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ORANGE COUNTY BOARD OF HEALTH
April 26, 2017
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ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality
of life, promote the health, and preserve the environment for all people in the Orange County
community.
THE ORANGE COUNTY BOARD OF HEALTH MET ON April 26, 2017, at the Orange County
Health Department, 300 West Tryon Street, Hillsborough, NC.
BOARD OF HEALTH MEMBERS PRESENT: Liska Lackey – Chair, Susan Elmore, Vice-
Chair, Commissioner Mia Burroughs, Barbara Chavious, Paul Chelminski, Jennifer Deyo,
Jessica Frega and Sam Lasris.
BOARD OF HEALTH MEMBERS ABSENT: Johanna Birchmayer, Reena Mehta and Timothy
Smith.
STAFF PRESENT: Dr. Dorothy Cilenti, Interim Health Director; Coby Jansen Austin, Director of
Programs and Policy; Jennifer Baker, Accounting Tech I; Alan Clapp, Environmental Health
Director; Donna King, Health Promotions and Education Services Director; Pam McCall,
Personal Health Services Director; Janice Poole, Nursing Assistant; Dr. Erica Pettigrew, Medical
Director; Kimberlee Quatrone, Administrative Officer; April Richard, Senior Public Health
Educator, Tobacco Prevention and Control Coordinator; Beverly Scurry, Board of Health
Strategic Plan Manager; Stacy Shelp; Communications Manager; La Toya Strange,
Administrative Assistant II and Seth Teague, Environmental Health Specialist.
GUESTS PRESENT: None.
I. Welcome New Employees
Liska Lackey, Chair, called the meeting to order. Dr. Cilenti welcomed the new employees in
attendance: Jennifer Baker,Janice Poole, Beverly Scurry and Seth Teague.
II. Public Comment for Items NOT on Printed Agenda: None
III. Approval of the April 26, 2017 Agenda
Motion was made by to Susan Elmore approve the agenda, seconded by Mia Burroughs
and carried without dissent.
IV. Action Items (Consent)
A. Minutes of March 22, 2017 Meeting
Motion was made by Sam Lasris to approve the minutes of March 2017, seconded by
Jennifer Deyo and carried without dissent.
V. Educational Sessions
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A. Animal Services Update
Bob Marotto, Director of Animal Services, gave a presentation on the Animal Services along
with some fun facts. Below are some of the highlights.
• Overview of Animal Services
o Core services
Animal and rabies control, animal protection and animal sheltering
o Scope of service
All of Orange County including municipalities (aside from Mebane)
o Governance
Animal Services Advisory Board
Works with staff to advise commissioners on policies and programs
Animal Services Hearing Panel Pool
Provides appeals of decisions made by the Animal Services Director
Examples include dangerous animal declarations, order for the removal of
nuisance animal, etc.
• Rabies Control
o With delegated authority from the OCHD’s health director to the Animal Services
director to:
Manage animal bites to people (10 day confinement) regardless of
vaccination status and rabies exposure to pets (human rabies exposures is
the health department’s sole responsibility)
Refer all exposures and suspected exposures to Communicable Disease
nurses that assess risk and make treatment recommendations
o In 2016, Animal Services had 242 bite cases and investigated 111 rabies
exposures.
• Rabies Prevention
o Conduct low-cost rabies vaccination clinics throughout the year with 1 and 3-year
rabies vaccinations offered with more than 1000 dogs and cats vaccinated
annually at these clinics
o Microchips are also available
o Promote events such as World Rabies Day and communicates with local
veterinary clinics about rabies and rabies management
• Free Roaming Cats
o Huge issue in the community and have not fared well in community animal
shelters with only 4% being recovered by an owner
o OC Animal Services has developed a 5-year plan for managing “free
roaming cats” that includes several key components:
Encouraging responsible cat ownership (or guardianship)
Spaying and neutering as well as routine vet care
Confinement and environmental enrichment
Collaboration with community partners to provide fosters for the offspring of
feral and semi-feral cats so that they may be socialized and homed as a pet
Area or neighborhood pilot projects that provide spaying and neutering and
rabies vaccinations
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April 26, 2017
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The BOH members had questions that were addressed by Mr. Marotto and Susan Elmore.
B. 3rd Quarter Financial Reports & Billing Dashboard
Pam McCall, Personal Health Services Division Director, gave a report on the 3rd quarter
revenue and billing accuracy. The report is as follows:
• Total Health Department Revenue: Average YTD monthly revenue in FY17 after the
third quarter is $210k/month or $1.9M YTD, representing 63% of our overall budgeted
revenue for the year. (Multiple sources of revenue from the county and Medicaid
Maximization funds will be transferred in at the end of the fiscal year, but cause our
revenue receipts to look lower than projected at this point in the fiscal year as a result.)
Expenses are higher than revenues and slightly lower than projections for third quarter
at 67%.
• Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14-15,
the average billing accuracy rate for medical after the third quarter is 89% as compared
to 95% in FY 15-16 and the average rate for dental for third quarter FY 16-17 is 98% as
compared to 97% in FY 15-16.
• Dental Earned Revenue by Source: The FY 16-17 average monthly revenue
($41k/month) for the third quarter is below our budget projection ($47k/month) and in-
line with our FY 15-16 average of $40k/month but is related to lower patient volume in
August while the dental clinic was renovated and an overall higher volume of patients
this fiscal year that are self-pay and either pay 0% according to our sliding fee scale or
are unable to pay the full charge and are on a payment plan. FY 16-17 dental revenue
totaled $367k at the end of the third quarter.
