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HomeMy WebLinkAboutAgenda - 10-02-1995 - IX-B 1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. jy-8 ACTION AGENDA ITEM ABSTRACT Meeting Date: October-2. 1995 SUBJECT: Orange County Healthy Carolinians Task Force DEPARTMENT: HEALTH PUBLIC BEARING: Yes X No ATTACHMENT(S) : INFORMATION CONTACT: 1. Letter to preliminary task force HEALTH DIRECTOR'S OFFICE X2411 members and attachments. TELEPHONE NUMBER: 2. Proposed Project Coordinator. Hillsborough - 732-8181 3. Proposed Budget. Chapel Hill - 968-4501 Mebane - 227-2031 Durham - 688-7331 PURPOSE: For the Board of Commissioners to approve of a plan for the Health Department to participate in jointly funding a contract with the School of Public Health to conduct the Community Health Assessment of the Healthy Carolinians Task Force in collaboration with the UNC Hospitals, the School of Public Health and other community agencies. BACKGROUND: The Board of Commissioners, at their meeting of October 18, 1994, approved the establishment of the Orange County Healthy Carolinians Task Force as recommended by the Board of Health. At the Goals and Objectives Retreat on December 10, 1994, the Commissioners agreed to endorse the goal. A preliminary meeting of the selected task force members listed in Attachment 1 was held on August 28, 1995. There was unanimous agreement that the project should be undertaken. Implementation of the Healthy Carolinians Task Force has been difficult due to staffing shortages needed to get the project rolling. UNC Hospitals has agreed to invest funds in the project contingent upon the other partners doing so and the project resulting in a community health assessment which can be used in the hospitals Joint Commission on Hospitals Accreditation Review. The UNC School of Public Health has agreed to invest a similar amount if the project can result in a model that would be replicated elsewhere. The Health Department is asked to contribute $10,000 as a partner in the project. Attachments 2 and 3 outline the tasks to be accomplished by a coordinator hired by the School of Public Health and the proposed budget for the project. 2 The Health Director has identified $5, 000 from the Kellogg Mini-Grant that could be used for this purpose. Since the Board of Commissioners has adopted the Healthy Carolinians Task Force as a goal, the Board of Health at its meeting of August 24, 1995, agreed to request that the Board of Commissioners match this amount with an additional $5, 000 dollars. An outcome of the project would include a community health assessment that would result from broad community participation as well as thorough scientific and epidemiological methods. An additional outcome would be the establishment of a community wide partnership for health that would improve health conditions in Orange County. The Healthy Carolinians is not simply as assessment process, it also results in action plans to remedy the conditions identified in the assessment. THE PLAN 1) for the Health Department to participate in funding a contract with the UNC School of Public Health; 2) to authorize the development of a contract between the Health Department and the School of Public Health for a part-time project coordinator; 3) to allocate $5, 000 dollars from the Kellogg funded, Community Based Public Health Initiative; and 4) to allocate $5, 000 dollars from the Commissioners Contingency Fund. RECObMNDATION(S) As the Board decides. 3 ©mange County �ea�tl� �Depantdnent Daniel B. Reimer, MPH, Director ENVIRONMENTAL HEALTH DIVISION 661011P of PERSONAL HEALTH DIVISION P 0 Box 8181 - 306C Revere Road 0, DENTAL HEALTH DIVISION ANIMAL CONTROL DIVISION ` d� ? P O Box 8181 • 300 W T•yon Sheet P 0. Box 8161 304 Revere Road - o hHillsborough,NC 27278 Hillsborough, NC 27278 IT 52 s HILLSBOROUGH CHAPEL HILL A 919-732.8181 919-967-9251 y t a to 919-;'27 1 2032 919-688-7333 August 4, 1995 Joe Haken, President Public Private Partnership 121 S Estes Drive, Suite 101 Chapel Hill NC 27514 Dear Mr. Haken: Public Health is more than what health departments do. "Public Health is what we, as a society, do collectively to assure conditions in which people can be healthy" These words openned the summary of a report of the Institute of Medicine on the future of public health. In light of this the report recommended that health agencies at the local level assess the health status of its citizens, select problems of most concern and joint hands to reduce the negative effect of these conditions. The Orange County Board of Commissioners at the recommendation of the Board of Health, UNC Hospitals, the School of Public Health and Piedmont Health Services is about to establish a community task force to work