HomeMy WebLinkAboutAgenda - 08-19-2008 - 4kORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: August 19, 2008
Action Age a
Item No.
SUBJECT: Continuation Grant Acceptance for Primary Care Services at SHSC Site of
Health Department
DEPARTMENT: Health PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): INFORMATION CONTACT:
Continuation Grant Budget Rosemary Summers, 245-2411
PURPOSE: To accept the continuation grant funds for primary care services at the Southern
Human Services Center (SHSC) site of the Health Department for the period July 1, 2008
through June 30, 2009.
BACKGROUND: In Fall 2006, the Orange County Health Department (OCHD) received an
initial grant that helped defray some of the capital and operating costs of primary care services
that began at Southern Human Services Center in January of 2007. FY 2007-08 was a
continuation grant funding year that provided ongoing operational funds in the amount of
$44,769. There were 170 visits by 102 distinct patients for primary care services at this location
through the end of May 2008. 62% of these patients were uninsured of which 85% were in the
0-20% payor category on the sliding fee scale. Nonetheless, the Department exceeded the
revenue projection for primary care in 2007-2008, earning a total of $42,620 for primary care at
both sites.
Grant funds in FY 2006-2007 were used to purchase some capital equipment, for renovating
the medical records area to meet security requirements for all medical records, and for
temporary staff to supplement the current staff in providing these services. In FY 2007-2008,
funding was available only for operating costs. Because the funds are not recurring beyond
three years, the grant focused only on temporary personnel and was utilized to expand the
available hours of primary care by adding an additional clinician team. Funds were used to hire,
on a part-time, temporary basis, a family nurse practitioner, a registered nurse, and a nursing
assistant. These temporary staff also enabled the department to more effectively provide
services to the increasing refugee population in 2007-2008.
The continuation grant for 2008-09 is at the same level as the previous year ($44,769). The
budget projection (attached) indicates that the Department will continue to utilize the funds to
support a family nurse practitioner, a registered nurse, a nursing assistant, and a laboratory
technician for 12 hours per week. This will enable additional patients to be seen by the addition
of a clinical team approximately 1 and '/z days per week.
As part of the community's safety net services, primary care through OCHD has increased
access to care for the growing low-income, uninsured population of Orange County. (Access to
Health Care is one of the top 5 issues identified in the last two community health assessments.)
With the increased stresses felt by a weak economy, staff anticipates a growing need for
primary care services delivered by all of the community's safety net providers. In addition, the
delivery of primary care, along side the traditional preventive services available at the Health
Department, provides continuity of care for high-risk individuals and families and assures a
medical home for ongoing care. As a result of the introduction of primary care, there has been
a corresponding increase in the number of prenatal and child health clients accessing services
at OCHD.
FINANCIAL IMPACT: The Department was awarded $44,769 to be used for temporary
personnel for the Southern Human Services Center site. This is the final continuation year for
these funds, and the Department will need to submit a competitive application for funding in
2009-2010. No permanent personnel are being requested.
RECOMMENDATION(S): The Manager recommends that the Board accept the continuation
grant funds and authorize the implementation of the grant.
~d y n o.,
~~Eo-
~~
V~~~~~
Michael F. Easley, Governor
Dempsey Benton, Secretary
Organization Name:
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
John Price, Director
_Orange County Health Department
FY 2009 Community Health Center Grants
YEAR 3 CONTINUATION GRANT
Budget Template
Budget Time Period: July 2008 -June 2009
PROJECT REVENUE (add additional rows as needed)
Year 3 Community Health Continuation Grant Request $44,769
Estimated Carryover of SFY 2008 Community Health Grant Funds $0
Other Revenue
Patient fees $1180
Insurance receipts (Medicare, Medicaid, etc.) $1206
Other grant (define)
Other rant (define)
Other revenue (define)
Other revenue (define)
Total Project Revenue $47,155
PROJECT EXPENSES (add additional rows as needed)
Staff n~
Staff salaries (List by position type -example: MD, nurse, therapist, etc.)
(1)
(2)
(3)
(4)
(5)
Staff fringe benefits (Report as lump sum)
Temporary or contract staff (List by position type)
(1) Family Nurse Practitioner (.3 FTE) -12 hrs x $28.97/hr x 48 weeks $16,687
(2) RN (.3 FTE) -12 hrs x $25.50/hr x 48 weeks $14,688
(3) Lab Tech (.3 FTE) -12 hrs x $14.25 x 48 weeks $8,208
Location: 311 Ashe Avenue • Cooke Building • Governor Morehead Campus • Raleigh, NC 27606
An Equal Opportunity/ Affirmative Action Employer
(4) Nursing Assistant (.3 FTE) -12 hrs x $12 x 48 weeks
(5) Interpreter - 22 hrs @ $30/hr $6,912
$660
Facilit Ex ense
Rent
Utilities
Telephone /Internet
Security
Maintenance
Other (define)
Other (define)
General SuUUlies (NOT capital items)
Medical or Dental sup lies
Office su plies
Patient education materials
Pharmaceutical supplies
Other (define)
Other (define)
Other O eratin Ex ense (NOT capital items)
(1) Training
(2)
(3)
(4)
(5)
Total Expenses $47,155
IMPORTANT
• Community health grant request cannot exceed your original FY 2007 program grant award LESS
any carryover of unspent funds.
Year 3 is the final year of continuation funding. IF traditional program grants are offered in the fall of
2009, you may compete for new funding for this program.