BOH minutes 032410 - Laserfiche WebLink

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH March 24, 2010 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 March 24, 2010 Additional supplemental funds become available during the fiscal year in various programs depending on state ad federal action and on performance by the county. The total anticipated amount of funding as of July 1, 2010 represents between 8 – 10 percent of the overall health department budget. Amounts for specific program areas will not be finalized until after July 1 and will depend on budget discussions at the state level. The state consolidated agreement is anticipated to provide $528,211 federal and state funds to the county to provide specific services for fiscal year 2010-11. The Board was provided a spreadsheet detailing the amounts anticipated by program area. C. Renewal for Head Start Family Home Visiting Social Worker The Head Start contract between Orange County Health Department (OCHD) and Chapel Hill Training and Outreach, Inc. represents a collaborative relationship to provide family service coordination services to families eligible for and enrolled in Orange County Head Start and Orange County Health Department’s Child Service Coordination program. The collaboration for one social worker position presents parents with one unified program case coordinator who provides regular contacts to the family in order to identify and follow-up on child and family needs. The Family Service Coordinator supports the development of family self-sufficiency and promotes skill development in the areas of problem solving, decision making and accessing needed health and human services. The contract with Chapel Hill Training and Outreach, Inc has been in existence since 1999 and is renewed annually. During a recent Head Start federal review, the contract was tagged by reviewers and questioned as to the cost and value to Head Start. Although collaboration is regarded highly by Head Start, the salary and benefits of OCHD’s Social Worker fulfilling this role are substantially higher than what other Family Service Coordinators receive within the pay structure of Chapel Hill Training and Outreach. The Head Start Director has indicated that they would like to maintain the contract for the services of the current Family Service Coordinator because of her commitment and experience working with Head Start families but are asking for several enhancements or changes to the contract: 1) Cap the contract at the proposed rate of $60,831 (current salary and benefits for Family Service Coordinator). The Head Start Director initially requested to cap the contract at $50,000 but the Department indicated that would not be possible and recommended the current rate. Any future increases in contract costs will be paid out of Child Service Coordination revenue earned by the Family Service Coordinator. 2) The Head Start Director requested that OCHD provide lead testing on approximately 50 children. Medical providers are not testing children enrolled in Early Head Start and Head Start programs despite requests from the programs. Consequently the program was cited by federal reviewers for being out of compliance with the lead testing requirement. It was noted that some of