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HomeMy WebLinkAboutBOH minutes 062817MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 1 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 June 28, 2017, at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Liska Lackey – Chair, Johanna Birchmayer, Commissioner Mia Burroughs, Barbara Chavious, Paul Chelminski, Jennifer Deyo, Jessica Frega, Sam Lasris and Timothy Smith BOARD OF HEALTH MEMBERS ABSENT: Susan Elmore. STAFF PRESENT: Dr. Dorothy Cilenti, Interim Health Director; Coby Jansen Austin, Programs and Policy Director; Alan Clapp, Environmental Health Director; Rebecca Crawford, Financial and Administrative Services Director; Robin Gasparini, Public Health Nursing Supervisor; Carla Julian, Dental Clinic Practice Manager, HIPAA Privacy and Security Officer, Compliance/Risk Manager; Donna King, Health Promotions and Education Services Director; Pam McCall, Personal Health Services Director; Beverly Scurry, Board of Health Strategic Plan Manager; and La Toya Strange, Administrative Assistant II. GUESTS PRESENT: Brenda Bartholomew, Human Resources Director and Miguel Ozuna, Vice-President, Springsted Waters. I. Welcome New Employees Liska Lackey, Chair, called the meeting to order. Dr. Cilenti welcomed, Lauren Kager, the new employee in attendance. II. Public Comment for Items NOT on Printed Agenda: None III. Approval of the June 28, 2017 Agenda Motion was made by to Jessica Frega approve the agenda, seconded by Sam Lasris and carried without dissent. IV. Action Items (Consent) A. Minutes of May 24, 2017 Meeting Motion was made by Mia Burroughs to approve the minutes of May 2017, seconded by Jennifer Deyo and carried without dissent. V. Educational Sessions A. FSA Update MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 2 Coby Jansen Austin, Programs and Policy Director, began by giving an overview of the Family Success Alliance (FSA). The FSA is a collective impact initiative modeled on Harlem Children’s Zone and other place-based cradle to college/career programs throughout the country. It’s a partnership with community members, organizations, local government agencies, elected officials and parents that works with families struggling with structual inequities so that all Orange County families can succeed. The FSA is currently working in two zones. Zone 4 is in Hillsborough and Zone 6 is in the Chapel Hill/Carrboro area. Some of the data regarding these zones include: • In Zone 6, there are four times as many non-economically disadvantaged students at a “College Ready” level on End of Grade 3rd grade reading and 8th grade math as economically disadvantaged students. • The percentage of College Ready students by race/ethnicity in Zone 6 shows a much higher (87%) rate among white versus hispanic (28%) and black students (30%). Ms. Austin shared updates on some of the FSA’s successes and ongoing work. • Hiring of new navigators has occurred. Zone 4 will have a total of 3 and Zone 6 will have a total of 4 navigators. • In Zone 4, a target area is Gateway Village, a project-based Section 8 apartment complex with a contract with HUD in which rent for tenants at this property is based on tenant income. In 2016, an action plan was created with the help of faith leaders, legal aid and Alan Clapp to address the some concerns associated with Gateway Village including backed up sewage on the land which affected tenants’ health. Under previous management, there were a lot of evictions which caused a fear of retaliation amongst tenants causing them not to report property issues; however, new management has provided money in their budget to clean the backed up sewage on their property. • In Zone 4, in Spring 2017, a social worker intern was on site to help build relationships and assist families. • Family Fun Days were held in the communities with a better turnout this year. • This summer, the FSA partnered with grassroots organizations. A summer meal program was launched with 45 families signing up. • The FSA was able to assist Sisters on the Move in receiving a vehicle donation. • Books on Break, a non-profit organization, raised $8,000 and was able to provide each child with 10 books. • End of the Year Celebration was held at Camp New Hope. • Ready for K Camp, a kindergarten readiness program, was held. • Strategic planning is underway to address housing, family planning, screening, mental health, etc. OC Housing is launching a landlord program. • The FSA is currently working on fundraising/development. The FSA wants to be additive and not divert funds away from other community partners. The BOH members had questions that were addressed by Ms. Austin. B. Translation Boot Camp Update Beverly Scurry, Board of Health Strategic Plan Manager, spoke on the action plan that was addressed in the Strategic Plan regarding the Social Determinants of Health priority. The MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 3 Strategic Plan states that “by February 2017, the OCHD will host at least two “translation boot camps” with the Health Carolinians Access to Care committee, on specific health topics to translate clinical language and recommendation about those health topics into culturally and linguistically relevant and motivational messages”. A team, consisting of Donna King, Robin Gasparini, Coby Jansen Austin, Margaret Campbell, Susan Clifford and Ms. Scurry was created. The first medical topic chosen by the team was LARCs. Two meetings have been held so far. Ms. Scurry stated that they would like to receive feedback from the BOH members. She also stated that the team is being mindful and assessing the spreading of information into the community and how it’s received. C. BOH Policy and Procedures Upcoming Annual Review Beverly Scurry, Board of Health Strategic Plan Manager, began by informing the BOH members that the BOH is required to review their Policies and Procedures each year to meet accreditation standards. She also mentioned that there was a very extensive review took place in 2015 and this year has minor suggested changes. Ms. Scurry briefly summarized the recommended updates/revisions that will be