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1995-15268-Minutes for Meeting May 15,1984 Recorded 6/13/1984. .4 95-15268 DESCHUTES COUNTY BUDGET COMMITTEE MINUTES MAY 15, 1984 va 53 fA,r 241 6'ILED JUN I�1984 MARK Sul PlUOLLOWC ��� Chairman Ron MacKenzie called the meeting to order at 1:* V' Other committee members present were: Commissioner Abe Young, Commissioner Larry Tuttle, Commissioner Lois Prante, Eileen Donaldson and Jack Tate. With regard to the unresolved question of the allocation of federal mineral lease receipts, Commissioner Tuttle stated his understanding from Helen Rastovich, confirmed by Mike Maier, was that these funds could not be split. It was noted, however, that different counties are doing this differently. Until a definite answer can be obtained, he suggested approval of the budget as it is with that contingency unresolved. Mental Health Commissioner Tuttle outlined this budget and Budget indicated requested increases as outlined in the budget narrative. Jane Kirkparick, Sandy Maynard and Roger Kryzanek were present from this department. Barbara Preble and Mike McNeil of the Advisory Board were also present in the audience. Mr. Kryzanek briefly described the current alcohol and drug treatment program as well as expansions to be implemented in the coming year, especially relating to the drinking driver program. He went over line items related to these treatment programs. The Central Oregon Alcohol Council funding is no longer a subcontract. It is now funded directly from the State since it is considered a regional program. They still have a contractual arrangement with the Alcohol Council for treatment paid for with fees for people convicted of DUII arrests (this is different from the Diversion program). There is an increase of a half-time counselor position to be paid for with these funds. This is an expansion of a position that they now have. If they do not collect the money from fees, they will not expand the position. Line 6 is an increase to a full-time position. The budgetary authority would be there even though they do not anticipate putting someone on until it is necessary. Mr. Kryzanek spoke further about public involvement in the overseeing of expenditure of public funds. This is a chief function of the Local Alcohol Planning Committee. Sandy Maynard spoke about the MED (Mental and Emotional Disturbed) and briefly described program DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 1 10 5 functions. This information was also on the handout she later provided. She also discussed the interns for which they are requesting funding. These are graduate students who have completed all requirements of their degree except their dissertation. An internship is an educational requirement as well. Because of this, they are able to get master -level people for a minimal cost for a period of one year. She is requesting an increase in this line to $10,000 from $7621. A JSC grant will supplement funding so that they will be able to have two interns. The other increase they are seeking is in psychiatric time. They currently are funded for 10 hours per week and they would like to increase this to 12 hours per week based on the critical need. They expect the patient -load for psychiatric referral to double based on state projection figures. These are general clients who require medication. The third area requested to be increased is precommitment staff time. This is a mandated service where someone is apprehended by the police and goes to the hospital but doesn't want to seek treatment. They are held as emergency holds. This staff person is responsible for performing the investigation and making a recommendation at the commitment hearing. They must identify witnesses and get them to court and then follow up on the court's decision. They currently have a half-time staff person in this position but they would like to hire another half time person. This is preferrential to increasing the half-time position to full time so that two people can both work at the same time during peak periods. This would free other staff who are currently backing up the present staff person during peak times. Hours would have to be flexible in order to meet the demand at odd hours. Ms. Maynard suggested adding money to the extra help line for this purpose or write in a new line item for this position. There was some general discussion related to the cost of E -holds. It was felt that the addition of this position may prove to be cost effective if the time a person is an E -hold can be reduced due to a speedy investigation and court hearing. Overtime in their department because of these investigations averaged one day per month, which averages to be about the same as funding a half-time position. This would be a permanent part-time position. DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 2 Vol 53 PAGE 243 MOTION: YOUNG moved to tentatively approve the budget with changes as noted. PRANTE: Second. VOTE: UNANIMOUS APPROVAL. BUDGET NOTE: Change line 7, page 79, Intern, from $7621 to $10,000.00. BUDGET NOTE: Increase line 18, page 78, Clinical Psychologist, by $4200 to $22,937, to provide for 12 hours per week. BUDGET NOTE: Add a E -Hold Investigator position at $7325 for mental illness investigations. This will be a permanent part-time position. General Health/ Commissioner Tuttle gave some background informa- Family Planning tion on this budget. He noted that the figures are Budget subject to change because of frequent grant modifications. Revenues from the School District have not yet been determined because they will not complete their budget until later in the year. The other major change in this budget is the adminis- tration of the WIC program under the General Health Department. It had previously been an independent non-profit organization. It is operated solely on grant funds. It is felt that in order for this program to be viable it needs long range support. This year it is the Budget Officer's recommendation that the WIC program be incorporated into the regular county operations. WIC employees would become county employees (an addition of 2.25 employees). The total impact on the County will amount to $14,000 annually. The program will be administered through the Health Department Director. There were some minor changes in the WIC lines due to the addition of the 6% cost of living increases. BUDGET NOTE: Page 22, line 23, WIC Certifier, should be changed to $9,014.00 from $8,120. BUDGET NOTE: Page 