HomeMy WebLinkAboutord1994-016WHATCOM COUN7Y COUNCIL AGENDA BILL NO. 94 -147
CLEARANCES
Initial
Date
t e d n
Agenda date
Assigned to:
',iginator. Executive
Livision Head:
MAR 2 1994
WH A TC
COUNTY COUNCIL
3/8/94
Council Intro.
3/22/94:
Finance /Council
Dept. Head:
Prosecutor.
Executive:
SUBJECT:-
1994 Supplemental Budget Request #2
ATTACHMENTS:
Ordinance
Backup paperwork
SUMMARY STATEMENT.- Please complete sections of box as appropriate & explain the item below.
Related County contract #:
Should Clerk schedule a hearing? NO X YES Requested date:
Amount budgeted for this item /project: $
Is it or will it be within budget? YES NO Please explain below
Budget line item number(s): ,
Supplemental Budget Ordinance No. 2 adds appropriation to the following budgets:
There are two supplemental requests for the Sheriffs Office (Current Expense Fund). The first
appropriates $22,173 from fund balance to fund the final payout for a Deputy who was placed on disability by
the LEOFF Board. The second appropriates $10,343 from fund balance to fund the boating safety program.
The money being appropriated is "Program Dedicated" funding left over from last year's boating safety program.
2. There are thirteen supplemental requests for the Health Fund. The supplementals appropriate $306,453
from fund balance and grant revenue for Health Department operations.
ORIGINATOR'S RECOMMENDED ACTION
Pass
COMMITTEE ACTION TAKEN
COUNCIL ACTION TAKEN:
3/8/94: Intro.
3/22%94: Council adopted the ordinance with amendments.
Related File Numbers:
Ordinance or Resolution Number (this item only):
Ord 94 -016
1
SPONSORED BY: consent
PROPOSED BY: Executive
INTRODUCTION DATE: 3/22/94
ORDINANCE NO. 94 -016
AMENDMENT NO. 2 TO THE 1994 BUDGET
WHEREAS, the 1994 budget was approved February 8, 1994; and,
WHEREAS, changing circumstances require modifications to the approved 1994
budget; and,
WHEREAS, those modifications have been assembled here for deliberation by
the Whatcom County Council.
NOW, THEREFORE, BE IT ORDAINED by the Whatcom County Council that
the 1994 Whatcom County budget ordinance 94 -009 is hereby amended by adding the
following amounts to the departments included therein:
Current Expense Fund:
Sheriff 32,516
Total Current Expense 32,516
Other Funds:
Health Fund 306,453
Total Other Funds 306,453
Total Supplemental 338 969
BE IT FURTHER ORDAINED that the 1994 budget ordinance 94 -009,
exhibit C, is amended to reflect the additional authorized positions in the Health Fund
as set forth in Attachment A to this ordinance.
ADOPTED this 22nd day of March , 1994.
ATTEST:
Council Clerk
APPROVED as to form:
Civil Deputy ecutor
WHATCOM COUNTY COUNCIL
WHATCOM COUNTY, WASHINGTON
4UJ A - =
Ro ert A. Imhof, Ch
(,)'Approved ( ) Denied
Shirley Van Zant►en, Exec tt' e
Date: ' ,2 c
ATTACHMENT A
To ordinance titled: Amendment No. 2 to the 1994 Budget
The 1994 budget ordinance 94 -009, exhibit C, is amended to reflect the additional
authorized positions in the Health Fund as set forth below:
Request
Additional Authorized Positions
FTE
5
Public Health Nurse (PHN) Immunization Program
0.4 FIE
5
Clerk- Typist II - Immunization Program
0.4 FIE -
7
Medical Assistant- TB Control
1.0 FTE
7
Clerk- Typist II - TB Control
0.5 FTE
11
Environmental Health Specialist (EHS)- Moderate
Risk Waste Generator
0.5 FTE
All positions will be discontinued when grant funding ends.
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: Whatcom County Sheriff's Office
Requested.By: Dale E. Brandland, Sheriff
The following budget modification is requested:
Budget.Transfer * X Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for
supplemental)
Ending Fund Balance $22,173.00.
ACCOUNTS TO INCREASE:
2920.6135 Leave Payout $16,419..00
2920.6230 Social Security 1,256.00
2920.6249 Medical Insurance 4,416.00
2920.6269. Unemployment Insurance 82.00
Total $22,173.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary
attach additional sheet.)
The purpose of this supplemental is to fund the final payout for
Deputy Paul Westby who was placed on disability retired by the
LEOFF Board for job- related injuries at the end of last year. This
retirement was not anticipated or budgeted for.
Authorized By:
Department Head: �� V ' Date: z
Executive's Office:
Date:
Date Posted: By:
' Transfers affecting object/ 10, 20, or 60 aunt be authorized by the County Executive. Transfers affecting other objects do not recd Executive Office approval.
'"a Supplemmul request, if approved by the Executive, will be forwarded to the County Council for authorization 10191
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: Whatcom County Sheriff's Office
Requested By: Dale E. Brandland, Sheriff
The following budget modification is requested:
!Budget Transfer * X Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for
su` pplemental)
Ending Balance $10,343.00
ACCOUNTS TO INCREASE:.
2960.6320 Office and Operating
Supplies $10,343.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary
attacYi additional s. eet.
The purpose of this supplemental.is to carry left boating safety
funds over from last year's boating safety program that were not
expended during the 1993 calendar year. This carry -over transfer
is necessary due to the "program- dedicated" nature of these funds
that require that they only be spent for the boating safety
program.
Authorized By:
Department Head: Date;,,,-,7/,-
Executive's Office: Date:
Date Posted:
ME
• Transfers affecting objects 10, 20, or 60 vmst be authorized by the County Executive. Transfers affecting otber objects do not need Executive Office approval.
° Supplementsl request, if approved by the Executive, will be forwarded to the County Council for authorization 10191
WHATCOM COUNTY SHERIFF'S OFFICE
Public Safety Building - 311 Grand Avenue
Bellingham, Washington 98225
DALE BRANDLAND
Sheriff
TO:
FROM:
SUBJECT:
Shirley Van Zanten
r
fi
!t a a
MEMORANDUM
FEB 0,_4 1994
EN
c301LJ JT`( E:?;K I 1 T IVE
DATE: February 3, 1994
County Executive
David Wareing, Undersheri P
Submission of Budget Supplemental Requests
Attached are two budget supplemental requests for 'the next Council Supplemental
Request cycle.
