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HomeMy WebLinkAboutResolutions - 1964.01.17 - 20360Miscellaneous Resolution 4269 January 17, 1964 BY: Mr. Levinson IN RE: PROGRESS REPORT ON THE RENOVATION OF THE TUBERCULOSIS SANATORIUM AND MEDICAL CARE FACILITY TO THE OAKLAND COUNTY BOARD OF SUPERVISORS Mr. Chairman, Ladies and Gentlemen: For some time your Ways and Means and Buildings and Grounds Committees have been concerned with developments in the major institutional programs of the County, many of which from time to time have been brought before this Board. These are as follows: 1. A gradual reduction in case loads at the Tuberculosis Sanatorium leading to increased per-patient-day costs and loss of full utilization of facilities at this institution. Likewise, needs for major renovations in order to bring this institution up to state regulations. 2. A similar need for renovations at the Medical Care Facility coupled with growing needs for additional facilities for this and similar types of care. This problem has become acute since the State Fire Marshall's report of this last year. 3. Acute immediate and long range needs in the area of housing for wards of the Probate Court. 4. Potential opportunities for savings and efficiencies which might be afforded through a more coordinated overall institutional program and a fuller utilization of the various County institutions, especially the Tuberculosis Sanatorium and the Medical Care Facility. To this end your Ways and Means Committee appointed a Special Committee to Study Renovation of the Tuberculosis Sanatorium and Medical Care Facility, which Committee was ratified by this Board at its meeting on November 6, 1963 (Misc. 4236) and funds were provided for architectural studies needed. In order to keep the Board advised of the progress of the Special Committee, we are herewith presenting their report which was approved at the joint meeting of the Buildings and Grounds and Ways and Means Committees on January 15, 1964. Copies of this report have been distributed to all members present here today. r John L. Carey Thomas H. O'Donoghue MR. CHAIRMAN, on behalf of the Ways and Means Committee, and with the concurrence of the Buildings and Grounds Committee, I move that the report as presented be received and placed on file. WAYS AND MEANS comm 1 TTEE -' 7, --, D'avid6(eV-in 7 ?n,-21man -cs it .11 Fronk J. Voll, Sr , Frank F. W'66er PROGRESS REPORT OF THE COMMITTEE ON THE RENOVATION OF THE ILKRCL_)SIS SANATORWM AND MEDICAL CARE FACILITY January 15, 1964 Your Special Study Committee on the Renovation of the Tuberculosis Sanatorium and Medical Care Facility' met on Tuesday, ,:anuary 7th with the Board of Trustees, the Social Welfare Board and representatAves of the Probate-Juvenile Department. The purpose of the meeting was to formate in conjunction with the corporate bodies affected, the most feasibe approach upon which to predicate further studies for the utilization of the two institutions; bearing in mind both immediate and long range needs. The recommendation of your committee is that we proceed immediately with architectua, cost and feasibility studies with the following approaches in mind. 1. The conversion of the Sanatorium Nuring Home to house between forty (40) to sixty (60) ambuatory patients. 2. The renovation of the Sanatorium main unit to accomodate approximately fifty (50) tubercular patients on one floor and one hundred (100) chronic non-tubercular patients of the type now cared for under the Social Welfare program on two floors. According to the Health Department, adequate medical separation can be achieved between tubercular and non-tubercular patients. 3. The operation of the Sanatorium to continue under the Board of Trustees with chronic patients being cared for under contract with the Social Welfare Board, 4. The continuance of the Youth Home (ocated on the Sanatorium grounds until the completion of the first units of the .Chi;dren's Village and the use at that time of the Youth Home staff for the staffing of the new Children's Village units. 5. The retention of aoproximate:y ninety (90) Medical Care patients in the hospital wing of Medical Care and the phasing out of patients now housed (2) 5. (Continued) in the old section through non-admission of new patients. 6. The relocation of Administrative Offices of the Social Welfare Board and State Bureau of Social Aid to the vacated older section of Medical Care. 7. The use of the quarters vacated by the Welfare Administrative offices for other county uses, including the housing of agencies presently located at No. I Lafayette Street. In coming to its recommendation, the Committee has attempted to take into consideration the following factors. I. That the approaches above are for study purposes and final recommenda- tions must be dependent on full architectual, feasibility and cost studies. 2. The interm and the long range recommendations of the USC report concerning these two institutions. 3. That any approach should encompass the fullest use of the affected institutions to relieve as many immediate space needs of County Depart- ments as possible in a manner most consistent with the various long range recommendations concerning the future kousing of County Departments. 4. That the approval of the Federal Grant for the construction of the first units of the Children's Village solve in part the short range needs for the housing of wards of the Probate Court and provide a basis upon which to meet their long range reeds. 5. The need for immediate solutions in view of the State Fire Marshall's report on inadequacies at Medical Care and the Tuberculosis Sanatorium, 6. The possibility of increased rather than decreased Medical Care patient loads due to new State Fire regulations on Private Nursing homes. (3) 7. The various financial factors involved, many of which can not be here detailed pending further detailed studies. These include potential savings through the fuller use of the Sanatorium facilities, possible . loss of State revenues under the various alternatives presented, potential increases or decreases in operating budgets of affected depart- ments and cash outlays necessary for building renovations. The recommendations herein presented have had the general concurrence of the Board of Trustees, the Director of Probate-Juvenile Department, Deputy Director of the Health Department and the Social Welfare Board. However, the Social Welfare Board have likewise indicated some disagreement in the housing of non-tubercular patients dispite medical clearance of the same. No official clearance has been had with the various Board Committees though most of the Committees have been appraised of the Study Committee actions to date by the respective staff representatives on the Special Committee. Luther Heacock, Chairman Harry W. Horton Daniel T. Murphy Robert E. Lilly Robert P. Allen Bernard D. Berman, M.D. George H. Williams James W. Hunt Anthony G. Wodek