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HomeMy WebLinkAboutBOH minutes 012606MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 January 26, 3006 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 January 26, 2006 at the Government Services Center, Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jessica Lee, Chair; Matt Vizithum, Vice-Chair; DeWana Anderson; Tim Carey; Sharon Freeland; Chris Harlan; Jim Stefanadis; Sharon Van Horn. BOARD OF HEALTH MEMBERS ABSENT: Moses Carey, Jr.; Alan Rimer, out of town; Alice White, out of town STAFF PRESENT: Rosemary Summers, Health Director; Angela Cooke, Dental Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; Donna King, Health Promotion and Education Division Director; Wayne Sherman; Anne Miles Cassell, Administrative Assistant; GUESTS PRESENT: Whitney Isenhower, UNC student I. Welcome and Introductions Jessica Lee called the meeting to order at 7:10 P.M. II. Oath of Office Melody Dees, Clerk of Court’s office, administered the Oath of Office to DeWana Anderson, new Board of Health member filling the Veterinarian Representative position. III. Approval of January 26, 2006 Agenda Jessica Lee requested that Item V.F. be added to the Agenda regarding May and June meeting dates. The motion to approve the Agenda of January 26, 2006 as amended was made by Matt Vizithum, seconded by Tim Carey, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 January 26, 3006 A. Minutes approval of December 15, 2005 meeting. B. New Dental Medicaid Fee Rates; Two New ADA Codes and Services The Department applied for a 2006 Community Health Center Continuation Grant to expand primary care services at the Whitted Clinic. We requested $52,831 and were awarded $43,346. $9,485 in ‘unreimbursed sliding fee costs’ was not funded. Five other Health Departments also received funding. Of the funded amount, $41,204 is for personnel costs and $2,142 is for pharmaceuticals. The funds must be expended by May 30, 2006. We are seeking a mix of temporary personnel to expand the available hours of primary care including a FNP, RN, CHA, and Lab Tech. We have secured a FNP and RN and are currently advertising for the other personnel. Starting in late January, we will increase the number of primary care hours available by 14/week by scheduling the nurse-clinician team on Monday afternoon, 10-5 and additional hours on Wednesday and Friday morning in Hillsborough. C. Early Head Start Contracts The Early Head Start contract represents a collaborative relationship to provide family service coordination services to families eligible for and enrolled in Orange Count Early Head Start and Orange County Health Department’s Child Service Coordination Program. The collaboration on this social worker position presents parents with one, unified program case coordinator who provides regular contacts to the family in order to identify and follow-up on child and family needs. The Family Service Coordinator supports the development of family self- sufficiency and promotes skill development in the areas of problem solving, decision making and accessing needed health and human services. The contracts have been in existence since 1999 and are renewed annually. Changes in the contract from 04 include OCHD medical consultation and information as requested by OCHS/EHS related to communicable diseases, tuberculosis, and care of chronic illnesses in daycare settings. Monetary payment to OCHD increases to $50,724 in CY 05 and $53,244 in CY 06. The CY 05 contract was delayed due to a misunderstanding by both parties as to the status of completion, although all appropriate funds were received by the Health Department. D. Dental Resident Contract Amendment The UNC School of Dentistry had a decrease in the number of General Practice Residents for the fiscal year 2005-2006. As a result of fewer residents, the School is not able to provide a dental resident to cover the entire fiscal year. The MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 January 26, 3006 contract that was renewed at the beginning of the fiscal year did not reflect this decreased service level. The amendment takes the decrease into account by reducing the amount of the reimbursement to the Dental School equal to the reduced number of days of service from a dental resident. In addition the number of vacation days and professional leave days is also adjusted downward. The total amount of the decrease is $7,865. The Department will use the unexpended funds to secure temporary services from a private dentist in order to keep service levels for patients at the same level. Motion to approve the minutes of December 15, 2005 and items on the Consent Agenda was made by Sharon Freeland, seconded by Matt Vizithum, and carried without dissent. V. Reports and Discussion with Possible Action A. Strategic Plan Presentation for Joint BOCC/BOH Meeting The Board of Commissioners is scheduled to meet with the Board of Health on January 31, 2006 at the Southern Human Services Center in Chapel Hill beginning at 5:30 pm. In November the Board of Health agreed that the major focus of this meeting should be discussion of the 2006-2011 Health Department Strategic Plan. Staff prepared a power point presentation with notes for the Board’s review. Board members suggested revisions to the presentation and volunteered to address the Commissioners on the topics of focus at the joint meeting. Seven Board members indicated their ability to attend on the 31st. Staff will make the suggested revisions