8.2 SANE / SART Funding
CITY OF SALINA
REQUEST FOR CITY COMMISSION ACTION
DATE TIME
04/24/2006 4:00 P.M.
AGENDA SECTION ORIGINATING DEPARTMENT: APPROVED FOR
NO: 8 AGENDA:
ITEM FINANCE AND ADMINISTRATION
NO. 2 BY:
Page 1 BY: Rod Franz
ITEM:
Consider a request for Special Sales Tax Human Services funding from the SANE/SART (Sexual
Assault Nurse Examiner/Sexual Assault Response Team) program.
BACKGROUND:
This request was discussed in detail at a City Commission Study Session on April 10, 2006. The staff
report provided at that time is attached. The amount requested is from $30,000 to $35,000 per year,
which would provide about one-third of the program funding. Other funding sources for the program
include Saline County ($28,000), Health Foundation ($30,000), and other fees and charges
($20,000). At the study session, the City Commission directed staff to present the request for 2006
funding to them for formal consideration. Future funding for this program will be contingent on an
annual request, review and authorization by the City Commission
FISCAL NOTE:
This comes to the City Commission as a request for Special Sales Tax Human Services funding,
which is scheduled to sunset in 2010. This is a continuing program, so requests for funding beyond
2010 will need to come from a different source if the sales tax is not extended at that time.
RECOMMENDED ACTION:
The City Commission has several options available.
1. Authorize the City Manager to enter into a contract with the Salina Regional Health Center to
fund the SANE/SART program in the amount of $33,000 for 2006.
2. Authorize the City Manager to enter into a contract with the Salina Regional Health Center to
fund the SANE/SART program at a different funding level determined by the City Commission
for 2006.
3. Deny funding for the SANE/SART program.
Staff recommends alternative #1 .
Salina Regional Health Foundation (SANE/SART program)
-rhe Salina Regional Health Foundation has requested annual funding on the order of
$30,000 to $35,000 per year to support the SANE/SART (Sexual Assault Nurse
Examiner/Sexual Assault Response Team) Program. The program was initiated in 2003,
through the initiative and contributions from a variety of community groups.
The program provides nursing staff trained in the processing of sexual assault cases, from
the collection of evidence to court testimony, and also provides for specialized equipment
required for the effective performance of the forensic tasks required. Services are offered
to the surrounding region, however the bulk of the cases originate from Salina/Saline
County.
In calendar year 2004, the program recorded 95 cases/consults. 590/0 of these originated
in Saline County, 71 % were pediatric victims, 91 % were female, and physical injury was
sustained in 480/0 of the cases. -rhe assailant was known in 820A, of the cases. Ages of
the victims varied from 1 year of age to 50 years of age (although, during the life of the
program, the age range is from 4 months to 91 years).
In fiscal (ending September 30) year 2004, the program handled 76 cases/consults,
incurred $114,089 in expenses, and realized a net of $38,120 in patient revenue.
Approximately $6,000 in net patient revenue came from insurance providers, with the
balance cOrTling from the County prosecutor's offices in Saline and surrounding Counties.
The program also receives a sn1all amount of grant revenue. 2005 numbers will be
somewhat higher, based on the data provided for the first 10 months of the year.
According to the notes in the file, the original concept behind the request was that the cost
of the program, net of insurance re-imbursements and services provided to other Counties
in the region, be shared among the City of Salina, Saline County, and the Salina Regional
Health Foundation at about $33,000 each. In 2005, Saline County paid about $18,000 in
patient fees. Starting in 2006, Saline County has negotiated a lump sum annual payment
of $28,000, in place of providing payment on a case by case basis.
Based on the information provided, and if the City provides the requested funding, total
resources for the program would be approximately as follows:
Insurance Reimbursements $ 6,000
Grant Revenues $ 5,000
"Patient Revenue"
From Regional Counties $ 15,000
Saline County $ 28,000
City of Salina $ 30,000
Health Foundation $ 30,000
Total Resources $ 114,000
-rhis is clearly a continuing program. There are several options that could be pursued:
1. Fund the program at some level determined by the City Commission out of the
special sales tax proceeds from 2006 through 2010, and then consider how to
proceed beyond that point; or
2. Fund the program out of Special Sales Tax proceeds for 2006 and directing staff to
include the program in the General Fund Agency Contracts item for 2007 and
beyond as a continuing obligation; or
3. Not fund the program.
A packet of supporting n1aterial is attached.
