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HomeMy WebLinkAboutBOH minutes 082307MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 August 23, 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 August 23, 2007 at the Southern Human Services Center, Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Matt Vizithum, Chair; Chris Harlan, Vice-Chair; Tim Carey; Jim Stefanadis; Sharon Van Horn; Ernie Dobson; Jessica Lee; Moses Carey, Jr.; BOARD OF HEALTH MEMBERS ABSENT: Sharon Freeland; Anissa Vines, schedule conflict; DeWana Anderson, out of town; STAFF PRESENT: Rosemary Summers, Health Director; Wayne Sherman, Personal Health Services Division Director; Tom Konsler, Environmental Health Services Division Director; Angela Cooke, Dental Health Services Division Director; Donna King, Health Promotion and Education Services Division Director; Anne Miles Cassell, Administrative Assistant; Carla Julian, Quality Assurance; David Hall, Health Promotion Coordinator; Bobbie Jo Munson, Healthy Carolinians Coordinator; GUESTS PRESENT: None I. Welcome and Introductions Matt Vizithum called the meeting to order at 7:00 P.M. Rosemary Summers introduced new employees, David Hall, Health Promotion Coordinator and Bobbie Jo Munson, Healthy Carolinians Coordinator. II. Approval of August 23, 2007 Agenda Rosemary Summers announced the addition of Item V.G., Addition to Dental Fees and Services, to the Agenda. Also, item III.D. will be moved to end of III. Action Items (Consent) to the end for separate action. The motion to approve the Agenda of August 23, 2007 as amended was made by Jim Stefanadis, seconded by Chris Harlan, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of June 28, 2007 meeting. B. Eat Smart, Move More Grant Application David Hall, Health Promotion Coordinator, reported that in June the Eat Smart, Move More health promotion program began with a gathering of 47 people representing 12 different MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 August 23, 2007 churches. The department and the representatives brainstormed ideas for continuing physical activity and nutrition programs. The majority felt very strongly that more education and training was needed in the community. A second round of ESMM funding has been applied for to meet the needs expressed by the faith community. If funded the Health Department, in collaboration with community partners, will arrange train- the-trainer events to empower churches to improve and/or expand existing health programs. Churches without an existing health ministry will be offered training to establish health ministries. Up to 13 churches will be eligible for $500 mini-grants to fund projects. The primary focus group will be African-American churches that have initiated physical activity or nutritional programs or have participated in the first phase of the initiative. Our community partners include Cooperative Extension, UNC ECHO, OCIM and various representatives from Phase I OCCESMM churches. C. Strowd-Roses Mouthguard Grant Renewal Request The Dental Health Service wishes to continue the Mouthguard Project that was established last year with the help of grant funds of $5,000 from Strowd Roses, Inc. A repeat grant application has been submitted for $20,098 for fiscal year 2007-08 to fund the project for purchase of additional supplies and a part-time temporary coordinator position. Dr. Carey asked if the Dental School was including this program in their curriculum. It is being considered by Dr. Sandler. Chris Harlan commented that participation by the area sports depended on personal visits to the coaching staffs. Matt Vizithum asked if outcomes have been measured since beginning the program. Rosemary Summers commented that this was one of the few public health preventive efforts that could be measured. E. School Nursing Services Contract Renewals The Health Department has served as a conduit of Commissioner-approved funding for school health nurses for both school systems. The department enters into a contract with each school system to spend the funding for a specified number of school nurse positions. In FY 07-08, the contracts provide $382,925 to CHCCS for six school health nurses and $183,349 to OCS for three such positions. Per the contract, the Health Department will make quarterly payments upon submission of an invoice and will provide at least 3 continuing education sessions to school nurses. F. Accept Medicaid Cost Settlement Funds and Safe Community Grant Funds Medicaid Cost Settlement – Each year a cost analysis for services rendered at each health department in NC is performed by the office of Medicaid Reimbursement. Because local health departments are cost-based providers for Medicaid, they receive a financial cost settlement from Medicaid based on the final analysis and are only allowed to spend this money on the programs that earned it. The purpose of this money is to support programs that earned the money and did not receive full reimbursement. For the FY 05-06 study, the Orange County Health MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 August 23, 2007 Department received a settlement check for $236,658.15. This will be placed in a capital fund account that enables the funds to be carried across