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HomeMy WebLinkAboutIR 7035 INFORMAL REPORT , CITY COUNCIL MEMBERS No. 7035 N,,F T(RfC 0M" roc FORT�A To the Mayor and Members of the City Council July 9, 1985 Z5 s �TEXP`,* Subject: PUBLIC HEALTH FUNDING LEVELS 1!7 1 Background Since 1980, Fort Worth has grown by more than 50,000 citizens. To provide an adequate level of public health services to this growing population, local , state, and federal funds are combined to support the various programs operated by the Health Department. Information about current FY 84-85 and proposed FY 85-86 funding levels is provided below. A more general overview of the department's activities and funding history over the past five years will be presented at the July 9, 1985, Pre-Council Meeting by Dr. Brooks Taylor and his staff. Current Funding The General Fund FY 84-85 operating budget of $4,010,740 provides for 126 authorized personnel positions, an increase of four positions over the previ- ous year. The implementation of an Employee Health Clinic accounts for three of the positions, and the fourth is a dental assistant position that had been funded for several years by a local foundation. Six additional General Fund positions are supported by funds budgeted in the Non-Departmental Account which includes $184,911 for Health Department activities. Proposed Funding To continue the current level of service as the City's population grows, the FY 85-86 budget was formulated to accomplish three goals: 1) To maintain on-going services of four programs previously funded by grants; 2) To maintain level of environmental services as population grows; and, 3) To effect inter-departmental transfer of two programs - water septage and building services. The budget required to accomplish these goals in FY 85-86 is $4,951,667 which would represent approximately 2.5% of the General Fund Budget. Revenue anticipated from user fees will cover 38% of the operating budget. General Fund supported positions would increase by 27; of this total , 20 pre- viously were funded by grants; inter-departmental transfers account for three; and four positions are in revenue-supported activities. Thus, the Department is not proposing to begin any new services with General Fund dollars. Personnel in the 27 positions would be involved in delivering the services described below: OFFICIAL RECORD CITY SECRETARY FT, WORT09 TDA. ISSUED BY THE CITY MANAGER FORT WORTH, TEXAS INFORMAL REPORT CITY COUNCIL MEMBERS No. 7035 - p.2 ;oESORT�o To the Mayor and Members of the City Council July 9, 1985 _� AI Subject: PUBLIC HEALTH FUNDING LEVELS /E 71 GRANTS Adult Health Assessment - $81,923 Early detection of disease, maintenance of good health status, and timely health education are critical elements in the health of the elderly. The Adult Health Assessment Program run by nurse practitioners offers physical examination, screening tests, and patient education to adults of the City and Tarrant County. Tests for visual acuity, cancer of cervix (Pap smears), breast tumors, cancer of colon, anemia, high blood pressure, hearing loss, glaucoma, diabetes are 'routinely performed. Approximately 50% of all persons examined are referred to private physicians or public hospitals for further investigation. The Adult Health Assessment nurses collaborate with community groups and churches in locating clinic sites throughout the metropolitan area; approxi- mately sixty different sites will be served during a year. More than 6,000 persons are examined and counseled annually. The program has been in opera- tion for seven years. ` The 50% funding previously provided for this activity by the Area Agency on Aging is in jeopardy for the coming year. To continue the current level of services will require additional City funding for two public health nurses , one public health aide, and supplies in the annual amount of $81,923. Although there is no charge for this service, patients are asked to donate to offset costs, and approximately $6,000 will be defrayed through donations. Tarrant County will provide 21.43% or $33,780 to cover services to County residents. Total City funds required for this program is FY 85-86 is $124,066. CDBG Nursing Programs - $254,066 For the past two years, staffing of the Riverside and Northside Multi-Purpose Center Clinics has been funded by the Community Development Block Grant. Preventative health care service is provided to pregnant women, infants and children at low-income levels in the far Northside Community of Fort Worth and to low-income, high risk citizens in the Riverside Community. Services include physical assessment; screening tests such as blood pressure, iron deficiency, urinalysis, diabetes, vision and hearing; pregnancy testing; nutrition education; health care counseling; supplemental food (Women, In- fant, Children Program) for high risk clients; developmental screening; immunization; and referral and follow-up. Approximately 8,000 clients are served annually. Funding from the Community Development Block Grant will end this fiscal year. OFFICIAL RECORD SECRETARY WORTN, TDI,. ISSUED BY THE CITY MANAGER FORT WORTH, TEXAS /00^ INFORMAL REPORT 'I CITY COUNCIL MEMBERS No. 7035 - p.3 '0,,P T(q,,, �Clif Rp 0 To the Mayor and Members of the City Council July 9, 1985 Z'`..