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HomeMy WebLinkAboutBOH minutes 042601MINUTES ORANGE COUNTY BOARD OF HEALTH April 26, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 1 April 26, 2001 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 April 26, 2001 at the Government Services Center in Hillsborough, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Chair; Janet Southerland, Vice Chair; Barry Adler, Mel Hurston, Barry Jacobs, Alan Rimer, Martha Stucker, Sharon Van Horn, and Lee Werley. BOARD OF HEALTH MEMBERS ABSENT: Alice White, Kate Wilder. STAFF PRESENT: Rosemary Summers, Health Director; Wayne Sherman, Personal Health Services Division Director; Ron Holdway, Environmental Health Services Division Director; Donna King, Health Promotion and Education Services Division Director; Leticia Burns, Administrative Services Division Director; V. Anne Miles, Administrative Assistant. GUESTS PRESENT: Leslie Smith, UNC School of Nursing. I. CALL TO ORDER AND INTRODUCTION OF GUESTS The meeting was c alled to order by Dr. Jonathan Klein at 7:30 p.m. II. ACTION ITEMS A. Approval of April 26, 2001 Agenda Martha Stucker requested that an update on school nurse issues, Public Health Month proclamation, and Orange County Health Report Card be added to the agenda. Motion to accept the agenda as amended was made by Lee Werley, seconded by Janet Southerland, and carried without dissent. B. Approval of March 22, 2001 Minutes Motion to approve the minutes of March 22, 2001 was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent. C. Change in May Board Meeting Date The Board of Health’s regular May meeting is scheduled for May 24 at Southern Human Services Center. On that same evening the County Manager is scheduled to present the FY 2001-2002 Budget Request to the Board of County Commissioners. Department heads are requested to attend the budget presentation, and Board of Health member, Barry Jacobs, would be attending that meeting. Staff has determined that the Southern Human Services Center is available to meet on May 17, one week earlier if the Board desires. Motion to change the May Board Meeting Date to May 17 was made by Janet Southerland, seconded by Lee Werley, and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH April 26, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 2 April 26, 2001 III. PUBLIC COMMENT FOR ITEMS NOT ON PRINTED AGENDA None IV. REPORTS AND DISCUSSION WITH POSSIBLE ACTION A. PHEADS Committee 1. Consolidated Agreement with North Carolina DHHS The state consolidated agreement is anticipated to provide $497,396 federal and state dollars to the county to provide specific services for fiscal year 2001- 2002. This represents approximately 11% of the overall health department budget. This does not include Medicaid revenue which is earned separately for services provided. The final amount of the agreement will not be specified until after July 1, 2001 when the final state budget is approved by the legislature. The County Attorney has reviewed the agreement and finds it satisfactory. Motion to approve the consolidated agreement as written and authorize the health director to sign was made by Martha Stucker, seconded by Alan Rimer, and carried without dissent. 2. Jail Health Services Proposal The Sheriff indicated that a recent inspection report by the federal marshal indicated that the jail was not in compliance with national standards regarding jail health. The county jail receives a federal per diem reimbursement for housing federal prisoners and could be in jeopardy of losing the contract if they are not in compliance. The Sheriff approached the Health Department with a request for the department to consider providing services to the jail. The proposal for jail health services has been discussed with both the Sheriff, some of the jail staff, and other relevant departments in the county. The Committee reviewed this proposal at its April meeting. Since that time, there was a recommended change to employ a full time nurse practitioner. The nurse practitioner position will be in the health department budget and paid for under a contract agreement with the jail. It is anticipated that this proposal will be looked at by the Commissioners at their May meeting or early June outside of the budget cycle process so that the process of filling the position can begin without delay. Motion to approve the plan and authorize the health director to proceed with a contract upon approval of the Board of Commissioners was made by Janet Southerland, seconded by Alan Rimer, and carried without dissent. 3. Smart Start Funding Proposals a) Dental Screening, Education and Referral Program b) Families in Focus Intensive Home Visiting Program c) Welcome to the World Program MINUTES ORANGE COUNTY BOARD OF HEALTH April 26, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 3 April 26, 2001 d) Community Health Awareness Project e) Enhanced Child Services Coordination Program All projects with the exception of the Welcome to the World Program have received previous funding from the Orange County Partnership for Young Children (the Smart Start Agency). The Welcome to the World Program had previously been funded through EMS, however the Partnership approached the Health Department last year and asked us to assume coordination of the project. EMS will remain as a participating partner. The Dental Screening, Education and Referral Program is also a significant expansion request over previous years. The Committee reviewed these proposals in concept at its March meeting prior to staff actually writing the grants. Motion to endorse the funding proposals submitted to the Orange County Partnership for Young Children for FY 2001 – 2002 was made by Martha Stucker, seconded by Barry Adler, and carried without dissent. B. Animal Control and Environmental Health Committee 1. Animal Protection Society Personnel Policies Revisions The contractual agreement between the County of Orange and the Animal Protection Society for the operation of the county-owned animal shelter, states that Personnel or Operating Procedure revisions must be reviewed annually in preparation for the annual contract renewal. The Board asked the staff to refer the issue of COBRA coverage back to the APS for examination of compliance with law (last paragraph of Item number 1.9). Motion that the Board endorse the APS Personnel Policy Additions, as amended, and indicate that review has taken place in accordance with contract provisions was made by Martha Stucker, seconded by Barry Adler, and carried without dissent. 2. USGS Water Quality Study The Board of Commissioners authorized a Water Quality Study by the US Geological Service that was recently completed. A partial copy of this was provided to Board members for their information. The Environmental and Animal Control Committee will be considering the report further next month. C. West Nile Virus Response Plan The EPI Epidemiology Response Team in the Health Department consists of representatives from four divisions within the department and is headed by Ron Holdway. The core EPI team is responsible for developing plans to respond to emerging threats or outbreak situations. Members are added as expertise and need arises. Ron Holdway presented the West Nile Virus Response Plan to the Board and responded to questions. The State Division of Public Health is still in the process of finalizing the statewide plan and the County plan may need some adjustment based on the state plan and resources available. MINUTES ORANGE COUNTY BOARD OF HEALTH April 26, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 4 April 26, 2001 The West Nile Virus Response Plan and the educational materials are on the Orange County Health Department web site. V. BOARD COMMENTS A. School Nurse At the joint meeting between the BOCC, Health Department and the School Boards, and the Commissioners a Four Year Option Plan was presented. No action has been taken at this time. The Orange County Schools are asking for parity funding of school nurses in addition to approval of additional county funded nurses. It will be included in the proposed budget for the Commissioners to consider as it goes through the budget process. B. BOCC Public Health Proclamation The Board of County Commissioners passed the Public Health Month Proclamation at their last meeting. April has been a very active community event month for the Health Department C. Orange County Health Report Card The newest draft of the Health Report Card will be reviewed by the Healthy Carolinians Executive Committee at their next meeting, May 7. Alice White has helped refine the statistical data and presentation of that data. D. Announcements Jonathan Klein announced that on March 26, Orange County Health Director, Rosemary Summers, received the Arnold D. Kaluzny Distinguished Alumni Award from the Leadership Program at the UNC School of Public Health. Barry Jacobs presented Board of Health members with a mug as a token of appreciation from the Orange County Board of County Commissioners in recognition of Volunteer Appreciation Month. VI. ADJOURNMENT Motion to adjourn the meeting was made by Martha Stucker, seconded by Barry Adler, and passed without dissent. The next Board of Health meeting will be held on May 17, 2001 at the Southern Human Services Center in Chapel Hill, North Carolina, at 7:30 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board