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HomeMy WebLinkAboutBOH minutes 051701MINUTES ORANGE COUNTY BOARD OF HEALTH May 17, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 1 May 17, 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 May 17, 2001 at the Southern Human Services Center in Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Chair; Janet Southerland, Vice-Chair; Barry Adler, Mel Hurston; Alan Rimer; Lee Werley; Sharon Van Horn; Alice White; Kate Wilder BOARD OF HEALTH MEMBERS ABSENT: Barry Jacobs, due to a conflict in meeting schedules; and Martha Stucker. STAFF PRESENT: Rosemary Summers, Health Director; Leticia Burns, Central Administrative Services Division Director; Ellen Young, Healthy Carolinians Coordinator; Ron Holdway, Environmental Health Services Division Director; Wayne Sherman, Personal Health Services Division Director. Angela Cooke, Dental Health Services Coordinator; Donna King, Health Promotion and Education Services Division Director. GUESTS PRESENT: Mr. & Mrs. Wayne Paschall, Mr. Robert Hornik I. CALL TO ORDER AND INTRODUCTION OF GUESTS Jonathan Klein called the meeting to order at 7:30 p.m. and introduced the guests present. II. ACTION ITEMS A. Approval of May 17, 2001 Agenda A resolution for 100% tobacco-free schools and legislative action on the intensive home visiting program were added to the agenda. Discussion on Item II.B and Item IV.A.1 will be delayed until Alan Rimer arrives. He is at another meeting but will be coming. Item IV.B.2 is removed from the agenda. Motion to approve the Agenda of May 17, 2001 as amended was made by Mel Hurston, seconded by Kate Wilder, and carried without dissent. Minutes Approval of April 26, 2001 meeting Motion to accept the minutes was made by Mel Hurston, seconded by Lee Werley, and carried without dissent. B. L & W Enterprises, Inc. Hearing Transcript and Report Mr. Wayne Paschall of L & W Enterprises, Inc. appealed a staff decision that required disconnection of fourteen mobile home spaces at L & W Mobile Home Park because of failing septic systems. A hearing was held MINUTES ORANGE COUNTY BOARD OF HEALTH May 17, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 2 May 17, 2001 March 18 before Alan Rimer and Dr. Sharon Van Horn of the Board of Health. The Board has the authority to affirm, modify or reverse the staff decision in the appeal process according t o NCGS §130A-24. The following steps are recommended as the best solution to the problem and a fair resolution to all parties involved. “The decision on the L & W Enterprises appeal on the order to vacate spaces as outlined in the order dated March 19, 2001 be delayed until the regularly scheduled June Board of Health meeting on June 28, 2001. At that time, L & W must have completed the following: Documentation/paperwork that specifies that: • The extension of sewer by the City of Durham to the L & W Mobile Home Park is to be owned by the City of Durham; • A provision that limits Durham’s annexation of the Park to a future date (unspecified). At the future date that Durham wishes to annex the property, another request for annexation should be filed with Orange County; • A financial instrument/vehicle be provided to the Orange County Board of Commissioners and the Board of Health that provides assurance that funds are available for the construction of the force main and lift station AND for a regular schedule of pump and haul sufficient to prevent surfacing and ponding sewage for the entire interim period prior to the force main and lift station being in full service; and • Seek approval by the Orange County Commissioners by docketing the proposed ownership of the system by the City of Durham as specified above no later than the Commissioners meeting scheduled for June 19, 2001.” Motion to approve the recommendations as stated was made by Alan Rimer, seconded by Lee Werley, and carried without dissent. It should be noted that the Board expressed the need to be assured that this project can be completed by the end of the calendar year and that the failure to meet any agreed upon deadline would constitute grounds for re-instating an order to vacate. III. PUBLIC COMMENT FOR ITEMS NOT ON PRINTED AGENDA None IV. REPORTS AND DISCUSSION WITH POSSIBLE ACTION A. Animal Control and Environmental Health Committee 1. Groundwater Committee Recommendations MINUTES ORANGE COUNTY BOARD OF HEALTH May 17, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 3 May 17, 2001 The Water Resources Committee (WRC) was formed in the early 1990’s to assess and evaluate the county’s groundwater resources. In 1994, the USGS and Orange County entered into a cooperative agreement for the study of recharge rates for wells in the county’s geological formations. In 1997, both parties reached agreement for the USGS to conduct a full groundwater resource investigation. In the resulting report there were several final recommendations made by the WRC for the future protection of groundwater sources in Orange County. Several of the recommendations may have implications for the department’s role in enforcement and should be considered in light of the protection they may or may not offer to residents’ health and/or environmental protection. The committee met recently to review the USGS and WRC reports and will present recommendations based on their in-depth study at the next regular board meeting. 