Loading...
HomeMy WebLinkAboutBOH minutes 102616MINUTES-Final ORANGE COUNTY BOARD OF HEALTH October 26, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ October 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 October 26, 2016, at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Liska Lackey, Vice Chair; Nick Galvez – Vice- Chair, Commissioner Mia Burroughs, Susan Elmore, Jessica Frega, Reena Mehta, Sam Lasris and Timothy Smith. BOARD OF HEALTH MEMBERS ABSENT: Barbara Chavious, Paul Chelminski and Dan Dewitya. STAFF PRESENT: Dr. Colleen Bridger, Health Director; Coby Jansen Austin, Director of Programs and Policy; Alan Clapp, Environmental Health Director; Rebecca Crawford, Finance & Administrative Services Division Director; Carla Julian, Dental Clinic Manager; Donna King, Health Promotion & Education Services Director; Pam McCall, Public Health Nursing Director; Stacy Shelp, Communication Manager, La Toya Strange, Administrative Assistant II and Allison Young, Health Informatics Manager. GUESTS PRESENT: None. I. Welcome Liska Lackey, Chair, called the meeting to order. II. Public Comment for Items NOT on Printed Agenda: None III. Approval of the October 26, 2016 Agenda Motion was made by Susan Elmore to approve the agenda, seconded by Timothy Smith and carried without dissent. IV. Action Items (Consent) A. Minutes of September 28, 2016 Meeting They will be approved at next month’s meeting due to an administrative error. V. Educational Sessions A. CHCCS & OCS Physical Activity/PE Update Coby Jansen Austin began by reminding the Board that part of their Strategic Plan focuses on physical activity and physical education and that the presentations will offer a look at the assessments that can be done within schools and give insight into potential policy, system and environmental changes that can take place in schools. One of those tools that schools can use MINUTES-Final ORANGE COUNTY BOARD OF HEALTH October 26, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ October Page 2 to improve their health and safety policies, the School Health Index, was mentioned in the Strategic Plan and is used by the Alliance for Healthier Generations. She continued by stating that the presentations will also look at the resources schools may need to increase their use of energizers in the classrooms and in-class physical education (P.E.) including aiding in identifying funding to help support them. Both school districts perform their own assessments regularly and will present their findings to the Board along with what their priorities are. Lastly, Ms. Austin noted that, after the presentations, they’ll be open discussion with the Board on how they might play a role in helping support the schools with their objectives. Patricia Harris, Director for College and Career Readiness, Orange County Schools, began by stating that every school district is required to have a School Health Advisory Council (SHAC) per the policy passed in January 2003 by the NC Board of Education. Ms. Harris presented results obtained from a survey completed by SHAC in May of 2015 that assessed health and wellness practices within the schools. All thirteen schools participated. She also spoke of their ongoing projects such as Red Ribbon Week, Eat Smart Move Smart, and Safe Routes to School. Their goals included reducing obesity through fostering healthy habits and they are creating subcommittees that will determine strategies. Ms. Harris stated that another goal is to get physical activity back into the classroom so that it is disbursed throughout the day and doesn’t occur solely in P.E. class. Several teachers received professional development training on “active-based learning” last year, and one of the challenges has been obtaining additional funds to expand that support to more teachers. Scarlett Steinart, Director of Healthful Living and Athletics in Chapel Hill-Carrboro City Schools (CHCCS), began her presentation with examples of the physical activity that students in CHCCS receive including: • K-5 students have recess every day with twice a week P.E. class (30 min) • 6th-8th graders receive P.E. every day • 9th graders participate in Healthy Living (½ year of P.E., ½ of health) • 10th-12th graders have a P.E. elective which includes honors Next, she spoke about some of the CHCCS ongoing projects that included: • Chartwells Food Service for Child Nutrition and related programming • District Wellness Policy • Classroom Energizers • Youth Risk Behavior Survey (YRBS) every two years Ms. Steinart mentioned that $500 per school is available for staff wellness. Unfortunately, one P.E. teacher from the middle schools will be removed next year due to budget cuts, which led to her next topic – priorities. The priorities for enhancing physical activity/P.E. in CHCCS include: • Replacing worn equipment (footballs, basketballs, tennis rackets, etc.) • Infrastructure, including “peaceful playgrounds” and improving walking and biking trails • New/Updated fitness equipment (treadmills, bikes, ellipticals, etc.) • Funds for transportation to be able to use Homestead for a swimming unit • Technology to assess student growth (e.g., iPads) B. Customer Satisfaction Data Personal Health Services, Dental Health Services and Environmental Health Services reported their results of patient and client input surveys as well as their improvement plan. MINUTES-Final ORANGE COUNTY BOARD OF HEALTH October 26, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ October Page 3 The Health Department conducted a 2016 Orange County Health Department Clinical Services Community Input Survey. Respondents overwhelmingly felt the Dental and Medical Clinic hours were convenient. As a result, there will be no change