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2020-423-Resolution No. 2020-072 Recorded 12/28/2020REVIEWED LEGAL COUNSEL Recorded in Deschutes County CJ2020_423 Nancy Blankenship, County Clerk Commissioners' .journal 12/28/2020 1:42:15 PM ��,,-rt��' IIIIIIIIIII �. IIIIIIIIIIIIIIIIIIII 2020-423 For Recording Stamp Only BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON A Resolution Appropriating New Grant Funds, and Increasing FTEs within the 2020-21 * RESOLUTION NO. 2020-072 Deschutes County Budget WHEREAS, Deschutes County's Health Services Fund will receive an estimated $2,004,643 in new revenue from Central Oregon Health Council COVID-19 Relief Funds and an additional $462,885 in funding from Oregon Health Authority Local Monitoring 159809 Amendment #17 to support COVID- 19 response efforts, and WHEREAS, on November 23`d, 2020, the Board of County Commissioners verbally approved the increase of 6.0 FTE in support of COVID-19 response efforts, and WHEREAS, ORS 294.471 allows a supplemental budget adjustment when authorized by resolution of the governing body, and WHEREAS, it is necessary to approve acceptance of the Central Oregon Health Council Relief Funds, and WHEREAS, it is necessary to increase appropriations by $2,467,528 in Program Expense to accommodate this request, and WHEREAS, an increase of 5.5 limited duration FTE is requested to support the scope of work, and WHEREAS, an increase of 0.5 regular duration FTE is requested to support the scope of work, and WHEREAS, Deschutes County Policy HR-1 requires that a creation of or increase in FTE outside the adopted budget be approved by the Board of County Commissioners; now therefore, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON, as follows: Section 1. That the following grant revenue be budgeted in the 2020-21 County Budget: Revenue Health Services Fund Local Government Grant $ 2,467,528 Total Revenue 2.467528 PAGE 1 OF 2-RESOLUTION NO.2020-072 Section 2. That the following amounts be appropriated in the 2020-21 County Budget: Appropriation Health Services Fund Program Expense $ 1,534,873 Contingency $ 932,655 Total Appropriation S 2,467.528 Section 3. That the Chief Financial Officer make the appropriate entries in the Deschutes County Financial System to show the above appropriations. Section 4. That the following FTE be added: Job Class Type Duration if Limited Duration FTE Public Health Nurse II Limited Duration 1/l/2020-6/30/2022 2.00 Public Information Officer Limited Duration 1/l/2020-6/30/2022 1.00 Health Educator Limited Duration 1/I/2020-6/30/2022 0.50 Health Officer Regular Duration 0.50 Admin Support Specialist Limited Duration 1/1/2020-6/30/2022 1.00 Administrative Assistant Limited Duration 1/l/2020-6/30/2022 1.00 Total FTE 6.00 Section 5. That the Human Resources Director make the appropriate entries in the Deschutes County FTE Authorized Positions Roster to reflect the above FTE changes. DATED this 0 ATTEST4ry Recordin day of December, 2020. BOARD OF COUNTY COMMISSIONERS OF SCHUTES COUNTY, OREGON PATTI ADAIR, Chair ANTH DEBO E, Vice -Chair PHILIP & HENDERSON, Commissioner PAGE 2 OF 2-RESOLUTION NO.2020-072 RF\/FNI IF Line Number Item Fund Project Code Segment 2 Org Object Category 274 HSBHGEN HS2COHCQ 2743152 301000 BWC 274 JHSBHGEN HS2COHCQ 2743152 338011 Grant 274 HSPHGEN HS3COHCQ 2743153 301000 BWC 274 JHSPHGEN HS3COHCQ 2743153 338011 Grant 274 JHSPHGEN HS3COHCQ 2743153 338011 Grant 274 HSCOMMDIS HS30105N 2743153 334012 Grant 274 HSCOMMDIS HS30105N 2743153 335011 Grant APPROPRIATION Line Number Category Item Fund Project Code Segment 2 Org Object (Pers, M&S, Cap Out, Contingency) 274 JHSBHGEN HS2COHCQ 2743152 410201 Personnel 274 HSBHGEN HS2COHCQ 2743152 440330 M&S 274 HSBHGEN HS2COHCQ 2743152 460133 M&S 274 HSBHGEN HS2COHCQ 2743152 501971 Contingency 274 HSBHGEN HS2COHCQ 2743152 410101 Personnel 274 JHSBHGEN HS2COHCQ 2743152 410201 JPersonnel 274 HSBHGEN HS2COHCQ 2743152 450094 M&S 274 HSBHGEN HS2COHCQ 2743152 430312 M&S 274 HSPHGEN HS3COHCQ 2743153 450094 M&S 274 HSPHGEN HS3COHCQ 2743153 460133 M&S 274 IHSPHGEN HS3COHCQ 2743153 460163 M&S 274 JHSPHGEN HS3COHCQ 2743153 410301 Personnel 274 JHSPHGEN HS3COHCQ 2743153 410101 Personnel 274 JHSPHGEN HS3COHCQ 2743153 430378 M&S 274 