Agenda - 01-06-1992 - Laserfiche WebLink

Browse Search

ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: January 6, 1992 SUBJECT: Maternal Care Coordination DEPARTMENT: HEALTH ATTACHMENT(S): 1. Memorandum from Division of Maternal and child Health 2. Maternal Care Coordination Grant Application 1 Action Agenda Item No. V ..C. PUBLIC HEARING: Yes X No INFORMATION CONTACT: HEALTH DIRECTOR'S OFFICE X2411 TELEPHONE NUMBER: Hillsborough - 732 -8181 Chapel Hill - 968 -4501 Mebane - 227 -2031 Durham - 688 -7331 PURPOSE: To authorize the Health Department to apply for additional State funds to increase Maternity care Coordination services and add a full -time social Worker'II position to handle the increased caseload. BACKGROUND: The North Carolina General Assembly appropriated $500,000 for each Of the fiscal years, 1990 -91 and 1991 -92 to create additional Maternity Care Coordination positions in counties with documented, unmet needs. The orange County Health Department received a start -up grant in FY '90 -'91 to establish a Maternity Care Coordination position to serve the Medicaid eligible patients of the University Hospital Pre -natal outpatient clinic. According to the attached memorandum from the Division of Maternal and Child Health, the Health Department may also apply for a start -up grant for a second Maternity Care Coordination position for the balance of the fiscal year '91 -'92. The start -up funds would enable a position to be established and funded for a 3 1/2 month period until the Medicaid reimbursement for Maternal Care Coordination services would be paid to the Department. Currently, in the Hillsborough Pre -natal Clinic of the Health Department, Maternity care Coordination services are being provided by a social worker II who also provides Child Service Coordination in the Child Health Clinic. state guidelines suggest an average monthly caseload for a half -time MCC worker of 45 patients. The Child service coordination guidelines suggest an average monthly caseload of 25 for a half -time worker. The caseloads of the coordinators have grown steadily since they started in August. At the_:curr.ent rate of growth, their caseloads will meet state guidelines by the end of the year. However, there will be an additional number of Child Service and Maternity Care patients not receiving adequate services. These figures are as follows: