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HomeMy WebLinkAboutBOH minutes 042518iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 1 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 March 28, 2018 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Susan Elmore – Chair, Timothy Smith – Chair, Johanna Birchmayer, Commissioner Mia Burroughs, Barbara Chavious, Paul Chelminski, Jennifer Deyo, Jessica Frega and Liska Lackey. BOARD OF HEALTH MEMBERS ABSENT: Bruce Baldwin and Sam Lasris. STAFF PRESENT: Quintana Stewart, Health Director; Coby Jansen Austin, Director of Programs and Policy; Erika Cervantes, Family Success Alliance (FSA) Navigator; Rebecca Crawford, Financial and Administrative Services Director; Katherine Huamani, Public Health Nurse I; Victoria Hudson, Interim Environmental Health Director; Donna King, Health Promotion & Education Services Director; Pam McCall, Personal Health Services Director; Kristin Prelipp, Communications Manager; Ashley Rawlinson, Healthy Carolinians Coordinator; Ana Salas, Dental Assistant; Beverly Scurry, Board of Health Strategic Plan Manager; La Toya Strange, Administrative Assistant II; and Phil Vilaro, Interim Environmental Health Director. GUESTS PRESENT: Keith Bagby and Jamezetta Bedford. I. Welcome New Employees Susan Elmore, Chair, called the meeting to order. Ms. Stewart welcomed new employee, Katherine Huamani. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the March 28, 2018 Agenda Motion was made by Jennifer Deyo to approve the agenda, seconded by Jessica Frega and carried without dissent. IV. Action Items (Consent) A. Minutes of February 28, 2018 Meeting Motion was made by Johanna Birckmayer to approve the minutes of February 2018 with edits, seconded by Paul Chelminski and carried without dissent. V. Educational Sessions A. El Centro Overview iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 2 Pilar Rocha-Goldberg, Executive Director of El Centro, gave a presentation on El Centro and its activities and programs. Below are some highlights.  History • Founded 26 years ago in 1992 in Durham when Latinos were only 1% of the population; the percentage is currently 13.5% • In 2000, amidst many robberies due to most Latinos keeping their money on them or in their home due to documents needed to open bank accounts, a partnership was created by El Centro Hispano (ECH), Self-Help Credit Union, State Employees Credit Union and the NC Minority Support Center that opened the 1st Latino Community Credit Union in NC. • April 2015, ECH opened the Center for Employment & Leadership in its branch in Carrboro-Chapel Hill.  Four Program Areas - El Centro has a holistic approach when it comes to helping our community members. • Education o Most adult clientele are 1st generation or have a 3rd grade education level. o Most children are 2nd generation, stay with relatives versus going to structured childcare; thus, they’re already behind when entering kindergarten. There are 4th graders that read on a 1st grade school level. o El Centro offers: preschool, tutoring for K-12, college preparation, work skills, ESOL, literacy in Spanish for adults, Spanish as a 2nd language, computer, citizenship and many other classes. • Economic Development o El Centro works with day laborers assisting them with gaining full employment; however, one barrier is that some really want to be day laborers. o El Centro helps them secure better jobs with better pay. o Financial literacy and worker protection and safety are also taught. • Health and Well-being o There are other races that come to El Centro for assistance as well as the homeless population. o There are 2 health promoters and connected with low-cost medical centers. o Health promotion and disease prevention, access to health care and direct support services are services that we provide to our clientele. o Other services include HIV prevention, domestic violence and legal clinic. El Centro partners with 19 attorneys that work pro-bono. • Community Engagement and Advocacy o El Centro hired an immigration attorney that works with our families. o El Centro provides advocacy and community leadership. o LGBTQ support groups, community outreach workers, Faith ID drives as well as no driver’s license clinics are some services offered. The BOH had questions that were addressed by Ms. Rocha-Goldberg. B. Cardinal Annual Update Ric Bruton, Senior Community Executive, Cardinal Innovations, presented on how county funds iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 3 are used to support Cardinal Innovations programming in Orange County (OC). Below are some highlights.  