HomeMy WebLinkAboutBOH minutes 012418MINUTES
ORANGE COUNTY BOARD OF HEALTH
January 24, 2018
*Ms. Hobby was introduced prior to Ms. Stewart’s Health Director Report.
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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 January 24,2018, at the Orange
County Health Department, 300 West Tryon Street, Hillsborough, NC.
BOARD OF HEALTH MEMBERS PRESENT: Susan Elmore –Chair,Bruce Baldwin,
Commissioner Mia Burroughs,Paul Chelminski,Jennifer Deyo,Jessica Frega andLiska
Lackey.
BOARD OF HEALTH MEMBERS ABSENT:Timothy Smith–Co-Chair, Johanna Birchmayer
Barbara Chavious and Sam Lasris.
STAFF PRESENT: Quintana Stewart,Health Director;Kelsey Akins, Public Health Nurse I;
Coby Austin Jansen, Director of Programs and Policy; Susan Clifford, Immigrant and Refugee
Health Program Manager; Rebecca Crawford, Financial and Administrative Services Director;
Kathryn Hobby, Environmental Health Specialist; Victoria Hudson and Phil Vilaro, Interim
Environmental Health Directors;Carla Julian, Dental Clinic Practice Manager,HIPAA Privacy
and Security Officer; Donna King, Health Promotion & Education Services Director; Pam
McCall, Personal Health Services Director;Dr. Erica Pettigrew, Medical Director; Kristin Prelipp,
Communications Manager;Beverly Scurry, Board of Health Strategic Plan Manager;La Toya
Strange, Administrative Assistant II; Elizabeth Whetsell, Public Health Nurse I and Lisa Yourko,
Public Health Nursing Supervisor.
GUESTS PRESENT: Sara Pequeno and Alice Blake.
I. Welcome New Employees
Susan Elmore, Chair, called the meeting to order. Ms. Stewartwelcomed new employees,
Kelsey Akins, Kathryn Hobby* and Elizabeth Whetsell.
II. Public Comment for Items NOT on Printed Agenda: None.
III. Approval of the January24, 2018Agenda
Motion was made byJessica Fregatoapprove the agenda and carried without dissent.
IV. Action Items (Consent)
A.Minutes of November 29, 2017Meeting
Motion was made by Mia Burroughsto approve the minutes of November 2017, seconded
byLiska Lackeyand carried without dissent.
V. Educational Sessions
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A.Recycling
Muriel Williman, Education and Outreach Coordinator, Orange County Solid Waste, gave a
presentation on the process of recycling in the county. Some highlights included:
x There are 2 transfer stations (Waste Industriesand City of Durham) and 1 landfill (Sampson
County) in which garbage is taken.
x It takes 40,000 gallons of diesel yearly to move the garbage.
x According to an OC waste audit, over 56% of the recyclable materials is paper which is a
number that Solid Waste would like to see increased.
x At least 50% of what we throw away is food; therefore, it was recommended that we plan
meals and eat smart to decrease the amount of refuse.
x Plastic bags, foods, electrical cords and wire hangers are examples of some of the items
that should be excluded from recycling bins. These contaminators cost Triangle
communities over 1 million dollars last year.
x Solid Waste’s message is to increase recycling’s value and decrease environmental costs.
x There are 7 resin identification codes on the bottom of containers. They indicate the type of
plastic that an item is made from. These numbers are intended to help consumers know
whether and how to recycle various plastic items.
x Corrugated cardboard and shredded paper must be separated. Shredded paper should be
bagged.
The BOH had questions that were addressed by Ms. Williman.
B.Immigration Updates
Susan Clifford, Immigrant and Refugee Health Program Manager, provided updates on
immigration and the OCHD’s Immigration and Refugee Health (IRH) program. Below are some
highlights.
x Overview of the IRH
Provides coordination of OCHD language services and policies.
Has 3 staff medical interpreter/translators and 18 contractors.
Provides telephonic (accessibility to 100s of languages) and video interpretation(via
IPads with accessibility to 20 different languages).
x Changesin Federal Administration policies
Termination of Deferred Action for Childhood Arrivals (DACA) and Deferred Action for
Parents of Americans aka Deferred Action for Parental Accountability (DAPA).
Refugee resettlement agencies are laying off employees and some employees are
personally affected by the legislation.
End of temporary protected status.
x Fear/Impact on Health Care
The focus isn’t solely on criminals but on anyone present regardless of their activities.
Local law enforcement are acting as I.C.E. officers and are able to immediately process
persons for deportation.
There is hesitation regarding applying for healthcare and reluctance in seeking out other
services needed.
x Interdivisional taskforce
Taskforce consists of Dr. Erica Pettigrew, Iulia Vann, Juliet Sheridan, Anne Marie Tosco,
Carla Julian and Susan Clifford.
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Forms were reviewed to determine the necessary information needed on the forms and
by marking items that are not required “optional”.
