2022-449-Resolution No. 2022-076 Recorded 12/15/2022Recorded in Deschutes County C J2022_449
Steve Dennison; County Clerk 1
Commissioners' Journal 2/15/2022 3:43:43 PM
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REVIEWED 2022-449
LEGAL COUNSEL
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,
OREGON
A Resolution Increasing
FTE Within the 2022-23 * RESOLUTION NO. 2022-076
Deschutes County Budget
WHEREAS, Deschutes County Health Services presented to the Board of County
Commissioners on 12/7/2022, with regards to extending seven (7) Health Services Limited
Duration FTE and creating one (1) new Limited Duration FTE in support of continuing the Covid-
19 recovery step down, and
WHEREAS, Deschutes County Policy HR-1 requires that the 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 FTE be increased..:
Job Class
Type
Duration if Limited
Duration
FTE
PH Manager (3030)
LTD
Extend to 12/31/2024
Supervisor, Health Services (2837)
LTD
Extend to 6/30/2024
Public Health Ed II (2843)
LTD
Extend to 6/30/23
Public Health Ed II (3075)
LTD
Extend to 6/30/24
Public Health Ed I (NEW)
LTD
End 6/30/24
1.0
Public Health Nurse II — Clinical (2812)
LTD
Extend to 6/30/24
Project Coordinator (3032)
LTD
Extend to 6/30/24
Public Health Nurse 11- Outbreak Mgmt. (2844)
LTD
Extend to 12/31/23
Total FTE
1.0
Page 1 OF 2-Resolution no. 2022-076
Section 2. 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-� day of December 2022.
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AyTTEST:
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Recording Secretary
Page 2 OF 2-Resolution no. 2022-076
BOARD OF COUNTY COMMISSIONERS OF
DE HUTES COUNTY, OREGON
PAT 'I ADAIR, Chair
Z&Zk�
ANTHONY DEB O V,— ire -Chair
PHIL CHANG, Commissioner
COVID Response and Recovery Unit - Funding and Expenditures by Fiscal Year (FY)
Updated 11.16.22
FY23
FY24 FY25
RESOURCES
F E MA
498,198
ARPA - COVID Unit Team (approved)
497,244
-
ARPA - COVID Unit Team -Reserve
* Requesting Approval -
485,756 88,940
PE01-09
748,306
305,319 -
PE01-10
680,136
152,363
COHC-COVID QIM
300,000
9,031 -
2,723,884
952,469 88,940
REQUIREMENTS
PERSONNEL
MANAGER & ADMIN SUPPORTS
3030 PH MANAGER
2836 MANAGEMENT ANALYST
3032 PROJECT COORDINATOR
2959 ADMIN SUPPORT SPECIALIST
2841 ADMIN SUPPORT TECH
2988 0.5 MANAGEMENT ANALYST
COMMUNITY ENGAGEMENT TEAM
2837 SUPERVISOR, HLTH SERVICES
2843 PUBLIC HLTH ED II
3075 PUBLIC HLTH ED II
NEW PUBLIC HLTH ED I
OUTBREAK RESPONSE TEAM
3031 SUPERVISOR, HLTH SERVICES
2733 PUBLIC HTH EDUCATOR II
2732 PUBLIC HTH NURSE II
VACCINE DELIVERY
2835 SUPERVISOR HLTH SERV
2812 PUBLIC HTH NURSE II
2929 PUBLIC HTH NURSE II
2844 PUBLIC HTH NURSE II
2815 0.1 HLTH OFFCR
MATERIALS AND SUPPLIES
Temporary Staff
Communication & Outreach
Miscellaneous, Materials and Supplies
Wraparound Supports
Isolation - Franklin Shelter
* Extend through 12/31/24
* Extend through 6/30/24
* Extend through 6/30/24
* Extend through 6/30/23
* Extend through 6/30/24
* New FTE: 6/1/22 - 6/30/24
* Extend through 6/30/24
* Extend through 12/31/23
1SS,367
60,928
71,675
82,344
66,438
68,302
131,075
106,063
73,702
7,677
110,703
77,007
30,591
140,808
112,569
83,679
89,136
17,165
166,243
115,679
45,158
140,250
127,072
109,653
120,449
63,584
508,598
100,000 -
250,000 22,774
120,000 -
130,200
INDIRECT 129,858 41,607
TOTAL REQUIREMENTS 2,723,884 952,468 &
* FY23 personnel estimates do not reflect annual cost per employee. Some positions were vacant for a period of time, so
numbers reflect reasonable estimates of actuals to be incurred during FY.
88,940
E S CpG2a
o <
BOARD
COMMISSIONERS
MEETING DATE: December 7, 2022
SUBJECT: Request approval for extension of 7 limited duration Covid-19 positions and 1 new position
to continue Covid-19 recovery step down
RECOMMENDED MOTION:
1) Move approval of acceptance of $574,696 from ARPA reserves for the purposes of Covid-19
recovery within the Health Services department.
2) Move approval of Resolution No. 2022-076 to extend seven limited duration positions (LTD) and
create one new LTD Public Health Educator I position within the Health Services Fund.
BACKGROUND AND POLICY IMPLICATIONS:
January 2022, the Board of County Commissioners approved a standalone structure to address continued
high demands for Covid-19 services. This included 16 limited duration (LTD) employees and financial
support for a robust temporary workforce. The unit was responsible for Oregon Health Authority
requirements and was organized into four sections; Community Engagement/Hotline, Clinical Services,
Outbreak/Case Management, and Administration.
