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<br />April 3, 2006 - Agenda Work Session
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<br />553
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<br />There was a general discussion regarding events associated with the
<br />relocation of the two houses and the impact on the Sheriff's Office and
<br />Detention Center project.
<br />
<br />Pete Cayado reported a cost of $300,000.00 to $500,000.00 for retaining
<br />walls, earth infill and extra paving necessary to replace the parking spaces
<br />that were lost when the houses were relocated on County property.
<br />
<br />Kelly Sifford, Community Development Manager, reported the retaining
<br />wall would cost approximately $300,000.00 and there had been a cost for the
<br />redesign. Also, she stated the redesign resulted in a two-month delay.
<br />
<br />The motion by Commissioner Privette to place the request by PPF to
<br />donate $16,000.00 earmarked for the demolition of the Cline and Propst houses
<br />on the April 17, 2006 Agenda died for lack of a second.
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<br />Employee Health Clinic
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<br />Johanna Ray, Health & Wellness Coordinator, presented a Request for
<br />Proposal (RFP) for an Employee Health Clinic (EHC). She reported the EHC will
<br />provide a basic level of routine medical care to retirees, employees and
<br />dependents enrolled in the County's health insurance plan. The goals of the
<br />County-sponsored EHC included the following: Provide a low cost access for
<br />medical care for routine illnesses and injuries; reduce sick leave usage for
<br />time spent in a doctor's office and away from work; reduce the cost of office
<br />visits for routine injuries and illnesses by offering health services through
<br />the County; offer pre-employment medical screenings; to provide drug testing;
<br />reduce lost time injuries for workers compensation and create better
<br />communication between employee, nurse practitioner, and the employee's
<br />supervisor to find light duty work; reduce office visits to occupational
<br />health facilitiesi assist with disease management programs for chronic
<br />illness such as diabetes, high blood pressure and asthma; offer early
<br />detection and prevention servicesi and provide yearly physicals and
<br />screenings. MS. Ray reported the EHC will be staffed five hours each day
<br />during the week and was not intended to replace the employees' primary care
<br />physician. She also presented the following estimated costs and potential
<br />savings for the EHC for the first two years:
<br />
<br /> Costs Year 1 Year 2 Savings
<br />Supplies/Equip. $ 12,228.00 $ 2,000.00 Prescription $ 7,000.00
<br />Computer/Phone/ $ 5,000.00 $ 1,000.00 Pre-Employment Drug $ 3,000.00
<br />Fax Testing
<br />Utilities $ 10,800.00 $ 10,800.00 Worker's Compo $ 2,967.28
<br />Rent (1 year) $ 21,750.00 $ 21,750.00 4% Saving on Claims $122,000.00
<br />Upfit $ 25,000.00 N/A 13% Trend Avoidance $507,000.00
<br />Provider Cost $150,000.00 $157,500.00 Saving to employees $ 15,600.00
<br />Total Cost $224,778.00 $182,250.00 Total Savings $657,567.00
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<br />Total Net Savings for Year 1 Minus Costs: $432,789.00
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<br />Ms. Ray reported on the success of EHC's in Moore, Catawba and New
<br />Hanover Counties. Based on six months of data, New Hanover County reported
<br />the following savings: a 10 percent reduction in medical claims, a 4 percent
<br />reduction in claims activity and a 13 percent savings in medical trends. She
<br />further reported other governmental entities such as the City of Concord and
<br />the counties of Gaston and Rowan are in the process of implementing an EHC.
<br />
<br />Commissioner Privette asked why Cabarrus County and the City of Concord
<br />did not work together on an EHC.
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<br />Mark Browder, Insurance Broker with Mark III Brokerage, Inc., reported
<br />the original idea was for the County and City to work together, but the speed
<br />of decision making was different for Concord. He also commented on the
<br />different types of services needed by each entity and on the challenges
<br />associated with two governmental agencies running one clinic. Mr. Browder
<br />referenced a previous attempt by Concord, Kannapolis and the County to have
<br />the same health insurance coverage.
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<br />Don Cummings, Human Resource Director, reported more differences than
<br />similarities were found when researching the possibility of having a jointly
<br />operated EHC with the City of Concord. He stated it was difficult to find a
<br />location that was conveniently located for both entities and to determine who
<br />would be in charge and maintain the records, etc. He said the City was in a
<br />position to move faster because of the employment of a full-time registered
<br />nurse and the availability of existing funding for the EHC.
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