Agenda Package 6-17-13 Reg. Meeting

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09 not have the money to pay for the services. Ms. Conaty realizes the County has been in an economy slump and in no position to continue to put money in the program. She has no problem with going after the mental health funds that are there for the higher level children, and no qualms about jumping through the Medicaid and Health Insurance hoops so she can bill. Our only part of the "partnership" would be use of the Youth Services building. She would be responsible for the programs and costs; the County would provide the place to provide the service. Ms. Conaty would also be willing to provide "parenting classes" as there is a great need for this service. The LIDO was changed to Office & Institution in 1990 so there should not be a problem for her to increase the number eds it would be licensed for as a Level 2 — currently it is a Level 1 with 9 beds. It could probably increased to a 12 bed facility. This would meet with the Evergreen Study recommendation — a p rivate partnership. Ms. Potts stated this is a great opportunity for us to continue the service wit a nvestment being the use of the building., Ms. Potts discussed the In -Home Aid Program that currentl has four (4) full -tim ployees. The budget has recommended one position be cut and one worke plans to retire at t time. She would like to replace the In -Home Aid position if the Commissio s could find extra money. The Board discussed the Health Department budges is Primary Care Program was discussed in great detail and the possibility of eliminating the ram since it is not a mandated program. Commissioner Womack stated he felt the County wa licating services since Urgent Care's, the Helping Hand Clinic, and the Emergency Room at the hos ' available to assist citizens that currently use the Primary Care Clinic. Commissioner Dalrymple ated she thought the Board should talk with the medical community before ng the Primary Care Clinic. Commissioner Womack suggested an increase to the fee schedule wh be revenue neutral — then he would be more in favor of keeping the program. Currently a flat ate — not on a sliding fee schedule. Health Director Terrell Jones stated he need an Administrative Assistant position to handle grants and a one -half staff person to help man tl front desk on the first floor. He also stated the tpe:rvisor. Evergreen Report recommend a , Nurse Director ion to replace the Nursing Supervisor and the hiring of an additional nurs e the Nursing Commissioner Lmeetingpt left 2:08 p.m. Mr. Jones asked that nvironmental Health position be left in the budget since they are just barely keeping up with inspecti is time. Commissioners asked Mr. Jones to check into more automation f epartment. C y Manager John Crumpton stated that if Mr. Jones can find ways 0 to justify nvironment Health position the Board will consider keeping it in the budget. No Chang were reco ,nded for the Health Department budget at this time. session adjourned at 3 p.m. ATTEST: Gaynell M. Lee, Clerk to the Board Charles T. Parks, Chairman Lee County Board of Commissioners 3