Agenda - 06-20-1978 - Laserfiche WebLink

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1$ £A,TGAT£ SHOPPING C£NTER 144 P_ MARGARGT LANE CH AP£L HILL.. N G. 2 yl HILLS30ROUGH.N-C. 27278 PRONG: 942-4l5s PHONk,792.8181 EXT. 218 (FROM CHAPEL HILL 987!3251) MEMO TO: County Commissioners R'ROM: decrytobnson � -+ Director of Publ. c Health DATE: dune 20, 19 7$ RE: Comments regards the Requested Department Budget for Fiscal. 1979 At the Go ty Budget hearing of June 13 , 1978, certain persons implied greatly expanded local p blic health costs with no apparent service increase. Statetnents were that the Orange County cost had been $152,000 with the District Department; that the public had expec ed for $80,000 more to have a better department; yet Mr. Gattis re- quested $472,30 or $320,306 more and we requested $619,734 or $467,734 more. T sub- mit that this is an incorrect mixture of facts, On June 14 , Neal. Evans informed me that the last Orange County assessment to the District was $144 ,495. However , this did not represent the total cost of Orange County public health as there was ,according to the Division of H�1th Services ,at least $120,000 State money contributed. Therefore, what was being done cost $264 Furthermore, if Orange County would have stayed with the District it would have cost least 6% more t.9 hold-the--line. Therefore, the cost would have been $280,364 ---- not $7.52,000 ----- for! this year. If we were with the District next year the costs to hole the-line would k ave to go up another 6%, at least, making the fiscal 179 cost at leas $297 ,185. Mr. attis requested for us a total of $472,306 or $175,121 more than the projected District cost'and we requested $619,734 or $322,549 more. There exists more subtly to the situation than such number crunching, the Di.s' was unfair to ii s employees in that regardless of how long one worked for them they ed at Step 1. is practice had its resultant effect in lowered employee work stand; and miniiial work loads per employee. - in other words , they got no more than what t) paid for, or less. The District was under considerable pressure to provide more of minimal level of State Standards services. I observe that the District has now reor; nized, hired a non-physician administrator , added many new services , increased costs is moving aggc'e�sively and progressively under capable Leadership to overcome many ye of grossly inadequate service to citizens. The District was living many years in th past and the breakup with Orange County has resulted in starting that_grg .atenc`n: the road to modernization. As to the .idea that Orange County i.s a natural part of t old District. 1, from a public health organizational, viewpoint, strongly dispute th point. T know the situation well enough and their counties well enough to state tha Orange County i unique from the other four counties; with a significantly different population; wit vastly vastly different growth pressures , with different resources and hea needs that requ re differen# services and different personnel. Their new admini.stra is struggling w th the personnel he inherited to adapt them to new roles. The Distr