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HomeMy WebLinkAbout11252013 City Council Work Session Notes - FQHC/CHC eel) ,io i),0p4199Appy) A 1 4 -- - c -?.t j9 SlApt,qAcif6f 019 2,11 moo LA AI/9°nr --f-(1° c2-1-9-rwq, -1-142M+110r fa) -7,2fvw inro 4 I 0 IP 0)0C(1,(A. - ( GAinhkin kt,rr) 7wvv . " 4100 ' - : imp 1Al2 at p - ,i0v.na,r1--r-vvvis- pVJWr?IQ W}'0 '- .. q --,,,,(4 1 lroviknw-A-G- G1 YJ OkP10 _ a ,I'D- /,'" '1)1��S --ow 4, 7 � x,10 ` 1 1` OA Q `o,r�. '3 p { 19--)To - °I�' i iu rap_ Cyr A p (Q t*v (41414AAPoi 01 utAg L{0 algd 0)S 110 - 0 r AA •___I -Oa o 7 1'W 11 A � -a 1V111: .- - 1 •\061 �.uw SilQ 07k 1 yA 1-wk • ---j-4AgY1.- t.N -1 ' Cu0±-4oy'-- Z/�Ia1.�QVTCJ' :0 ;,� Qua; 1})--iin :�ci �aill;. t )7 Vj 't4( JIYI))A)2 :,TTasai sJagtTxaTlt jrcuno3 (s4'� 1Ay..1 �3 Yr m I1f :1uasaxd' • 514.1.14C:0` -0140p_AnoS 5Yr7s)C :asod_Tnd j flX11 /.4-)-tin i?4 JH a.9.p nij b 9k t) J , 1 ill �d Y rY I � 1 @ eDI-10 /)4s MO S`ION M0 SS' 5 )sOM .; . I I e ,f ° • 0 9/12/2013 Nov • �x}s . x Y. t., !....,,..„:,..•,1,-,;.::,,,-,y ,,, Seward ,-..-...-..c„..,„•,tx,,,,•.,-.Lfi,.-. . ,...r,..,_4";;..;_:-:..,,,,,[,.t..:,,,,,-,p i s S�' s 1 z * + Jr .-: •...-,• - . • .,... _ • .•,:, ,__-,. .2,..:...,• .,: .,•.:. .,.....-..... ...,:,;:..-,,:.:-::-...:::;-;.,,,-,:.,,5ttit.,.,,, 11 f S � r} Communityi .. ,. ..„ .•..„:_,..:1_,:„...:;.;„ .„ 2si-,.... .;:?.:::;,.:,,..4.ix.mI-.,,,.- -...,-;.-„,:....,..: ',,,....,;-,,L_--.-, .i -, i .... +... . , ,..,:,..,. .„,...,,,,,,.::int,„.;.. i,,..„..„, , .4._:,:„, A vil.,::;,..i4,..t. :Ac....:,:_.:.,.,..,,,,...,..,..,:.,:: . ...,...,..:., ,..„...,:,:,, ,. ....•.:...: ,.,, „,. .•. _._....„,:..;1_,::.::,.. ...:,,_,..._,,,:,...,:: _i:::?4,,,1 ., ,,..), _„t t ;:tt: � „„.„.: C p p � ,-�4,-,,,,,,'q.,-1:',,,,,,..,x t d F ttr { ie�- y Sa i6 i � L - 14,4„,...-..,.,,,,,,,,v.-..,.,,,...,,,,,,a,..•., isti f� s g 1 r r;« a41.4--,:i ' . } .s7.� it '€ v ' r x 'i Ss .p . 3y, t r n \ r 'S rit , s £{.Seward CltrsCoun@I�x�/O�rkSeS51On ~ a ,s � } ^-r t 4.. a�,� C ,`.4'cl � a :v"t ��a f y r�� September,iz,zo13 . M!JTeit E` \ iFi f C'.."-''....'''.:' '''t• Pu�rp'ose of'-.111,:!'!'::',.iorkSession k `$ �-''.'zi fit?.} � t f 4 - 4 !