• Medical Earned Revenue by Source: Medical earned revenue is currently slightly below
the budgeted projection for FY 16-17 ($59k/month) at $51k/month. This is attributed to
Maternal Health Medicaid claims that have been held while the state researched the
appropriate way to be reimbursed. Revenue for these claims should be recognized in the
fourth quarter. Medical clinic revenue totals $462k for third quarter FY 16-17.
C. Advisory Board Update
Beverly Scurry, Board of Health Strategic Plan Manager, gave a brief summary of the Orange
County advisory boards’ activities as they pertained to the BOH. Ms. Scurry stated that three
themes were prevalent amongst the advisory boards: support for the Family Success Alliance
(FSA), racial equity work and physical activity and nutrition. Below are some highlights as it
relates to BOH priorities in the Strategic Plan:
• OC Schools Board of Education (BOE) –
o At the November 28th meeting, the BOE approved the FSA grant for New Hope
Elementary in the amount of $2,500. The grant is intended to provide support
and funds to help establish a Family Resource Library.
o The BOE approved a letter of support to be sent to the BOH in support of the
FSA and its importance to the school district.
• Board of County Commissioners (BOCC) –
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o At the September 29th meeting, Dr. Colleen Bridger gave a detailed presentation
to the BOCC on the FSA.
o During the November 1st meeting, Coby Jansen Austin presented the five-year
budget projections presentation to the BOCC.
o The BOCC passed a resolution at the November 15th meeting in support of Equal
Rights Amendment which supports equal rights for all residents of Orange
County.
• Carrboro Board of Alderman –
o During the September 6th meeting, a resolution of support for local transportation
projects was passed. This resolution included Carrboro’s interest in bicycle and
pedestrian improvements. The town submitted seven bike-ped projects for
funding through the State Transportation Improvement Program, three of which
may be funding. Those three include bike-ped improvements on Estes Drive,
sidewalk installation on Jones Ferry Road, and sidewalk installation on Barnes
Street.
• Hillsborough Board of Commissioners –
o The board was informed at the September 12th meeting that the Orange
Partnership for Alcohol and Drug Free Youth received a grant for $625,000 over
5 years to focus efforts in Hillsborough and rural areas.
o The board was also informed that alcohol sales to minors have decreased
significantly in the county.
o The board authorized $5,000 to be allocated to the Affordable Housing fees in
lieu to assist with rental deposits for income eligible families. These fees will help
families who have Section 8 vouchers pay rental deposits.
o Board members have expressed a lot of interest in racial equity training and are
encouraged to attend training.
• Orange Unified Transportation Board (OUTBoard) –
o A petition was presented to the OUTBoard by Walkable Hillsborough Coalition to
make the Safe Routes to School Plan a high priority. OUTBoard accepted this
petition and voted to present the petition to the BOCC.
o Small projects are being implemented such as a little pedestrian bridge over a
creek on Hayes St. for Central Elementary and a gate at the back of Orange High
for more direct and safe access to school.
VI. Action Items (Non-Consent)
A. Board Reappointments
Liska Lackey, Chair, conveyed that there were three Board members whose term will be ending
soon. The Board of Health will vote to recommend Liska Lackey to her 3rd term; Susan Elmore
to her 3rd term; and Jessica Frega to her 1st full term. She also mentioned that this was Reena
Mehta’s last meeting and that the search for her replacement is ongoing. She reminded them
that state law requires that the member be an optometrist that lives in Orange County.
Motion to reappoint Liska Lackey was made by Sam Lasris, seconded by Barbara
Chavious, and carried without dissent.
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Motion to reappoint Susan Elmore was made by Barbara Chavious, seconded by Sam
Lasris, and carried without dissent.
Motion to reappoint Jessica Frega was made by Sam Lasris, seconded by Jennifer Deyo,
and carried without dissent.
VII. Reports and Discussion with Possible Action
A. Health Director Report
In addition to her report, Dr. Cilenti added that she met with Bonnie Hammersley, County
Manager, and discussed the recommended budget for FY17-18. Below is a brief summary.
• No new positions without a revenue source will be approved due to the county’s fund
balance declining
• $15,000 reduction to lab services in the clinics.
• $15,000 has been recommended to be allocated to Environmental Health. $18,000 in
fees from the WTMP program are projected to come in.
• A behavioral health consultant was recommended for funding at $80,000.
• A senior public health educator position to support FSA and a data systems manager
position were not approved.
• A small increase for a contractor for interpreter/language services was recommended.
• Dental revenue projected at $50,000 less for next year.
• Increase funding for text system was recommended.
B. Media Items
Media items were in the packet which focused on Orange County’s events and our
involvement in various efforts.
Liska Lackey, Chair, acknowledged Stacy Shelp, Communications Manager, for all of her
contributions to the OCHD and wished her well. This will be her last BOH meeting. Coby
Jansen Austin also reminded the BOH members about the racial equity training.
At 8:02pm, Jessica Frega motioned to move into closed session and Barbara Chavious
seconded.
VIII. Closed Session to Discuss Health Director Recruitment
During the closed session, the Board of Health discussed candidates for the health director
position.
IX. Adjourn to Open Session
The Board of Health adjourned to open session at 9:00pm.
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ORANGE COUNTY BOARD OF HEALTH
April 26, 2017
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X. Board Comments.
None.
XI. Adjournment
The meeting was adjourned at 9:00 pm.
The next Board of Health Meeting will be held May 31, 2017 at the Orange County Health
Department, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m.
Respectfully submitted,
Dorothy Cilenti, MSW, MPH, DrPH
Orange County Interim Health Director
Secretary to the Board