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HomeMy WebLinkAboutBOH minutes 082798MINUTES ORANGE COUNTY BOARD OF HEALTH AUGUST 27, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 1 august 27, 1998 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 27, 1998 AT SOUTHERN HUMAN SERVICE CENTER MEETING ROOM, CHAPEL HILL, NORTH CAROLINA. BOARD OF HEALTH MEMBERS PRESENT: Timothy J. Ives, Melvin Hurston, Beverly Foster, Barry Adler, Ron Cammarata, Jonathan Klein, Margaret Brown, Richard Marinshaw, Janet Southerland BOARD OF HEALTH MEMBERS ABSENT: Barbara Chavious, Brenda Crowder-Gaines STAFF PRESENT: Rosemary Summers, Health Director; Ron Holdway, Environmental Health Division Director; Eileen Kugler, Personal Health Division Director; Cornelia Ramsey, Health Education Supervisor; Patsy Bateman, Administrative Assistant GUESTS PRESENT: Cathy Callahan, Tana Black, Tamia Sigmon – UNC School of Nursing I. CALL TO ORDER AND INTRODUCTION OF GUESTS Dr. Ives called the meeting to order at 7:30 p.m. Rosemary Summers introduced the staff and guests present. II. AMEND AUGUST 27, 1998 AGENDA The agenda for August 27, 1998 was amended to include the Orange County Animal Control Division and SCS Direct Mail Contract as number IIC(2). The motion to amend the August 27, 1998 agenda was made by Beverly Foster, seconded by Janet Southerland and carried without dissent. A. APPROVE / AMEND MINUTES OF MAY 21, 1998 Minutes of the June 25, 1998 BOH meeting page 2, 1st paragraph, line #4 was amended to read: That position was very difficult to recruit as a ½ time position and could not be filled until… The motion to amend the minutes of June 25, 1998 was made by Ron Cammarata, seconded by Beverly Foster and carried without dissent. B. ITEMS FOR DECISION – CONSENT AGENDA (ITEMS 1., 2., 3.) Beverly Foster questioned the Home Visiting Grant related to the new Health Choice (CHIPS) program in terms of reimbursement to the health department. Dr. Summers responded that as children were enrolled for Health Choice, and qualified for services, the Orange County Health Department would have a provider number from BCBS and be reimbursed for those services. The Intensive Home Visiting project is projecting some Medicaid revenue, and if some children were eligible for Health Choice, the Orange County Health Department would receive reimbursement for them as well. The issue for the Orange County Health Department is whether we have a provider number that we can bill under. The motion to accept the consent agenda items as listed was made by Janet Southerland, seconded by Ron Cammarata and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH AUGUST 27, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 2 august 27, 1998 C. ITEMS FOR DECISION – REGULAR AGENDA (ITEMS 1., 2.) A copy of the contract between UNC Hospitals and the Orange County Health Department was included. This contract is for professional services of a person to screen newborns at UNC Hospital to determine families that would be eligible for this program. This was part of the original grant proposal. Because the grant ends June 30, 1999 this is now a ten month contract instead of a full year. The motion to forward the contract between UNC Hospitals and Orange County Health Department to the Commissioners for the Home Visiting Grant was made by Beverly Foster, seconded by Mel Hurston and carried without dissent. Added agenda item is the Orange County Animal Control Division contract with SCS Direct Mail. This firm will print and mail the dog and cat rabies tax notices as well as print and mail the postcard to the unvaccinated 7,000 animals. This is the same firm that has contracted for the tax mailing right now in the County. This does represent a dollar savings and time savings to contract with SCS. After some discussion regarding the contract, the Board of Health agreed to approve. The motion to approve the contract between the Orange County Animal Control Division and SCS Direct Mail was made by Beverly Foster, seconded by Ron Cammarata and carried without dissent. III. DISCUSSION ITEMS A. PROPOSAL FOR COMMITTEE TO DEVELOP WTMP FULL PROGRAM A report was prepared in June regarding the WTMP Program to include gravity flow systems. While no action was taken by the Board of Health on that report, there was consensus to move ahead and develop this program. A proposed working committee membership list has been drafted and is presented in the packet. The committee will provide input to drafts prepared by staff. The plan as a whole will have three components. The first component will be an educational piece that needs to be done with the homeowners, real estate agents, and developers. The second component is the inspection program and the third component is the compliance program. This could be one of the model programs nationally, if it is fully developed. Homeowner incentives would be a big plus, using anything we can to make positive behaviors attractive to them. Margaret