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HomeMy WebLinkAboutBOH minutes 082301 MINUTES ITEM VI.A ORANGE COUNTY BOARD OF HEALTH August 23, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 1 August 23, 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 August 23, 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; Lee Werley; Kate Wilder; Alice White. BOARD OF HEALTH MEMBERS ABSENT: None STAFF PRESENT: Ron Holdway, Environmental Health Services Division Director; Donna King, Health Promotion and Education Services Division Director; Angela Cooke, Dental Health Services Division Director; John Sauls, Animal Control Services Division Director; Wayne Sherman, Personal Health Services Division Director; Letitia Burns, Central Administrative Services Division Director. GUESTS PRESENT: None I. CALL TO ORDER AND INTRODUCTION OF GUESTS Jonathan Klein called the meeting to order at 7:35 p.m. II. ACTION ITEMS A. Approval of August 23, 2001 Agenda Motion to approve the agenda was made by Martha Stucker, seconded by Kate Wilder, and carried without dissent. B. Minutes Approval of June 28, 2001 Meeting Motion to accept the minutes as written was made by Martha Stucker, seconded by Alan Rimer, and carried without dissent. III. PUBLIC COMMENT FOR ITEMS NOT ON PRINTED AGENDA None IV. REPORTS AND DISCUSSION WITH POSSIBLE ACTION A. ACEH Committee 1. Dangerous Dog Process NCGS 67-4.1 contains specific provisions and procedures for the appeal of dangerous dog and potentially dangerous dog designations. John Sauls outlined the manner in which the Health Department has developed these procedures to meet the provisions of the law. This procedures document has been reviewed and approved by the county attorney. The attorney recommended that the MINUTES ITEM VI.A ORANGE COUNTY BOARD OF HEALTH August 23, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 2 August 23, 2001 Board formally endorse the process as developed and utilized. Motion to endorse the process of appeals for dangerous dog designations was made by Kate Wilder, seconded by Martha Stucker, and carried without dissent. 2. Contract Renewal for Animal Tax Mailings The Health Department has contracted with SCS to print and mail all animal tax renewal notices on a monthly basis since 1998. The three-year contract is due to be renewed. The company changed their name this past year to Total Billings. This is the same firm that the Orange County Tax Office contracts with for tax mailing as well. The contract is for the period September 15, 2001, to September 15, 2004, with a maximum of $40,185 for the entire period. There have been approximately 42,000 tax notices mailed each year and if the number remains the same, it will be approximately $11,970 per year. The contract allows for as many as 47,000 to be mailed each year. Invoices are based on actual pieces printed and mailed at ten and a half cents for each card printed and an 18 cent maximum mailing charge for each card. Animal Control hopes to increase the 42,000 level to 47,000 tax notices per year by the end of the three year period through improved data provided by the new software just recently installed in the office. $13,314 has been included in the approved budget for this current fiscal year to cover the cost of this contract, which is more than the annual $11,970 amount for the current level of 42,000. The additional amount may be needed for increased postage costs or an increase in the number of cards from last year. The outsourcing of this function has saved time for the limited number of office staff that animal control has, enabling them to perform other functions that could not be outsourced. Motion that the Board approve the contract as written, authorize the health director to sign, and forward it to the Commissioners for approval was made by Alan Rimer, seconded by Lee Werley, and carried without dissent. B. PHEADS Committee 1. Agreement with Sheriff’s Department for Jail Health Services Several months ago at the request of the Sheriff, the Health Department began exploration of the feasibility of providing jail health services for the inmate population of the Orange County Jail. A proposal was developed, reviewed, and negotiated between the two parties. The agreement puts into writing the operational aspects of the negotiated agreement. The Board of County Commissioners agreed to fund one full-time nurse practitioner and one part- time registered nurse for the Health Department to provide services for the jail. Recruitment is currently underway to fill these positions. Motion that the Board approve the agreement as written and authorize the Health Director to sign the agreement was made by Martha Stucker, seconded by Mel Hurston, and carried without dissent. MINUTES ITEM VI.A ORANGE COUNTY BOARD OF HEALTH August 23, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 3 August 23, 2001 2. Contracts with School Systems for School Nurses During the last fiscal year, an agreement was reached between the Health Department, both public school systems in the county, and the Board of County Commissioners, to pursue the goal of one school nurse for each school. The Commissioners agreed to provide funding over the next four years to reach this goal. Each school system agreed to maintain their present complement of school nurses. Mutual agreement was reached in the opening of new schools to include the cost of a school nurse as part of the standard cost of opening the facility. The Health Department agreed to continue providing school nursing services equivalent to the present commitment until each system is at one nurse per school. The contracts cover the first year of the allocation of the funds from the Commissioners that will fund a partial year for one nurse for the Orange County Schools and two nurses for the Chapel Hill-Carrboro Schools. The contracts will be renewable annually upon continued funding by the Board of Commissioners. The contracts have been reviewed by the superintendents and changes have been made based on their input. The version presented at the Board meeting has been sent for the superintendents' final review and has been sent to the Central Services and Purchasing Department and the County Attorney for review. No action by the Board is necessary at this time. Mel Hurston requested an agenda amendment be approved to include a study proposal of Human Papilova Virus, a topic discussed at the last PHEADS Committee meeting. Motion to add the Study Proposal of HPV to the agenda for discussion was made by Lee Werley, seconded by Janet Southerland, and carried without dissent. 