2. Contract Renewal for Animal Shelter Operation The Animal Control and Environmental Health Committee reviewed the contract at its January meeting. There were no subst antive changes to the contract provisions. Shelter Operations and Personnel Manual changes were submitted and reviewed in accordance with contract provisions. Motion to approve the contract and forward to the Board of Commissioners for approval pending budget approval for Fiscal Year 2001-2002 was made by Alan Rimer, seconded by Kate Wilder, and carried without dissent. B. PHEADS Committee 1. Agreement Renewal for Medical Director/Physician Services The Agreement with UNC Department of Family Medicine stipulates the amount of $9,625 per month ($115,500 annually) for physician services with the UNC Department of Family Medicine’s Family Practice Center. Our current contract remains at .70 FTE. Motion to approve the contract subject to Commissioner and budget approval was made by Mel Hurston, seconded by Janet Southerland, and carried without dissent. 2. Fee and Eligibility Policy Changes (item removed from agenda) 3. Fee Schedule Adjustments for Personal Health Services New Medicaid rate changes for certain CPT codes will be effective June 1, 2001. The proposed fee adjustments are based on the Medicaid rate changes. A new method of adjusting the 100% fee MINUTES ORANGE COUNTY BOARD OF HEALTH May 17, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 4 May 17, 2001 level is to increase the 100% fee level by the same fixed amount of the differential between the current Medicaid rate and our 100% fee. For example, if the Medicaid rate increased from $40 to $45, the 100% fee would also reflect a $5 increase. A full cost -study review will be performed every 3-5 years to examine all costs and fees. Motion to approve the changes as recommended, pending the approval of the Finance Department and Budget Department was made by Mel Hurston, seconded by Lee Werley, and carried without dissent. 4. “Fit Feet” Program with Department of Aging The Fit Feet Program is a nurse managed center under the Orange County Department on Aging that screens clients for the purpose of identifying those at risk for prevention of foot problems in clients at risk. The nurses will function under health department supervision and protocols. An agreement letter will be developed spelling out responsibilities. 5. 100% Tobacco Free Schools (item added to agenda) Governor Easley and the State Superintendent of Public Instruction sent a letter to school superintendents across the state encouraging participat ion in a program to make North Carolina schools 100% tobacco free. A proposed draft letter for boards of health to send to their local school district superintendents was distributed to board members. In Orange County the Carrboro- Chapel Hill School System is already 100% tobacco free so this letter would be directed only to Orange County schools. Motion to send the letter to Orange County School schools encouraging them to become 100% tobacco free was made by Mel Hurston, seconded by Kate Wilder and carried without dissent. 6. Intensive Home Visiting Legislative Action (item added to agenda) A sample letter was provided to Board of Health members to send to all legislators representing Orange County. The Intensive Home Visiting program is one of the programs that as targeted to be cut in the state budget at a legislative session within the next week. The money from the state (along with some Medicaid reimbursement) funds two and one-half positions. Both federal and state cuts are anticipated for various health promotion programs. C. Orange County Youth Report Card Ellen Young presented an updated version of the Youth Report Card. This report card will call attention to areas needing improvement. It will also MINUTES ORANGE COUNTY BOARD OF HEALTH May 17, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 5 May 17, 2001 serve as a tool to identify where efforts need to be continued or increased to achieve positive outcomes. In addition, the easily readable and understandable report card can be an effective means of communicating health status to the public and to other health care providers. The new release date is projected for August or September. D. Board Sponsored Employee Recognition Event Last year the Board sponsored an Employee Recognition Breakfast for health department employees that met established criteria. Twelve employees were honored at a breakfast attended by awardees, division directors, and board members in September. The Board of Health paid for the cost of last year’s breakfast by donations by each Board member. By unanimous consent, the Board agreed to hold an Employee Recognition Lunch on September 14, 2001 in conjunction with the Board of Health workshop session. E. Budget Public Hearing Preparations Public Hearing on the budget will be on May 31 at Southern Human Services in Chapel Hill, and on June 7 in Hillsborough. Board members, health department clients, and consultants will be addressing the commissioners regarding needs and concerns of the health department. V. BOARD COMMENTS None VI. ADJOURNMENT Motion to adjourn was made by Mel Hurston, seconded by Kate Wilder, and carried without dissent. The next Board of Health meeting will be held on June 28, 2001 at the Government Services Center in Hillsborough at 7:30 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board