Loading...
HomeMy WebLinkAboutBOH minutes 111600MINUTES ORANGE COUNTY BOARD OF HEALTH November 16 2000 Board of Health Minutes Transcription completed by V. Anne Milels 1 November 16, 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, November 16, 2000 at the Southern Human Services Center, Chapel Hill, North Carolina. BOARD OF HEALTH MEMBERS PRESENT: Jonathan Klein, Mel Hurston, Lee Werley, Martha Stucker, Alice White, Sharon E. Van Horn, Kate Wilder. BOARD OF HEALTH MEMBERS ABSENT: Barry Adler, Janet Southerland, Alan Rimer, and excused absence, Barry Jacobs, due to a conflict in schedules. STAFF PRESENT: Rosemary Summers, Health Director; Ron Holdway, Environmental Health Division Director; John Sauls, Animal Control, Services Division Director; Angela Cooke, Dental Services Coordinator; Kimberly Sauls, Intensive Home Visiting Social Worker; Judy Butler, Community Services Nursing Supervisor; Anne Miles, Administrative Assistant. GUESTS PRESENT: Ashley Hemphill, Karla Spitzer, UNC School of Public Health; Courtney Luther, Miriam Nguyen, Emily Shelton, UNC-CH School of Nursing; Charles J. Cassell, citizen. I. CALL TO ORDER AND INTRODUCTION OF GUESTS Jonathan Klein called the meeting to order at 7:30 p.m. II. ACTION ITEMS A. APPROVAL OF November 16, 2000 AGENDA and MINUTES of October 26, 2000 MEETING Motion to approve the Agenda of November 16, 2000 was made by Lee Werley, seconded by Martha Stucker, and carried without dissent. A grammatical correction was noted to reflect a contact person from UNC (page 4) and "Carol" Crawford was corrected to read Myra Crawford as the clerk of court representative present to swear in the new Board of Health members. Motion to accept the minutes as amended was made by Mel Hurston, seconded by Alice White and carried without dissent. III. Public Comment for Items NOT on Printed Agenda There were no visitors or public comments. IV. Reports and Discussion with Possible Action from Committees A. Nominating Committee 1. Revision of By-laws The last revision of the By-laws was in 1984. Since that time, legislative changes have occurred that make revisions in some sections of the By-laws necessary in order to MINUTES ORANGE COUNTY BOARD OF HEALTH November 16 2000 Board of Health Minutes Transcription completed by V. Anne Milels 2 November 16, 2000 comply with General Statutes. Other revisions are proposed based on the customary practices that the Board has adopted over time and for clarity in the text. The current draft incorporates changes discussed in the October Board meeting in addition to a conflict of interest statement specified in the By-laws to be signed by all incoming Board members. Motion to approve the by-laws revision as written including a conflict of interest statement was made by Martha Stucker, seconded by Kate Wilder and carried without dissent. 2. Election of Officers Martha Stucker presented the recommendation of the Nominating Committee of Janet Southerland as Chair and Mel Hurston as Vice Chair, pending approval by the Board of County Commissioners of Janet Southerland's reappointment in June of 2001. Jonathan Klein indicated his willingness to continue to serve if he were allowed an additional term of office as well. Dr. Klein stated that he has written to the chair of the commissioners requesting that his term and Dr. Southerland's be an exception to the two-term limitation. The basis of the exception is that they both came on the Board when there was a three-term expectation. Given the request for reappointment for both Dr. Klein and Dr. Southerland, the new board members present felt that they would rather stay with the present leadership. Therefore, Dr. Klein was nominated by Martha Stucker to be re-elected as Chair and seconded by Lee Werley. In a voice vote the tally was unanimous in electing Dr. Klein. Dr. Southerland was nominated by Martha Stucker to be re-elected as Vice-Chair and seconded by Mel Hurston. In a voice vote the tally was unanimous in electing Dr. Southerland as Vice-Chair. B. Executive Committee 1. Staff Vacancy Update Rosemary Summers reported on current staffing vacancies and also on staff members that have been in their current positions less than a year. Mel Hurston questioned the turnover rate in the Orange County Health Department compared to prior years. This is due to several factors; reorganization of the department created some movement opportunities for employees, creating a domino effect. Also, salaries are generally not competitive with the private sector, the staff involved in home visiting is subject to stress, and some positions are grant-funded. All of these factors contribute to turnover. There also are fewer qualified applicants applying. 2. Approval of 2001 Meeting Calendar The Board decided to hold its half-day workshop sessions on Friday afternoons, rather than Saturday mornings. They will be held April 20, 2001 and September 14, 2001. 