Agenda

Return

C. 25

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	February 14, 2017

Contra

Costa

County

Subject:

Appropriation Adjustment No. 5051

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/14/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Dan Peddycord, 925-313-6712
cc:	Tasha Scott M Wilhelm Clarissa Domen

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: February 14, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve Appropriation and Revenue Adjustment No. 5051 authorizing increased appropriations for capital assets and revenue for the purchase of one (1) vehicle, in an amount not to exceed $20,000, for Public Health’s Tuberculosis (TB) Program which will be utilized to implement the Directly Observed Therapy TB services in Contra Costa County.

FISCAL IMPACT:

No impact on the General Fund. This action increases appropriation by $20,000 (fully offset by revenue) for capital equipment purchase and the reduction of operating costs (employee mileage reimbursement).

BACKGROUND:

The Public Health’s Tuberculosis Program currently employs Disease Intervention Technicians (DIT’s) to ensure patients with TB are taking their medications in what is called ‘Directly Observed Therapy’ (DOT). The Disease Intervention Technicians drive to the patients and physically observe them taking their TB medications. Currently the TB program has two (2) County vehicles. However, on a daily basis three DIT’s are doing the DOT work. Our practice is to rotate the use of the vehicles between the DIT’s so every week there is at least one DIT who drives their own vehicle and is reimbursed for mileage. The employee mileage reimbursement expenses for FY 15-16 were $7,000 and for 7/1/16 – 9/30/16 FY 16-17 year-to-date they total $3,243. These operating expenses should be reduced with the purchase of an additional vehicle. The cost of a new vehicle is less than $20,000 and it is anticipated that the savings in mileage reimbursement annually will more than cover that cost of the new vehicle over the life of the vehicle. Additionally, the accumulated depreciation of the new vehicle will be utilized at the time a replacement vehicle is needed.

CONSEQUENCE OF NEGATIVE ACTION:

If this purchase is not approved, the Public Health TB Program will continue to incur higher than necessary operating costs (employee mileage reimbursements) in implementing the Directly Observed Therapy program.