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HomeMy WebLinkAboutBOH minutes 032102MINUTES ORANGE COUNTY BOARD OF HEALTH March 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 1 March 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 March 21, 2002 at the OWASA Community Room, in Carrboro, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Chair; Mel Hurston, Vice Chair; Barry Adler; Moses Carey, Jr.; Alan Rimer; Janet Southerland; Martha Stucker; Lee Werley; Kate Wilder. BOARD OF HEALTH MEMBERS ABSENT: Sharon Van Horn; 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; 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 7:05 P.M. II. Approval of March 21, 2002 Agenda The motion to approve the Agenda of March 21, 2002 was made by Lee Werley, seconded by Alan Rimer, and carried without dissent. III. Public Comment for Items NOT on Printed Agenda None IV. Action Items on CONSENT Agenda A. Minutes approval of February 21, 2002 meeting. Motion to approve the minutes of February 21, 2002 was made by Alan Rimer, seconded by Martha Stucker, and carried without dissent. B. FY2002-2003 Consolidated Agreement with DHHS The state anticipates level funding for the next fiscal year. The Health Department will no longer be providing the Breast & Cervical Cancer Screening Program funded by the CDC for women who do not have Medicare and are over 50. Despite our best efforts at outreach, the department cannot identify a sufficient number of women to meet program requirements. Efforts have been made to encourage another provider in the county to take on this program. The state consolidated agreement is anticipated to provide $466,848 federal and state dollars to the county to provide specific services for fiscal year 2002- MINUTES ORANGE COUNTY BOARD OF HEALTH March 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 2 March 21, 2002 2003. This represents approximately 10% of the overall health department budget. This does not include Medicaid revenue, which is earned separately for services provided. The County Attorney is currently reviewing the agreement. Motion to approve the consolidated agreement as written and authorize the health director to sign was made by Alan Rimer, seconded by Martha Stucker, and carried without dissent. V. Reports and Discussion with Possible Action A. Animal Protection Society Budget Request and Contract Renewal John Sauls and Rosemary Summers met with Ann Hamner, the APS President, Laura Walters, the Interim Executive Director, and Darra Das, Associate Director on March 5 to review the APS budget requests. They requested a 2.5% increase in salaries to cover a cost of living adjustment and additional funding of $1367 to pay for additional rabies vaccine that would be required to vaccinate all adoptable animals on their second day in the shelter. In addition, APS submitted a list of capital needs totaling $6143. This could be submitted as a one-time capital cost for county funding. The contract with the APS for operation of the Animal Shelter has no substantive changes other than date changes. Board members commended the APS for their budget efforts and Martha Stucker recommended a letter of commendation from the Board to APS for their achievements and for informative and thorough data presentation. Rosemary Summers announced that Laura Walters has been appointed as the APS Executive Director. Motion to approve the APS Budget Request as presented and forward to the Board of County Commissioners for approval was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent. Motion to approve the APS Contract for operation of the Animal Shelter and forward to the Board of County Commissioners for approval was made by Alan Rimer, seconded by Martha Stucker, and carried without dissent. B. 2002-2003 Health Department Budget Request Rosemary Summers presented the budget request to the board for their review. The county share is currently 57.8% of the budget and next year’s request will be slightly lower due to a steady rise in external revenue. State revenue overall dropped about $20,000 or about 1% of the external revenue. State funding is still fairly unstable. This budget accounts for level funding from the state. Motion to forward the budget request to the Orange County Board of Commissioners for the department was made by Alan Rimer, seconded by Martha Stucker, and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH March 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 3 March 21, 2002 C. Restaurant Grade Card Resolution Over the last four years, six counties piloted a new sanitation card for restaurants that show only the percent score received by each restaurant. During the 2000-2001 year, the state conducted a survey to determine the direction to go for the entire state. Consumers, restaurant owners, and environmental health specialists were surveyed. The results of the study did not show a clear direction for the program. The state is leaning towards allowing counties to choose whether to post either the grade or the numeric score. Alamance County recently adopted a resolution to post both the numeric score and the grade of equal size on the same card as a compromise effort to retain uniformity throughout the state. Board members discussed the merits of posting numeric scores, grades, and both numeric score and grade. Motion to approve a resol ution asking for the grading systems of restaurants be retained, posting both numeric score and the grade of equal size on the sanitation card, and forward it to the Commission for the Environment was made by Mel Hurston, seconded by Alan Rimer, and carrie d without dissent. D. Statewide Health Priority Survey The Division of Public Health’s health education office has requested health departments across the state to choose priority areas during the community assessment process. These are compiled and sometimes used by the state to formulate legislative priorities for the year, including new legislation and revising current legislation. This assessment process is moving to a four-year rolling cycle with one-fourth of the counties preparing an assessment each year. The Office of Health Education will be requesting this survey to be completed each year to better prepare for the legislative session. Board members completed the survey and concurred on the following as the top priorities: • Community Health Promotion and Disease Risk Reduction/Community Health Education Healthy Carolinians Community Health Education Injury Control Nutrition Counseling Tobacco Use Prevention Physical Activity • Food Lodging, Water, Onsite Sewage and Wastewater Disposal, and Other Sanitation Restaurant, Lodging, and Institution Inspection Lead Abatement Pest Management Water Sanitation and Safety Private Water Supply MINUTES ORANGE COUNTY BOARD OF HEALTH March 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 4 March 21, 2002 Swimming Pool Inspections Shellfish Sanitation Reuniting environmental health services with public health • Child Health School Health Child Service Coordination Genetic Services Treatment Funds for Children with Special Needs Sickle Cell Services Well-Child Services Immunization Early Intervention WIC services for infants, children, and pregnant women E. Joint BOCC-BOH Meeting At the Commissioners retreat in February, the Board of Health requested a joint meeting with the Board of Commissioners to further discuss items of mutual interest. This meeting is scheduled for April 3, 2002, beginning at 6 p.m. The Commissioners have requested more open dialog and less presentation at this meeting. Items to be discussed are as follows: • Healthy Carolinians Report Card and Activity Update • Strategic Plan accomplishments • Year Two objectives • Animal Shelter Replacement • Future Space Needs F. Report to Board of Commissioners on Alternative Wastewater Systems The Commissioners inquired about several Environmental Health program activities during its February retreat. • Ultra-Shallow Conventional Septic Systems • Education Efforts to Residents with Septic Systems Ron Holdway has prepared a response to the Commissioners inquiries to be forwarded to the Board of County Commissioners in response to their request for information. G. Request for Resolution on Blue Cross Blue Shield Trust Fund Medicaid Relief At the Commissioners retreat in February, the Commissioners discussed the rising cost of Medicaid and its impact on the county budget. Commissioner Carey requested that a resolution be drafted that advocated for the local share of Medicaid to be paid from the trust fund that will be created when Blue Cross and Blue Shield of North Carolina converts to for-profit status. It is estimated that the trust will have $50 million available annually. Many organizations and agencies around the state see the Trust Fund as a means to increase access to health care for residents of the state. MINUTES ORANGE COUNTY BOARD OF HEALTH March 21, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 5 March 21, 2002 Moses Carey suggested that discussion be delayed until the next Board of Health meeting pending further developments on this issue. VI. Board Comments/Announcements A. Volunteers - Martha Stucker Martha Stucker announced that Volunteer Orientation is scheduled to be held on April 10, 2002. 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 April 25, 2002 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