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								    Category 3. Additional General Fund Support and Increase in FTE
<br />		FTE	Salary and	Operating	One•Time		Offsetting	Net County	Annual Cost	Position	
<br />Requesting Department	Position DescdptionlNeed	Change	Benefits	Casts	Start-Up	Total	Revenues or	Cost	After FY 2008	Requested	Comments
<br />					Costs		ReducDonsin	FY2006A9	09	Previously	
<br />	Dental Hygienist • Request an increase in hours from 24 to 32 hourslweek to provide an additional eight hours										
<br />Health	per week of dental hygiene clinic lime in order to see additional palienls, as well as reduce the wail time for	0.200	$15,491	$0	$0	$15,491	$20,692	($5,401)	($5,401
<br />)	No	Offsetting revenues reflect clinic fees as
<br />	recall appointments. This service to an additional 320 palienls per year will result in a reduction of the recall										well as Medicaid reimbursements.
<br />	wait lime between appointments from 10 months down to a standard 6 months.										
<br />	Office Supervisor II - Cunently, the Library is only supported with a 50 % administrative staff member (0.50										Includes a reduction in cunent
<br />Library	FTE). In order to provide quality adminlslrelive suppon, afull-bme 40 hourslweek position is needed due to the	0.500	$25,746	$0	$0	$25,746	$5,000	$20,746	$20,746	No	expenditures of $SpOD related fo
<br />	grovrth and expansion of Library services Ihrougheut the County.										cunenlly used lemporery personnel
<br />											funds.
<br />	Planner II (Land UselTransportation Planner) -To increase the currently funded position fo a full4ime position										
<br />	to help support the Orange United Transponalien (OUT) Board; provide assistance with data collection,										
<br />	verifiralicn, and analysis for Iransponation studies; assist with the implemenlalion of the Comprehensive Plan;										
<br />Planning .	and share transponation related information with the fiOCC on a regularly scheduled basis. Originally this was a	0.475	$23,469	$0	$0	$23,469	$p	$23,469	$23,469	Yes	
<br />	full-time, shared position between Planning (.525) and ERCD (.475) until the Environment and Resource										
<br />	Conservation Department (ERCD] podion became its own full FTE in 2006-07. This is an increase in hours from										
<br />	21 to 40 hourslweek.										
<br />I 7 oral category 3 1.715 I $64,706 $D $D ( $64,706 $25,892 I $38,814 ( $38,614 (
<br />Category 4. New Positions to Improve Service Delivery (Increase in FTE)
<br />		Fl'E	Salaryand	Operating	One•Time		Offsetting	Net County	Annual Cost	Position	
<br />Requesting Deparhment	Position DescdplionlNeed	Change	Benefits	Costs	Start-Up	Total	Revenues or	Cost	After FY 2008	Requested	Comments
<br />					Costs		Reductions in	FY 2006.09	09	Previously	
<br />	Paramedic - Due fo increased pall volume and franspans, the department is requesting one paramedic position.										
<br />	Emergency Services has also experienced an increase in the percentage of palienls who require advanced life										
<br />	suppon during transport to the hospital. This increase In acuity of patients hoe led to a significant increase In	1.000	$49,117	$20	$0	$49,137	$D	$49,137	$49,137	No	
<br />	the average call duration for paramedic, which effectively reduces the number of paramedics available to										
<br />	res and to eme encies.										
<br />Emergency Services	Assistant Fire Marshal -This position will allow the department io meet the minimum requirements of NC fire										Includes a reduction in current
<br />	prevention coda, a statewide mandate. Two full time positions are needed far Ibis program, and cunenlly only										expenditures of $10,OW related to
<br />	ono is funded. The number of facilities in the county has increased and new provisions have been added to the	1000	$46,974	$7,362	$2,495	$56,831	$10,000	$48,831	$46,336	Yes	cunenfly used temporary personnel
<br />	8re code chat requires an additional staff person to administer the provisions of the code. Plan review for new										funds. One•Time Stan-Up costs
<br />	commercial construction and major renovations of existing commercial buildings are part of code enforcement										includes a cemputerand office
<br />	rocess.										fumishin s.
<br />	Family Nurse Practitioner II -The County has experienced a signifiant increase in refugee resettlement.										
<br />	Since July 1, 2007,123 refugees resettled in the Countywith an anticipated 200+refugees expected by										Offsetting revenues includes Medicaid
<br />	Seplember2008. The Slate recommends that local public health depanments pedorm a full health assessment										
<br />reimbursements from clinicfees; One-
<br />	for refugees with the intention of ensuring any health problems That mould pose a threat to public health or impair
<br />'	0.500	37,992	872	$1,775	$40,639	$31,050	$9,589	$7,814	No	Time Stan•Up costs includes computer
<br />	Iherefugee
<br />s capacity to find employment and independence are promptly identified and treated within 30 days										and office fumishings.
<br />	of aniual. This .50 FTE position would enable the depadmenl to expand the current refugee health program and										
<br />	provide Ibis health assessment within the 30 day period										
<br />	Public Health Nurse II (Communfcable Disease Nurse) - Due fe the growth in refugee resettlement (as										
<br />	discussed above), the deparment has been unable to keep up with demand. Newly arriving refugees are										
<br />One-Time Stan-Up costs includes
<br />	required to have a communicable disease screening with their local health depadmenl within 30 days of aniual	1.000	58,279	335	3,075	$61,689	$0	$61,689	$58,614	No	computer
<br />office fumishings and a
<br />	in the Ccunty. This includes screening for Tuberculosis, Hepatitis 8, Parasites, and other conditions and										,
<br />modular workslalion
<br />	includes the provision of immunizations to prevent disease. This position will provide screenings within 30 days										.
<br />Health	and offer prompt investigation, control and management of all active Tuberculosis cases.										
<br />	Administrative Assistant I- Due to the growth in refugee resettlement, Iha communicable disease nursing stab										Offsetting revenues includes Aid fo
<br />	is cunently performing administrative duties such as scheduling appointments, ananging for interpreters, and										Ccunty funds, Random Moment in Time
<br />	completing paperwork on refugees instead of spending (heir lime on professional nursing duties. The addition o	
<br />1.000	
<br />39,651	
<br />620	
<br />2,575	
<br />$42,846	
<br />$38,875	
<br />$3,971	
<br />$3,971	
<br />No	Study funds, and Medicaid Maximization
<br />	a su n osition will assist with the necessa a envodc for the refu ee ro ram, rovide a central contact
<br />PPo P ry P P 9 P g P										funds; One-Tme $tan-U costs includes
<br />P
<br />	paint for refugees as well as the settled immigrant population, and provide educational outreach for clinical and										computer, office fumishings and a
<br />	community services,										modular workslalion.
<br />	Dental Hygienist (Community Dental Care Coordinator) -To coordinate the Smad Stad Dental Screening,
<br />'										
<br />OffsetOng revenues includes Sman Stan
<br />	Education and Follow-up Program, and to provide preventive clinical services to scheduled prenatal patients
<br />'										funds, clinic visit fees
<br />and Medicaid
<br />	Nvo days per week at the department
<br />s dental clinics, Currently, the clients in the Prenatal clinic are not	1.000	58,279	16,164	4,264	$80,707	$70,537	$10,170	$5,906	No	,
<br />funds; One-Time Stan-Up costs includes
<br />	receiving dental care. The depanment does not have enough dental hygiene clinical hours to provide additional										a computer, office fumishings, and a
<br />	services to Ibis population. Currently, Smad Sladfunds are used to coniraG out for the Dental Screening pan of										modular workslalion
<br />	(he program. Sman Start grant funds would fund 34%of the position.										.
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