State Boating Fund Carry -Over
VVe are requesting that $10,343 be carried forward, per one of our earlier conversations,
from the 1993 budget ending fund balance (Sheriffs Office Operating and Supplies) to the
1994 Sheriff's Budget (Office Operating and Supplies- Boating Safety Program 2960.6320).
This amount was left over from last year's state boating safety program that were not
expended during the 1993 calendar year. We need to make this carry-over transfer, as
these are program- dedicated funds that must be spent for the boating safety program.
Disability Retirement Payout
As you may or may not know, Deputy Paul V1Iestby was placed on disability retired by the
LEOFF Board for job - related injuries at the end of last year. Since this retirement was
not anticipated or budgeted for, we are requesting a $22,173.00 supplemental from the
year end fund balance to enable us to "process him out" and complete his retirement.
The budget line items requiring increase are specifically listed -on the attached Budget
Modification Request form.
If there are any questions, strategies or ideas that you or Tom would like to discuss
regarding these matters, please call me. Thank you.
-1 Ir1 1 n- ^ I.- ^+ ... -,.. r - ...1....._ Y/ n1" ,,.. ,,-^ .1 !I /\ -"- -^^- __ I V "-n -
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: HEALTH
Requested By: Frank James, M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget. Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
End Fund Balance
153. 2g IO. two
ACCOUN'T'S TO INCREASE:
15301.6210 Retirement
< $11,006.00 >
11,006.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
Additional retirement costs, billed by State of Washington, to cover employee reported
excess compensation for vacation/sick leave cash out of former Health Officer, Phillip
Jones, M.D.
Authorized By:
Department Head: "'J/ Date:
Executive's Office: Date:
Date Posted: By:
* Transfers affecting salaries, benefits, or capital accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
2/94
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: HEALTH
Requested By:. Frank Tames M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15301.4334.0492 Consolidated Contract / Public Health Services
Epidemiology
ACCOUNTS TO INCREASE•
15301. Administration
6610 Contracted Services
TOTAL
< $40,000.00 >
$40,000.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The Health Services Act of 1993 includes funding for "Urgent Public Health Needs" in local
jurisdictions. This funding will enable the Health Department to provide:
• assessment and data analysis for urgent needs projects in Whatcom County
• data analysis and consultation for Infant Mortality Survey and Preterm Birth
Study
• consultation for communicable disease outbreak team
• data analysis of tuberculosis disease and treatment trends
• consultation for APEX Part H Community Assessment.
Authorized By:
Department Head: / Date: 41 - g
Executive's Office: Date:
Date Posted: By:
* Transfers affecting salaries, benefits, or capital accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
2/94
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST rµ .
Department: HEALTH
Requested By: Frank Tames, M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
Private Grant (Modification) /March of Dimes- Genetic Clinic Services <$3,200.00>
15306.4367.2000 Contribution - Private Source
ACCOUN'T'S TO INCREASE:
15306. Children/Special Health Care Needs
6630 Professional Services
3,200.00
TOTAL 3,200.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
Children's Hospital and Medical Center has been providing two genetics clinics in
Bellingham per year for four years. This will be the fifth year those services have been
arranged locally so families do not have to travel to Seattle. They lost their funding for this
service. The Health Department obtained a grant for the March of Dimes to pay the
Children's Hospital and Medical Center to continue these clinics in Bellingham.
Authorized By:
Department Head: rKYJ Date: /17
k
Executive's Office: Da
Date Posted:
y:
Transfers affecting salaries, benefits, or capital accounts (6100, 6100, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
2/94
WHATCOM COUNTY i
BUDGET MODIFICATION REQUEST
Department: HEALTH
Requested By: Frank Tames M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15308.4333.105701 Consolidated Contract / WIC Breastfeeding Promotion$ 1,744.00 >
ACCOUNTS TO INCREASE:
15308. WIC
6630 Professional Services /Peer Counseling
1,744.00
TOTAL $1,744.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The successful Breastfeeding Peer Counselor Program begun in 1992 has been funded for
a second year by the State Department of Health.
Authorized By:
Department Head: MID Date:
Executive's Office: Date:
Date Posted: By:
* Transfers affecting salaries, benefits, or capital accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the Comity Council for authorization.
2/94
Kelly Molaski, R.D.
Whatcom County Health
Post Office Box 935
509 Girard Street
Bellingham, WA 98227
Dear Kelly:
sTAr£ O�
X
d� y02
O
3yd
as �
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
PARENT-CHILD HEALTH SERVICES
Olympia, Washington 98504 -7880
September 23, 1993
Department
Thank you for your excellent breastfeeding promotion request. Please refer to
enclosed spread sheet for the award amounts.
The total amount of funding requested by local agencies for FFY 94 was over
$250,000. The amount available for the grants is only $130,000. While we are
very pleased at this level of interest, we are not able to fund all the
requests received. We have been fortunate in the past that we were able to
fund all agencies requests to some degree. Because of the large number of
requests and limited funding Cathy Franklin and I, with the assistance of the
Local Program Consultants and other state staff worked together to distribute
the funding in the most fair and equitable way possible.
Category A - Peer Counseling
Due to the large number of requests and limited funding, we are able to fund
your request for peer counseling for continuation of the project only. The
$2575 awarded reflects the estimated costs for running the program for FFY 94.
The $250 requested for supplies was placed in the October to December time
period with the remainder spread evenly throughout the year.
Category B - Training
You requested and received funding
training at Evergreen Hospital.
to send one person to the week long
Funding for over 60 people was requested for the week -long Evergreen Hospital
training. The registration fees alone were over $27,000. Because of this high
level of interest, we will be contracting with Evergreen to do three day
regional trainings around -the state. We will be adapting their week long
curriculum-to better meet the needs of community health staff. These training
will occur during the January to June time period. You may wish use the funds
to have staff attend these trainings instead. There will be no registration
fees for WIC staff for the three day trainings.
Q,
You may use this funding as you wish for breastfeeding training and promotion.