` S rfy 1y Subject: PUBLIC HEALTH FUNDING LEVELS 1873 General Fund support for seven public health nurses, one licensed vocational nurse and three clerks to staff the clinics is being requested. Program activities which will generate $4,000 in revenue will provide citizens in these two neighborhoods with equal access to health care services. Current- ly, five other clinics are supported by the General Fund. Neighborhood Resource Develoment Program - $126,564 For the last three years, reduced-cost and no-cost general dental services have been available to indigent adults in Tarrant County only through the Fort Worth Department of Public Health. In this population there is a high prevalence of carious and periodontal disease, a low utilization of dentist services, and a large unmet demand for attention. Program services include: Oral hygiene education: Patients and community groups (schools, senior groups, churches, social organizations) are educated regarding brushing, flossing, proper diet and oral hygiene by a dental hygienist. The greatest effort is made in the early years of public school where education interven- tion has been shown to improve hygience habits and oral conditions. More ( than 6,000 persons receive instruction each year. Restorative dentistry: After oral hygiene instruction, adult patients receive clinical services according to an individual treatment plan. These include prophylaxis, fillings, minor oral surgery, root canals, and crowns. Patients are recalled for periodic visits. Each is asked to contribute $4.00 for each clinic visit, even though all are screened previously for financial eligibility. Approximately 1,400 individuals are served annually. Low cost dentures: Persons needing single or full dentures, meeting finan- cial criteria, may receive that service at the cost to the agency. Designed to be self-sustaining, this program provides full dentures for $250, primari- ly to senior adults. About 200 persons will be served each year. Staffing for these dental program elements consists of a dental hygienist, a receptionist, a chairside assistant, dentist/consultants, drugs, laboratory fees, and associated costs. Total estimated costs are $126,564, with about $50,000 returned in clinic fees and denture charges. Field Nursing Personnel - $67,303 Provisions of services to citizens at high health risk who cannot pay for medical services and cannot come to a clinic due to illness is accomplished by field visits. Clients include pregnant women at risk of losing their babies and premature infants that should not come in contact with others in a clinic setting. At this time, no other agency provides field visits to high OFFICIAL RECORD C1�`l SECREj AOy ISSUED BY THE CITY MANAGER ��� E S INFORMAL REPORT 'iv CITY COUNCIL MEMBERS No. 7035 - p.4 �,,PT(AFO Jul 9, 1985 Apo, �offORT,�o To the Mayor and Members of the City Council y r N V � S �rExSubject• PUBLIC HEALTH FUNDING LEVELS ei3 • risk patients in need of care in the home who do not qualify for medicaid or medicare and are seriously ill . Staffing required for this program which operates out of the Neighborhood Health Horizons Clinic and was previously supported by federal and state funds, consists of two Public Health Nurses and a Social Service Specialist. A total of 2,000 clients is served by this program annually. NEW POSITIONS Environmental Health Services Four positions will be covered by revenue generated from program activity. INTER-DEPARTMENTAL TRANSFERS Water Septage Program - $55,947 In conjunction with the Water Department, a surveillance system to monitor disposal of septage, grease and grit trap waste is proposed. The system re- quires a manifest that will follow the waste from its origin to ultimate disposal . This program will help eliminate illegal disposal of these wastes; protect our water shed; prevent grease-clogged sewer lines and reduce odor problems at the sewage treatment plant caused by grease build up on the equipment. Revenue generated from user fees is estimated at $7,000. The remainder of the program cost, $48,947, will be funded by the Water Department through an interdepartmental transfer of funds. Building Maintenance Service - $68,729 Currently custodial/maintenance services are provided by the Department of Transportation and Public Works employees. A transfer of custodial services provided by City staff at a cost of $73,532 to a contract with a private ven- dor at an estimated cost of $50,000 is proposed. Also, the transfer of a Maintenance Mechanic position to the Public Health budget is proposed. Funds to cover these activities will come from an inter-departmental of transfer of funds from the Transportation and Public Works Department. WECORD ISSUED BY THE CITY MANAGER FORT WORTH, TEXAS '0� INFORMAL REPORT 1 v CITY COUNCIL MEMBERS No. 7035 - p.5 0,,ATIA,0 July 9, 1985 oopl EiEfoj?�{rte\�jA To the Mayor and Members of the City Council �TExayi Subject: PUBLIC HEALTH FUNDING LEVELS leis The Health Department staff welcomes the opportunity to provide the City Council with information about past, current and proposed programs and will be prepared to answer any specific questions you may have at the Pre-Council Meeting. Should you desire any additional information before the meeting please let me know. C ��City Douglas Harman Manager DH:kcnnn OF�tC1Al RECORD Cf�Y SECRETARY �, WDRYH, TEX. ISSUED BY THE CITY MANAGER -- - FORT WORTH, TEXAS