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HomeMy WebLinkAboutResolutions - 1983.08.18 - 11449REPORT TO THE HEALTH AND HUMAN RESOURCES COMMITTEE BY: FINANCE COMMITTEE, DR. WILLIAM CADDELL, CHAIRPERSON IN RE: E.P.S.D.T. (EARLY PERIODIC SCREENING, DIAGNOSIS & TREATMENT) GRANT APPLICATION OCTOBER 1, 1983 THROUGH SEPTEMBER 30, 1984 The Finance Committee has reviewed the proposed grant application and finds: 1. This is an ongoing grant and covers the period of October 1, 1983 through September 30, 1984, 2. Funding is in the amount of $637,148, of which 100% is State funded, 3. The grant application calls for Salary costs, $402,776; Fringe Benefits, $165,003; Operating costs, $41,577; and Indirect Cost of $27,792. A. com- parison of current and proposed program costs is shown on the attached schedule, 4. All personnel changes will require Personnel Committee approval, 5. Application or acceptance of the grant does not obligate the County to any future commitment. Mr. Chairperson, on behalf of the Finance Committee, I move the acceptance of the foregoing report, and referral of the information contained therein to the Health and Human Resources Committee, in accordance with Miscellaneous Resolution #8145 - revised "Federal and State Grants Application Procedures". FINANCE COMMITTEE FINANCIAL ANALYSIS E.P.S.D.T. (EARLY PERIODIC SCREENING, DIAGNOSIS & TREATMENT) GRANT CURRENT PROGRAM/PROPOSED PROGRAM October 1, 1982 - September 30, 1983/October 1, 1983 - September 30, 1984 Salaries & Fringe Benefits Proposed Current Program Application Variance No. of No. of No. of Positions Amount Positions Amount Positions Amount P.H. Program Coordinator 1.00 $ 27,476 1.00 1)$ 29,718 --- (2,242) P. H. Nurse III 3.00 75,552 2.80,, 76,394 .20 (842) P. H. Nurse II 1.50 33,318 1.20;; 28,689 .30 4,629 Aux. Health Worker 6.25 101,169 6.00') 102,911 .25 (1,742) Typist II 3.00 43,786 3.00 47,265 --- (3,479) Outreach Office Leader 1.00 16,971 1.00 18,291 --- (1,320) Clerk II 4.00 57,200 4.00 61,804 --- (4,604) Clerk I --- --- 3.004) 37,704 3.00 (37,704) Sub-Total Salaries 19.75 355,472 22.00 402,776 2.25 (47,304) 5) Fringe Benefits 127,590 165,003 (37,413) Total Salaries & Fringe Benefits 483,062 567,779 (84,717) Operating Expenses Transportation 10,000 10,000 --- Travel & Conference 500 500 --- Supplies & Materials 9,545 9,545 Telephone Communication 3,300 4,800 (1,500) Postage 3,300 4,000 ( 700) Equipment Rental 552 624 ( 72) Equipment Repair 385 385 --- Building Space Cost 8,503 11,723 (3,220) Total Operating Expenses 36,085 41,577 (5,492) Indirect Cost 46,211 6) 27,792 GRAND TOTAL 565,358 637,148 (71,790) 1) Includes 2 positions at 1.00 and 1 position at .80 P.T.E. 2) Includes 1 position at .80 PTE and I. position at .40 PTE. 3) Includes 4 positions at 1.0, 1 position at .75 PTE, 2 positions at .50 PTE and 1 position at .25 PTNE. 4) New Positions 5) Actual Fringe Benefits 6) Indirect Cost Rate at 13.0% 7) Indirect Cost Rate at 6.9% Miscellaneous Resolution 33746 August 18 1983 BY: HEALTH AND HUMAN RESOURCES COMMITTEE - Marilynn E. Gosling, Chairperson IN RE; E,P.S.D,T. (EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT) GRANT APPLICATION - OCTOBER 1, 1983 THROUGH SEPTEMBER 30, 1934 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: WHEREAS the Early Periodic Screening Diagnosis and Treatment (E,PS.D.T.) program, commonly referred to as "Medicaid Screening" was established in Oakland County in April of 1973; and WHEREAS this program is funded entirely through the Michigan Department of Public Health under contract with the Michigan Department of Social Services; and WHEREAS the major objectives of this year's program are based on the belief that in depressed economic times the need for E.P.S.D.T, services to eligible clients will remain the same or increase; and