HomeMy WebLinkAboutAgenda - 05-03-1993 - III-A 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
Action Agenda
Item No. zrat
ACTION AGENDA ITEM ABSTRACT
Meeting Date: May 3, 1993
SUBJECT: Extension of Permanent, Time-limited Maternity Care
Coordination Position
DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No
ATTACHMENT(S) : INFORMATION CONTACT:
1 page Analysis HEALTH DIRECTORS OFFICE X2411
TELEPHONE NUMBER:
Hillsborough - 732-8181
Chapel Hill - 968-4501
Mebane - 227-2031
Durham - 688-7331
PURPOSE: To extend a permanent, time-limited Maternity Care Coordination
position to June 30, 1994.
BACKGROUND: 1. On March 24, 1992, the Board of Commissioners approved a
budget ordinance amendment to accept a state grant award of
eight thousand, seven hundred and fifty dollars ($8,750.00) to
establish a temporary Maternity Care Coordinator position.
2. After the Health Department experienced difficulty filling
the temporary position, the Board of Commissioners, on
June 1, 1992, agreed to convert the temporary Maternity
Care Coordination position to a permanent, time-limited
position through June 30, 1993. The continuation of this
position for FY93-94 would depend on the medicaid revenue
generated by the position and the case load demand
experience.
3. The grant of $8,750.00 for FY91-92 was used to pay an existing
Maternity Care Coordinator funded by revenue. This allowed
revenue in the amount of $8,750.00 to be carried forward into
FY92-93.
4. The new, permanent, time-limited Maternity Care Coordination
position was filled by Diane Simpson on July 1, 1992.
5. During the first six months the incumbent was oriented,
trained and assisted in slowly building up a case load.
During that time salary and fringe benefit expenditures
amounted to $14,930.00. Revenue generated was $10,720.00.
2
6. Ms. Simpson resigned as of March 31, 1993. During that
quarter salary and fringe benefit expenditures amounted to
$7,465.00; while revenue generated amounted to $8,499.00.
7. During the nine month period of 7/1/92 through 3/31/93,
Diane Simpson provided care coordination services to an
average caseload of 34 Maternity Care Coordination (MCC)
clients per month and 12 Child Service Coordination (CSC)
clients per month. This resulted in billing for services
provided in 66 initial and 240 subsequent MCC contacts and
108 CSC contacts. These figures include accommodations for
start up and wind down time.
8. Without this position orange County women and children
will not receive the valuable services this position
would provide. During this interim period of position
vacancy, we are unable to accept prenatal clients into
the MCC program and a CSC waiting list has developed.
9. Evaluation of the MCC program on the state level has
shown that women who receive MCC services have better
pregnancy outcomes. This has been demonstrated by a
lower incidence of low birth weight babies and a lower
infant mortality rate in women receiving MCC versus
those who have not. The csc program provides special
early intervention services to children at risk for
developmental delays and disabilities.
10. The attached analysis demonstrates that the grant revenue
and fee revenue exceeded the amount expended for the salary
overall. It also demonstrates that the fee revenue alone
exceeded the salary expenditure during the third quarter.
11. While this may not offer sufficient evidence that the position
can be fully self sufficient, the trend is in the positive
direction.
RECOMMENDATION(S) : The Manager recommends that the permanent, time-limited,
Maternity Care Coordinator position be extended to
June 30, 1994.
3
Analysis of the Revenue and Expenditure
associated with the permanent,
time-limited Maternity Care Coordination position
Revenue
State MCC Grant $ 8,750
Title XIX (Medicaid) 7/1/92-12/31/92 10,720
TOTAL REVENUE 7/1/92-12/31/92 19,470
Title XIX (Medicaid) 1/1/93-3/31/93 8,499
TOTAL REVENUE 7/1/92-3/31/93 27,969
Expenses
Salary and Fringe Benefits 7/1/92-12/31/92 14,930
Salary and Fringe Benefits 1/1/93-3/31/93 7,465
TOTAL Salary and Fringe Benefits 7/2/92-3/31/93 $22,395