3. December Board Meeting MINUTES ORANGE COUNTY BOARD OF HEALTH November 16 2000 Board of Health Minutes Transcription completed by V. Anne Milels 3 November 16, 2000 The Board evaluated the need to have a meeting in December and decided not to hold a December Board of Health meeting. The next scheduled meeting will be January 25, 2001. Motion to not hold a December meeting was made by Lee Werley, seconded by Martha Stucker and carried without dissent. 4. Capital Improvement Plan Submission Requests Each division of the Health Department has been compiling or updating a complete capital inventory that details each piece of equipment, when it was purchased, cost of purchase, estimated life of equipment, and estimated replacement cost. Items being requested for next year are reflected on the preliminary list passed out at the meeting. Included is a request for medical pharmacy inventory software or programming time, appointment software for clinical support, GIS software for desktops, three laptops, one for a dedicated LCD panel; and several computers for staff that did not have a computer. C. Dental and Personal Health Committee 1. Appointment of Members to School Health Task Force The Health Director and Chair met with representatives of the Orange County School Board and administration, County Commissioners, and the County Manager to discuss school health nursing services. As a result of that meeting, a working group or task force is being formed to develop recommendations for acceptable levels of school nursing services in both school systems and a plan for funding such services. The intent is to have recommendations ready for consideration for the FY 2001-2002 funding cycle. At the Committee meeting in November, Jonathan Klein and Lee Werley were recommended as Board of Health representatives to this task force. Motion was made by Mel Hurston to accept the Committee's recommendation to appoint Jonathan Klein and Lee Werley as Board of Health representatives to the School Health Nursing Task Force. 2. Retention and Disposition Policy for Dental Health Services Records. Angela Cooke, Dental Services Division Coordinator, reported that the number of dental records that are not actively used continues to increase. Due to the limited space available to keep such records secure in storage, the division is proposing to cull the inactive records and dispose of them. The NC Division of Archives and the NC Dental Health Program were consulted regarding this policy and it was determined that dental health records had not been considered in formulating the state disposition schedule. The Division of Archives will be adding dental records to its list with the provisions as noted in our attachment. These provisions have fewer restrictions than those for medical records. There is no requirement to keep dental x-rays if the record is destroyed. Specific Procedures will be developed to protect the confidentiality of the records. MINUTES ORANGE COUNTY BOARD OF HEALTH November 16 2000 Board of Health Minutes Transcription completed by V. Anne Milels 4 November 16, 2000 Motion to approve the Records Retention and Disposal Policy as stated pending approval by the NC Division of Archives was made by Kate Wilder, seconded by Lee Werley, and carried without dissent. 3. Update on Communicable Disease Issues Judy Butler, Community Health Services Supervisor, provided the Board an update on recent issues. Certain communicable diseases are required by law to be reported to the local health department within specified time frames. The department's basic role is to make sure the patient is appropriately treated, assuring that the contacts are followed up and receive prophylactic treatment. There have been a number of references to the statistics gathered over the past year in this area. Since this is a core public health function, it is important for the Board to have a good understanding of the responsibilities of the department in this area. V. Board Comments At the request of Jonathan Klein, John Sauls reported results of research done on the issue brought up at the last meeting regarding drinking and hunting. There is no local legislation or state law governing the use of alcoholic beverages while hunting. Careful coordination with state wildlife game laws would be necessary to avoid conflicting laws should the Board wish to initiate action on this issue. A statewide law would make this offense a felony offense, while an ordinance would only be a misdemeanor. VI. Announcements None VII. Adjournment Motion to adjourn the meeting was made by Mel Hurston, seconded by Martha Stucker and carried without dissent. The Board of Health meeting adjourned at 9:50 pm. The next Board of Health meeting will be January 25, 2001 at the Southern Human Services Center, Chapel Hill, North Carolina. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director Secretary to the Board