HomeMy WebLinkAboutResolutions - 1965.11.09 - 19645November 9, 1965 Miscellaneous Resolution
BY: Mr. Mercer
IN RE: TRANSMITTAL OF BOARD OF INSTITUTIONS' REPORT
TO THE OAKLAND COUNTY BOARD OF SUPERVISORS
Mr. Chairman, Ladies and Gentlemen:
Pursuant to Miscellaneous Resolution No. 4449, adopted by this Board of
Supervisors on June 28, 1965, amending its By-Laws, there was established a "County
Institutions Committee" among whose functions it is, upon request, to confer and advise
with the Board of Institutions and the officers in charge of the Oakland County Sanatorium
and to provide liaison between the Board of County Institutions and the Board of Supervisors.
Your Committee has conferred iointly with the Board of Institutions at several
meetings and herewith wishes to transmit the following report of the Oakland County
Board of Institutions, copies of which were furnished to this Board this morning:
"This is a progress report on the conversion of the Medical Care Facility to
a certified hospital, now the Oakland County Sanatorium, complying with the
Board of Supervisors' Resolution dated April 13, 1965. In order not to burden
you with much of the information which led to the final action, your attention
is invited to the following background materials:
1. United Community Services of Metropolitan Detroit, "Study on
Medical Care in Oakland County", dated November 1963.
2. The Study of the Juvenile Division Facilities and Programs in
Oakland County, Michigan, by Louis L. Friedland, Ph, D.,
Governmental Consultant, Wayne State University, dated
July 8, 1960.
3. Space Needs Analysis, The Governmental Agencies of Oakland
County, Michigan (1963-1970), by Dr. Louis L. Friedland
4. Report of the Special Committee of the Ways and Means
Committee, submitted by Robert Allen, Robert Lilly and
George Williams, dated September 30, 1963.
5. Report on Renovation of Tuberculosis Sanatorium, dated
October 2, 1964.
"Although these reports cover fairly well the idea of merging inpatient
medical facilities in the County, they are by no means all that is available on
this There are many other reports in the files of the County, dated as far back
as September 1945.
'In March 1965, the Board of Supervisors adopted a resolution establishing
a Board of Institutions under P.A. 181 of 1962. Oakland was the first county to
take action under that Act so this Board had no guide lines and found itself in the
position of a 'trail blazer'. By this action it was contemplated that the Board of
Institutions would operate both a tuberculosis sanatorium and a medical care
facility. Because of the laws concerning medical care facilities, the financial
hazards inherent in any attempt to combine these operations under a Board of
Institutions was reported several times, but finally to the Board of Supervisors
Ways and Means Committee under date of April 8, 1965. In capsule form this
indicated a potential loss to the County of approximately $175,000 per year.
As many of you will recall, this was weighed against the possibility of having our
tuberculosis patients treated outside the county.
"On April 13, 1965, in spite of the foreseeable foss of as much as $175,000
per year of Oakland County taxpayers' money, unfavorable publicity, in some
instances inspired by emotionalism, influenced the Board of Supervisors against
transferring the inpatient tuberculosis program outside the county. The Board
elected to convert the Medical Care Facility and to apply for certification as a
hospital to treat both non-tuberculosis and tuberculosis patients in the same building.
Following this mandate, your Board of institutions proceeded to carry out the dictate
of the Board of Supervisors. The Board of Institutions instructed the staff of the
newly-created institution to combine the staff of the Tuberculosis Sanatorium and
the former Medical Care Facility, and to negotiate with the appropriate state
agencies to have the institution certified as a hospital. At about this time the
State cut off certain funds previously paid to the Facility, amounting to approxi-
mately $2,000 per day. For a time it appeared that we were in danger of never
regaining even a part of these funds. However, through the diligent efforts of
Mr. MacDonald, Mr. O'Donoghue and Mr. Williams, the State resumed some
payments. If certification as a hospital had been denied, none of these funds
would have become available. As a result of their efforts, combined with efforts
of others of the staff, the institution was certified as a hospital on May 20, 1965,
effective May 1, 1965. This provided maximum benefits available to the County
under applicable laws.
"Merging the staffs of two such dissimilar institutions as the Medical Care
Facility and the Tuberculosis Sanatorium in, and of, itself, was an extremely
difficult task. It was aggravated by the fact that the combined staffs represented
a total of employees far beyond the number necessary to operate the remaining
institution. Every attempt was made by the staff, the Board of Auditors, and
others to place the excess employees in other County jobs. In fact, it may be
said that the merging of the staffs was a much larger job than anyone had thought
it would be. The employees and their respective managers are entitled to a lot
of credit for handling it so well. Displaced employees who want to return to
county employment are still being brought onto the county rolls; as a result, as
of today, all but about eight have been rehired.