WHEREAS subject grant covers a period from October 1, 1983 through September 30, 1934, NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorize the County Executive's Office to apply for Early Periodic Screening Diagnosis and Treatment grant renewal in the amount of $637,148 to be funded by the Michigan Department of Public Health, Mr. Chairperson, on behalf of the Health and Human Resources Committee, I move the adoption of the foregoing resolution. COUNTY OF OAKLAND DANIEL T. M URPHY, COUNTY EXECUTIVE MEMORANDUM July 28, 1933 TO: Jeff Pardee, Manager, Budget Division FROM: Robert Zigler, Admin. Asst., Public Health Administration Services RE: 1983-84 E.P.S.D.T. (Medicaid Screening) Grant - Approval to Submit Please schedule the attached 1983-84 E.R.S.D.T, (Medicaid Screening) Grant Proposal for the "approval to submit" process. /rer cc: Dr. Thomas Gordon Elaine Bevan Carol Durkee Joan Ceglarek Velberding Oakland County 1-loalth Division 1 ,406 $(0A Pl>tiT(Al.:!, ff..7141[(; q 48013 COUNTY OF OAKLAND DANIEL T. MURPHY, COUNTY EX CLITE-VE July 27, 1983 Mr. Robert PestronR, Chief E.P.S.D.T. Section Michigan Department of Public Health 3500 North nogan P.O. Box 30035 Lansing, Michigan 48909 Dear Mr. Pestronk: Enclosed is a copy of our 1983-84 E.P.S.D.T. Grant Proposal. Please process as soon as possible in order that we may submit to the Oakland County Board of Commissioners for acceptance. Thank you. Sincerely, - tt Robert L. Zigler Administrative Assistant • • Public Health Administrative Services RLZirer Enclosure cc: Dr. Thomas Gordon Elaine Bevan Carol Durkee Joan Ceglarek L.A. Volberding Oakland County Health Division NOIrl'It 'VELE( itt Pit it0A1). PONTIAC. M if"; Mr: S..r4 4n05:6 B. STAFFING: (See Job The composition of 1. Clinic #890I: (Southfield) E.P.S.D.T. BUDGET OCTOBER 1, 1983 - SEPTEMBER 30, 1984 Oakland County Health Division A. OUTCOME OBJECTIVES: The following objectives are based on the belief that in depressed economic times and diminishing resources the need for E.P.S.D.T. services to eligible clients will remain the same or increase. 1. To provide and fill 10,000 appointment slots for health screening services to the Medicaid-eligible population of'Oakland County, up to 21 years of age, as mandated by Federal law. 2. To schedule appointments for health screenings at a rate of 183% of contract (18,300) for the Medicaid-eligible population of Oakland County, up to 21 years of age, in order to achieve 100% of the objective. 3. To maintain a 35% annual referral rate of those having the screening as a measure of adequacy of screenings performed. 4. To provide general information and names of health care providers to Medicaid - eligible families of Oakland County in order to assist entry into the health care system. 5. To assure accuracy of hematocrit and urine testing by continued use of controls. 6. To provide continuing education to the staff through regional state meetings and county continuing education programs. 7. To maintain the inventory system for supplies/materials. . 8. To maintain the system for identifying records that can be destroyed. Descriptions on Attachment A) the teams is as follows: 1 Public Health Nurse 2 Auxiliary Health Workers 1 Typist 2 Clerk Schedulers/Transporters 2. Clinic .