Original ArticlesRevenue Sources for Essential Services in Florida Findings and Implications for Organizing and Funding Public HealthLivingood, William C. PhD; Morris, Michael PhD, MPH; Sorensen, Bonita MD, MBA; Chapman, Karen MD, MPH; Rivera, Lillian PhD, RN, MSN; Beitsch, Les MD, MPH; Street, Phil MPA; Coughlin, Susan MPH; Smotherman, Carmen MS; Wood, David MD, MPHAuthor Information University of Florida College of Medicine–Jacksonville (Drs Livingood and Wood and Ms Smotherman); Duval County Health Department, Jacksonville, Florida (Dr Livingood and Ms Coughlin); Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro (Dr Livingood); College of Public Health and Health Professions, University of Florida, Gainesville (Dr Morris); FW Boozman College of Public Health, University of Arkansas, Little Rock (Dr Morris); Volusia County Health Department, Deltona, Florida (Dr Sorensen), Okaloosa County Health Department, Crestview, Florida (Dr Chapman); Miami-Dade County Health Department, Miami, Florida (Dr Rivera); Florida State University College of Medicine, Tallahassee (Dr Beitsch); and Florida Department of Health, Tallahassee (Mr Street). Correspondence: William C. Livingood, PhD, University of Florida College of Medicine-Jacksonville, 580 West 8th St, Tower II, 6th Floor, Ste 6015, Jacksonville, FL 32209 ([email protected]). The Robert Wood Johnson Foundation provided funding for this study through a core Public Health PBRN grant for the Florida Public Health PBRN. This study was determined to not require human subject IRB approval by the Florida Department of Health IRB, because the information obtained was essentially public organizational performance data, not human subjects' data. The authors declare no conflicts of interest. Journal of Public Health Management and Practice: July/August 2013 - Volume 19 - Issue 4 - p 371-378 doi: 10.1097/PHH.0b013e318269e41c Buy Metrics AbstractIn Brief Objectives: The Florida Public Health Practice–Based Research Network conducted the study of Florida county health departments (CHDs) to assess relationships between self-assessed performance on essential services (ESs) and sources of funding. Methods: Primary data were collected using an online survey based on Public Health Accreditation Board standards for ES. Bivariate and multivariate analyses were conducted to assess the relationship of sources and amounts of revenue obtained from the Florida Department of Health financial system to responses to the survey of CHD capacity for ESs. Results: Self-assessed CHD performance for each ES varied extensively among the CHDs and across the 10 ESs, ranging from a high of 98% CHDs completely or almost completely meeting the standards for ES 2 (Investigating Problems and Hazards) to a low of 32% completely or almost completely meeting standards for ES 10 (Research/Evidence). Medicaid revenue and fees were positively correlated with some ESs. Per capita revenue support varied extensively among the CHDs. Conclusions: Revenue for ES is decreasing and is heavily reliant on noncategorical (discretionary) revenue. This study has important implications for continued reliance on ES as an organizing construct for public health. This article describes a Florida Public Health Practice–Based Research Network study on county health departments to assess relationships between self-assessed performance on essential services and sources of funding. This study has important implications for continued reliance on essential services as an organizing construct for public health. Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.