to the Dental or Medical Clinic hours. Most respondents felt the services currently provided were sufficient, while some suggested increased information about services and access to eye care. The Health Department will investigate linkages to eye care and better ways to share information about our services. Personal Health Services also collected patient satisfaction surveys from mid-July through August 2016. There were a total of 156 respondents. Not all respondents answered all of the questions. The results included: • Satisfaction with most visit elements remained high • Satisfaction with wait times decreased by 3% overall • Satisfaction with some elements of staff interaction decreased • Overall satisfaction showed greatest decrease • Satisfaction with interpreter services increased in all measures at both clinical sites Positive and constructive qualitative feedback included: • Service provided is excellent and staff is very helpful. • Staff was excellent – very welcoming and professional • Wait time is too long • Walk-in appointments would be great Personal Health Services’ plan for improvement includes: • Continue quality improvement efforts • Fill vacant positions • Pursue training in Client and Family Centered Care Dental Health Services patient satisfaction survey in June 2016 continues to reflect continued satisfaction with the dental care and education received as well as the payment collection process. There were 52 respondents. Some of their results included: • 98% strongly agree/ag ree that they receive good treatment and advice • 97% strongly agree/agree that they are satisfied with payment collection • 95% strongly agree/agree that they would refer family and friends A key area for improvement included complaints from adult patients on how long it takes to get an appointment which is currently 3 months. The Dental Health Services’ strategies to improve this include: • Maintain a list of patients that want appointments • Pursuing a “Patient Relationship Management” service that simultaneously contacts all patients on that list to assist them with scheduling an appointment when there are patient cancellations MINUTES-Final ORANGE COUNTY BOARD OF HEALTH October 26, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ October Page 4 Environmental Health Services has used the same feedback tool since 2007. Their survey consisted of 18 questions and was collected from September 2015 to September 2016. There were 166 surveys collected. Their results showed improvement in all areas with satisfaction rates in the 90th percentile including: • Food and Lodging Feedback - 97% of clients felt they were kept well informed and/or had a chance to ask questions • Well and Septic Permitting Feedback – 98% of clients reported an overall satisfaction with their services • General Feedback – 94% of clients felt that office staff was professional and courteous The Environmental Health staff will continue to work to provide excellent service to the community. VI. Reports and Discussion with Possible Action A. E-cigarette Rule Update At its April meeting, the Board decided to postpone its vote on the proposed rule to prohibit the use of E-cigarettes inside restaurants and bars in Orange County as the Surgeon General’s report was due to be released in fall 2016. Due to the current expected release of the Surgeon General’s report to occur in early 2017, Dr. Bridger asked the Board on how they wanted to proceed with the E-cigarette proposed rule After discussion, the Board agreed to wait until the Surgeon General’s report is released before voting on the proposed rule. B. Present Chair/Vice-Chair Slate Liska Lackey, Chair, stated that the nominees for the positions of Chair and Vice-Chair are Nick Galvez and Dan Dewitya, respectively. BOH members will vote to select the Chair and Vice- Chair at the November meeting. C. Health Director Report Dr. Bridger highlighted some of the items in her report including the nursing shortage which is a cause for the longer wait times in the clinic. There’s been a lack of applicants to the posted nursing job announcements. She stated that she’s working with HR and the County Manager’s office on this issue. Dr. Bridger stated that a market analysis is currently underway and that she hopes to be able to announce approval of those recommendations. She also mentioned another ongoing challenge that has been occurring over the last six months involved the transitioning from Dr. Monaco, Medical Director. There have been multiple physicians from UNC Family Medicine rotating in our clinics. Dr. Bridger expressed her excitement at the hiring of the new Medical Director, Dr. Erica Pettigrew, who will be starting December 1st and the level of outside expertise she’d bring with her. D. Media Items Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. MINUTES-Final ORANGE COUNTY BOARD OF HEALTH October 26, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ October Page 5 VII. Closed Session to Discuss Health Director’s Annual Review The Board came out of closed session and called Dr. Bridger back into the boardroom. Liska Lackey announced that the BOH had spoken with all of Dr. Bridger’s direct reports and the county manager. With that input and their observations, the Board had determined to award an “Exceptional” rating for her annual performance assessment. Several BOH members had positive comments to share with Dr. Bridger. VIII. Board Comments None. IX. Adjournment The Chair adjourned the meeting at 9:05 p.m. The next Board of Health Meeting will be held November 30, 2016 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m. Respectfully submitted, Colleen Bridger, MPH, PhD Orange County Health Director Secretary to the Board