Agenda - 05-30-2013 - 2 - Laserfiche WebLink

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Health Department - continued Budget Highlights • The FY 2013 -14 Commissioner Approved Budget reflects the transfer of a Nutrition Program Manager position and a Registered Dietician from the Health Promotion and Education division to Personal Health. • The FY 2013 -14 Commissioner Approved Budget includes the conversion of a vacant Public Health Nurse II position to a Medical Office Supervisor position, and the surplus of $20,657 from this conversion has been transferred to the division's temporary personnel line item. This increase, along with an increase of $14,000, to establish a temporary nursing /provider pool to mitigate reduced clinic schedules and delays in services due to unforeseen medical leave of permanent staff. These changes reflect some of the increases in Personnel Services for FY 2013 -14. • The increase in Operations for FY 2014 -13 includes an additional $100,395 in Pharmacy Supplies; increased by an additional $50,395 to continue giving vaccines to school system staff, as well as county employees (revenue received from insurance reimbursements will cover the additional costs); also includes the continuation of the Nicotine Replacement Therapy program at $50,000. • The Capital Outlay for FY 2013 -14 of $18,000 includes the purchase of sic (6) kiosks for patients to check for Medicaid eligibility. The patient kiosk systems are interactive computer stations used to help improve efficiency and the patient's experience by giving them the option to sign up for Medicaid and insurance benefits all in real -time. • The additional revenue in FY 2013 -14 is due to efficiencies in the new patient management and billing system created through ongoing training and development in billing, and moving the Nutrition Services Program and its associated revenue to this division from Health Promotion and Education. • The Department's multi -year Reducing Health Disparities Grant includes a Commissioner Approved two year time - limited Registered Dietician position (1.0 FTE). (Salary & Benefits of $62,647). The position costs are totally offset by grant funds and revenue from third party billing charges, and is budgeted outside of the General Fund. • There are two (2) new fees approved in FY 2013 -14: Birthing Classes at $8.69/ hour and Adult TD vaccine at $35.00 • The Board of County Commissioners approved the reclassification of a Public Health Nurse II position to 1.5 FTE Medical Office Assistants in FY 2012 -13, at no additional County cost, to add support for increased clinic efficiency. • Increased inventory of purchased vaccines due to decrease in state - supplied vaccine available. • Nutrition Services Section moved to Personal Health Services Division • Awarded contract in FY 2012 -13 with UNC Family Medicine through Office of Minority Health and Health Disparities Grant Funding to offer Diabetes Self- Management Education Program and Medical Nutrition Therapy to referred clients (Year 1 Funding, $67,767). This project was established in a multi -year grant fund outside of the General Fund. MAII