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Home My WebLink AboutBOH minutes 032504MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 March 25, 2004 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 March 25, 2004 at the Government Services Center, Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Alice White, Chair; Alan Rimer, Vice-Chair; Chris Harlan; Jessica Lee; Sharon Van Horn; Matt Vizithum; Lee Werley; Kate Wilder BOARD OF HEALTH MEMBERS ABSENT: Moses Carey, Jr. due to a conflict with BOCC meeting; Tim Carey STAFF PRESENT: Rosemary Summers, Health Director; Letitia Burns, Central Administrative Services Division Director; Wayne Sherman, Personal Health Services Division Director; Donna King, Health Promotion and Education Division Director; Angela Cooke, Dental Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; John Sauls, Animal Control Services Division Director; Matt Streng, Sr. Health Educator; Kathy Glassock, Clinical Services Supervisor; Anne Miles Cassell, Administrative Assistant GUESTS PRESENT: None I. Welcome and Introductions Alice White called the meeting to order at 7:00 P.M. II. Approval of March 25, 2004 Agenda The motion to approve the Agenda of March 25, 2004 was made by Alan Rimer, seconded by Jessica Lee, 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 4, 2004 meeting. B. Additional Family Planning Funds for 03-04 C. Renewal of Consolidated Agreement Motion to approve the minutes of March 4, 2004 and items on the Consent Agenda was made by Alan Rimer, seconded by Jessica Lee, and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 March 25, 2004 V. Reports and Discussion with Possible Action A. 04-05 Budget Presentation The Health Director gave a PowerPoint presentation highlighting the main points of the 04-05 budget. The requested budget is $7,672,142, an increase from the previous year of $1,261,462. The majority of the cost is due to the full implementation of the new pay and classification system. State revenue will likely remain stable for next year. There is a request for 2 ½ additional positions included in this budget and .5 additional time for an FNPI position for the addition of primary care. Motion to approve the 2004-05 Budget and forward it to the Board of County Commissioners for approval was made by Kate Wilder, seconded by Matt Vizithum, and carried without dissent. B. Dental Medicaid Fee Adjustments The Board was given a copy of a letter from Joy F. Reed, EdD, RN, NC Department of Health and Human Services, Division of Public Health-Administrative, Local and Community Support Section explaining the increase in Dental Medicaid rates to health departments based on the Medicaid lawsuit. The rate increases are as follows: Description/Explanation Old Rate New Rate Comprehensive Oral Exam $40.00 $45.00 Full Mouth Series with Bitewing X-rays $70.00 $75.19 Resin Four Surface Anterior $115.00 $116.07 Resin Composite Two Surface posterior prim/perm $115.00 $116.07 SSC Primary Tooth $125.00 $144.25 Prefabricated SSC with Resin Window $150.00 $181.77 I & D minor Surgery $50.00 $152.62 Band & Loop Quadrant + lab fee $25 $200.00 $208.05 Fixed Bilateral Appliance + lab fee $30 $275.00 $418.29 Perio Scale Root Plane 1-3 teeth per Quadrant (new) $39.06 Motion to approve the increase in the dental fees effective with the 2004-05 budget was made by Jessica Lee, seconded by Lee Werley, and carried without dissent. C. Reauthorizing Year II of Teen Tobacco Grant MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 March 25, 2004 One of the priorities identified as a result of the Healthy Carolinians community assessment process in 1996 was to reduce the rate of tobacco use by teens. This grant opportunity offered by the NC Health and Wellness Trust presented an opportunity to obtain funding to further this objective. A grant request was submitted in November of 2002 to develop a teen program in both school systems in the county. The grant was collaboratively developed by both school systems and the health department. The health department was awarded a three-year grant of $232,848 with a March 1, 2003 start date. The first year’s allocation, on a calendar year basis was $81,351 and the second year request is for $94,473.13. Matt Streng, Teen Tobacco Coordinator, outlined progress toward meeting grant objectives and presented a budget proposal that moves some unexpended funds to year 2 and some to year 3. The Health and Wellness Trust have not yet approved this proposal for reassignment of carryover funds. Motion to authorize the submission of the year 2 grant award of $94,473.13 and forward such to the BOCC for approval was made by Kate Wilder, seconded by Alan Rimer, and carried without dissent. D. Primary Care Feasibility & Financial Analysis A Primary Care Needs Assessment was conducted in the Summer/Fall of 2003 with a comprehensive report presented to the Board of Health in October 2003. In December 2003, five potential scenarios for implementation of primary care