HomeMy WebLinkAboutAgenda - 01-24-2006-5mORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: January 24, 2005
Action Agenda
Item No. S-m
SUBJECT: Continuation Grant Acceptance for Primary Care Services at Health
Department
DEPARTMENT: Health PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): INFORMATION CONTACT:
Continuation Grant Application Rosemary Summers, 245-2411
PURPOSE:
To accept the continuation grant funds for primary care services at the Health Department for
the period January through May 30, 2006.
BACKGROUND:
In 2005, the Health Department received a grant that helped defray some of the costs of
primary care services that began in 2005. In the first full year of providing primary care, the
Department had approximately 441 number of patient visits from 233 patients. The first grant
was used to purchase some pharmaceuticals, some supplies and equipment and for temporary
staff to supplement the current staff. Also in 2005, both clinical locations altered service hours
so that members of the public could receive services in the early evening one night a week,
providing services on Tuesday and Thursday from 9:30 am until 6:30 pm. The Health
Department applied for a 2006 Community Health Center Continuation Grant to expand primary
care services at the Whitted Clinic. Through this grant, an additional part-time clinician team
consisting of a coarse practitioner, a registered nurse, and a nursing assistant will be able to see
additional patients at selected times and locations.
The Department requested $52,831 and was awarded $43,346. ($9,485 in 'unreimbursed
sliding fee costs' was not funded). Five other Health Departments also received funding. These
funds were authorized by the legislature in the last session but are not recurring funds and must
be expended by May 31, 2006. Of the funded amount, $41,204 is for temporary personnel
costs and $2,142 is for pharmaceuticals. Because the funds are not recurring, the grant
focuses only on temporary personnel and will be utilized to expand the available hours of
primary care by adding an additional clinician team. Funds will be used to hire on a temporary,
part-time basis a family nurse practitioner, a registered nurse, a nursing assistant and
laboratory technicians. The Department has already secured a part time nurse practitioner and
registered nurse and are currently advertising for the other personnel, Starting in late January,
the Department will increase the number of primary care hours available by 14/week by
scheduling the nurse-clinician team on Monday afternoon, 10-5 on Wednesday, and Friday
morning in Hillsborough.
When the grant funds have been expended, the Department will return to its current schedule of
patient visits. Six months of additional coverage will enable the Department to offer additional
services for the low income and uninsured populations.
FINANCIAL IMPACT:
The Department was awarded $43,346 to be used for temporary personnel and
pharmaceuticals. These funds are one-time funds and no permanent personnel are being
requested to support this increase in services..
RECOMMENDATION(S): The Manager recommends that the Board accept the one-time grant
funds and authorize the implementation of the grant.
dµStAi^o
North Carolina Department of Health and Human Services
Office of Research, Demonstrations, and
Rural Health Development
2009 Mail Service Center • Raleigh, North Carolina 27699-2009
Tel: 919-733-2040 • Fax: 919-733,8300
Michael F. Easley, Governor
Director
Torlen L-. Wade,
0
(VI Proiect Budget (1 page) 10 points I
Persormel:
• One .85 FTE temporary RN starting Dec. 1, 2005 - June 30, 2006 (34 horns/wk)
Dec: 132 hours April: 132 his.
Jan: 136 his. May: 1501us.
Feb: 1.361us. June:1481us.
Mar: 154 his,
TOTAL HOURS: 988 his. X $23.00/lu. = $22,724
One .5 FTE temporary Nursing Assistant starting Dec. 1, 2005 - June 30, 2006 (20 hours/wk.)
Dec: 96 hours Apr: 80 hours
.Ian: 88 hours May: 92 hours
Feb: 80 hours
Tune: 88 hours
Mar: 92hours
TOTAL HOURS: 616 his. x $14.0011u. = $8,624
One .5 FTE temporary Medical Lab Technician I starting Dee 1, 2005 -.Tune 30, 2006 (20 hours/wk.)
Dec: 96 hours
.Tan: 88 hours
Feb: 80 hours
Mar: 92hours
Apr: 80 hours
May: 92 hours
.Tune: 88 hours
TOTAL HOURS: 616 his, x $16.00/lu = $9,856
TOTAL PERSONNEL COST: $41,204
Pharmaceuticals = $2,142
(Based on average of'$306/month in start-up period X 7 months)
TOTAL BUDGET = $43,346
It is anticipated that Orange County will continue to provide supportive funding for primary care services
in addition to earned revenue from Medicaid and sliding scale fees.
Location: .31 1 Ashe Avenue • Cooke Building • Governor Morehead Campus • Raleigh, NC 27606
An Equal Opportunity/ Affirmative Action Employer