Loading...
HomeMy WebLinkAboutMINUTES - 02261991 - FC.1 J TO: BOARD OF SUPERVISORS Contra FROM: Finance CommitteeCosta n: s x�•. County DATE: c�srq cdun`n `Ty February 26 , 1991 SUBJECT: ENHANCEMENT OF COMMUNICABLE DISEASE PROGRAM SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. Authorize the addition of staff necessary to allow the Health Services Department to open a sexually transmitted disease/communicable disease clinic in Richmond and in Pittsburg. 2. Authorize the addition of a Spanish speaking health educator to work in AIDS education and prevention, predominately in East County and positions for outreach in the AIDS program. 3 . Request the Health Services Director to report back to the Finance Committee in June, 1991 regarding the implementation of these clinics and the outreach efforts made to link current clients with the education and prevention programs. 4. Support the Health Services Department' s efforts to obtain a fully equipped health van through private donations and corporate sponsors. FINANCIAL IMPACT: Funding of $150 ,000 will be provided through realignment of administrative expenses within the Health Services Department budget. CONTINUED ON ATTACHMENT: _YES SIGNATURE: —RECOMMENDATION OF COUNTY ADMINISTRATOR —RECOMMENDATION OF BOARD COMMITTEE —APPROVE _OTHER SIGNATUR2SNan�FLTinThrlakson,V,�,/�(�,(j ACTION OF BOARD ON dd11 APPROVED AS RECOMMENDED X, OTHER , VOTE OF SUPERVISORS y.y, I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT .J, AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. FEB 2 6 1691 CC: Health Services ATTESTED County Counsel PHIL BATCHELOR,CLERK OF THE BOARD OF County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR BY �" ,DEPUTY M382 (10/88) ) -a- BACKGROUND: On October 30 , 1990, the Board of Supervisors asked the Health Services Director to prepare a comprehensive report on AIDS and other communicable diseases. This report was reviewed by the Internal Operations Committee on January 7, 1991 and by the Board on January 15 , 1991 . At that time, the Health Services Director was requested to prepare a budget outlining resources needed to adequately address the communicable disease problem in this County. The Health Services Director and Director of Public Health prepared the attached budget which was reviewed with our Committee on February 11, 1991. The budget items are listed in order of priority, focusing on the most cost effective enhancements to the Communicable Disease Program. The Finance Committee recommends funding the first four items on the attached budget. Funding of $150,000 has been identified within the Health Services budget which would allow the implementation of a weekly Sexually Transmitted/Communicable Disease clinic in Richmond and in Pittsburg. These clinics will provide diagnosis and treatment for sexually transmitted diseases, AIDS testing and counseling, and tuberculosis screening. Included in this total is funding for a Spanish speaking health educator to work in AIDS education and prevention, predominately in East County. This funding will be achieved by realignment of administrative expenses in cost applied accounts and will not impact other service programs. Dr. Brunner stated that implementation of the first four items would make a significant impact in Health Services' ability to deal with the communicable disease problems in the County. The department will continue to discuss how they might be able to fund the remaining two requests. The Communicable Disease Program has been identified by the department as a top priority. The Committee discussed outreach efforts in the community, in schools and to link those clients already in the health care system. Of particular concern is the number of drug addicted babies. The Health Services Director reported that the department is preparing a proposal to obtain a fully equipped health care van through private donations and corporate sponsors. A health van would be able to provide outreach to the communities where the need is most critical. Our Committee asks for full support of this effort by the Board. -3- By providing authorization for the Health Services Department to go forward with the enhancements to the Communicable Disease Program, the Board is not providing a new program, but is enhancing a basic service and fulfilling the Board' s responsibility to provide protection and safety for the public. Contra The Board of Supervisors Costa Health Services Department Tom Powers,1st District County Nancy C.Fanden,2nd District Robert 1.Schroder,3rd District OFFICE OF THE DIRECTOR Surma Wright McPeak,4th District Tom Torlakson,5th District Mark Flnucane,Director Administrative Offices County Administrator 20 Allen Street Martinez,California 94553 Phil Batchelor o. (415)646-4416 County Administrator -14 U TO: Supervisor Nancy Fanden January 30, 1991 Finance Committee Chairperson Supervisor T?m(T-Orlakson Fina ce Co i FROM: Mar In can BUDGET FOR INTENSIFIED HeailthRServi es Director COMMUNICABLE DISEASE PROGRAM IN CONTRA COSTA COUNTY Attached. is a detailed budget for enhancing the Communicable Disease Program in Contra Costa County. All expenses are annualized; costs for the remainder of this fiscal year would be prorated. The budget includes $120,000 to open a weekly, four hour