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DEPARTMENT OF SOCIAL SERVICES / HEALTH SERVICES AGENCY
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Requested Action(s)
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a) AGREEMENT - Request approval and authorization for the Social Services Interim Director and the Health Services Agency Executive Director to sign the Interagency Memorandum of Understanding to provide nursing services to the Social Services Adult Services branch for the rates as listed in Exhibit C with maximum compensation not to exceed $286,489.82, effective 7/1/23 and shall terminate 6/30/26
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Financial Impact:
The cost of this contract has been anticipated in the 2023/24 budget and is budgeted as an expense in account 5013-532300, Professional and Special Services Other. The Public Health Nurse services are eligible to the Skilled Professional Medical Persons funding within the Adult Protective Services (APS) and In-Home-Supportive-Services (IHSS) programs. Costs are charged to either APS or IHSS based on the ratio of referrals within a quarter. These programs receive enhanced federal financial participation. APS and IHSS are funded separately with federal, state and realignment revenues. No County General Fund is requested to fund this contract.
Background Information:
The Public Health Nurse (PHN) assigned to the Adult Services division works at 55% Full Time Equivalent (FTE) to provide nursing services for elders and dependent adults who are Adult Protective Services (APS) clients and In-Home Supportive Services recipients. Examples of services to APS clients include assessment of neglect or abuse issues; liaison with physicians; assistance in obtaining placement in Skilled Nursing facilities; referral for health care. Examples of services to IHSS cases include assessment of need for personal care; assessment of medication management issues; referral for health care. The PHN consults with Social Workers and provides written assessments and recommendations. The compensation amount covers a percentage of the PHN and Supervising PHN's salaries ...
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