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MINUTES
ORANGE COUNTY BOARD OF COMMISSIONERS
FEBRUARY 16, 1977
The Orange County Board of Commissioners reconvened on February 16,
1977, from adjourned session of February 15, 1977, at 9:30 p.m., at the
Old Town Hall in Chapel Hill, N. C.
Present were Chairman Richard Whitted, Commissioners Norman Walker,
Jan Pinney, Norman Gustaveson, and Donald Willhoit.
Others present were S. M. Gatos, County Manager, Neal Evans, Finance
Officer, and Agatha Johnson, Clerk.
The Chairman stated that the purpose of this meeting is in order to
continue from February '15th, the discussion of the District Health Board
and to take action as to whether Orange County should remain in the
District Health arrangement or withdraw from the District Health arrange-
ment.
The Chairman stated that this is an issue which Orange County has
net taken lightly. Members of the Board have discussed the District
arrangement over the years, and more recently in the last sixty days.
He stated that on February 20, 1977, the Orange County Board of Commis-
sioners presented the District Health Board and the Chairmen of the Boards
from the member counties, a letter stating Orange County's concerns and
proposed solutions. He spoke of the meeting of February 2nd, February 10th
and this meeting tonight, where the concerns of the Health Department have
been discussed. After these meetins, the Ghairman stated that the most
encouraging item of interest from the Health Board seemed to be that of
board training. He added that the need existed for an innovated and
energetic Board, one that would look at the communities and the delivery
of health care and attempt to arrive at appropriate solutions to health
problems. Mr. Whitted stated that two items of concerns with Orange
County was thenumber of representatives from each County to the Health
Board, and the vast difference between iahat the District Health Board
recommends.
Commissioner Willhoit stated that after discussion of Problem B,
The District is suffering from the lack of administrative leadership,
he felt very strongly that the Search Committee should be searching for
a top administrator and not someone who must work has way up. He added
that the District Health Board should hire a Health Director, who knows
what he is being hired for.
Commissioner Walker stated that he felt the District Health Board
had agreed to solve most of the problems cited by Orange County, except
for Problem A and B. He added that Orange County would have more to lose
by withdrawing from the District than to gain by withdrawing.
Commissioner Pinney remarked that he had one major problem, and that
was the hiring of the administrator, and who would be in charge of
responsibilities within the Health Department. He did not feel hiring
someone to work this way up was the proper action to take.
Commissioner Walker stated that he disagreed with Commissioner
Pinney's comments. He added that he felt the District Health Board had
compromised.
Chairman Whitted stated that a Health Administrator V must have
_ certain qualifications and an Administrator II must have certain qualifi-
cations. You can not hire an Administrator V and let him have an.Admini-
strator II responsibilities.
Commissioner Walker stated again that he disagreed.
Commissioner Gustaveson stated that during the last months Qrange
County has spelled out their concerns and the key concern was the level
- of health services being provided to citizens of Orange County. He
added that by law, the District Health Board must be an active policy
making Board and one that is sentitive to the needs of the citizens within
the Counties. This Board is not aware of the concerns in Orange County
nor are they concerned with where health care is going. Mr. Gustaveson
stated that he had hoped there could be a way to work out an arrangement
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within the district to satisfy all the counties, however, with some excep-
tions, most were still not aware of the basic concerns Orange County has
discussed.
Discussion ensued among the Board members concerning the District
Health arrangement.
Commissioner Walker moved that Orange County stay in the District
Health Arrangement.
The motion died for lack of a second.
Commissioner Walker moved that Orange Wounty withdraw from the
District Health arrangement. Commissioner Gustaveson seconded the motion.
Commissioner Walker withdrew his motion to withdraw from the Health
District.
Commissioner Willhoit suggested that Orange County abolish the current
District Board of Health and to indicate to the member counties Orange
County's willingness to meet with them should they desire to work toward
achieving. the goals which Orange County had outlines.
Commissioner Gustaveson stated that the only live option he saw was
for Orange County to set up its own Health Department, but in fairness to
other counties in the district, Orange County should leave the "door open"
to the possibility of some future district arrangement.
Further discussion ensued.
Chairman Whitted asked Commissioner Willhoit if his suggestion was
a motion. The Chairman then repeated the motion. Commissioner Willhoit
moves to desolve the present district arrangement and for Orange County
to move ahead in establishing its own Health Department, but to "keep the
door open" for discussion with other counties to the possibility of some
future district arrangement.
Commissioner Gustaveson seconded this motion.
Commissioner Walker stated that he was still opposed to withdrawing
from the present District Health arrangement.
