BC 2014 05 29 Recessed Meeting - Laserfiche WebLink

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May 29, 2014 (Recessed Meeting) Page 2055 • CHA eliminated 15 clinical positions and reduced clinic capacity by approximately 30 percent • By End of FY 2012 -13, CHA lost almost $1 Million in Medicaid Reimbursements due to reducing clinic capacity • At start of FY 2013 -14, County Appropriated One -Time Funding of $300,000 to Cover Lost Revenue Impact of Losing One -Time Funding In order to maintain current supervision and support to the 43 school nurses in the School Health program without the One -Time Funding, there are 2 options: 1. Cut 5 School Nurse positions eliminating a "Nurse in every school " or 2. Decrease hours for all school nurses leaving time uncovered daily while students are one very campus. Dr. Pilkington also announced one school nurse position funded by the state has been cut from the State's budget. CHA Board member, Dr. Allan Krusell, reviewed the following statistics: • Treated 18,739 cases of Communicable Disease in Cabarrus County in the last 3 calendar years • Deliver an average of 11,781 immunizations yearly • In just last six months, CHA has investigated over 20C cases of Shigella in Schools, Daycares, and Restaurants • Over 1,200 people vaccinated during two major Hepatitis A Outbreaks in a year -Both requiring evening and weekend clinics and almost $30,000 in unreimbursed costs • 154 Cases of TB investigated. 91 were latent TB cases and 6 TB Patients require daily observed therapy. • 161 Cases of Salmonella investigated in the last 3 years • 6 Critical Environmental Health violations discovered each day during routine restaurant inspections • Any critical violation not corrected could potentially sicken hundreds of Cabarrus County residents Dr. Pilkington presented the following reasons to invest in public health: 1. We are good stewards of county dollars • No 401K for employees • Fewer Holidays • Reduced Employee Health Insurance Costs • Constructed new facility at $122 PSF 2. Excellent Outcomes • Infant Mortality Rate • County Health Rankings • Only Accredited Health Department in SE USA (This section intentionally left blank)