HomeMy WebLinkAboutC.054.93009_0551 (2)JUN a ``32
Blumenstein said she had a schedule that showed the indirect costs
for the last four or five years added to the actual budget. When
home health submits a budget, it is a balanced budget. What has
made the discrepancy is when salary increases are made. The
revenue figure is basically plugged in to match expenditures.
Commissioner Madison asked if this year's current revenues were
running ahead of budget. Blumenstein stated they were a little
under their projections; however, expenses will be less. This is
because personnel wasn't hired until the demand was there.
594 ENVIRONHENTAL HEALTH: Commissioner Madison asked if lab
testing of water samples was being done. Ricciardi said they were
not doing this testing, and it was not cost efficient to do so.
Commissioner Madison asked about the new system of subdivision/lot
approvals. He said the county agreed to hire a soil scientist, and
it was his understanding the fees earned should offset the
scientist's salary. The fees projected this year are only $12,500
so how is this paying the soil scientist? He said he thought the
county needed to see if the hiring of this person was proving to be
efficient. The service in this area has not picked up, as a matter
of fact, it may have become slower. commissioner Hamby asked if
this was contracted out before. Madison stated it was done in-
house; however, it was slow. Sometimes they were behind by six
months.
A request was made for Commissioner Boone to take the soil
scientist matter back to the health board for a review on
efficiency.
sob HEALTH SERVICES BUILDING: The county manager said there had
been a large reduction in the amount previously estimated for
utilities. It is not costing as much to heat and cool the building
as once projected. Mr. Griggs said they previously had some
complaints about room temperatures in the building, but some
changes have been made and for the most part, the building is
comfortable.
The county manager said there was a need to have an air lock on the
front entrance.
600 AL—LIED HEATH: Commissioner Madison asked why the salaries
were going up eight percent and group insurance went up ten
percent. Blumenstein stated they were adding a half-time
processing assistant with full benefits. Commissioner Madison said
he didn't feel this was efficient.
Comissioner Madison asked about the dental program; specifically he
wanted to know if it would cover its own expenses. Griggs said it
would, and that the dental program had proven to be cost efficient
right from the start.
Commissioner Boone said he understood the requested processing
assistant position would be paid for by a grant based on the number
of people seen. Mr. Boone indicated he had some problems with the
requested health educator position.
Mrs. Pope said this position was requested last year. Currently,
they do not have a health educator in the sexually transmitted
disease (STD) clinic or in the community. There is a direct
correlation between STD and HIV Positive cases. Pope stated that
two years ago expenditures were $532,000, and they were only
requesting $534,000 this year. Revenues and grants two years ago
were $198,000, and they have a solid projection of $322,000. This
is with the same number of positions.
Commissioner Stewart asked the average age that they were dealing
with in STDs. Ricciardi said it's wide ranged, but many of the
people they see are in their 20s. Commissioner Boone said he
wondered how much good it does to try to educate people that really
don't want to be educated. Commissioner Hamby said we couldn't
bury our heads in the sand. Commissioner Madison said he agreed