The Chairman called for the vote. Voting aye were Commissioners
Gustaveson, Pinney, Whitted, and Willhoit. Voting nay was Commissioner
Walker. The motion was declared passed.
Commissioner Gustaveson suggested the following steps, which the Orange
County Board of Commissioners might endorse as a work plan in establishing
the Orange County Health Department.
1. As soon as possible, notification of Orange County's withdrawal
from the District Health arrangement should be directed to the
District Health Board, the four counties within the Health District,
the Division of Health Services in Raleigh and Fayetteville, and the
Department of Human Resources in Raleigh.
2. Charge to the Finance Officer to begin planning for an orderly
transition of personnel from the District to the County arrangement
in regard to retirement funds, insurance, social security, and other
benefits.
3. Concerning personnel - The Board should prepare a statement to
Orange County employees working within the District, regarding their
future status, and indicating that their faithful service will be
honored and that Orange County hopes they will stay in the Orange
County Health Department. A meeting will be scheduled with employees
if necessary.
4. The tentative schedule for the appointments to the Orange County
Health Board should be March 1S, 1977, at which time an interim
Board of Health for Orange County will be appointed to serve in a
planning capacity until July 1, 1977.
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5. Ask the Press to indicate to those persons interested in
serving on this Board to send names and addresses to the Clerk
to the Berard.
6. First major task is to develop criteria far a job description
for a Health Director. This task should be the work of the Interim
Health Board, working with the School of Public Health, State
Personnel. Office in Raleigh, Division of Health Services in Raleigh,
members from the Health Task Force, and the administrative staff
from Orange County.
A job description should be ready by April 15, ].977,. for advertiseme„~
`' of a health Director, and a schedule of June 1, 1977, far the actual
~° hiring of the Health Director.
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7. If an Assistant to the County Manager has not been hired within
several weeks, this Board should appropriate money for a part-time
person to serve a~ staff and working with the Interim Health Board.
The Board should prepare a statement of concerns and priorities to
the Health Board in order that they might have a cleat understandi;:7
of what the Orange County Berard of Commissioners expect.
Upon motion of Commissioner Gustavesan, seconded by Commissioner
Willhoit, the foregoing work plan was approved.
Commissioner Pinney moved that the meeting adjourn.
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Richard E. Whetted, Chairman
Agatha Johnsan,Clerk
(For copy of the Notice of Orange County Withdrawal from the District
Health Arrangement see next page.)
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:nus7oN. ca~ensara
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r.r7o;~~ers nr ~avr
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1:ILL5B0.-S6U 6M. t1, C.
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and dissolves the' Board of the' said District Iiea].L-h D4parC-.ment
effective at the c7-ose of business of the laic: District Health
Department Ott June: 30, 1977. Pursuant thereto:'
1. 'Phe Orange Count}~ Board ox County Camntissi_onexs met
in regular session in the courtroom located in the! Chanel IIill
Polio Department building, located at 100 l?ose:tary Stt-ec!t,
Ch anal Hill, Orange County, North Carolina on 5~decirle .day,
February l6, 1977.
2. Present at the meeting were; Cha:irma!t I•:=witted and
Commissioners Gustaveson, Pinney, T•lal'rer and Iii.llhait; ~
Absent: None.
3. Discussion followed among the members of the Board .
concerning whether or not the District Flealtlt DepartTrant eras
opYrating and, could in the future, apvx:ate xn the best health
interests of Grange County.
~i. Thereupon, Commissioner F9illhait moved fo.r Qrange
County's withdrawal from the five county District Flealtlt Depart-
ment and dissolution of the k3oard of the said. District Health •
Department effective at the close o~ business an June 30, 1977,
for the reason that the District Health Department is not and as
presently structured could not, in the future opwrate in the best
health interests of Orange County. 7~s part of the soma motion,
Gammissioner Willhait further moved that prange'County operate
its own health department, to be known as the•Orange County .
FIealth Department, effective July 1, 1977, with the option left
open of establishing a new District Tlealth Department effective
July 1, 1977, consisting of Orange County and one or more of the
other counties of the present District Health Department.
5. xhis maticn by Commissioner ti~lillhoit was seconded by
Commissioner Gustaveson.
