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HomeMy WebLinkAboutBOH minutes 011702MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 1 January 17, 2002 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 17, 2002 at the Southern Human Services Center in Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Chair; Barry Adler; Janet Southerland; Martha Stucker; Sharon Van Horn; Lee Werley BOARD OF HEALTH MEMBERS ABSENT: Mel Hurston, Vice Chair; Barry Jacobs; Alan Rimer; Kate Wilder; Alice White. All members were absent due to work schedule conflict. 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; John Sauls, Animal Control Services Division Director; Anne Miles, Administrative Assistant GUESTS PRESENT: None I. Welcome and Introductions Jonathan Klein called the meeting to order at 7:10 P.M. II. Approval of January 17, 2002 Agenda Jonathan Klein requested Item IV.A. Minutes Approval of November 15, 2001 Meeting be moved to Item V for action. The motion to approve the Agenda of January 17, 2002 as amended was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda None V. Reports and Discussion with Possible Action A. Minutes approval of November 15, 2001 meeting. Jonathan Klein noted correction to first paragraph of Item V.C. The word "to" at the end of the seconded sentence should be deleted. Motion to approve the minutes of November 15, 2001 as amended was made by Martha Stucker, seconded by Barry Adler, and carried without dissent. B. PHEADS Committee MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 2 January 17, 2002 1. HIV Case Management Services or Orange County Wayne Sherman reported that Orange County Health Department was approached in summer 2001 regarding providing HIV case management services in the community. This was presented to the PHEAD Committee who requested a need and cost/benefit analysis. The HIV Case Management Task Force was formed with wide representation to assess various options for providing these services. Recommendation from the Task Force was to support an HIV Case Manager position through the Health Department. This proposed position would be written into the FY 02-03 budget request. Martha Stucker recommended that the request for county funding for this position be tied to the UNC Hospital commitment for partial funding. Motion was made by Janet Southerland, seconded by Lee Werley, to support the proposed position of HIV Case Manager in the FY 02-03 budget request with a commitment by UNC Hospitals for partial funding. 2. Jail Health Agreement for After Hours Coverage OCHD began providing jail health services for the Sheriff's Office in fall 2001. An experienced Physician's Assistant was employed successfully but was unable to recruit a weekend nurse as budgeted. To assure that necessary after-hours medical coverage was available, a temporary contract was put in place with Orange Family Medical Group from 11/19/01 - 01/02/02. Since we have had no applicants for the nurse position and since the temporary contractual arrangement with OFC has worked well and is considered cost- effective, we are proposing to continue the contractual arrangement. Motion was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent to approve the contract with Orange Family Medical Group for after hours jail health services and forward to BOCC for approval and signature. Jonathan Klein abstained due to conflict of interest. C. ACEH Committee 1. No Fault Well Repair Fund Policy During the past several months, American Stone Company and OWASA applied for and received a special use permit for the continued use of the current facility as a quarry until 12-31-2030. After that date, OWASA will operate the facility as a reservoir. As a condition of the special use permit, American Stone established a No Fault Well Repair Fund (NFWRF) for those residents whose property is within 3,000 feet of the perimeter of the quarry and who experience well failures not directly attributable to the quarry operation. The initial fund amount is $87,500 and can be augmented by $20,000 per year if needed to meet the claims of the residents within that zone of affection. Well failures that are a "probable result" of the quarry operation must be handled exclusively by American Stone at their expense. MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 3 January 17, 2002 OCHD will be involved in the administration of the fund in the following areas: • Determination of well failures • Determination of the best remedy once a failure is identified • Provide technical assistance and laboratory support to the residents throughout the process • Provide information to residents on appeals options for residents not satisfied with the process The ACEH Committee reviewed the draft policy and offered some changes. The committee recommends that the policy go through a review by the County Attorney prior to being effected. The Board of Health is being asked to review the proposed process, make recommendations and forward them on to the Board of Commissioners for consideration. Within the process, the Board of Health is proposed to hear appeals of those residents who are not satisfied with staff decisions. Motion to approve the policy and process and forward them to the Board of County Commissioners for consideration was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent. 2. L & W Mobile Home Park Report & Recommendations Ron Holdway reported that staff issued a notice to vacate several spaces at L & W Mobile Home Park in March 2001. Wayne Paschall, the owner of the park, appealed the action and a hearing before two members of the Board was held in April. After consideration, the full Board voted to extend the vacation requirement if several conditions were met including the construction of a private pump station connecting the park to the City of Durham sewer system. Since that action by the Board, Mr. Paschall shelved the idea of the private pump station and has instead pursued a larger scale public pump station that would serve Highway 70 corridor between the Orange County line and Interstate 85. The progress on that project is minimal. The ACEH Committee reviewed the situation on January 8th and Mr. Paschall was present along with his design engineer, Billy Walker. After hearing from both Paschall and Walker, the Committee recommended that the Board delay enforcement of vacation notice in accordance with the conditions detailed on the report submitted to the Board. The Board indicated that this is Mr. Paschall's final extension of the deadline and that he must come into compliance. Motion to approved a further extension to delay enforcement of vacating the spaces ordered on Marcy 19, 2001 according to the conditions below was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent. 1. Mr. Paschall must have all plans reviewed, loan approvals, necessary governmental approvals, and all required bonds in place by March 31, 2002 and must present copies of all pertinent documents regarding these processes to the Environmental Health staff by that date. MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 4 January 17, 2002 2. Mr. Paschall shall continue to retain a septic tank pumper until the pump station is operational and all spaces in the park are connected. The pumper shall inspect the septic systems serving the spaces in the park at least two times per week and pump any septic tank in the park as necessary to prevent sewage being discharged to the ground surface or to prevent the backup of sewage into any of the homes. The pumper shall report all activities at least weekly to the Environmental Health Staff. 