{;{U�rpdat)e City Council on status of CHC ar.pplication w ��• �rtX,cl�F r :+f t �,, „y Z 1 ".. •�•' �: y ! ®iscuss,space/operational assessment 7 .xreynovation timing and fundingsource s a ®iscuss options'for financial oversight • F 1. ' P�rResdnt3funding requests for Sewar•d CHC for i ,2213'2o14;and 2015 4. -t w to Y 7� "� x � [� ;, i +?a3 ,F.. t { i Pr®kur'de-;4CityCoundl with enou' h inforrnatior�to, t; ,F �ma�ke atd4ecision regarding semployn nt oif, . j F ` Sewagrd�'CHC proVidrers ar;�d:nstaFn;,9 •� rs i' '`. p a 1 r .4a ri ;sta gy."-” . , I£• y ' '., ,ma y /ilk °. es.p.©nd t'o City Cou ci�l questi®nes � - trt„t,� s „ r h '� } `. iofn+g���' v'i F : 1. p}, Yc.3 ,.-:-„,--•i!,,,-7;,,,..;7,--_ ..wy ..tF -'t` 4 tA4, y. .;i 1 �F ,:/' ..+y` �,. ._:'a i .. .iv;7Y�a..y..�r..,.t:t,..r ..i3 'E,-_ _x, :' <. 1 . 9/12/2013 4 • r • x, ,i } f Actionf Itgems for the City Council t N, X P ' 4v i !, r e�cision on4employrnent of CHC •providers%staff` ' ,' Yecision"on• 'renovation of space ,- y i � !%Conusideration for financial oversight `} !1'slpeci'sion oP• n appropnation to t:1---;.,;•'•.--HC'for 201 ; ,� v. t " {y..4 „ �r�"f" r ,+� m. t k} ?+r Nt 744 x,. ':7 � "S r.'7.••;',',-",,. -,-.•-'.4',...'.••••,..`.,-.,- k E7 04}war.§3 xi yi p._ T o �s deration ofinvtment in the Seward„CH'C�for. fu u,re ea�r�^ssus i¢ r ry r t,3 { a a li 'L..t, >c 3 , � x�1.. 53 -a �X�- n a;s y €ii rAi- ��' «. a �,,K7 a ��yy� �y �.f. -ar�:,, `�i'',`is X00 4 `lS A:V.,, Yl $yy,;,• xCf;ALT �`A''b3t.�.' ` ',: .h . %'",h. .'P. , t3 4 e k.°%5 a- t "ink 4 _,, yS k ! I i f ti. 1 'fid < - -: ' T 7 r t �` c '1 >Y' z f .. s - zW � „, The`Mission of Seward;CH-C x wT t � � 3 r�3� v f • .-�e4 - .Y r 4 t�S fh 34�1 1 ` 1 •'•-•: c'z- 1 ce.yirir4'S �'J `�lit"` ' Ch1 yit,-,':: ;!:' >..: T '� f t. O o; identiyand serve the : ' �” z ��ihea•lthcare needs of our a }, ` "'�. " f.}sr Y co"mmunity by providing - 4 7e, �4a!4ty- affordable service``�� - ' t n r"�' t tit } �} .7*-;,-,,,,,, wellness ' 4 ��, � '�1s.*�=.SF��f�'a3..'m ; a 5 Lx 5 3- ti.t Lt,+' r5, �tf*c]'�yrx��r d ert , ,, -n0. G krJ ry t�G nh 7r v k� pre�ent�ikon and ,'-?- �k e.9-'11,-' j " I'''' rx.Vpakrt i ersth}itps rya. ..� t:!..-_::: :::: 6,,,, , ..,:.. . , .,.....,:.:.„,..:, sy.,''''x'.„7.1 411',-*":':''*"=I ' "• sass ah.. `�s.; ..-'4.5.. {. '.w_l YcM$, .{r Su.sffi3•�t''s ...'31Y$s', e 2 " /�/ / 9/12/2013 • • Receives funding Finance - and/or si -„k,--71trit:e1;l'Altili(47:62,'d-.141-411:iF'4;li,-.‘:1'...'''-''--::-,:'' ;A'!1•1D-7qi-6.istrati.c-jr=1,1 '1'" - .'::-'''';:.'''. .-'..;;-',-,''''7:11rji.s:ii,''''''''il;-,,-";:,,tif..-sailiti.7:3;":".1!-441-11 . -��. , 16,, _ --_ ' ��� ' ` ,,,,,,c , ,.„,,,,st,p s4d en, _i_ ,: ,.. . . .., . k, ion:.:,,,,..