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275710 WHITE - CITV CLERK j- • ��'y 0 PINK ^- FINANCE G I TY OF SA I NT PALT L Council 1 CANARV - DEPARTMENT File NO. * BLUE - MAVOR � cil Resolution r Presented By Referred To Committee: Date Out of Committee By Date WHEREAS, many studies have been conducted in Ramsey County regarding the feasibility of establishing a county-wide public health system in order to decrease duplication of effort, maximize available resources, strengthen programs, and improve continuity of services; and WHEREAS, the combined City of Saint Paul and County of Ramsey Community Health Services Advisory Committee at its meeting of February 6, 1980 recommended merger of the Ramsey County and City of Saint Paul public health departments as per the Community Health Services Ad Hoc Task Force recommendation on City- County health merger, which report is attached hereto for reference; and WHEREAS, the Saint Paul City Council believes that the creation of a oounty-wide public health system could serve the interest of all Saint Paul residents, and result in the provision of more adequate public health services; Now Therefore Be I t RESOLVED, that the Saint Paul City Council hereby approves the exploration of the proposed merger of the Saint Paul Division of Public Health and the Ramsey County Public Health Department; and Be It Further COUNCILMEN Requested by Department of: Yeas Nays CO U t S TV]. [n Favor � _ __ Against BY — Adopted by Council: Date Form Approved by City Attorney Certified Passed by Council Secretary BY sy t�pproved by iVlavor: Date _ App ov by May f r mission to Council By _ _ — B WHITE - GTV CLERK �!�` .,/��ii■ �INK �- FINANCE COUTICII W 't y CANARY - DEPARTMENT GITY OF SAINT PAUL BLUE - MAYOR File NO. Council Resolution Presented By Referred To Committee: Date Out of Committee By ' Date RESOLVED, that prior to any actual merger proceeding, the following areas of concern be resolved to the satisfaction of the Saint Paul City Council: 1 . Philosophy of services and delivery. 2. Level of services 3. Administrative structure of inerged organization. 4. Legal provisions for transfer. 5. Protection of transferred employees' rights and benefits. 6. Special projects ordinance. 7. City representation on the Community Health Services Advisory Committee. 8. Transfer of bui Iding and equipment. 9. Transfer of contracts and grants. 10. City ordinances. 11 . Food inspection and licensing. 12. Status of Occupational Safety and Health. , AND, BE IT FURTHER RESOLVED, that the Mayor and the Director, Department of Community Services, City of Saint Paul, in cooperation with the Ramsey County Executive Director, shall develop a proposal for the merger of the programs of the City and County health departments as recommended by the Community Health Services Advisory Committee, and submit such proposal to the Saint Paul City Council and Ramsey County Board prior to implementation. COUNCILMEN Yeas � Nays Requested by Department of: Levine � CO i Service . In Favor � Maddox McMahon _�_ Against BY - � Shov��lter Tedesco Wilson Adopted b uncil: Date SEP 2 5 �� Form App ved by Cit Atto �, Cer ed Pas- Cou , retary BY �r� � g �9�0 Ap by Mayor o ission to Council Ap ved by Mavor: Da —� � By PUQLI�NED �;:;; '? {��� • ' �••� . �� '^�.� ���.� CITY OF SAINT PAUL ��:� �. INTERDEPARTMENTAL MEMORANDUM Department of Community Services September 5, 1980 TO: George McMahon, Member, St. Paul City Council FROM: Thomas J . Kelley, Director SUBJECT: City-County Health Services Merger The City and County public health units' merger may take place within the next 18 months. Prior to any merger there are various areas of concern that should be resolved to ensure the effective operation of such a new agency and the adequate delivery of services in St. Paul. Listed below are some of these concerns. 1 . Philosphy of Services - What will be the County's philosophy on health services? Will it tend toward a delivery of traditional public health services? Will there be a generalized or specialized nursing program, or a combination? What will be the relationship of the merged health unit to the five neighborhood clinics? Will the County provide the funding of the clinics, or will it still be shared by the City? Will the County assume responsibility for the Model Cities Health Clinic? 