3. Mr. Paschall shall report progress on the project at least one time per month to the Environmental Health staff. The reports shall be made in person, direct phone conversation or letter to Ron Holdway or Tom Konsler. 4. The collection system, pump station and all other appurtenances shall be installed, approved by the appropriate agencies, operational and in use by June 1, 2002. 3. Wastewater Treatment Program Expansion Recommendations The ACEH Committee reviewed the status of the WTMP Expansion proposal at their meeting on December 10, 2001 and discussed strategies to make the plan viable. Alan Rimer was to review the matter and discuss it further with staff and also with community leaders and report back to the Committee. Alan Rimer reported to the Committee on January 8th on his meetings. The strategy discussed at the committee meeting to develop a method of inspecting a statistically valid sample of septic systems in current use in Orange County. Future actions regarding the expansion would be based in large part on the results of that study. Mr. Rimer suggested using graduate students for this project. The study would look at several characteristics of the septic systems including age, functionality, usage, maintenance, and soil type to determine the nature and extent of septic failures in Orange County. Additionally, the Board of Health representative is invited to address the issue at the Board of Commissioners retreat in early February. Alan Rimer has volunteered to perform that duty. Motion to recommend this as a proposed revision to the BOCC goal and authorize Alan Rimer to present such to the BOCC at its retreat on February 2 was made by Janet Southerland, seconded by Martha Stucker and carried without dissent. 4. Barn Cat Program Implementation Report Unbridled breeding among fertile females in feral cat colonies in rural Orange County causes feline suffering, and creates unadoptable kittens. In that such cats are not vaccinated against rabies, they are a public health hazard. Such colonies are often protected by their property owners and keepers. This program seeks to give the owner/keepers the incentive to help reduce the cat overpopulation. The policies and procedures were reviewed by the ACEH Committee and are forwarded to the Board for information and approval. Motion to approve procedures was made by Janet Southerland, seconded by Martha Stucker, and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 5 January 17, 2002 D. Other Items 1. Volunteer Program Policy and Sample Tasks Martha Stucker brought forward to the Board in October 2001 the possibility of utilizing volunteers to extend the services of the health department. Senior managers were solicited for potential ideas for using volunteers and Ms. Stucker met with Wayne Sherman to further discuss the development of a policy that could be adopted by the Board. Issues regarding implementation and coordination of a volunteer program have not been resolved, however, if the policy is approved by the Board this would be the next step for discussion. Motion to approve the policy as presented for a volunteer program was made by Sharon Van Horn, seconded by Janet Southerland, and carried without dissent. 2. Required Board of Health Training The 2001-2002 contract agreements with the state require that locals boards of health receive "orientation and training" through the North Carolina Association of Boards of Health that would prepare them to assume their responsibilities as mandated under state law. In previous ye ars, each local department through assistance from the state and various organizations conducted training on an ad hoc basis. In an effort to standardize that training, the state is mandating that the training be conducted by NCABH. In order to come into compliance with this requirement all eleven members would need to participate in a training session sponsored by the NC Association of Boards of Health. The nearest training location to Orange would be Chatham County scheduled for Tuesday, April 23 from 6 to 8 p.m. The Chatham Health Director is quite willing to make this a joint effort. Joint county training is encouraged to save the very limited staff that is available to conduct the training. The Board's regular meeting is scheduled for Thursday, April 25 and one possibility would be to forego that meeting date and substitute this training instead. If there are agenda items that cannot wait until the May meeting, the Board could deal with them immediately after the training session in a brief meeting to address only critical items. The Board tabled this item for discussion at the next meeting. 3. BOCC Goal Setting Retreat The Board of Commissioners meets annually to discuss priority items for the coming year. The Board discussed in an earlier agenda item, the WTMP Program Expansion goal. At its previous meeting in November, the Board discussed potential other messages that could be communicated to the Commissioners. MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 6 January 17, 2002 The retreat has been scheduled for February 2nd at the Olive Branch Inn in Rougemont, probably with a 9 a.m. to 3:30 p.m. agenda. Jonathan Klein stated the board should present the commissioners with examples of accomplishments and solicited input on whether a joint meeting should be requested. There was general consensus among Board members that a joint meeting would be helpful. 4. Possible New Staff Requests for 2002-2003 Budget Rosemary Summers reported that new staff requests are typically due in to the county budget office in January. This year, because of anticipated budget shortfalls at the state level as well as an uncertain local economic picture, the county manager is strongly advocating that department heads only propose positions that are related to mandates or to Commissioner goals. The Department's Strategic Plan identified a number of positions that are needed to carry out the plan that was directly related to service mandates. The senior management team is in the process currently of assessing whether those requests can be delayed an additional year or whether they need to be made now regardless of the budget picture. VI. Board Comments/Announcements Jonathan Klein publicly commended Rosemary Summers for the job she is doing as Health Director. He read a letter of commendation from Tim Green, Alamance County Health Director Chair of the North Carolina Association of Local Health Directors, thanking her for initiative and leadership, in chairing the Health Promotion Committee of the Association. Dr. Klein also brought the Board's attention to two recent news articles . In one article it was reported that the Board of County Commissioners has passed an ordinance regulating the use of alcohol while hunting. This was an issue that was brought to the attention of the commissioners by the Board of Health. The second news article reported that the tobacco settlement funds will have some small portion earmarked for smoking prevention, a direct result of letters by Boards of Health and others to the Health and Wellness Trust. VII. Adjournment Motion to adjourn the meeting was made by Janet Southerland, seconded by Martha Stucker, and carried without dissent. The next Board of Health meeting will be held on February 21, 2002 at the Government Services Center in Hillsborough, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 7 January 17, 2002 Health Director Secretary to the Board