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HomeMy WebLinkAboutApproved Board Retreat Minutes of March 11, 2023 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 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 11, 2023, at the Bonnie B. Davis Center, Room 104, 1020 US-70 West, Hillsborough, NC 27278. BOARD OF HEALTH MEMBERS PRESENT: Keith Bagby— Chair, Aparna Jonnal —Vice- Chair, Bruce Baldwin, Commissioner Jamezetta Bedford, Brian Crandell, Lee Pickett, Rachel Royce (left at 2pm), Shielda Rodgers, Alison Stuebe, and Tony Whitaker. BOARD OF HEALTH MEMBERS ABSENT: None. STAFF PRESENT: Quintana Stewart, Health Director; Dana Crews, Community Health Services Director; Victoria Hudson, Environmental Health Director; Carla Julian, Compliance Manager; Thomas Privott, Environmental Health Supervisor; Angela Sowers, Environmental Health Program Specialist; and La Toya Strange, Administrative Support I. Welcome Chair Bagby called the meeting to order. Chair Bagby welcomed everyone, encouraged all to participate and to express his or her thoughts and ideas. Ms. Stewart thanked the Chair, Vice-Chair and Past Chair for serving as the planning committee for the retreat. She went over general housekeeping items for the group. She asked everyone to sign the sign-in sheet. Ms. Stewart also informed the board that Post-it Notes have been provided in their folders. Their purpose is to capture ideas/thoughts that do not quite fit with the current topic presently being discussed. They were instructed to place the Post-it in the parking lot (there was a large Post-it sheet on the wall titled Parking Lot) with the purpose of revisiting that idea/thought later. Ms. Stewart suggested that the retreat begin with introductions. The board members introduced themselves including their seat representation and their occupation. Ms. Stewart informed the board that Vice-Chair Jonnal would be arriving late as she was coming from working a night shift at the hospital. The Orange County Health Department (OCHD) Leadership Team and staff also introduced themselves to the board. Retreat Purpose & Objectives Overview of the Day Next, Ms. Stewart reviewed the purpose for the retreat. She asked the Board if they had anything additional to add. Board members are busy professionals who juggle numerous responsibilities. Setting aside a time to engage in a board retreat may seem like a burden, but investing the time in a retreat can help the Board adopt a more collaborative approach to governance. This is valuable for building board cohesiveness and establishing respect and S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 1 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 appreciation for one another. Board development and on-going training can contribute to improving the effectiveness of the Board. PURPOSE By the end of our time together today, we hope to: ■►Allowv Board mernbers on opportunity to get to know one another outsirde the regularly scheduled monthly meetings. s Explore emerging issues, address concerns, review and clarify roles and responsibilities, set goals and prioritiesr and develop a cohesive board. �Rc ew Board Governornce and any desired changes. �F' d alignment between the Board, Health Director and Senior eodership Team on priorities for the year that connect to the Department's mission. Ms. Stewart continued by sharing the overview of the retreat. She mentioned the suggestion that the Board bring the notebook given to them at their Board of Health (BOH) Orientation to the retreat. Many Board members had their notebook present. She recommended that everyone place the folder's documents in their notebooks and to inform her if they needed a new one. She proceeded with a summary of the day's agenda. OVERVIEW OF THE DAY ioFolder contents m680H Responsibilities -- 3 Primary categories (Agenda) mAdmEnistrotion � to include Adjudication) =Advocacy M licy Development/Rule Making all bre a k er Ac ti v i ty reaks & Lunch Updates from Staff with potential actions mFollow up Discussion about Director's 2022 Evaluation S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 2 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Ms. Stewart briefly spoke about some of the BOH Responsibilities, which were divided into three primary categories: 1) Administration, 2) Advocacy, and 3) Policy Development/Rule Making. Administrative Tasks include: - Regularly attending BOH meetings - Reviewing all meeting materials in advance of meetings - Attend health department-sponsored community activities or events as requested - Approving the budget - Evaluating the performance of the health director on an annual basis Advocacy Tasks include: - Serving as a Board liaison to designated organizations of importance to the Board as requested - Speaking for the Board only when delegated to do so by the Board - Standing behind decisions of the Board and the health director - Be a voice for local public health and our voice for the General Assembly Policy Development/Rule Making - Examining all new policies for community-wide implications and discuss issues and concerns openly in board meeting - Educating yourself on your community, its public health status, and its needs - Environmental Health Division plays a