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HomeMy WebLinkAboutBOH minutes 052318MINUTES ORANGE COUNTY BOARD OF HEALTH May 23, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ May 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 May 23, 2018 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Susan Elmore – Chair, Timothy Smith –Vice- Chair, Bruce Baldwin, Johanna Birchmayer, Commissioner Mia Burroughs, Barbara Chavious Paul Chelminski, Jennifer Deyo, Jessica Frega, Liska Lackey and Sam Lasris. BOARD OF HEALTH MEMBERS ABSENT: None. STAFF PRESENT: Quintana Stewart, Health Director; Coby Jansen Austin, Director of Programs and Policy; Kristy Bassili, Public Health Nurse II; Steven Campbell, Information Technology Analyst; Rebecca Crawford, Financial and Administrative Services Director; Dr. Stephanie George, Dentist; Kathleen Goodhand, Home Visiting Services Supervisor; Donna King, Health Promotion & Education Services Director; Kristin Prelipp, Communications Manager; April Richard, Tobacco Prevention and Control Coordinator; Beverly Scurry, BOH Strategic Plan Manager; La Toya Strange, Administrative Assistant II; and Allison Young, Health Informatics Manager. GUESTS PRESENT: None I. Welcome New Employees Susan Elmore, Chair, called the meeting to order. Ms. Stewart welcomed new employee, Kristy Bassili. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the May 23, 2018 Agenda Motion was made by Sam Lasris to approve the agenda, seconded by Jessica Frega and carried without dissent. IV. Action Items (Consent) A. Minutes of April 25, 2018 Meeting Motion was made by Barbara Chavious to approve the minutes of April 2018 with edits, seconded by Jennifer Deyo and carried without dissent. V. Educational Sessions A. Orange County Schools – Child Nutrition Overview MINUTES ORANGE COUNTY BOARD OF HEALTH May 23, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ May Page 2 Valerie Green, Director of Orange County Schools (OCS) Child Nutrition Services informed the Board on the program. Below are highlights. • There are 13 schools with 12 child nutrition managers. Breakfast is taken to one school with those students walking over for lunch. • Approximately 1,700 breakfasts and 3,115 lunches are served daily. • Child Nutrition Services (CNS) must maintain a non-prof it food service and observe the limitation on food service revenues in 7 CFR 210.14(a). They are responsible for their own budget. The costs are $3.31 per meal, $2.09 per breakfast and $0.88 per snack. • CNS’s revenues must cover the cost of food and supplies, staff salaries and benefits, equipment and other departmental expenses. They also pay negative meal balances. • Their financial needs are met by cooperative purchasing, receiving grants, assessing menu costing with new products and controlling labor, equipment and food costs. • The OCS employs a trained chef, has Tryday Friday in which new foods are introduced and are looking to do an afterschool snack service that would distribute snacks around 4 or 5pm. There are also grab and go kiosks that allow students to grab breakfast and go to their classes versus going to the cafeteria. • CNS programs include the Universal Free Breakfast Program for prekindergarten through 5th grade and Summer Food Service Program which operates from June through August. • New ideas include introducing a concept of a later breakfast for high schoolers and offering both hot and cold items in breakfast programs. • CNS will continue to offer additional healthy lunch options for middle and high schools and continue to work with local government and agencies to procure local growers produce. • Community support is crucial. CNS currently engages with local restaurants and churches. The BOH had questions that were addressed by Ms. Green. B. Child Fatality Task Force Report Kathleen Goodhand, Home Visiting Services Supervisor, gave the highlights of the 2017 Child Fatality Prevention Team (CFPT) Annual Report. In 2017, the CFPT reviewed 11 child deaths and identified 2 system problems. The 2 system problems with cause of death (cod) identified were: • child with poorly controlled asthma playing sport (hypercarbic respiratory failure due to status asthmaticus) • possible undiagnosed mental health issues (homicide) The recommendations by the CFPT were: • more detailed sports physical form is created to identify poorly controlled asthma • require athletic trainer for all school sports • mental health first aid training for front line human services workers The BOH members had questions that were addressed by Ms. Goodhand. MINUTES ORANGE COUNTY BOARD OF HEALTH May 23, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ May Page 3 C. Racial Equity Commission Presentation/Equity Summit Video Steven Campbell and Beverly Scurry, Chair and Co-Chair, respectively, presented information on the newly created Racial Equity Commission (REC). Below is a summary of the presentation. • Formed in 2017, REC was established after staff members attended the Racial Equity Institute (REI) trainings held at various locations in Chapel Hill and Durham and the four OpenSource Leadership Strategies-led sessions held at the OCHD. It was a means of continuing racial equity work starting internally at the OCHD. The REC is comprised of members from all OCHD divisions. • The REC concept includes a diverse group of staff coming together to be a catalyst for racial equity at the OCHD to create an environment that allows coworkers to analyze workplace norms, structures, power dynamics and culture while operating from a lens that considers equity, diversity and inclusion. • To ensure the REC is viewed as an official health department entity, a charter was developed, signed and supported by Dorothy Cilenti and Quintana Stewart, the interim health director and current health director, respectively. The REC’s charter is comprised of a defined vision, mission, goals and membership requirements. • The Inclusionary Practices Policy was derived from the