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state &federal funds. A system of documentation (such as the time study) is required. The <br /> time study that OCHD is currently using is over 15 years old, written using an old version <br /> of Excel, and can no longer grow to accommodate newer programs. Inaccuracies and <br /> • inefficiencies are present in the current program that is unable to be updated. In addition, <br /> this documentation is used to calculate the amount of Medicaid cost settlement that the <br /> department may be eligible for on an annual basis. For the past 8 years, the cost <br /> settlement amount has been approximately $200,000 annually. If the documentation is <br /> inaccurate, an audit could result in a county pay back situation. <br /> Failure to have a functional staff time and effort program could result in a loss of up to <br /> $700,000 annually. <br /> S-3 * CAS -- Proposal (Provide a brief description of the service change) <br /> Reduce Information on Community Health Needs and Policymaking to Community <br /> S-3 * CAS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $1,000 Reduction <br /> S-3 * CAS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> The Health Department provides a variety of population-based services to the community. <br /> In addition to clinical services for personal health & dental, awareness of other <br /> services/programs is crucial to having/maintaining a healthy community. Printing has been <br /> used to defray the costs of producing the Community Health Assessment and the Annual <br /> State of the County Health Report (required documents) when donated or private funds <br /> cannot be located. If the Board of Health engages in making a new rule or modifying an <br /> existing rule, advertising the rule change in a local newspaper is required and provides the <br /> public with a notice to be able to comment. Should a need arise for this purpose, the <br /> department would need to identify funding from an alternative line item. <br /> S-4* DHS -- Proposal (Provide a brief description of the service change) -- <br /> Suspend Hiring for the Dental Hygienist/Community Dental Care Coordinator Position for <br /> 09-10 <br /> S-4 * DHS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $10,170 county funds reduction; Revenue reduction of$36,687. <br /> S-4 * DHS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> This position was scheduled to work two days per week providing 492 dental clinical <br /> treatment visits generating $36,687 in revenue. There will be a reduction in 492 dental <br /> visits. Of the total patient visits, 142 were for prenatal clients of the OCHD. In an effort to <br /> reduce premature and low birth weight infants, the health department was going to offer <br /> dental cleanings to prenatal clients through the OCHD Dental clinics. <br /> 33 <br />