Agenda - 05-19-2009 - 7b - Laserfiche WebLink

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* The decrease in Charges for Services revenues for FY 2009-10 is due to the continued economic downturn and its effects on building and development, thus effecting Environmental Health fees, as well as reductions in budgeted revenues as a result of discontinuing or suspending a number of program and services throughout the department. * The department is proposing fee changes in Dental Health and Personal Health divisions for FY 2009-10 (see attached Fee Changes section). * A portion of the decrease in Personnel Services reflected in the Manager Recommended amount in FY 2009-10 and the Department Requested amount is due to the Manager not recommending the expansion of primary care clinical services (SOCC Priority #4). ® The increase in Operations reflected in the Manager Recommended amount in FY 2009-10 and the Department Requested amount is due to the Manager not recommending the elimination of dental clinical services at Carr Mill Mall, as the department had included this as part of their overall budget reductions. * The grant projects listed for FY 2009-10 include: Families in Focus and Child Care Health Consultant (both Smart Start funded); and Teen Tobacco Prevention (funded by Health and Wellness Trust). All of these grants are covered by 100% grant funds, with no.County support for FY 2009-10. Changes 'in Service Delivery ($240,82?' Expenditure Reduction; $191,538 Revenue Reduction for a Net Decrease of $49,289): 0 Discontinue Operating Costs Associated with Public Health Nurse 11 in Preparedness e Discontinue Chronic Disease Care Coordination Program • Discontinue HIV Community Testing Program • Suspend Hiring for the Dental Hygienist/Community Dental Care Coordinator Position for the FY 2009-10 • Eliminate Student Stipends for Administrative Projects in Dental Health Services • Eliminate Student Stipend for Community Health Assessment • Eliminate Development of New "Time Study" • Discontinue Recruitment of Participants for the Mouth guard Project. • Reduce Information on Community Health Needs and Policyrnaking to Community • Discontinue Refugee Health Assessment Program • Reduce allocations in Professional Development for Environmental Health Services Staff • Reduce allocations in Certification and Licensure Allocations for Clinical-Dental Staff • Reduce allocations in Staff Training, Continuing Education, and Professional Development for Health Promotion and Education Services • Eliminate Com'munity Outreach Education and Reduce Technical Support, Training, and Service to Community • Reduce Dental Services Operating Expenses • Eliminate Mailing of Environmental Health Permits, Educational Material, Forms, and Information • Eliminate Elements in the Quality Assurance — Program Improvement Program in Environmental Health Services • Suspend Hiring for One EH Specialist Position for the FY 2009-10 • Suspend Hiring for the Office Assistant Position for the FY 2009-10 • Suspend Hiring for the EH Program Specialist Position in Food and Lodging Program for Latter Half of FY 2009-10 20-2