Agenda - 04-15-2003-9a - Laserfiche WebLink

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4 o A Graduate Program Resident (GPR) dental resident 4'/2 days per week The Board of Health believes that the items outlined above would allow the Health Department to enhance the continuity of care for children and enable their care plans to be completed in a timely way with the same dentist in attendance while working within the existing budget for dental clinic services. Position Classification Personnel has completed a salary survey of Dentist positions in other North Carolina counties. Based on the data, Personnel recommends the new class of Dentist be established at salary grade 83 in the pay plan. Grade 83 has a salary range from $67,069 to $106,646. It is anticipated that hiring a Dentist will require a salary of about $95,000. FINANCIAL IMPACT: The table below compares the current and proposed costs for the provision of dentist services in the dental clinics. The table takes account of the savings identified by reducing the hours of the Dental Hygienist position. If the dentist position is not approved, the dental clinics could not maintain service levels without retaining the full-time hygienist. Current Budget Continuation of Contract Proposed Budget FY 02-03 FY 03-04 FY 03-04 Contractual Part-time 86,450 Contractual Part-time 89,043 Dental Position* $112,637 Dentists Dentists Resident iJNC 45,176 Resident C 45,176 Resident UNC 45,176 Pediatric Resident 1,650 Pediatric Resident 1,750 Pediatric President 1,750 Pediatric Attendin 2,550 Pediatric Attendin 6,800 Pediatric Attendin 6,800 Subtotal $135,82 Subtotal 142,769 Subtotal $166,363 6 Full-time Hygienist 49,521 Full-time Hygienist 58,445 Reduce full-time hygienist 37,200 position to part-time 20hrs/week Total $185,34 Total $201,21 Total $203,563 7 4 * Includes 1FTE Dentist salary (95,000), benefits (16,637), malpractice insurance (l,uuu) The budget-to-budget comparison indicates that this change can be accomplished within approximately the same funding as present. It is anticipated the slight difference in funding could be offset through reducing the revenue lost due to cancelled appointments. RECOMMENDATION(S): The Manager recommends that the Board: • Establish a permanent full time Dentist position to serve children and adult patients in both clinical locations and serve as clinical director and clinical supervisor of the County's dental program effective June 1, 2003. • Reduce the current full time Dental Hygienist position to part time 20 hours. • Amend the Classification and Pay Plan to add the new classification of Dentist at salary arade 83.