fiscal years. The Department uses the funds for renovations and equipment that are critical to these programs. Orange County Safe Communities – Patty Rhodes, PHN, applied for and successfully received a mini-grant in the amount of $1,066 from OC Safe Communities organization. The plan for this funding is to increase the capacity of childcare providers to have access to quality trainings, literature and supplies to address safety mandates and to teach children about safety issues. Currently the Child Care Consultant program is partially funded by a grant from Smart Start. This money will help provide materials that the program cannot afford otherwise. Motion to approve the minutes of June 28, 2007 and items on the Consent Agenda was made by Chris Harlan, seconded by Jim Stefanadis, and carried without dissent. D. CERT Grant Application In July the Orange County Health Department submitted two grant applications to NC Citizen Corps to request funding for its Community Emergency Response Team (CERT) and Public Health Reserve Corps (PHRC). The department requested $5,947 for CERT with proposed activities to include instructor recruitment, continuing community training, purchasing additional training equipment, and purchasing media space to promote the program. The Health Department requested a total of $5,234 for the PHRC for proposed programs to include respiratory protection training and fit testing of select volunteers, implementing recruitment campaigns to register more nurses and mental health providers, and purchasing media space to promote the program. Both applications received endorsement from Orange County Emergency Services. Funding is reimbursable pursuant to the MOA between NC Crime Control and Public Safety, NC Division of Emergency Management, NC Citizen Corps/(Office of the Governor, and the county. The Health Department recently received notice of funding acceptance for both proposals in mid-August. Motion to accept grant funds for the CERT program and the PHRC program and forward to the Board of Commissioners for action was made by Tim Carey, seconded by Jessica Lee, and carried without dissent. V. Reports and Discussion with Possible Action A. Community Health Assessment Update Bobbie Jo Munson, Healthy Carolinians Coordinator, reported that the 2007 Community Health Assessment would be completed this fall. A Community Health Assessment Team, made up of professionals from across the community, was formed to facilitate the assessment process. Data was collected from three sources: 1) a community survey, 2) input from professionals, and 3) a MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 August 23, 2007 review of secondary data in order to ensure that the assessment included both statistical data as well as perspectives from the community. Together, these sources provide a broad perspective of the health of our community and help focus on which health issues Orange County residents are most affected by. The priority issues selected will serve as the foundation for the Community Health Action Plan for the next four years. The top 10 – 15 health issues identified by the community assessment team will be narrowed down to the four priority issues at the September 26 OC Healthy Carolinians Annual Meeting. Participants will be asked to rank priorities by vote on two criteria: importance and ability to change. Sub-committees will then be formed to address each priority area chosen and create actions steps to tackle each issue. Sharon Van Horn asked who would be attending the Community Health Assessment Team. Donna King replied that there are in excess of 24 public and private human services providers participating. The annual meeting will be broadly publicized and all residents are invited to attend. Matt Vizithum asked what issues were coming to the front at this stage of the study. Bobbie Jo replied that access to health care, obesity, mental health, risky child behavior and homelessness are the main issues at this point. Motion to approve the prioritization procedures as presented was made by Tim Carey, seconded by Chris Harlan, and carried without dissent. B. Strategic Plan Review Rosemary Summers reported that the County Manager would be accelerating the budget preparation process this year and that it would be useful to review the Strategic Plan for the Health Department for 2006 – 2011 at this time for accomplishments and adjustments. This action would enable the Board and staff to better plan for budget implications for the upcoming budget cycle of 2008-2009. Staff reported on accomplishments to date and plans for the upcoming year in each area of the service and activity. C. Capital Requests for 2008-2009 It is anticipated that the Commissioners will act upon Capital Improvement Plan request in the fall. County departments were asked to submit requests by August 20 for the 10-year period. The Health Department focused on those items requested in previous years that were not funded and looked at the Strategic Plan for additional needs over the next several years. All equipment has been put on a five-year replacement schedule. Staff has not completed work on this report, therefore by consensus Board members agreed to delay this item until the September meeting. Matt