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HomeMy WebLinkAboutBOH minutes 030796 H:admin/ann/boh/3796mins.doc 1 MARCH 8, 1996 MINUTES ORANGE COUNTY BOARD OF HEALTH MARCH 7, 1996 THE ORANGE COUNTY BOARD OF HEALTH MET ON THURSDAY, MARCH 7, 1996, AT THE PLANNING/AGRICULTURAL/ENVIRONMENTAL HEALTH BUILDING, IN HILLSBOROUGH, NORTH CAROLINA. 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. BOARD OF HEALTH MEMBERS PRESENT: Timothy Ives, PharmD, MPH, Chair; Cleon Currie, At Large; Richard J. Marinshaw, PE, Beverly Foster, RN, PhD; Barry Lynn Adler, OD; Janet H. Southerland, DDS, MPH; Alice Gordon, PhD, Commissioner; Ronald J. Cammarata, DVM; Barbara Chavious, MPH, At Large BOARD OF HEALTH MEMBERS ABSENT: Jonathan E. Klein, M.D.; Brenda Crowder-Gaines, MSA. STAFF PRESENT: Daniel B. Reimer, Health Director; Jeanne Price, Administrative Officer; Angela Cooke, Dental Health Coordinator; Eileen Kugler, Personal Health Services Director; Ron Holdway, Environmental Health Director, John Sauls, Animal Control Director; Ann Hill, Administrative Assistant. VISITORS PRESENT: Amy Borg, Student at UNC-CH School of Public Health 1. CALL TO ORDER AND RECOGNITION OF GUESTS Tim Ives, Chair called the meeting to order at 7:30 and ask the Health Director, Dan Reimer to introduce the above staff and visitors who were present. 2. ADDITIONS OR CHANGES TO THE AGENDA Add Item 6.3 Human Services Reform Task Force. Dr. Beverly Foster requested that the Human Services Advisory Forum Report be put on the March 28th agenda. Dr. Janet Southerland motioned to accept the agenda as amended. The motion was seconded by Dr. Ronald Cammarata and passed unanimously. 3. PRESENTATION OF THE REQUESTED BUDGET, 1996-97 - Daniel B. Reimer, Health Director Mr. Reimer, presented the Health Department FY96-97 budget. The total requested budget to the general fund is $3,990,277. This represents an increase of only two tenths of a percent over the previous year. The budget was developed according to new guidelines which were outlined in a memorandum from the County Manager dated January 4, 1996, and in subsequent directives from the Budget Department. A major change in the budget is reflected in the consolidation of the Personal Health Services Division program budgets into one overall divisional budget. Each division was reviewed and their proposed changes. Following reviews, the board requested the development of supplemental proposals for the use of Medicaid revenue, particularly in the Personal Health section. The Board and the Health Director commended the division directors and staff for their creativity in translating key workload indicators into quantitative results which can be used to measure the impact of services. Beverly Foster motioned to approve the proposed budget and request the development of supplemental proposals for the use of Medicaid revenue. The motion was seconded by Barbara Chavious and passed unanimously. The budget will be forwarded to the Budget Department on March 15, 1996. 4. CLOSED SESSION TO CONSIDER A PERSONNEL MATTER Janet Southerland motioned to go into closed session pursuant to G.S. 153A-98 for discussion of a personnel issue. The motion was seconded by Alice Gordon and passed unanimously. At the conclusion of the closed session, a motion was made by Barbara Chavious and seconded by Ron Cammarata to close the executive session. The motion carried unanimously. H:admin/ann/boh/3796mins.doc 2 MARCH 8, 1996 In open session, moved to evaluate the performance of the Health Director at the effective level. It was seconded by and it passed by a five to four vote. 5. REVIEW OF THE MINUTES OF November 16 and December 14, 1995. Review of the minutes was postponed until the March 28, 1996, Board of Health meeting. 6. HEALTH DIRECTOR’S REPORT - DANIEL B. REIMER 6.1 Maternity Care Coordination Grant Mr. Reimer reviewed the history of the Maternity Care Coordination (MCC) program and the proposal to receive a grant to establish a permanent position. The Manager recommended this to the Board of Commissioners because the Department of Family Medicine has requested the Health Department’s assistance in accomplishing this service. The Board of Commissioners approved acceptance of the grant and establishment of the position at their meeting of March 6, 1996. Beverly Foster motioned to retroactively accept grant funding for the Maternity Care Coordination program and authorized the health department to enter into an agreement with the UNC Department of Family Medicine to provide MCC services to their prenatal clients for a trial period on one year which is contingent upon a review of the first year’s experience and that a permanent, time limited position be approved for a period of 12 months commencing with the date of hire which is projected to be on or about May 1, 1996. The motion was seconded by Ron Cammarata and was passed unanimously. 6.2 Realignment of Community Health Aide to Accounting Position Mr. Reimer informed the board that the Manager recommended that the department assess the functions of a recently vacated position of a Community Health Assistant and decide whether the department had a higher priority in the accounting area. After months of internal discussion and consultation with the school systems where the vacant position had been doing immunization reviews and other duties, the Director decided to made the request to realign the responsibilities of the vacant position, add hours making it a full time position and use the temporary funds allocated to the department to add to the lapse salary. The accounting technician position has been the number one priority for the last two years Mr. Reimer reported that the Commissioners did approve the realignment of a Community Health Aide to an Accounting position at their meeting of March 6, 1996, contingent upon board of health approval. The Health Department’s request to approve an increase in hours for a vacant Community Health Assistant position from one half-time to full time. This position will be reassigned to the Accounting Function in the Health Department. Beverly Foster motioned to retroactively accept the proposal to realign the Community Health Aide to an Accounting Position. The motion was seconded by Ron Cammarata and was passed unanimously. 7. BOARD MEMBER CONCERNS 7.1 Board of Health Retreat, March 28, 1996 The Board of Health next meeting will be a board retreat held at 5 P.M., at a location secured by the Health Director. Board members will be sent correspondence prior to that meeting. Mr. Reimer reminded members that Peg Carlson is needing surveys back by March 22, 1996, in preparation for the retreat. 7.2 Other The Commissioners have appointed a task force to study the possible effects of Federal Welfare Reform on local governments and make recommendations to the Board on the following issues: 1. Measurable county-wide outcomes in human services. 2. Human service priorities for the county and the acceptable minimum service levels (safety net) for children and families. 3. Current resources and the gaps in resources to support the safety net for children and families. The Board is expecting a report by the end of May. For anyone wishing to attend, the first session will be on March 8, 1996 at the Homestead Center from 10:30am - 12:30pm. H:admin/ann/boh/3796mins.doc 3 MARCH 8, 1996 8. Adjourn There being no further business, Barbara Chavious moved and Ron Cammarata seconded to adjourn the meeting. The motion carried unanimously. Respectfully submitted, Daniel B. Reimer Health Director