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Orange County, NC <br /> Service Reduction Impact Statement <br /> FY 2009-10 <br /> In the table below, provide details regarding the proposed changes/reductions in current service delivery models. Include <br /> as much detail as possible including comparisons of current and next year work caseloads, clients, etc. Each service <br /> change/reduction outlined on the department's budget request excel spreadsheet must have a corresponding <br /> explanation on this form. NOTE: This form includes pre-formatted sections for three service delivery change <br /> proposals. Departments may need to expand this form to include all changes being proposed. <br /> Department Health—By Alphabetical Order by Division/Unit <br /> S-1 * CAS -- Proposal (Provide a brief description of the service change) <br /> • <br /> Eliminate Student Stipend for Community Health Assessment <br /> S-1 * CAS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $9,000 Reduction <br /> S-1 * CAS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> Elimination of a stipend for a master's level student from School of Public Health or Public <br /> Health Administration to conduct various projects for the health department. In previous <br /> years projects have included development of community survey for required community <br /> health assessment, data analysis for community surveys, acting as staff support for <br /> community assessment work groups, development of a quality assurance manual, <br /> development of a primary care business plan, developing and running a cost analysis for <br /> dental fees, preparation of a research review paper for the Board of Health on <br /> pharmaceutical and personal care products disposal into the wastewater stream. <br /> Community health assessment is required every four years and will require a staff <br /> diversion of resources to accomplish the requirements without the use of an intern. <br /> Generally the staff diverted would be from the Health Promotion and Education staff who <br /> have these skills. Community education on chronic disease management such as <br /> diabetes education would have to be discontinued in an assessment year. <br /> S-2 * CAS -- Proposal (Provide a brief description of the service change) <br /> Eliminate Development of New "Time Study" <br /> S-2 * CAS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $5,000 Reduction <br /> S-2 * CAS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> An annual agreement with the State of NC appropriates approximately $500,000 in State <br /> & Federal funds to Orange County Health Department. In order to claim these funds, a <br /> time study report (staff time & effort program) needs to be prepared each month. This <br /> report reflects staff time in various programs and the data in the report is used to claim <br /> 32 <br />