Brown suggested that John Link be invited to these meetings and when there is a Planning Department Head, to also ask that person to be involved. Rosemary will talk with Gene Bell about serving on this committee in the interim. Margaret Brown will inform the Board of County Commissioners about this committee and ask if a second commissioner would like to serve. The committee work will be completed prior to the Board of County Commissioners goal setting agenda in December so that it could be included. The motion to approve the strategy with additional committee members for the Committee to develop WTMP Full Program was made by Beverly Foster, seconded by Margaret Brown and carried without dissent. MINUTES ORANGE COUNTY BOARD OF HEALTH AUGUST 27, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 3 august 27, 1998 B. PROPOSAL TO PLANNING DEPARTMENT ON COORDINATED NEW DEVELOPMENT APPROVAL PROCESS The Commissioners asked in one of their recent meetings for more information on septic system approvals as a part of major sub divisions for the Commissioners approval. The August 14th memo from the Environmental Health Staff goes through the current steps. A suggested addition is adding details to the plat of each lot on what type system or systems could be used on that lot. If we know that a pump will be required, go ahead and stipulate that. This process should not add anything extra to the sub division process. What it will provide is more clarity for the Planning Staff as well as for the Environmental Health Staff. Included in the packet were examples of the formats currently used with the proposed additions. The Planning Department will see everything in the preliminary stage before the Commissioners. The Board of Commissioners will be the last to review. The Board of Health commented that the chart or table is much more helpful than the map. Margaret Brown requested that a definition of the systems be included in the information to the Board of County Commissioners. A question was asked regarding whether the State has the ability to override decisions made by this Board of Health regarding permitting. The Orange County Health Department functions under local rules and any appeals would come directly to this Board if permits were denied. Systems that the Orange County Health Department don’t have permitting authority on are those systems categorized as non-discharge permits, which basically are spray irrigation systems and also we do not have permitting authority for discharge systems. The Federal Rules will not let discharge systems be delegated below State level. There are provisions within the legislation that indicates the State could delegate permitting authority for spray irrigations to the County. The motion to approve the Proposal to Planning Department on Coordinated New Development Approval Process was made by Margaret Brown, seconded by Jonathan Klein and carried without dissent. C. RULES AMENDMENT PROCEDURES After discussing the rules amendment/rewrite procedure, it was decided the Board would like changes presented WITHOUT strikethroughs. IV. REPORTS FROM DIVISIONS A. WOMEN’S HEALTH PASSPORT This is the first edition of the Women’s Health Passport. This is part of the educational component for outreach that will be done for the Breast and Cervical Cancer Program. The risk factors for cancer are covered in this booklet as well as additional preventive health information. The chart in front of the book is designed for women to update annually and is designed to take with them to their physician. After the book was drafted there was a focus group that participated in the further development of this book. Please note that this book is a copyrighted document from the Orange County Health Department and we hope it will be made available on a low cost basis to private providers as well, to use with their patients. We are trying to expand recognition of our role in preventive health. Department of Health and Human Services staff of the BCCCP Program have seen the MINUTES ORANGE COUNTY BOARD OF HEALTH AUGUST 27, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 4 august 27, 1998 “Passport” and were very impressed. Depending on our experience they may encourage other counties to use this. This book will be available for private physician offices at some point. This project was largely the work of a UNC student. Tim Ives stated that during his tenure with the Board of Health, this was the first tangible hands on/high quality project and Margaret Brown agreed. The Board of Health congratulated the persons involved with this project for a job well done. IV. HEALTH DIRECTOR’S REPORT A. HEALTHY CAROLINIANS Included in the Board packet was the brochure for the Statewide Annual Healthy Carolinians meeting, October 12th and 13th in Greensboro. The Orange County Healthy Carolinians Steering Committee met last month and finalized the list of reappointments to the new council. Members that were present