„..,.... ,, . . . ._ , '.,_::,:,..:,.,,,,,..:,:_,,,,: .... .,,,,,,..,„,,,,,,,„,,,,,,,„„,,,_:„.,.,;,.:„.„,„,4,., ,*),- ,im-fai7otwoHr:. :-.i.:. ..::- , .i..,:i.:::.-,!:,,,,,..-..:,-;;; :' „,,-_---„,--0.-.--- , 7diselissieris,k,,„,4,,,i4,0,:fmrktgebv4e. 5-*Villicatiork,-4414,-*::', -,-,w,"---„, . ,x,,,.,_:::;,..,:4,;., '''' 1st, .,,iz,.,,,j.s' ul--k.,o4„,:rr.zsc._'Lt_'Im_,,;..:".,4;w..:_,:,,,.=:,,,_A!...;i',*-i;-9,7'-,o.Zi,o',,e,v.tstCi''e.*e:!trn';: --4:,,I,o:-f*ri:cp:--0,ilx-ii:!.:8,70:-63-1,,:ie,--iti::.:-..!:19,-,„;:,t?„-,,--_-f... ,”,,- 3 ` ,..L 9/12/2013 u F'J _ Stepsidentified in March Worksession (cont,d) "!4.C--'rn`ple`tion of clinic eff.efficiency and space utilization+ y;� 4 'L S 10F -analysis t _ - ' 3f ''i"'` 4k t, e l F ` Complete final report re• cently received { :?Provider outreach and°education ` r ''' alit { k t' 4 • ! ti '#2. - ' �-5'�"�(} E rk 'a Its '; n,-.0 oeess Provider attended CHC Clin•ical Leadershi—,--,:f-,,,,,- • , ; � � Co ference in June More activities to be done upon . ,fund�indannouncement � z{ }ti rr��; "r..>�y� rE�S_ ., i ,-,.,4 c sh r c 'x 35 o �5��..1,,�y c,#t �u # A 'alit'. �. A y^."r;4 �1w 1.-i }'` 787- s G; }.,.f''EO}}w `4 yx'- " "'. .FMeetiings with PSMGstaff w 4 ' Fend7ngN'eed�fmal decisiono`n e npoyme �o"f K e*".;44 { x `gt2'mV! : `; ug • ys : A"-MlK"' .. i. {'F?...t J'xY..' . `r "..,,.;',---t,;:::,.. r+fF jIF a ¢, i✓a %. - is S 1 1i 4 s,New Access .Point Application Status * � ' . ,r: • !;Announcd,t ent expected any day s�''�'nt 4 N � • i ' ! °450.AppylIcatlons received 'r�_ s , " ss r� {„, z5 are expected to be fund'edthis month (�; = b• rc•&i Y121 s { t Applicatio.ps;will remain on.file for one yea,r(indicatestt e,likelihood of rriarsecond round offundin1g-similarto priorcycle) °` x :Hr -'SA announced that a nerw ,application cyclewill be 1 ” 4-released again next year Aa F This is highly unusual that a funding`oppoctunity is announced this farms '1 '.' a L 2 .r. M - .ul .I` j-. `S -l �I L y' '1,%.1;1:1"a‘.dvance�,,,��.� , � y 4 .,�6 � �,�� � , f � ,�� s �w����,�u � 7-.YJ "`e Y- pit'. �: �rt..1i ^ ifi "T{`` 4P I y °' §pe {s't®the In�creased,chaplces1ofc,5ewar`"d=fCH'C�_41,1 k: •e �eiv e HRMS !CHC�f ractin,g atV some point ,� g�. k�:.1'; g 31 ,e', t` .s�'v'..'';'-',7'44,4-4.As _ "-:`,.-'1V_,;10 — �z -. # ., 4 -Y o 9/12/2013 Imo.; ,: - _ _ Seward CH,C Pre aration r { � p 3 1 • • • k} Engaged an'd�involve'd Board of Directors . f 9, ?I, yft n { r A L; „ !f,:Space/Operational assessments_ ompleted �`.