#8902: 2 Public Health Nurses (Pontiac) 2 Auxiliary Health Workers Typist 3 Clerk Schedulers/Transporters (minimum of 2 bilingual) 3. Clinic ft8903: 1 Public Health Nurse (Mobile) 2 Auxiliary Health Workers 1 Typist 2 Clerk Schedulers/Transporters Part-time Public Health Nursing and Auxiliary Health Worker positions provide increased flexibility in staffing during busy periods and allows for conserva- tion of hours paid when staffing is not required. This year one-half of a Public Health Nurse position and one-quarter of an Auxiliary Health Worker position were eliminated. Geographic size and popula- tion distribution patterns necessitate a multi-site program, As a result of the position cuts, field PHN staff will be providing in-kind backup, services in order to continue to cover all clinic sites (see Attachment B). There is an increase of one Clerk Scheduler/Transporter position. This reflects a closer approximation of the 1 staff to 1,000 clients ratio that is recommended. It also resolves the problems of frequent staff changes and poor control of staff that occurs with volunteer or temporary staff. The Office Leader is responsible for 'coordination and supervision Of the schedul- ing and transportation component of the program. She is also the contact person for the team leaders regarding scheduling questions and problems. • The clinics continue with the formal team approach. Weekly team meetings are held with scheduling staff attending meetings monthly. This gives us a more efficient, cohesive clinic. group. The Typists are part of the clinic team. The Public Health E.P.S.D.T: Program Coordinator is responsible for program com- pliance with the manual, contract achievement, day-to-day program management and staffing. The staffing function includes scheduling, training, evaluating, and • planning/providing in-service training to improve skill level. Medical supervision of. the program comes from Dorothy Goerner, M.D., Pediatric Consultant to the Oakland County Health Division. Administrative responsibility for the program comes from Joan Ceglarek, R.N., M.P,H,, Chief of Clinic Special Programs. The size of the program places significant time demands on those responsible for program operation. The local administrative component continues to be great. C. PROCEDURES: Clerk Schedulers/Transporters staff is located in one office area proximate to the main clinic at 196 Oakland Avenue In Pontiac. This provides maximum phone coverage, continued, client contact during any type of staff absence, and on -site supervision by the Office Leader. Close physical proximity to the main clinic files permits easy access to client screening information. 1. Department of Social Services Office a. Clerk Schedulers/Transporters Site 196 Oakland Avenue Pontiac, Michigan 48058 Monday through Friday 7:30 a.m. to 5:00 p.m,, phone coverage, 931 square feet of office space. -3- b. Clinic Site 196 Oakland. Avenue Pontiac, Michigan 48058 Monday 11:00 a.m. to 6:30 p.m., Tuesday through Friday 8:30 a.m. to 5:00 p.m., 604 square feet of space available for screening. 2. South Oakland County a. South Oakland County Health Division 25525 Greenfield Road Southfield, Michigan 48076 Monday 12:30 p.m. to 8:00 p.m., Tuesday, Wednesday, first (a.m. only) and third Thursday •8:30 a.m.'to 5:00 p.m., 464 square feet of space available for screening. b. Fourth Street Office Building 2401 East Fourth Street Royal Oak, Michigan 48067 First (p.m. only), second, fourth and fifth Thursdays, Friday, 8:30 a.m. to 5:00 p.m., 1638 square feet of space available for screening. 3. Mobile Clinic Tuesday through Friday 8:30 a.m. to 5:00 p.m. The physical size of the screening clinic in Pontiac allows_ for more staff on a regular basis. Mobile clinic sites are Selected based on number of eligibles living in outreach areas. The extent of site utilization determines whether a specific site will continue to operate. Sites are routinely reassessed to determine whether their location is convenient for the target group. Appointments made available are based on an average twenty (20) work day month. This computation allows for flexibility in the coverage for shorter or longer months, snow days, holidays and meetings.. The year-round schedule reflects • the real need and utilization of backup personnel to keep the clinics in operation. Nurse and Auxiliary