, all of which the board discussed but did not resolve with formal motions at this meeting.

The board adjourned at the end of the session and scheduled follow-up work on budget projections and program priorities for future meetings.","The Fishers City public health board approved its prior meeting minutes and the health department's 2024 annual report by voice vote. No roll-call tallies were recorded in the transcript.","actionData","errors"]

Article not found

Fishers health assessment: low overall infant mortality but disparities for Black mothers; falls and pregnancy-related ER visits rising

Fishers to offer travel vaccines May 1; department sets pay-upfront fee and plans STI services in mid-May

Fishers health officials warn of $1.3 million projected deficit after state HFI funding cut

Fishers board approves prior minutes and 2024 annual report