6. This motion was voted on and approved b}' a majority
of the F3oard ;
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NOTICE Of' ORANC;~F. COUNTY ~ S WITFIAI:A[7~ 1:,
FRCM TII}a CASLdELL, CIIATIiA~3, PERSON,
LEIv Ate*D Oi~1NG8 DISTP.IC'S HSI~I.7'I3 DEP~1T;Ti•iliidT
EFFECTXVE IfT THE CLG~SI; Or FSUSII~>;S5 OF.' 'rI3I;
SAID DIS`T'RICT FIEl1I.1'YI IlEP211;'1'~'.I;idT
Oi3 JUNE 30, ].977
TO: North Carolina Department of Iluman i;esvurceM
c/o Dx. Sarah I•Icrro~r, Secretary
325 North Salisbury Stree4
Raleigh, North Carolina 27602
M7C. Tarn JGhnsan, Director
Southcentral Regional Office of Health Services
Wachovia Bank Building -~ Suite 5p5
225 Green Street ..
Fayetteville, North Carala~na 2830].
Mr. Jahn Perk3.nson, Administrator
Of;Eice oiE Local Health Services
Division of FIealth Services
225 North MCDavrell Street
Raleigh, North Carolina 27611
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tdr. Perry Harrison, Chairman
Caswell, Chatham, Person, Lee and Orange
District Health Board
c/o Office of the Superintendent of Chatham County School:;
Pittsboro, North Carolina 27312
.. Dr. Coradon S_ Fuller, Jr.
District Health DirECtar
l9 Eastgate Shopping Center
Ghapel Hill, North Carc].ina' 2751~i
Mr. John B. Waods, Chairman
Caswell County Board of Cammissioners
Star Route ~1
Yanceyville, Narth Carolina 27379
Mr. Earl Thompson, Chairman
Chatham County Fsoard of Commissioners
Route 1, Mt. Pleasant Church Road
Pittsboro, North Caralina 27312
Mr. W. H. Cooper, Chairman
Lee County Board of Canmmissianers
Post Office Box 131,7
Sanford, North Carolina 27330
S
Mr. J. B. Oakley, Chairman
Person County Board of Commissioners
1410 Durham Road
Roxboro, North Carolina 27573 '
NOTICE is hereby given pursuant to Article 3 of Chapter 1^i~
of the General Statutes of P7orth Carolina, that tho Orange
County Board of County Commissioners witlidzaws from the Cascrel ;_ ,
'~nrrsr°y' c°`'e`"`'" Chatham Person I.ee and Oranc a District ITc:alth Department
p BERNHpLY ~ ~ J
GHapz~ H~« fir. c.
.u~.tsnoaoucH, rv. [.
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I`I ~1yas: Comrrcissi_aners Gustaveson, Pinney, [•71•iit•i~ea and t•1i7..ihoit-;.
~ Noes: Cammissionez 6~Ta1};Gr.
r ~ 7. Thereupon, Cor.Lmiss:ionerC-,ustavcson moved to no4ify t:I;ln
fIf North Carolina D~I~artm~.~nt of human I:esaurce•, of O~:ancf•
J- c~~n•t
~ cvithdra[val from -the said District Itealth DcU:.~rtm[:nt and dissa.L„r=
• ` tion of. its Boarci effe:ctivr• [vi•ch thr•_ class of business of the
(, saici Dis•trir.t Iicalth DEpartntent on ..Tune 30, 1977 as re u'
cI :[red
a by ATorth Carolina General St~ltutes § 130-1~, (c) . ~$
1 part of the:
F, same motion, Commissioner Gustaveson further moved that those
;: f persons listEC1 an 4his NOTICE also be notif_i.ed of Orange !
i County's withdratral as set out above. i
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1 8. xhis motion b~> Commis,iancr Gustaveson [vas seconded
by Commissioner t~lillhoit. '
I I 9. This motion [vas voted on and approved uran3.nausly. i
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.~ s^,r ~ .: f ~f~,f~ Ord
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RIC:Ii11I2~F11Tt'iD C]-air~al'1
~ , Orange County Board of _ ~
~ County Corr~rnissioner_s
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2 , AGATIIA :IOHNSDN, C]_erk of the Board of Commissioners faz
the County of Orange, North Carolina, do hereby c4rtifX tha-E thc,~~
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~ foregoing is a true copy of so much of the proceedings of tltc.
Board of Commissioners for sai_d•County at a regular meeting he.;l.,-
j an February 16, 1977, in Orange County, North Carolina, as ze-
f fates to -the tva•thdracval »y Orange Cou_ncy from ti?o Caswell, Chat]';
Person, Lee and Orange Iistrict Health Department and the dis-
solution of the Board of the said District Health Depax•tment
effective at the close of business of the said District Itaalth
Depax'tment on June 30, 1977..
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. t • AGA~IA JOFIhjS0.1, Clerk of the
Board of County Cammissioraers for
Orange.County, North Carolina
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]:'age Three I (SEAL) -
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