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270963 WHITE - CITV CLERf( �(�j►'�yJ r,�}� � PINK - FINANCE G I TY OF SA I NT 1 A V L COUIICll / l��9�.� CANARV - OEPARTMENT �a' / !I CJ BLUE - MAVOR File NO. uncil Resolution Presented By Referred To Committee: Date Out of Committee By Date RESOLVED, By the Council of the;City of Saint Paul, upon the request of the Mayor and the recommendation of the Long-R�nge Capital Improvement Budget Committee, that the 1977 Capital Improvement Budget, as heretofore adopted and amended by this Council, is hereby further amended; in the following particulars: FROM: TO: Transfer $19,300 in 1977 CIB monies. G�sp�7-o01 1977 unallocated reserve $19,300.00 930''77'�81 Martin Luther King Health . 'Clinic Expansion $19,300.00 Resulting in the following project' financing: Current Financing Chan e Amended Financing MARTIN LUTHER KING HEALTH CLINIC ADDITION 1977 CIB �` 0 �- 19,300 19,300 Hill Burton Act-Grant 0 +173,700 173,700 0 +193,000 193,000 � AND FURTHER RESOLVED, In the evet�t the Hill-Burton Grant for the Martin Luther King Health Cl�aaic Expansion is not awarded �o �he city by July 30, 1978, the $19,300 in 1977 bond monies budgeted in this resolution shall be automatically transferred back to the 1977 ' unallocated reserve by the Department of Finance and Management Services. � �r:, Approved as to f ing: Approved: �� . � �q� Dept. of Finance & Management Services C'ty Budge Director COUNCILMEN Requeste Depar nt of: Yeas Nays / 'B� S " Co �i Hozza In Favor �er� � Levine _ __ Against By Thomas J. Kelley, Director Roedler Sylvester ' Tedesco Ap� �:7 Ig7'� Form Approved by ity torney Adopted by Coun Date d P� �e ouncil ecretary BY B�� Approved by :Vlavor: Date � �� Approved ayor for Subm' ion ouncil gy �.UG'Cili�� By ��.ts�t� MAY � 1978 . c� � ,�-�--�� , . C�TY OF ►�AINT P�.UL `��,�� _;� . ' � OFFTCE OF THE CITY CODitiTCIL `� ;�`.` % .3�, .,. — ,�;::-o,s,.-�� q�.sssyv..�•': � . � . �_ D d t e : Apri l 24, 1978 :�:,;,, Cfl �11� M1TTEE E? � POR�" TO : Soint Pau! City CounciE • FROM � Commi�tee on FINANCE, MANAGEMENT AND PERSONNEL ROSALIE BUTLER , chairman, makes fhe foilovring . report on C. F. � Ordinance _ [� ResoEution - [� Oth er � TlTLE : - _ At its meeting of Apri1 24, the Comnittee reeommended approval of the following . resolution: - Transfer of $19,300 from the 1977 Capi�al Improvement Budget Unallocated: Reserve to the Martin:Luther King Health Clinic Expansion pro�ect account CITY HALL SEVENTH FLOOR SAINT PAUL, MINNESpTA 55102 . <:� ,.. .�r...i '..J - � . . . . . � �, - .,t;� x ,� � . . � � � _ . � . � �. -� � �... a� .. 'y . .. �� . . . . /�q a' � $ • . - � Nh1.�• `� i�+� A�t�.. 4�$,�'7G E�PL1�Nl1TION OF AD�iK��12"'S�TRA�I� 'C?��S s �` �� R� QL1I'1'IQNS, �F QRD� L�S ; � ,�: : . � , - . ,: - ; x= �, � ��ll_�" � $ ' D�;te: Apri1 i8, 1978 ' ,� �PR 1 � t979 ., '�� 1 � �9�3 �; ��;�. f G - ' � � , ' .,�. � �eo: . �x�aR �oRCE� r,��z�� . �' , �: .F�'t:� � G�eg�7e� At. Ble�s ' � '�: M��in•Lt��r ,K�:�q Iiea�.th Clinic .�ans�.an:' Ci�y f�r�g tx�' $I9,340 as: �`" a l0�.m€xtch for a Hi1�:-Burton,Grant. '� � � . ,� .. , �'; - .�a . . ' . �. .. . . . � . .. .. � . . . . . . . . .t3 . .�.� . . . .. � . � . . .. .. :. . ;�... '.�` 11� � . . � . . � ' � . � � .. . . . '�'; � .. ' � . . � � . . ,. . . „�� . - �� . .. � � ��`� F , � �.�.� ��fr��.•�� . . . � . . .. � . � " . � �h {. +iw�l+.�w.►4 I�Y 5 .- .. . .. . � . . . . � . � . .. . +'� t � .. � .`< . �. n/�' . . . . . - � "�"`' ;";�� ;19�'� � 3ta1 � aP �mgrov+�ment Budget l�y tran��r#:n� $2�3r30U #�p_� 1�'lT ' � t�al�a�taed Rege�eve to a`Martin Luther King;H�zlth �1�%�,nic Ex�sar��.�on ��rs�e+�t.�acc�ot��, ��; •�'� ,. �'"' z< - � , ,�� ?t,1�E �D RAfi�?P1ALE � �H�S ACTION: ° �t�ec ci�Y �.s in:pr� contentian t.c� receive a $`173,7n0 �il�-�B��Q�,:c�a3`� t�aqt�er �e�, t f�r,t�3„°I�oS�p�.�3� Co�tstxuctioz� Act fc�r a 2.�#T' $quare foo�� t��i: �Q �'.1�t�C e1:�9.+�, � � �t� c��. s�ust I3a�ne a l.o� �atch avaalable in April of 19')f3 k�£or� �anY q�'a�� a�c�:°� _' ' be cor�srir�er�d.': �� e �a� would sli t2 increa�e o � . � �a�s gh .y �sati�ag �pe�t�� ra� ��1�3.