“Know Your Rights” cards which inform people of their rights as well as guidance for staff
when dealing with law enforcement when they come to the clinics are examples of some
of the informative documents that the taskforcehas helped to develop.
x Moving Forward
Continue to identify more collaboration opportunities.
UNC/Town of Chapel Hill are working together in an initiative to address the needs of
foreign-born and refugee communities in town.
Looking for funding for trauma-informed interpreter training.
The BOH had questions that were addressed by Ms. Clifford.
C.Workplace Safety
Carla Julian, Dental Clinic Practice Manager, HIPAA Privacy and Security Officer, presented on
the activities of the health department’s Workplace Safety Program.Below is a summary of her
presentation.
x Orange County New Employee Orientation (NEO)
Topics covered include workplace harassment prevention and violence prevention.
There is also an initial orientation and basic safety checklist included in the county’s risk
manager’s presentation.
x OCHD NEO and Annual Training
Topics include workplace violence prevention, incident reporting, respiratory protection
plan training, bloodborne pathogens and personal protective equipment for staff with
exposure risk and fire plan.
x Emergency Action Plan (EAP)
All departments are required to complete an EAP. The EAP details the recommended
actions employees are to take in response to emergency situations such as evacuations,
shelter-in-place, workplace violence/active assailant, weather emergencies, etc.
x Activities in 2017
Panic buttons were installed in the medical and dental clinics in February.
Active assailant training taught by the Sheriff’s department’s Troy Comar was held at the
SHSC in March.
Classroom de-escalationtraining was held for the Personal Health Services division in
June.
Active assailant tabletop for the Personal Health Services division was held with Troy
Comar in August.
EAP training was conducted by Orange County in September.
x What’s Next
Minimum of quarterly Safety Committee meetings.
Quarterly workplace safety assessments.
Address and look for trends in accident incident reports.
Encourage participation in county-offered active assailant and EAP training.
D.andE. 2nd Quarter Billing Dashboard and Financial Reports
Rebecca Crawford, Financial and Administrative Services Director, gave a report on the 2nd
quarter revenue and billing accuracy. Her report is as follows:
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x Total Health Department Revenue: Average YTD monthly revenue in FY18 after the second
quarteris $211/month and totals $1.3M YTD, representing 39.7% of our overall budgeted
revenue for the year. The total second quarter revenue is slightly skewed down due to the
majority of state funds not eligible to be drawn in July (this is typical) but we are trending
higher than we were at this time last fiscal year ($1.2M). Expenses are higher than revenues
at 44.3% of the total, overall budget.
x Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14-15, the
average billing accuracy rate for medical after the second quarter is 91% as compared to
95% in FY 16-17 and the average rate for dental for second quarter FY 17-18 is 103% as
compared to 104% in FY 16-17. Dental billing accuracy data for December is unavailable
while we are going through a system upgrade.
x Dental Earned Revenue by Source: The FY 17-18 average monthly revenue ($38.1/month)
for the second quarter is below our budget projection ($43.4k/month) and our FY 16-17
average of $39.8k/month. FY 17-18 dental earned revenue totaled $234k at the end of the
second quarter.
x Medical Earned Revenue by Source: Medical earned revenue is currently below the
budgeted projection for FY 17-18 ($57.1k/month) at $54.1k/month since we had a provider
on maternity leave until the end of December. Medical clinic revenue totals $325k for
second quarter FY 17-18.
Ms. Crawford added that the FY 18-19 budget presentation will take next month’s meeting.
VI. Reports and Disccussion with Possible Action
A.Health DirectorReport
In addition to the report, Ms. Stewart deferred to Donna King who briefly gave an explanation as
to what the Poverty Simulation entails and that it is in the process of being rescheduled. Ms.
Stewart stated that La Toya Strange will notify the Board once a rescheduled date has been
confirmed with Ashley Rawlingson, the Healthy Carolinians Coordinator. Ms. Stewart also have
a brief update on the whooping cough cases. It is also believed that the vaccine’s immunity has
weaned over time which is notuncommon. Pam McCall added that it is recommended that
pregnant women receive a Tdap with every pregnancy. Lastly, Coby Austin Jansen informed
the Board that an invitation to apply for the Keenan Charitable Trust was extended.
B.Media Items
In addition to a brief review of the types of articles included in the packet, Ms. Prelipp informed
the Board that she will send them notification of any television interviews so that they are aware
prior to the community.
Media items were in the packet which focusedon Orange County’s events and our
involvement in various efforts.
VII. Board Comments.
None.
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XI. Adjournment
Jessica Fregamoved to adjourn the meeting at 8:27pm and Mia Burroughsseconded.
The next Boardof Health Meeting will be heldFebruary 28,2018at the Orange County
Health Department, 300 West Tryon Street, Hillsborough, NC at 7:00 p.m.
Respectfully submitted,
Quintana Stewart,MPA
Orange County Health Director
Secretary to the Board