Local Maintenance of Effort (MOE) Funding • The counties will give monies to support programs. Cardinal Innovations has been working with the Assistant County Manager in relation to moving around funding which some programs aren’t in agreeance with. Historically, the programs had been receiving the same amount of funds every year. • OC contributes $1.3 million annually which is divided amongst 30 separate line items and over 12 entities. • Cardinal Innovations does not buy the services; they pay for it. This year, more ownership has been given to the county to determine where the funds (and how much) should go.  Programs that receive funding include Freedom House Recovery, UNC Department of Psychiatry, Arc of Orange County, Haven House and Carolina Outreach, LLC. Services that these programs provide include services to undocumented people, assisting DSS with placements and trauma focused therapy, crisis and language resource center interpreting.  Mr. Bruton presented graphs that displayed Medicaid and State data pertaining to the: • Number of members served by age and diagnosis • Members served and expenses by service category • Members served and expenses amounts – crisis services  Mr. Bruton also addressed the recent company issues and stated that, with the newly hired CEO, Cardinal Innovations hopes to show more transparency in the future. The BOH had questions that were addressed by Mr. Bruton. C. State of the County Health Review Ashley Rawlinson, Healthy Carolinians Coordinator, presented the 2017 State of the County Health Report (SOTCH). The SOTCH is a report that is produced every year in between the Community Health Assessment (CHA). Social Determinants of Health, Physical Activity & Nutrition and Mental Health & Substance Abuse are the three areas that are focused on in the report. Below are highlights from Ms. Rawlinson’s presentation.  Social Determinants of Health • Poverty o 12.8% of OC population lives in poverty with 6.2% of all families living below the poverty level. o 7.6% of children in OC live in poverty despite a county-wide median income of $66,423. • The 1st poverty simulation was hosted by the HCOC on February 9th. There were 92 participants that consisted of various people including service providers, OCHD staff and a BOH member. After participating in the simulation, participants expressed feelings and experiences that included frustration, desperation, lack of community resources and not being able to afford necessary services. One hundred percent had stated that they would like to see the simulation offered again. iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 4 • Try Transit Week was held October 23rd-28th. Transportation academies were held on at UNC Hospital and the Seymour Center on October 10th and October 13th, respectively. Each academy taught the basics of riding transit including how to connect to low-cost/no cost tranportation services and how to ride the buses.  Physical Activity & Nutrition • ½ of the OC community isn’t getting any exercise ; ¾ are not eating enough fruits and vegetables ; ½ are not at a healthy weight. • HCOC implemented a 6 month Eat Smart Move More campaign in which each month focused on a different message including topics such meal preparation and portion size.  Mental Health & Substance Abuse • During the month of September, the HCOC’s Mental Health & Substance Abuse committee brought awareness to suicide. Events included : o Suicide Prevention Kickoff - 40 guests attended and speakers included Dean Smith’s widow, Linnea, and poet, Jaki Shelton Green. o ‘’Be the Light’’ Suicide Prevention Awareness Walk which had 100 participants, a ½ mile walk to remember suicide victims and had counselors available. • Prescription Drug Misuse/Abuse o There was a slight decrease in dispensing of opioids. There were 4.9 million opioid pills dispensed in 2016. There are 42.1 opioid prescriptions per 100 residents. The drug overdose rate is 12.7 per 100,000 persons. o The OCHD ran radio commercials for 4 week between November 20th and December 16th through Radio One’s K97.5 with messaging about safe syringe exchange as well as naloxone. • Tobacco o State legislature allocated $500,000 to tobacco use prevention of which $37,500 of these funds will be used to support educational and prevention programming efforts. Ms. Rawlinson added that this report is desseminated to the NC DPH, BOH, BOCC, HCOC membership and OC government employees. Electronic versions are available online viathe HCOC and OCHD websites. Lastly, Ms. Rawlinson reiterated that per Benchmark 38, Activity 38.2, for accreditation purposes, the BOH minutes should reflect that the BOH members have received and reviewed the SOTCH report. The BOH had questions that were addressed by Ms. Rawlinson. D. FSA Update Coby Jansen Austin, Director of Programs and Policy, and Erika Cervantes, FSA Navigator, gave an update on the FSA’s activities. Below are some highlights.  