��, � { � but' �rot� �at resttlt i.n a�� increased ataffing. . : ,. ; � , The requarqit h� �eteu agprov�d by the Buc�get �ri��c�or, th� ;Di�ec�c�.o�` �ir�r►c� artd Ma�Bq�'t 'Ses-�ric�s R �d ,th� Cti.ty Attozn�X. , ;,'' : , . # .;. , �,, �. . � C�8 Camn�ittee re�a��td�d approva;� at th��r Agril 1:3, 1978 ri�� _� ; , , . ; , u�: ;. _ f°: ;: �'i"I'�FI1�I�TS: . ��.�.,�_...._ _ .. . ;, ;Ca�ci� �essolu�i� - .1 p�,ge ;. � �'�': Ses�vr��s ![[�trch �9 tequest - 5 pagea �¢ : �� sd�e� Lii.�tor's �'!�»�a�us af unallo,�at�el m�i:� - Apri�. 6. 1978r - . . , ,, � � � � � � �;� . . . . . � , . .. . .. .- �a^;a � . . �,'. y, � ' . , ,,. ,.. , , ; ' , ,. : ,�s . � , • � � �- , ;' ° .� ' • I ��TY °A . ' CITY OF SAINT PAUL �`�� : o � ; DEPARTMENT OF COMMUNiTY SERVICES ` �-°�� 9 ..-.-' �T'�"`°"' DIVISION OF PUBLIC HEALTH �.s �c _ �,.. '" 555 Cedar Street,Saint Paul,Minnesota 55101 , George Latimer � � (612) 227-7741 Mayor March 29, 1978 � Mr. Richard Schroeder - Budget Director 365 City Hall St. Paul , Minnesota 55102 Dear Mr. Schroeder: The Division of Pub�lic Health has Tong recognized that the facilities occupied by the Model Cities Health Program were inadequate in size to meet the needs of the program. The space presently occupied in the Martin Luther King Center was originally designed to accommodate weekty or monthly well-child and other periodically scheduled clinics of this agency and the Ramsey County Nursing Service. The planning and design of the space occurred a few years before Model Cities funding became available and this program became a reality. The Martin Luther King Center was selected at the onset of the Model Cities Health Program because it appeared to be the best available faci- lity. Also, the multi-service nature of the center seemed to fit our needs quite well . A number of substantial modifications were made to the cli- nical area of the building to better meet the program needs. Even with these changes the space from the start was very marginal . Much of the 3,000 square feet of floor space was devoted to waiting areas and interior corridors leaving only four examining rooms and limited space for other clinical activities. Since the inception of the program, the patient load has grown from a few hundred patient visits a month up to 1400 a monCh. This increasing patient load necessitated a reevaluation of our facility requirements. In 1g77, Planning District 8 requested Community Development Block Grant funding for a 2,800 square feet addition to the north end of Wing C to provide additional clinic area. (I am attaching a list that provides detailed information regarding the need for clinic expansion.) The request by District 8 was approved in the 1978 Community Development Plan but was not funded due to other priority programs. We recently were solicited by the Metropolitan Health Board to submit proposals for medical facilities improvement or expansion which would be eligible under the federal Hospital Construction Act, commonly referred to as the Hill-Burton Act. The funds available were rather small , $Z50,000, and were the remnants of a previous state award which had as its -9-- Mr. Richard Schroeder March 29, 1978 Page 2 prime purpose the expansion or remodeling of outpatient facilities. The Hill-Burton Act provides for g0� federal funding of construction costs for medical facilities in inner city areas with only a lOq local matching requirement. The preliminary proposal submitted by our agency for $193,000 has received favorable review to this point. We apparently are among the finalists in the funding consideration. A finat decision on the award will be made some time in April , 1978. in the meantime, the Minnesota Department of Health. would like assurances that potential grant recipients are capa6le of fulfilling the matching requirement, which in our case would be $19,300. I th.erefore request -that $19,300 in Capital Improvement or other available city funds be allocated to meet the matching requirements for this poten- tial award. A funding commitment at this time on the part of the city may have a favorable effect on t�e outcome. Should we be unsuccessful in o6taining this grant, the funds allocated by the city could be returned to their original source. I would like to assure you that the proposed facility