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HomeMy WebLinkAboutBOH minutes 111710MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 1 November 17, 2010 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 November 17, 2010 at the Southern Human Services Center Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Anissa Vines; Chair, Chris Harlan; Vice-Chair, Steve Yuhasz, Commissioner Representative; Paul Chelminski; Carol Haggerty; Matthew Kelm; Tony Whitaker; Christopher Cooke, Mike Carstens; Susan Elmore; Michael Wood BOARD OF HEALTH MEMBERS ABSENT: STAFF PRESENT: Rosemary Summers, Health Director; Tom Konsler, Environmental Health Services Division Director; Carla Julian, Risk Management/Quality Assurance Division Director; Wayne Sherman, Public Health Nursing Director; Donna King, Health Promotion and Education Services Division Director; Lisa Smith, Administrative Assistant. GUESTS PRESENT: none I. Educational Presentation: Tom Konsler, Environmental Health Director, and Carla Julian, Risk Management and Quality Assurance Director. Tom Konsler and Carla Julian gave a power point presentation and report on the Quality Improvement Wastewater Treatment Management Program. Power point slides presented at this session are available on request. II. Welcome and Introductions: Anissa Vines, Chair, thanked Tom Konsler & Carla Julian for the educational presentation and called the meeting to order at 7:45 p.m. III. Approval of November 17, 2010 Agenda Chair Vines requested the addition of item V.X. Accept Extension of Permits for Development Session Law 2010-177. Motion to approve the Agenda of November 17, 2010 as amended was made by Matthew Kelm, seconded by Chris Harlan, and carried without dissent. IV. Public Comment for Items NOT on Printed Agenda V. Action Items (Consent) A. Minutes approval of November 17, 2010 meeting The Board is required to review and approve minutes of all meetings of the Board of Health. These minutes were for the regularly scheduled meeting held on November 17, 2010. B. Accept Additional Funds MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 2 November 17, 2010 The Department has been notified of the availability of funds three program areas: 1) The NC Division of Public Health has allocated additional immunization funds in the amount of $2,613 that must be encumbered by December 31, 2010 and invoiced by February 28. The funds may not be used to purchase vaccines. The proposal is to hire a contract coordinator and pay for supplies to provide vaccination clinics for Tdap (tetanus, diphtheria and pertussis) and meninigoccal disease in each of the high schools in the county for seniors during December. These are generally required or recommended vaccinations for college entry. 2) The NC Division of Public Health has allocated $80,000 from unspent federal H1N1 funds to health departments to be spent in the original 2009-2010 categories of planning, surveillance, and operations. The Health Department plans to purchase equipment and supply items that were on the priority list but were unable to be purchased because of the May 31 time deadline for invoice and payment verification. 3) The NC Division of Public Health has allocated an additional $8,294 from Title X Family Planning funds to the health department for purchasing long-acting reversible contraceptives for family planning clients. The health department uses three different types that range in price from $219 to $285 each. The particular type used is determined by the clinician based on patient need. These funds will help defray the cost of these devices for the department. 4) The NC Institute for Public Health is making $1500 available to counties who have been chosen to participate in the Multi-State Learning Collaborative. The Health Department will be participating in a quality improvement project with the Information Technology Department and the Planning and Inspections Department to develop a central permitting application process for Orange County customers. The $1500 will be used to defray meeting costs and supplies for the one week Kaizen./Lean intervention and remaining funds may be able to be used for a high speed document scanner for environmental health that will enable them to begin converting their paper files to an electronic format. C. 2011 Board Meeting Calendar The Board generally adopts a calendar for the next calendar year so that meetings can be appropriately noticed to the public as required by statute and so that Board members can plan their calendars to ensure attendance. The proposed calendar leaves meetings on Wednesday evenings and continues to alternate between a south and central location. Staff has also taken the Board of Commissioners adopted calendar of meetings for 2011 into consideration. Motion to approve the consent agenda as presented was made by Steve Yuhasz, seconded by Christopher Cooke, and carried without dissent. VI. Reports and Discussion with Possible Action A. December Board Meeting In the past, the Board has used the December meeting to catch up on any unfinished business that must be completed by the end of the year. If the Board determines that there is insufficient business anticipated for the meeting then the meeting is cancelled. The only item for the December agenda that requires Board review is the annual State of the County Health Report. It does not require approval, only review. If this is the only item, it can be transmitted via email. MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 3 November 17, 2010 Motion to cancel December BOH meeting was made by Chris Harlan seconded Christopher Cooke and carried without dissent. B. Board Elections In late 2008, the Board voted to elect Chris Harlan as Chair and Anissa Vines as Vice-Chair, with the intent that in 2010 Anissa Vines would serve as Chair and Chris Harlan would serve as Vice-Chair to allow new Board members a chance to fully orient themselves before committing to a leadership role. Board elections in late 2009 confirmed this election. The Board is now in a position to elect Anissa Vines for a second year as Chair of the Board of Health and to nominate and possibly elect a Vice-Chair who will service as Vice-Chair for calendar year 2011 and then be a candidate for Chair for calendar year 2012. Tony Whitaker has agreed to be nominated and serve as Vice-Chair for 2011 if the Board so chooses. Current terms of office for Chris Harlan and Michael Wood expire on June 30, 2011. Michael Wood is eligible for a one term renewal; Chris Harlan will be completing her second term and is not eligible for a renewal under Board of Commissioner policy, therefore Ms. Harlan would not be eligible for office this calendar year. Motion to elect Anissa Vines as Chair and Tony Whitaker as Vice-Chair for 2011 was made by Steve Yuhasz, seconded by Paul Chelminski, and carried without dissent. C. Landfill Area Assistance Fund From October Board of Health meeting packet: At the November 17, 2009 BOCC meeting, the County Manager proposed the creation of a fund to assist residents who live near the Orange County Landfill. The fund would provide financial assistance to residents who experience problems with their wells and potentially septic systems. The Manager compared this fund to the No-Fault Well Repair Fund (NFWRF) which was established to assist