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HomeMy WebLinkAboutBOH minutes 042507MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 April 25, 2007 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 April 25, 2007 at the Southern Human Services Center, Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Matt Vizithum, Chair; Chris Harlan, Vice-Chair; Moses Carey, Jr.; Jessica Lee; Sharon Freeland; Jim Stefanadis; Anissa Vines BOARD OF HEALTH MEMBERS ABSENT: DeWana Anderson, out of town; Tim Carey, schedule conflict; Ernie Dodson, out of town; Sharon Van Horn STAFF PRESENT: Rosemary Summers, Health Director; Wayne Sherman, Personal Health Services Division Director; Tom Konsler, Environmental Health Services Division Director; Donna King, Health Promotion and Education Services Division Director; Angela Cooke, Dental Health Services Division Director; Letitia Burns, Business Officer; Anne Miles Cassell, Administrative Assistant; GUESTS PRESENT: None I. Educational Presentation (final orientation session) Rosemary Summers presented the final educational session on “Legal Responsibilities and Authority” for local Boards of Health. Sharon Freeland raised a question on funding of essential services ensured by the state. Dr. Summers replied that there is no provision in the law for funding and that the state provides 4% of funding and the balance is Medicaid reimbursement and locally funded. The legislation prohibits health departments from charging for certain services: HIV testing and counseling; immunizations required by law and supplied by the state; sickle cell syndrome testing and counseling; testing and treatment for TB and STDs and food and lodging inspections. Moses Carey asked if the state covered the full cost of the mandated immunization services. Dr. Summers replied that they do not cover all of the cost but they do provide the vaccine for mandated immunizations. In response to a question from Sharon Freeland regarding provision of interpreters as mandated by legislation under Title VI, Dr. Summers explained that we receive no funds from the state for providing interpreters. Three primary roles of Boards of Health are: • Rule-making • Adjudication • Administrative Oversight II. Welcome and Introductions MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 April 25, 2007 Matt Vizithum called the meeting to order at 7:00 P.M. III. Approval of April 25, 2007 Agenda Matt Vizithum requested Item V.D.b., “Comprehensive Plan Update”, be replaced with “Quarterly Financial Report” and Item V.D.d., “Summer Meeting Schedule” added. The motion to approve the Agenda of April 25, 2007 as amended was made by Moses Carey, seconded by Anissa Vines, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of March 22, 2007 meeting. B. Contract renewal with UNC Family Practice for Medical Director OCHD has maintained a contract with UNC Family Practice for Medical Director Services for a number of years. Dr. Michael Fisher has served in this capacity for the past five years with back up from Dr. Lauren Lingley and other physicians. Dr. Fisher is well received by clients and staff enjoy working with him. The 07-08 contract expands the number of hours from 28 to 30 hours per week in recognition of additional primary care services and an increase in clinical and administrative duties. In addition, Chapel Hill Carrboro Schools (CHCCS) is seeking renewal of its contract with the Medical Director for medical supervision of one of its School Nurses who is a qualified Nurse Practitioner to provide limited Nurse Practitioner services in the Head Start Program. C. Contract renewal with Robert DuPuis for Pharmacy Services The issuance of pharmaceuticals through our clinics or during epidemics/disasters necessitates the services of a registered pharmacist. Robert Dupuis, Pharm.D., a Clinical Associate Professor in the Division of Pharmacy Practice at UNC School of Pharmacy, has served as our Pharmacist the past five years. He has fulfilled his responsibilities well and is interested in continuing to serve in this capacity. Changes in the 07-08 Pharmacy Contract include provision of medications for low-income clients through the Medication Assistance Program, personal liability insurance amounts, independent Contractor language, and a 3.5% increase to $11,628 per year. This is still well below the market rate for pharmacy services. MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 April 25, 2007 D. Contract renewal with UNC School of Dentistry for GPR Resident The Orange County Health Department annually contracts with UNC School of Dentistry for services of one full-time equivalent dental resident for four and one-half days per week. The residents provide services at both the Hillsborough and the Carrboro dental clinics. The contract cannot be fully executed until the state legislature passes their budget and the rate may be higher to cover the salary increase mandated by the state. E. Contract renewal with CHTOP for Dental Head Start Services In 2003, Chapel Hill Training and Outreach, Inc. contracted with the health department to provide required dental screening and treatment services to all children enrolled in the Head Start program located in Hillsborough. The program has worked well for both entities. Chapel Hill Training and Outreach, Inc desires to renew this contract for services for the coming fiscal year. Motion to approve the minutes of March 22, 2007 and items on the Consent Agenda was made by Jim Stefanadis, seconded by Sharon Freeland, and carried without dissent. V. Reports and Discussion with Possible Action A. Resolution on Health as a Human Right In March the Health Director was contacted by