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HomeMy WebLinkAboutBOH Final Minutes of November 17, 2021 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 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 November 17, 2021 virtually via Zoom. BOARD OF HEALTH MEMBERS PRESENT: Sam Lasris — Chair, Bruce Baldwin —Vice-Chair, Keith Bagby, Brian Crandell, Jessica Frega, Commissioner Jean Hamilton, Aparna Jonnal, Lee Pickett, Shielda Rodgers, Alison Stuebe, and Tony Whitaker. BOARD OF HEALTH MEMBERS ABSENT: None. STAFF PRESENT: Quintana Stewart, Health Director; Dana Crews, Community Services Director; Micah Guindon, Financial and Administrative Services Director; Victoria Hudson, Environmental Health Director; Carla Julian, Compliance Manager; Dr. Monica Meng-Haggerty, Dental Director; Thomas Privott, and La Toya Strange, Administrative Support I. GUESTS PRESENT: None. I. Public Comment for Items NOT on Printed Agenda: None. II. Approval of the November 17, 2021 Agenda Motion was made by Bruce Baldwin to approve the agenda, seconded by Keith Bagby and carried without dissent. III. Action Items (Consent) A. Minutes of October 27, 2021 Meeting Motion was made by Aparna Jonnal to approve the minutes of October 2021, seconded by Shielda Rodgers and carried without dissent. B. 2022 Board of Health Schedule There was brief discussion about the schedule. Ms. Frega proposed changing the September meeting date to the 4th Wednesday if the NCPHA Fall Education Conference doesn't take place this September. Motion was made by Jessica Frega to approve the 2022 Board of Health Schedule, seconded by Shielda Rodgers and carried without dissent. IV. Educational Sessions A. INC Opioid Settlement S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 1 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 Quintana Stewart, Health Director, provided an update on the opioid settlement. She began with some statistics on opioid deaths and overdoses. Below are some highlights of her presentation. • The statistics regarding opioid death can be found on the state's website https://www.ncdhhs.gov/opioid-and-substance-use-action-plan-data-dashboard • During 2000-2020, there were more than 28K deaths due to drug overdose. In 2020, there was an average of 8 deaths a day from drug overdoses in NC. • From 2015-2019, the rate of unintentional medication and drug overdose deaths per 100K residents was 10.2 in OC and 18.5 for the state. During the same time span, the rate of unintentional opioid overdose deaths per 100K residents was 7.6 for OC and 15.3 for the state. • Opioid litigation 0 76 out of 100 NC counties and 8 municipalities filed lawsuits in federal court to hold several companies involved in manufacturing, marketing, promoting, and distributing prescription opioid drugs. o The "5-5-5" Committee, comprised of 5 county commissioners, 5 county attorneys, and 5 county managers from various counties in NC came up with an allocation formula for NC. Commissioner Sally Greene sits on this committee. o The MOA allocation model — ■ 15% goes to the General Assembly ■ 80% to local governments —all 100 counties and 17 municipalities ■ 5% to county incentive fund —those counties that sign the MOA by January 2nd will receive an extra 5% ■ NC will receive $850 million. The funding will be dispersed over 18 years, front loaded in the first 3 years, gradually decreasing over time. o There are 2 options for the use of funds— 1)choose from an already approved evidence-based strategy 2)engage in collaborative strategic planning with the community to come up with a strategy. o There will be transparency as there will be annual financial and impact reporting and audit requirements. They'll also be a statewide opioid settlement dashboard. o Next steps include getting all 100 counties to sign on, strategic planning for usage of funds over time and working with counties to share best practices. The BOH had questions and comments that were addressed by Ms. Stewart. B. Update 15' Quarter Financial Reports & Billing Dashboard Micah Guindon, Finance and Administrative Services Director, provided an update on the 1s' quarter financial reports as there was an error in the financials presented at last month's Board meeting. • There was a typographical error on the pivot table used, which resulted in the retrieval of information further back in history than it should have. • The actuals for the revenue and expenditures presented last month were correct; however, the Annual Budget and percentage of Annual Budget were incorrect. • In the Revenue section, the correct Annual Budget is $3,287,485 million with the correct percentage of Annual Budget is 23.26%. • In the Expenditures section, the correct Annual Budget is $10,852,544 and the percentage of Annual Budget is 18.37%. S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 2 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 VI. Action Items (Non-Consent) A. Policy Review— Fee & Eligibility Policy Ms. Guindon mentioned that there were only two subtle changes in the policy. Below are the suggested changes in the Fee and Eligibility Policy (Section I. Policy B.). • A change in terminology throughout the document. o There used to be a financial review committee that reviewed the Fee & Eligibility Policy. There is no longer such a committee. The Leadership Team and the Health Director are now the