Health Worker backups allow for necessary vacation and sick time for regular E.P.S.D.T. staff. Scheduling has been reevaluated to determine the number of appointments needing to be available based on a show rate of 55% (or a no-show rate of 45%). Deter- mination of staff positions was based on these calculations (see Attachment B). Agency in-service meetings are held three times a year. Selected staff periodi- cally attend outside conferences and meetings. New staff receive orientation during state sponsored classes. Program staff meetings are held quarterly. Team meetings are held weekly at each site.- DSS and Oakland County Health Division (OCHD) meet at least quarterly for joint review meetings with supervisory and some administrative staff present. Oakland County follows the Screening Manual with the exception of the more in-depth use of the otoscope and stethoscope by the Public Health Nurses and additional forms developed locally for our own records. We have two people certified in both hearing and vision. Two full-time and two part-time ineligible staff are certified in hearing. One staff is vision certified only. We are part of the Nursing Division's data processing system for retrieval of more data on clients screened in addition to the State Screening Summary. D. PROPOSAL FOR OPERATION - FISCAL YEAR 1983-1934: As of October 1, 1983, we recommend the use of the contract figure of 10,000 appointments be made available. The Oakland County Health Division will: 1. Continue to assume responsibility for assignment and supervising .Clerk Schedulers/Transporters to schedule appointments for the screening clinics. 2. Continue to review the efficiency of obile Clinic sites in relation to demand of service in the areas. New or alteinate sites are and will continue to be added throughout the county to improve service to those ,unable to come into one of the fixed clinic sites. 3. Continue to utilize the mobile team to screen groups of Medicaid- eligible children in schools, preschools, churches, and other outreach sites. 4. Continue to maximize the efficiency of the outreach staff. Continue direct follow-up by telephone and letter on broken or missed appoint- ments and eligibles that have never been screened. Contact includes reason. for lack of attendance (if applicable), reinterpretation of the program, assistance in completing necessary forms, and rescheduling of family. S. Continue to cooperate closely with the local Department of Social Ser- vices Office for planning, problem-solving, local implementation, and evaluation of the program. 6. Hold quarterly administrative meetings with the Department of Social Services focusing on contract implementation. As of October 1, 1983, the Oakland County Department of Social Services will: 1. Continue to provide desks and telephones as needed for the Oakland County Health Division Clerk Schedulers/Transporters to carry out the program. 2. Continue to provide a liaison with the Oakland County Health Division to facilitate the referrals from caseworkers to the E.P.S.D.T. Program and OCHD schedulers. 3. Continue to provide, evaluate, and improve transportation vehicles and associated costs as needed for txalsporting clients to the screening sites. 4. Continue to encourage caseworkers to be informed regarding the E.P.S.D.T. Program and to encourage clients to take advantage of the service. S. Continue to cooperate closely with the Oakland County Health Division for planning, problem-solving, local implementation, and evaluation of the program. 