House Community Budget Issue Requests - Tracking Id #55

Gerold L. Schiebler/Children's Medical Services Center Phase III

 

 

 

 

 

 

 

 

 

 

Requester:

Arlan L. Rosenbloom, M.D.

Organization:

Department of Health/Children's Medical Services

 

 

 

 

 

 

 

 

 

 

Project Title:

Gerold L. Schiebler/Children's Medical Services Center Phase III

Date Submitted:

12/17/1999 3:10:11 PM

 

 

 

 

 

 

 

 

 

 

District Member:

Robert Casey

Service Area:

Statewide

 

 

 

 

 

 

 

 

 

 

Counties Affected:

Alachua

 

 

 

 

 

 

 

 

 

 

Recipient:

Department of Health - Children's Medical Services

Contact:

Christina Goodwin

 

2020 Capital Circle SE, B #A06

Contact Phone:

(352) 334-1700

 

 

Tallahassee 32399-1731

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Project Description:

 

 

 

 

 

 

 

The Gerold L. Schiebler Children's Medical Services Center in Gainesville serves as the administrative and nurse case management headquarters for the 16 county North Central Florida region for 77 staff serving 6500 children with special health care needs. The facility also houses 120 staff in specialized programs contracted by CMS with the University of Florida, and clinics that provide more than 15,000 patient visits per year.

 

The building expansion, scheduled for completion in March 2000, will provide additional office space and complement the existing facility, which currently houses clinic exam rooms, administrative offices for CMS, and contract programs.  The expansion will also provide meeting rooms for groups that deal with CMS patient care issues and administrative matters.

 

The fixed capital outlay request for fiscal year 2000-01 was $4.2 million, a figure developed with the state architect for Phase III, the final phase of the CMS Center project.  Phase I is the existing facility and Phase II is the building under construction.  The funding for Phase I was not adequate to provide the space required to meet the goal of collocation of CMS program at the time of completion (1991), let alone for expanded activities to come.  Planning funds were obtained for Phase II: to provide adequate space for CMS administration and case management staff, the new CMS primary care program, the Child Protection Team, statewide Perinatal Data Systems, Early Intervention Program, and others; to renovate and repair the existing facility, particularly to repair the defective roof and meet fire codes, to remodel the facility for expanded primary care needs; and to construct a new parking lot.

 

Since 1996, after the Phase II expansion plan was submitted and implemented for the CMS facility in Gainesville, there has been a major expansion of the statewide Department of Health (DOH) Information Management Services provided by the University of Florida College of Medicine Perinatal Data and Research Center (PDRC).  This unit has been renting substantial space outside of the facility because of its expanding statewide responsibilities.  Plans for the addition of a third floor to the existing CMS Center were developed in order to provide adequate and secure space for these programs, and funding has been obtained from the federal government to assist in this construction.

 

Since development of the Phase II plan, there has been an increase in renovation needs related to ongoing water damage, need for compliance with fire codes, and recognition of the need to build a protected passageway between the buildings of the CMS Center.

 

 

 

 

 

 

 

 

 

 

 

Services Provided/Benefit to State:

 

 

 

 

 

The Children's Medical Services program that provides children with special health care needs a family-centered, comprehensive, and coordinated statewide managed system of care that links community-based health care with multidisciplinary, regional, and tertiary pediatric care.  Children with special health care needs are those children under age 21 whose serious or chronic physical or developmental conditions require extensive preventive and maintenance care beyond that required by typically healthy children.

 

The CMS continuum of care includes prevention and early intervention services; primary and specialty care; as well as long term care for medically complex, fragile children. The CMS Center in Gainesville houses CMS staff as well as contracted programs that have regional and statewide impact as the result of patient referrals. 