� r,• I..Re.commendation:for renovation . ; ti / �p :t fit^, -..r S� L ,- �/ s,jun .,A r!{ Policy and Procedure development LV f at, -,!,,,,,,,,t gyp l ,.• 'Searchufor,Interim(short=term) Executive Director - - I t` StrategiTc Planning activities in.process . , ti ,N- " R ,z �-r. x r r u s y f o- r -7 a 3"' y. ;� ,�yl z ti r.-v.. °�Irn:,-.0-..:-.,:-..,'d- lementation Plan=in place , , apt t , ,_ y x �> ..o Yt. r...ZS (d i ti kr? x �. i ,�. �,r E 1 ' ' '®rice funded Seward CHC'will%have 1z2t0 days to -.1,„,4-....,-„,...w.,..4.,,,,,-.., � kr Qoerational , , .� �s, s4.' .°°p t-,....,:"!.-10-1, �. . i . ...., :,:,....:..„........,..,„...,4„,,.,.., .....,„.„ ,.„.......„ „.„..„„ ?„0„),,,‘,.,,,i,d- 1 -rf Space /Operatronal Assessment { °t < Guid;ian Healthcare Consulting;Assessment Report x ; 1/46#11:1:1,046 ` ' srecommends renovation of space for efficiencyofstand t �- '� alone clinic •• r. ��,,� {,•,,;x '4'r s �r 6 • f bcmi t' 11, ▪ �Renovation would need to.be complete within zo days{ ' � °a �.� of grant award • �? } i lar 4 r ,f r k• YOpttons for Councir.l to consider ;?4.....•.::... .".;."'--il t -.,,,,..r.-•;--, Uponfgrant approval, accept grant funds of$150,000`ci 14 }, ` .V�'''r,remodel Expedite RFP an dr constructio•n,-; rt t �4 q ., ,.f S� h ,.F ti r t-' h. 6#i t;,- X2'3 ;.'i-rb 7 Y { t r-1 S s 1,3-1'"`r� k7,6¢ s r 3 7 .g 'c �3 r 'rs. xs�- -G k . v a or t� rr Gh� j ,Z S .�, t l ,3{ F +`°r S� t4� r £J^7 � '�-'g, 3Y� �a ,+,y^ a-� , {���N Y� Mfr , t arr-� u'+"ri City Council approval toz moveEforward with ., ,., ,• , 'enovatti.`on not/,freeinggup�$150,opo in grantufunds: R z equip` ent and opera 6iaris�4� '. ',, ,'r -0''$ 'a"a_`t- 'SF y ^�' i� ��. s , t,..z-L,,,,,,,,-.44, � -'`* ��� yrs, _�'_ � ��fa�_�:.. _.e.�f. _� 7,,,...•.-:,:gg 5 ce,' 9/12/2013 Ne u - Funding Requests • s, t R .z r � r � �A kd V�.s.i' _ 3 x `C ; 3 ! Consulting, Interim ED, Board Education, Public ` �'� 1,1 qh, t i k j �� ! �L Education&•Outreach, Other pre-grant activities ) 'L y{.t • + Ni( r�' K �2O14 �� `. ', ,2 `� t5 �r„,f.4-i,--,4,-(115e...rations support Up to$700,000 ` ,7 r ” .,. t+ �t i1 r ? �2015e g Nwk . ,'r .2r0 a` 1-s4`i?:, iy a•�� ry ik.{ r r V x'tf w` fk i' wv1 a O "'erations su orth U toy$ 00,000 ` „.,,,,,,,,...,,i,,,,,,,, " ,'.aq ,.Pig aF€�'«ff)ga<I�i.,r pp ° �i pz �{°.