voted on at the August BOH meeting. They are: Section 1: Board Adopted Policies E. Fee and Eligibility Policy Suggested Changes: • Page 1: Section III A – Definitions o Addition of Family Home Visiting Division • Page 2: Section III B – Sources o Change in verification from 10 days to 30 days • Page 3: Section IV A – Residency Requirements o Formatting • Page 6: Section VI K, O, & P – Fees for Services o Formatting • Attachment B: Determination of Eligibility for Clinical Services o Change in timeframe to provide income verification within 10 days to 30 days. o Formatting o (Changes already made) Section III: Board Processes Suggested Changes • Formatting throughout Policy III.B.c: Process for Recruitment and Reappointment for BOH Members Fees Suggested Changes MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 4 • Board makes recommendation to Board of Commissioners who will decide who to appoint. The BOH members had comments/questions that were addressed by Ms. Lackey. D. Budget Overview Rebecca Crawford, Financial and Administrative Services Director, gave a summary of the FY 2017-2018 budget that was approved by the BOCC on June 20th. Staff has analyzed the differences between the Requested budget, the County Manager’s Recommended budget, and the Approved budget and found the Approved FY 2017-2018 budget for the Health Department shows a $22,425 increase in revenue over the FY 2017-2018 Budget Request due to anticipated additional Environmental Health fee revenue. The County Manager did not include a requested $60,000 in County Capital funds in the Approved budget, which decreased the overall impact of the anticipated Environmental Health fee revenue increase. The Approved FY 17-18 budget experienced a $132,178 decrease in expenditures from the request budget due to the following items that were not recommended by the County Manager: • Data Systems Manager • Senior Public Health Educator • PH Program Manager – Behavioral Health (County Manager converted this request to funding for a Behavioral Health consultant) • Conversion of Communications Specialist from a temporary employee to permanent employee (temporary funds remain in our budget to support this position) • Operating costs related to new positions • $15,000 increase in lab services for the medical clinics • $13,365 for an FSA Development Consultant The Health Department received notice from NC Department of Health and Human Services (DHHS) earlier in June that we will receive an additional $1,020 in BCCCP funds, which were added to the Approved budget. The changes made from the department’s Requested budget will not have a detrimental effect on operations, however, we will have to reallocate funds internally to cover the increased cost in lab services and reallocate staff time from other projects to perform the duties required of the disapproved Data Systems Manager and the disapproved FSA Development Consultant. VI. Reports and Discussion with Possible Action A. BOH Subcommittee Review Beverly Scurry, Board of Health Strategic Plan Manager, discussed the subcommittees as they relate to the BOH Strategic Plan Action Steps. There are four top priorities – Social Determinants of Health, Physical Activity and Nutrition, Substance Abuse & Mental Health and Engagement. There is a subcommittee for each priority except Engagement. After Ms. Scurry reviewed the each priority’s subcommittee and its focus areas, BOH members signed up for subcommittees. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 5  Social Determinants of Health Subcommittee Liska Lackey, Johanna Birckmayer, Jennifer Deyo and Mia Burroughs  Physical Activity and Nutrition Jessica Frega, Timothy Smith, Susan Elmore and Bruce Baldwin (Although he wasn’t present, he was added to this subcommittee and will attend his first meeting in August.)  Substance Abuse and Mental Health Sam Lasris, Paul Chelminski, Barbara Chavious, Timothy Smith and Jessica Frega B. Health Director Report In addition to her report, Dr. Cilenti stated that she will be participating in an upcoming meeting that will include UNC, the county manager, Dr. Mike Steiner, past FSA chair, in which part of the discussion involves the commitment to behavioral health services, particularly for those ages 0- 25. Dr. Cilenti also mentioned that she and Dr. Steiner will be meeting next week to explore opportunities for our health department to work together with UNC to address the needs of children in Orange County. Dr. Cilenti will be a part of the search committee for a new Associate Vice Chancellor that will oversee their student health and wellness program. UNC wants her to represent the OCHD to get a community perspective. Dr. Cilenti stated that, although the requested position was not granted, the OCHD will be helping prepare the scope of work and providing leadership for the behavioral health position. Interviews will most likely occur in September. Dr. Cilent announced that Dr. Bruce Baldwin has been appointed by the BOCC to the BOH and congratulated all of the reappointments that were approved by the BOCC. Lastly, she mentioned that she, along with Alan Clapp, Rebecca Crawford, met with OWASA’s leadership, took a tour and saw how raw water becomes drinking water. A letter of support to continue fluoridation of water was also offered. OWASA will resume fluoridation of water as soon as their equipment improvements are completed. C. Media Items Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. At 8:15pm, Sam Lasris motioned to move into closed session and Jessica Frega seconded. VIII. Closed Session to Discuss Health Director Recruitment During the closed session, the Board of Health discussed the recruitment process with Mr. Ozuna and Ms. Bartholomew. MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 6 IX. Adjourn to Open Session At 9:22 pm, Barbara Chavious motioned to move from closed to open session and Paul Chelminski seconded. X. Board Comments. None. XI. Adjournment Jessica Frega moved to adjourn the meeting at 9:23pm and Paul Chelminski seconded. The next Board of Health Meeting will be held August 23, 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