 

The Perinatal Data and Research Center (PDRC) has experienced a four-fold growth in statewide Department of Health (DOH) information management functions, including analysis, evaluations and reporting services. The PDRC currently expends approximately $40,000 annually for leased off-campus space in addition to the space in the existing CMS Center facility.  The PDRC has expanded its statewide information management service in the following areas:

 

1.         CMS Regional Perinatal Intensive Care Centers (RPICC) [High risk OB care, Neonatal intensive care, Satellite high risk OB care, and teratogen programs];

2.         CMS Early Intervention Program (EIP) [Developmental evaluation and

Intervention programs for neonatal intensive care graduates and the Part C Program for children with disabilities less than three years of age];

3.         Electronic Medicaid billing for neonatologists, obstetricians, developmental

and health specialists in the RPICC and EIP;

4.         DOH Birth Vital Statistics - surveillance and outcome evaluations;

5.         DOH Healthy Start screening and service components - surveillance and outcome evaluations;

6.         DOH Birth Defects Registry

7.         Medicaid eligibility - surveillance and outcome evaluations;

8.         Medicaid pregnancy and infant hospital discharge data analysis.

 

 

In addition, in 1998, the University of Florida PDRC became a branch of the Lawton and Rhea Chiles Center for Healthy Mothers and Babies at the University of South Florida College of Public Health to provide statewide information management services.  The PDRC has the following responsibilities for the Chiles Center:

 

1.         To develop, maintain, and operate a maternal/child health relational data warehouse for outcome evaluation purposes;

 

2.         To create a statewide information management system for analysis,

research, quality assurance, and accountability for maternal/child health outcomes;

 

3.         To develop maternal/child health surveillance and reporting systems for public health outcomes;

 

4.         To develop and implement statewide security and confidentiality Requirements for maternal/child health information management.

 

New responsibilities for fiscal year 1999-2000 involve contracts for statewide information management services for DOH and the Chiles Center that involve child abuse, child neglect, and a pregnancy outcome HIV project.  In addition, proposal are currently being reviewed by the Center for Disease Control (CDC) in conjunction with the Chiles Center, the DOH, and the Agency for Healthcare Administration to expand the existing maternal/child health data warehouse capabilities.

 

The third floor addition to the existing CMS Center Building will provide DOH with a central facility for major maternal/child health statewide data information management, surveillance and reporting capabilities, designed with contemporary technology to ensure security and confidentiality of data.

 

 

 

 

 

 

 

 

 

 

 

Measurable Outcome Anticipated:

 

 

 

 

 

1.         Elimination of lease costs for several programs, particularly the Perinatal Data and Research Center (PDRC), for a savings of ~$80,000 per year.

 

2.         Elimination of repair costs from water damage to existing facility, approximately $30,000 per year, and roof replacement cost of $200,000.

 

3.         Greatly increased efficiency in operation of PDRC, with co-location of entire staff, decreased time required for security measures, and enhanced work environment.

 

4.         Increased efficiency and capacity of primary care clinics resulting in greater numbers of clinic visits and improved patient/parent satisfaction.

 

5.         Compliance with fire codes in existing facility.

 

6.         Increased use of CMS center for health related community activities.

 

7.         Provision of office space for legal counsel for District 3.

 

8.         Provision of space for Child Advocacy Center to coordinate with Child Protection Team and other CMS resources.

 

 

 

 

 

 

 

 

 

 

 

Amount requested from the State for this project this year:

$3,400,000

 

 

 

 

 

 

 

 

 

 

Total cost of the project:

$5,400,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Request has been made to fund:

Construction

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there Local Government or Private match for this request?

 

Yes

 

 

 

 

In-Kind Amount:

$2,000,000

 

 

 

 

 

 

 

 

 

 

 

Was this project previously funded by the State?

 

Yes

 

 

Fiscal Year:

1997-1998

Amount:

$2,500,000

 

 

 

 

 

 

 

 

 

 

 

Is future-year funding likely to be requested?

 

No

 

 

 

 

 

 

 

 

 

 

 

Was this project included in an Agency's Budget Request?

 

Unknown

 

Was this project included in the Governor's Recommended Budget?

Unknown

 

 

 

 

 

 

 

 

 

 

 

Is there a documented need for this project?

 

Yes

 

 

Documentation:

See Attachment I

 

 

 

 

 

 

 

 

 

 

Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)?

Yes

 

 

Hearing Body:

Marion County Legislative Delegation in Ocala, Florida

 

Meeting Date:

01/11/2000