toward achieving better health for our people. Opinion leaders from many walks of life: educators, policy-makers, administrators, providers, consumers, young and old alike are being invited to serve on the Orange County Healthy Carolinians Task Force. The members invited have been chosen because their opinions are valued, they have a genuine interest in the health and well-being of our people and have shown a commitment to being involved in community processes to find and apply solutions to local problems. Many community leaders have identified you as a person who has these characteristics. It is my privilage, therefore to invite you, on behalf of the Board of Commissioners and the Board of Health, to a meeting to pursue the formation of this task force. The meeting will be held on August 28, 1995, 12:00 - 1:30 pm, at the UNC-Hospitals Administration Office Building on Friday Drive beyond the Friday Center. An agenda for the meeting is enclosed as well as a list of those individuals and agency heads who have been invited to participate. Please indicate on the enclosed return card whether you will attend this meeting or designate someone to act on your behalf. SOUTHERN ORANGE OFFICE Carr Mill Mau • Suite 225 • 100 N Greensboro Sheet • Carrboro, NC 27510 • 919 968-2022 4 Enclosed is a summary of problems that have been identified by health department staff, based upon an analysis of available data, which illustrates the kinds of health conditions the task force will be asked to address. Finally, you will find a description of the role of the task force as outlined by the Governor's Task Force on Health Objectives for the Year 2000, a model which is underway in approximately twenty other counties in North Carolina. Please give serious consideration to serving, personally, on this task force. The results of this deliberative body will have far reaching effects on the health of our community, Sincerely, Daniel B. Reimer Health Director 5 ORANGE COUNTY HEALTHY CAROLINIANS TASK FORCE AGENDA DATE: August 28, 1995 TIME: 12:OOpm - 1:30 pm PLACE: UNC-Hospitals Administrative Office Building, Friday Drive, Chapel Hill NC 1. Welcome and Introductions 2. Objectives for the Meeting 3. Why have a Task Force? Video: "Making it Happen in Your Community" 4. Orange County Health Status 5. Review of Community Assessment Tools 6. Expansion of Task Force Membership 7. Plan Next Meetings and Assignments w*c:ag&Wb.dx 6 , ORANGE COUNTY HEALTHY CAROLINIANS 2000 TASK FORCE 1. BOARD OF HEALTH j Beverly Foster 2454 Springview Trail Chapel Hill, N.C. 27514 Office 919 966-7511 Home 919 942-8690 Fax 919 966-7298 2. ORANGE COUNTY BOARD OF COMMISSIONERS Moses Carey Jr. , Chair Orange County BOCC P.O. Box 8181 Hillsborough, N.C. 27278 Office 919 732-8181 ext. 2130 3 . CHAPEL HILL TOWN COUNCIL Kenneth S . Broun, Mayor Town of Chapel Hill 306 N. Columbia Street Chapel Hill, N.C. 27514 Office 919-968-2714 4. CARRBORO BOARD OF ALDERMAN Eleanor G. Kinnaird, Mayor Town of Carrboro 301 West Main Street Carrboro, N.C. 27510 Office 919-942-8541 5. UNC Hospitals Eric B. Munson, Executive Director 101 Manning Drive Chapel Hill, N.C. 27514 Office 919-966-5111 6. OPC-MENTAL HEALTH CENTER Thomas Maynard, Director 333 McMasters Street Chapel Hill, N.C. 27516 Office 919-929-0471 7 ORANGE COUNTY HEALTHY CAROLINIANS 2000 TASK FORCE 7 . DEPARTMENT OF SOCIAL SERVICES Marti Pryor-Cooke, Director P.O. Box 8181 Hillsborough, N.C. 27278 Office 919-732-8181 ext. 2802 8. COOPERATIVE EXTENSION SERVICE Fletcher Barber, Director P.O. Box 8181 Hillsborough, N.C. 27278 Office 919-732-8181 ext. 2050 9 . DEPARTMENT ON AGING Jerry Passmore, Director P.O. Box 8181 Hillsborough, NC 27278 Office 919-732-8181 ext. 2009 10. PUBLIC PRIVATE PARTNERSHIP Joe Haken, President 121 E. Estes Dr. , Suite 101 Chapel Hill, N.C. 27514 OFFICE: 919-933-1333 11. UNITED WAY OF ORANGE COUNTY Anita Daniels, Director NationsBank Plaza Chapel Hill, N.C. 27514 Office 919-929-7273 12 . THE UNIVERSITY .OF NORTH CAROLINA-CHAPEL HILL Michael Hooker, Chancellor 103 South Building/CB#9100 University of North Carolina-CH Chapel Hill, N.C. 27599-9100 13 . UNC-CH SCHOOL OF PUBLIC HEALTH Michel A. Ibrahim, Dean 171 Rosenau Hall/CB#7400 UNC School of Public Health Chapel Hill NC 27599-7400 Office 919-966-3215 ORANGE COUNTY HEALTHY CAROLINIANS 2000 TASK FORCE 8 14. SCHOOL SUPERINTENDENT CH/Carrboro School District Neil Pederson, Superintendent Lincoln Center, Merritt Mill Rd. Chapel Hill, N.C. 27516 Office 919-929-2106 15. SCHOOL SUPERINTENDENT Orange County School District William Harrison, Superintendent 200 E. King St. Hillsborough NC 27278 OFFICE: 919-732-8126 16 . JOINT ORANGE-CHATHAM COMMUNITY ACTION AGENCY Gloria M. Williams, Executive Director P.O. Box 27 Pittsboro, NC 