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HomeMy WebLinkAboutBOH minutes 082819MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August 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 August 28, 2019 at the Orange County Health Department, 300 West Tryon Street, Hillsborough, NC. BOARD OF HEALTH MEMBERS PRESENT: Timothy Smith, Chair, Jessica Frega, Vice- Chair, Keith Bagby, Bruce Baldwin, Jennifer Deyo, Aparna Jonnal, Sam Lasris and Alison Stuebe. BOARD OF HEALTH MEMBERS ABSENT: Commissioner Earl McKee and Liska Lackey STAFF PRESENT: Quintana Stewart, Health Director; Janis Barney, Certified Medical Assistant; Antonia Cortes Sanchez, Family Navigator; Erika Cervantes Munoz, Family Navigator; LaKaya Craig, Family Navigator; Rebecca Crawford, Financial and Administrative Services Director; Jena Dolby, Family Navigator; Victoria Hudson, Environmental Health Director; Pam McCall, Public Health Nursing Director; Rhonda Morales, Family Navigator; Ling Oy, Family Navigator; Kristin Prelipp, Communications Manager; Maria Pahuamba, Public Health Nurse I; Thomas Privott, Soil Scientist; Beverly Scurry, BOH Strategic Plan Manager; La Toya Strange, Administrative Support I; Debra Wright, Public Health Nurse I and Claudia Yerena. GUESTS PRESENT: None. I. Welcome New Employees Timothy Smith, Chair, called the meeting to order at 7pm. Quintana Stewart, Health Director, introduced the new employees in attendance: Janis Barney, Antonia Cortes Sanchez, Erika Cervantes Munoz, LaKaya Craig, Jena Dolby, Rhonda Morales, Ling Oy, Maria Pahuamba, Thomas Privott, Debra Wright and Claudia Yerena. Next, Mr. Smith welcomed the new BOH members, Aparna Jonnal and Alison Stuebe. The BOH members introduced themselves including their appointed Board position and current employment. II. Public Comment for Items NOT on Printed Agenda: None. III. Approval of the August 28, 2019 Agenda Motion was made by Bruce Baldwin to approve the agenda, seconded by Keith Bagby and carried without dissent. IV. Action Items (Consent) A. Minutes of June 26, 2019 Meeting Motion was made by Jennifer Deyo to approve the minutes of June 2019, seconded by Keith Bagby and carried without dissent. MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August Page 2 V. Educational Sessions A. Orange County Schools (OCS) Equity Update Dr. Dena Keeling, OCS’s first Chief Equity Officer, Sherita Cobb, Student Support Services Director, presented an update on OCS’s progress of creating an equitable school system. Below are highlights. • During year one, the focus was on identifying disparities, inequities and barriers and developing, implementing, and monitoring strategies to address them. • Students Organized for Anti-Racism (SOAR) is being used, beginning with high schoolers, to empower students to address issues of race. • There is an Equity Task Force Team includes community leaders, parents, and school system staff to advise the school system on equity-related issues, concerns, and initiatives. • There will be a new Code of Conduct launched in January 2020. The goals are to: o Create a blueprint for promoting good conduct, good citizenship, and good character for every student in the district. o Implement a district-wide approach to discipline and student support that is restorative, accountable, and equitable for students, families, and staff. o Amend current disciplinary policies and practices in order to reduce over use and disproportionate use of referrals and suspensions that adversely impact students of color and students with disabilities. o Ensure equitable treatment of every student, recognizing the uniqueness and strengths of each student and allowing for differences in time, attention, instruction, and support so that every student can succeed academically and participate responsibly in our shared community. o Implement consistent consequences, interventions, and classroom disciplinary practices across schools. o Support students’ development of social and emotional competencies linked to readiness to learn, academic engagement, and college, career, and life success. • There’s a focus on equitable treatment in the classroom that focuses on adult behavior. Before a student is suspended, let’s figure out what’s causing the behavior so that they can be successful and to show the student to know that they’re supported. • There was discussion regarding being aware that factors outside of school such as home life and food insecurity affects what occurs in the schools. B. 4th Quarter Financial and Billing Dashboard Rebecca Crawford, Financial & Administrative Services Director, gave a report on the 4th quarter revenue and billing accuracy. The report is as follows: • Total Health Department Revenue vs Actuals: Average YTD monthly revenue in FY19 after the fourth quarter was $275K/month or $3.3 million for the entire fiscal year, representing 91.7% of our overall budgeted