HomeMy WebLinkAboutResolutions - 1991.04.25 - 18370REPORT (Misc. 91058) April 11, 1991
BY: Personnel Committee, Marilynn E. Gosling, Chairperson
IN RE; DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/ MEDICAL
CARE FACILITY-CREATION OF A PTNE CONTINGENT STAFF NURSE
CLASSIFICATION AND SIX (6) CONTINGENT STAFF NURSE POSITIONS
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen :
The Personnel Committee, having reviewed the above-referenced
resolution, reports with the recommendation that the resolution be adopted.
Mr. Chairperson, on behalf of the Personnel Committee, I move
acceptance of the foregoing report.
PE NNEL COMMITTEE
MISCELLANEOUS RESOLUTION # 91058 April 11, 1991
BY: General Government Committee - Richard G. Skarritt, Chairperson
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/MEDICAL
CARE FACILITY-CREATION OF A PTNE CONTINGENT STAFF NURSE
CLASSIFICATION AND SIX (6) CONTINGENT STAFF NURSE POSITIONS
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS the Medical Care Facility has increasingly relied on
temporary agencies for licensed nursing personnel to provide relief for
extended and short-term staff absences, unfilled vacancies and to cover
additional nursing responsibilities required by the federal government; and
WHEREAS the Medical Care Facility wishes to establish and operate a
nursing pool of part-time non-eligible County nurses paid at a higher salary
rate than the full-time eligible General Staff Nurse classification but lower
than the rate charged by temporary nursing agencies; and
WHEREAS area hospitals have implemented this type of part-time
nursing pool to meet staffing needs; and
WHEREAS this proposal is more cost effective and will reduce the
amount of County appropriation necessary to operate the Medical Care Facility.
NOW THEREFORE BE IT RESOLVED that The Oakland County Board of
Commissioners authorize the following:
1. Create a part-time, non-eligible classification of Contingent
Staff Nurse at a flat hourly rate of $20.00.
2. Create six (6) non-eligible Contingent Staff Nurse positions at
2088 hours each in the Nursing Unit (163-35) of the Medical Care
Facility with each part-time, non-eligible employee limited to
no more than 1,000 hours per year.
BE IT FURTHER RESOLVED that the Personnel Department be authorized to
approve temporarily filling up to three Contingent Staff Nurse positions with
full-time eligible General Staff Nurses or Licensed Practical Nurses when
additional nurses are available on the Merit System eligible lists and provided
expenditures for salary and benefits will not exceed those of a Contingent
Staff Nurse.
BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners
authorize the upward reclassification of two (2) Licensed Practical Nurse
positions (#00759 & #03312) in the Nursing Unit (163-35) of the Medical Care
Facility to General Staff Nurse.
Mr. Chairperson, on behalf of the General Government Committee, I move
the adoption of the foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
Cost of Proposal
Reclassification of two (2) Licensed Practical Nurse positions to General
Staff Nurse.
Balance of Year Cost
5/4/91-12/31/91 Annual Cost
Licensed Practical Nurse
Salary @ 1 year $(13,056) $(20,045)
General Staff Nurse
Salary @ 1 year 19,334 29,684
Additional Salary Cost $ 6,278 $ 9,639
Fringes @ 29.8% 1,871 2,872
Total Reclassification one position
Total Reclassification two positions
$ 8,149
$ 16,298
$ 12,511
$ 25,022
Creation of six (6) non-eligible Contingent Staff Nurse positions.
Contingent Staff Nurse (PTNE)
Salary ($20/hr x 2088)
Fringes @ 9.6%
$ 27,200 $ 41,760
2,611 4,009
Total one position
Total six positions
Total Cost of Proposal
$ 29,811 $ 45,769
$178,866 $274,614
$195,164 $299,636
OAKLAND COUNTY
MEDICAL CARE FACILITY NURSING POOL
ESTIMATED IMPACT ON PATIENT REVENUE
Current General Cost Per Day $120.00
Estimated Revenue Received
Per Day
(Public Insurance)
Annual Cost ($120 x 43,000 days)
Annual Revenue ($90 x 43,000 days)
County Appropriation
(General Daily Cost)
Estimated Per Day Cost
Proposed Nursing Pool
(Six New Positions)
Estimated Revenue Received
Per Day
Annual Cost ($115.30 x 43,000 days)
Annual Revenue ($90 x 43,000 days)
County Appropriation
90.00
$5,160,000
$3,870,000
$1,290,000
$115.30
90.00
$4,957,900
$3,870,000
$1,087,900
Reduction in County Appropriation $ 202,100
Please note that the above are illustrative estimates reflecting
the assumption that the level of County appropriation should be
reduced in the long-run due to more cost-effective facility
operations. The affect on 1991 budget will depend upon actual cost
and revenue performance.
Prepared by:
Budget Division/TS
March 14, 1991
April 25, 1991
FISCAL NOTE (Misc. 91058)
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/MEDICAL
CARE FACILITY - CREATION OF PTNE CONTINGENT STAFF NURSE
CLASSIFICATION AND SIX (6) CONTINGENT STAFF POSITIONS -
MISCELLANEOUS RESOLUTION #91058
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI-G of this Board, the Finance Committee has
reviewed Miscellaneous Resolution #91058 and finds:
1) The Medical Care Facility has experienced shortages in
skilled nursing care, particularly on weekends and holidays,
which has resulted in an increased use of contracted nurses
who charge an average of $38/hour;
2) The resolution creates six (6) PTNE Contingent Staff Nurse
positions in the Medical Care Facility, funded for 2088 hours
each, to cover the shortfall particularly on weekends and
holidays instead of the contracted nurses;
3) Because the Contingent Staff Nurses will be paid $20/hour,
this change will have an immediate impact on reducing the
anticipated skilled nursing care cost and, in the long run,
reduce the amount of County contribution to the Facility as
shown on attached Schedule A;
4) The annual cost of these positions equals $299,636, the
cost for the remainder of 1991 (May 4 - December 31) equals
$195,164, as detailed in Schedule B;
5) Due to a change in medicaid policy allowing for unlimited
days of coverage, additional revenue is anticipated in the
Medical Care Facility's patient revenue accounts to cover the
1991 cost of this increase, the following amendment to the
1991 Medical Care Facility budget is recommended:
Revenue
3-52100-163-02-00-2091 Daily Patient Services $195,164
Expenses
4-52100-163-35-00-1001 Salaries $175,756
4-52100-163-35-00-2070 Fringe Benefits 19,408
Total Expenses $195,164
$ -0-
6) The above amendment is recommended to control cost,
independent of any potential cost reimbursement. Current state
proposals dictate a 30% reduction in medicaid reimbursement
(an annual 9.2% reduction collapsed over three months).
Should this reduction be maintained into the next state fiscal
year there may be a revenue reduction which could require a
supplemental County appropriation.
FINANCE COMMITTEE
i:\tim\mcf\connurse.fn
Resolution # April 25, 1991
Moved by Skarritt supported by Millard the resolution be adopted.
AYES: McConnell, McCulloch, McPherson, Millard, Moffitt, Olsen, Palmer,
Pappageorge, Pernick, Rewold, Schmid, Serra, Skarritt, Wolf, Aaron, Bishop,
Caddell, Crake, Gosling, Huntoon, Jensen, Johnson, Krause, Law. (24)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the foregoing
resolution is a true and accurate copy of a resolution adopted by the Oakland County
,Board of Commissioners on April 25, 1991
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County
of Oakland at Pontiac, Michigan this 25th day of koril _ A991
N • •
Lykn.„;0. Alien, County Clerk