�,� �. � ��'^L� Fz� '"3"s • i 4 1 3 X irk , ,F S ri,r�`�`iT 7.i 3'� z`z -s .z a '- 4..t.,,,,' `tr �.1,` 4,4 i5,...,..,.. ..;-:,-15.,„=� 1f "V ,'t'z,- y,S '�,:� r� ., �x ,.z?."'�`5r , y� :'ter nt t.� ,, ❑ i,�..�.. .x x- .�F„ ;' ' iv v's',,'Pr r "'"t!”`-�F e. st_ i .' s1, 7,7 v y. ,,'''i.,,'' :.74,---5r,..-. ,.d' Y. 11 {, f . w =�` City Involvement in CHC'Finance:.: x !Y' " �• ®oes the City want to`retain'Finance oversig• ht and x ;� ;'.l rreespo'nsibility� �•� I'sKt1he City willing.to• process_financi•altrsnsactions for the CHC (i.•e payroll and accounts payable) i d :,.: f The`CHC may still retain clinic specific financial hi '. y .r:.„: responsibilities(i.e Patient Billing, overall reporting) ;�`,k,. • rOptions 1 ` ' y,} , ' x Y Grant'can be administeredb the Cit ✓ `,4'3, `§ wx, t x r .a t ..;;.-.0.:.,Y, Yf... 7r' N e�-i` ,i e P Zf f 0*`4 '� i kt c� : `y 3 rin f - f' i �'= 4� k 8r `Grant can be received bythe City and "�assed- �'�) throe©h torthe���° ��`{�' c t h . ,,�y, t,`.rt a�ii s�*; '•, , 4' - ..--.,',4.."-,-A...7.r.` e t,1 +,' ekt l e s s �!'a ti< .r ti v` ��=i i4,1t.--.4';',4', .€' 'dJ ' i is -;°4} l':',..4''' x>-1. a r. ...,:f'ea. ,:4,7,, rd i� S,r�:;slt 6 ,w ri 9/12/2013 �Recornmendation y bSeward CHC Board ',l ttheIastworksesstontheCity,council.askedforaRecommendationfrromthe;Seward' CHC Board (A. ,,,,;„,„.„,„,,...,„,„„,,i-?,„.,,.1:::,:r_...,_,,,_,..,c4 SS F F - The Seward Community Health Center {"{ recommends to the Seward City Council; that y 4 .!Y,The City of Sewardbe the employer of record for 12 .��- ' ...';,{�� ,,the employees of the Seward CHC, , ,} )-1 dg, t 101,- a'4 h "61'.th', �3 `� t x 5text 1 ., ; ' • th the,employment issue to be re-evaluated no ' I ftl later=than 5 years r` - _ .tee r1 �9 3, =r ,, -4 -, 3e i r r`& T A e."r Ufa' 4A -'� •`rm ` t 0 �1/ h'Fere�°'em; to er.of record s F eans the CHC '`s a z' F y' a ;� ..p ' Ya; -_ `'+ a y..r 4.;,.. e. .at. ^ x"'' i..x + `Fi•. } employees arse subject toktheSCity oaf Se�wardfr :R- l + p �"£ T�"''Y£kz��� �i'Cwh1vF `4 ,.sib`-t",,�' � at x-3 ji� � 5-1 r per on�n I1co.de,-41 x-z,�.b r e Ja., €�' fi� -e+3 Y/ dayF o da4 l W � ,pe sonnet d crslons are made solely. 116, Exe utiVe ect®` ofkthe Se 'taro •CHC•"`„� Discussion Document•s f k?: Y s I 4� - • Public Entity CHCs in-Alas.' - Comparison,; , T Y • Compares Seward CHC to the other.two public 4Wf F k 'F „ entityjmodels in Alaska xM 10 Municipality of Skagway—. Dahl .Memorial Clin •ic :=` .�;; • Employment is'through the`Municipality p' . i.!