Diversity Policy. Awareness is raised by using language such as racial equity, health equity and cultural humility. Intentionality with language is created by ensuring that leadership and management is reflective of the diversity of the population, encouraging the use of caucusing and requiring completion of at least one training (e.g. REI, Groundwater, Latinx). Over half (57%) of the OCHD has undergone at least one training. • A small delegation of 26, comprised of OCHD staff, FSA navigators, Human Relations and Human Resources staff, attended the Equity Summit that occurred in Chicago. The delegation met for pre- and post-Summit convenings. There were 4200 people in attendance at the Equity Summit. Kristin Prelipp, Communications Manager, produced a powerful Equity Summit video which provided highlights of the conference. The video included clips and pictures that were submitted by delegation participants as well as showcased some of the speakers from the conference. It was received well by the BOH members. The BOH members had questions that were addressed by Mr. Campbell, Ms. Scurry and Ms. Prelipp. D. Dashboard Review Allison Young, Health Informatics Manager, presented the 2018 annual public health dashboards for OC. The topic areas of the six dashboards were: • Substance Abuse and Mental Health, • Chronic Disease and Obesity, • Social Determinants of Health: Poverty Mitigation and Access to Care, • Sexually Transmitted Infections, • Maternal and Infant Health, and • Injury and Violence. MINUTES ORANGE COUNTY BOARD OF HEALTH May 23, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ May Page 4 The dashboards are published yearly and posted on the website. Some of the highlights from the topics they presented on are as follows: • Drug and High School substance use decreased from 2015 to 2017 • Orange County saw more than 400 ED visits related to Medication/Drug poisoning in 2017. More than a quarter of these were related to opioids, heroin, or benzodiazepines (25.4%). • Orange County is ranked #1 (best) in the state when it comes to the number of Opioid prescriptions (.52) or pills prescribed per resident (34.5) in 2016, which represents an average. This puts Orange County on par with the lowest quartile state averages in the US in 2014 (.52‐.71). • While Orange County performs well compared to peers and NC when it comes to chronic disease, the county has vast health disparities, particularly regarding chronic diseases. Black (Non‐Hispanic) residents in Orange County die from avoidable chronic diseases such as Heart Disease and Stroke at more than two times the rate of their White (Non‐Hispanic) peers (77.1 vs 31.5 deaths per 100,000). • Orange County consistently falls short of the nation, state, and/or peers when it comes to Social Determinants of Health. In particular, affordable housing, food insecurity, and income inequality are key and pressing issues for our County. 14% of children in Orange County live in poverty, and 36% of students are eligible for free or reduced lunch. In addition, 1 in 5 residents are experiencing serious housing problems such as overcrowding or a need for repairs. Half of Orange County renters pay unaffordable rates for housing at 30% or more of their income. And of those facing food insecurity, 40% are ineligible for SNAP benefits. • The incidence of most STIs increased in 2016 for Orange County. Gonorrhea, Chlamydia and HIV Infection Rates in particular are higher for Orange County than our peers, and increasing at a significant rate. • Alcohol related vehicle indicators showed improvement from 2015 to 2016, which was identified as an area of concern on previous dashboards. Both alcohol related crash rates and reported drinking and driving behaviors among youth saw a decrease. However, texting and driving is rising among youth (21% in 2017, compared to 17% in 2015). • Orange County performs well on most indicators of Maternal and Infant Health, however many disparities exist for these indicators by race and ethnicity. In 2016, Orange County also saw an increase in the teen pregnancy rate and % of teen pregnancies that are repeat. The BOH members had questions that were addressed by Ms. Young. VI. Reports and Discussion with Possible Action A. Strategic Plan 2018-2020 Review Beverly Scurry, BOH Strategic Plan Manager, presented an overview of the updates and revisions that occurred as a result of the three subcommittee (Social Determinants of Health, Physical Activity & Nutrition and Substance Abuse & Mental Health) meetings. At those meetings, the subcommittees provided their recommended focus areas and action steps for inclusion in the 2018-2020 Board of Health Strategic Plan. The Board will vote on its approval at next month’s meeting. MINUTES ORANGE COUNTY BOARD OF HEALTH May 23, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ May Page 5 B. Health Director Report In addition to her report, Ms. Stewart provided highlights of the New Health Director Orientation she attended that fulfilled a requirement of her position. She also mentioned that the Family Success Alliance (FSA) was awarded a grant from the Kenan Charitable Trust in the amount of $300,000 ($100,000/year for the next 3 years). Lastly, Ms. Stewart stated that the Medicaid Cost Settlement payment for 2016 had been received. C. Media Items Kristin Prelipp, Communications Manager, briefly mentioned the article topics of the FSA, whooping cough and poverty simulation that Ashley Rawlinson brought to Person County that were 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. At 8:50pm, Paul Chelminski motioned to close the open session and Jennifer Deyo seconded. VII. Closed Session to Consult with Attorney Paul Chelminski motioned to go into closed session and Mia Burroughs seconded. VIII. Board Comments None. IX. Adjournment Sam Lasris moved to adjourn the meeting at 9:32pm and Bruce Baldwin seconded. The next Board of Health Meeting will be held June 27, 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