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238628 w�� l . � 23�� ORIGINAL TO CITY CLERK• • . CITY OF ST. PAUL FOENCIL NO. ' F E OF THE CITY CLERK COUN I ESO UT N� ENERAL FORM PRESENTED BY COMMISSIONE DATF � RESOL D, Tha the Cou.ncil of the City of Saint Paul concurs with the recommendation of the Welf are Budget Advisory Committee at , its meeting on April 25 , 1g68, and approves the request of the Ramsey County Welfare Board for additional equipment and ,personnel at the St. Paul Ramsey Flospital as follows: Radiology Department - An additional 4 Technicians and 3 -� clerks, at an. estimated cost for six months of �18,000.00. Coronary Care Unit - New equipment at a cost of approgimately �18,900.00; an additional full time and part time personnel at a cost of approgimately ��2,000.00 for six months. � Labor & Delivery Suite - a,n. additional full time Registered Nurse , one full time Licensed Practical Nurse , 5 part time licensed _ . 1I'�actical p�:carses, 2 full time aides, an.d 2 part time aides, at a cost of approxi�mately �22 ,000.00 for six months. Establishment of an Echoencephalogra,m. Laboratory at an estimated cost of �8,g00.00 for six months. An increase in Stipends for 40 Interns and Residents effective July l , 1968, at a cost of �20,000.00 to be charged against a ; � - �250,000 ��.-lary Reserve Account in the 1968 budget. FORM APPROV D Asst. Corporation Counsel � �A� g 6 196� :. COUNCILiuIEN Adopted by the Council 19— Yeas �� ays �� g � � � Dalglish � �d Approved 19____ L°z'z fn Favor ,(�� Meredith , `-��6'`—r� ��'�� r,�.�see_ � �.g#%.��' Mayor �� gainst Rcsee- t��;��::,:�:�E:::�°�:.:�" �• F P�QLISHE� �d�� 8 196� �Mr.�Vice President (Hollan� � ! I , ,`� �. . .E,..:�: V '+� � 7 . s,,'. . ,. + ��; � ° - - "� - � � DEPARTMENT OF FINANCE 23862- _,.�- . ,_ � .�. � ' -� ' � a� � ` �CITY OF SAINT PAUL -, �- _ f MINNESOTA ' '..+�''�� I 13 Court House,55102 . JAMES J. DALGLISH, Commissioner ' •� � . LOUIS H.'MeKENNA, Depufy Commissioner ' Phone:223-4646 , May 1, 1968 � � ` " ' The Honorable Mayor and � ' Members of the City Council , , The Ramsey County Board of Commissioners Gentlemen: � The Welfare Budget Advisory Committee, at its meeting on , Thursday, April 25, recommended approval of the request of the Ramsey County Welfare Board for additional �equipment and personnel as shown in the attached letter. � It should be noted that equipment and personnel charged to each department will be paid for from the additional revenue generated by these additions. The item of $20,000 for a salary increase for interns will be charged against a $250,000 salary reserve account in the 1968 budget. The committee recommended approval. , Sincerely yours, `,,., � � ;�,./��1�� C.,�C �'��..2� James J.J alglish ,� �/"Cha irmani Welfare Budget Advisory Committee I , . I ' ' ' ti. � � - � � I I �� - _. , ti ± .. ,.r . �` . COUNTY �PELFARE DEPAR.TMENT nlv�sloN o� � BOARD DIRECTORS COUNTY WELFARE BOARD 476 SAINT PE'1'ER STREET SAINT PAUL, MINNESOTA 55102 CITY OF SAINT PAUL RUTH L.BOWMAN EXBClLtfLB INTLCtOT SAM S.GRAIS,CHAIRMAN AND � BYRON B.COCHRANE,M.D.,VICE-CHAIRMAN FRANK J.WIDERSKI COUNTY OF RAMBEY April 24, 1968 HARRY J.MOBERG - , MRS.JOSEPH KALISCH 2`he Honorable James J. Dalglish Chairman, Welfare Budget Advisory Committee The Honorable Members of the ' Welfare Budget Advisory Committee 113 Court House Saint Paul, Minnesota 55102 Dear Mr. Dalglish: The Ramsey County Welfare Board, at its meeting on April 23, 1968, approved a number of staff increases and additional equipment for the Saint Paul�Ramsey Hospital subject to the approval of the Welfare Budget Advisory Committee. These increases are not included in the 1968 budget appropriation. Z'he superintendent of the hospital stated that adjust- ments would be made in hospital charges to meet these additions to the hospital services. The Radiology Department asked for four Clerks and five Technicians. Dr. G. A. Gretsch, Director of the Department of Radiology, presented this request. He explained thaf for .the past year the monthly work load has increased between ten'and fifteen percent in the division of diagnostic radiology, and there has been an increase in the out-patient load. In order to make the department-funetion efficiently, additional � personnel` is {needed in _several key positions. • This will allow increased utilization of other hospital services and becls. °The Board authorized four Technicians and three Clerks at ari�estimated cost for six months of - $18,000.00. A second request approved by the Board was for increased staff and equipment for the Corpnary Care Unit. Dr�. Gerald Lee, Cardiologist at the Saint Paul-Ramsey Hospital, surveyed the status of physiologic monitoring equipment for coronary -care and recommended approval of the _ revision and purchase of new equipment, which will cost approximately $18,900.00. In addition to this equipment, Dr. Lee and Miss Minna Moehring, Director of Nurses, are requesting additional full-time and part-time personnel at a cost of approximately $72,000.00 for six months. A third request was received from Dr. Erick Hakanson and Miss Moehring for staffing of the Labor and Delivery Suite. This included one full- time Registered Nurse , one full-time Licensed Practical Nurse, five part-time Licensed Practical Nurses, two full-time Aides, and two part- time Aides at a cost of approximately $22,000.00 for six months. This ACdENCY MLM��R OF THE AMBRICAN PUBLIC ti�/ELFARE A860CIATION , . . - � � : . . : ` The Honorable James J. Dalglish The Honorable Members of the Welfare Budget Advisory Corimlittee April 24, 1968 , Page 2 , increase is based on an increase in utilization of the labor and delivery , services which was not anticipated at the time the budgets were prepared approximately a year ago. A fourth request approved by the Board was the establishment of an �� Echoencephalogram Laboratory. The hospital administration, the Founda- I ` tion, and the medical staff have negotiated with Dr. Robert Gumnit for the development of an Echoencephalogram Laboratory. It is their recom- n� mendation that this laboratory be estab lished at this time. An expendi- 1 ture in the amount of $8,900.00 will be needed, and it is estimated that the income generated by this department will equal the expenditures re- quested. The cost for six months of 1968 is estimated at $8,900.00. ' The Board approved a request for an increase in stipends for forty in- terns and residents, effective July l, 1968. Mr. Janke reported that Dean Robert Ulstrom, Associate Dean at the University of Minnesota Medical School, has notified the Board that the University heads took action -�o increase internst and residentst stipends beginning July l, 1968, to $5,300.00 per year for interns and a beginning salary of $5,500.00 for first-year residents , with $500.00 increments for each additional year - of service. It is estimated that the cost will be approximately $'�20,000.00 for the last six months of 1968. It was recorrunended that i.n order to �� finance these increases the cost be charged against a`�$250,000.00 salary �_ � reserve account, which was �established in the 1968 budget. Y.,._r[��, �,� ° The total increase approved by the Board is as follows: Radiology Department $ 18,000.00 Coronary Care Unit " ° � . .�_ 90,900.00 Labor & Delivery Suite ' � _ � � 22,000.00 , Echoencephalogram Laboratory • �8,900.00 , Stipends for Interns & Residents l.20 000.00 . ' : . , _ 59,800.00 � Yo very truly, _ �, / qr• RLB/jr � ( ss) Ruth L. Bowman Executive Director cc: Welfaxe Budget Advisory � Committee Mayor Thomas R. Byrne Mr. Harry Marshall Mr. William Peters - Mr. Clemens Schleck Mr. Bernard Selbitschka � Mr. James D. Swan Mr. Otto Janke . .J� � � � � � J�y ' COUNTY �PELFARE D�PA1�TlYiENT � orv�a�oN o� BOARD DIRECTORS COUNTY WELFARE BOARD 476 SAINT PETER STREET SAINT PAUL, MII�INESOTA 55102 � CITY dF SAINT PAUL RUTH L.BOWMAN� ESECtstJY6 DITLCfOT j � SAM S.6RAIS,CHAIRMAN �p BYRON B.COCHRANE,M.D.,VICE•CHAIRMAN � COUNTY OF RAMSEY HARRY J.MOBERG I April 24, 1968 MRS.JOSEPH KALISCH The Honorable James J. Dalglish Chairman, Welfare Budget Advisory Committee The Honorable Members of the ' Welfare Budget Advisory Committee . � , I13 Court House , Saint Paul, Minnesota , 55102 � • Dear Mr. Dalglish: • � � ; The Ramsey County Welfare ,Board, at its meeting on �April 23, 1968, , , approved a number of staff increases and additional equipment for the ; Saint Paul-Ramsey Hospital subject to the approval of the Welfare Budget .! Advisory Corranittee. These increases are not included in the 1968 budget � appropriation. The superintencl.ent of the hospital stated that adjust- ' � ments would be made in hospital charges to meet these additions to the s hospital services. � j The Radiology Department asked for four Clerks and five Technicians. � Dr. G: A. Gretsch, Director of the Department of Radiology, presented this request. He explained that for the past year the monthly work � � load has increased betwe�n ten and fifteen percent in the division of � diagnostic radiology,,_,anfl there has been an i.ncrease in the out-patient � � load. In order to make the department funetion efficiently, additional � # ' • personnel is needed in several key positions. This will allow increased ' � utilization of other hospital services and beds. The Board authorized � , ' four Technicians and three Clerks at an estimated cost for six months. of � $18,000.00. . � A second request approved by the Board was for increased �t�ff and. , ' �qu�r�rk..t ,f.or '-he Co�•on3r,y ,Garer�Uni't. Dr. Geraia �,�e, Gardiolo�ist ' at the Saint Paul-Ramsey ttospital, surveyed the status of physiologic � � • monitoring equipment for coronary care and recommended approval of the revision and purchase of new equipment, which will cost approximately 4 . .$18,900.00. In addition to this equipment, Dr. Lee and Niiss Minna � Moehring, Director of Nurses, are requesting additional full-time and , - part-time personnel at a cost of approximately $72,000.00 for six months. � ' ' �, . A third request was received from Dr. Erick Hakanson and Miss Moehring . for staffing of the Labor and Delivery Suite. � This inc�uded one full- ' time Registered Nurse , one fulT-time Licensed Practieal Nurse; five ' M � part-time Licensed Practical Nurses, ttvo full-time Aides, and two part- �T time Aides at a cost of approximately $22,000.00 for six months. This , ` . AG�I�iCY M[M16R OF TH2 AMERICAN PUHLIC`nIELFARE A850CIATION � �` ' � • . ! ' ' , ' ., . __ . . , � � . � r . � � � • . . . The Honorable James J. Dalglish „ - The Honorab le Members of the Welfare Budget Advisory Committee . April 24, 1968 Page 2 , ' � increase is based on an increase in utilization of the labor and delivery , services which was not anticipated at the time the budgets were prepared approximately a year ago. A fourth request approved by the Board was the establishment of an � Echoencephalogram Laboratory. The hospital administration, the Founda- � tion, and the medical staff have negotiated with Dr. Robert Gumnit for . _ the development of an Echoencephalogram La.boratory. It is their recom- mendation that this laboratory be established at this time.' An expendi- ture in the amount of $8,900.00 will be needed, and it is estimated that ' the income generated by this department will equal the expenditures re- quested. The cost for six months of 1968 is estimated at $8,900.00. - � � The Board approved a request for an increase in stipends for forty in- � terns and residents, effective July l, 1968. Mr. Janke reported that . Dean Robert Ulstrom, Associate Dean at the University of Minnesota Medical � ( • � School, has notified the Board that the University heads took action to i increase internsT and residentsT stipends beginning July l, 1968, to � �� F - $5,300.00 per ye�ar for interns and a beginning salary of $5,500.00 for � first-year residents , with $500.00 increments for"each additional year � . of serviee. It is estimated that the cost will be approximately $120,000.00 ' for the last six months of 1968. It was recommended that in order to ; finance these increases the cost be charged against a $250,000.00 salary I reserve account, which was established in the 1968 budget. � j . The total increase approved by the Board is as follows: Radiology Department $ 18,000.00 Coronary Care Unit 90,900.00 - Labor & Delivery Suite � � 22,000.00 E�hoencephalogram Laboratory - 8,900.00 ' St;_na�,�G for Intern� �. ue�;�Q,�t� • ��y nn4.Ou�.... , ..�__..�- - . `�,-:;.• ,— 259,�J�.��J� � Yo very truly, � ---��' � � RLB/jr ` � ss) Ruth L. Bowman � ` '� Executive Director cc: Welfare Budget Advisory � ' ' Committee - - � ,, Mayor Thomas R. Byrne , ° _ , . � � Mr. Harry Marshall� ' . " . , Mr. William Peters . , Mr. Clemens Schleck ' Mr. Bernard Selbitschka , - ' � � � ' Mr. James D. Swan . • ' l � - Mr. Otto Janke . � �