were presented for Board consideration. Following discussion, the Board recommended pursuing implementation of primary care services in Hillsborough for traditionally served populations (child-bearing aged women and children) enrolled in the current preventive services in addition to women no longer eligible for Family Planning services. The Board instructed staff to prepare a Business Plan that would be considered during the 04-05 Budget process. Wayne Sherman, Personal Health Services Division Director, presented the Business Plan to board members. Board members felt that January 1, 2005 was a more reasonable date for implementation of the Primary Care Program. Motion to approve the Primary Care Business Plan for inclusion in the OCHD 04-05 Budget request with an implementation date of January 1, 2005 was made by Lee Werley, seconded by Alan Rimer, and carried without dissent. E. Proposal to Increase Pet Tax Pet taxes in Orange County were originally set in 1988 at $5.00 for sterile and $10.00 for MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 March 25, 2004 fertile dogs and cats. Animal Control proposes to raise those taxes to $10.00 for sterile and $30.00 for fertile dogs and cats. A survey of select counties with “licensing” programs reveals sterile-fertile tax differentials as follows: Durham $10.00 and $75.00; Raleigh $7.00 and $14.00; Forsyth $5.00 and $25.00; New Hanover $10.00 and $20.00; Gaston $7.00 and $7.00; Mecklenburg $10.00 and $30.00. Such an increase will accomplish several things. • It will further encourage owners of fertile dogs and cats to have them spayed or neutered. • It will more than double the pet tax revenue to about $220,000 . • It will facilitate the establishment of a dedicated spay/neuter fund to substantially reduce the numbers of fertile dogs/cats and their offspring in Orange County. • It will improve the ratio of tax program expenses to tax revenues. While shelter admissions reached a lower plateau and held steady for a few years it appears they may be starting to rise again. This can only be caused by an increase in the number of litters born. To really reduce the numbers of dogs/cats impounded and the corresponding number that must be destroyed each year, far more of our resident dogs and cats must be sterilized. Subsidized spay/neuter programs are the only customer friendly way to actually reach many of those who have not yet sterilized their pets. The tax increase and a dedicated Spay/Neuter fund will provide the means to encourage many of our citizens who have not yet done so to get their pets sterilized. The rewards will not only be a reduction in the numbers of animals destroyed each year in the animal shelter but also a reduction in both the capital and operating expenditures of the animal sheltering and control programs. Motion to approve the proposal to increase the pet tax and set aside 15% of these funds for a dedicated Spay/Neuter Fund to be included in the departments budget request was made by Kate Wilder, seconded by Alan Rimer, and carried without dissent. F. Animal Services Task Force Report Kate Wilder, the Board’s representative to the Animal Services Task Force, provided the Board with an update on the meetings the task force has held. Options under consideration include 1) continued contracting with APS, 2) create an “Animal Services Bureau”, 3) create a County Department / Division. At this point the Task Force is leaning toward option 2, the creation of an “Animal Services Bureau.” Board members stressed the connection to public health issues, such as West Nile Virus and rabies and voiced concern that a Board of Health member should serve on the Animal Services Board that would be created under this option. MINUTES ORANGE COUNTY BOARD OF HEALTH March 25, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 March 25, 2004 G. Joint BOCC/BOH Meeting Topics The joint BOH/BOCC meeting has been scheduled as a dinner meeting on April 1, 2004. The meeting and dinner will begin at 5:30. Commissioners have a work session scheduled for 7:30 and have a full agenda for that meeting. Board members agreed that they wished to discuss the following topics with Commissioners: • Primary care program at the health department • Community Health Assessment results and priority areas chosen by the community • Public Health Task Force 2004 Recommendations • Non-regulatory educational programs The Health Director will send advance information on these items to the Commissioners on March 26, 2004 to prepare for this joint meeting. VI. Board Comments/Announcements Lee Werley announced that he will be resigning his position on the Board of Health due to personal reasons. His last meeting will be June 24, 2004. VII. Adjournment Motion to adjourn the meeting was made by Kate Wilder, seconded by Alan Rimer, and carried without dissent. The next Board of Health meeting will be held on April 22, 2004 at the Century Center in Carrboro, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board