�Bristol Bay Boro•ugh Camai CHC{Naknek)t i01 �;€ ,�'a �'f t"�''i't k�F��'� C � 3 , a�t �� vx knz- _,-7„�,g,N�+c '. i �� ' • Employment,is through the CH;C 4 t v,. F ;,F , .�'”' �e..ra ca`',�; w-Y of Sr.. �` r 't ''u-• r. xti�t ;*' - , '' -rt-..-:;: k0 e`r. Y ui s rat` .. .. F'^ ,,a �o Dls' ussiontAwith bot4h>entnitiesgindicated sthatfthe S `x �.�,?�' rl * $k ry. �!�P ��-�Y �"� h' '�a �r .sr �`a��5 y.� cr d .� z r�.- ^a sr .1�� is �. � '$�.a��4r ��`� ,�f x a i t 't �1 7 m- x a eci�siern is local whFat wolrks�forthe��i ! ;' ' '+i r r u 44` a,yI". T`' 1 d a 5.4?�,w�'n4 .�.��,ti t # 'm-1'' - ra4'tr '� ,,V• _, 7 Cs 9/12/2013t. bisc▪ •:u.-ssion Documents '"B`enefits Ccrniparison to :other Rural`AK CRCs ' S �• 'r,Cornpanson of Health Insurance and: r 4t. Retirement Plan of other rural.CHCs t i = 'riCo;'st of health Insurance premiums is• :generalhy " fi 4 for Employee only most centers require �• ` '� 4 I x employee to pay for spouse/dependentsf t f t E 5 Yj i fi t -"fiif 411 a .yz�� rya r-, �, Y 'c . ..# � �"1s gu�k z;y y��a�.� a.. 45. 'e-1:1„:N' tligtthatttherC,ltyxof Sfewardgcan opt ou ofd ` .;ma x ;,: �tF t z"��X �{ -# . i',�`'h 'ie m t 1+-' 9 5 f �' 'e`rtaln c�lass'es of em ,' ees ands PERKS fork a 4r 7, *f 4,�„M 3t'gelt 4,t c/%1 r'``:-s 1p I` y 5 •M,:„ i-., ' ��,f�f}( `s�eparate°retirement ®aption x 4 "'�+ 1 p. 'K+ . i a„, ^'e.".,'• P d . , �'4 Ps,.rb ..+n , {fir { a t^�,y' � .' y*, , 3 t° , t ,Employment by CHC Seward $-:: r:Ii �( } { 3 a, fir✓Ld 4 z fi PROs �, �'` �r5 w��a �� s•, s .-_., i ,tib f „j •� CEO,of clin1:91,„:-_,,,,c, -,,,,,, c maintains control of employee issues Imo' . ^,, ,� a t , ,. _., a }" �'i .CHC�canrmake all personnel policies and decisions # .MMore flexibility in salary•adjustments • ! �IVMoreGCHCcontrol over personnel costs` > w{ fLess~City.mvolvementrnfmancial�deusion making > ] - s 5 '1Rettrement costs°are easily controlled(employer determines rate) S A v Lower�health insurance costs(but also less attractivefor retention)r, .- ��" 4.... ` y k i t 4 d* J t y+ J S � S J l l - Y kh"� 2 t f�• Jr , a�- ".e ✓F� i7 1 j t'' .� ,�,• .F ',-VK {'a err $ .r " z 4r �'k r i s t .r-04:i�r r f '!` .t r z ,a_ '' #� r :;`f raw,- y n�`a4 .r;- u . .