AGENDA MEMORANDUM

 

 

Meeting Date:           August 14, 2006

 

From:                          Edward F. Smyth, Jr., Assistant City Manager

 

Subject:                      Resolution Urging the Lake County Board of County Commissioners to Plan and Budget for Construction or Renovation of a Public Health Facility in Leesburg

 

Staff Recommendation:

Staff recommends approval of the resolution urging the Lake County Board of County Commissioners to plan and budget for construction or renovation of a Public Health Facility in Leesburg.

Analysis:

In 1999, the Lake County Health Department closed its clinic located on Griffin Rd in Leesburg due to the presence of mold growing in the walls of the building.  Since that time, Leesburg has been without an adequate Public Health Care facility to accommodate its citizens. 

Prior to closure, the clinic was offering maternity care, pediatric care, and care for sexually transmitted disease to more than 1,400 clients every month.  The rationale to close the facility was that Leesburg had two other competing not-for-profit medical facilities that could accommodate patients on Medicaid and also that individuals could use either of the existing facilities or travel to the Tavares Public Health facility.

Since the closure of the Leesburg Public Health Clinic, patients needing the described services as well as primary care services, have flooded the patient load at the Leesburg Regional Medical Center

While the two alternate facilities have expanded their patient loads, LRMC continues to be the first choice for those patients that formerly sought services from the Lake County Health Department.

The First Baptist Church’s Community Health Center was created to augment LRMC services by providing acute care for patients without the financial means to seek services from fee based providers.  Since their inception they have realized that their target population is in need of care for acute diseases as opposed to injury, and now a large part of their services are directed to these patients.  This facility does not provide many of the services common to the Public Health Department, and is not intended to replace DOH as the provider of services such as HIV testing, immunizations, OB/GYN or Pediatric care, counseling and testing for sexually transmitted diseases, and many other public health services.

The Public Health Department made their decision to build their new facility without performing formal studies or analysis to determine where needs exist at locations in Lake County.  In particular, an outside vendor should conduct a comprehensive assessment and gap analysis of the public health needs within Lake County, which would be the basis for development of a facilities master plan that would include the best placement of facilities to best meet the identified needs.   There are remaining LCCAN funds that could potentially be used to fund such an assessment; however, there has been no recommendation that the planning be completed to assist the Public Health Department in deciding placement of facilities around Lake County. 

The attached resolution asks the Lake County Board of County Commissioners to require these studies and to withhold all funding for the project until the studies are complete and a viable and practical plan to address all of the needs within Lake County  is approved.

Options:

1.  Adopt the resolution as presented; or

2.  Such alternative action as the Commission may deem appropriate.

Fiscal Impact

There is no fiscal impact associated with this action.

Submission Date and Time:    8/9/2006 1:10 PM8/8/2006 11:26 AM____

 

Department: ______________________

Prepared by:  ______________________                     

Attachments:         Yes____   No ______

Advertised:   ____Not Required ______                      

Dates:   __________________________                     

Attorney Review :       Yes___  No ____

                                                

_________________________________           

Revised 6/10/04

 

Reviewed by: Dept. Head ________

 

Finance  Dept. __________________                                     

                              

Deputy C.M. ___________________                                                                         

Submitted by:

City Manager ________RS___________

 

Account No. _________________

 

Project No. ___________________

 

WF No. ______________________

 

Budget  ______________________

 

Available _____________________


RESOLUTION NO._______________

 

A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF LEESBURG, FLORIDA, URGING THE LAKE COUNTY BOARD OF COUNTY COMMISSIONERS TO PLAN AND BUDGET FOR THE CONSTRUCTION OR RENOVATION OF A PUBLIC HEALTH FACILITY IN LEESBURG, FLORIDA; AND PROVIDING AN EFFECTIVE DATE.

 

BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF LEESBURG, FLORIDA:

 

WHEREAS   the Lake County Health Department discontinued operations and closed its clinic facilities on Griffin Road in Leesburg in 1999 as a result of mold actively growing in the facility; and

WHEREAS   more than 8,000 eligible citizens of the Leesburg area have been without a Public Health facility and adequate Public Health care since the 1999 closing;  and

WHEREAS   no Public Health facility exists in the Leesburg service area for low income and indigent citizens to receive the broad range of Public Health services currently offered in other areas of Lake County;  and

WHEREAS   the Lake County Health Department has disregarded the needs of the indigent citizens of this area who are greatly in need of services for a broad range of health needs and services currently underserved or not served at all by a comparable health care provider;  and

WHEREAS   the Lake County Health Department has a moral and ethical obligation and responsibility to provide balanced and equitable health care to all citizens of Lake County, and to ensure that when service is discontinued to any area that the area then becomes a priority for reinstating those services and facilities in advance of desires for convenient administrative spaces.

NOW THEREFORE BE IT RESOLVED by the City Commission of the City of Leesburg that the Lake County Board of County Commissioners are urged  to oppose the current plans by the Lake County Health Department for the construction of  the new facilities;  and

THAT the Lake County Board of County Commissioners require the Lake County Health Department to include the City of Leesburg in their plans for clinical services for the underserved citizens of this area;  and

THAT the Lake County Board of County Commissioners require the Lake County Health Department to first develop a comprehensive assessment and gap analysis of the public health needs within Lake County to be used for the development of a facilities master plan that would determine the best placement of facilities in order to meet the identified needs;  and

THAT the Lake County Board of County Commissioners require the Lake County Health Department perform the assessment and gap analysis should be done before any construction commences;  and

THAT the Lake County Board of County Commissioners direct the Lake County Health Department to make use of all internal funding sources, such as LCCAN funding, for this study, prior to requesting any additional funding from the Board of County Commissioners; and

THAT the Lake County Board of County Commissioners withhold all capital projects funding for facilities until the Lake County Health Department has completed the assessment and gap analysis, and provides a comprehensive plan based the results of those studies that clearly identifies each service area population and income, for all facilities in Lake County without regard to fee based service providers in any service area of Lake County.

 

PASSED AND ADOPTED by the City Commission of the City of Leesburg, Florida, at a regular meeting held the _14th____ day of _August________ 2004.

 

 

 

__________________________

Mayor

 

ATTEST:

 

 

__________________________

City Clerk