If you do choose to send staff to -the Evergreen workshop the course fee will
be $375 for all WIC staff. Indicate on the registration form and check that
the person attending is supported by WIC funds.
Category C - Breastfeeding Equipment and Supplies
Per the letter sent to your agency at the end of August, all Funds for
equipment requests were moved into FFY 93.
Please do not hesitate to contact me or your Local Program Consultant if you
have any questions.
Sincerely,
J MO Leary N.P.... R. D.
- Nutrition Consul nt
Office of WIC Services
Attachment
cc: Suganya Sockalingham, Local Program Consultant
Clinic file
2 Whatcom
Oct -Dec
Jan -June
July -Sept
Total
Peer Counsel
881
1163
581
2575
Training
0
776
0
776
Other
0
0
0
i )
Total
831
1539
581
3351
AS
WHATCOM COUNTY HEALTH DEPARTMENT
Community Health Center - 509 Girard Street
C f
P.O. Box 935
Bellingham, Washington 98227 -0935
SCAN 738 -2167 FAX 676 -7646
FRANK E. JAMES, M.D.
Health Officer
TO: Shirley VanZanten,
County Executive
FROM: Frank James, M.D.
Health Officer
DATE: February 17, 1994
RE: Technical Amendment to the 1994 Budget
Exhibit C Authorized Positions
The 1994 Budget Ordinance Exhibit C Authorized Positions lists 12.80 Public Health Nurses and
13.20 Clerk Typists II in the Health Department ( See Exhibit C attached). This is an error and
Exhibit C should be amended to authorize 13.20 Public Health Nurses and 14.20 Clerk Typist II
positions.
This situation occurred when the Budget Modification Request for the Consolidated Contract -Infant
Immunization Initiative early in 1993 was changed to request extra help rather than the intended 0.4
FTE Public Health Nurse and 0.4 FTE Clerk Typist II. The change was made because it appeared
that the positions were only for six months, rather than three and one -half years. This grant award
was intended for three and one -half years, although the consolidated contract is renewed annually
and it cannot include more than one year of allocation. The Director of Personal Health Services
was not aware of the change and the employees were hired as permanent staff, assigned benefits as
permanent staff, and joined unions as permanent staff. (See the attached letters of employment.)
The error was discovered last November. In December the employees were paid out for their
accrued vacation and sick benefits. • In January they began employment as temporary, Extra Help in
order to.correct the situation.
The employees have concerns about their loss of benefits, seniority and their change in employment
status from what was communicated to them at the time of their employment.
Our request to correct the situation is as follows:
1) formally add those FTE's to the Authorized Positions for 1994 and 1995
2) reinstate their benefits and seniority at the December 1993 level
3) delete the FTE's from the Authorized Positions in June 1995 when the federal funding runs
out (the employees in those positions will then be able to exercise their union benefits to
assume positions in their job classification of employees with less seniority.
Administrative Environmental AIDS Education Immunization Clinic Communicable Well Child Clinic W.I.C. Clinic
& Nursing Health & Testing Center Disease Hotline
Phone 676 -6720 Phone.676 -6724 Phone 676 -4593 Phone 738 -2508 Phone 738 -2522 Phone 738 -2505
County 384 -1528 County 384 -1565 County 384 -5848 County 384 -1336 Phone 738 2503 County 384 -0574 County 384 -1633
EXHIBIT C Authorizes -'
Positions - 1994 Budget
Secretary 11
2.00
Clerk III
2.00
Jury Administrator
1.00
TOTAL
14.50
15.50
HEALTH
1993
1994
Health Officer
1.00
1.00
Admin. Svcs. Director
1.00
1.00
Personal HLth. Svcs. Dir.
1.00
1.00
Enviro. Health Director
1.00
Pub. Hlth. Nurse. Super.
5.00
4.00
Enviro. Hlth. Super.
3.00
3.00
Water Resource Mgr.
1.00
Program Manager
1.00
1.00
Maternity Case Manager
1.40
0.80
Administrative Asst.
1.00
1.00
Envir. Hlth. Coord.
1.00
Finan. Services Coord.
1.00
1.00
Support Services Coord.
1.00
1.00
Clerk/Typist 11
13.40
13.80
Clerk/Typist III
1.00
1.00
Clerk/Typist IV
1.00
1.00
Account Clerk
2.00
2.00
Vital Records Clerk
1.00.
1.00
Nurse Practitioner
3.25
4.25
Registered Nurse
0.80
2.60
Public Health Nurse'
15.00
12.80
Medical Assistant
2.15
2.00
Dietician
2.10
2.40
WIC Certifier
3.50
3.90
Social Worker
1.50
1.50
Outreach Worker
1.00
1.00
Enviro. Hlth. Spec. 1
2.00
3.00
Enviro. Hith. Spec. II
7.00
5.00
Enviro. Filth Tech. 11
1.00
1.00
Enviro. Hlth. Lab. Tech.
0.50
Enviro Specialist Water Resources 1.00
TOTAL
78.60
73.05
HEARING EXAMINER
1993
1994
0
WHATCOM COUNTY HEALTH DEPARTMENT
Community Health Center - 509 Girard Street
P.O. Box 935
Bellingham, Washington 98227 -0935
SCAN 738 -2167 FAX 676 -7646
FRANK E. JAMES, M.D.
Health Officer
Julie Hyry
2805 Aldergrove Rd.
Ferndale, WA 98248
Dear Julie:
W
rm
March 29, 1993
Welcome to the Whatcom County Health Department! This is your formal letter of appointment to the
fifteen hour per week Clerk Typist I position in our immunization program beginning April 1, 1993. It is
important to note that this position is grant funded and will terminate at the time the grant funds end and
the current funding cycle ends September 30, 1993. We will apply for continuation of the grant funding.
Your supervisor will be Stacey Graville, RN. Your work site will be 509 Girard Street, Bellingham, WA.
This position is paid at salary range 19. You will start at step 1 which is currently paid at $8.69 per hour.
The first six months of your employment constitute your probation period.. During this probationary
period, your employment and compensation can be terminated, with or without cause, with or without
notice, at any time. Your probationary period will end at the close of the working day October 1, 1993.
At that time you will be eligible for a salary increase to step 2 which is currently paid at $9.13 per hour.
