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Y <br />I <br />ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />Action Agenda <br />Item No. _yam=$ <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: December 17, 1991 <br />SUBJECT: PROPOSED USE OF ADDITIONAL STATE FUNDING IN FAMILY PLANNING AND CHILD <br />SERVICE COORDINATION PROGRAMS <br />DEPARTMENT: Health PUBLIC HEARING: Yes X No <br />ATTACHMENT(S): INFORMATION CONTACT: <br />HEALTH DIRECTOR'S OFFICE X2411 <br />1) Memo from the State Dated <br />9/23/91, Increase in Allocations <br />for Child Service Coordination <br />2) Memo from the State Dated <br />9/30/91, Distribution of Family <br />Planning Funds <br />3) New Position Request Form <br />TELEPHONE NUMBER: <br />Hillsborough - 732 -8181 <br />Chapel Hill - 968 -4501 <br />Mebane - 227 -2031 <br />Durham - 688 -7331 <br />PURPOSE: To accept the additional State funding for Child Service Coordination <br />and Family Planning, add the State funds plus associated Medicaid reimbursement <br />to the Health Department budget, and authorize the establishment of one full -time <br />Public Health Nurse I position. <br />BACKGROUND: The high number of unwanted or unplanned pregnancies was the highest <br />priority identified in the Health Department's Community Diagnosis in February of <br />1990. The second highest priority was inadequate pre -natal care among non -white <br />women. Both of these needs contribute to an infant mortality rate in Orange <br />County that is higher than the National figure. High infant mortality rates also <br />result from the lack of adequate coordination of care for Child Health patients <br />in the first year of life. <br />These problems which have been identified locally are also State -wide problems. <br />The General Assembly has allocated funds to reduce infant mortality rates for <br />several years and increased aid -to- counties support to improve Child Service <br />Coordination and Family Planning Services in the last session. <br />These funds are now being distributed to county health departments as outlined in <br />the attached memoranda, which indicate that the expansion funds will be permanent <br />additions to our consolidated contract. The funding available is as follows: <br />SOURCE AmnTTNT <br />Child Service Coordination $15,466 <br />Family Planning 161263 <br />Total State Funding Available $31,729 <br />Projected Medicaid Reimbursement <br />(13 cases x $60 per month x 12 months) $ 9,360 <br />Total Funding $41,089 <br />