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HomeMy WebLinkAboutBOH minutes 062404MINUTES ORANGE COUNTY BOARD OF HEALTH June 24, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 June 24, 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 June 24, 2004 at the Century Center, Carrboro, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Alice White, Chair; Alan Rimer, Vice-Chair; Moses Carey; Sharon Freeland; Jessica Lee; Matt Vizithum; Lee Werley BOARD OF HEALTH MEMBERS ABSENT: Chris Harlan, out of town; Tim Carey, out of town; Kate Wilder STAFF PRESENT: Rosemary Summers, Health Director; Letitia Burns, Central Administrative Services Division Director; Wayne Sherman, Personal Health Services Division Director; Angela Cooke, Dental Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; John Sauls, Animal Control Services Division Director; Anne Miles Cassell, Administrative Assistant GUESTS PRESENT: Tom Altieri, Orange County Planning Department; James Stamford, Clerk of Court I. Welcome and Introductions Alice White called the meeting to order at 7:00 P.M. Rosemary Summers introduced James Stamford, Clerk of Court, and Ron Holdway introduced Tom Altieri, Orange County Planning Department. James Stamford, Orange County Clerk of Court administered the Oath of Office to incoming Board of Health member, Sharon Freeland. Rev. Freeland fills the At-Large vacancy on the board created when Mel Hurston’s term expired. II. Approval of June 24, 2004 Agenda The motion to approve the Agenda of June 24, 2004 was made by Lee Werley, seconded by Moses Carey, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of May 27, 2004 meeting B. Dental Health Services Contract with Chapel Hill Training & Outreach C. Medicaid Cost Settlement Fund Acceptance D. Fee Schedule Adjustments Motion to approve the minutes of May 27, 2004 and items on the Consent Agenda was made by Jessica Lee, seconded by Sharon Freeland, and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH June 24, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 June 24, 2004 V. Reports and Discussion with Possible Action A. Comprehensive Land Use Planning Ordinance In the last two years the Planning Department has worked on updating the Comprehensive Land Use Plan for Orange County. There are many elements of the plan that are still being worked on by Planning staff in conjunction with the Planning Board and the Board of County Commissioners. Tom Altieri, a supervisor in the Planning Department, gave a PowerPoint presentation and a short summary on the status of the Comprehensive Plan draft revisions to date. B. Board Education Plan for 04-05 One of the DHHS agreement addenda specifies that each Board of Health should receive regular education to enhance their decision-making in discharging their duties. Board members agreed that a regular short educational presentation at each Board meeting would be the easiest way to fulfill this requirement and is a good idea regardless of the agreement requirement. Planning ahead will also allow staff to secure outside resources for some topics the Board may be interested in. The following schedule of topics was suggested as a starting point for educational topics with possible future modification. July 2004: No meeting August 2004: ACCESS Care Program: Medicaid Managed Care September 2004: Emerging Arboviruses and Environmental Control October 2004: Oral Health Access Issues for Preschool and School Age Children November 2004: Social Marketing Concepts for Public Health December 2004: Exploring Disparity in Health Care Indicators and Service Provision January 2005: Public Health Funding Streams February 2005: Septic and Well Approvals: from Application to Construction March 2005: The Collaboration of School Health and Public Health April 2005: Services to Residents in the Home May 2005: The Whole Story on Food, Lodging, and Institutional Inspections June 2005: One Year After Mental Health Reform July or August 2005: Integration of Public Health Services Across Disciplines C. Health Department Strategic Plan The current strategic plan for the Health Department ends June 30, 2004. The department should strive to have a completed plan ready for Commissioner review during the later winter/early spring of 2005. The current strategic plan has been very useful in guiding the work of the department and in securing resources needed to carry out the initiatives in the current plan. The theme of the current strategic plan was “Providing High Quality Mandated Services.” MINUTES ORANGE COUNTY BOARD OF HEALTH June 24, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 June 24, 2004 Staff gathered quantitative data about the functioning of the department as it was currently configured. A SWOT (strength, weaknesses, opportunities, and threats) consensus process was used to determine the directions that the department may want to consider. The SWOT analysis was provided to the board for their review. As a result of the analysis, six goals were identified as providing the focus for the next plan. Upon further analysis it was decided that the theme of this strategic plan would be “Integration.” Objectives and activities should flow around the following major goals: • Marketing/public relations/outreach to inform residents, agencies, and policymakers what services are available and the role of the health department • Developing and meeting recognized/accepted quality assurance standards for all services. • Collaborating with agencies, service providers, and communities in a way that assures integration of health department services and activities. • Assuring accessibility to health services to decrease health disparities. • Providing “state of the art” or “best practice” services” Staff then took those goals and the integration theme and started to develop some objectives that might contribute that might contribute to achieving these broad goals. Work has already begun in some areas, such as the creation of a Quality Assurance, Risk Management, and Preparedness Unit reporting to the Health Director, and dental health’s plan to apply for grant funding to support children’s dental education, screening and follow up. At the time the SWOT and the draft goals were prepared, the Community Health Assessment and priority selection was not yet finalized and will be taken into account in the department’s plan. Board members reviewed all materials including the previous strategic plan and community assessment, and discussed areas of concern and areas for future direction for the department. Division directors presented goals they envision for their divisions. VI. Special Presentation/Board Comments/Announcements Alice White gave special recognition to Lee Werley and expressed gratitude for his service to the Orange County community. Lee is leaving the board at the end of his current term on June 30, 2004 and served in the Pharmacist position. Rosemary Summers summarized the county budget outcome for board members. The nurse practitioner position for primary care and the increase to full time position for the licensed clinical social worker, and the reimbursement and billing specialist position was approved starting July 1, 2004. The dental assistant was approved effective October 1, 2004. There were minor cuts in the operating expenses, but nothing major. There will be a portion of a $400,000 cut at some time that will be shared with other county departments, but at this point we do not know where or how much. VII. Adjournment MINUTES ORANGE COUNTY BOARD OF HEALTH June 24, 2004 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 June 24, 2004 Motion to adjourn the meeting was made by Alan Rimer, seconded by Lee Werley, and carried without dissent. The next Board of Health meeting will be held on August 26, 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