reviewers. • Section VII. J. — o (Section VII.J.7) - Added a procedure for dealing with claim denials Motion was made by Alison Stuebe to approve the suggested changes to the Fee & Eligibility Policy, seconded by Aparna Jonnal, and carried without dissent. B. Elections (Chair &Vice-Chair) The Board members shall elect a Chair and Vice-Chair by majority vote each year at the last meeting of the calendar year. Motion to elect Bruce Baldwin to Chair for the 2022 calendar year was made by Alison Stuebe, seconded by Jessica Frega and carried without dissent. Bruce Baldwin abstained. Motion to elect Keith Bagby to Vice-Chair for the 2022 calendar year was made by Aparna Jonnal, seconded by Jessica Frega and carried without dissent. Keith Bagby abstained. VII. Reports and Discussion with Possible Action A. BOCC Annual Report and Work Plan Ms. Stewart began by stating that each advisory board and commission presents the Annual Report and Work Plan to the BOCC each spring. It informs the BOCC of the past year's activities and the plan for future activities. Ms. Stewart presented the Annual Report and Work Plan to the Board. There a suggestion made to spell out WWTP in the Work Plan —Wastewater Treatment Management Policy. Ms. Stewart requested that the Board let her know if there were other boards on which they serve if they weren't noted in the Work Plan. The BOH had questions and comments that were addressed by Ms. Stewart. B. Health Director Performance Feedback In lieu of a formal evaluation, Board Chair, Sam Lasris, encouraged the Board to provide feedback and an informal evaluation of the Health Director. Below are some of the comments. • Praise given for current performance S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 3 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 • Appreciation for being able to be diplomatic, navigate the politics of issues and the handling of community-divisive issues • Concern about making sure the Health Director does not suffer burnout • Amazing work being performed and the way she hit the ground running as a new Health Director C. Health Director Report In addition to her report, some of items Ms. Stewart briefly highlighted are below. • On November 4t" & 5', she participated in Strategic Planning Workshops for the NCALHD in Winston-Salem where there was focus on post-COVID and other important health issues. The NCALHD will be enhancing communication between DHHS staff and LHDs. • Ms. Stewart has been nominated to serve as the Secretary for the NCALHD. The official vote will take place on tomorrow at the full Association meeting. • The OCHD continues to work with UNC and both OC school districts on COVID mitigation strategies. OC school districts plan to participate in a Test to Stay pilot study with the ABC Science Collaborative. The study will evaluate the transmission of SARS- Co-V-2 in K-12 schools and is scheduled to begin after Thanksgiving, lasting approximately four weeks. • Legislatively, the state's proposed budget is awaiting approval. o Full Medicaid Expansion is not in the proposed budget. o There will be an expansion of post-partum benefits. o Public Health CD LHDs programs will receive $36 million in funds over the next two years. D. COVID-19 Update Quintana Stewart, Health Director, gave an update on the COVID-19 status in Orange County (OC) as well as took questions from the Board. Some highlights are below. • As of today, there were 19 new cases resulting in 12,085 cases total in OC. • According to the county alert system, OC is in the substantial community spread category with a case rate of 79 per 100K people. • OC percent positive has increased to 1.7%. • Some of the vaccines are starting to wane; therefore, it's encouraged that people get the booster shots. • 5 to 11 year olds are eligible for vaccinations. • Post-vaccinated cases equal 23% of cases in NC ending October 30t" There is one outbreak at the OC Detention Center. Bulk of hospitalizations are comprised of those unvaccinated. The BOH had questions and comments that were addressed by Ms. Stewart. E. Media Items Ms. Stewart briefly mentioned the articles in the Board packet, which were just a selection of the numerous COVI D-1 9-related articles that were gathered by our Communications Manager, Kristin Prelipp. Included in the Board's packet were articles regarding the OC Detention Center S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 4 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 rise in COVID-19 cases, the Town of Chapel Hill not blocking Franklin Street for Halloween gatherings, and the availability of booster vaccines in OC. Media items were in the packet which focused on Orange County's events and our involvement in various efforts. VII. Board Comments Commissioner Hamilton informed the Board that the BOCC will be meeting on December 6th. In addition to other agenda items, they will also be deciding which commissioners will be assigned to the OC advisory boards. Commissioner Hamilton expressed her appreciation in participating on the Board of Health. Ms. Frega commented that the commissioner has been very valuable to the Board. Vill. Adjournment Alison Stuebe moved to adjourn the meeting at 8:57pm and Lee Pickett seconded. The next Board of Health Meeting will be held January 26, 2022 at 7:00pm via Zoom. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 5