27312 OFFICE: 929-0494 FAX: 542-0563 I 9 HEALTH STATUS PROBLEMS FOR ORANGE COUNTY, NORTH CAROLINA 1994 1 . DISPARITIES BETWEEN WHITES AND NON-WHITES IN A VARIETY OF HEALTH INDICATORS 2. POOR PREGNANCY OUTCOME 3. HIGH NUMBER OF UNWANTED AND UNPLANNED PREGNANCIES 4. INCREASING NUMBERS OF COMMUNICABLE DISEASES INCLUDING AIDS CASES 5. INCREASE IN COMMUNITY VIOLENCE 6. INCREASE IN INJURIES DUE TO MOTOR VEHICLE ACCIDENTS 7. CARDIOVASCULAR DISEASE AS THE LEADING CAUSE OF DEATH. IN ORANGE COUNTY 8. CANCER AS THE SECOND LEADING CAUSE OF DEATH IN ORANGE COUNTY 10 The Healthy Carolinians 2000 Task Force Like many communities across the state and nation,yours is considering to launch a health improvement program.We believe that individuals and families are the key to your success;only through their commitment to live longer,healthier lives can a community achieve improved health.We also believe that people are more likely to work toward objectives that they have set for themselves.By developing a Healthy Carolinians 2000 Task Force,your com- munity will be able to estabish the community-based objectives necessary to improve its health. The Healthy Carolinians 2000 Task Force will: • Inform local leaders about health problems that can be improved by wellness promo- tion and disease prevention. • Create an ongoing,community-oriented process for priority setting and action plan- ning. • Select and tailor objectives from the list recommended by the state level Task Force. • Serve as the conduit for funding of cooperative health promotions. Healthy Carolinians 2000 activates the community to work in a concerted,collaborative approach It usually involves the following steps: • Organizing a community group. • Collecting and analyzing data. • Identifying health problems and setting priorities or targeting problems. • Identifying relevant community resources and barriers. • Developing an action plan. • Starting the action plan. • Assessing or evaluating progress. Several models for the community exist including traditional community development models, the Assessment Protocol of Excellence in Public Health (APEX PH) and the Planned Approach to Community Health (PATCH) (See Appendix 7 and 8).Remember that working with the community is an art and science requiring a functional community group that main- tains creativity and consensus building. I 1 AUG 02 '95 02:32PM UNC SPH HPAA 11 I Orange County Comp unity Health Assessment Projec' Coordinator I $L''tiiMARY: It is the responsibility of th; Project Coordinator to facilitate and manage the conduct of the community health asse 11 psment. This responsiblity involves working with all members of the project team as veil as a diversity of community leaders, government officials and citizens. Working with representatives from the leadership group (School of Public Health, U d the Orange County Health NC Hospitals, an Department), plan, execute and evaluate #ae health status, needs, and action priorities for the community of Orange County,North arolina. MAJOR RESPON5I}3II.ITIES: II I 1.Working with organizational r resentatives and the faculty advisory group, develop a work plan that outlines foals,objectives, timelines, and accountabilities for the project. Ii 2. Coordinate and manage all P hall es of data collection and analysis. I 3. Plan,coordinate and manage t development of the steering committee, community advisory board, and p ovide liason functions for the leadership group. 4. Plan and coordinate the meetin s of the steering committee, and the community advisory board including kick-off-meeting, informational meeting, and.priority setting meetings. 5.Working with the Principal Inv, stigator, plan and coordinate project team meetings and manage follow-up ' tivities for the team. 6.Write a monthly progress repo and write the first draft of the health status document as well as the communi health asssessment final report. Collaborate on edits and follow-through to do ument completion. 7. Plan and coordinate media cov Irage for the project. Act as spokesperson as appropriate. 8. Other duties as assigned and ne'I essary for the effective and efficient completion of the project. h i 12 sow--— Orange County Community Assessment Proposed udget Project Coordinator (Donna Dinkin) ($25/hr/36 wks/20 hrs) $18,000 Secretary (TBA) ($11/hr/52 wks/20 hrs) 11,440 Benefits 07.65% 2,252 Total Salary and Benefits $31,692 Data Collection and Analysis (SRU) 10,000 Meeting Costs 1,000 Transcription 1,500 Travel Reimbursement 500 Consulting (Facilitation) 2,000 Miscellaneous (Printing, etc.) 3,308 Total $50,000 Funding UNC Hospitals $20,000 + .5 FTE (Coordination) Health Department $10,000 + .5 FTE (Technical) School of Public Health $20,000 + 1.0 FTE (Faculty) t 1