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10171983HARNETT COUNTY BOARD OF COMMISSIONERS MEETING,` OCTOBER :17,`1983. - CALL TO ORDER PRAYER MINUTES CORRECTED INDUSTRIAL TRAINING CENTER PLANS PUBLIC UTILITIES BUDGET AMENDMENT HEALTH DEPARTMENT PRIMARY CARE OFFERED IN PINEVIEW PER FUNDS OBTAINED BY WESTERN MEDICAL GROUP THROUGH JOBS BILL The Harnett County Board of County Commissioners met in regular session on Monday, October. 17, 1983, 111 the Conmnssioners Room, County Office Building, Lillington, North Carolina, with the following members present: M. H. Brock, Bill Shaw, Rudy Collins, and Vice Chairman -Lloyd G. Stewart presiding. Chairman Jesse Alphin was absent. Vanessa W. Young, Clerk to the Board, and John Phelps, Attorney, representing Robert Morgan's office, were also present. Vice. Chairman Lloyd G. Stewart called the meeting to order at 7:30 p.m. Commissioner Rudy Collins led the evening prayer. The minutes from the Harnett County Board of Commissioners 3, 1983, were read. Commissioner Brock made a motion that corrected to show that he was present at the last meeting, error was made; Commissioner Shaw seconded the motion and minutes were otherwised approved. meeting of October the minutes be a typographical it carried. The Alvis George with Moore, Gardner & Associates, presented for the Board's consideration the final plans and specifications on the Industrial Training Center. Following a discussion of these specs, Commissioner Shaw made a motion that the plans and specifications be approved and that the County be and it is hereby authorized to advertise for bids for this project with the bid opening -date set for November 22, 1983, at 3:00 p.m.; Commissioner Collins seconded the motion and it carried. Rodney Tart, Director of Harnett County Public Utilities, appeared before the Board and request that his budget be amended in order to purchase a pick -up for the sewer district. Mr.;Tart explained because of the expansion of the Utility Department, more traveling is involved with the operation of the existing waste treatment plant and the collection system construction. He stated that he has around $10,000 in fund balance which was carried over from F. Y. 1982 -83 in the sewer operation Following a discussion, Commissioner Shaw made a motion that the following budget amendment be approved; Commissioner Collins seconded the motion and it carried: Harnett County Public Utilities, Sewer, Code 830 -74, Capital Outlay be increased by $7,500. Pat McKee, Supervisor with the Harnett County Health Department, and Burr Webster appeared before the Board and explained that the Western Medical Group had applied on behalf of the County to receive $50,000 through the Jobs Bill to provide primary care services to disadvantaged and unemployed persons in the County. ' It was explained to the Couunssioners that this money would be used to hire a Nurse Practitioner and a clerical person to provide these services at the Pineview Clinic three days a week, the Dunn clinic_ one day a week, and in the Lillington Office the remainder of the time. Ms. McKee explained that the Health Department at one time operated out of the Pineview.facility two days a month offering screening and preventative services, now they go to Pineview one-half a day per month. Ms. McKee stated that there is a need for primary care in this area It was further explained that this will be the first primary care offered to citizens in the County by the Health Department. Primary care services refers to health maintenance, diagnosis, and treatment of a sickness and /or illness not just screening and preventative. Mr. Webster explained that the Western Medical Group applied for these funds on behalf of the County- because the applicant has to be a federally funded project and the County did not qualify. Following a lengthy discussion of this project, Commissioner Collins made a motion that the following Memorandum of Understanding for Primary Care Services between the Western Medical Group and the Harnett County Health Department be approved; Commissioner Shaw seconded the motion and it carried: Parties This Memorandum's of Understanding is between the Western Medical Group hereinafter referred to as "the Corporation " - andthe Harnett County Health Department hereinafter referred to as the Contractor." II; Scope of Work The Contractor will provide primary care services to disadvantaged and unemployed persons. "Primary Care Services" shall refer to health mainte nance, diagnosis and treatment services provided by a physician extender - and suport personnel at the Pineview Clinic and at the Dunn and Lillington" Offices of the Harnett County Health Department in ffulfilling the provisions of this Memorandum of Understanding. III.' Performance Period Services herein described shall beprovided during the period October 1, 1983, through July 31, 1984. X29 PRIMARY CARE BUDGET AMENDMENT IV. Every thirty (30) days the Contractor shall submit a request for payment for services delivered in the preceeding thirty (30) day