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<br />Commission Minutes--September 18, 2000 2194 <br /> <br />MOTION, passed <br />Mrs. Quick moved and Mrs. Schneider seconded to amend the <br />Personnel Policy Manual by adding Section 2.21, Workplace <br />Substance Abuse Policy, as presented today. On roll call vote, <br />motion carried unanimously. <br /> <br />10. BUDGET, Hearing on 2001 county budget <br />A public hearing was advertised for this date, time and place on the 2001 Cass County budget. <br />Mr. Meyer invited comments from the public. No one from the audience asked to address the <br />board at this time, and Mr. Meyer declared the public hearing closed. <br /> <br />The County Auditor suggested holding a special meeting to adopt the 2001 county budget, and <br />the Board was in agreement to meet at 3:00 PM on Monday, September 25, 2000, in the <br />Commission Room at the Courthouse for that purpose. <br /> <br />11. FARGO CASS PUBLIC HEALTH, Budget increase approved and contract signed <br />Mary Kay Hermann, Director of Fargo Cass Public Health, and Ruth Bachmeier, Jail Nursing <br />Supervisor, were present to discuss the requested increase in billing for jail nursing services. <br />The increase amounts to over $20,000 more than the 2000 budgeted amount of $90,208. <br />County Commissioners were first made aware of the increase at the August 22, 2000, county <br />budget meeting with Fargo Cass Public Health and the County Jail Administrator. <br /> <br />According to Ms. Hermann, the increased cost is mostly due to the nurse manager involvement <br />with direct services in the jail, as well as overtime paid to the medical assistant. Additional <br />manager costs are the result of staff turn-over and the requirement for an on-site manager a <br />minimum offour hours perweek in orderto maintain accreditation with the National Commission <br />on Correctional Health Care. <br /> <br />In a memorandum dated September 5, 2000, Ms. Hermann said the actual budget increase <br />projected for 2000 is $21,337. A statistical report and revised budget were attached to the <br />memorandum. The budget reflects a reduction in the manager's time, to a minimum of four <br />hours per week, and no additional overtime as of August 1, 2000. Ms. Hermann also reduced <br />travel expenses and continuing education until the end of this year. <br /> <br />Mrs. Quick said she discussed the requested increase for 2000 with Ms. Hermann after the <br />August 22nd budget meeting, and she is comfortable with the changes being made and is <br />satisfied that patient care will not be jeopardized. She learned that the Sheriff and/or jail staff <br />were aware of additional nurse management time, but no budget adjustment was requested. <br />MOTION, passed <br />Mrs. Quick moved and Mr. Wieland seconded to approve the <br />requested increase for jail nursing services in the 2000 budget. <br />Discussion: Mrs. Schneider asked ifthe county could be assured that <br />jail nursing costs will not exceed the contract amount again next year. <br />Ms. Hermann said the budget for next year is $124,468, and any <br />increase would not occur until possibly the 2002 budget because of <br />opening the new jail. Mrs. Quick noted that the county does not <br />actually have a contract for this year, because it has not been signed <br />yet. She said Ms. Hermann provided a contract last December, <br />