Agenda - 06-01-1981 - Laserfiche WebLink

Browse Search

III. IMPACT OF BUDGET REQUEST ON SERVICES Dental Health The failure to add a dental assistant and a clerk will result in split time clinical operation between Carr Mill and Hillsborough. The single site (Carr Mill) operation at this time is reduced by a factor of 20 , However , this budget will restore the case load to normal. It is unfortunate to not be able to expand services to more needy residents this fall than presently served . The Dental School representatives state that they could furnish dentist attendings and residents to run both clinic three plus days per week, if the County would furnish the necessary assistance. The cost to the School for expansion would range from 527 ,000 to 831 ,000 , depending on salary levels . The cost to the County to expand service would be approximately $29 ,000 for staff and ooeretory supplies . A conservative estimate is that the increased operational time would generate approximately 810 ,000 in fees at the present rate structure; therefore, the net county cost would be approximately $19 ,000. A conservative estimate is that the increased time would increase the annual patient clinical visits to a county total of 6 ,000. With Sufficient Lead time , the Dental School could possibly staff each clinic full time at no required further significant County outlay. With that significant patient increase the net County cost to make the assistance staff input at this time would drop to a low Level . Environmental Health Although this effort is staffed one person Less than it was at this time lest year , the program should be able to continue without interruptio or service reduction. Two of several factors which have made this possible are that the new building starts have dropped off and the three used car radios we purchased have increased our efficiency. This program is recognized for its quality and this budget would be a major factor in maintaining that quality. Health Education Community health education by a speciality staff of professional health educators will be reduced by 2/3 of its Level of six months ago by this budget . This mission of the health department will resultantly be dramatically refocused from a speci =lif-y effort to an operational mode for li_ne staff, The remaining health educator will have to focus on stimulatin4 =ne training our direct service staff to accomplish their duties in a. manner conducive to community health education. Secondly , to work with the ABC funded (to the school systems ) health kucator/counselor and other epprooriete school systems staff to maximize their efforts . The school oyetems will, be asked to emphasize health education . Lastly , health educator direct patient involvement will, be necessarily limited to fan : plannieg , teens and hieher risk patients . . _ . . •