Vizithum commented that when he talked to the County Manager today, she suggested that the 10-Year Capital Request submitted to her include the facility and technology request displayed prominently. MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 August 23, 2007 Tim Carey asked if sorting out facility issues is on this year’s schedule for discussion. Dr. Summers replied that the dental facilities are listed as 3rd tier process and will most likely be bumped further down based on availability of funds (past 2011). He asked how the Board could support the department in this. Dr. Summers stated they needed to communicate with the Commissioners about the need in the community. The department cannot serve the needs of the community until the facility issues have been addressed. We have not done a good job about communicating that stress. The personal health staff cannot see more patients because of the exam room limitations. Matt Vizithum asked if the personal stories from healthcare clients would be good to use. Commissioner Carey replied that Orange County is at the top of its debt ceiling and had borrowed all it could and retain a good credit rating. He explained that if the credit rating slips, then the cost of borrowing goes up. He suggested the Board help the BOCC convince the public of the need for an additional revenue source and to pass the land transfer tax and sales tax legislation so the County would gain the extra funds needed to apply toward these projects. OC pays twice as much for schools now than it did five years ago. Moses Carey stated that schools are a statutory responsibility and the county must provide for education. The tax base is not growing as fast as projected. He commented that Commissioners hear a lot of the personal stories when out in public. Rosemary Summers suggested that the Board of Health make its priorities known to the other commissioners at a joint meeting. Moses Carey concurred. Matt Vizithum inquired about the joint meeting request that had been sent. Sharon Van Horn asked Commissioner Carey how important the issue of uninsured population is to Commissioners. He replied that it was more than the County could provide. He stated that the County could help but not provide. D. Committee Reports The two Board standing committees meet monthly or as needed. Jim Stefanadis and Ernie Dodson reported that neither committee met in July. E. Informational Items a. Final Budget 2007-2008 Leticia Burns provided Board members with a summary report of the FY07-08 Final BOCC Approved Budget for their information. b. Final Legislative Report Board members were provided with a health related bill list for the NC House and Senate MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 August 23, 2007 with status indicated for their information. c. No Fault Well Repair Fund Memo A copy of the follow-up memo requested by the Commissioners providing an update to the No Fault Well Repair Fund by Tom Konsler, Environmental Health Services Director. d. Restaurant Heart Health Statewide Survey Report Board members were provided a copy of the Restaurant Heart Health Statewide Survey. Orange County participated in this survey in 2006-07 and will participate again in 2008-09. e. Letter to Commissioners Requesting Meeting A letter requesting a joint meeting between the Board of Commissioners and the Board of Health in the fall was sent by Board of Health Chair, Matt Vizithum in June. The Board is waiting a reply by the Commissioners. f. Media Information Items Various news articles about Health Department programs or issues the department is involved in were provided for the Board. F. Tracking Form Review The Tracking Form had no changes and was provided to give the Board awareness of upcoming agenda items. G. Dental Fees Dental Health Services requested the addition of a dental service charge for the fabrication of an occlusal guard that is designed to minimize the effects of bruxism (grinding) and other occlusal factors. The average fee for this service is $274.00. The lab cost to fabricate the appliance is $95.00. The dental patient would be responsible for the full cost of the lab charge in addition to the fee of $274.00 at their percent level on the sliding scale. ADA Code: D9940 Occlusal guard, by report Dental Health Services requested the increase in the 100% fee for one dental service due to the increase in the Dental Medicaid rates effective 2007/08. The rate was increased based on the Fee and Eligibility Policy. ADA Code: D7310 Alveoplasty in conjunction with extractions – four or more teeth or tooth spaces, per quadrant. MINUTES ORANGE COUNTY BOARD OF HEALTH August 23, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 7 August 23, 2007 D7310 $92.00 present rate is $84.00 Motion to approve Dental Health Service fee addition and change was made by Chris Harlan, seconded by Jessica Lee, and carried without dissent. VI. Board Comments/Announcements None VII. Adjournment Motion to adjourn the meeting was made by Chris Harlan, seconded by Moses Carey, Jr., and carried without dissent. The next Board of Health meeting will be held on September 27, 2007 at the Government Services Center, Hillsborough, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board