Agenda - 04-21-1981 - Laserfiche WebLink

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`i/ . -%- 2. sanitarian- Present Opening We have gone to a waiting list for septic work and reduced all but essential services. Without this position we will soon have to terminate the well program. Prior to onset of the well program extremely few wells were installed in such manner to protect health and underground water. The well program brings in $17,000 in fees p=r ~yoar' However, we can not charge for a service we can not deliver. J. Clerk Typist III- Hillsborough- Open 4/6/81 Without this person we will not implement the computer data system, thereby wasting one year of departmental and county effort and expense- We now have a bad data system in that it is clerk intensive and creates month ending backlogs work overloads and much error. The Board has been told by the Director that if this data flow doesn't improve, all our grants may be reduced (in addition to other cuts) by factors up to 10%' The reason is that it appears we are serving much less than the contracts call ror. In actuality, we are extensively exceeding the oontracto. However, our data reporting system is badly function- ing at present. This cut could take up to $15,000 per year in the largest grant alone. Secondly, the major typing in the department is presently being done by Kelly Servioe, If we cannot hire this clerk and Kelly Service (which is as expensive as a clerk) is withdrawn, the vast amount of necessary paperwork and corresponder will be severly curtailod. This would create significant problems with the 1981, - 3,the Board, the State, The Feds and the public. Since March , we have spent $1,126.80 on Kelly Services to get the absolutely essential work produced. 4. Public Health Nurse I- Hillsborough- Open 5/29/81 Immediate loss of all service to Cameron Park Elementary School; reduction in Northern Orange County adult male and female chronic disease service by up to 50% (723 patient services); reduction in high risk maternal care by cutting off all enrollment until the case load is reduced to no more than 40 women at a time (29} annual service reduction); termination of service to Council on Aging nutrition sites; termination of service to two rest homes and two day care center in Hillsborough. The chronic disease health assurance grant aid is small , only $7,765 per year. However, it could be cut if we cut the service in half. The true cost of this position cut is in the indirect costs that will result from loss of preventative care and resulting problems; for instance, increase prematur births to high risk mothers, retarded nhildron, and increased maternal ill healtr 5, Public Health Nurse II- Countywide- Open 5/12/81 Immediate termination of the central coordination for the school health programs for both Districts. We had built a good, but small effort during the past three . years where solid, coordinated programs were offured, school health records were in excellent shape and cost efficiency was maximized' Immediate termination of ' nursing services to Phillips and Culureth Junior Highs; loss of all health edu- r. cation , counseling and guidance for these schools' pregnant or young teen mother (4 pregnant and one delivery already this year) ; loss of care to 10 of their students with severe chronic illnesses; no dental or general health follow-up; and, loss of general health udocation. The cost of this is indirect in that health of children relatea to their learning ability