-' � s �"�-e } 7g� 8 I e t b 9/12/2013 `4Y`' Employment by CHC Se'wardd cc CONS : i r r k 5y7' k ' ,. ,,i aNew start up entity may not be attractiveto prospective employees and ' ; thealthcare roviders Ge'' y �,, p5 . t• / -�yk,= Need to seek out health insurance,retiremept and otherbenefit plans , " •' Small staff size ma make it difficultto access com etitive healthcare and' k Y P `1;p �-retirementplan`s y, i, ,kf p � ° � 7 47r .iY. °,,fig f< • _ �� � S � x�```� ;' to few4options may notfind affordable benefit packagesthatlwould entice 'r r F Kem I`o a t er*�00 -?i;� 3 t 7 & P Fr 'r"•'e,1-1W,V �a i) U } t}.)( . j 1 t'r {,t �, 'li ,, . r • eP, ,ti P�. x tF r- .--.,,:";,,,,..',1_<,, .c s. .r s� Irk:. ''i fkr c;C�i equi esadditi.oqa1,staffingtorecruitar�dretainquality,1 andidates2'=;T-, bw ,rs ,;s `~' F.u'k t £ '1J H = S , ;' its Zan ,: .,.':4-0.,.,_;-, , v1 ,� '*-rc, ,,A 7•,i.� - 's s r >tdt' '•_- g, 3" �,. e.. 3S �r kA•, l e a .a C ,i * ,�3"r`-'-'' ), vi a r«t F ku t ' ec `4.°Y'— c- ; i -i- ".£ kL.,'s- ,.-,-'n`a' ,,, ? Y r dt'''a 'vs-:-1: 1.,;-'. sof i 'tally-� ?y lt.s dim rte i ° 'i a mss,' '4 .:Y d �+sa z + p „f A3* S^ t F . r '',5::::::".:f',..,4.- ' y.r ', a �,x '. A S" � r. f ... . . , ..„ , ... . . ., ..,..• _ ._, , .. . •,. .. r aFse Employment'by City . . 6.--1 ,e, { t Y ` 3 I ) Y - Lt PROs P '1';4''''' :;'''''''''''''''''''''''''''''' '''''''..''''''' t,x ( T� l�v Fd- ` ';As community clinic,CityCouncil maintains bette'rfinancial oversight _I '_n ,�/\j ,i�y/� (�� t ) r5 .✓,,,,,,—.,.'%.,-;,..,--,,,,,..:, . .. ems-+. r•4 �y ' w/" .. ..w/�.a�i '41;:''''''''''''''''ity has more control over personnel costs of clinic. . W 4 ' ''.''''''4,1V:4'":;.::'"xy�may have betteraccessto health and retirement glens ti ,,j !a1Providersmorelikelytowanttoworkforanestablishedentity,assists ti'a'wiith recruitment • x` •.Stable ernployerwith established track record promotes retention .1/ ' 'Personnel:ciipolicies/procedures/structure in place in CityCode i y w�"}_ slkv2 • IVlore?budgettransparency • <,- ,,- t 1-`Collaborativerelationshipwillpromotelong term sustainability an▪ „,.,..,-,,..-.4,,-,.....„..,..„.4,,,- ,...„. , ; p ,,,,,,,,:4,,,$:,„,,,,# " iabtlity�of clinic strengthen"'-'"ey's healthcare system k 3 x ice_ *� ,�"IY�^?' st p,� y:S Y r l s,,u .1 t ,, t� '` "`f( Ls. ;'R gement plangcostsareteasily controlled(employer�`determin strafe) j` =r4 r4 i.A, ss� ,.... ,f a w ,, CF fix., +3 ._.. `,k,, nt 'r'Une ploymen � ',. ` 4 spa F r-,1; trnsu a ce,rat'eiissmuch lowert animost em to ers ..s..-f.:1,'' ,4 * .`/f?Kf,. _ ;..„21 :1'm`i`�rub,"'kY" ,.r 3 5. 