6. Hold quarterly administrative meetings with the Oakland County Health Division focusing on contract implementation. AT1ACHMNT A j0P, DESCRIPTIONS Public Health Cocirdinator'-'E.P.S_D.T. Day-to-day program management -. Staff scheduling Evaluation 1n-service training and staff development Public Health Nurses Team Leader of the clinic site Day-to-day supervision of typist staff History-taking Physical assessment • Immunization Explanation of findings Referrals and refe.i,i.al follow-up Auiliary Health Workers • Physical measurements. ' Hearing screening Vision screening Denver Developmental testing Lab testing (hematocrit, sickle cell, and lead) Limited referral and referral folleN-up Of F1 Leader Supervision of scheduling staff Clerical staff scheduling Overall responsibility for record managcmt Compilation of monthly statistics Scheduling of clients as time permits Typist Reception of client Re-explanation of program and obtaining signatures on forms Compilation of monthly statistics for site. Record compilation management at site Clerk (Schedulers) Screen eligibles list for accuracy Contact eligibles by phone, letter, or homf., visit • Complete explanation of EA 1 .S.D.T. Schedule clients for screening, arranging transportation needed, and mailing health histories Translation Transportation as A rfika.L', FE NT B CLINIC SCHEDULING AND NEEDED STAFFING Multiplier Numbers of Average Appts. Appts. Contract For 55 9 Appts. Needing Number of Per Per Site Per Month Show Rate To Be Scheduled Work Days Day . Week. - Southfield 280 x 1.55 = 510 20 = 25.5 70.4 . Pontiac 400 x 1.5S = 730 20 = 36.5 100.0 - . Mobile ' 160 x 1.55 - 290 4 16 - = 18.1 39.6 .._ _ 840 1,530 382 210 PROPOSED CLINIC SCIMDULING (APPTS. AVAILABLE) Monday Tuesday Wednesday Thursday Friday Sub-Totals 'Southfield 34* 20 , 20 ' • 20 34* Pontiac 38* 36* . 36* 36* 36* Mobile -- 18 • 18 18 18 , 72 - 74 , 74 74 88 128 182 72 382 FALL - PUB 20 20 20 20 * = 2 Nurse Day Total Nurse positions per week: 21/5 = 4.2 Total AIM positions per week: 28/5 = 5.6 (all clinics are 2 techs) State Per Above Current 1 Formula Calculation + 10% backup = Total Nurse 5.5 4.125 4.2 + .42 = 4.62** AHW 6.25 5.5 5.6 + .56 - 6.16 Clerk 3. 2.75 2.8 + .28 = 3.08 ..., 14.75 12.375 13.86 Average Show Rate - 55% **Does not include Coordinator position-. Average No-Show Rate - 45% Pr c.),•,:-..1rn Cnne aucl:3,2Z, D.,;e i't tc:t 10/1/83T0 9/30/841 7/20/8 LOCJI Isol,ncy OAKLAND. COUNTY _FTEITII DIVISION 1 1 Ori.rlinza Su(f g.n X Flevsion IL: TITLE: rl .'Y .1H IN•flO- 411,1 P 0 1":" R A .._ SUMIV1ARY . 1 of S _ _________ - ---- ------ AGREEMENT BUDGET 11 LOCAL BUDGET CATEGORY TOTAL CURRENT YEAR SUBSEQUENT CURRENT SU'dSEQ'JENT BUDGET PORTION YEAR PORTION YEAR 19_ YEAR 19_ 7 1 s,J„ric,, ,,,t V,Iziges 402,776 2 Fr icv Benefits 165 003 _ 3 -1;-avel 10,500 4 Supplies 84 Materias 9 545 Contraczual (Soh-Contracts) -- — 6 Equiprnnt 1 Ozhar . —I ' Exp'ans; 21 ,532 1 i---- 1 1 1 DTAL DIRECT 609,356 Indirect Costs: 9 19,83=6.9% 1984-6.9 27 792 i i 10 TOTAL EXPENDITURES 637,148 1 1 11 Less: Fe:is & CoIIctions 1 32 1 FU:'.jD -- REQUIRED 637,148 FUND SOURCES J , ::-,tate Agreemerit 637,148 --. St F-afrnpla — 1 15! PHS 314(d) L 1 16 Mg:CH r,J=ril _ LocaI 101 OT hr,, ,.......---- _____ Ji - TOTAt_ FUNDiNG 637,143 I[ -----.____ _ GENII I C,2rtifx,t th.7t I Dm .Ththf,riZCd to -.;(20 on t),.harf o tilt! tocor :ncy. This hu.sliyq rpuvuts cot Ad,is krit;..? docutimntmion -and R:corcls wtIi bf..• to .0 prozvarn ttp: Zind op,..:ratvan of thu Firo!-Jrans. PROGRAM BUDGET POSITION SCHEDULE Page ? of S Prov,Im Code liudjdt PerioJ Daze PrepAze-d E.P.S.D.7 10/1/83 '9/30/84 7/20/83 Lo,,,, A eni:y O -plA 1 z Lt 1 1 Fiev;:jon C X I R,Ivi EZoclzi OAKIAV COUNTY HEALTH DIVISION BrUL ,_ r- [ 1 Number STAFFING ANALYSIS Total Direct Time, ‘hours) DIRECT MAN YEARS — . . Man Years One Man Year (hours) SUPPORT MAN YEARS ,--- Program Administration and Support Time — Man Years TOTAL MAN YEARS REQUIRED POSMONS x ANNUAL. =- TOTAL POStTiON DESCRIPTION COMMENTS REQUIRED SALARY SALARY Public Health Prog. Coord., arol Durkee LOU 29,718 29.718 Public Health Nurse III Doris Brown 1.00 27,832 27,882 Public Health Nurse III . lelen O'Rourke 1.00 26,636 26,636 Public Health Nurse III Pat Parker, P.T.E. .80. 