divided up the list and are in the process of contacting people to see if they are willing to serve on the revised council. This reconstructed/reconfigured council will get together in October for an initial luncheon. An Annual Meeting will be held in November where there will be an Orange County report on health / health status, an update on some of the assessment figures that were included in the original Healthy Carolinians, as well as having Committees and subcommittees report on their action plans for the year. The Health Choice Outreach subcommittee will be under the Needs of Children once it reaches a stable state. The fitness subcommittee is under Preventive Services. There will also be a subcommittee on substance abuse problems, but an even narrower focus will be on smoking control. B. DIRECTOR’S WORK PLAN The Director’s Work Plan was included as a part of the Board of Health packet. The plan was presented with six and twelve month objectives. The plan fits well with what is occurring in the Health Department now. The capital needs of dental health have not been a high priority and need to be addressed. During the current budget cycle, it became apparent how old their equipment is. If it were not for the UNC Dental School patching them together with their “cast offs”, the dental service would be severely compromised. A question was asked regarding how the Board will receive feedback in six months regarding achievement of objectives. It was agreed that short narratives on each objective with what has been accomplished and hasn’t been would be prepared. C. IMPORTANT DATES / UPCOMING EVENTS The La Fiesta del Pueblo is a kick-off event for Preventive Services and also for Needs of Children because they are focusing not only on the Hispanic/Latino population but are focusing on children as well. The Festifall 5k walk on October 4th is part of the Fitness subcommittee. This is a partnership effort as well and lots of agencies are involved. The Kiwanis are going to take this on as a long-term project. La Fiesta is September 12th and 13th and has grown into a huge event. Partnerships include Duke University, UNC Hospitals, Lincoln Health Center, Piedmont Health Center, Chapel Hill Pediatrics, School of Pharmacy, and several pharmaceutical companies are donating items. A statewide referral plan has been implemented to follow-up identified high-risk patients. Jerry MINUTES ORANGE COUNTY BOARD OF HEALTH AUGUST 27, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 5 august 27, 1998 Gregory has done an outstanding job in coordinating this. Octoberfest will be on October 3rd in Efland. This will be held at Efland Cheeks Elementary School, 12:00 Noon until 5:00pm. On Sunday, October 4th, the Festifall 5k Walk will be held. This has been a Healthy Carolinians cooperative effort. T-shirts were donated by a business, UNC is donating water bottles, the Kiwanis Club has been involved and has paid some of the initial registration fees. The Human Services Advisory Commission Forum on Managed Care at the Friday Center in Chapel Hill on September 16th. Board members are encouraged to attend. D. HEALTH CHOICE (CHIPS) The official title of the program is Health Choice. Included in the Board of Health packet is an overview of the final legislation. Marti Pryor-Cook and Rosemary Summers have been asked by the State to jointly put together a committee that will develop an outreach plan for the county. The target date for the program to start enrollment is October 1, 1998. Two weeks ago we received a draft application form from the State and they are still in the process of developing other materials. There have been two meetings of the committee. There was good attendance. They divided into three subcommittees, Marketing and Public Awareness, Training and Implementation, and Administration Subcommittee to focus on critical areas of the plan. The estimate from the State is that there are about 400-500 children who would qualify for Health Choice in this County and probably another 400-500 that would qualify for Medicaid that have not been brought into the system. This outreach plan is for both of those populations. E. DENTAL ARTICLE This article was published in the News and Observer the first part of August. Dr. Sandler shared this with us. Orange County was not listed as a major provider, yet the Orange County Health Department generated $116,338.00 of Medicaid revenues in 1997-98. This revenue figure is not far behind the Dental School’s Medicaid revenue. Dr. Southerland commented on the lack of private dentist participation in Medicaid, attributing it to the low level of reimbursement. VI. A motion was made by Janet Southerland and seconded by Rick Marinshaw to adjourn the meeting at 9:45 p.m. The next regular Board of Health meeting will be held on September 24, 1998 at the Government Service Center in Hillsborough, North Carolina. Respectfully submitted, Rosemary L. Summers, MPH, DrPH Health Director RLS:plb