"During the discussion which preceded the merger, few not directly
concerned with the problem seemed to be concerned with the fact that 90 aged,
physically incapacitated individuals had to be moved out of what they had come
E. V. Mercer', Chairman
SidneY Frid -Edw
Robert A. Frye Lee Walker
to consider their home to any institution which would accept them. Relocating
these people was a heart-rending task for all who had to carry it out. It was
done promptly, cis humanely as possible under the circumstances.
"On May 10, 1965, 42 tuberculosis patients were transferred from the
Tuberculosis Sanatorium to the Sanatorium, and this phase of the operation was
complete.
"Renovation of the structure was not complete, however, and is, in fact,
still going on. The work is approximately 85 per cent complete, with the sprinkler
system, kitchen renovation, and some bathrooms still to be completed. The patient
load, as of this date, consists of 82 non-tuberculosis and 63 tuberculosis patients.
"In view of the relatively short time which has elapsed (six months) from
the date of the charge to the Board of Institutions, it is our feeling that a task,
seemingly insurmountable at times, has been creditably accomplished. It is hoped
that the Board of Supervisors will recognize and acknowledge the work of the staff
people and employees who have worked so conscientiously and untiringly to bring
this most difficult task off so successfully "
MR. CHAIRMAN, on behalf of the County Institutions Committee, I move that
the foregoing report be received and placed on file.
COUNTY INSTITUTIONS COMMITTEE
APPROPRIATION REPORT
Month of September, 1965
Name of Department Oakland County Sanatorium
Appropriation Balance May 1, 1965 $ 796,600.00
Add i Reimbursement for Building Maintenance 13,906.18
Salary Reserve Transfers ( Sick Leave Transfer ) 154.11
Miscellaneous Additions Appropriation
( Insurance Reimburement ) 3,853.00
$ 814,513.29
"Deduct ; Expenditures 1216.1035 °31
Appropriation Balance September 30, 1965
$ 462,835.31
$ 351,677.98
' Receipts
Current Month $ 36,315_02
Total to Date , 1 335,098.41
Balance to be collected $ 200,701.59
334,875.00
335,098.41
Oakland County Sanatorium
Appropriation Report
For Five Months Ended September 30, 1965
Appropriation for Ei ght Months 1965
May 1, 196$ through December 31, 1965
Appropriation for Five Months
Add Building Maintenance Reimbursement
Sick Leave Transfer
Insurance Reimbursement
Adjusted appropriation for Five Months
Less : Expenditures for Five months
.7.1(1.022
497,875.00
13 0 906.18
154.11
3,853000.
515,788.29
462,835.31
Under Budget e Operating 52,952.98
Estimated Receipts for Eight Months 1965
May 1, 1965 Through December 31, 1965
Estimated Receipts for Five Months
Actual Receipts for Five Months
Actual Receipts over estimatgid
Summary i-
Under Operating
Over Receipts
$ 535,800.00
223.41
$52,952.98
223.41
$53 1 176.39
2082 4196
23.50 20.11
• OAKLAND COUNTY SANATORIUM
2200 North Telegraph Rd
Pontiac, Michigan
e •
•
STATEn1NT OF EXPENSES:
COST PER DAY:
Hospital
Section
1,774.03
24, 886.66
661.21
8,467.04
7,692.71
2,770.77
5,696.45
184.38
1,346.19
2,889.13
868.09
57,236.66
480.6
56 ,755.97
2114
26.84
• September
TB
Section
2,538.33
15,289.52
827.98
-9,103.72
5,024.78
2,457.76
3,652.04
157.07
861.08
Five months Year to Date
Hospital TB
Section .
14,341.07
65,896.56
2,828.53
32,159.32
19,762.60
9,563.69
14,624,58
793.97
3,242,30
• 5,044.24
697.•
171,954.31
• 1,788.72
170,165.59
• Administration
Care of Fatients
Laboratory and Xray
Culinary
omestio
Engineering-Grounds
General
Insurance
Rehabilitation OT
• Accrued Salaries
• Depreciation
Totals
Less Refund Expenses
Total Expenses
" Patient Days
Cost Per Day
Section
19,833.11
145,403.77
3,7 63.77
49 1 219.01
45,593.52
5,228.53 12,280.19
9,348.49 30,715.33
341.45 932.03
2,207.27 . 7,086.25
1,696.79 4,585.92 8,588.84
39.49 1,607.58 ___It342.45
42,348.56 99,585.22 327,756.27
.4-80,6 z____9_-_t3_5 1 -2.
41,867.87 98,623.84 325,014.45
11,483
28.30
Total
34,174.18
211,300.33
6,592.30
81,378 .33
65,356.12
21,843,88
45,339.91
1,726.00
10,328.55
13,633.08
3.697,45 8.037,90
.71,954.31 499,710.58
4,530.54
495,180.04
18,855
26.26
Total
4,312.36
40,176.18
1,489.19
17,570.76
12,717.49
7172
23.08
22.47 *
Allowing a pro-ration of 4500 to Health Dept