9 , 9/12/2013 r .ov se ; f t x ,*Ern loyment=�by City �y,,, ,, ,s. p-,,m t F .eros e 3 +, o- , - " � 44x,:v CONs : . �;>S,�P I. • •syPotentiallygreaterpolrticalinfluenceonclinicoperations z4 • !'Cfln1c employees may attempt.to•use^political processto,undermine i I: �' 'i l ... ., t k ' ty, s xgovernance of clinic , " '; j 'AXtotentlalpubhc'oppositiontogovernment/publicemployees , ati.4.$41Te&it e t ed high cost of healthcare and retirement plans to public , h `, /1 ; 4Th) �sectOrt' i a -< : :;' ,k'� ..i r''ti9`ryt'4.. T n . - i Jt. 7 3 fix"y' i4 4 N�F Y. .�, /" ;1rn x ' *Health Plan 0054 1e higher,benefit coverage is more attractive for ; , / -4r ecrultmentarid retention a a 7{ t t co�4i ,,a t�s �e U i V.7......: '... 3,tf i ,--:`V.':::". ..1, Ts • YAa # -5.5 ,:g4XV u Y; tF lreme it ,hosts'are not higher since employees will not be egRSu iii,w-t'Y��3t yj k ms., 11x 0yit rt'.+� t4 p `x '� i 41` s rtii'/I t , kr n0: * 3'�r. -;,,I �o esn clinic•governance u to conflict between CHC Boaiiii/pO h-N t r 7l+ t P ,1?..a'•.x,� f x mr d. L>s+,„"; -1M TO;-- 9 ,2 itr Counc l qs it?elatesto�controla nd�authority �' , a --e4 � essfl.ex iihk bili o clin16t 4ay aU ket}}ratesfo'rpay .`� �' }tY: P ..,.. ,,...:.;,,..„.:7„,..i.;47„,...7-'4:4'.iN141:-'40':.A 54-'f.,.ir',7,;—''.:-.-.;;,-...1'.'r,f1',,..j av y fav .Y . S' i t Y r . q.f*�rr K f h A , °'Cost Compar!son.S�ampleV, E>�nple Companson of Salary&Benefits / r l ▪ • � tt �; ,c' re- �TA c -�{ . . '.Total u : st „�?- Sanpie •Rehrement Health Insurance . WorkereCenp Salary pWs V � F k'F P 5 i Y -,,'-'4'.'•,•,)• ` ▪ `i '' >;1 l<i„A„.„0,,,,,,..4„,-,,,,,:,i,„, ,,,,:„,-,, Salaries. Rate Cas Rate .Cost'=. Rate Cost Benefits 0 zSeWard.411 j ti.. 5 1125975 4'.44,--..--', 56,299 1,675 $341,700 039/,$ 4391 1.528365 {: tSoldot a% •,.,;,,s;;,;,'.....,.;. -,15.;.,.,..:;-:.1-,125,975, 4/o$ 45,039 726 $148,104 10.00/$.112 598 1431716 *, Telke?etnai' d 1y x ,i::1:15,95273%$ 33,779 921 $187,884 10.00%.$11 ;568 38 1 4602 P) 'S4 5 gWay -*.,, ,1 jL 51,125;975 22%'$ 247,715 1,756 $358,224- 039 $ 4391 .1;736,305,” C'...)1S' • .,Naurus 11 enployai have a 61 salary costs ti-r .x'� Heal h nsuranceforrrion•public entitled Is enployeeonty coverage.Costisover$2,000permonth for full faint)coverage 5'-5' 4 ReehhrementPlan options are ti Able as to enpl9yer coslnbutlon rates u cipal9e�a can!electto pay direct Unenpbyment claims ratherihana rate SewaNarsta Is less than i/ assumeaanre fo[SkAgway rm y . Health Plah'rconpanson jug K. 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