HSPHGEN HS3COHCQ 2743153 450094 M&S 274 HSPHGEN HS3COHCQ 2743153 430312 M&S 274 HSPHGEN HS3COHCQ 2743153 450410 M&S 274 HSPHGEN HS3COHCQ 2743153 450401 M&S 274 JHSPHGEN HS3COHCQ 2743153 501971 Contingency 274 IHSCOMMDIS HS30101 N 2743153 430312 M&S 274 JHSCOMIVIDIS HS30101 N 2743153 450410 M&S 274 HSCOMMDIS HS30101 N 2743153 460133 M&S 274 HSCOMMDIS HS30101 N 2743153 430378 M&S 274 HSCOMMDIS HS30105N 2743153 430312 M&S 274 HSCOMMDIS HS30105N 2743153 450410 M&S 274 IHSCOMMDIS IHS30105N 2743153 460133 M&S 274 HSCOMMDIS HS30105N 2743153 430378 M&S 274 HSDIRECTR HSOOTHER 2743150 410101 Personnel 274 HSDIRECTR HSOOTHER 2743150 420101 Personnel 274 HSDIRECTR HSOOTHER 2743150 420201 Personnel 274 JHSDIRECTR HSOOTHER 2743150 420202 Personnel 274 HSDIRECTR HSOOTHER 2743150 420301 Personnel 274 HSDIRECTR HSOOTHER 2743150 420501 Personnel 274 HSDIRECTR HSOOTHER 2743150 420601 Personnel 274 HSADMIN HS1OTHER 2743151 410101 Personnel 274 IHSADMIN HS1OTHER 2743151 420101 Personnel 274 HSADMIN HS1OTHER 2743151 420201 Personnel 274 HSADMIN HS1OTHER 2743151 420202 Personnel 274 HSADMIN HS1OTHER 2743151 420301 Personnel 274 HSADMIN HS1OTHER 2743151 420501 Personnel 274 IHSADMIN HS1OTHER 2743151 420601 Personnel 274 JHSCOMMDIS HS3OTHER 2743153 410101 Personnel 274 JHSCOMMDIS HS3OTHER 2743153 420101 Personnel 274 HSCOMMDIS HS3OTHER 2743153 420201 Personnel 274 HSCOMMDIS HS3OTHER 2743153 420202 Personnel 274 HSCOMMDIS HS3OTHER 2743153 420301 Personnel 274 HSCOMMDIS HS3OTHER 2743153 420501 Personnel 274 JHSCOMMDIS HS3OTHER 2743153 420601 Personnel 274 HSCOMMDIS HS3OTHER 2743153 501971 Contingency his budget adjustment appropriates funding related to actions taken by the Board on November 23, Elated to COVID-19 response efforts, 5.5 FTE are 18-month limited duration positions and 0.5 FTE is alp for contact tracers, Incident Management Team staff salaries, and materials and supplies in prey ear (FY) 2021. Positions span Fiscal Years (FY) 2021 and FY2022 with the above addressing FY2C Fund: Dept: Requested by: Date: 274 Health Services Cheryl Smallman 12/10/2020 Description Current Budgeted Amount To (From) Revised Budget BWC 138,272 (138,272) - Local Grant 830,255 830,255 BWC 282,140 (282,140) - Local Grant - 282,140 282,140 Local Grant - 1,312,660 1,312,660 State Grant 284,000 (284,000) - State Miscellaneous - 746,885 746,885 TOTAL 704,412 2,467,528 3,171,940 Description (Element -Object, e.g. Time Mgmt, Temp Help, Computer Hardware) Current Budgeted Amount To (From) Revised Budget Extra Help 20,000.00 - 20,000.00 Maintenance Agreements 15,000.00 - 15,000.00 Medical Supplies 13,096.00 - 13,096.00 Contingency - 438,085.00 438,085.00 Salary - 76,342.00 76,342.00 Extra Help - 77,556.00 77,556.00 Program Expense 37,144.00 25,000.00 62,144.00 Contract 53,032.00 75,000.00 128,032.00 Program Expense 25,986.00 - 25,986.00 Medical Supplies 50,000.00 - 50,000.00 Safety Supplies 2,000.00 - 2,000.00 Overtime - 200,000.00 200,000.00 Salary - 82,000.00 82,000.00 Temp Help - Admin - 436,000.00 436,000.00 Program Expense - 75,000.00 75,000.00 Contract - 89,000.00 89,000.00 Advertising - Promo and Announcements - 30,000.00 30,000.00 Advertising - Public Notices - 25,000.00 25,000.00 Contingency 204,154.00 375,660.00 579,814.00 Contracted Services 9,000.00 (9,000.00) - Advertising 50,000.00 (50,000.00) - Medical Supplies 20,000.00 (20,000.00) - Temp Help - Admin 205,000.00 (205,000.00) - Contracted Services - 9,000.00 9,000.00 Advertising - 50,000.00 50,000.00 Medical Supplies - 20,000.00 20,000.00 Temp Help - Admin - 205,000.00 205,000.00 Salary 37,575.32 37,575.32 Health Insurance 9,373.95 9,373.95 PERS Employee -Employer 6,425.53 6,425.53 PERS Fund 575 2,983.09 2,983.09 FICA 163.32 163.32 Unemployment Insurance 207.55 207.55 Life -Long Term Disability 133.33 133.33 Salary 53,896.82 53,896.82 Health Insurance 13,445.69 13,445.69 PERS Employee -Employer 9,216.57 9,216.57 PERS Fund 575 4,278.85 4,278.85 FICA 234.26 234.26 Unemployment Insurance 297.71 297.71 Life -Long Term Disability 191.25 191.25 Salary 135,423.76 135,423.76 Health Insurance 34,084.31 34,084.31 PERS Employee -Employer 23,363.63 23,363.63 PERS Fund 575 10,846.72 10,846.72 FICA 593.83 593.83 Unemployment Insurance 754.68 754.68 Life -Long Term Disability 