Commissioners Court Meeting


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Meeting Date: 07/23/2018  
Submitted for: Nancy Cadena Prepared by: Nora Prado
Department: Public Health Services  

Subject:
Discussion and possible action to approve the following budget amendment (line item transfers) within the General fund:
 
  Acct. Number Acct. Name Adopted Request Current End Bal.
From: 1001-5030-001-432063-015 Medical Services Hospital Inpatient $754,000 $35,000 $382,509.99 $347,509.09
  1001-5030-001-432063-020 Medical Services Hospital Outpatient $518,000 $35,000 $233,291.07 $198,291.07
  1001-5030-001-432063-030 Medical Services Optional Services $35,000 $5,000 $21,955.51 $16,955.51
  1001-5040-001-461000 Materials and Supplies $11,250 $300 $2,593.81 $2,293.81
        $75,300    
To: 1001-5030-001-432063-005 Medical Services Physician Services $375,000 $70,000 $66,425.82 $136,425.82
  1001-5030-001-432063-025 Medical Services Lab/X-ray Services $100,000 $5,000 $33,257.46 $38,257.46
  1001-5040-001-441010 Cell Phone Cost $1,750 $300 $299.56 $599.56
        $75,300    

Issue: There has been an increase in the amount of eligible indigent clients being assisted with physician services (consultations, surgery, treatments, etc) and laboratory/x-ray services (diagnostic exams, radiation treatments, etc.).  Additionally, there are insufficient funds to cover cell phone expenses to the end of the fiscal year since we purchased a wireless modem for the nurse to use during outreach clinics to confirm immunization records from state registries.

Solution: Approval of requested funds will allow our office to continue assisting clients in obtaining their necessary medical treatments and cover necessary cell phone expenses.

Result: Clients will be able to consult with their physicians as medically necessary and prevent expensive medical complications and unnecessary hospitalizations.  There will be sufficient funds to cover cell phone invoices.

Fiscal Impact
Budget Account Number: 5030-001-432063-015
Funding Source: Hospital Inpatient
Balance: 382,509.99
Financial Impact:
Funds are available for line item transfer
 
Budget Account Number: 5030-001-432063-020
Funding Source: Hospital Outpatient
Balance: $233,291.07
Financial Impact:
Funding available for line item transfer
 
Budget Account Number: 5030-001-432063-030
Funding Source: Optional Services
Balance: 21,955.51
Financial Impact:
Funding available for line item transfer
 
Budget Account Number: 1001-5040-001-461000
Funding Source: Materials & Supplies
Balance: $2,593
Financial Impact:
Funds are available for line item transfer

    

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