and redistribute it to Board members prior to the meeting on the 31st. B. Review Environmental Health Permitting Handbook A draft handbook for clients in Environmental Health has been under consideration and development for many months. The Board of Health reviewed an early version and requested that it be brought back for further consideration in 2006. Staff has solicited reviews and comments from contractors and other clients and has incorporated many of those edits in this draft. Staff will continue to “test” the document with clients and adjust the content as necessary to best meet the needs of the regulated community. Board members commented on how thorough and easily understood the handbook makes the permit process and commended the staff for their work. Motion to approve the draft of the Environmental Health Permitting Handbook was MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 January 26, 3006 made by Jim Stefanadis, seconded by Sharon Van Horn, and carried without dissent. C. Water Temperature Regulation in Child Care Settings Recently, a child died in southwest Orange County after his third party caregiver apparently scalded him by placing him in a bath that was too hot. Subsequent to the reports of this incident, Dr. Carey inquired to Dr. Summers what controls were in place to prevent this type situation and whether the Board should or could take steps to implement rules to prevent further tragedies from hot water burns. A copy of the preliminary response to Dr. Carey by email and a one-page table showing comparisons of child care settings and what controls are in place for each was provided to the Board. Staff has also spoken with the County attorney and he has advised that he did not “see how to get there [adopting BOH rules] from here” given the limitations on such rules in the general statutes. Ron Holdway answered questions from Board members about regulations governing childcare facilities that would prevent this type of injury. The Board agreed that public education was needed to raise the level of awareness on this issue and directed the staff to develop an educational plan for this purpose. D. Informational Items a. Flu Update Wayne Sherman reported that to date there have been 10 cases of influenza, AH3, reported in North Carolina, 3 in Orange County within the last week. The Department has given all of its supply of injectable flu vaccine but is continuing to make available Flu Mist vaccine and disseminate current information on vaccine available through local providers on the web site. b. Additional Funds for Public Health Preparedness Rosemary Summers reported that the Department received $21,184 in additional funds for public health preparedness. That money is a reallocation from counties that are not spending their preparedness funds this year. The proposal was submitted to purchase 12 hand-held units with GPS locators on them so that we can use them in the field during field investigations by the EPI team. When the units are not being used for outbreaks, 6 will be available to the Environmental Health staff for locating wells and septic systems. In addition to the 12 hand-held units, the Department requested 2 laptops to be able to manage the data collected by the hand-held units. The money MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 January 26, 3006 must be spent by the end of May. c. Continuation Funds for Teen Tobacco Prevention A 3-year continuation grant for the Teen Tobacco Prevention program was received. The Department is still recruiting for the position to coordinate this program. Applications from several good candidates have been received and the position should be filled soon. d. Employer Wellness Forums The Wellness Forums for employers is an initiative that the Healthy Carolinians along with Chambers of Commerce at both ends of the county have taken on. They are sponsoring two forums in March for employers to help them adopt measures to increase employee health and have a healthier workforce. E. Tracking Form Review Dr. Summers requested another volunteer from the Board to work with Sharon Freeland, Maria Hitt and the Health Director to discuss the Community Awards, which are scheduled for the Spring. This is an effort by the Department and Board to recognize people and agencies in the community for their contributions to public health. Sharon Van Horn volunteered to work on this committee. F. Meeting dates for May and June The Board of Health has traditionally met on the fourth Thursday of each month with the exception of November and December meetings that are held on the third Thursdays due to the holidays. Due to a date conflict with meetings scheduled by the Board of County Commissioners, it is necessary to reschedule Board of Health meetings for May and June. Board members discussed and agreed on Wednesday, May 24, and Thursday, June 29. Motion to amend the meeting schedule to reflect May 24 and June 29 as scheduled meeting dates was made by Chris Harlan, seconded by Matt Vizithum, and carried without dissent. VI. Board Comments/Announcements None VII. Adjournment MINUTES ORANGE COUNTY BOARD OF HEALTH January 26, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 January 26, 3006 Motion to adjourn the meeting was made by Chris Harlan, seconded by Matt Vizithum, and carried without dissent. The next Board of Health meeting will be held on February 23, 2006 at the Southern Human Services Center in Chapel Hill, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board