Please sign and bring this letter with you on your first day of work.
I look forward to having you join our Communicable Disease program at the Health Department.
Date: -3- a?- ?-3
Signed: 2- "- ZQ4' P
Director ersonal Health Services
I have read and understand the above employment conditions:
Date: - r = q3 Signed: '
M
Sincerely,
Jan Dahl, RN, MN
Director of Personal Health Services
JD:lm
cc: Personnel, Jeff Lyle, Karen Rodriguez, Stacey Graville
Administrative Environmental AIDS Education Immunization Clinic Communicable Well Child Clinic
& Nursing Health & Testing Center Disease Hotline
Phone 676 -6720 Phone 676 -6724 Phone 676 -4593 Phone 738 -2508 Phone 738 -2503 Phone 738 -2522
County 384 -1528 County 384 -1565 County 384 -5848 County 384.1336 County 384 -0574
W.I.C. Clinic
Phone 738 -2505
County 384 -1633
WHATCOM COUNTY HEALTH DEPARTMENT
Community Health Center - 509 Girard Street
P.O. Box 935
Bellingham, Washington 98227 -0935
SCAN 738 -2167 FAX 676 -7646
FRANK E. JAMES, M.D.
Health Officer
Paula Kobos
3716 Seeley Street
Bellingham, WA 98226
Dear Paula:
March 29, 1993
Welcome to the Whatcom County Health Department! This is your formal letter of appointment to the fifteen
hour per week public health nurse position in our immunization program beginning April. 13, 1993. It is
important to note that his position is .grant funded and will terminate at the time the grant funds end. The current
grand funding cycle ends September 30, 1993. Your supervisor will be Stacey Graville, RN. Your work site
will be 509 Girard Street, Bellingham, WA.
This position is paid at Salary Range 45. You will start at Step 3 which is currently paid at $16.74 per hour.
The first six months of your employment constitute your probation period. During this probationary period, your
employment and compensation can be terminated, with or without cause, with or without notice, at any time.
Your probationary period will end at the close of the working day October 13, 1993. At that time you will be
:ligible for permanent employment and a salary increase to Step 4.
Please sign and bring this letter with you on your first day of work.
I look forward to working with you on this special public health project and having you join our Communicable
Disease team at the Health Department.
Date: -3 • -29 - 9�
Signed:
Director o ersonal Health Services
I have read and understand the above employment conditions:
Date: 7 / - l�� Signed:
Employee
Sincerely,
Jan Dahl, RN, MN
Director of Personal Health Services
JD:lm
cc: Personnel, Jeff Lyle, Karen Rodriguez, Stacey Graville
Administrative Environmental AIDS Education Immunization Clinic Communicable Well Child Clinic
& Nursing Health & Testing Center Disease Hotline
Phone 676 -6720 Phone 676 -6724 Phone 676 -4593 ' Phone 738 -2508 Phone 738 -2503 Phone 738 -2522
County 384 -1528 Countv 384 -1565 Countv 384 -5848 Countv 384 -1336 C niinhi 3Rd -n67d
W.I.C. Cllnlc
Phone 738 -2505
rminty 384 -1633
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST f
Department: HEALTH
Requested By: Frank Tames M D
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15310.4334.0492 Consolidated Contract /Public Health Service < $16,800.00 >
STD Adolescent Clinic
ACCOUNTS TO INCREASE:
15310. Sexually Transmitted Disease
6120
Extra Help (Temporary Help April -Dec. 1994)
11,012.00
6230
Social Security
881.00
6259
Worker's Comp
495.00
6269
Unemployment
60.00
6320
Supplies
3,602.00
6329
Supplies /Interfund
250.00
6339
Printing/Interfund
500.00
TOTAL $16,800.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The Health Services Reform Act of 1993 includes funding for "Urgent Public Health Needs"
in local jurisdictions. Whatcom County has identified sexually transmitted diseases in 13 -19
year -old teens as a priority. The addition of special adolescent clinics will reduce the
incidence of gonorrhea, chlamydia, HIV, human papilloma virus, and syphilis. In addition,
an education and outreach component to the program will address adolescent skill building
in refusal and negotiations skills.
Authorized By:
Department Head: YWl? Date:
Executive's Office: Date:
Date Posted: By:
* Transfers affecting salaries, benefits, or capital accouuts (6100, 6100, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be fonvarded to the Comity Council for authorization.
2/94
WHATCOM COUNTY
BUDGET MODIFICATION REOUEST
Department: HEALTH
Requested By: Frank .Tames. M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15311.4334.0492 Consolidated Contract / Public Health Services <$40,700.00>
Tuberculosis Control
ACCOUNTS TO INCREASE:
15311. Tuberculosis
6110.03
Salary 1.0 FI'E Med. Asst.
$15,564.00
6110.01.
Salary .5 FI'E Clk- Typist II
7,946.00
6210
Retirement
1,881.00
6230
Social Security
1,881.00
6255
Other Health & Welfare
8,224.00
6257.
Disability
200.00
6259
Worker's Comp
1,427.00
6269
Unemployment
118.00
6320
Supplies
1,709.00
6329
Supplies /Interfund
250.00
6339
Printing /Interfund
500.00
6790
Travel/Other
1,000.00
TOTAL
$40,700.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
FTE'S WILL TERMINATE WHEN GRANT FUNDING IS DISCONTINUED. The Health
Services Act of 1993 includes funding for "Urgent Public Health Needs". in local health
jurisdictions. Whatcom County has identified the reduction of tuberculosis as a high
priority. A bilingual medical assistant and a part time clerk will enable the tuberculosis
program to: 1) increase screening of high risk groups such as the homeless, foreign -born,
jail inmates, active case contacts and HIV infected individuals; 2) insure completion of
treatment and preventive therapy; and 3) provide public and health care provider education
programs.
