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HomeMy WebLinkAboutBOH minutes 052396S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 1 MAY 23, 1996 MINUTES ORANGE COUNTY BOARD OF HEALTH MAY 23, 1996 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, MAY 23, 1996, AT THE NORTHERN RECREATION CENTER, IN CEDAR GROVE, NORTH CAROLINA. BOARD OF HEALTH MEMBERS PRESENT: Tim Ives, PharmD, MPH, Chair; Brenda Crowder-Gaines, MSA, Vice-Chair; Richard J. Marinshaw, PE; Beverly Foster, RN, PhD; Jonathan E. Klein, M.D.; Ronald J. Cammarata, DVM; Barry Lynn Adler, OD; Cleon Currie, BS, At Large. BOARD OF HEALTH MEMBERS ABSENT: Alice Gordon, PhD, Commissioner; Barbara Chavious, MPH, At Large, Janet H. Southerland, DDS, MPH. STAFF PRESENT: Daniel B. Reimer, MPH, Health Director; Ron Holdway, BA, RS, Environmental Health Director; Leigh McFalls, PHN Supervisor, Linnea Larson, Nutritionist; Ann Hill, Administrative Assistant. VISITORS PRESENT: Paul and Patti Tripodi; Benny McFalls. 1. CALL TO ORDER AND RECOGNITION OF GUESTS Dr. Ives, Chair called the meeting to order at 7:30 and asked Health Director, Mr. Reimer to introduce the above staff and visitors who were present. 2. ADDITIONS OR CHANGES TO THE AGENDA Dr. Foster requested to add a Human Services Advisory Commission update to the agenda. A motion was made by Dr. Foster to accept the agenda as amended. The motion was seconded by Dr. Cammarata and passed unanimously. 3. REVIEW OF THE MINUTES Item 4.1, 2nd sentence, change effecting to affecting. Item 7, capitalize Board in all goals. Item 6, delete second usage of academic institution. A motion was made by Dr. Klein to accept the minutes as amended. The motion was seconded by Dr. Cammarata and passed unanimously. 4. ENVIRONMENTAL HEALTH APPEAL - Rick Marinshaw 4.1 Appeal of Paul and Patti Tripodi Mr. Marinshaw informed the Board that a finding of fact for an appeal hearing for Mr. and Mrs. Tripodi was held on April 24, 1996, with Board members Mr. Marinshaw and Ms. Crowder-Gaines present. Mr. Marinshaw summarized the two main issues of the appeal. The first issue pertains to the use of chemical toilets at the Tripodi’s current business site. The business is currently classified as a food stand. Food is prepared on site and taken elsewhere for serving. What the Tripodi’s now want to do is serve people on site for special scheduled events. The first issue is whether or not they can use chemical toilets to do that. The Tripodi’s permit request to hold events at their place of residence and site of their kitchen had been previously denied based on the following reasons: The local wastewater rules prohibit the use of chemical toilets (Port-a-jons) at any permitted food handling establishment in Orange County; and the septic system currently serving the catering kitchen is not adequately sized for the design waste flow for the proposed usage. The Tripodi’s appealed that decision and are seeking another recommendation from the Board. Mr. and Mrs. Tripodi explained their home catering business and how their operation worked with the current water and sewage system. S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 2 MAY 23, 1996 Following questions and discussion, the Board recommended the following: A motion was made by Dr. Klein to approve chemical toilets with the provision of hot and cold water for hand washing adequate for 100 people with handicap accessibility. The motion was seconded by Ms. Crowder-Gaines and passed unanimously. A motion was made by Dr. Foster to give the Tripodi’s three options acceptable for the septic system. The Tripodi’s can negotiate with Mr. Holdway which option they choose. The options are: 1. Negotiate with Mr. Holdway to install a water meter and monitor the flow rate of water consumption with spot checks by the department to verify that they are not exceeding the limit or; 2. Expand the system or; 3. They can decide, based on Mr. Holdway’s calculation to have a fewer number of maximum participants at events to not exceed the recommended water usage. The motion was seconded by Dr. Klein and passed unanimously. The Board would like a report on next month’s agenda regarding the final decision of the Tripodi’s. 5. DENTAL HEALTH SERVICES 5.1 Increase in Dental Fees Mr. Reimer informed the Board that the last review and increase in dental fees was July 1, 1993. He reviewed a spreadsheet of dental fees that included the following: OCHD current and proposed dental fees; The American Dental Association 1993 Survey of Dental Fees; UNC School of Dentistry current fees for dental services; Medicaid current fees for dental services and Dental fees from three private dental practitioners. The scale shows a steady increase in fees over the past few years. Dr. Klein recommended that no charge be under what Medicaid pays. The staff will investigate the charge for Biopsy Oral Tissue. A motion was made by Ms. Crowder-Gaines to approve the proposed increase in dental fees with a check on the charge for Biopsy Oral Tissue fee and to forward the increase in fees to the Board of Commissioners for approval. The motion was seconded by Dr. Klein and passed unanimously. 