Loading...
HomeMy WebLinkAboutBOH minutes 052203MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 1 May 22, 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 May 22, 2003 at the Government Human Services Center, Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Mel Hurston, Chair; Alice White, Vice Chair; Barry Adler; Jonathan Klein; Alan Rimer; Lee Werley; Kate Wilder BOARD OF HEALTH MEMBERS ABSENT: Moses Carey, due to a meeting conflict; Martha Stucker, due to a work conflict; Jessica Y. Lee, due to a work conflict; Sharon Van Horn STAFF PRESENT: Rosemary Summers, Health 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; John Sauls, Animal Control Services Division Director; Anne Miles, Administrative Assistant GUESTS PRESENT: Aviva Scully, Victoria Huntley I. Welcome and Introductions Mel Hurston called the meeting to order at 7:00 P.M. Rosemary Summers introduced two summer interns, Aviva Scully, from UNC, doing a study on primary care, and Victoria Huntley from the UNC School of Public Health’s Health Policy and Administration Department, working on a project in dental health cost study and a time study report. II. Approval of May 22, 2003 Agenda Item “V.E. Pharmacy Contract Renewal” was added to the agenda. The motion to approve the Agenda of May 22, 2003 as amended was made by Lee Werley, seconded by Kate Wilder, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of April 24, 2003 meeting. Correction to minutes as follows: Board of Health Members Present: should read, “Mel Hurston, Chair” instead of “Jonathan Klein, Chair.” Board of Health Members Absent should read “Moses Carey, Kate Wilder.” Motion to approve the minutes of April 24, 2003 as amended was made by Jonathan Klein, seconded by Lee Werley, and carried without dissent. B. Contract Renewal with UNC School of Dentistry for Pediatric Resident Services MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 2 May 22, 2003 The Health Department has contracted with the UNC School of Dentistry for Pediatric Resident Services for 20 years. The Pediatric Resident provides services one day per week in Hillsborough for young children and allows the department to treat younger children and those with more complicated dental problems. The contract amount remains at the same level as the previous year at a total cost of $2400 per year. Motion to approve the renewal of the contract with the UNC School of Dentistry for Pediatric Resident Services for FY 2004 and forward to the Commissioners for approval was made by Lee Werley, seconded by Jonathan Klein, and carried without dissent. C. Contract with Chapel Hill Training and Outreach for Dental Services for Head Start Program Chapel Hill Training and Outreach Program (CHTOP) won the federal contract to provide Head Start services in northern Orange County last year. They have recently opened a new Head Start Center in Hillsborough. One of the requirements of Head Start is that all enrolled children be screened for dental problems and have any problems identified services. CHTOP approached the health department to contract for these services on an annual basis. The services would include screening and any service provision that the children may need for follow-up. Families could elect to receive service from another dental provider if they have one. The contract is for approximately $10,000 on an annual basis or about $100 per child. This includes an on-site screening and full in-office screening for any children identified with needs. In addition, Medicaid reimbursement will be available for services identified as a result of the screening. Serving this population is consistent with the mission and goals of the department to provide services to underserved residents. Motion to approve the draft contract as written, pending corresponding approval by CHTOP; and to forward the contract to the Board of Commissioners for approval was made by Kate Wilder, seconded by Lee Werley, and carried without dissent. D. Board of Health Appointment Recommendations There are two Board members whose terms of office expire on June 30, 2003. Board of Health members are eligible to serve two consecutive three-year terms of office on the Board of Health if the Board member wishes to be re -appointed and if their attendance is adequate. Alan Rimer and Alice White are two members whose first terms expire in June. Both have indicated their willingness to serve an additional three- year term. Mr. Rimer fills the engineer slot on the Board and Dr. White fills one of the at -large slots. In addition, Dr. Adler’s term will expire on June 30, 2003. He fills the optometrist slot on the Board and is not eligible for re-appointment. Dr. Matthew Vizithum, an optometrist from Chapel Hill has submitted an application for Board appointment. Dr. Vizithum also attended the February 2003 Board meeting as a guest and followed that meeting with a letter expressing continued interest in serving on the Board. The optometrist slot is mandated by GS 130A. MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 3 May 22, 2003 Ms. Martha Stucker informed the Health Director that she would be leaving the Board on June 30 because she will be moving out of the county. Ms. Stucker is the nurse representative on the Board. Dr. Jonathan Klein is currently serving in an expired term until the Board recruits a physician. The Nominating Committee will be meeting in early June to consider recruitment for these vacancies. Motion to recommend for reappointment to second terms, Mr. Alan Rimer and Dr. Alice White for the period July 1, 2003 – June 30, 2006; and to recommend for appointment to a first term, Dr. Matthew Vizithum, in the optometrist slot for the period of July 1, 2003 – June 30, 2006 was made by Kate Wilder, seconded by Jonathan Klein, and carried without dissent. V. Reports and Discussion with Possible Action A. Contract Extension/Addenda with Animal Protection Society for Operation of Orange County Animal Shelter The annual contract with the Animal Protection Society of Orange County, Inc. is typically renewed for the upcoming fiscal year during this time period. Staff is recommending that the contract be extended for a six-month period to allow the HSUS assessment to be presented to all three Boards in August (Board of Health, Board of County Commissioners, and APS Board). Recommendations may arise from the HSUS assessment that may result in changes to the current contract. A draft of the amended extension of the contract was distributed to Board members at the meeting. The changes clarify wording and do not change the intent. The funding amount is recommended to stay at the current contract level and will be disbursed on a monthly basis in the same manner that it is currently. That amount is $35,734.84 for a six-month total of $214,409. Upon approval of this draft extension addendum, it will be forwarded to the Board of Commissioners for action. Mel Hurston recognized Mr. Eliot Cramer, President of the Animal Welfare Society, who wished to address the Board regarding operation of the animal shelter. Mr. Cramer