Authorized By:
Department Head: +' Date:
Executive's Office: Date:
Date Posted:
By:
* Transfers affecting salaries, benefits, or capital accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
WHATCOM COUNTY
BUDGET MODIFICATION RMUEST
Department: HEALTH
Requested By: Frank James M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15309.4334.0490 Consolidated Contract /Infant Immunization Initiative < $23,863.00 >
Challenge Award
ACCOUN'T'S TO INCREASE:
15309. Immunization
6120 Extra Help (April- December 1994) 17,920.00
6230 Social Security 1,435.00
6259 Worker's Comp. 1,074.00
6269 Unemployment . 90.00
6610 Contract Services 400.00
6630 Professional Services 650.00
6790 Travel, Other 2.294.00
TOTAL $23,863.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The Health Services Act of 1993, Washington Health. Care reform legislation, includes
funding for immunization projects designed to improve the immunization level of -2 year
old children. Whatcom County was awarded funds to develop a unique case management
system and targeted outreach efforts in rural Whatcom County. - The funding period is
January 1994 -June 1995. The 1995 funds will be included in the 1995 Consolidated
Contract.
Authorized By:
Department Head: Mo Dater-) �• a �%
Executive's Office: Date:
Date Posted: By:
# Transfers affecting salaries, benefits, or capital accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
## Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
2/94
5:A 0
C3
I at
Y
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
OFFICE OF IMMUNIZATION AND TUBERCULOSIS SERVICES
Airdustrial Park Bldg 14 • P.O. Box 47843 • Olympia, Washington 98504 -7843 • (206) 753 -3495 • FAX (206) 586 -5440
November 17, 1993
Jan Dahl
Whatcom County Health Department
P.O. Box 935
Bellingham, WA 98227
Dear Ms. Dahl:
Im..
This is to ponfirm our conversation of November 16 and your organization's award of
$38,465 for an Immunization Challenge Grant project. The members of the
application review committee were impressed with the many creative ideas outlined
in the various proposals for seeing that more of our state's preschool children are age
appropriately immunized.
Over the next four to six weeks, Immunization Program staff Roxie Schalliol and
Nancy Wampler will be working with you to negotiate the contract for this award. We
expect to have contracts in place by January 1, 1994, providing project funding for
18 months.
Again, my thanks for your organization's interest in improving the immunization status
of preschool children in our state. If you have any questions or would like to discuss
this issue with me, please do not hesitate to contact me at (206) 753 -3495 or SCAN
234 -3495.
Sincerely,
uTuce oT immunization ana I is cervices
ti10
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST J
Department: HEALTH
Requested By: FRANK .TAMES M.D. -
The following budget modification is requested:
_Budget Transfer *
X Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15338.4334.0492 Consolidated Contract - Public Health Services
ACCOUNTS TO INCREASE:
15338 Well Siting
6120 Extra help
6230 Social Security
6259 Worker's Compensation
6269 Unemployment
6320 Operating Supplies
6510 Sm. Tools & Equip.
6630 Professional Services
6780 Travel/Education
6790 Travel/Other
6869 ER &R
7110 Registration
TOTAL
< $24,500 >
$15,500.00
1,186.00
693.00 .
78.00
500.00
1,500.00
2,693.00
300.00
150.00
1,800.00
100.00
$24,500.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
Department of Health Consolidated Contract - Public Health Services funding for urgent
needs to survey new well siting and construction in order to determine the degree of
compliance with Washington State well drilling standards. This additional funding was not
anticipated or available when the 1994 budget was prepared.
Authorized By:
Department Head:
Executive's Office: Date:
Date Posted: . By
• Transfers affecting salaries, benefits, or capital accounts (6100,6200,7300and 7400) must be authorized by the County Executive.
Transfers affecting other objects do not need Executive office approval.
•' Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: HEALTH
Requested By: Frank Tames, M.D.
The following budget modification is requested:
_Budget Transfer.*
ro
x Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15316.4334.0492 Consolidated Contract - Public Health Services <$2,000>
ACCOUNTS TO INCREASE:
15316 On Site Sewage
6630 Professional Services
$2,000
PURPOSE OF TRANSFER OR SUPPLEMIENE 1TAL: (If more room is necessary attach
additional sheet.)
Department of Health Consolidated Contract - Public Health Services funding for Urgent
Needs to enhance the epidemiological portion of the existing septic system survey program.
This additional funding was not anticipated or available when the 1994 budget was
prepared.
Authorized By:
Department Head:
WE
Executive's Office: Date:
a,I�.JL
Date Posted: By:
$ Transfers affecting salaries, benefits, or capita( accounts (6100,6200,7300and 7400) must be authorized by the County Executive.
Transfers affecting other objects do not need Executive office approval.
$$ Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
WHATCOMCOUNTY
BUDGET MODIFICATION EMU-EST 1,
Department:Health
Requested By: Frank Tames, M.D.
The following budget modification is requested:
_Budget Transfer *
x Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
153.2910.1000 Fund Balance* < $35,0.00 >
"Approved Fund Balance is overstated. Revenues are already budgeted as 15315.4349.401304 Solid Waste Haz Wst Gen Progrm) so fund
balance is being used as funding source.
ACCOUNT'S TO INCREASE:
15337 MRW Grant
6110 Salaries
11,143.00
6120 Extra Help
3,000.00
6210 Retirement
891.00
6230 Social Security
1,128.00
6249 Health Insurance
3,685.00
6255 Other Health & Welfare Benefits
95.00
6259 Industrial Insurance
554.00
6269 Unemployment
71.00
6320 Supplies
166.00
6339 Printing
700.00
_6630 Professional Services
3,267.00
6719 Postage
300.00
6869 ER &R
2,700.00
6720 Telephone
200.00
6780 Travel -Educ /Training
250.00
6810 Advertising
2,500.00
7110 Registration
150.00
TOTAL $35,000.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
Department of Ecology Grant'to Solid Waste Division for small quantity generator technical
assistance program. This is a continuation of an existing program. The grant funds .5 FTE
Environmental Health Specialist for 2 years. The position will be eliminated when the
grant funding ends. ?
Authorized By:
Department Head:_� Date:
Executive's Office: Date:
Date Posted: By:
* Transfers affecting salaries, benefits, or capital accounts (6100, 6200,7300aod 7400) must be authorized by the County Executive.
Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved b the Executive, will be forwarded to the County ounty Council for authorization.