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Salina
Regional
Health
Foundation
BOARD OF TRUSTEES
Jane Berkley
Mike Berkley
Dale Bradley
Shirley Braxton
Larry Britegam
Harold Eagleton
Kathleen Elsea
Charley Griffin
Lynda Hassler
Julie Sager Miller
Mark Miller
Karen Mize
Randy Peterson
Dr. Rex Romeiser
Steve Ryan
David Sellers
Linda Smith
Dick Tilgner
John Vanier
Dr. Bob Weber
Dr. Tom Wilson
George Yarnevich
July 29, 2005
,/ ' '.-:
........
. - -- -.----
/Mr. Jason Gage
City Manager
City of Salina
City-County Building
P.O. Box 736
Salina, KS 67402-0736
Rita Deister
Administrator
Saline County
City-County Building
P.O. Box 5040
Salina, KS 67402-5040
Dear Jason and Rita,
This past June 7th, Randy Peterson, CEO, Salina Regional Health Center,
Mary Alice Weed, RN, and I meet with Dennis Kissinger, Rita Deister, Police
Chief Jim Hill, Sheriff Glen Kochanowski, and other law enforcement
representatives, concerning SANE/SART (Sexual Assault Nurse
Examiner/Sexual Assault Response Team).
At the June 7th meeting, Randy and I shared financial information related to
the operation of SANE/SART since its inception in April 2003 and stressed
the need for additional levels of financial support from both the city and the
county.
Our understanding from the meeting was that then City Manager Dennis
Kissinger was hopeful that support from the city budget could be forthcoming
for SANE/SART starting in the current budget year and that Rita Deister
intended to visit with the County Commissioners about the possibility of the
county providing funding for SANE/SART starting with the 2006 county
budget.
Since the June 7th meeting, I initiated follow-up telephone calls to both
Dennis and Rita in which I stated my understanding of the potential
outcomes from our meeting. Dennis assured me that he had briefed the new
incoming City Manager Jason Gage and Rita assured me that the County
Commissioners were in the process of finalizing the county's budget for 2006
and that funding for SANE/SART would be discussed.
At this point, I have not heard anything further related to possible funding for
SANE/SART from either the city or the county. Although the hospital's 2005
fiscal year does not end until September 30th, we are projecting a loss for
SANE/SART in the 2005 fiscal year of approximately $84,000. In fiscal year
2004, SANE/SART's first full year of operation, it had a net operating loss of
$71,270.
139 North Penn · P.o. Box 5080 · Salina, Kansas 67402.5080 · 785/452..()088 · Fax 785/ 452~6358
lmp-roving the health of our regional community.
Printp.rl on rp.c:vc:lp.rl o.::loer
r_
Salina
Regional
Health
Foundation
BoARD OF TRUSTEES
Jane Berkley
Mike Berkley
Dale Bradley
Shirley Braxton
Larry Britegam
Harold Eagleton
Kathleen Elsea
Charley Griffin
Lynda Hassler
Julie Sager Miller
Mark Miller
Karen Mile
Randy Peterson
Dr. Rex Romeiser
Steve Ryan
David Sellers
Linda Smith
Dick Tilgner
John Vanier
Dr. Bob Weber
Dr. Tom Wilson
George Yamevich
P-2
SANE/SART was established through a collaborative effort involving
representatives of the hospital. city. county. law enforcement and other
community-wide human service organizations. SANE/SART is an important
much needed service for victims of sexual assault. many of whom are under
the age of five.
I would appreciate hearing in writing as to the status of funding for
SANE/SANE from both the city and the county. Your response will provide
me an opportunity to share your information with the Salina Regional Health
Foundation Board of Trustees. Currently, our board has tabled a grant
request for $60,000 on behalf of SANElSART pending further information
being obtained from the city and county. concerning funding for SANE/SART.
We look forward to building upon our relationship with both the city and the
county to continue to provide SANElSART for victims of sexual assault. I
look forward to hearing from you at your earliest convenience.
p-
Thomas P. Martin
Executive Director
139 North Penn · P.O. Box 5080 · Salina, Kansas 67402..5080 · 785/452~088 · Fax 785/452.-6358
Improving the health of our regional community.
Printed on recvcled oaoer
r_
Salina
Regional
Health
Foundation
BOARD OF TRUSTEES
Jane Berkley
Mike Berkley
Dale Bradley
Shirley Braxton
Larry Britegam
Harold Eagleton
Kathleen Elsea
Charley Griffin
Lynda Hassler
Julie Sager Miller
Mark Miller
Karen Mire
Randy Peterson
Dr. Rex Romeiser
Steve Ryan
David Sellers
Linda Smith
Dick Tilgner
John Vanier
Dr. Bob Weber
Dr. Tom WHson
January 26, 2006
Mr. Jason Gage
City Manager
City of Salina
City-County Building
300 West Ash
P.O. Box 736
Salina, KS 67402-0736
Dear Jason,
I thought it might be wise to touch base with you again concerning the Sexual
Assault Nurse Examiner/Sexual Assault Response Team (SANE/SART)
Program. As you may recall, our earlier discussions centered on a funding
partnership for SANE/SART that involved Salina Regional Health Center,
Saline County and the City of Salina.