revenue for the year. This was a decrease of $161k from FY 17-18. Expenses were higher than revenues at 93% of the total overall budget but lower than the percentage of total budget expenditures from FY 17- 18, which reflects department-wide efforts to decrease expenditures in anticipation of lower revenue. The total overall expenditures were $10.2 million compared to year end FY 17-18, which were $9.7 million. MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August Page 3 • Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14- 15, the average billing accuracy rate for dental for FY 18-19 was 90% as compared to 101% in FY 17-18. Please note the change in billing accuracy from FY 17-18 to FY 18- 19 is because of the change in calculations to connect payments made back to the date of service (accrual basis of accounting) rather than the date of payment (cash basis of accounting) to help staff track true billing accuracy and compare to the medical billing accuracy measures. The medical billing accuracy measure continues to be a challenge as we work with UNC to improve the accuracy of the reporting system for Health Department revenue and is not included in this quarter’s dashboard. • Dental Earned Revenue by Source: The FY 18-19 average monthly revenue ($46K/month) for the fourth quarter was above our budget projection ($45k/month) and above our FY 17-18 average of $42.5k/month. FY 18-19 dental earned revenue totaled $552k at the end of the fiscal year, compared to $511k at the end of FY 17-18. • Medical Earned Revenue by Source: Medical earned revenue for the fiscal year was below the budgeted projection for FY 18-19 ($55.6k) at $40.6k due to weather related county office closings, extended appointment times, and system billing delays with the Epic Electronic Medical Records system. FY 18-19 medical earned revenue totaled $487k at the end of the fiscal year, compared to $618k at the end of FY 17-18. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue for the fiscal year was below the budgeted projection for FY 18-19 ($53.1k/month) at $49.5k/month) due to weather related county office closings this past fall and wet weather this past spring, which resulted in an inability to perform as many onsite well and septic inspections. Environmental Health earned revenue totaled $594k for FY 18-19, compared to $616k at the end of FY 17-18. • Grants Fund Revenue: FSA has drawn $200k of the multi-year Kenan grant. We will receive the third allocation of $100k after third quarter FY 19-20. Expenditures totaled $61.5k at the end of FY 18-19. The BOH members had no questions. VI. Action Items (Non-Consent) A. Child Fatality Prevention Team (CFPT) – Health Care Rep Appointment Pam McCall, Personal Health Services Director, gave a brief background on recommended local health care provider appointee, Holly Warner, as her CV was included in the Board’s packet. Ms. McCall included some of Ms. Warner’s achievements and current activities. Motion was made by Alison Stuebe to approve the request to appoint Holly Warner to the health care provider position on the Orange County Child Fatality Prevention Team, seconded by Sam Lasris and carried without dissent. B. BOH Policy Review Beverly Scurry, BOH Strategic Manager, led the discussion of the annual review of the BOH MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August Page 4 Policies and Procedures. Suggestions made included: • Adding diversity into the policy • Consolidating policies • Adding language regarding removal from the Board • Adding language regarding compensation • Adding language regarding special meetings and closed sessions Ms. Scurry will send out a draft copy of the policies without the tracked changes for the Board to review. The Board will vote at the next meeting. Quintana Stewart thanked the Board for their work in reviewing the policies. She expressed that it’s easier to have comprehensive policies as they are to be reviewed annually. C. BOH Subcommittees Beverly Scurry, BOH Strategic Manager, presented the 3 subcommittees [Substance Abuse and Mental Health (SAMH), Social Determinants of Health (SDOH), and Physical Activity and Nutrition (PAN)] that associate with the Community Health Assessment Priority areas. Subcommittees are limited to no more than 5 BOH members. The Board was asked to consider which subcommittees they’d like to serve on. This discussion will be revisited annually according to policy. Timothy Smith removed himself from the PAN. Alison Stuebe joined the SAMH; Aparna Jonnal joined the PAN. The North Carolina Association of Boards of Health (NCABH) is in need of a representative. It was requested that the remaining Board members notify Ms. Scurry of any change they wish to make regarding their subcommittee membership. She will also reach out to those Board members not in attendance. VII. Reports and Discussion with Possible Action A. Fluoride Update BOH