3. HPV Study Proposal The Health Department was approached by UNC Department of OB/GYN and School of Medicine as well as UNC Hospitals to participate in a study involving Human Papilova Virus. The primary intent of the study is to determine prevalence, access risk factors and develop patient information regarding the virus. The Health Depart ment's role would be to serve as a clinical site. We would be requested to identify 200 women to participate in this study and provide a limited clinical procedure. The Study would provide a nurse to talk to the women regarding their participation. Each participant would receive a certificate for their participation and an identification card indicating whether or not they are at high risk for cervical cancer. The PHEADS Committee approved the study contingent on the approval of the Board of Health. The committee felt the study would benefit both clients and the science of public health without undue burden on our patients and staff. MINUTES ITEM VI.A ORANGE COUNTY BOARD OF HEALTH August 23, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 4 August 23, 2001 IRB approval and approved protocol would be necessary to participate in the study. Public health research is one of t he mission goals of the Health Department. Motion to conditionally approve the request to use Orange County Health Department for the HPV Study as a research site based on satisfaction of IRB approval and review of the protocol was made by Janet Southerland, seconded by Alan Rimer, and carried without dissent. C. Financial Report For the last three years, the Board has received financial information about twice a year, focused primarily around budget preparation. In order for the Board to have a more complete picture regarding the functioning of the department as a whole, it is proposed that quarterly financial reports be provided to the Board. A draft format for the Board to consider was presented at the meeting. Alan Rimer suggested the addition of a YTD percent of variance column, and that the Board only needed to be apprised of 40% – 50% variances. Board members discussed the concept but decided that quarterly financials reports would not be necessary. D. Use of Volunteers in Health Department This item was to be placed on the agenda at the June meeting, however, due to time constraints for other business, this was unable to be discussed. Martha Stucker reported that the Health Department has used volunteers in recent years in the following roles: translators during the rubella response, outreach workers in door-to- door distribution of flyers, nurses during communicable disease incidents, and “multi- purpose” roles at health and community fairs. Volunteers are not covered under the county’s general liability policies, except for personal injury at county sponsored events or facilities. The Board endorsed the concept of volunteer use by the Health Department and that a plan be developed to optimize the benefits of such a program. It was suggested that a volunteer should be designated as volunteer coordinator and that a description of job duties should be written. The Board also agreed that an orientation program for all volunteers would be beneficial. Motion to further promote and organize the role and use of volunteers in the Health Department following the discussed guidelines was made by Janet Southerland, seconded by Alan Rimer, and carried without dissent. E. Work Session Date and Agenda The Board has traditionally met for two one-half day work sessions each year. During these sessions, the Board works intensively on a few topics of concern and/or receives specific education on an upcoming topic of concern or interest. The original session scheduled for September 14 has become problematic due t o scheduling conflicts. Alternate Fridays have been proposed but have only three or four MINUTES ITEM VI.A ORANGE COUNTY BOARD OF HEALTH August 23, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 5 August 23, 2001 Board members able to attend. At least two Board members have difficulty attending meetings held during working hours. Board members suggested that topics of concern that would normally be covered in the work session be integrated into monthly Board of Health meetings in the succeeding months by moving the meeting time to 7:00 P.M., thereby eliminating the need for a work session at this time. Motion to cancel the Board of Health work session scheduled for September 14, 2001, and integrate the topics covered at the session into regular Board of Health meetings by moving the meeting time to 7:00 P.M. was made by Alan Rimer, seconded by Lee Werley, and carried without dissent. F. Follow-up on Legislative Agenda The Board adopted a list of legislative priorities that it was interested in actively supporting last spring. This list is available on the Orange County Health Department web site and has been updated to provide a view of where each of these legislative pieces is in the process through the NC General Assembly. A copy was provided for Board members review and discussion. V. BOARD COMMENTS Mel Hurston advised he is the liaison to the “Poverty in Orange County” Seminar. Motion to move to closed session pursuant to NCGS 143-318.11(A)(6) was made by Alan Rimer, seconded by Mel Hurston, and carried without dissent. VII. CLOSED SESSION PURSUANT TO NCGS 143-318.11 (A)(6) for the purposes of considering the qualifications, competence, performance of an individual public officer or employee. Motion to adjourn from closed session pursuant to NCGS 143-318.11(A)(6) was made by Alan Rimer, seconded by Mel Hurston, and carried without dissent. VII. ADJOURNMENT Motion to adjourn the meeting was made by Martha Stucker, seconded by Alan Rimer, and carried without dissent. The next Board of Health meeting will be held on September 27, 2001 at the Southern Human Services Center in Chapel Hill, North Carolina at 7:00 PM. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board