2/94
WHATCOM COUNTY
BUDGET MODIFICATION REQUEST
Department: HEALTH ►�
Requested By: Frank James, M.D. 'BAR
The following budget modification is requested: � ('011w'
. ��):.► EX"ZA
NT- EN
Budget Transfer * XX Bulgeit Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15336.4334.0310 Site Hazard Assessment Grant - Dept of Ecology <$100,000.00>
(DOE - SHA Grant)
ACCOUNTS TO INCREASE:
15336. Site Hazard Assessment
6869
ER &R Vehicle
2,700.00
6630
Professional Services
36,050.00
6630.091 Laboratory Analysis
40,000.00
6510
Small Tools and Equipment
2,000.00
7410
Capital Equipment
5,000.00
7110
Registration Fees, Tuition
250.00
6780
Employee Travel, Education /Training
500.00
6320
Office and Operating Supplies
1,500.00
Administrative Overhead (12 %) 12,000.00
TOTAL $100,000.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The Department of Ecology is providing new revenue to the Health Department through the
Model Toxics Site Hazard Assessment Grant to investigate sites with potential environmental
contamination. This additional funding was not anticipated or available when the 1994 budget
was prepared. A related agenda bill for council approval of the grant contract has also been
submitted.
Department Head: �� ` ry Date:
Executive's Office: Date:
Date Posted: By:
* Transfers affecting objects 10, 20, or 60 must be authorized by the County Executive. Transfers affecting other objects do
not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization. 10/91
WHATCOM COUNTY
BUDGET MODMCATION MiIEST `
Department: HEALTH
Requested By: Frank. Tames, M.D.
The following budget modification is requested:
_Budget Transfer *
XX Budget Supplemental **
SOURCE: (Accounts to transfer from or funding source for supplemental)
15332.4333.2600
4333.9136
Consolidated Contract - Bicycle
Bicycle Helmet Project
ACCOUN'T'S TO INCREASE:
15332. Child Health
6320 Supplies
6630 Professional Services
6,821.00
819.00 TOTAL <7,640.00>
140.00
7,500.00
TOTAL $ 7,640.00
PURPOSE OF TRANSFER OR SUPPLEMENTAL: (If more room is necessary attach
additional sheet.)
The successful bicycle helmet program has received a second year of funding to maintain
community - based bicycle safety prevention activities through coordination of a local
coalition..
Authorized By:
Department Head: Date:
Executive's Office: Date:
Date Posted: By:
a -0.di y.
* Transfers affecting salaries, benefits, or capital. accounts (6100, 6200, 7300 and 7400) must be authorized by the County
Executive. Transfers affecting other objects do not need Executive office approval.
** Supplemental requests, if approved by the Executive, will be forwarded to the County Council for authorization.
2/94
WHATCOM COUNTY HEALTH DEPARTMENT
^•ommunity Health Center - 509 Girard Street
P.O. Box 935
Bellingham, Washington 98227 -0935
SCAN 738 -2167 FAX 676 -7646
FRANK E. JAMES, M.D.
Health Officer
TO: Shirley VanZanten,
County Executive
FROM: Frank James, M.D.,
Health Officer
DATE: February 18, 1994
W
C`
RE: Supplemental Budget Requests
FEB 2 2 -994
-VAN ZANTEN
C?:I 'FY EXECUTIVE
Please find attached the Supplemental Budget Requests for the Whatcom County Health
Department which, I am submitting to you for your signature. This is a large and complex
set of budget amendments. Hopefully, all the details have been resolved and all the
information necessary for Linda Irvin to process this package are attached. She had many
concerns in the last submission. I have personally discussed each item with her and believe
that all appropriate changes, additions, corrections and clarifications are provided in this
submission.
Some of the attached items are routine in nature, such as paying the additional retirement
costs for the former Health Officer to the State of Washington. Another is a gift from the
March of Dimes to allow us to continue a genetics clinic which we have carried out for a
number of years. There are the Consolidated Contract amendments which are the routine
kind of amendments which we receive every year after the closing date of our budget
submissions. These contract amendments are in the area of providing a safe environment for
children and infants in the areas of injury prevention, immunizations and basic nutrition
programs. There are several items in Environmental Health, one of which was a program
started last year on Moderate Risk Waste, another is a large grant to do Site Hazard
Assessment. There are also five Urgent Needs requests. This is money provided by the
state to address unmet public health needs in the areas of epidemiology, well siting,
identifying failing septic systems, sexually transmitted disease and tuberculosis. Finally,
there is a technical amendment which arose due to confusion about how to correctly add
items to last year's budget which involve personnel.
Administrative Environmental AIDS Education
& Nursing Health & Testing Center
Phone 676 -6720 Phone 676 -6724 Phone 676 -4593
County 384 -1528 County 384 -1565 County 384 -5848
1
Immunization Clinic
Phone 738 -2508
County 384 -1336
Communicable
Disease Hotline
Phone 738 -2503
Well Child Clinic
Phone 738 -2522
County 384 -0574
W.I.C. Clinic
Phone 738 -2505
County 384 -1633
Overall, this package brings $298,813. of additional service to the citizens of Whatcom
County. This substantial amount of service funding is brought to the citizens at no direct
cost to Whatcom County government. In addition, many of the larger sums also include
coverage of all the indirect costs of the programs. I am very proud of my staff being able to
go out in a time when it is difficult to obtain additional dollars and find resources to meet the
needs identified in these packages. I sincerely appreciate your efforts to move these
packages forward in a timely manner. Please find listed below, a list summarizing each of
the submissions. If you have any questions, please feel free to contact me or my staff.
Number 1 is a request related to additional retirement costs, billed by the State of
Washington to cover excess compensation for vacation /sick leave cash out of former Health
Officer, Dr. Phillip Jones.
Number 2 is a request related to Urgent Needs for Epidemiology. The revenue is included
in the 1994 Consolidated Contract. The Budget Modification Request is to add that revenue
and corresponding appropriations to the budget.. This funding will help the Health
Department to provide assessment and data management for the Urgent Needs projects, and
Infant Mortality Survey, Pre -term Birth Survey, tuberculosis disease and treatment trends,
provide leadership and consultation for the communicable disease outbreak team, and
consultation for APEX Part II Community Assessment.
Number 3 is a new grant from the March of Dimes for $3200 for local Genetics Clinics.
Children's Hospitaland Medical Center has provided these clinics for four years in
Bellingham so families would not have to drive to Seattle. They lost their funding for
outreach clinics. We requested money from the March of Dimes to cover the cost of
physicians and support staff from Children's Hospital and Medical Center through
professional services agreements.
