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ORANGE COUNTY BOARD OF HEALTH
August 24, 2000
Board of Health Minutes
Transcription completed by V. Anne Miles 1 August 24, 2000
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 THURSDAY, AUGUST 24, 2000 AT THE
SOUTHERN HUMAN SERVICES CENTER, NORTH CAROLINA.
BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Janet Southerland, Rick Marinshaw, Ron
Cammarata, Mel Hurston, Barry Adler, Martha Stucker, Lee Werley
BOARD OF HEALTH MEMBERS ABSENT: Barry Jacobs, Brenda Crowder-Gaines
STAFF PRESENT: Rosemary Summers, Health Director; Ron Holdway, Environmental Health Division
Director; John Sauls, Animal Control Division Director; Ellen Young, Healthy Carolinians Coordinator;
Angela Cooke, Dental Health Division Director; Kathy Glassock, Personal Health Interim Director;
Karen Seifert, Interim Health Education and Promotion Division Director; Anne Miles, Administrative
Assistant
GUESTS PRESENT: There were no guests present.
I. CALL TO ORDER AND INTRODUCTION OF GUESTS
Dr. Jonathan Klein called the meeting to to order at 7:40 p.m.
II. ADOPTION OF AGENDA (August 24, 2000) AND APPROVAL OF MINUTES (June 22, 2000)
A. Approval of August 24, 2000 Agenda.
Motion to approve the August 24, 2000 agenda of was made by Martha Stucker,
seconded by Janet Southerland and carried without dissent.
Minutes Approval of June 22, 2000 Meeting.
Motion to approve the minutes of the June 22, 2000 meeting was made by Barry Adler,
seconded by Lee Werley and carried without dissent.
III. REPORTS/ACTION FROM COMMITTEES
A. Executive Committee
1. Personnel Status Report.
Rosemary Summers reported on the twelve existing vacancies within the department,
three of which are senior staff positions. Interviews are taking place for several of these
positions. The majority of positions open are in the personal health division.
2. The Employee Recognition Breakfast has been scheduled for 7:30 am on September
18, 2000 at Kelsey’s in Hillsborough.
B. Nominating Committee
The nominating committee reported on the interviews conducted for the vacancies on the
Board. The committee recommended Alan E. Rimer for the professional engineering vacancy
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ORANGE COUNTY BOARD OF HEALTH
August 24, 2000
Board of Health Minutes
Transcription completed by V. Anne Miles 2 August 24, 2000
and Alice White for one at-large position. There have been no applicants for the Veterinary
position. The committee also recommended additional applicants be sought for the other at-
large vacancy to ensure diversity among the board members.
Motion to recommend Alan E. Rimer to the Board of Commissioners for current vacancy
on the Board of Health was made by Lee Werley, seconded by Rick Marinshaw and
carried without dissent. There was one abstaining vote.
Motion to recommend Alice White to the Board of Commissioners for current vacancy on
the Board of Health was made by Janet Southerland, seconded by Barry Adler and
carried without dissent. There was one abstaining vote.
C. Animal Control and Environmental Health Committee
Ron Cammarata reported on a procedural change that was proposed to afford owners of
animals the earliest opportunity to reclaim their animals after the animals have been picked up
by an Animal Control Officer. All animals will be scanned, including voluntary surrenders. It
does not affect the ability of Animal Control to issue citations for violations.
The Board voted to endorse the change as written.
D. Dental and Personal Health Committee
As a companion to the unbundling of Medicaid in the personal health services area, the state
Medicaid agency is also requiring dental services to be unbundled. Their schedule for this
conversion is October 1. Earlier this month the state sent the new Medicaid approved rates for
dental services by private providers. For the most part, our 100% fee level is higher than the
Medicaid reimbursement rate. The OCHD rates need to be adjusted for five procedures and
two new procedure codes have been added that the department did not have on its list. As per
the adopted procedure for Personal Health Fees, the Health Director is authorized to adjust fees
to the next highest dollar for Medicaid adjustments and then is directed to report to the Board at
the next meeting when those adjustments are made. There will be special rates established for
health departments that should be available by October 1. Those will also need to be approved
by the Board.
Motion to approve the increases in fees as discussed at the levels proposed was made
by Mel Hurston and seconded by Martha Stucker and carried without dissent.
E. Community Programs Committee
1. Healthy Carolinians Report.
Orange County Healthy Carolinians Coordinator, Ellen Young, reported on the various
activities of the program. Healthy Carolinians has also achieved recertification.
2. Biennial Community Assessment.
Karen Seifert reported that every two years the Division of Public Health requires local
health departments to prepare and submit a community assessment document that
outlines priority health areas for community action during the next two years. This year
the state attempted to combine the health department’s assessment with that of the local
Healthy Carolinians group if such a group existed. This was the first year that the state
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August 24, 2000
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Transcription completed by V. Anne Miles 3 August 24, 2000
asked counties to engage in local collection of data in addition to analyzing secondary
data that was provided by the state.
The OCHD was fortunate that data collection plans were well underway last year. We
were able to capitalize on this and use very recently collected primary data from a
variety of sources. These same data sources and much of this same document formed
the backbone of the Healthy Carolinians recertification document.
IV. BOARD COMMENTS
A. New Board of Health roster was distributed with the request for any corrections or changes to
be directed to the secretary.
B. OCHD Brochure
Copies of a newly designed brochure summarizing health services provided by the Orange
County Health Department were distributed to the board members. These will be available for
distribution to the public both in Spanish and English.
C. The agenda for the September 16 Board of Health workshop is still in the planning stages.
Subjects to be addressed at the workshop will include mandated service delivery and the
department’s assessment regarding the provision of those services..
V. CLOSED SESSION: PERSONNEL MATTER
Motion to move into closed session under G.S. Section 143-318.11 (a)(6) was made by Mel
Hurston, seconded by Martha Stucker and carried without dissent.
VI. ADJOURN
The motion to adjourn the meeting was made by Janet Southerland, seconded by Barry Adler
and carried without dissent.
The Board of Health meeting adjourned at 10:00 P.M.
The next regular Board of Health meeting will be held on September 28, 2000 at the Government
Services Center, Hillsborough, North Carolina.
Respectfully submitted,
Rosemary L. Summers, MPH, DrPH
Health Director
Secretary to the Board RLS:vam