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HomeMy WebLinkAboutBOH minutes 112003MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 1 November 20, 2003 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 November 20, 2003 at the Government Services Center, Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Mel Hurston, Chair; Alice White, Vice-Chair; Matt Vizithum; Alan Rimer; Christina Harlan; Lee Werley; Kate Wilder; Timothy Carey BOARD OF HEALTH MEMBERS ABSENT: Moses Carey, Jr., due to a Board of County Commissioners meeting conflict; Jessica Lee, due to being out of town; Sharon Van Horn, due to family illness. 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 Services Division Director; Angela Cooke, Dental Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; Anne Miles, Administrative Assistant; Carla Julian, Public Health Preparedness Coordinator; Maria Hitt, Healthy Carolinians Coordinator. GUESTS PRESENT: None I. Welcome and Introductions Mel Hurston called the meeting to order at 7:00 P.M. II. Approval of November 20, 2003 Agenda Alan Rimer requested Item VI.A. be added to the agenda for Board discussion of proposed letter to the County Commissioners from the Board of Health regarding animal shelter operations. The motion to approve the Agenda of November 20, 2003, as amended, was made by Alan Rimer, seconded by Alice White, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on Agenda Consent: A. Minutes approval of October 23, 2003 meeting. B. Contract with UNC School of Dentistry for Dental Director Services This contract is a renewal of the agreement with the Department of Dental Ecology of the UNC School of Dentistry for the services of a Dental Director for the Health Department. The School of Dentistry has provided this service since the inception of the Dental Program 23 years ago. The Dental Director provides clinical oversight and MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 November 20, 2003 consultation to health department staff and to the variety of dental attendings, residents, and students that provide actual clinical services to the program. The Dental Director develops dental policies and consults with the Health Director as requested. During this year the department did not think it would need this contract since the commissioners authorized a new dentist position. Due to the lack of applications for the Dentist position, it is necessary to execute the contract with the UNC School of Dentistry for the dental director services until a dentist has been employed. Motion to approve the minutes of October 23, 2003 and to approve the renewal of the contract with the UNC School of Dentistry for Dental Director Services for FY 2004 and forward to the Commissioners for approval was made by Tim Carey, seconded by Lee Werley, and carried without dissent. Decision: A. Board Officer Elections The election of officers occurs during November to allow for a smooth transition of leadership for the next calendar year. The procedure adopted is as follows: “5. Officers The Health Director shall serve as Secretary to the Board. The Chairperson and Vice Chairperson shall be elected annually by the Board and shall serve for one calendar year. (NC Statute 130A-35(e)) The Chairperson and Vice Chairperson shall be elected annually at the last regular meeting of the calendar year. A proposed slate of officers for Chair and Vice Chair will be developed and presented at the regular meeting prior to the election. An ad-hoc or regular committee of the Board as designated by the Chair will develop the proposed slate. Nominations from the floor are also allowed. Each member shall vote by roll call voice vote for the Chairperson and for Vice Chairperson on separate motions. In the event of a tie vote, the board shall continue balloting until the tie is broken. The newly elected officers shall be installed in January and serve for one calendar year.” The Executive Committee proposed Alice White for Chair, and Alan Rimer for Vice Chair and contacted the slate of proposed officers to secure their agreement. No nominations were made from the floor. Motion to call for a roll call voice vote for the position of Vice Chair to be filled by Alan Rimer was made by Kate Wilder, seconded by Alice White, and carried without dissent. A roll call voice vote was held for the position of Vice Chair to be filled by Alan Rimer, and the vote was unanimous of those present. Motion to call for a roll call voice vote for the position of Chair to be filled by Alice White was made by Lee Werley, seconded by Kate Wilder, and carried without dissent. A roll call voice vote was held for the position of Chair to be filled by Alice White, and the vote was unanimous of those present. B. Committee Appointments MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 November 20, 2003 The current procedures of the Board contains the following regarding Board Committees: ”6. Committees The Board shall review the existing committee structure at least annually and make decisions regarding the number and types of standing committees. Only Board members may serve as committee members of standing Board committees and the number of Board members on any single committee must be at least two members and may not exceed five members. The Board may appoint time- limited ad hoc committees or task forces to examine particular matters of importance to the Board. These ad hoc committees or task forces must limit their work to the specific charge outlined by Board motion and may include members that are not serving on the Board of Health.” Board members reviewed committee structure and agreed to the following assignments: Executive Committee Alice White, Chair (At Large) Alan Rimer, Vice Chair (Engineer) Rosemary L. Summers, Health Director Animal Control and Environmental Alan Rimer, Co-Chair (Engineer) Health Committee (ACEH) Kate Wilder, Co-Chair (Veterinarian) Alice White (At Large) Ron Holdway, Staff John Sauls, Staff Personal Health, Education, Lee Werley, Chair (Pharmacist) Administrative, Dental Services Matt Vizithum (Optometrist) Committee (PHEADS) Tim Carey (Physician) Chris Harlan (Nurse) Letitia Burns, Staff Angela Cooke, Staff Donna King, Staff Wayne Sherman, Staff Nominating & Bylaws Committee Alan Rimer, Chair (Engineer) Kate Wilder (Veterinarian) Lee Werley (Pharmacist) Sharon Van Horn (Physician) Liaison Roles: Human Services Advisory Commission Chris Harlan (Nurse) North Carolina Association of Alice White (At-Large) Board of Health Alan Rimer (Engineer) Healthy Carolinians Matt Vizithum (Optometrist) Animal Protection Society Kate Wilder (Veterinarian) Shelter Committee and Board MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 November 20, 2003 Commission on the Environment Alan Rimer (Engineer) Motion to appoint the committees as listed was made by Alan Rimer, seconded by Kate Wilder, and carried without dissent. C. 2004 Meeting Schedule Adoption The Orange County Board of Health has traditionally met on the fourth Thursday of every month. The scheduled meetings for calendar year 2004 follow this same pattern. The Board will not be meeting at Southern Human Services Center next year due to being “bumped” from meetings on a consistent basis in this facility this past year. Staff does not believe that this situation will change in 2004. Several years ago the Board determined that it wished to alternate meetings to enable broad citizen access and participation. The new meeting location at the southern end of the county will be the Century Center in Carrboro. The meeting schedule is posted on the Orange County website under “Board of Health.” In January the Board is scheduled to hold a joint dinner meeting with the Healthy Carolinians Council prior to the regular Board of Health meeting. Board members also discussed the need for a joint Board of Commissioners/Board of Health meeting in the spring and directed staff to prepare a letter for the chair’s signature. Motion to approve the 2004 meeting schedule was made by Lee Werley, seconded by Tim Carey, and carried without dissent. V. Reports and Discussion with Possible Action A. PHEADS Committee 1. Primary Care Scenarios At the October 23, 2003 meeting, the Board received a document entitled “Primary Care Needs Assessment for OCHD 2003” and an accompanying PowerPoint presentation, the Board engaged in the beginning dialogue regarding the future of clinical services at OCHD. There was general agreement that further discussion was warranted. Wayne Sherman presented the five potential scenarios that could be pursued to the Board for their review, consideration and discussion. The Board selected the option that provides primary care to health department traditional populations or women and children that are already clients in health department prevention programs. B. ACEHS 1. Wastewater Rule Amendments As warranted, staff brings a proposal to amend the local wastewater rules to the Board of Health for consideration. The rule changes are generally minor in MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 5 November 20, 2003 nature and reflect changes that have occurred in the State rules; changes for clarification or correction; or sometimes new initiatives. The rule amendments in the proposed draft are mostly minor. Several involve only moving passages from one section to a more appropriate place with the rules. A copy of the proposed changes will be posted on the Environmental Health website. The Animal Control/Environmental Health Committee has reviewed these draft amendments and Ron Holdway presented a summary of changes to the Board. Board members agreed to defer further discussion to the December meeting. The ACEH Committee will prepare a synopsis for presentation at that time. D. Update on Public Health Preparedness The Coordinator has been a contract position with the Health Department for about six months. Since the department is about to move into a continuing phase with these activities, Carla Julian provided an update for the Board on where the department stands in terms of preparedness activities and continuing needs and the status of the volunteer recruitment and training effort. E. 2003 Community Assessment The Health Department through its contract agreement process with the state is responsible for conducting a community assessment once every four years. That assessment must meet certain criteria, including widespread community involvement and it must include both secondary and primary data analysis. The Orange County Healthy Carolinians Council has taken on the task of managing the community assessment process this year. Maria Hitt, The Coordinator of Healthy Carolinians, has worked very hard to ensure that a broad spectrum of community agencies and residents are involved in this process. The Board received a copy of the draft document at the meeting. Maria Hitt gave a short presentation to the Board. Board members were requested to send written, email or phone comments to Maria Hitt or the Health Director prior to Thanksgiving. Those comments will be integrated into the draft what will be submitted as a final on December 1. Staff will present the final report and the beginning action plans to the Healthy Carolinians Council, the Board of Health, and other interested community members from 5 to 7 pm just prior to the regular Board of Health meeting in January. VI. Board Comments/Announcements A. Alan Rimer discussed the relative positions that the Health Department could take with respect to animal control, the shelter, and the whole picture of managing this process over time that was discussed at the last meeting. There were several issues that came out of that discussion. There are some clear health issues associated with animal control that cannot be overlooked. Board members expressed the opinion that if the service of the shelter operation is moved outside of the Health Department and the Board of Health that the Board would run the risk of abdicating its responsibility for MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2003 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 November 20, 2003 managing the public health associated with it. The letter was originally going to go out and be to the Board of Commissioners before their meeting in which they extended the tenure of APS for a period of six months. Mr. Rimer distributed a draft copy of the letter to board members and suggested that members look over the draft to be sure that it expresses the board’s view and send revisions to him via e-mail. The board felt it appropriate to convey the Board of Health opinions to the Commissioners. VII. Adjournment Motion to adjourn the meeting was made by Alice White, seconded by Kate Wilder, and carried without dissent. The next Board of Health meeting will be held on December 18, 2003 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