member, Jessica Frega, gave a brief update on the fluoridation panel process. There are four experts – a toxicology expert, medical expert and 2 dental experts. All except one dental expert (who volunteered their time) have submitted their W-9s as they will be receiving an honorarium payment. Todd McGee, Orange County Community Relations Director, was consulted as an expert asked if they could use the raw survey data. Permission was given as there’s no identifying information included in the data. There were 164 online surveys which resulted in 71% supporting fluoridation and 29% in opposition. There were 7 hard copy surveys which resulted in 5 in favor of fluoridation, 1 not in favor and 1 that circled that they were both in favor and in opposition. Going into September, the public comments will be reviewed and themes will be created. In November, the experts will write a response to the themes. Quintana Stewart added that there will be a compilation of the experts’ opinions which will be sent to OWASA. OWASA will then make their final decision. B. NALBOH Annual Conference BOH member, Jessica Frega, attended the NALBOH 2019 Annual Conference that was held in Denver, CO on August 14-16, 2019. Below are some highlights of the conference. • There was discussion on parliamentary procedures and making sure that they’re MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August Page 5 followed to ensure that voted items remain irrevocable. • The keynote speakers’ presentations focused on health equity, educational and geographical equity and how it affects life, health, and income. • There was a great presentation on Tobacco 21, a national campaign aimed at raising the minimum legal age for tobacco and nicotine sales in the United States to 21. While the law does not make it illegal for youth under 21 to buy tobacco, it does make it illegal to sell to youth under 21. The responsibility is placed on the business. It’s been very effective as a consequence of violation to the business is that their license can be evoked. • Other topics discussed included legislative preemption. Ms. Frega strongly recommended BOH members attending the annual NALBOH conference. C. Health Director Report In addition to her report, Ms. Stewart mentioned the following: • She’s serving on the Complete Count Committee which is charged with developing a 2020 Census Awareness Campaign to encourage residents to respond. She mentioned that there has been a lot of fear regarding the proposed citizenship question. Ms. Stewart stated that the Census is also important as it affects our dollars for infrastructure not just for legal citizens but the entire county. As a health department representative, she’ll serve on the subcommitte that will focus on hard-to-reach populations. She alerted the Board to anticipate a future ask regarding this task. • She continues to work with the Campus & Community Coalition (CCC). The Coalition Leadership recently submitted a letter to UNC Leadership to express support for gradual implementation of changes to HB381, which allows alcohol sales in athletic facilities on game days, so that they can study its effects in our community and to keep the dialogue open between UNC and the CCC. • She thanked Victoria Hudson and Kristin Prelipp for their participation when the OCHD hosted International Delegation from Egypt to discuss Human Trafficking and the role of a local health department in NC. The delegation included 8 emerging leaders from Egypt. She also thanked BOH member, Sam Lasris, for the opportunity to host the delegation. D. Upcoming Events Below are the upcoming events for the Orange County Health Department. • September 18, 2019; 1pm – 3pm Pool Operator’s Meeting Southern Human Services Center 2501 Homestead Road, Chapel Hill, NC • September 20, 2019; 6pm – 7:30pm “Be the Light” 3rd Annual Suicide Prevention Walk Carrboro Town Commons 301 W. Main Street at Carrboro Town Hall • September 25 – 27, 2019 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 28, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ August Page 6 2019 NCPHA Fall Education Conference Grandover Resort & Conference Center 1000 Club Road Greensboro, NC 27407 BOH, Keith Bagby, requested that the upcoming events be added to the back of the agenda. E. Media Items Kristin Prelipp, Communications Manager, briefly mentioned articles regarding how healthy and wealthy Alamance County is in comparison to Orange County and the state lab confirming its 4th positive rabies case for Orange County, which 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. VIII. Board Comments. None. IX. Adjournment Alison Stuebe moved to adjourn the meeting at 8:55pm and Jessica Frega seconded. The next Board of Health Meeting will be held September 18, 2019 at the Southern Human Services Center, 2501 Homestead Road, Chapel Hill, NC at 7:00 p.m. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board