Item P18
FROM
FAX NO. :
Feb. 13 2003 05:46PM P1
BOARD OF COlJl\lTY t:UMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: February 19,2003
ADD ON
Division: District 1
Bulk Item: Yes
No
Department: Mayor Dixie M. Spehar
AGENDA ITEM WORDING:
Approval ofa resolution of the Board of County Commissioners of Monroe County oPPo~Jng pr~posa1
expanding Community Health of South Dade, Inc. into Monroe County .1Od supporling the proposal of
Rural Health Network of Monroe County, Inc. for a pilot project for in indigellt primary care.
ITEM BACKGROUND~
The proposal of the Community Health of South Dade, inc. would duplicate efforts and expend
resources, which could more economically be allocated for indigent primary care in Monroe County by
funding a pilot project to be operated by a local provider, whieh has already estahlished a base of
operation:; in the County and is already providing said care.
PREVIOUS RELEVANT DOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDA TJONS:
TOTAL COST:
BUDGF.TED: Yes
No
COST TO COUNTY:
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No
AMOUNTPERMONTH_ Y<<!ar
--
APPROVED BY: County AUy...!- OMB/Purehasing _ Risk Management_
DIVISION DIRECTOR APPROVAL:
!~
1n iJ~.lJ
Mayor ie M. Spehar
DOCUMENTATION:
Included x
-
To Follow_
Not Required_
p/8'
DISPOSITION:
AGENDA ITEM #
Revised 1103
FROM
FAX NO.
Feb. 13 2003 05:46PM P2
Mayor_Spehar
RESOLUTION NO.
.2003
RESOLUTION o.F THE Bo.ARD DF COUNTY Co.MMISSlo.NERS o.F MaN ROE
COUNTY aPPOSING PRDPOSAL EXPANDING Co.MMUNITY HEALTH DF SDUTH
DADE. INC. INTO. MONROF. CDUNTV AND SUPPORTING THE PROPOSAL OF
RURAL HEALTH NETWORK o.F Mo.NRo.E COUNTY, INC. FOR A .PILOT PRO"ECT
FOR INDIGENT PRIMARY CARE.
WHEREAS, Community Health of South Dade, Inc. (hereinafter CHI) is a community health
center, as defined by federal law, located in Miami-Dade County, Florida; and
WHEREAS, CHI has submitted a proposal to expand their operations into the northern part of
Monroe County; and
WHEREAS, Rural Health Network of Monroe County, Florida. Inc. (hereinafter RHN) is a
coalition of local health care professionals currently providing primary care to indigents
throughout Mow'oe COWlty and therefore does nor meet the federal definition of community
health center but doe!! meet the definition of an outreach network under 42 USC ~ 254c( c);
and
WHEREAS. CHT'~ proposal would duplicate efforts and expend resources which could more
economically be allocated for indigent primary care in Monroe County by funding a pilot
project to be operated by a local provider which has already established a base of operations
in the County and is .:t.lready providing said care~ and
WHEREAS, RHN has adopted n position that the proposal of CHI is unjustified; and
WHEREAS, Monroe County is an area of Critical State Concern, in fact the only County in
the State ofFJorida whieh has its entire jurisdiction so designated, and the State of Florida.
through concurrent regulations on the County, greatly discourages any development or use of
resources, including additional traffic on US Highway I, water usage and providing for
additional waste to accommodate additional business; and
WHEREAS, the Board of County Commissioners deems it to be in lhe best interests of
Monroc County to deter any additional drain on local resources when a healtheare provider of
indigent primary care exists in the County and is providing services throughout the County;
and
WHEREAS, RHN is seeking consideration by the federal Health Resources and Services
Administration (hereinafter HRSA) for a pilot project to be operated by RI-TN in Monroe
County;
NOW TBEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY that:
I. The Board Of County Commissioners Of Monroe County concurs with the position taken
by RHN that the proposal of CHI is not justified for the following reaSOll!;:
FROM :
FEB-14-11l3 I1dt4 FROM:MONJilnp r.nUNTV ATTV lu'ere!:
FAX t-[J. :
Feb. 14 2003 12:38PM Pi
rg.ODti2CJ20DICJ
PACE
2/2
a) RHN has already created and implemented priJnary care service& fOr the uninsured and
workina poor in north Monroe County; and
b) Based on the number of clients to be served, the CHI proposal would not be cost-
effective; and
c) Expansion of a Miami-Dade group into Monroe County would seriously limit IOCB.1
involvement, guidance, control and leadersbip with respect to the provision of primary
care.
2. The Board of County Commissioners of Monroe County luppons a proposal by RHN to
be considered for an HRSA-1bnded pilot project for Mdigent primary ~are in Monroe
County.
3. That the Clerk o{Monroe County is directed to distribute certified copies o{thili
Resolution to HRSA, and Mark L. Szurek, Ph.D., CEO, Rural Health Network.
PASSED AND ADOPTED this _ day of
Commissioners of Monroe County, Florida.
,2003, by the BOard of County
Mayor Dixe Spehar
Mayor Pro Tern Murray Nelson
Commissioner Charles "SoIUlY" McCoy
Commis5ioner George N~gent
Commillsioner David Rice
Attest: DANNY L. KOLHAGE. CLERK
By:
MAYOR DlXJE SPEHAR
Momoe County, Florida
By:
Deputy Clerk
Monroe Count.y, Florida