2. Level of Services - The City should seek assurances as to the level of services that wi II be maintained in the city proper. Without such assurances it is possible that the City health unit would be transferred and have the responsibility of serving the entire county in many program areas without additiona) staff or resources. This would obviously reduce service delivery in the city. 3. Administrative Structure - A previous proposal called for the director of the Ramsey County Public Health Department to be director of the merged organization, with the director of the St. Paul agency being an associate director. This proposal does not recognize the history, size or scope of the two organizations. With about 170 or more City employees transferring to a County structure, it is highly important from a morale standpoint that their past city leadership be recognized in the new organization. 4. Provisions of Transfer - Transfer of the City unit to the County should be accomplished under the provisions of M.S. Chapter 145, the Community Health Services Act of 1976. This act provides for the protection of existing employees' right and benefits, which is a highly important item by itself. ��,`°� ._. �. - ' . � 2'75'�'�0 . George McMahon -2- September 5, 1980 5. Protection of Employee Rights - In any merger the transferred employees should be assured of equivalent positions, pay grades and seniority in the new organization. Also, there should be no loss in the type and level of health and welfare, annual leave and sick leave benefits. 6, Special Projects Ordinance - At the present time the City has an ordinance that permit expenditures in federal or state grant projects based on the "notice of grant award" and prior to actual deposit of federal or state funds. This feature allows our agency to be very responsive to emerging public health needs of the community without waiting to have cash in hand before the program can start. The County apparently does not have such a mechanism in place, and this could adversely affect the responsiveness of the new agency. The rapid response time of the City agency in meeting needs generated by the recent i,nflux of Southeast Asian refugees is a oase in point. 7. CHS Advisory Committee - The City should provide a mechanism to ensure itself of a proper representation on the CHS Advisory Committee after the merger. Without such a mechanism the City could lack adequate representation on the committee. 8. Buildinct and Equipment - An equitable transfer of the Public Health Center and program furnishings and equipment must be worked out. The Public Health Center was recently appraised at a market value of $3,800,000. The furnishings and equipment have an undepreciated value of $531,896, based on the inveqtory dated December 14, 1979, 9. Contracts and Agreements - The City health unit has numerous granh, contracts and agreements that would have to be transferred to the County. These transfers could be very complex, requiring a legal advisor. � 10. City Ordinances - The City has a body of ordinances pertaining to food establish- ments and environmental nuisances. The County would need similar legislation to provide for public health enforcement. 11 . Food Inspection and Licensina - Food inspection in the City is inextricably tied to licensing of establishments. If this activity is transferred, will certain licensing revenues also be transferred to cover the cost of inspection? 12. Occupational Safety and Health - The question here is whether this should become a joint City-County function. To date there are no clear signals as to its ultimate status. These areas of concern are brought to your attention in the hope that they will be satis- factori ly addressed and resolved prior to any merger. Such action on the part of both City and County officials would lend itself to a smooth and orderly transition of public health programs and services in St. Paul and Ramsey County. TJ K-WGT:cb c: Richard Broeker � � . . t- .° " • �� . ����� OM OZ: Z2/1975 Rev. : 9/8/76 EXPLANATION OF ADMINISTRATIVE ORDERS, RESOLIITIONS, AND ORDINANCES �� -•� ? . _. . � C�JJ" � � �: �� Date: SEPTEMBER 16, 1980 �Y , �� TO; MAYOR GEORGE LATIME FR: THOMAS J. KELLE � RE: ANTICIPATED MERGER OF.. CITY/COUNTY HEALTH UNITS ACTION REQUESTED: Approval of attached resolution. PQRPOSE AND RATIONALE' FOR THIS ACTION: Merger of City/County Health units. ATTACAMENTS: Resolution .