raised concerns of timely vaccinations and monthly reports, and requested an audit of statistics and procedures at the shelter. Pat Sanford, former director of APS, addressed the Board and voiced concerns over accuracy of records and also requested an audit to determine the number of animals coming in and the disposition of each as required by the Animal Welfare Act. Mel Hurston thanked both speakers for taking their time to share their insights and concerns with the Board. It is anticipated that the joint presentation to the three boards will be in August because Commissioners do not meet in July. The report from the HSUS is scheduled to be ready in July, but the first opportunity to hear the report will be in August because Commissioners do not meet in July. There will be some period of time necessary after that to consider the recommendations from the report. The goal is for that to happen before December. The Chair recognized Ann Peterson, a member of the APS Board. Ms. Peterson advised MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 4 May 22, 2003 of a technical correction needed to the revised contract, and that the APS Board has not had an opportunity to look at the revised contract, specifically 2-I, 2-II, and the wording of 3-I. APS is not scheduled to meet as a Board until June 9. Rosemary Summers explained that items for consideration by Commissioners must be reviewed for agenda approval, which occurs two weeks prior to the meeting. Any further changes to the contract extension would be forwarded to the Animal Control and Environmental Health Committee for consideration. Motion was made by Alan Rimer to recommend that the Board of Commissioners approve an extension to the current contract at level funding for the period July 1, 2003 through December 31, 2003, pending APS approval of contract extension, seconded by Jonathan Klein, and carried without dissent. B. Legislative Matter: House Bill 1094 House Bill 1094 was introduced last week and is intended to clarify/restore the powers of local Boards of Health in making rules to regulate areas that affect public health. The NC Supreme Court recently overturned a ruling on the ability of Chatham County Board of Health to make rules regarding regulating hog waste odor. This legislation clarifies and codifies that authority. Motion was made by Jonathan Klein that the Board show support of House Bill 1094 by sending a letter of support from the Board and also writing individual letters of support to legislators, seconded by Alan Rimer, and carried without dissent. C. Governing Board Accreditation Draft The Health Director is serving as one of the co-chairs of a committee considering an accreditation system for local public health departments in North Carolina. One of the aspects of accreditation will be a “unit” on governing boards. The Board previously had examined the national performance standards that were developed by several national groups; however, those standards were cumbersome and difficult to analyze. The proposed standards are fairly simple and easy to understand. The Committee is currently seeking input from local Boards of Health on these proposed standards. D. Health Director’s Report Tobacco Grant Recruitment: We are in the process of recruiting the project manager for the grant program. Candidates are being interviewed at this time. Dentist Recruitment and Dental Hygienist Recruitment: The recruitment for both of these positions is under way and closes on June 2. Chronic Disease Grant Initiative: A new chronic disease grant initiative from the Department of Health and Human Services at the Federal level is a five-year cooperative agreement through CDC targeting six areas; nutrition, obesity, physical activity, diabetes, tobacco, and asthma. Communities must address all six areas in an integrated fashion. The state will be MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 5 May 22, 2003 looking for two to four multi-county partners across the state for the grant funds of $375,000 a year per grantee. Orange County will partner with Chatham and Alamance Counties. The counties must be contiguous. Renovation Update: The Whitted Building renovation has been completed to the extent that the department was able to move back in. There still some work that is pending to be done. An old colony of bats was found in the other half of the Whitted building when it was vacated to begin the HVAC renovation. The county has tried to eliminate access by the bats during various repair projects over the years. When the contractor removed the ceiling tiles additional bats and guano were found. The HVAC crew has stopped work until the county could remediate that problem due to the danger of histoplasmosis. This has pushed the final renovation back to the end of October. Budget Update: We do not know much about cuts at the state level yet. The Senate restored the eligibility of pregnant women for Medicaid. The Intensive Home Visiting program has not been restored by the State, however through additional Smart Start funding and revenues, if the county provides an additional #18,000 we will be able to retain the program at its current level. Finally, Smart Start denied the appeal to restore funding for the Community Health Awareness Program. We will be asking the county to support this project through the safety net funds. Board members are encouraged to attend the budget public hearings to express appreciation to the Commissioners for their support to department programs and to keep the funding services to keep them at current levels of service. E. Pharmacy Contract Renewal The Health Department contracted with Robert E. Dupuis for pharmacy services for fiscal year 2002-2003. The department has been satisfied with his services and recommends a renewal of the contract for FY 2003-2004. The only changes are the addition of HIPAA guidelines and an increase in amount to $10,283 per year. Motion to approve the renewal of the contract with Robert E. Dupuis for Pharmacy Services for FY 2003 - 2004 and forward to the Commissioners for approval was made by Alice White, seconded by Kate Wilder, and carried without dissent. VI. Board Comments/Announcements A. NALBOH The 11th Annual Conference will be held July 16 – 19, 2003 in Baltimore, MD. Board members were urged to consider attending. B. Domestic Violence Alice White addressed the issue of domestic violence in the county and suggested a joint meeting between the Health Department, Social Services and law enforcement agencies to explore what could and is being done in the county. Rosemary Summers will consult with Nancy Coston, the Social Services Director, to explore the possibilities and report back to the Board. VII. Adjournment MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 6 May 22, 2003 Motion to adjourn the meeting was made by Kate Wilder, seconded by Alice White, and carried without dissent. The next Board of Health meeting will be held on June 26, 2003 at the Government Services Center in Hillsborough, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board