Number 4 will be an amendment to the consolidated contract. A letter of award is included
in the packet. We expect the amendment at any time and will forward it promptly for your
signature. This is continuing funding for the WIC Breastfeeding Promotion Project and
includes $1744 for professional services for peer counselors who work with pregnant and
breastfeeding women. Our program has increased both the number of women who
breastfeed and the duration of breastfeeding since the implementation of this project a year
ago.
Number 5 is a request for a technical amendment. (See memo dated February 17 to the
County Executive from Dr. James, regarding Technical Amendment to the 1994 Budget and
Exhibit C Authorized Positions.)
2
Number 6 includes $11,012 in Extra help. This will be used to hire a public health nurse
and nurse practitioner from April 1 through December 31 for a demonstration project: an
adolescent STD Clinic. The rate of sexually transmitted disease among this age group
continues to climb, this innovative approach will involve the teens in establishing their own
clinic. An outreach and behavior change education and support component will assist in
.reducing the incidence of chlamydia, papilloma virus, gonorrhea, syphilis, and HIV infection
in high risk youth.
Number 7 includes the following- permanent staff: 1.0 Medical Assistant and 0.5 Clerk- Typist
II. The job announcements and appointment letters will indicate the positions will be
discontinued when the grant funding terminates. Union contracts do not permit hiring
temporary extra help for the amount of hours needed. Tuberculosis is rising at an alarming
rate throughout the world, the United States and Whatcom County. The number of cases
doubled in Whatcom County last year. The Health Department has chosen. to use these state
funds to supplement county dollars in tuberculosis prevention. They will be used to provide
screening of high risk groups, monitoring medication compliance, and educating health care
providers about tuberculosis control.
Number 8 will be an amendment to the consolidated. contract. A letter of award of funds are
included in the package. We expect the amendment at any time and will forward it promptly
for your signature. It is the Infant Immunization Challenge Award. It includes $17,920 in
Extra Help. This will be used to hire a temporary public health nurse and outreach worker
from April through December 1994. The focus of this project is to increase the immunization
levels of preschool children in rural Whatcom County. A unique case management and rural
clinics are designed to increase immunization levels above the current 50% level. This is of
particular importance given the measles and polio concerns during the past year. The job
announcements and appointment letters will indicate that the positions will be terminated
when the grant funding is discontinued. This award is through June 1995 and the 1995
funding will be included in our 1995 Consolidated Contract.-
Number 9 is a request related to Urgent Needs in Well Siting. The revenue is included in the
1994 Consolidated Contract. The Budget Modification Request is to add that revenue and
corresponding appropriations to the budget. Number 9 includes $15,500 in Extra Help. This
will be used to hire a well inspector to complete the well siting study from April through
December 1994.
Number 10 is a request related to Urgent Needs to enhance the epidemiological portion of
the current septic system survey. The revenue is included in the 1994 Consolidated
Contract. The Budget Modification Request is to add that revenue and corresponding
appropriations to the budget.
3
Number 11 is a request related to continuation of the Moderate Risk Waste program funded
through County Solid Waste's Coordinated Prevention Grant for small quantity generator
technical assistance. The revenue is included in the 1994 budget but the appropriations were
.not included. This request includes the addition of 0.5 Environmental Health Specialist II.
This represents a reduction in authorized positions from the 1993 budget in that 1 FTE was
approved for this program in 1993. A new employee will be hired and the job
announcement and appointment letters will indicate that the position will be discontinued
when the grant funding terminates. Union contracts do not permit hiring temporary extra
help for the amount of hours needed.
Number 12 is a request related to a new grant offered by the Department of Ecology to
perform Site Hazard Assessments at sites which- may be adversely affecting public health.
The purpose of a Site hazard assessment is to collect information about environmental
conditions, waste types, and waste quantities at a site which . may be adversely affecting
health and the environment by the release of contaminants. This request includes the
addition of 1 Environmental Health Specialist I. A new employee will be hired and the job
announcement. and appointment letters will indicate that the position will be discontinued
when the grant funding terminates. Union contracts do not permit hiring temporary extra
help for the amount of hours needed.
Number 13 is the Bicycle Helmet/Injury Prevention Award. The funds are included in the
1994 Consolidated Contract. The Budget Modification Request is to add that revenue and
expenditure to the budget. This is a continuation of a successful community program and
will be of particular importance if the bicycle helmet legislation is passed this year. Last
year, among other things, this project provided education programs and bicycle helmets for
78 children through local schools. This year, more education and helmets will be available
through this project.
4
WHATCOM COUNTY HEALTH DEPARTMENT
Community Health Center - 509 Girard Street
P.O. Box 935
Bellingham, Washington 98227 -0935
SCAN 738 -2167 FAX 676 -7646
FRANK E. JAMES, M.D.
Health Officer
February 22, 1994
W
C'
n 6
FEES 2 2 119^4
SHiFR Ez Y VA y �NNTEN
Shirley VanZanten, County Executive (:AUNTY EXECUTIVE
Whatcom County Courthouse
311 Grand Ave.
Bellingham, WA 98225
Re: Supplemental Budget Proposal
(Packet Submitted February 18, 1994)
Dear Ms. VanZanten:
In order to accomplish the nearly $300,000 worth of services to the public which is outlined
in our supplemental budget request, it will be necessary to hire a number of new staff. Some
of these will be hired as permanent, time- limited positions and others will be hired as extra
help.
A permanent position is one that is added to our staff, is approved by the County Council,
receives benefits and joins a union. It is legally possible to add permanent, but time limited
positions. In this case, the FTE goes away if the funding goes away. That does not
necessarily mean that the. person holding the position is terminated. Rather, that individual
would have certain rights and privileges under the union structure. It does, however, mean
that the positions and FTEs within the Health Department would be reduced. However, if
other staff have been hired since that time, there may be seniority for the individuals hired at
an earlier date even though their position was intended to be time limited in nature. The
reason for this somewhat awkward structure is the nature of our union contracts which
require this approach. .