6. RABIES CONTROL REPORT Due to the lateness of time, attachments to this item were handed out and Board members were asked to call John Sauls, Animal Control Director, if they had further questions. Handouts included: Letters to Physicians; Letters to Veterinarians; Division Standard Operating Procedures for Response to Rabies Exposure; and a plan to notify Health and County Officials and Media. 7. PERSONAL HEALTH SERVICES REPORT - Linnea Larson 7.1 Nutrition and Worksite Wellness Grant Proposals Ms. Larson informed the Board that the Nutrition Branch and Cancer Control Program of the Division of Health Promotion, Department of Environment, Health and Natural Resources is offering funding, on a competitive basis, for up to 10 mini-grants for Community Nutrition Promotion Projects. The focus of these projects is to foster changes in organizations, worksites, and/or the community at large that support healthy nutritional choices and behaviors to prevent cancer. The maximum funding is $25,000 for any one health department. Funding above this amount will be considered for proposals that demonstrate collaboration between health departments. The funding period is July 1, 1996 through June 30, 1997, and renewal may be available for the following fiscal year. Preliminary plans include possibly collaborating with the Chatham County Health Department, the Durham/Chapel Hill Dietetic Association and the area Nutrition Coalition which consists of representatives of the Cooperative Extension Services of Orange and Chatham counties, the Chatham County Health Department, both school systems, the Department on Aging, UNC Hospitals and Piedmont Health Services on a community outreach project. The Board would like county and city employees added to the list. A motion was made by Mr. Currie to authorize the Orange County Health Department, Personal Health Services Division to submit a proposal for a Community Nutrition Promotion Project Mini-Grant. The motion was seconded by Dr. Cammarata and was passed unanimously. 8. HEALTH DIRECTOR’S REPORT - Daniel B. Reimer 8.1 Budget Update. S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 3 MAY 23, 1996 Mr. Reimer informed the Board that a meeting had been held with the Manager and his budget team, the Health Director, the Personal Health Services Director, and the Administrative Officer regarding Health Department position requests. The Manager indicated that he would support the Community-Based Public Health Initiative and the realignment of the vacant FNP I position to the PHN position. He could justify supporting these because they are a part of the existing list of positions in the Health Department. However, he would not recommend adding the administrative support position in the Child Service Coordination program in part because the position request came so late in the budgeting process and no other departments are requesting new positions. The Manager stated that he could put his recommendation in writing. Following discussion, the Board instructed the Health Director to get the letter that the Manager said he would send explaining his reason for not adding the Child Service Coordination position and draft another letter, with the assistance of Eileen Kugler, voicing the need for the position; set up a meeting with the Manager to review the request for the CSC position. This meeting needs to be scheduled prior to the release of the budget and the public hearings in June. The meeting will consist of the Board Chair, Vice-Chair, and Board members of the Personal Health Service Committee, along with staff. 8.2 Health Director’s Work Plan The Health Director provided the Board with a final, revised version of his workplan for the period April - November 1996. On May 2, 1996, the Director reviewed this plan with the Division Directors who endorsed the strategies within the major objectives. The timetable seemed reasonable except for the timetable under objective #8 regarding Outcome Orientation. The Directors suggested that many people will be on vacation during July and August which may make the September and October deadline not feasible. The Director recommended moving the dates forward two months each. Item 8.2 - September; Item 8.3 - October; Item 8.4 - November. A motion was made by Dr. Klein to approve the Health Director’s Work Plan Objectives for April - November 1996, with the proposed date changes. The motion was seconded by Ms. Crowder-Gaines and was passed unanimously. 