FSA is a collective of various people and organizations that work together to ensure children in OC, whose families struggle to make ends meet, have the opportunity for a healthy, safe and productive life. It was modeled after Harlem’s Children Zone.  There are 2 neighborhood zones. • Zone 4 is in Hillsborough and Zone 6 is in Chapel Hill/Carrboro. iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 5 • Zone navigators act as a link between the families and the services they need. Zone 4 has 3 navigators and Zone 6 has 4 navigators. In total, the 7 navigators are currently assisting 120 families. They’re hired because they know how to navigate the system and perform intakes and assessments of the family they’re assisting which helps them to know the families’ needs.  “About the FSA” video was shown. Kristin Prelipp, Communications Manager, had posted the video on the website, via social media and press release. There’s also a Spanish version of the video. The FSA has also gained attention from various Spanish news outlets. The link to the video is https://youtu.be/fDMIcWkq_Qo  Kindergarten Readiness Camp • For FY 18-19, it is expected that the number of total students per cohort will be 90. About ½ of each cohort is recruited into the navigator program.  Housing Focus • The strategic plan priority is a flexible action plan that allows the FSA to prioritize housing needs. Those needs include Section 8 vouchers and locating landlords that accept the vouchers, lack of domestic violence shelters and dealing with the fear of retaliation that some tenants exhibit. • Addressing mobile home park infrastructure issues as well as working with the town of Chapel Hill regarding the displacement of mobile home tenants. • Partnering with the OC Affordable Housing Coalition to address housing concerns.  What’s Next • Continue with the baby boxes, bike ministry and libraries. • Continue to change the narrative around people who need our services. • The first meeting of the Parent Council was held in February and consisted of Burmese, Spanish and English-speaking parents. • Continue to look for additional funding by applying for grants, etc. • Looking for a consultant to assist with strategic planning and will most likely come back to the BOH for guidance. The BOH had questions that were addressed by Ms. Austin and Ms. Cervantes. VI. Reports and Discussion with Possible Action A. Select Topic for Annual Report/Work Plan for BOCC As the BOCC will review the Annual Work Plan reports from advisory boards and commissions at their April 26th work session, the BOH will need to select a topic from their 2017 Annual Report/Work Plan to present to the BOCC. After some discussion, the BOH determined having a fresh set of eyes to generally discuss a topic versus speaking from a problem solving stance on that topic would be best. It was recommended to have the health director, an outsider coming from another county, present to the BOCC. Motion to approve Annual Report/Work Plan for presentation to BOCC and to have Quintana Stewart choose the topic was made by Liska Lackey and seconded by Jessica Frega. iMINUTES-Final ORANGE COUNTY BOARD OF HEALTH March 28, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 6 B. Health Director Report Ms. Stewart recapped her director’s report. Commissioner Burroughs commended Ms. Stewart for her attendance to the BOCC meetings and informed her that it was appreciated. Ms. Stewart replied that it’s a great learning opportunity. In response to Ms. Frega’s request for a report on the upcoming Equity Summit in Chicago, Ms. Scurry stated that a report will take place at the May meeting. C. Media Items Kristin Prelipp, Communications Manager, briefly reviewed the article topics included in the Media Items packet. Media items were in the packet which focused on Orange County’s events and our involvement in various efforts. VIII. Board Comments Ms. Elmore thanked those that serving on the Fluoride committee. She also informed the BOH that she will not be attending the BOH meeting next month as she will be out of the country on business. IX. Adjournment Paul Chelminski moved to adjourn the meeting at 9:00pm and Johanna Birckmayer seconded. The next Board of Health Meeting will be held April 25, 2018 at 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