Ms. Tracy Morrison, a law student working with a group of law students under a pro bono contract to develop and market a “health as a human rights resolution.” The client believes that Orange County is more likely than other counties in North Carolina to pass such a resolution and that it will help spark a statewide and national movement. The students presented the draft of the resolution to the Human Rights and Relations Commission, the Women’s Commission and the Board of Commissioners in April. Moses Carey stated the Board of Commissioners referred the consideration of this resolution to the Board of Health without taking action. The Board of Health spent a considerable amount of time discussing the social justice goals being developed at the request of the county commissioners at previous meetings. The comments and suggestions generated from these discussions were forwarded to the Human Rights and Relations Department. Mr. Spivey from the Human Rights and Relations Department has attempted to formulate social justice goals with real objectives for implementation. Jim Stefanadis stated that he felt the resolutions as presented by Ms. Morrison were too broad for the Board of Health and suggested that relevant elements be incorporated in the Social Justice Goal. Motion that the resolution be returned to the Human Rights and Relations Commission for MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 April 25, 2007 consideration on incorporating relevant portions into the Orange County Social Justice Goal was made by Chris Harlan, seconded by Sharon Freeland, and carried without dissent. B. Budget Public Hearings Each year the Board has sent delegates to the two public hearings on the budget to speak in support of particular items of importance to the Board for funding in the upcoming year. This year the two public hearings are scheduled for Thursday, May 31st and Monday, June 4th. Board members discussed areas of emphasis they would like to include in their remarks before the Commissioners this year. Anissa Vines and Chris Harlan volunteered to represent the Board of Health at the public hearings. Suggested topics of concern are timely service delivery to the public, globalization of health care and the need for interpreters, staffing, salary compression, clinical facilities, and technology, among others. Board members also expressed a desire to thank the Commissioners for past support. C. Reappointment of Members Three Board members have terms expiring on June 30, 2007. Jim Stefanadis, pharmacist representative, Tim Carey, physician representative, and Jessica Lee, dentist representative are eligible for reappointment to a second three year term. All have excellent attendance records at meetings. Motion to submit a letter of recommendation for reappointment of all three members to the Commissioners was made by Sharon Freeland, seconded by Chris Harlan, and carried without dissent. D. Informational Items a. Community Assessment Survey Donna King reported that the team successfully finished the assessment survey and were able to collect 203 surveys. The team was able to survey a broad spectrum of Orange County residents from all areas of the county. The data is currently being pulled together for the Community Assessment Report. b. Quarterly Financial Report Letitia Burns presented the quarterly financial report for the third quarter. All divisions have expended less than three-quarters of their budgets. Rosemary Summers explained that typically we do not get a lot of supplemental or grant revenue in the fourth quarter. The family planning funds of $12,050 listed under “Additional Money Received” will go to pay for additional contraception and increased interpreter costs. The department has an increasing MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 April 25, 2007 need for Karan and Burmese interpreters as well as others in addition to Spanish. Anissa Vines asked about unspent funds and if they would be able to be carried forward. Rosemary Summers explained that grant funds received at the end of the fiscal year are much easier to carry forward because they are funds given for a specific purpose, otherwise unspent funds return to the General Fund. c. Legislative Updates The Board was provided a spreadsheet listing public health-related legislation and status. Rosemary Summers highlighted some of the legislative updates. The funds for statewide health promotion expansion have been cut from the budget. The Public Health Funds/Aids to Counties is an important bill and if passed would come directly to health departments for infrastructure support. Moses Carey stated that every legislator is acutely aware of the need for Medicare relief and aware that counties need additional revenue sources. d. Summer Meeting Schedule Board members were asked to review their summer schedules and let the Chair know if they were planning to be out of town during one of the summer meetings. E. Tracking Form Review There were no additions or changes to the tracking form. VI. Board Comments/Announcements Rosemary Summers invited Board members to an all-staff meeting on May 11, 2007 at SHSC. Staff have indicated they would like to be able to meet and talk to Board of Health members. VII. Adjournment Motion to adjourn the meeting was made by Chris Harlan, seconded by Sharon Freeland, and carried without dissent. The next Board of Health meeting will be held on May 24, 2007 at the Government Services Center, Hillsborough, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH MINUTES ORANGE COUNTY BOARD OF HEALTH April 25, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 April 25, 2007 Health Director Secretary to the Board