27,345 21,876 Public Health Nurse II Joan. Vogelei-, P.T.E. .40 23,593 437 . . . . _ ' Health Nurse II _r), _LILT.2„--„PLa, .80' 24,065 12,252 . Auxiliary Health Worker Dolores Bautista 1.00 17261 17,261 Auxiliary Health Worker Sandy Zipser 1.00 7,574 17,574 Auxiliary Health Worker Sandy Davies-Webster 1.00 17,229 17 229 Auxiliary Health Worker -1-arialarie Diiffiz 1.00. 1 ,902 16,902 ::uxiliary Health Worker c.arol Lee, P.T.E. .50. 16,770 8 385 :Auxiliary Health Worker ,5harman Cross, P.T.E. .75 17,229 12 922 :Auxiliary Health Worker :.larcie ivbntante, P.T.E. ..50 17,444 8 722 Paailiary :Health Worker . ::..tary Ellen Cassadv, Lauri Lode .25' • 15 663 P.T.N.E. - Back-up i.ndy Graessle. r FypiSt II LT-- - covarrub las 1.00 15,788 15,788 - II 1 • 11v Houston 1.00 5,800 15,800 , rypis t II ;.'hirlev St,'artz 1.00 15,677 15,677 , - , Sub-Total 14.00 284,977 f 0 FA L --_______ Page__Z. of PROGRAM BUDGET - POSITION SCHEDULE 4 T7-1 'cf.);.,04n-n Code BurfDat Period r.P.S.D.T. - 1071/83 To 9/30 SI- 7/?9/83 ..ocaf A.j.tricy OrigiriA r---- 14..?.visP.d I 11-?..vi;iort OAKLAND COUNTY HEALTN DIVISION Ehid X Sudvz L Nt1 ,117”., --...- STAFFING ANALYSIS D __ Tont Direct Time (hoirs) - = Nhrl Years IRECT MAN YEARS One Man Year (houi-s} .i:UPPORT MAN YEARS = Program Administration arld Support Time = Mart Years TOTAL MAN YEARS REQUIRED i POSITIONSANNUAL TOTAL POSIT — :ON DESCRIPTION COMMENTS REQUIRED SALARY ' SALARY )UTREACH: )ffice Leader Tuanita Rodriquez 1.00 18,291 18,291 -.Lerk II . 'at Miele 1.00 15,485 15,485 Jerk II na Cassarez L00 15,736 15,736 :lark II 1aTv..Qiinn 1.00 15,427 15,427 7- II Fe. , Rees 1.00 15,156 15,156 :der]: I 1.00 : 12 7 568 12,568 - 71ork 1 'fACANT 1.00 12 568 12 568 :L -k I ACANT 1.00 12,568 12 568 Sub-Total 8.00 117.799 _ ,--------7- TOVAL 22.00 ____:=—=—,___ 402,776 TECO P. TOTAL 165,093 Area tfl Area #12 - 4 0 5 PnGRAN1 BUDni:c-7 — COST DET2ML SCHEDULE -1-1 T5 0.3.01. E.P.S.D.T. 10/1LS3 -1,, 9/30/1 201233 ..... .5-,-:AL Ac4,NcY 1,....] p.evi".„; [ TI-,;-..i ,,,1 MKT ANT) COUNTY FtFALT I DIVISION .,,,,„..!„,,,.,- A. 13,d+7,P; rfm,k,..-. r DESCRIPTION Frinff, B2nefitQ. (See Attachment C) QUANTITY Travel Transportation (40,000 miles at $.25/mile) Travel Conference (conferences meetings) 10,590 Supplies & Materials Medical Supplies: Disposable needles, syringes,; lances, tubes, etc. Laboratory controls: urine . 3 bottles/mo. 0 $20.63/bottle O e Supplies: Folders, stationery, pens, etc. Microfilm jackets (8,000 @ $132/1,000) Film-& Processing: 10 rolls of film 9 $13.20/roll PrOcessing 9 $3.63/roll 9,545 Other Expenses Commun ications : Equipment Repairs Equipment Rental: Telephone $4,800/Postage $4,000 One Microfilm reader 0 $6.00/mo. One IBM Selectric II Correcting Typewriter 9 $18/mo. One Portable Typewriter 0 $10/mo. Three (3) Beepers 9 $18/mo. c Space Rental: Sub-Total Southfield-Southfield Center: 464 sc-L -Tt. 0 $9.98 x3 mos.-1983 464 sq. ft. 0 $9.98 x 9 mos.-1984 Pontiac-Social Services Bldg.: 604 sq. ft. @ 34.62 x 3 mos.-1983 Re 604 sq. ft. 0 $4.62 x 9 mos.-1984 Re 931 sq. ft. 0 $4.63 x 3 mos.-1983 Rates 931 sq. ft. @ $4.62 x 9 mos.-I984 Rates* Sub-Total Rates RAes* OS es* 1,158 3,473 698 2,093 1,075 3,226 11,723 21,532 t the ti me this budget was prepared, the 1984 rates were not available. Therefore, 1933 rates were used and the budget uill be revlsed, if necessary, when 1934 rates beco:7:e kncn C sn te, I E.P.S.D.T. AL OAKLAND COUNTY HEALTH DIVISION 10/1/83 /.9/30/84 O r v A j 7/2 0/83 ITEM TOTAL 6,315 21.477 p G A E3UDGET- COST DFTAli SCEEDULr-= - DESCRIPTION • jndirect Costs 6.9% of Salaries and Wages of $91,515 6.9k of Salaries and Wages of $311,261 NOTE: The 1983 approved rate of 6.9% is used for the entire grant period. When the 1934 Indirect Cost Rate has been approved, that rate will be used for the salaries that fall in the 1934 calendar year. 7-TrS F.P.S.D.T. FRINGE ' ATIACI•ii\IENT C GRANT FISCAL YEAR 10/1/83 TO 9/7 1 ] . q..