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S-23 * PHS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> Operating line items are realigned to reflect actual/projected costs <br /> S-24 * PHS -- Proposal (Provide a brief description of the service change) <br /> Discontinue Chronic Disease Care Coordination Program <br /> S-24 * PHS -- Fiscal Impact (This number should,correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $5,010 Reduction: <br /> $160 Dept. supplies <br /> $200 Education Supplies <br /> $3,680 Medical Supplies • • <br /> $970 Personal Mileage <br /> S-24 * PHS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> Adults with chronic diseases (Diabetes, Cardiovascular disease, Asthma, etc), many who <br /> are elderly, will not receive home visits or care coordination to help them adhere to care <br /> plans and medication regimens, to learn to manage their disease, and to assure follow-up <br /> with their medical providers and other community resources. <br /> In calendar year 2007, 8 clients received 38 home visits, while in 2008, 7 clients received <br /> 31 home visits. Coordination of care for these clients with professionals/family required 3-5 <br /> consultations per client. Failure to manage chronic diseases results in higher numbers of <br /> visits to the emergency department, higher rates of hospitalization, and higher rates of <br /> complications for patients. <br /> In order to meet demands in a mandated program area, the Public Health Nurse <br /> assigned to this program (new in 2007) has already been reassigned into the <br /> Communicable Disease and Lead Prevention Programs (both mandatory). She has <br /> stopped marketing this service to referral sources, discontinued taking referrals, <br /> and is completing services to clients on her caseload. There is no revenue <br /> associated with this program. <br /> S-25 * PHS -- Proposal (Provide a brief description of the service change) <br /> Discontinue Refugee Health Assessment Program <br /> S-25 * PHS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $11,000 Reduction: <br /> $250 Travel [Refugee Health Conference] <br /> $3,000 Lab services <br /> $750 Medical Supplies <br /> $7,000 Interpreter costs <br /> 47 <br />