large part in rule making. For example, the Board approves Environmental Health Rules. SHARED GUIDELINES w Participate fully; open communication = Respect one another awBe willing to listen and understand different points of view B^ akjti ; discuss the issue not individuals iaroo without being disarooalfo Avoid assumptions, generalizations and peeking for others by the use of "I" statements S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 3 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 After Ms. Stewart reviewed the folder's contents, the Board was asked to sign the Conflict and Confidentiality form. Moving forward, this form will be signed on an annual basis. Next, the shared guidelines were read to the Board. Ms. Stewart reiterated to the Board that this was their retreat and that she is simply facilitating. She encouraged them to speak their truth; however, she did not want anyone to feel forced (e.g. introverts). She asked the Board if they had anything to add. Dr. Stuebe indicated that the guidelines were a great comprehensive list. The Board thanked the OCHD staff for being present at the retreat. Icebreaker NAME STORY Each person ► ifl share their first name and any history or story that no me might represent for you, such as: the meaning of your nalne, who you were nalned for, shy you were given that name or why you chose the name for yourself. Quesfi ns to consider as you prepare to share: Wh are you narr7ed direr and whys m W ere does your name originate from? M ho named your Who chose the spelling of your name? aes your name hold any special meaning for you or your[arnIly� Do you have any memories or stories about your noma? f this Is the name you chose for yourself, why did you choose this name Tn particular? Ms. Stewart engaged the Board in an icebreaker. All of the Board members and OCHD staff participated. The Name Story icebreaker was an enjoyable activity that allowed all to learn something new about each another. After a short break, the retreat resumed. BOH Responsibility—Administration S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 4 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 BOH Responsibility - Administration meetings mmeeting Frequency mVccont Dentist Posaticn m genda Content fer Monthly Meetings Educational Sessions Accreditation Requirements) mBoard Comments w Report out of Subcommittee Worm mPresentotiens by Beard r er nbers mEOCC Advisory Bocrd Policy - Attendonce(p_5) • Meeting Schedule - § 130A-35. County board of health; appointment; terms The statute states that the BOH shall meet at least quarterly. Dr. Jonnal liked the current meeting frequency but stated she was open to changes. Ms. Stewart stated that it has been customary to have the board meetings after work hours as it gives the public an opportunity to attend, offer comment and participate. Dr. Baldwin also agreed the current meeting schedule works but is also open to change. Ms. Stewart noted that there must be at least four meetings scheduled for the year. Ms. Rodgers mentioned that would we have to lengthen the meeting time if we shorten the amount of meetings. She also commented that the board meetings rarely end early. Dr. Pickett added that she liked the staffs' educational sessions. Dr. Crandell stated that he liked having the meetings on Wednesdays and not in the months of July and December. Ms. Bagby stated that he did not see how the Board could be effective if not meeting monthly. He remarked that an issue could arise and waiting to meet as a board may make the issue worse. Commissioner Bedford agreed with keeping the monthly meeting schedule. Ms. Royce was in agreement with Commissioner Bedford. In response to Dr. Baldwin's comment about having a board retreat annually or every 18 months, Ms. Rodgers stated that he should write his comment on a Post-it and place in the parking lot. Dr. Stuebe stated that she liked that the meeting takes place in the evening, as it is easier to participate. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 5 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 • Vacant Dentist Position Ms. Stewart revealed that Dr. Allessandra Lowery moved out of the county; thus, the Board needs to recruit for the vacant seat. There have been many means of recruitment taking place so far. She stated that Ms. Strange had sent out a recruitment email to all of the dentists that work in Orange County (OC) and the BOCC's Clerks office has the vacancy posted online. Ms. Stewart noted that we have not received any interested candidates; although, it is still early in the recruitment process. The statute states that the seat can be filled with an at-large member; however, they're only able to remain in that seat until a dentist is recruited to fill the position. Ms. Royce asked if the Board members are able to send out what has been circulated. Ms. Stewart replied yes, as she will share the blurb with the Board. Mr. Whitaker asked whether we have to continue to recruit or wait until a candidate applies (e.g. fall into our lap). Ms. Stewart replied that we must actively search. Dr. Baldwin announced that he'd like to reconvene the recruiting committee. Mr. Bagby posed a question why there was the lack of dentist applicants vs doctors. Dr. Baldwin