It is my understanding that effective this past January 1, 2006, the Saline
County Commissioners have approved an annual allocation of $28,000 for
the SANE/SART Program. Beyond the support from the county, ~ahna
Regional Health Center continues to subsidize the SANE/SART Program and
its operating deficit.
We remain hopeful that the City of Salina will want to be a partner in helping
to fund the SANE/SART Program. SANE/SART is fulfilling a very important
mission by providing immediate and follow-up medical, advocacy, and
criminal justice services to victims of sexual assault, the majority of whom are
of a very young age.
Please advise if there is any1hing further that 'vve should be doing to help
facilitate this request. Thank you again for your consideration.
George Yarnevich
~
Thomas P. Martin
Executive Director
139 North Penn · P.O. Box 5080 · Salina, Kansas 67402..5080 · 785/452..6088 · Fax 785/452.-6358
Improving the health of our regional community.
Print",rl nn rp.~vdArl n~ner
r_
Salina
Regional
Health
Foundation
BoARD OF TRUSTEES
Jane Berkley
Mike Berkley
Dale Bradley
Shirley Braxton
Larry Britegam
Harold Eagleton
Kathleen Elsea
Charley Griffin
Lynda Hassler
Julie Sager Miller
Mark Miller
Karen Mire
Randy Peterson
Dr. Rex Romeiser
Steve Ryan
David Sellers
Linda Smith
Dick Tilgner
John Vanier
Dr. Bob Weber
Or. Tom Wilson
George Yarnevich
September 21,2005
Mr. Jason Gage
City Manager
City of Salina
City-County Building
300 West Ash
P.O. Box 736
Salina, KS 67402-0736
Dear Jason,
Thank you for taking the time to meet with us concerning the Sexual Assault
Nurse Examiner/Sexual Assault Response Team (SANE/SART) Program.
As we all agreed, the SANE/SART Program is fulfilling a very important
purpose by providing immediate and follow-up medical, advocacy, and
criminal justice services to victims of sexual assault, the majority of whom are
of a very young age.
In March 2002, the Salina Regional Health Foundation, through its
Community Health Investment Program (CHIP) awarded a $60,868
cha,lIenge grant to help establish a SANE/SART Program in our community.
Through the efforts of a community coalition that included representatives
from city/county government and law enforcement, and other charitable
human service organizations including, Salina Area United Way, Social
Rehabilitative Services (SRS), Domestic Violence Association of Central
Kansas (DVACK), and Chiid Abuse Prevention Services (CAPS), matching
funds to the CHIP challenge grant were raised and the SANE/SART Program
was initiated in April 2003.
As the attached SANE/SART Program financial analysis will verify, the
program has operated at a loss since its inception. Given the important
purpose of the SANElSART Program and its origin through the community
coalition, we are hopeful that city/county government will assist Salina
Regional Health Center in financially supporting the SANE/SART Program.
Toward that end, the Saline County Commissioners have approved an
annual a,lIocation of $28,000 for the SANE/SART Program, starting in 2006.
139 North Penn · P.O. Box 5080 · Salina, Kansas 67402-5080 · 785/452~088 · Fax 785/452--6358
Imp-roving the health of our regional communit).
Prinlprl nn fPr.Vr.1Arl mmAf
r_
Salina
Regional
Health
Foundation
BoARD OF TRUSTEES
Jane Berkley
Mike Berkley
Dale Bradley
Shirley Braxton
Larry Bdtegam
Harold Eagleton
Kathleen Elsea
Charley Griffin
Lynda Hassler
Julie Sager Miller
Mark Miller
Karen Mize
Randy Peterson
Dr. Rex Romeiser
Sleve Ryan
David Sellers
Linda Smith
Dick Tilgner
John Vanier
Dr. Bob Weber
Dr. Tom Wilson
George Yamevich
P-2
In addition to providing caring and compassionate care for victims of sexual
assault, a case can also be made that through the SANE/SART Program,
justice is more effectively served and that law enforcement resources are
more efficiently and economically utilized.
We would respectfully request that the City's governing body consider an
annual funding commitment in the range of $30,000 to $35,000 for the
SANE/SART Program, starting in 2006.
Please feel free to contact me if you have any questions or require any
further information.
