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maternity Care coordination <br />Hillsborough <br />current # prenatal patients 142 <br />Current MCC caseload 37 <br />Recommended MCC monthly caseload' 45 (1/2 time) <br />Remaining current unmet need 97 <br />Child service coordination <br />current active caseload 119 <br />clients served by existing OCHD staff 75 <br />Recommended full -time CSC 50 <br />monthly caseload <br />Current service gap 44 <br />El <br />`A <br />UNC Hospitals <br />106 <br />38 <br />90 (full -time) <br />16 <br />Thus, it can be seen that there is an existing service gap that will not be <br />closed when current staff reach their caseload capacity. <br />To document the capability of the Health Department to acquire the Medicaid funds <br />necessary to support similar positions, the following information is provided <br />regarding the projected expenses and revenue for FY '92 positions that are to be <br />supported by Medicaid revenue: <br />EXPENDITURES <br />Position <br />office Supervisor I <br />(hired 1/92) <br />Social Worker II <br />(Lead, Hillsborough) <br />Social Worker II <br />(UNC Hospitals) <br />FTE charged To <br />REVENUE <br />salary and <br />Fr. Benefits Program <br />1.0 Child service $15,731 <br />Coordination <br />0.5 CSC 17,815 <br />0.5 MCC, 17,814 <br />1.0 MCC 30,78 <br />$82,145 <br />CSC <br />C.H. <br />M. H. <br />MCC <br />Projected <br />Revenue <br />$44,000 <br />13,147 <br />25,863 <br />12,022 <br />$95,252 <br />The above information shows that projected revenue, based upon six -month figures, <br />will exceed the amount needed to support existing positions funded to revenue by <br />$13,107. This demonstrates that the OCHD has a track record of fallowing through <br />on collecting needed revenue. <br />There has been a trend over the last few years iff 03�arige.County of increasing <br />numbers of low birth weight babies which are at greater risks to death during <br />infancy. MCC services have been shown to be effective in-reducing the numbers of <br />low birth weight babies and infant mortality. Therefore, the 'Health Department <br />has a responsibility to make MCC services available to all Orange County citizens <br />who quality. <br />Without additional staff, an estimated 115 Medicaid eligible orange county women, <br />served in our Hillsborough clinic, will not receive Maternity Care coordination <br />services by the end of this fiscal year. In addition, the babies of at least 25% <br />of the MCC caseload qualify for child service Coordination. Many of these will <br />have to be put on a waiting list. <br />