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In the year prior to the retirement of staff, 85 rapid HIV tests were provided in 3 community <br /> settings with 0 positive results. Since resuming limited testing in October, 2008 at <br /> ( <br /> Hargraves Community Center, 10 individuals have been tested with 0 positives. The <br /> SHAC clinic (Student Health Action Coalition) will continue to offer rapid HIV testing at <br /> their Wednesday evening clinics held at the Carrboro Community Health Center. Any <br /> individual may also receive confidential testing and counseling at either of our clinical <br /> locations. <br /> Although this is considered an important and valuable screening and referral service for <br /> higher-risk communities, we have not had personnel available to provide this service since <br /> the retirement of the HIV Counselor. (This position has been reassigned to a Medical <br /> Office Assistant position, which is being recommended for suspension of hiring for 09-10 <br /> due to budget reductions — see proposal directly below)). Currently, a Nurse Volunteer has <br /> committed to providing this service one day per week for 3 hours at the Hargraves <br /> Community Center through October 2009 (as part of her Doctoral Research Program). We <br /> will purchase enough supplies this fiscal year to continue until October 2009 at which point <br /> the program will be phased out. <br /> Testing and counseling are available Monday through Friday at both OCHD clinical <br /> locations (Chapel Hill and Hillsborough). Both locations have extended hours one day per <br /> week. <br /> S-27 * PHS -- Proposal (Provide a brief description of the service change) <br /> Suspend Hiring of Medical Office Assistant for 09-10 Fiscal Year and Switch Funding <br /> Sources for Family Nurse Practitioner Training <br /> S-27 * PHS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> $37,704 Salary and benefits of position <br /> $1,230 Reduce funding in Certifications & Licenses <br /> S-27 * PHS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> This proposal is to suspend hiring the Medical Office Assistant for the entire fiscal year or <br /> until revenue allows the position to be re-opened. <br /> Suspending the hiring of an additional Medical Office Assistant impacts the ability of clinics <br /> to process patients in a timely manner. Delayed appointment scheduling and slowed <br /> check-in and check-out services leads to long wait times for clients. In addition, the <br /> prolonged time for check-in and financial processing impacts the provider efficiency of the <br /> clinic since clients are not seen at their scheduled appointment times. As a result, the <br /> clinic runs late and staff must work beyond their scheduled time. <br /> The reduction of$1,230 in Certifications and Licenses is a switch of funding sources and <br /> is not an actual reduction in training providing for the nurse practitioners. It will narrow the <br /> ability of nurse practitioner's to select courses in some locations as the funding available <br /> through the AHEC funds may be limited. Reduced the county funding by $1,230 for <br /> mandatory training to maintain Family Nurse Practitioner (FNP) licenses. Replaced with <br /> 49 <br />