Although work volume continues to be inconstant (shown below), dedicated Covid-19 staff leverage
experience, create efficiencies and cross train where possible. This allows teams to continue to provide
high quality required services while decreasing necessary funding. As of November, we no longer rely on
temporary staff funded by ARPA.
Covid-19 Teams NJoil< Volumes
M
15"
M
W
m. Homne Calls ® Reperte0 Cases — 011treaks open — Doses Given al Cml -ty C! — ® Wese . InCi'. dols Rea&..
V12022 511,2022 7112022 911IW22
Week
Covid-19 Recovery - Recommendation for a Stepped Down Approach to Staffing
Deschutes County Health Services (DCHS) recommends continued strategic workforce reductions in a step
down approach. The unit would be reorganized into a Covid-19 Recovery Unit, reduced from the January
2022 level of 16 full time equivalent (FTE) LTD, to 8.0 FTE LTD employees June 2023 through December
2023, 6.0 through June 2024 and 1.0 FTE through December 2024. The unit would rely on core staffing
and volunteers, eliminating the previously used temporary staffing model by July 2023. This model
includes shifting temporary promotores de salud, or community health workers, to one new FTE Public
Health Educator to serve the need for community health outreach.
The proposed unit will continue to address ongoing community health measures related to Covid-19 that
are required by Oregon Health Authority, including:
• Social Services and Wrap Around, including Isolation supports
• Infection prevention and control for high -risk populations
• Testing assurances
Covid-19 Vaccine and Planning Distribution
Community Education including culturally and linguistically responsive community outreach and
education related to Covid-19
In addition to the mandatory activities above, teams will support department- and community -wide
Emergency Preparedness activities, using lessons from Covid-19 to prepare for emerging community
health issues. This includes supporting community organizations to plan for public health emergencies,
internal emergency preparedness and training, and adapting the volunteer pool established to support
Covid-19 vaccination efforts into a formal Deschutes County Medical Reserve Corps.
The chart below illustrates filled FTE and the equivalent FTE from temporary staff (i.e., temporary and
limited duration), and total expenditures for April 2022 to October 2022. Projected FTE and expenditures
for the proposed strategic reductions are shown for November 2022 through December 2024.
Covid-19 Unit Employee and Temporary Staff (fulltime equivalent) by Team, including expenditures,
by Quarter April 2022 to December 2024
30.0
25.0
20.0
`L 1— 15.0
10.0
5.0
0.0
Administration m Community Engagement Community Engagement Temp
Clinical Services ; P M Clinical Services Temp Outbreak Management
Outbreak Management Temp Cost
1,000 �
900
800 0
s
700 ~
.:.........
11
11
April- July - Sept Oct - Dec Jan - April - July - Sept Oct - Dec Jan - April March - July - Sept Oct - Dec
June 22 22 22 March 23 June 23 23 23 24 June 24 24 24
DCHS's proposed Covid-19 Recovery Unit aligns with Board stated Fiscal Year 2023 goals and objectives
for Safe Communities and Healthy People. Specifically, it aligns with the objectives to "Collaborate with
partners to prepare for and respond to emergencies, natural hazards and disasters," and "Continue to
support pandemic response and community recovery, examining lessons learned to ensure we are
prepared for future events."
The chart below shows the proposed Covid-19 Recovery Unit team extensions and new 1.0 FTE LTD Public
Health Educator I. To fund these positions, DCHS will use the remaining Covid-19 funds through Oregon
Health Authority, PE01-09 and PE01-10. Furthermore, DCHS requests use of the $540,032 of American
Rescue Plan Act (ARPA) Funds the Board set aside as "COVID Unit Team -reserve" funds as well as $34,664
of the "Public Health Response Contingency."
Proposed Extension of Covid-19 Employees
APPROVED
REQUESTED
EXTENSION
POSITION
I
END DATE
END DATE
FUNDING SOURCE
ADMINISTRATION
PH Manager 6/30/2023 12/31/2024 ARPA
COMMUNITY ENGAGEMENT TEAM
Supervisor Health Services 6/30/2023 6/30/2024 ARPA
Public Health Ed II 12/31/2022 6/30/2023 PE01-09 & PE01-10
Public Health Ed II 6/30/2023 6/30/2024 PE01-09
Public Health Ed I — (start 6/1/23) NEW 6/30/2024 PE01-09
(Start 6/1/2023)
CLINICAL
Public Health Nurse II 6/30/2023 6/30/2024 PE01-10
Project Coordinator 6/30/2023 6/30/2024 ARPA
OUTBREAK MANAGEMENT —HIGH RISK
SETTINGS
Public Health Nurse II 3/31/2023 12/31/2023 ARPA
Program Element (PE) 01-09 is for COVIO-19 active monitoring: cultural and linguistic competency and
responsiveness, testing coordination, case investigation; contact tracing; isolation and quarantine;
wraparound supports, infection prevention and control for high -risk settings; and community education.
PE01-10 is for vaccine planning and delivery: collaborating with partners; assuring cultural and linguistic
access; assuring populations most impacted by COVIO-19 are served; promote vaccines and improve
vaccine confidence in communities of color, Tribal communities, disability communities and others.
BUDGET IMPACTS:
Extension of 7.0 FTE and addition of 1.0 FTE Public Health Educator I. Approval of $540,032 of the
"COVID Unit Team -reserve" and $34,664 of the "Public Health Response Contingency" within the ARPA
reserves. No additional FY23 appropriation needed in Health Services Fund. Please see attached budget.
ATTENDANCE:
Emily Horton, Public Health Program Manager
Janice Garceau, Health Services Director
Cheryl Smallman, Health Services Business Officer
Dan Emerson, Budget Manager
Laura Skundrick, Management Analyst