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Home My WebLink AboutBOH minutes 020514MINUTES ORANGE COUNTY BOARD OF HEALTH February 5, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/Feb 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 February 5, 2014, at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Corey Davis, Chair; Susan Elmore, Vice Chair; Tony Whitaker, Michael Wood, Michael Carstens, Paul Chelminski, Matthew Kelm and Commissioner Bernadette Pelissier. BOARD OF HEALTH MEMBERS ABSENT: Liska Lackey STAFF PRESENT: Dr. Colleen Bridger, Health Director; Donna King, Public Health Education Director; Pam McCall, Public Health Nursing Director; Christy Bradsher, Financial and Administrative Services Division Director; Alan Clapp, Environmental Health Director; Susan Wagoner, Patient Account Rep. Supervisor; Stacy Shelp, Communications Manager; Meredith Stewart, Senior Public Health Educator; Mike Fliss, Health Informatics Manager; Coby Austin, Senior Public Health Educator; Matthew Dallas, Registered Dietitian; April Walker, Office Supervisor and Audrey Driskill, Family Nurse Practitioner II GUESTS PRESENT: Aimee McHale, UNC Professor; Sierra Shell, UNC Student; Alec Moore, UNC Student and Tammy Grubb, Staff Writer the Chapel Hill News. Chairperson Corey Davis took a moment to congratulate and acknowledge Dr. Colleen Bridger in receiving the North Carolina Health Director of the Year Award. I. Welcome New Employees Dr. Bridger introduced new staff members: Alan Clapp replaced retiree Tom Konsler as the Environmental Health Director; Tersee Flores, Administrative Assistant to Colleen Bridger; April Walker, Office Manager; Coby Austin, Senior Public Health Educator; Matthew Dallas, Registered Dietitian and Audrey Driskill, Family Nurse Practitioner II II. Public Comment for Items NOT on Printed Agenda: None III. Approval of February 5, 2014 Agenda Motion was made by Michael Carstens to approve the agenda, seconded by Tony Whitaker and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH February 5, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/Feb Page 2 IV. Action Items (Consent) A. Minutes Approval of November 20, 2013 Meeting Motion was made by Michael Carstens to approve the November 20, 2013 meeting minutes, seconded by Michael Wood and carried without dissent. B. State of the County Health Report (SOTCH) Dr. Bridger reminded members that the SOTCH report was published and initially sent to the board in December 2013 and needs to be approved for accreditation purposes by the BOH. Motion was made by Susan Elmore to approve the State of the County Health Report, seconded by Bernadette Pelissier and carried without dissent. V. Action Item A. Bilateral Tubal Ligation Program Recommendation Pam McCall, Public Health Nursing Director presented a recommendation to provide voluntary Bilateral Tubal ligation at no cost to the patient for uninsured women who live in Orange County. Pam’s request is to fund this program with $30,000 in Medicaid cost settlement money. Uninsured women in Orange County who desire permanent contraception have limited options. This is a costly procedure for the patient even with the self-pay discount at UNC. OCHD can negotiate with providers to pay for these services at a greater discount for qualifying women. They are requesting a fund be established to pilot paying for tubal ligations for uninsured women who want permanent contraception. Depending on the results of the pilot program, the Health Department may request continued funding for the program in FY ’15-’16. The BOH members had several questions that were addressed by Pam McCall and Dr. Bridger. Motion was made by Paul Chelminski to approve the Bilateral Tubal Ligation Program Recommendation and allocate $30,000 dollars from the Medicaid cost settlement fund, seconded by Susan Elmore and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH February 5, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/Feb Page 3 VI. Educational Sessions A. Billing Dashboard Quarterly Reports Susan Wagoner, Patient Account Rep. Supervisor, reported on the Billing dashboard. She highlighted that Revenue and Billing accuracy are trending in the right direction, with the exception of dental revenue which they have not yet received (due to on-going problems with NC Tracks). B. Children Living in Poverty Dr. Bridger took a moment to thank guests Amy McHale, Alec Moore and Sierra Shell for their role in creating a business plan for addressing child poverty in Orange County. Dr. Bridger provided an overview of the increasing problem of children living in poverty in Orange County. She included trends in related indicators, evidence for the importance of early childhood from the ACES study, a geospatial analysis of the distribution of children in poverty, and a recommended plan for intervention. The intervention plan will include the creation of a full time Program Coordinator position at the Orange County Health Department, to be included in this year’s budget request. The position will focus on planning for comprehensive interventions modeled after the Harlem Children’s Zone project to reduce child poverty. C. Access to Care Dashboard Mike Fliss, Health Informatics Manager presented and reviewed the Access to Care Dashboards and received feedback from board members. He advised the dashboards are on the Health Department website. VII. Reports and Discussion with Possible Action A. Health Director’s Report There were no questions from the board regarding the Health Director’s Report included in the packet. Dr. Bridger covered the Frameworks training and how well it went. The next step is to reconvene the group of people focused on childhood mental health issues. She discussed having a consistent messaging campaign so they may practice their framing skills, specific to childhood mental health communications. MINUTES ORANGE COUNTY BOARD OF HEALTH February 5, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/Feb Page 4 B. 2014 Board of Health Roster BOH members were asked to review Board of Health Roster so that we may update and correct any changes. The Signature Page for Receipt of Board of Health Policy and Procedure Manual and the Signature Page for Receipt of NC Public Health Statutes 130A was passed around for signatures acknowledging it was received by the BOH members. C. Media Items Media Items were in the packet which focused on Orange County’s events and our involvement in various efforts. VIII. Board Comments The Board of Health is actively seeking to fill (1) Dentist representative position, and (1) At-Large representative position. Chairperson Corey Davis reported there were several candidates whom applied. He requested a small number of volunteers to be on a selection committee to review and go through the applications and bring recommendations to the February BOH meeting. Michael Carstens, Tony Whitaker and Susan Elmore volunteered. Matthew Kelm reported a successful meeting at the Board of Pharmacy presentation. The Board of Pharmacy voted to change their rules and allow public health nurses to dispense naloxone under a standing order. X. Adjournment A motion was made by Susan Elmore to adjourn the meeting at 8:25 p.m., was seconded by Matthew Kelm and carried without dissent. The next Board of Health Meeting will be held February 26, 2014 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m. Respectfully submitted, Colleen Bridger, MPH, PHD. Health Director Secretary to the Board