8.3 Health Director’s Updates Mr. Reimer gave a brief, verbal report of monthly activities undertaken by the Health Director and other significant information. This item will become a regular item on the agenda beginning in June. 9. BOARD OF HEALTH GOALS - Dr. Peg Carlson Dr. Carlson reviewed the prioritized Board of Health Goals as the Board members ranked them. Board members made suggestions and voiced concerns regarding the goals and the process by which to continue. Board members decided to work on the implementation of the final goals in smaller sub-committees. A Coordinator was selected for each goal group. The sub-committees will meet to identify tasks to be done and assign responsibilities. Goals #1, 6, 9 Executive Committee, Dr. Adler, Mr. Marinshaw (Dr. Ives - Coordinator) Goals #2, 4 Dr. Foster, Dr. Klein, Dr. Cammarata (Dr. Foster - Coordinator) Goals #7, 8 Mr. Currie, Ms. Chavious ? , Ms. Crowder-Gaines , Mr. Marinshaw (Mr. Currie - Coordinator) Ms. Chavious and Dr. Southerland will need to be contacted to see what goal group they are interested in working on. The committees will report back at the next Board meeting on progress and time lines, etc. Dr. Carlson will work with the Executive Committee in the final development of Goal #1. Members reviewed next steps, voiced concerns regarding things that have been done well and things they feel need improving. The Chair and Vice-Chair will work on the timing of the agenda for future meetings. The Board would like for a letter of thanks to be sent to Dr. Carlson for her outstanding work with the Board. 10. BOARD MEMBER REFLECTIONS 10.1 HSAC Update S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 4 MAY 23, 1996 Dr. Foster presented an update from the Human Services Advisory Commission. She informed the Board that the Commissioners had re-appointed her as representative beyond the usual term of service. The HSAC will be looking at resources to bring Boards together to look at becoming more outcome based. Several non-profit Board members met with HSAC and are very interested in the project. HSAC will be looking at developing several partnerships and would like to hold several board retreats that look at outcomes, how to write them, how to measure them, how to develop programs around outcomes. The initial focus will be on the largest funders from the non- departmental funding budget that the county supports, and then other groups. 10.2 Board Member Concerns Dr. Cammarata would like for the letters that Animal Control will be sending out to include reminders for people to re-vaccinate after animal bites to other animals and to get regular rabies booster shots. Mr. Currie voiced his concerns regarding recent rubella outbreaks. The Health Director informed him of a possible case in a Orange County elementary school. Letters were sent home to parents of religious exemption children asking them to take their children home from school until they are immunized, have proof of immunity, or 21 days have past after the last case has been identified. Mr. Currie and Dr. Klein would also like to see articles run in the area papers regarding Rocky Mountain Spotted Fever. The Health Director updated Board members on morale issues. The Director and Division Directors have met and decided to create an employee committee where volunteers from each division will work together on different issues that are important to employees in general. Dr. Ives reviewed a letter from Wayne Sherman, Chatham County Health Director, thanking the Health Department for their help during the rubella outbreak in Chatham County. Dr. Foster requested letters of concern and support be written and sent to city and county officials regarding fire safety in college dorms. 11. Adjourn There being no further business, a motion was made at 10:30 p.m. by Ms. Crowder-Gaines and seconded by Dr. Foster to adjourn the meeting. The motion carried unanimously. The next regular meeting will be held on June 27, 1996 at 7:30 p.m. at the OWASA Community Meeting room at 400 Jones Ferry Road in Carrboro, North Carolina. Respectfully submitted, Daniel B. Reimer, MPH Health Director S:\MANAGERS WORKING FILES\BOH\MINUTES\1990s Minutes\Minutes 1996\596MIN.DOC 5 MAY 23, 1996 The following are changes that were made to the May 23rd 1996 minutes. Item 2. Change the an to a. Item 4. First sentence, change an appeal hearing, to a finding of fact for an appeal. Item 4, Last sentence before motion, insert a comma after discussion. Item 8, Second to the last sentence, insert the word scheduled before the words to be.