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HomeMy WebLinkAboutBOH minutes 022102MINUTES ORANGE COUNTY BOARD OF HEALTH February 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 1 February 21, 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 February 21, 2002 at the Government Services Center in Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Chair; Mel Hurston, Vice Chair; Barry Adler; Alan Rimer; Lee Werley; Kate Wilder. BOARD OF HEALTH MEMBERS ABSENT: Moses Carey; Martha Stucker; Sharon Van Horn; Janet Southerland; Alice White. 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: Traci Weaver, UNC Nursing School student; Lee Ann Doughty, UNC Nursing School student. I. Welcome and Introductions Jonathan Klein called the meeting to order at 7:10 P.M. II. Approval of February 21, 2002 Agenda Due to lack of a quorum at the beginning of the meeting agenda items requiring action by the Board were moved to a later time in the meeting. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of January 17, 2002 meeting. Motion to approve the minutes of January 17, 2002 and the agenda of February 21, 2002 was made by Mel Hurston, seconded by Lee Werley, and carried without dissent. B. Medicaid Fee Adjustments The state Medicaid office reviews fees that are eligible for reimbursement by Medicaid twice a year. The department received notice that fees were changed as of February 1, 2002. There were five fees affected by these rate changes. Increases are based on the new Medicaid fees and are MINUTES ORANGE COUNTY BOARD OF HEALTH February 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 2 February 21, 2002 rounded to the next highest dollar. Code Procedure Current Proposed 54050 Destruction of male lesions $125 $135 56501 Destruction of female lesions $125 $132 D2336 Composite resin crown, ant. Primary $70 $72 D2387 Resin 3 surfaces post. Permanent $146 $150 D2388 Resin 4+ surfaces post. Permanent $178 $184 Motion to approve the Medicaid Fee Adjustments as presented and forward to the Board of Commissioners for approval was made by Mel Hurston, seconded by Kate Wilder, and carried without dissent. V. Reports and Discussion with Possible Action A. Update on Current Budget Situation Rosemary Summers reported on the status of the budget for the rest of this year, and what is known in limited fashion for next year. The Health Department received a letter from The Orange County Partnership for Young Children, the local Smart Start agency, asked all funding recipients to identify budget cuts for funded projects due to state mandated reversion. They identified a number of items for potential cuts including travel, supplies, and the Dental Preschool Screening Project. The health department identified a total of $21,865 to return to Smart Start from its currently funded projects. This amount represents an 11.1% cut overall in the final funding allocated to the health department by the Partnership. This eliminates the Dental Preschool Screening Project and restricts travel, supplies and printing for two of the other four projects funded in the department. The Executive Committee of the Partnership is scheduled to make decisions on final cuts later this month. We do not know what this means for next year because Smart Start anticipates that they are going to be cut in next year’s budget as well. If there are any further cuts in Smart Start the department may be faced with staff cuts. The state has requested minor cuts only to date. The dental school has not cut funds this year yet, but we are anticipating that the $25,500 that they currently contribute to subsidize our dental attending staff will not be available next year. That is money that will have to come from revenues next year. Currently the advisement from the State for next year is that we are going to have level funding. We have received the budget worksheets from the State and at this time they are not anticipating any further cuts. The majority of program money in Family Planning and Maternal and Child Health is from federal funding, not state funding. Revenues from MINUTES ORANGE COUNTY BOARD OF HEALTH February 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 3 February 21, 2002 fees and third party reimbursements in some divisions in the department are higher than projected, giving the department more latitude to weather cuts. B. Orientation to Next Year’s Budget Request By the end of January the budget shortfall at the state level had worsened and continues to do so. The county budget staff has developed a method for each department to prepare their budget so budget scenarios can be prepared by them easily from each department’s budget. This preparation is more complex than previous years. Leticia Burns explained the new budget forms the county is using this year. We were told to prepare a continuation budget and should anticipate receiving no increases. C. Report on Accomplishments in Year One Strategic Plan The strategic plan for the health department was completed in the spring of 2001 and the first year object ives are nearing completion. The report identified the progress made in each division of the department and focused on progress yet to be made. The review also centered on objectives for 2002-2003. D. Planning for Joint Board of County Commissioners/Board of Health Meeting In past years when the Board of Health has requested a joint meeting with Commissioners, various agenda topics have been proposed. Last spring, the strategic plan was presented to the Commissioners. The year prior to that, the WTMP Expansion Program, Healthy Carolinians Program, and Intensive Livestock rules were discussed. The following topics were discussed by Board members and proposed for this year’s meeting: • Summary of Strategic Plan accomplishments • Year Two objectives • WTMP/student project • Space requirements • Healthy Carolinians Report Card The joint meeting is tentatively scheduled for April 3, 2002. Plans for the joint meeting will be finalized at the March Board of Health meeting. E. Student Projects: Current and Future One of the essential services adopted by the Board is to “Assure an expert public health workforce” and one way of accomplishing that is to take part in educating the future workforce for public health. Students are MINUTES ORANGE COUNTY BOARD OF HEALTH February 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 4 February 21, 2002 involved in a variety of activities and extend the work of the department in many ways. The Board reviewed the descriptions of student projects. F. Committee Reports 1. PHEADS None 2. ACEH None VI. Board Comments/Announcements Barry Adler questioned the status of the Board of Health training requirements posed by the NCALBOH. Dr. Summers reported that the state agreement addenda requirement was changed no longer requiring training of board members solely by NCALBOH. The training that has been provided by the department to board members must be documented. The training sessions given at the beginning of board meetings will be documented, along with attendance records, and be provided to the state as evidence of training. Jonathan Klein requested an update on the L & W Mobile Home Park. Ron Holdway reported that Mr. Paschall, owner of L & W Mobile Home Park, was scheduled to go before a Durham board for approval of his private wastewater treatment station. A letter was sent to Mr. Paschall after the January Board of Health meeting reiterating the conditions and time limits for compliance. VII. Adjournment Motion to adjourn the meeting was made by Alan Rimer, seconded by Mel Hurston, and carried without dissent. The next Board of Health meeting will be held on March 21, 2002 at the OWASA public meeting room in Carrboro, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board