Sincerely,
~ f2~f). -
PresidenUCEO
Salina Regional Health Center
Thomas P. rnJ1ll~
Executive Director
Salina Regional Health Foundation
Enclosure
139 North Penn · P.O. Box 5080 · Salina, Kansas 67402-5080 · 785/452--6088 · Fax 785/452~6358
Improving the health of our regional communi!)'.
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Gage, Jason
From:
Sent:
To:
Subject:
Hill, Chief Jim
Thursday, July 21 t 2005 2:59 PM
Gage, Jason
SAN E1SART
Jason:
SANE/SART is an acronym used to describe:
A Sexual Assault Nurse Examiner (SANE) is a Registered Nurse who 1) is specially trained to provide
comprehensive care to sexual assault victims, 2) demonstrates competency in conducting forensic examinations,
and 3) possesses the expertise for effective courtroom testimony.
The Sexual Assault Response Team (SART) is a community-based coordinated response to child and adult
victims of sexual assault. The team is comprised of SANE's, sexual assault victim advocates, law enforcement,
prosecutors, and any other professionals with a vested interest in assisting victims of sexual assault.
JH
1
lait~ 95
!~llt157
SANE/SART Monthl IAnnual Statistics
2 7 19 1 1 2 7
5 2 37 3 1 4 3
8 3 31 3 0 6 7
6 3 14 3 0 6 9
2 0 20 na 2 0 1 2
6 4 17 6 3 0 6 2 (1 rechk) 7
3 2 9 1/2 4 0 0 2 3 (I rechk) 4
6 3 17 5 4 1 5 1 6
62
33
46
17 78
67
28
86
9
56
18
9
28
29
41
not 50
collect-
ed
16
51
40
22
6
21
8
Acute: %
Long Term: 0/0
Oldest: 91 years
Youngest: year
Average age acute exam: years (examined <72 hours of assault)
Average age long term: years (examined> 72 hours of assault)
Pediatric: %
Adult: %
Female: %
Male: %
Injury: %
Consultations:
Known assailant: 0/0
Most common ages seen in order were:
Increase % from the year 2004
Percentage of SANE/SART patients per county served include:
Saline: % Geary: %
Dickinson: % Shawnee: 0/0
Ottawa: % Ellis: %
Mitchell: % fl t;k.J-
Cloud: % . q
Rush: %
SANE/SART Monthl IAnnual Statistics
8 6 2 8 19 14 3 5 8 3 0 8
8 3 5 6 11 9 7 1 8 2 4 6
8 5 3 4 23 7 6 2 7 4 2 6
2 1 1 0 34 4 1 1 2 2 0 2
9 5 4 5 13 11 7 2 8 1 5 1 7
9 6 3 1 15 4 8 1 6 3 4 0 6
10 6 2 7 21 9 8 2 10 4 2 7
9 5 4 7 19 8 6 3 9 1 3 0 10
8 5 2 3 20 10 5 3 7 1 5 3 8
5 4 1 2 16 16 3 2 4 1 2 1 4
7 4 3 4 12 None 5 2 7 4 3 3
. 12 9 3 9 17 10 8 4 11 1 11 1 11
95 59 33 56 18 9 67 28 86 9 46 17 78
28 29 40 22 avg. 8 avg. 41 16 51 6 21 50
Acute: 65%
Long Term: 35%
Oldest: 50 years
Youngest: 1 year
Average age acute exam: 18 years (examined <72 hours of assault)
Average age long term: 9 years (examined >72 hours of assault)
Pediatric: 71 %
Adult:29 %
Female: 91%
Male: 9%
Injury: 48%
Consultations: 17
Known assailant: 82%
Most common ages seen in order were: 15 years, 3 & 13 years, 6 yrs, & 4 yrs
Increase 40% from the year 2003
Percentage of S ANE/S ART patients per county served include:
Saline: 59% Osborn: 1 %
Dickinson: 17 % Ft. Meyers, FL: 1 %
Ottawa: 5% Butte, Calif: 1 %
Lincoln: 3 % Ellis: 1 %
Mitchell: 2% Geary: 1 %
Cloud: 2% Washington: 1 %
McPherson: 1 % Barton: 1 %
Harvey: 1 % Marion: 1 %
Apr II
May 4
June 7
July 7
Aug 8
Sept 5
Oet 7
Nov 5
Dee 3
TotaV 57
Avg.
age
SANE/SART Monthly / Annual Statistics
7
3
8
15
7
8
8
3
4
II
2003 Towl . j eWe l.ollg SA co. ,\led., 1ge ,\led., . Ped ,Idul! Fell/. \lule Juju ry J:~rJ!' A"(ll~'"
Terlll l1cute .t,!:efl (.\(1111 t\\l1/l.
