Title
Health and Human Services Agency (HHSA) recommending the Board adopt and authorize the Chair to sign Resolution 003-2024, authorizing the addition of a 1.0 Full Time Equivalent Public Health Nursing Manager Personnel Allocation in HHSA.
FUNDING: 100% State Future of Public Health.
Body
DISCUSSION / BACKGROUND:
Effective July 1, 2022, HHSA Public Health Division (PHD) was allocated $1,015,644 in the form of annual, permanent funding from the Governor's Budget under the Future of Public Health (FoPH) program, to expend on public health workforce and infrastructure in order to meet expectations the State has set for future public health response (File ID: 22-1361). These funds are intended to lay the foundation for the future of public health to increase capacity to respond to major public health events. Seventy percent of these funds must be used to create a sustainable staffing structure which has the capacity to meet new mandates set by the State and Federal Government.
The funding from the FoPH program has been utilized by HHSA PHD to support several full-time equivalent (FTE) roles, encompassing positions such as the Director of Public Health, Administrative Analyst I/II, Disease Investigation & Control Specialist I/II, and Program Manager, among others. HHSA PHD envisions allocating future funds to sustain essential positions and also to cover expenditures related to equipment, supplies, and administrative needs.
HHSA PHD has undergone substantial growth and changes, encompassing initiatives such as the new California Home Visiting Program (CHVP), the implementation of California Advancing and Innovating Medi-Cal (CalAIM), transitions in the Child Health and Disability Prevention Program (CHDP), County Health Executives Association of California (CHEAC) activities, Child Health Intervention and Parenting Supports, multiple intervention activities in the Community Health Improvement Plan (CHIP), Reaccreditation, and the planning and operations of the public health mobile service van.
Although the foundational aspects of HHSA PHD program management remain consistent, there has been a substantial increase in duties, staff, and responsibilities of staff resulting from the noted changes. Alongside the introduction of new programs, the customary responsibilities of a Public Health Nursing Manager encompass CHDP administration, serving as the liaison with the California Department of Public Health (CDPH), and overseeing the California Children’s Services (CCS), Medical Therapy Program (MTP), and Maternal, Child, and Adolescent Health (MCAH) programs, Communicable Disease, Immunizations, and implementing Public Health grant workplans.
HHSA is requesting a dedicated, permanent, 1.0 FTE Public Health Nursing Manager to support the increased workload resulting from the implementation and expansion of new programs within the PHD. Additionally, working directly with the Human Resources Department, HHSA has developed the attached County Counsel approved Personnel Allocation Resolution.
ALTERNATIVES:
The Board could decline to adopt and authorize the Chair to sign the attached Personnel Allocation Resolution, thereby not adding a position to assist with Public Health Nursing and the HHSA PHD may face challenges in meeting mandated expectations for vital public health and emergency preparedness activities set by the State of California.
PRIOR BOARD ACTION:
1) 06/13/23, 23-1120, CAO - Budget Hearing
2) 06/20/23, 23-1154, CAO - FY 2023-24 Personnel Allocation, Reso 088-2023
3) 09/19/23, 23-1725, CAO - Adopted Budget Direction
4) 09/26/23, 23-1771, CAO - Budget Resolution
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Human Resources, County Counsel, & El Dorado County Employees' Association, El Dorado County Manager’s Association, AFSCME Council 57
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
The addition of one (1.0) FTE Public Health Nursing Manager allocation has an estimated annual cost increase to the Public Health budget of $158,000. There are sufficient appropriations in the Fiscal Year 2023-24 Budget to cover the addition of this position and will be included in future budgets.
CLERK OF THE BOARD FOLLOW UP ACTIONS:
1) Obtain signature of Chair on Resolution, if approved.
2) If signed, provide one (1) certified Resolution to HHSA-Contracts at 3057 Briw Rd and one (1) certified Resolution to Human Resources at 330 Fair Lane.
STRATEGIC PLAN COMPONENT:
Healthy Communities, Good Governance
CONTACT
Olivia Byron-Cooper, MPH, Director, Health and Human Services Agency