expansion would not require additional staff or an increase in operational budget other than nominat increases in space and utility costs. Also, there 'is presently a grant proposal submitted to Region V of HEW for federat funds availabte under a new program, the Urban Health Initiative, which is part of the Community Health Center Program. This grant proposal , which is for $487,000 for th.e first year, has received favorable consideration thus far and ap- parently fias about an even chance for approval and funding. t am attaching a letter to Mayor Latimer from Regi.on V, HEW regarding this program. I. trust that you will look favorably upon this request and give it both your approval and support. Sincerely, I ap�nave o{� �th,i.s ner�ue�s� a�s a �'tr,avv5�elt , /�� a� $l9,300 �tcom �he 197� CIB Una,22accr.ted i" �� '/ Re�elcve Accaun,t. �1� �� 'll�i�-=- �=�`.-�.�L�i , _. _G^� ` !�..I.y`��- Wi 11 iam G. Timm _ •r�`- - ..:c_ ' Director of Administration �h ' �� ;j�' s� � � �^ '1-'�.�,c.��6LL�''..[�, ��',,,�ti`::�'Lt:��U= t ` Approved: � , Thomas J. Kelley Director, Department of Community Services WGT:cf c: David McDonell , Chairman Cl6 Committee Ti mothy Vann ,� )p� . . -, . OBJECTIVES AND NlEED F�R EXPANSION FtJPJDIF!G The principal obstacle impeding the Health Proiect in delivering health care to its target population is lack of space. A.s a result, the Project's primary oh- 7ective of reversinn the severe health conditions in the area is in jeooardy. The soace limitations not onl,y hamper the direct delivery of service but also the screenina and health education proarams necessary to change the residents' crisis _ orientation concernina health care. The following space problems now exist in the Health Pro,iect: -The pharmacy measures only 1�t� square feet. The Pro,iect was allowed to use waitinq room area to meet the minimum requirement of n�o square feet for state licensina. -There is insufficient storage area for medical sut�plies and oharmaceuticals in the service area. Two metal cabinets and a converted rest room provide the only storage. -The dentai unit is housed in a room measurinQ 120 s4uare feet. There is room for only one dental chair so clean-up and preparation time is necessar,y between patients. With a small desk, instrument cabinet, x-ray ec�uipment, as well as seatinc� for the dentist and hyqienist, the room is quite cramned. At one time there were 5Q0 people on the ctental w�iting list. -The medical x-ray unit is a converted janitor's broom closet and measures sixtv square feet. The room has no private area for patients to chan�e clothes. -Examination rooms are insufficient. The four rooms, each measurin� 9 x Q feet, actually become an effective three since one is used to prep patients. ��hen therp is more than one physician, or there are two separate proqrams in progress at at the same time, bottlenecks develop. -There is no nursery area for children. -There is no room laroe enough to accommodate the oohthalmology clinic. Presently, the staff uses two offices, a corridor, mirrors and a reverse e,ye chart to approx- imate two e,ye lanes and an examination area. -The Health ProJect shares space with the Maternal and Infant Care Proaram on Fridays. On this day the medical win� is turned over to M.I.C, and Pro,iect staff use office space as exam rooms. This is a hectic and inefficient situation. -There is no separate outside entrance or emerqency entrance to the Health Pro,iect area. Consequently, it is difficult for patients to cfain entr.y to the Proiect and is a long dangerous walk when side��ralks are icv. -The three offices are all crowded includinq that of the medical director ��ho shares her office with other physicians. y -There is no lunch facility for staff. �ffice s�ace is used for this pur�ose. -There is no room suitable for staff ineetinqs-or-and��,-visual preser�tations. ' -Qecause of space restrictions, five members of staff are housed at a field office located at 317 "".arshall ave. The activities of the Nealth Project include over 14,f?On annual oatient visits , health education programs and disease screening oroarams,as well as medical home visits. These activities are accomplished in a facility measuring 