„..,-, , ' Co!11- 1 Work, Hosp. 1 L-1Jc.Tns. I Retire. Social Salary Unomp. •Dental ,...,....,..i. 1 , ,- • peted cwv, (Actuo.1/Y1. f,..,..60,i oT i 1.1.Ln- Sccurity Contin- Ins. A1a1/ i vrin.7,c '2,llary (From I B:.tsed on Salary) ! (18.14% (7.0% of uation . 776 I Ycar i l' 1_,r--fnr,174 1 ,,,..-1-L. Work, Current , 1 of the first (.129% of Based on 1 Costs Comp. '„onthly Salary) ,$37,800) Salary) Current Sched.) antes) 'Ibnthly 1-96.67/mo. Rates 2-$216.17/mo 1-817,70/mo, 3-231.41/mo. 2 -$27.94/mo. 3-$50.18/mo. C. Durkee I 29,718 143,24 2,776,92 77.27 .1 390,851 2,0.26 38.34 230.61i 602.16 11,339.65 i 97,832 7:30.797 2,594.04 72.49 5,057.79 1,951.74 33.97 216.36 335.28 10,994.46 11_111a2lirke 26,6 7,6 1 69.8,11 2,776.92 69.25 4 33 1 77Lj964,52 34.36 206.70 602.26 11 ,083.81 -, P. PRrkor 21,876 1 573.37 2,776.92 56.83 ) 968.3 ,531.32 28,22 169.76 -- 9,104.73 J. Voc,elei 9,437 1 247.34 -- 24,54 1,711.37 660.59 12.17 73.23 2,729.74 P. Thdtc. i 19 271 504.59 2,776.92 50,06 3,492.31 1,347.641 24.84 149.40 -- I 8,345.76 , D. Blutiste_ 7 '.) •-, ,-) 2 594.01 44.SS 5.231.15 1,208.271 22.27 133.93 33F;.23 7,353.04 , S. Zipser 1 17,574 34.71, 2,776.92 45.69 3,187,92 1,230.13 22.67 136.37 602.-16 r 8,086.62 _... S. 1).ivWell54r17,729 33.041 2,394.04 44.80 r 3,123-34 1,2tyl.n3 77.771. 133.70 33 71.28 7514 46. , v, n'In- 1 16,902 81.4/1 1,160.04 13.95 1 3,266.02 1,183.14 21.80 131.16 212.40 5,8..99 0R f C, Lc 40,42 2,770 92 21,30 ! 1,521,041 586.95 -1,0.2,2 Q5 ,0 7 S. Cross 1 12,922 62,28 2,594 04 1 33.60 'L 2,344.031 904.54 16.67 - 100.271 -- 62F.,5.45 N!. Montanto 1 S7 12.041 2,776.92 22.63 1,582.17F 610.51 11.25 67.681 -- 113.28_ Soveral P.T.N.E1 3 916 18.881 -- -- -- 274.12 -- 293,00 L. Covarrubias 1 15,783 43.73 2.776,92 I 41.05 2,863.94 1,105.10 • 20.37 122.51[ 602.16 7,575.84 ii.,. Houston 1.5,390 43.77i 1,100.04 11.03 2,866.12 1,106.00 20.38 122.611 212.40 . 1 5,572,40_ 15,677 -1 43,431 2,3)4,04 46776-1- 2,845.3T 1,097.39 20.22 1:2-1.0T -.;-3572.8 1 7,096.53 Sub-Tota11234 977 3 524.43! 37 505.64 730.73 50,984.461 19,948.39 362.58 2,181.1ff 4,174 -2.-6 [ 119,411.87 - 1 1 . i E J. Rodriguez 18,291 50.671 1,160.04 47.56 L-3-7177.'514 1,280.37 23 60 14].941 212.40 aaa-6,234.57 .1 .... P. 5116e 15 483 42.8c7, 1,160.04 40.26 2,803.981 13j 19.98 120.16 .. 212.40 S 438.66 .....,_ av,;ssire,7., i 15,736 13 39 -- 40.91 2,854.51i 1 101.52 20.30 122.11 -- 4,182.94 ____ ___, 42.73 1,160.04 40.11 2,798,46 179.89 9.90 119.71 9 2.40 i _ 5,473.24 r v 15,1,56 41.93 1 1,160.04 59,41 2 719 30 1 060.92_ 1,9.55 1J7.61. 71' .40 , 401.21_ EfAZI 12,50S 34.81 .9 c,94 04 32.68 . 2,279.34 879.76 16,21 97.5_3 335.28 6 Y70.15 „., . _____ VArWT 1? 568 -,q..", ,....534 ,4 .., :2.2 ? 279 31 879,76 16.21 , 97,0 7 35,28 i 270.15 ., 12,MT 17,368 34.811 2 594.04-7 32,68 7 279,84! .79,76 1...._ , 97--,,) 35.28 6 27-o:ts Sub-Total] 117 7 90 326.2T 12,..122.28 306729 21 363.76 8 245.931 15f.96 914.12 1 '--- 41 4' c91 d-7 , .,,,,D. - ,., . _.. Grand Tetal, 402,776 .3,850.721 49,927.92 ' 1,037.07 72)353.228,194.31 514.54 3,093. 