Agenda - 09-13-2005-3 - Laserfiche WebLink

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In permanent administrative assistant for a number of years. Due to substantial increases in workload, the administrative assistant position was reclassified to accounting technician and temporary assistance has been used to supplant these duties. In addition, funds budgeted for 2005 -2006 provide for up to $3,000 in outside assistance on accounting related to the single audit of grants issuance of bonds and alternative financing. Health The Health Department uses temporary staff in its divisions as outlined below: Personal Health Services: Temporary staff provide back -up for laboratory services in both sites. The Health Department has a Laboratory Technician at each clinical site full -time. Laboratory services cannot be performed without a Laboratory Technician. If the permanent employee is on vacation, ill, or attending required classes to maintain certifications, without a temporary person laboratory services would need to be suspended for that absence in that clinical site. Patients would not be able to receive those needed services and would need to return another time for laboratory services. This is a consequence of providing services five days a week at each of the two clinical locations. These are revenue producing services. Temporary staff provide back -up for clinician services in both sites. The Health Department has three Family Nurse Practitioners; one at SHSC and two at the clinical site in Hillsborough. Temporary wages provide a temporary nurse practitioner to cover vacations, illnesses, and continuing education absences for all three clinical providers. Without this coverage, patient visits would be significantly reduced. It is particularly important to provide this coverage with the advent of primary care. These also are revenue producing services. Temporary staff also provide nursing coverage for flu clinics. Each year during flu season.. the Health Department has hired temporary nurses to provide flu shots to high risk individuals through special community clinics. These nurse(s) make it possible for shots to be provided at locations such as senior centers and rest homes. This allows the Department to continue to provide other services without diverting nursing staff to these .,special' events. This is a revenue producing service. Environmental Health Services: Temporary staff is used to provide an Environmental Health Technician for water sampling. Using a temporary employee whose only job is to take water samples and prepare them for shipment to the laboratory for analysis, enables the Environmental Health Specialists working in the on -site wastewater program to be more efficient in their provision of soil and site analysis for residents desiring improvement or construction permits. In the past two years there has been an increasing request for water samples, especially in light of the concern regarding arsenic in the groundwater. This is a revenue producing service. Central Administrative Services: Temporary wages provide a Medical Records Assistant to back -up for medical records, registration, and billing. This provides for coverage of the permanent employees responsible for medical records, patient appointments, patient as