Orange County NC Website
Browse       Search
Area Health Education Center (AHEC) funds that Family Nurse Practitioners earn for <br /> serving as Preceptors for FNP students. These are in a separate fund earmarked for this <br /> purpose. <br /> S-28 * PHS -- Proposal (Provide a brief description of the service change) <br /> Revisions to Revenue Projections <br /> S-28 * PHS -- Fiscal Impact (This number should correspond to the amount included <br /> on the department's budget request excel spreadsheet) <br /> Increase of$6,657 in earned revenue <br /> S-28 * PHS -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> Revenue projections reflect the changing economic picture with more individuals <br /> unemployed, uninsured, and eligible for Medicaid. Sliding Scale Fees are projected to <br /> drop $24,581 (19% decrease) while Medicaid revenue is anticipated to increase $31,238 <br /> (5% increase) for a slight overall increase in revenue. <br /> S-29 * QA/RM Proposal (Provide a brief description of the service change) <br /> Discontinue Operating Costs Associated with Public Health Nurse II in Preparedness <br /> S-29 * QA/RM -- Fiscal Impact (This number should correspond to the amount <br /> included on the department's budget request excel spreadsheet) <br /> $2,110 Reduction <br /> S-29 * QA/RM -- Description — Describe, in detail, the service delivery impact of the <br /> proposed reduction/change. <br /> Transferred Public Health Nurse II (Preparedness Coordinator) FTE to Personal Health <br /> Services in FY 08-09 and that position was re-tasked to be a Licensed Practical Nurse <br /> (LPN) to assist in increased need for immunizations and communicable disease program. <br /> A Public Health Preparedness Coordinator will be available part-time through a contract <br /> with Person County Health Department. This staff change was approved by BOCC <br /> through approval of contract with Person County in December 2008. <br /> This adjusts the budget to reflect reduced county operating costs associated with the <br /> reduction of a full-time nurse in this unit. <br /> Public health emergency preparedness planning may be more difficult without a fulltime <br /> staff person housed in the health department who is directly responsible for these <br /> responsibilities. Preparedness and response plans are less individualized and county <br /> partner collaboration and coordination suffers due to lack of consistent, familiar agency <br /> representative at planning meetings and exercises. Event response coordination will need <br /> to be handled by the Quality Improvement/Risk Manager as will some plan writing, <br /> exercise coordination, training, and nursing volunteer oversight. <br /> 50 <br />