residents near the American Stone Quarry who experienced well failures that are not attributable to the quarry operation. The NFWRF program relies on money from Martin Marietta and OWASA to replenish the fund. The Orange County Health Department administers the NFWRF policy by providing the testing, determining the available remedies, and overseeing contractors, repairs, and permitting. Aside from the differences in the funding source and the lack of a “no-fault” determination, it is anticipated that this program will operate similarly to the NFWRF. In January of 2010, the BOH considered and discussed an assistance fund that would include repair assistance for both wells serving homes within 3000 foot of the landfill. Septic system assistance was also discussed, but not included as an element of this proposed policy. The Board of Health did not take action on this item in January. The Orange County Manager obtained authorization from the BOCC in February 2010 for the establishment of the assistance policy to be funded by the Solid Waste Enterprise Fund. This same authorization was passed by the towns of Carrboro and Hillsborough and most recently by the Chapel Hill Town Council. MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 4 November 17, 2010 The basis for the Manager’s recommendation for the fund is a 1999 multi-governmental agreement to provide for community improvements within the areas neighboring the existing landfill. The policy is not an attempt to address or to imply a cause-and-effect relationship between the landfill operation and well failures in the area. A draft copy of procedures that have been adapted from the NFWRF were presented to the Board of Health for approval in October. The Board raised a question about whether the appeal hearing is rightly in the purview of the Board of Health or whether it should be with the Board of Commissioners or with another body such as the Landfill Enterprise Advisory Board as they would be responsible for any fiduciary commitments made as a result of recommended actions. The county attorney has revised the appeal language as follows: “Appeals concerning the testing of wells and determination of well failures will be heard by an appeals committee consisting of the Orange County Manager or a designee of the County Manager, the Health Director, and the Solid Waste Manager. All decisions of the appeals committee shall be made by majority rule and are final decisions.”the Orange County Board of Health in a manner consistent with Board of Health policies and procedures. Motion to approve Landfill Area Assistance Fund was made by Matthew Kelm, seconded by Paul Chelminski, and carried without dissent. D. Community Assessment Plan Board of Health Policy, Section I, Policy G (Community Assessment Policy), delegates the development and implementation of procedures for the Community Health Assessment (CHA) and State of the County’s Health (SOTCH) reports to the Division of Health Promotion and Education Division through the Health Director. The policy also provides guidelines for the development of the CHA and SOTCH reports and to ensure that these reports are collaborative efforts that include input from community members, county agencies and organizations, the Board of Health and other county stakeholders. The Draft 2011 Community Health Assessment Plan provides the Board with an initial overview of the proposed CHA process and aligns with the guidelines provided in Policy G. A steering committee is being identified and members representing over 20 community agencies will be invited to advise and assist with CHA plans and tasks. Christopher Cooke asked about the specific data that will be included and whether the new census data would be able to be integrated. Donna King responded that the data used will be the latest available and that the 2020 Health Objectives for North Carolina will be integrated as well. E. Board of Commissioners’ Work Plan Request The Board of Commissioners has spent the last year studying the roles of various advisory boards and commissions and has made procedure recommendations that will ensure that the Commissioners have better communication with advisory boards and commissions. This will MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 5 November 17, 2010 enable better budget planning and provide commissioners with a more comprehensive picture of community input regarding county operations. Commissioners have asked for completion of the attached form from each Board or Commission to be available for their annual planning retreat generally scheduled at the beginning of the calendar year. As this form reflects, this is not reflective of the health department in all of its responsibilities, but does focus on Board of Health specific responsibilities. The Board should review this document and recommend any changes to be made before submission to the Cclerk for the Commissioners. Board members made several recommendations including to add to the mission andthe core functions of the health department, add developing a budget to enhance savings to accomplishments, and add potential Smart Start reductions and HIS to concerns and emerging issues that the board has identified for the upcoming year and plans to address. F. 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. A synopsis of the items follows. a. Congratulations to Renee Kemske, RD, the health department’s program manager for nutrition who was named as a “Vvillage Pride” award winner by WCHL for her work to provide diabetes education in Orange County. Please journey to the health department website to see clips from ads recorded by Ms. Kemske and Ms. Robinson, our communication specialist. b. The Health Director is working with Human Resources and staff members on a reorganization of the finance and operations (administrative support) area of the health department. We hope to receive approval to move forward with the implementation by January 1, 2011. More information may be available by the next scheduled board meeting. c. The 1st Quarterly Financial Report is being delayed until January when the Board will receive the 1st and 2nd Quarterly Reports. The department is having significant problems receiving revenue from Medicaid, Medicare, and insurers as a result of the new HIS software. Additional training and consultation from the state have been sought to mitigate departmental shortcomings. d. The renovation plans for the “A” portion of the Whitted Building are being finalized by the architect. Pending Commissioner Approval the project is expected to be bid in December with construction beginning in late January. Draft conceptual plans are being further developed and are attached . e. Media Clips f. Pending and Recurring Items is Attached for your review an attachment to reviewfor upcoming agenda items MINUTES ORANGE COUNTY BOARD OF HEALTH November 17, 2010 Board of Health Minutes Transcription completed by Lisa Smith 6 November 17, 2010 VII. Board Comments/Announcements VIII. Adjournment Motion to adjourn the meeting at 9:40 p.m. was made by Mike Carstens, seconded by Matthew Kelm, and carried without dissent. The next Board of Health Meeting will be held on January 17, 2011 at Southern Human Services Center, Chapel Hill, NC at 7:00 p.m. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board