2
3{ one seen 2
for acute/
LT exam)
2 6
8
3
14 3
8.5 5
8.5 4
5 7
4.5 4
9 7
16 2
5
8Y2 41
avg.age
3
3
4
5
22
2
7
4
5
5
2
4
20
3
6
3
6
2
6
6
16.5
8
2
6
4
4
32
5
5
2
5
2
9
7
7
2
3
5
35
3
5
2
4
2
3
55
2
2
2
28
29
40
22 avg.
age
6
21
50
16
51
Acute: 49%
Long Term: 51 %
Saline Co.: 70%
Oldest: 51 years, (consulted on an 88 year old)
Youngest: 16 months, (consulted on a 4 month old)
Average age acute exam: 22 years (examined <72 hours of assault)
Average age long term: 8 ~ years (examined >72 hours of assault)
Pediatric: 72%
Adult: 28%
Female: 89%
Male: 11 %
Injury: 37%
Known assailant: 88%
The SANE/SART Unit opened February 28, 2003 and treated our first patients in April 2003.
January 2004 through March 31, 2004, we have treated/consulted on #23 additional cases.
A year before SANE/SART: March 1, 2002 to March 31, 2003, the Emergency Department
treated #36 sexual assault survivors.
A year of SANE IS ART: April 1, 2003 to March 31,2004, the SANE/SART Unit
treated/consulted #80 sexual assault survivors, a 55% increase over the previous year.
National averages: 1 in 3 women are sexually assaulted and only 1 in 10 will report.
1in 15 men are sexually assaulted and only 1 in 30 will report. 1 in 4 girls and 1 in. 6 boys will
be sexually assaulted before the age of 18 and only 15% will disclose. Perpetrators usually
begin at age 8-10 and will assault an average of350x in their lifetime.
Percentage of SANE/SART patients per county served include:
Saline: 72%
Dickinson: 11 %
Cloud: 5%
McPherson: 4%
Lincoln: 2%
Republic: 2%
Ottawa: 1 %
Ellsworth: 1 %
Wooster, OR: 1 %
ifDlen ZnnDt,ent,e
SANE/SART 2004
Age Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dee Tot
1 x X x 3
2 xx x 3
3 x x x xx x 6
4 x x x x 4
5 xx x x x 5
6 x x x x x 5
7 x X 2
8 x X 2
9 x x x 3
10 X 1
11 X X 2
12 0
13 xx x xxx xxx 9
14 x x x x 4
15 x x x xx xx x x X 10
16 x x x xx x 6
17 xx 2
18 x 1
How many were under the age of 8 years?: #30
How many were under the age of 16 years?: #59
How many of our clients were kids?: #67, which is 7196
How many were unable to name their attacker(s)?: #7
We had one confirmed gang rape of a child.
/'
SA II N A
~OWHTOWH
. .~... c:: :-/=: D
,- -~ l: r~ 2 J' -"".- _~"
BOARD OF DIRECTORS
1/20/2006
I "-"':, ,.' : :; ~- ;~.~.' ! S 0 r: F: / C E
David Moody
Salina Regional Health Ctr.
SDI President
Tony Dong
Martinelli's Uttle Italy
SD I Vice President
Jason Gage
City Manager
P. O. Box 736
Salina, KS 6'7402-0736
Sherril Bieberly
Quilting Bee
SDI Secretary
Dear Jason:
Kent Buer
First Bank Kansas
SDI Treasurer
The SOl Board of Directors at its November, 2005
meeting agreed to earmark $5,000 in SDI reserves to
apply toward a possible City-funded parking study of
the downtown core area.
Andy Anderson
Anderson's Leather
We believe the study, as recommended in the PLIMA
plan, is necessary to bring' an objective evaluation to
the table along with innovative concepts for parking
management downtown*
Lou Appleby
Appleby & Marsh Architects
Todd Davidson
Hampton & Royce
ayle Martin
Executive Director
Murray Gorman
Capers Cafe and Bakery
jerry Hinrikus
Sign Pro
Enclosure
Ken Jennison
Salina Media Group
GRM/eaf
Clark Renfro
UMB Bank
Ken Wasserman
Norton, Wa..c;serman, lones & Kelly
Alan Weber
Blue Cross-Blue Shield of KS
Gayle Martin
Executive Director
114-A 5ou~h 7~h · PO Box 1065 · 5alina, K5 67402-1065 · 785/825.0535 · Fax 785/825.7216 · www.la'inadown~own.com