Agenda - 06-15-2010 - 4a - Laserfiche WebLink

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10 1 hole is closed because of this. This saves the contractors time in the ground and also saves 2 repeat visits out to the site. The septic yards pay the County for a staff member coming out to 3 certify. 4 Commissioner Jacobs said that he thought that the County had decided in the past to 5 provide primary care over and beyond what was required of them. He asked how much of the 6 primary care that is being provided is optional. Rosemary Summers said that all of the primary 7 care is optional. They provide primary care only to women and children and do not provide it to 8 all adults. The clients must be registered health department patients already. 9 Commissioner Hemminger asked about the delaying of the replacement of the dental 10 clinic. Rosemary Summers said that this is not included in this budget. The department is 11 using the cost settlement funds to pay for the renovation of the space. Also, the department is 12 not buying any new equipment. Also, this past year they got a lot of funds for H1 N1 from the 13 federal government. This money was used to replace some dental equipment. She said that 14 she would rather cut equipment than people. 15 Commissioner Pelissier asked about the service impact on pregnant women and 16 newborns and Rosemary Summers said that they will be receiving fewer services. The 17 reductions in the maternal care coordination and outreach program are a direct result of 18 reductions in Medicaid reimbursement. This means that all of the social workers that take care 19 of at-risk pregnant women have larger case loads and make fewer home visits. The prenatal 20 clients have doubled at both clinics. This is not a primary care service, but it is a regular health 21 department clinical service. The WIC program is the only federal program that has received 22 increases in the allotment to serve women and children. Piedmont Health operates this 23 program in all of their counties. Piedmont Health has free space at the Whitted Center to see 24 those patients. Piedmont also provides breastfeeding support. 25 Commissioner Jacobs asked about the funding for the school health nurses and 26 Rosemary Summers said that the goal was to have a school nurse in every school in Orange 27 County. She gave a brief history of this process. The Health Department's responsibility is to 28 coordinate the school nursing function. They all report to the school system, all of the funding 29 goes to the school systems, and there is a collaborative retationship, but there is no funding in 30 the Health Department for school health. The Community Health Services Supervisor works 31 with both systems to develop the school health policies and the Medical Director provides 32 oversight for both programs. This arrangement has worked out well. 33 34 • Library Services—Section 24 ' 35 Frank Clifton said that there are two sections -the Library budget and contributions to �� 36 other libraries. 37 The total budget is just under$1.4 million. The budget has been reduced by about 38 $266,000. The biggest contribution is to the Chapel Hill Library of$249,000 (same as last 39 year). The Cedar Grove branch will be closed beginning August 1 st, transferring materials, 40 computers, and staff to the main library branch. The Cybrary in Carrboro will be eliminating one 41 position and reducing operating hours from 44 to 20 per week. This will be done in coordination 42 with the McDougle branch so that Monday-Friday there will be services in Carrboro at two 43 different locations. Regarding the Carrboro branch, there is a reduction in non-permanent 44 personnel, a reduction in the materials purchased, and reductions in administrative support. 45 Regarding the main branch, there is a reduction of$166,000. There are reductions in non- 46 permanent personnel, reductions in materials purchased, reduction in support for staff (travel, 47 training, printing, and mileage), and reduction in maintenance and repairs. 48 Commissioner Nelson said that there are charts in here with data about circulation but 49 nothing about Cedar Grove.