484.81 484.81 Contingency - 118,910.00 118,910.00 TOTAL I 704,412 I 2,467,520 1 3, 17 1,974V 2020. Deschutes County Health Services (DCHS) requests 6.0 FTE s regular. The above budget adjustment appropriates funds for temporary )aration for addressing the COVID pandemic the second half of Fiscal )21 only. \)i ES CMG � r 2 Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners BOCC Monday Meeting of December 21, 2020 DATE: December 16, 2020 FROM: Dan Emerson, Finance, TITLE OF AGENDA ITEM: Consideration of Board Acceptance of Central Oregon Health Council COVID-19 Relief Funds and Resolution No. 2020-072, Increasing Appropriations and FTE in Health Services Fund RECOMMENDATION & ACTION REQUESTED: Staff recommends acceptance of Central Oregon Health Council COVID-19 Relief Funds and adopting Resolution 2020-072, increasing appropriations and FTE in Health Services Fund for COVID-19 community response. BACKGROUND AND POLICY IMPLICATIONS: At the direction of the Oregon Health Authority, Central Oregon Health Council (COHC) released funds through a distribution methodology to providers greatly impacted by COVID-19, which included Deschutes County Health Services (DCHS) Public Health and Behavioral Health. Allocations by sector: Hospital 33%; Public Health 25%; Primary Care 19%; Community Mental Health Providers 13%; Designated Care Organizations 10%. Funds are intended to be used on COVID response efforts and service gaps occurring now and in future fiscal years. As part of the Fiscal Year (FY) 2021 budget process, $420,412 was approved and appropriated into the budget, which represented April and May Oregon Health Authority (OHA) 2020 quality program withhold dollars. COHC made a determination to continue to provide monthly payments to providers and intends to continue to do so through the end of 2020. Payments may continue into 2021, though it is unknown at this time. DCHS requests approval to accept the funds received to date and any future funds allotted to DCHS. Total amount received to date: 0 Behavioral Health received $749,166 and estimates $830,255 through 2020 Public Health received $1,440,705 and estimates $1,594,800 through 2020 Funds will support the following: Behavioral Health: $200,000 for overtime, on -call, and additional pay for Incident Management Team (IMT) staff in FY21. • $92,000 Contact Tracer and Investigator Case Managers in FY21. • $75,000 for FY21 unanticipated expenses related to COVID in FY21. • $25,000 for IMT COVID expenses in FY21. • $438,085 in FY21 Health Services Fund contingency for FY22 service gaps. Public Health: • $436,000 for contact tracers and vaccinators in FY21. • $331,000 for overtime, on -call, and additional pay for IMT staff in FY21. • $100,000 for anticipated contract and campaign expenses in FY21. $75,000 for IMT COVID expenses in FY21. • $75,000 for FY21 unanticipated expenses related to COVID in FY21. • $580,000 in contingency to support personnel for sustained COVID-19 response in FY22 (6.0 FTE approved on November 23, 2020 and 2.0 FTE potential request to extend). On November 23, 2020, the Board approved 6.0 FTE for COVID efforts - 5.5 FTE 18-month limited duration and 0.5 FTE regular Health Officer Position. These positions will be paid for using COHC QIM funds, savings from OHA local monitoring fee for service dollars (PE- 1-05) and beginning working capital. In addition to the COHC QIM funds, the budget adjustment fully appropriates the OHA local monitoring fee for service dollars from Resolution 2020-069. Health Services requests the Board approve $2,004,643 in unappropriated FY21 COHC QIM funds and $462,885 in unappropriated OHA local monitoring fee for service dollars (PE01-05). Fund Description Appropriated Unappropriated Total COHC QIM Funds $ 420,412 $ 2,004,643 $ 2,425,055 OHA Local Monitoring (PE01-05) $ 284,000 $ 462,885 $ 746,885 Total $704,412 $ 2,467,528 $ 3,171,940 FISCAL IMPLICATIONS: Increase appropriation for FY21 Health Services Fund 274 (HS Operating Fund) by $2,467,528, placing $932,655 into contingency for use during FY22. ATTENDANCE: Nahad Sadr-Azodi, Public Health Director; Janice Garceau, Behavioral Health Director; Cheryl Smallman, Health Services Business Officer, Daniel Emerson, Budget Manager