period. This request shall be in the form designated by the Corporation. The Corpora- tion has paid $12,500 start -up costs receipt of which is hereby acknowled- ged. The Corporation shall reimburse the Contractor according to actual costs incurred by the Contractor: (1) in providing care services to un- employed and disadvantaged patients, (2) as itemized and verified by invoice and payroll records paid by the Contractor in fulfilling this Memorandum of Understanding, and (3) less any payment to the Contractor by patient or third party covering the patient. The total amount payable by the Corporation under this Memorandum of Understanding including start -up costs shall not exceed $50,000. Any portion of this $50,000 including the $12,500 start -up costs not accounted for by invoices and payroll records paid by the Contractor to provide primary care services to unemployed and disadvantaged persons shall be paid and refunded by the Contractor to the Corporation at the termination of this Memorandum of Understanding. The contractor shall not charge patients covered by this contract fees greater than patients who are not covered by this contract, and shall charge fees in accordance with the Contractor's existing fee schedule. The Contractor will furnish the Corporation a copy of its existing fee schedule and any charges made thereto. V. Types of Patients Covered This Memorandum of Understanding is for the payment of care for patients who have not third party source of payment and are unable to pay all or any part of the charges. The Community Services Administration poverty guidelines and sliding fee scale (attached) shall be used to determine the patient's ability to pay. VI. Data to be Provided to the Corporation The Contractor must complete the attached "Patient Information Form" for all patients that are not referred by the Corporation and furnish this form to the Corporation along with the request for payment for charges on the patient. VII. Retention of Data All data generated under this Memorandum of Understanding shall be retained for three (3) years after final payment is made. VIII. Reports Within thirty (30) days after completion of this Memorandum of Understanding the Contractor shall provide the Corporation with Table 1 of the BCRR attached hereto. IX. Termination This Memorandum of Understanding may be terminated in whole or part upon thirty (30) days written notice by either part to the other party. We hereby understand and fully subscribe to the terms of this Memorandum of Understanding signed on the day of , 1983. Henry S. Thompson, M.P.H. Health Director Harnett County Health Dept. No A. Wortman, Jr., Chairman Harnett County Board of Health George T. Fitzpatrick, Chairman Western Medical Group Commissioner Collins made a motion that the following budget amendment regarding the Primary Care Project be approved; Commissioner Shaw seconde the motion and it carried: Code 10 -598 -002, Salaries & Wages, Increase by $31,028 Code 10 -598 -005, FICA, Increase by $2,079 Code 10 -598 -006, Hospitalization, Increase by $1,598 Code 10 -598 -007, Retirement, Increase by $2,158 Code 10 -598 -009, Workmen's Compensation, Increase by $432 Code 10 -598 -011, Telephone & Postage, Increase by $3,000 Code 10 -598 -014, Travel & Meetings, Increase by $1,600 Code 10 -598 -025, Books & Publications (Edu.), Increase by $730 Code 10 -598 -026, Advertising, Increase by $400 Code 10 -598 -033, Office Supplies, Increase by $2,000 Code 10 -598 -054, Insurance & Bonds, Increase by $375 Code 10 -598 -078, Medical & Surgical Supplies, Increase by $4,000 BUDGET AMENDMENT TUBERCULOSIS CONTROL SUBDIVISION PLAT MAX DANIEL MANNING.. REVIEW REPORT ON SECTION "8" HOUSING ON -SITE INSPECTOR FOR, AIRPORT TAX 'OFFICE—FOURTH YEAR HORIZONTAL- ?ADJUSTMENT EXPENDITURE REPORT BOARD OF EDUCATION TWO ACTIVITY BUSES.. WATER LINE EXTENSION STUDY ON AREA EAST OF BUIES CREEK (OLD WIRE RD) Pat McKee, Supervisor with the-Harnett County Health Department, presented for the Board's consideration, an amendment to the Tuberculosis Control Fund. Ms. McKee explained that the X-Ray machine was broken, and the Division of Health Services appropriated an additional $1,150 to the Harnett County, Health Department to repair the X-Ray collimator. Commissioner Collins made a motion that the Harnett County Health Department, Tuberculosis Control Fund, Code 10 -594 -016, be increased by $1,150; Couuuissioner Shaw seconded the motion and it carried. Clenton Smith presented for the Board's consideration a plat for Max Daniel Manning Subdivision, located off U. >S.401,in Lillington Township. Commis- sioner Shaw made a motionthat the foregoing plat be approved; Commissioner Collins` seconded the motion and it carried. Mr. Smith shared -with the Board a letter. from the U. S. Department of Housing and Urban Development, Greensboro Office, Region IV, concerning the annual review on the Section "8" Moderate Rehabilitation Program in Harnett County. Mr. Smith noted to the Board that the HUD office found no error in their review