15F- 6 030.00 165,002.94 _ _____ ______ MISCELLANEOUS RESOLUTION # 83009 BY FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON IN RE: ACCEPTANCE OF E.P.S.D.T. (EARLY PERIODIC SCREENING, DIAGNOSIS & TREATMENT) GRANT OCTOBER 1, 1982 - SEPTE=P 30, 1983 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: WHEREAS Miscellaneous Resolution #8145 requires the Finance Committee to review acceptance of all grants that vary less than ten (10) percent from the original grant application; and WHEREAS the Oakland County Board of Commissioners, by Miscellaneous Resolution #82275 authorized the application of the E.P.S.D.T. Grant Program in the amount of $605,236 for the time period October 1, 1982 through September 30, 1983; and WHEREAS the Finance Committee has reviewed said grant as approved by the Michigan Department of Public Health and finds the grant award in the amount of $565,358 or $39,878 (6.6%) less than the original application for the same time period; and WHEREAS said program is 100% funded by the State, and application or acceptance of the grant does not obligate the County to any further commitment. NOW THEREFORE BE IT RESOLVED that the Oakland County Beard of Commissioners accept the E.P.S.D.T. Grant in the amount of $565,368. BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of Commissioners be and is hereby authorized to execute said grant contract. BE IT FURTHER RESOLVED that the Chairperson of this Board is hereby authorized to approve minor changes and grant extensions, not to exceed a ten percent variarc, which are consistent with the grant as approved. BE IT FURTHER RESOLVED that this grant contract has been reviewed and approved as to form by the Office of Corporation Counsel, Mr. Chairperson, on behalf of the Finance Committee, I move the adoption of the foregoing resolution, FINANCE COMMITTEE 1 HER y( APPROVE THE FCREGONG RE-SOLUTION —04-',!------ /c.,...< . i / //(77 .‘,..-, -i"(,-•— Pariiii;i1 t, Murphy, "Cahioy r_x,ocuti.,;/ Data i i ' Application Award Amount No. of Positions No. of Positions No. or: TOTAL COST 605,236 565,359 2.00 .39,8 E.P.S.D.T. (yEARLY PERIODIC SCREENING, DIAGNOSIS I TREAT:1ENT) C.PAANT FINANCIAL ANALYSIS COMPARISON APPLICATION/AWARD OCTOBER 1, 1992 - SEPTEMBER 30, 198 3 Amount Salaries 3 Fringe Benefits Salaries Public Health Program Coordinator Public Hlth Nurse III Public 1-11th Nurse III Public Hith Nurse ,II Auxiliary Kith Worker T .:pist II reacn Office Leader C1 ,.fk II Total Salaries 1.00 27,476 2.00 50,059 1.00 25,493 1) 1.50 33,3 18 2) 6.25 101,169 3) 3.00 43,786 1.00 16,971 6.00 83,224 21.75 381,496 1.00 27,476 2.00 50,059 1.00 25,493 1) 1.50 33,319 2) 6.25 101,169 3) 3.00 43,796 1.00 16,971 --- -- 4.0 0 57,200 2 .00 L_, ,-, 19.75 355,472 4.0'j 26_)21 Fringe Benefits 138,060 4) 127,590 4) Total Salaries & Fringe Benefits Operating Expenses 519,556 483,062 Trai.,-el & Transportation 10,000 10,000 Conference & :leetings 500 500 -Supplies & Materials 9,545 9,545 Phone . 3,300 3,300 Postade 3,300 3,300 Eccuipment Rental 552 552 Equipment Repair 385 385 . Builjing Rent 8,503 8,503 Total Operating Expense 36,085 36,085 Irtitireo7 Cost 49,595 5) 46,211 5) ".LJ 2 Partime Eligible Positions 2) 3 Partime Eligible Positions 3) 4 Full Time Positions, 5 Part Time Positions 4) Actual Fringes S) Inqirect Cost - 1692 & 1953 = 13% #83246 August 18, 1983 this 18th day of August 198 LYNN D/ ALLEN, County Clerk/Register of De, Moved by Gosling supported by Fortino the report be accepted and the resolution be adopted, AYES: McConnell, McDonald, McPherson, Moffitt, Moore, Nelson, Olsen, Page, Perinoff, Pernick, Price, Wilcox, Aaron, Caddell, Calandro, Doyon, Foley, Fortino, Gosling, Hobart, Jackson, R. Kuhn, S. Kuhn. (23) NAYS: None. (0) A sufficient majority having voted therefor, the report was accepted and the resolution was adopted. STATE OF MICH!CAN) COUNTY OF OAKLAND) 1, Lynn D. Allen, Clerk oi the County of Oakland and having a seal, do hereby certify that have compared the annexed copy of Miscellaneous Resolution g 83246 adopted by the Oakland County Board of Commissioners at their meeting held on ;a1jc ,st. 18, 183 with the oriQinal record thereof now remaining in my office, and that it is a .true and correct transcript therefrom, and of the whol , In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac, Michigan