Agenda - 12-17-1991 - Laserfiche WebLink

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2 To demonstrate the continuity of this request with formerly identified needs, it r is important to review the position requests for fiscal year 90 -91 which included a Public Health Nurse I for the Child Health Program to improve our declining rates of home visits. This position was not approved. However, mid -year State funds became available in Child Service Coordination. Staff assessment at that time was that the most critical need was for a Social Worker and a Clerical Supervisor to handle case coordination and the associated paper work. In 91 -92 budget, only a Community Health Assistant position was funded to handle the load in the clinic dealing with sexually transmitted diseases. The need for additional nursing manpower is resurfacing as the demand in the Child Health Clinic has grown. From 1383 visits per year in 1989 to 2121 visits per year in fiscal year 1991. Therefore, the staff has proposed and the Board of Health approved the establishment of one full -time Public Health Nurse I position which will be allocated 50% to the Family Planning Clinic and 50% to the Child Service Coordination program. Please 'see the attached New Position Request Form for more detailed information.. The expenses associated.with the new PHN I position include: DESCRIPTION STEP lA STEP 5D Salary, Hiring Range (Gr69, S1 --5D) $26,879 $32,672 Fringe Benefits 6,471 7,224 Travel and Training 150 150 Mileage 70 70 Equipment 1,050 1,050 Total $34,620 $41,166 The new position description form has been reviewed by Personnel and classified as a PHN I position. The budget figures have been reviewed by the Budget Department and found acceptable. RECOMMENDATION(S): The Manager recommends that the Board of Commissioners approve acceptance of both the State funds and the Medicaid projections, authorize the Chair to sign the Consolidated Contract Budget Amendments, and establish the new Public Health Nurse I position, contingent upon an annual review of continued State funding and Medicaid revenue sufficient to fund the position.