Sexually Transmitted Disease/Communicable Disease clinic in Richmond and in Pittsburg, to supplement the existing weekly clinic in Concord. These clinics will provide diagnosis and treatment for sexually transmitted diseases, as well as AIDS testing and counseling and tuberculosis screening. The medical providers will work with the communicable disease technicians in the clinics and community to notify partners and contacts so that they can be brought in for diagnosis and treatment of communicable diseases . We are also identifying $36,300 to hire a Spanish speaking health educator to work in AIDS education and prevention with community organizations and agencies, predominately in East County. This health educator will compliment the effective efforts of the community AIDS health educator who has been working predominantly in West County for the last six months. We are also recommending that the three community health outreach workers in the AIDS program be changed from contract to permanent employee status, at no minimal cost to the county. These three individuals are some of the most experienced and respected AIDS outreach workers employed by Bay Area health departments, and regular position status will be very helpful in retaining these valuable employees . Likewise we would wish to change our TB/STD Communicable Disease Technician from project to permanent status, also to promote retention of trained and experienced employees . • t.• w 2 In addition to the above, we have listed a first line supervisor ' to manage the communicable disease clinics and supervise the clinical and outreach staff . We have also included a Public Health Epidemiologist to continue voluntary partner notification of contacts of persons who are HIV infected. This program has been implemented with CDC funding ending June, 1991, and has been very effective in bringing HIV positive contacts in for testing, education, and counseling. We have listed these budget items in order of priority, focusing on the most cost effective enhancements to the CD program. We feel that with these enhancements we could make significant inroads on the spread of communicable diseases in the county. MF:WB: jb Attachment BUDGET FOR ENHANCEMENT OF COMMUNICABLE DISEASE PROGRAM 1 . Open Sexually Transmitted Disease/Communicable Disease, Clinic in Richmond and Pittsburg • Salary and Benefits (Annualized) 2 FTE Communicable Disease Technicians $ 58,000 MD Time 16 hrs. /wk. 33,000 RN Time 16 hrs./wk. 16,000 0.5 FTE Clerk 13,600 Clinics Total 120,600 2 . Spanish speaking Health Educator to work with community agencies and organizations for AIDS education and prevention. 1 FTE Health Education Specialist 36, 300 3 . Convert 3 contract outreach workers to Public Health Aides No cost 4 . Convert one project Communicable Disease Technician to regular position No cost Fiscal Year 90/91 5. First line Supervisor for Sexually Transmitted Disease program and clinics 1 FTE Public Health Program Specialist I 50,200 6 . Epidemiologist to do voluntary partner notification to contacts of HIV positive individuals 1 FTE Public Health Epidemiologist 37,250 Total $244,350 POSITION ADJUSTMENT REQUEST No. Date: 7– HEALTH SERVICES/PH Dept. No./ 0450 16 Agency 54 OPERS Department Budget Unit Nog grgk� `� Agency No. ' Action Requested: Add three (3) 40/40 Communicable Disease Technician positions; three (3) _ Public Health Aide positions; one 40/40 Health Education Specialist position andone 7T Clerk-Exper. Lvl, position. Proposed Effective Date: Explain why adjustment is needed: To restore communicable disease programs cut last summer to balance the budget. Classification Questionnaire attached: Yes No X Cost is within department's budget: Yes X No _ Total One-Time Costs (non-salary) associated with this request: $ Estimated Total cost of adjustment(salary/benefits/one-time): Total Annual Cost $ .157,044 Net County Cost $ -0- Total This FY $ 39.,261 N.C.C. This FY $ -0- Source of Funding to Offset Adjustment: Surplus of Health Se rv' adm' is ti e funds. Department must initiate necessary appropriation adjustment ' and submit to CAO. Use additional sheets for further FII H1 h Svcs Air explanations or comments. (for) Departmen Head Reviewed by CAO and Released To Personnel Department Deputy County Administrator Date Personnel Department Recommendation — Date 2-15-91 Add three (3) 40/40 Communicable Disease Technician ,(MIA) positions at salary level C5-1354 ($1759-2138); three (3) Public Health Ai'de(VKWB) positions at salary level C5-1246 ($1579-1920); one 40/40 Health Education Specialist (VMWD) position- at salary level C5-1619 ($2293-2787),. and one. 20: 40 ClerkrExperrenced Leye-1 CJWXB). QgS1`ttbn at salary level C5-1304 ($16734034).1 ( Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: ®day followin Board action. FEB � 7191 Date /(f§E) Di ct r Pe sonnel County Administrator Recommendation Date: Approve Recommendation of Director of Personnel Disapprove Recommendation of Director of Personnel Other: L, (for) County Administrator Board of Supervisors Action �B 2 6 ��� Phil Batchelor, Clerk of the Board of Adjustment APPROVED/$I� ; , SEQUED on Supervisors and County Administrator Date: FEB 2 6 1M By: � 0 APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. P300 (M347) 7/89 (Rev. )