29�0 square feet. The praposed expansion measures 2�00 square feet,close to doublinn the existino area. r ' �� RESULTS OR BENEFITS EXPECTED FP,�M EXPANSI0�1 -Provide for an expanded dental operatory with two dental chairs,enablin� a �atient to be seen by the dentist while the hygienist makes prenarations for the next patient. A small lab will be included. -Provide for three additional exam rooms which will be slightly larver than the existing ones (9 x 12). -Ample storage space will be available. -The dimensions of the pharmac,y �rill be expanded, increasing efficiency and meetinn state guidelines. -A lar�e room will accomodate conferences, staff ineetins, audio-visual oresenta- tions and also serve for ophthalmology clinics. -Prnvide room for our outreach staff and enable us to close our field office thus effecting an economy and increasing coordination. -Provide a separate room for the Project medical director and a �rivate area for the billinq clerk. � -Create a separate entrance to the clinic area and an emergency entrance into the medical area. -Enable the Pro�ect to �ive greater service to a larger number of people more efficiently. -Provide sufficient room to work when the P�aternal and Infant Care Program shares the facility. -Enable the Pro.ject to compl.y with OSHA safety re4ulations. -Provide a lunch room for staff. -�reatly improve morale of Project staff. The proposed expansion will not result in any increase in operating cost. Possible exceptions might be in rental charge or utilities. These will be offset by increased patient visits and economies previously mentioned, There will be no additional staff over the figure currently in the hudaet. At the same time,the proposed expansion wili increase the possibility of servinq more patients, increase efficiency and expedite medical service. � � 2_ . , . ;J � C��• ..�.:.<<,�V.,� � � . r,'�1M.(a4' � �1 � L� . J t� � / � � ' „ DEPARTMENT OF HEALTH. EDUCATION. AND WELFARE o, ,+�� . REGION V ua► 300 SOUTH WACKER ORIVE CHICAGO. ILLINOIS 60606 PUBLIC MEALTH SERVIGE Novanber 10, 1977 •. .� .. - ' • i . i• �•" 'Mr. George Latimer � �„ .. . � 2�Iaayor �0�, ta 1 .�� City of Saint Paul � 347 City Hall �y�'��OA�' A�� Saint Paul, Misinesota 55102 Dear Mayor Latimer: Thank you for your letter describing the Saint Paul �7ode1 Cities Y.ealth Clinic, which seems t,o be very sLrccessful in meeting �-.he healt'� needs - _ of the medically underserved in your city. At this point, I wr�uld reco�end that you su�niit ar_ a�lication for funds available under a new progr�n, the Urban Health Ir�.ti.ative, w�iich is gart of the C�m�unity Health Center program, ar� is described in the et�close� booklet. � The deadline for applications for the c�rent funding cycle was Novenber l, I977; h�aever, we anticipate another cycle next year and � will notify you of the date anrl provide you with appropriate material. The focal ooint for the Urban Health Initi.ative program in my staff is , l�s, C, Rpbert Sawyer, whose phone number is 312-353-1721. P�r. Sa�vyer � will be available t�o answer any questions you ma.y have. Sin�cerely, �- i . , ` � � I . ��l�� _ c� «-�--_,. � � � � `-J/E. FYank Ellis, N,.D. I . f� ' / Regional Health F�ck�inistrator Enclosure �� j I � ' ' I . - �3 _ ��$�`tTr °r; CITY OF SAINT P�LTI. o y� � �' '.�a OFFICE OF T�IE �1YOR ga n]Sli!11t1� ?�• 11ti �.:?IC C� �vm ^= • f85+ � 347 CITY H2iLI, (:EOBGE L.�TIJIEB SAINT P�LZ.�IL\'�TESOTA Ja7IO� *znYOH (ai2� sas-aa2s April 6, 1978 � � To: Mr. David McDonell, Chairman, and Members of the Lonq-Range Capital Improvement Budget Committee n �Fr: Richard E. Schroeder, Budget Director�� Re: Status of Unallocated CIB monies and approval of funding requests being considered at your April 13, 1978, meeting STATUS OF UNALLOCATED RESERVE Current Recommended Proposed Balance Transfer Balance 1967 thru 1976 CIB monies -0- -0- -0- 1977 CIB $ 19,857.98 $ 19,300.00 $ 557.98 1978 CIB -0- -0- -0- 19,857.98 19,300.00 557.98 STATUS OF D06dNTOWN PEOPLE MOVER SYSTEM FUNDING WITH CIB BOND MONIES 1977 CIB Bonds (Preliminary Design) $ 150,000 1978 CIB Bonds $ 810,000 Less Agenda Item 2 - 26,950 Less Agenda Item 3 -195,000 Less Agenda Item 5 - 35,450 552,600 TOTAL $ 702,600