Fiscal Note
Funding is included in the 2013 Public Health Operating Budget. There is no anticipated impact on cost controls or the tax levy.
Title
Authorization for the Board of Health for Madison and Dane County to enter into a contract for the purchase of services with the Board of Regents for the University of Wisconsin for the Provision of Services for the Diagnosis and Treatment of Sexually-Transmitted Infections.
Body
Preamble:
Public Health-Madison and Dane County (PHMDC) is mandated to assure that services are provided for residents that may have a sexually-transmitted infection (STI). For more than 10 years, these services have been provided by University Health Services (UHS) and Access Community Health Centers (ACHC). The 2012 Public Health Adopted Operating Budget included $97,000 for STI services for these two contractors, although ACHC provided about 85 percent of the STI services.
ACHC is shifting their practice to a wrap-around model that makes it difficult to integrate STI clients and has decided that it will no longer provide services for Public Health clients after the end of this year.
The initial intent was to replicate these services using a different provider, issuing a Request for Proposal. Contacting other providers and health departments raised the possibility of other service models. The model that seems most effective is where a contractor is used to do the diagnosis and treatment, but PHMDC staff run the clinic and do all the follow-up. This is expected to be a more efficient use of our staff, since they will be able to work with clients face-to-face while they are at the clinic and not need to do all follow-up by telephone.
In surveying service providers, PHMDC staff learned of the possibility of an unlikely provider-the School of Nursing of the University of Wisconsin-Madison. The School of Nursing initiated a new program for the Doctor of Nursing Practice two years ago and has built a staff that includes several seasoned n...
Click here for full text