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<br />1 <br />ORD-2014-048 <br />ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date:December 9, 2014 <br />Action Agenda <br />Item No.6-i <br />SUBJECT: Approval of Budget Amendment #4-B Related to Position Changes and Receipt <br />of Additional Medicaid Revenue within the Health Department <br />DEPARTMENT:PUBLIC HEARING: (Y/N) <br />HealthNo <br />ATTACHMENT(S):INFORMATION CONTACT: <br />Pam McCall 245-2402 <br />Coby Austin 245-2414 <br />Dr. Colleen Bridger245-2410 <br />Clarence Grier245-2453 <br />PURPOSE: <br />To approve Budget Amendment #4-Brelated to position changes and receipt of <br />additional Medicaid revenue within the Health Department, specifically to: <br />1) approve changing a currently budgeted 1.0 FTEPublic Health Nurse I positionto <br />two .50 FTE Public Health Nurse I positions; <br />2)increaseacurrently budgeted .50 FTE Public Health Nurse II Preparedness <br />Coordinator position to a .60 FTE position; <br />3) approve changingacurrently budgeted temporary grant fundedMedical Office <br />Assistant position to a permanent .50 FTEposition; and <br />4) approve receipt of additional Medicaid revenue. <br />BACKGROUND: <br />Orange County faces increasing competition from UNC Hospital and Duke <br />Medicine to attract and retain well-qualified nursing staff. In addition, over half of the current <br />nursing staff is eligible to retire within the next five years. The County has a vested interest in <br />retaining current staff as well as attracting the best candidates to fill future vacancies. <br />On the recommendation of the previous County Manager, the Health Department and Human <br />Resources worked together to create a Nurse Retention Plan.This plan was approved by the <br />County Manager for the purpose of recruiting and retaining a high quality public health nurse <br />workforce for Orange County. One component of the plan is job sharing. This was identified by <br />the nursing staff as an attractive workplace option. Because the incumbent in the Public Health <br />Nurse I position has expressedthe desire to work part-time, staff proposes tomove forward with <br />implementing this part of the planby changing a currently budgeted 1.0 FTEPublic Health <br />Nurse I positionto two .50 FTE Public Health Nurse I positions. <br />The Public Health Preparedness Coordinator is responsible for developing and implementing <br />mutual aid agreements to support National Incident Management System (NIMS) compliant <br /> <br />