The permanent but time limited positions which will be added with this supplemental budget
include:
Administrative
Environmental
AIDS Education
& Nursing
Health
& Testing Center
Phone 676 -6720
Phone 676 -6724
Phone 676 -4593
County 384 -1528
County 384 -1565
County 384 -5848
Immunization Clinic
Phone 738 -2508
County 384 -1336
Communicable
Disease Hotline
Phone 738 -2503
Well Child Clinic
Phone 738 -2522
County 384 -0574
W.I.C. Clinic
Phone 738 -2505
County 384 -1633
Page Two
Shirley VanZanten, County Executive
February 22, 1994
PACKET
#
POSITION
FTE
#5
Public Health Nurse (PHN) - Immunization Program
0.4 FTE
#5
Clerk- Typist II - Immunization Program
0.4 FTE
#7
Medical Assistant - Tuberculosis Control
1.0 FTE
#7
Clerk- Typist II - Tuberculosis Control
0.5 FTE
#11
Environmental Health Specialist (EHS)- Moderate Risk Waste Generator
0.5 FTE
#12
Environmental Health Specialist (EHS) -DOE Site Hazard Assessment
1.0 FTE
All of these positions will go away when the grant funding ends.
It is necessary to add them as "permanent" positions because of the nature of our bargaining
unit contracts. In next year's bargaining unit contract, we hope to change the term to
"regular" rather than permanent. Any position where the person works more than 1,040
hours in a given year has to be hired as "permanent" staff with union benefits. These
positions can be eliminated but those individuals who workgd more than 1,040 hours are
entitled to seniority.
You were also interested in knowing why contracting out would not be more appropriate for
some of these positions such as the Environmental Health Site Hazard Assessment position.
Again, the union contract specifically forbids us from contracting for any traditional
bargaining unit work which exceeds 1,040 hours. To contract that work out would be a
violation of our bargaining unit contract with AFL -CIO Local 17. Other work which we
plan on contracting out is included under the extra -help section. When the work is less than
1,040 hours and there is no need to maintain internal control of the position for quality
assurance reasons, we will contract out under extra help. Extra help in the budget is
considered those positions which will not generate more than 1,040 hours of work in any
given calendar year and, therefore, can be hired as extra help - that is without benefit of
either seniority within the union or benefits and other coverage which are offered to
permanent employees. There is an economic saving in hiring under extra .help rather than
permanent staff as well as a reduced commitment on the part of the Health Department for
seniority.
Again, with respect to the union contracts, we offer any additional bargaining unit work to
existing employees. We won't know whether or not existing employees are interested until
they either accept or reject the offer. If existing staff do not wish or have time to take on
those extra duties then we will make a public offering of that work.
Page Three
Shirley VanZanten, County Executive
February 22, 1994
Specifically listed extra help items:
Packet #
FTE
TIME
PURPOSE
AMOUNT
#6
0.2 FTE PHN
Apr -Dec.
Staff an adolescent health clinic to
$11,012
0.2 FTE Nurse Practitioner
1994
reduce the number of sexually
transmitted diseases which we find
among adolescents. This is too
small amount of time to contract
and nurses and nurse practitioners
are not set up as businesses. This
expertise is not generally available
on a contract basis in our
community.
#8
0.4 FTE PHN
Apr. -Dec
As above, general contractors are
$17,920
.0.4 OUTREACH
1994
not available in our community. It
WORKER
would be unlikely to find one to
work only .4 time.
#9
0.5 EHS
Apr. -Dec
This is directed at assessing the
$15,500
1994
appropriateness of the siting of
wells for the safety and health of
the people utilizing them. Again,
this would be less than 1,040
hours and we plan on contracting
for these services. We feel it is a
single piece of work and a free
standing effort. The individual
would be expected to have their
own vehicle and other equipment
to carry .out the contract.
#10
Contract Services
Apr. -Dec
Evaluation of potential water
$3,000
1994
quality and other impacts from
failing septic systems could be
brought together assessed and
policy recommendations and public
information be made available.
This would be for professional
services contract and is a very
small amount of work.'
TOTAL $47,432
I have also included two attachments which further detail reasoning for hiring staff rather
than contracting out for the Moderate Risk Waste Generator Program (Attachment A) and the
DOE Site Hazard Assessment Grant (Attachment B).
Page Four
t Shirley VanZanten, County Executive
February 22, 1994
I hope that this assists you in understanding our proposal and the reasons, both in the union
contracts and in the structure of the work itself why these distinctions were made the way
they were. If you have any further questions, please don't hesitate to contact me.
Sincerely,
Frank James, M.D.
Health Officer
FJ: sh
ATTACHMENT A
Reasons for Hiring Health Department Staff
Rather than Contracting Out
0.5 FTE Environmental Health Specialist
Moderate Risk Waste Generator Program
It will be more efficient to continue. this project with Health Department staff since the
project was started in 1993 with Health Department staff. The framework, database, and
experience in the moderate risk program already exists within the Health Department.
Existing staff have been continuing the program on a limited basis and maintaining contacts
during this interim period.
The knowledge and experience gained in this program will be retained - -in the Health
Department since existing staff interact and work with the employee assigned specific
responsibility for the MRW program.
Having an employee perform the work rather than a contractor provides for a higher level
of program control. The program work can be redirected as needed to make the program
more effective. If a contractor were to be hired then contract changes would need to be
made in order to refocus the program. The ability to refocus the program to meet the
desired goal is essential since the program is still under development..
The program needs to be presented relative to the mission of the Health Department ie.
the protection of public health. An employee can be more closely monitored .to ensure that
the mission and goal of the program is within the framework of the public health mission.
Public education is the major component of this program. The person presenting the
message must represent the Health Department and the mission of the Health Department.
A contract employee would not have . the same level of supervision as Health Department
staff and the manner in which the message is delivered to the public may be less
controllable.
The ability of the employee to obtain information and take appropriate action would be
enhanced if the person were a county employee rather than a contract employee. Many of
the businesses which are visited in the program are visited as a result of complaints
received concerning improper disposal practices. It may not be appropriate for a contract
employee to respond to complaints which could result in enforcement actions.
Local 17 Union contract language limits contracting out to certain situations with Union
approval. It may be difficult to obtain Union concurrence for contracting out a position
such as this which would normally be performed by an Environmental Health Specialist.
The grant funding for the program will fund .5 FTE EHS for 2 years and is potentially
renewable.