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Home My WebLink AboutBOH minutes 092111MINUTES ORANGE COUNTY BOARD OF HEALTH September 21, 2011 Board of Health Minutes Transcription completed by Lisa Smith September 21, 2011 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 September 21, 2011, at the Southern Human Services Center Chapel Hill, NC. BOARD OF HEALTH MEMBERS PRESENT: Anissa Vines, Chair; Tony Whitaker, Vice Chair; Liska Lackey; Steve Yuhasz, Commissioner Representative; Matthew Kelm; Paul Chelminski; Mike Carstens; Michael Wood; Carol Haggerty BOARD OF HEALTH MEMBERS ABSENT: Susan Elmore STAFF PRESENT: Dorothy Cilenti, Interim Health Director; Wayne Sherman, Personal Health Services Division Director; Erin Langston Finance and Administrative Operations Division Director, Tom Konsler, Environmental Health Division Director; Dr. Michael Day Dental Health Division Director; Lisa Smith, Administrative Assistant; Steven Campbell, IT Analyst; Victoria Hudson, Environmental Health Specialist; David Hill, Environmental Health Specialist GUESTS PRESENT: Krishna Pathurkar Welcome and Introductions Anissa Vines, Chair, called the meeting to order at 7:05 p.m. I. Approval of September 21, 2011 Agenda Motion to approve the Agenda of September 21, 2011 was made by Steve Yuhasz, seconded by Liska Lackey, and carried without dissent. II. Dental Health Services Overview-Dr. Michael Day The dental clinic in Hillsborough received its certificate of occupancy on September 7, and they are in the process of increasing the clinic from four to nine chairs. They are continuing to address transportation barriers for clients previously served in our Chapel Hill office. We surveyed more than 800 clients, and received approximately 150 (18%) back. Of returned surveys, 3/4 were from English speaking clients, and 25 % were from Spanish-speaking clients. More than 90 % stated they were planning to seek dental services at the Hillsborough site. Approximately 1/4 of the clients said they would utilize the bus service, and fewer than 10 were interested in bus vouchers. We are recommending purchasing $500 in bus vouchers initially, and mailing these vouchers to clients with initial appointments. For returning clients, they will provide them with bus vouchers when they make a return appointment. To date, there have not been any requests for vouchers. The dental clinic is moving forward with the implementation of our Smart Smiles program (formerly a Smart Start program). Dr. Ginger Mann and Dr. Carol Foster will be managing the program and will have office space at the clinic in Hillsborough. MINUTES ORANGE COUNTY BOARD OF HEALTH September 21, 2011 Board of Health Minutes Transcription completed by Lisa Smith September 21, 2011 2 III. Public Comment for Items NOT on Printed Agenda none IV. Action Items (Consent) A. Minutes approval of August 24, 2011 meeting Motion to approve the consent agenda items was made by Steve Yuhasz, seconded by Paul Chelminski, and carried without dissent. VI. Reports and Discussion with Possible Action A. FY 10-11 End of Year Report – Erin Langston gave an update on the financial report B. Request from BOCC to Review Fees for Monitoring State Systems In 1991, the Orange County Board of Health adopted revisions to the wastewater system rules with changes deemed necessary to protect the health of the public (NCGS 130A-335). The state rules (as well as our local rules) had been revised to require regular monitoring inspection of certain health department permitted septic systems that require pumps, alternative technology, or advanced pretreatment. In addition, the BOH included a requirement for regular monitoring of state-permitted systems that treat the wastewater and discharge it to the ground surface, to a ditch, or to a stream. These systems were viewed as a high priority for inclusion into the program because: • They received little to no oversight or review from the agency that permitted them, • These systems require maintenance and replenishing of chlorine for proper disinfection, • If not properly operated and maintained, they present a high risk of direct exposure to untreated sewage, • There is no requirement for an owner to hire an operator for the system, and • History had shown a high degree of non-compliance and failures of these systems. Orange County has approximately 160 of these state permitted systems that are included in the Wastewater Treatment Management Program (WTMP). Some serve apartment buildings, mobile home parks, churches, or businesses, but the vast majority of the systems serve single- family homes and are inspected once every three years. Following each inspection, the system owner is sent a report on the condition of their system and an invoice for $125 per inspection. This same fee is charged to owners of health department permitted systems. The State Division of Water Quality (DWQ) also bills the system owner $60 per year which is an administrative fee for the re-permitting of the system. The permit must be renewed every 5 years. In recent years, DWQ began an inspection program of their own whereby staff people perform an on-site inspection of the system. This has caused system owners to question why they get two inspections and a bill from both the State and the County. The BOCC has been approached by the owner of a state system and the BOCC has requested that the Board of Health review the health department inspection program with regard to duplication and the associated fees and make a report/recommendation to the BOCC. Tom Konsler presented five options for the Board of Health to consider: (1) Stop inspections, (2) keep inspections, and drop the fees, (3) allow DWQ to do inspections and replace OCHD inspections, (4) have a memorandum of agreement with DWQ, or (5) leave the program as is. MINUTES ORANGE COUNTY BOARD OF HEALTH September 21, 2011 Board of Health Minutes Transcription completed by Lisa Smith September 21, 2011 3 The Board of Health asked for additional information f rom DWQ regarding inspections of the discharging wastewater systems, and for a breakdown of discharge systems vs. non discharge systems in Orange County. The board also asked for more information regarding how the condition of the state-permitted system conditions compare with those of the county-permitted systems. C. Informational Items Informational items are provided to the Board to cover topics that Board members should be aware of or for general interest. Items are not discussed during the meeting unless Board members ask for discussion. No informational items presented were selected for discussion or questions at this meeting. VII. Board Comments/Announcements VIII. Closed Session (ref. NCGS 143-318.11(a) (6) to consider the qualifications, competence, performance, fitness, conditions of appointment, of an individual public officer or employee or prospective public officer or employee; or to hear or investigate a complaint, charge, or grievance by or against an individual public officer or employee. Motion to move into closed session at 8:40 p.m. was made by Paul Chelminski, seconded by Steve Yuhasz, and carried without dissent. Motion to move into open session at 9:45 p.m. was made by Matt Kelm, seconded by Paul Chelminski, and carried without dissent. Motion to appoint Judy Butler as the Interim Personal Health Services Nursing Director was made by Mike Carstens, seconded by Paul Chelminski, and carried without dissent. Motion to offer the Health Director position to Dr. Colleen Bridger with salary range negotiable with HR was made by Tony Whitaker, and seconded by Liska Lackey, carried without dissent. Motion to adjourn the meeting at 10:00 p.m. was made by Paul Chelminski, seconded by Mike Carstens, and carried without dissent. The next Board of Health Meeting will be held October 26, 2011 at the Government Services Center Hillsborough, NC at 7:00 p.m. Respectfully submitted, Dorothy Cilenti, DrPH, MPH, MSW Interim Health Director Secretary to the Board MINUTES ORANGE COUNTY BOARD OF HEALTH September 21, 2011 Board of Health Minutes Transcription completed by Lisa Smith September 21, 2011 4 MINUTES ORANGE COUNTY BOARD OF HEALTH September 21, 2011 Board of Health Minutes Transcription completed by Lisa Smith September 21, 2011 1