BC 1992 11 02 - Laserfiche WebLink

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109 Christmas Toys for Dade County, Florida Program Mr. Steve Little, Parks and Recreation Director, reported that his department is organizing a county-wide effort to encourage people to donate Christmas toys for children of Dade County, Florida. This area was completely destroyed by Hurricane Andrew earlier this year. These toys will be delivered to Florida on a transfer truck donated by Fieldcrest Cannon during the week of December 14 - 18, 1992. UPON MOTION of Commissioner Hamby, seconded by Commissioner Barnhart with Commissioners Hamby, Barnhart and Payne and Chairman Carpenter voting for, the Board approved the "Christmas Toys for Dade County, Florida" program by the Parks and Recreation Department and unanimously offered its support to the program. Chairman Carpenter left the meeting for a short time. Vice-Chairman Hamby presided in her absence. Home Health Management Contract Dr. William Fo Pilkington, Health Director, reported that the Cabarrus County Home Health Agency has been providing services in the county since 1962. However, a recent increase in the number of home care providers has made it difficult for the Agency to remain competitive and continue to provide home care services as well as generate additional revenue to the County. To meet these problems, County staff has consulted with several medical management firms with extensive discussions with Central Health Management Services, Inc. of Atlanta during the past year. Having decided against privatization of the Agency due to the loss of income to the County, staff participated in a strategic planning process with Central Health and developed a plan consisting of two major areas, contractual services and the reorganization of the Agency. The County will contract with Central Health for various consulting services selected by the County Manager on an as-needed basis with those services costing up to $9.50/home health visit, which is reimbursable. Available services include electronic billing, human resources, cost reporting, clinical practice, regulatory compliance, community awareness, legal services, operations management, and quality assurance/utilization review. In addition, the Agency will be removed from the Health Department and established as a separate department. UPON MOTION of Commissioner Barnhart, seconded by Commissioner Payne with Commissioners Barnhart and Payne and Vice-Chairman Hamby voting for, the Board approved the Management Services Agreement with Central Health Management Services, Inc. for management services to be provided to the Cabarrus County Home Health Agency and authorized the Chairman to sign the Agreement on behalf of Cabarrus County. The Agreement is for a period of five years and is on file in the Office of the County Manager. UPON MOTION of Commissioner Barnhart, seconded by Vice-Chairman Hamby with Commissioners Barnhart and Payne and Vice-Chairman Hamby voting for, the Board adopted the following amendment to the 1992-93 Budget Ordinance. BUDGET ORDINANCE AMENDMENT FY 1992-93 Section VII.D. The County Manager may increase or decrease the number of positions in the Cabarrus County Home Health Agency depending on market demand for services. He may also adjust compensation levels in order to ensure competitiveness. Additional positions may only be established under this subsection if new revenues are available equal to the expenditures. Following such actions, a budget amendment will be submitted for approval at the next Regular Meeting of the Board of Commissioners. UPON MOTION of Commissioner Barnhart, seconded by Commissioner Payne with Commissioners Barnhart and Payne and Vice-Chairman Hamby voting for, the Board adopted the following amendment to the Cabarrus County Personnel Ordinance.