and praised the staff on it conscientious effort to reach its goals. The Board commended Mr. Smith and the Section "8" staff on this report Mr. Smith informed the Board that the County would need to employ the services of an on -site inspector for the airport expansion project. He stated that the County has received a proposal from Mr. Pat Duncan with Godwin- Jordan and Associates who is a local person and will provide the services at the cost of $17,00 per hour. and this rate will include salary, transportation, per diem and other expenses. Mr. Smith stated that the other proposal was on James R. Rodgers at a rate of $190 per day, which includes salary, transporta- tion, and per diem. Mr. Rodgers resides in Wilmington and the agreement would be with Talbert, Cox and Associates, Inc. Copies of the resumes on each of these gentlemen were given to the Board. Following a discussion, Commissioner Collins made a motion that. the Board employ Pat Duncan with Godwin - Jordan and Associates at a rate of $17.00 per hour; Commissioner Shaw seconded the motion and it carried. M. H. Brock, County Manager, informed the Board that Section 105- 286(b) of the North Carolina Machinery Act requires that -as of January 1 of the, fourth year following a reappraisal of real property each county shall review the- appraised values of all real property and determine whether changes should be made to bring those values into line with the then current true value. Mr. Brock explained that the County's real property value has been reappraised through the utility assessment and by Mr. Allen. Following a discussion of this matter, Commissioner Brock made a motion that the appraised values of all real property is in line with the current true value and that no adjustment be made; Commissioner Collins seconded the motion and it carried. A copy of the expenditure and revenue report for the period ending September30, 1983, was filed with the Board. Commissioner Collins made a motion that the County participate in the purchase of two activity buses for the Board of Education at the total cost of $900 for both and this money be paid out of the contingency fund; Commis- sioner Shaw seconded the motion and it carried. M. H. Brock, County Manager;' informed the Board that the County, has received a contract with Moore, Gardner and Associates to conduct a study to extend to the area east of Buies Creek around SR 1769 and SR 2014. Commissione Brock made a motion that the County enter into the following professional services agreement with Moore, Gardner for the above - mentioned project; Commissioner Shaw seconded the motion and it carried: THIS AGREEMENT, by and between County bf Harnett hereinafter referred to as the OWNER, and Moore, Gardner & Associates, Inc.,. of Asheboro, NC hereinafter referred to as the ENGINEER. WITNESSETH: PROJECT: The OWNER hereby contracts With the ENGINEER to perform the following described services, hereinafter collectively referred to as the PROJECT: Study the feasibility of extending water service from Harnett County's Metropolitan Water - District east of Buies Creek to an area around SR 1769. and SR 2014. Also included'is the preparation of a FmHA application. ENGINEER'S COMPENSATION: The Engineer shall be paid for all professional services described in the attached "Scope of Work ", on a lump sum basic The lump sum amount shall be $800.00. b 001 ANNUAL SALE ADJOURNMENT OWNER'S AGENT: The OWNER has appointed M. H. Brock as the official AGENT of the OWNER, for the purpose of the PROJECT. As such, the AGENT shall be responsible for the approval of any document pertaining to this Agreement or any amendment thereto, and for approving all change orders, addenda, and additional services to be performed by the ENGINEER. PERIOD OF SERVICE: After written notice to proceed from the owner, the period of service for this contract shall be six (6) months. GENERAL TERMS AND CONDITIONS: Our services will be provided in accordance with our General Terms and Conditions, a copy of which is attached. SPECIAL CONDITIONS: None. ADDITIONAL SERVICES: During the performance of the services in connection with this PROJECT, the OWNER may from time to time request additional services. The ENGINEER shall be compensated for such additional services on a per diem basis. Per diem shall mean total payroll times a factor of 2.5 to cover overhead, administration and profit. In addition reimbursable expenses will be billed at cost plus 15% and mileage at $0.30 per mile. IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement. OWNER: MOORE, GARDNER & ASSOCIATES, INC. BY: s/ M. H. Brock BY: s/ William P. Bizzell TITLE: County Manager TITLE: Vice President Mr. Brock reminded the Board that the annual surplus sale will be this Saturday, October 22, 1983, at 10:00 a.m. at the County Garage. There being no further business, the Harnett County Board of Commisssioners meeting of October 17, 1983, duly adjourned at 8:40 p.m. ttl M Lloyd G. Stewart, 'Vice Chairman Rollie J. Wa , Secretary ( 4.4.4.e Vanessa W. Young, Cl