22, line 24, extra help, should be changed to $6,418.00 from $6,000.00. BUDGET NOTE: Page 23, line 1, retirement and Social Security, should be changed to $51,750.00 from $51,430.00. BUDGET NOTE: Page 23, line 3, health insurance, should be changed to $34,320.00 from $26,400.00. Lynn Stonelake, Director of Medical Nursing, was present. She went through the line items in this DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 3 v m M FmZ44 budget explaining changes as indicated in the budget narrative. She noted that page 23, line 14, is a medical investigations expense. This is a mandated service. Since Dr. Spence retired, theyy are having problems finding a physician willing to take on this job permanently because of the low pay. BUDGET NOTE: Lines titled "Health Services Nurse" should be changed to read "Public Health Nurse". With regard to grant revenues, the correct amounts will not be known until this fall. Figures shown are estimates. The maternal/child health grant is increasing over previous years. There was further discussion regarding the amounts to be shown in the revenue category to reflect grant amounts. Commissioner Tuttle suggested that this be considered again at the Board of Commissioners mid-June meeting when more accurate information can be obtained. BUDGET NOTE: Page 23, line 19, emergency medical fund, $100, should be eliminated. Line 20 should be titled "medical reimbursement programs" and the amount should be changed to $23,701.00. MOTION: YOUNG moved that they adopt the General Health Medical Nursing Budget with the changes as noted contingent upon additional information before adoption. PRANTE: Second. It was noted the motion intends that the present information is accepted subject to finalization. VOTE: UNANIMOUS APPROVAL. Ms. Stonelake noted that the funding breakdown for this department is as follows: 40% County funded, 36% State funded, 13% fees, 11% school district contract. Family Planning Commissioner Tuttle explained that this is a grant Budget budget. Ms. Stonelake outlined budget changes, the major change being in the amount of the grant increasing from $32,000 to $40,716. The increase revenues will be used for staffing and operating contingency. There was discussion on what lines to add this extra money to. It was decided it should go into extra help to staff outlying well-child clinics in the County. It was also noted that there could be a $1,000 to $2,000 decrease in drug budget. It was decided that whatever changes are to be made would DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 4 C. VOL 53 ?Acs M be brought into the Budget Committee meeting the next day. The budget notes below reflect changes brought in at the next day's meeting. MOTION: TUTTLE moved that the accept the General Health/Nursing and Family Planning Grant budget tentatively and he will bring back to the Budget Committee tomorrow a revision based on the additional $8716 for tomorrow. TATE: Second. VOTE: UNANIMOUS APPROVAL. BUDGET NOTE: Page 76, line 2, State grant, should be changed to $40,716.00 from $32,000.00. BUDGET NOTE: Page 76, line 14, Health Services Nurse, should be changed to $5,579.00 from $1,691.00. BUDGET NOTE: Page 77, line 11, operating congingency, should be changed to $7,616.00 from $2,788.00. Juvenile Court Bill Jones, Juvenile Director, was present. Commissioner Tuttle outlined changes in this budget. Line 11, Juvenile Counselor, is a position that was fully funded by a JSC grant last year. This year the County will pick up this position. Line 18 is an adjustment for extra help. There is currently a counselor on call for all the hours the office isn't open. That person is on call for a week, for which he/she is compensated with 1-1/2 days of comp time. Since this is cutting into their staff time, Mr. Jones recommends that they hire one or two people in the category of extra help that will do the extra hours and weekend work. This will be funded in the amount of $12,000. It was noted that this would not be present counselors on overtime or moonlighting, but will be additional personnel. This line will be titled "part-time couselors" or "intake counselors". Line 25 on page 17 is a duplicate of line 8 on page 18, so line 25 will be deleted. Commissioner Tuttle briefly outlined the other line items. The Juvenile Detention line was decreased from $13,000 to $5,000 based on experience. An application has been submitted to the Juvenile Justice Advisory Committee for a non -secure detention center. This JJAC grant proposal requested $50,000 funding from JJAC, $25,000 from the County Revenue Sharing budget and an additional $25,000 yet to be identified. DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 5 V016 53 *AGE 246 BUDGET NOTE: Line 25, page 17, auto expenses, should be deleted. MOTION: TUTTLE moved that they accept the budget with the change allocating the $12,000 amount is designated for after-hours counselors. PRANTE: Second. VOTE: UNANIMOUS APPROVAL. Home Health Commissioner Tuttle explained that this was an in - and -out budget funded by grants. The County is currently negotiating with St. Charles Medical Center for the hospital's assumption of the administration of this program. The County hopes to be able to transfer the employee's vacation to the hospital so that the County won't have to cash out vacation time. It is hoped that this transition will take place by July 1, although it could take until September, depending on how soon St. Charles can obtain certification from Medicare. If the proposed transfer does not take place, then a supplemental budget will be necessary for the remainder of the year. MOTION: YOUNG moved to tentatively approve the Home Health Budget. TUTTLE: Second. It was noted that this is a three-month budget. VOTE: UNANIMOUS APPROVAL. Insurance Re- Mike Maier, Director of Administrative Services, serve Fund outlined this budget. There is an anticipated beginning cash balance of $550,000 to carry over into the next fiscal year. Mr. Maier went through and explained the lines in this budget for each department. This pays mostly for unemployment and vehicle liability insurance. MOTION: YOUNG moved for tentative approval on the insurance fund. PRANTE: Second. VOTE: UNANIMOUS APPROVAL. DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 6 .,being no further business before the Committee at this time, the j meeting was adjourned at 3:45 P.M. DESCHUTES COUNTY BOARD OF COMMISSIONERS /55 DESCHUTES COUNTY BUDGET COMMITTEE MINUTES: PAGE 7 r4 53 FAu247