wondered if it was simply a numbers thing. Ms. Rodgers speculated that it could be the physicians' connection with public health and possibly, their belief that they could make a difference. In response to some Board members questions, Ms. Stewart detailed the qualifications for a dental representative. They must be licensed and live in OC. The Board members stated that they would reach out to their contacts and spread the word about the vacant dentist position. • Meeting Agenda Content— Educational Sessions Ms. Stewart acknowledged that she heard the Board's previous comments regarding hearing about more emergent issues and making system changes as opposed to the traditional receipt of many educational sessions. As a result, the educational sessions have decreased; hence, the Board's agenda has been bare minimum. She informed them that the previous Board requested more educational sessions. In fact, they actually provided topics on which they wanted to hear information on. Lastly, Ms. Stewart pointed out the Accreditation handout, which displayed the required topics that must be presented to the Board. Ms. Rodgers suggested that the presenters stick to the time allotted as they sometimes go over. She also stated that they sometimes have too many slides for the time allotted. They should be reminded of the time and then stopped to prevent them going over the allotted time. Dr. Baldwin commented after the presenter has finished, the Board then has 15 minutes of questions. Dr. Stuebe remarked that there should be a reason to hear the educational sessions. There should be an interaction. It should add value to the organization presenting. There should be an "ask". Dr. Pickett proposed that we use a red, green light system —a presentation timer. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 6 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Ms. Stewart replied noting that we will purchase one. Dr. Jonnal stated that she'd like to know the magnitude of public health in OC, the public health crises occurring in the OC and advocate for them. She'd like to hear what the problems are versus what is going well. Ms. Royce stated that the presenters should be given guidelines, to which Ms. Stewart replied that we do but we'll find a better way. Ms. Strange informs the presenter of the time and reminds them when they are close to the time allotment. Mr. Bagby spoke about wellness. He asked why the vending machines at OCHD and the Parks & Rec have sugary snacks in them. He also wanted to know what the UNC Hospitals are doing post-COVID to change and improve things. Ms. Rodgers wanted to know what UNC Hospital is doing as they impact our county. Ms. Stewart stated that she could make that happen as our Medical Director, Dr. Erica Pettigrew, also works for UNC. Dr. Stuebe expressed that UNC Hospital is not-for-profit and are supposed to reinvest in the community. Ms. Stewart mentioned that there are UNC representatives on Healthy Carolinians of OC. After a short break, the retreat resumed. Dr. Baldwin acknowledged the Accreditation requirements. He wanted to know if the other educational sessions could be recorded and sent with a link to the Board with some sort of acknowledgment from the BOH members that they had viewed them. Ms. Stewart stated that an option could be that we use the consent agenda format. We could email the information making the Board responsible for reading it. Conversation about the information could be discussed at the Board meeting if warranted. Dr. Crandell asked the Board if they would be in agreeance with moving the Board Comments to the top of the meeting. Ms. Royce would like a space for other public health items. She would like to have a space for current events and how they relate to OC. Dr. Baldwin agreed and suggested adding it to the Media Items portion of the agenda. In response to Ms. Royce asking how to share information received from articles, Ms. Stewart stated that it could be done during the Board Comments. Dr. Crandell indicated he liked the idea of sharing; however, he wanted to make sure that the conversations did not end up being random and warned of possibly going too far off topic. Ms. Rodgers followed up by stating that she could possibly see the Board not getting to the agenda. She also expressed not wanting to get off track and possibly going over time for the meeting. Ms. Royce requested if there was a way to shave off some of the time for media items. She stated that she did not need to hear a reiteration of them. Ms. Stewart added that the same approach could be taken with the Health Director Report. She does not have to verbally present it, as it is included in the agenda packet. Ms. Royce stated that there should be a place for the Media Items and the Health Director Report on the agenda. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 7 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Ms. Stewart recapped that Mr. Bagby wanted a space for the BOH members to present to the Board, noting that they will be held to the same standards as other presenters. • BOCC Attendance Policy for Advisory Boards Ms. Stewart indicated that, during COVID, the BOCC relaxed some parts of their attendance policy. She reminded the Board that there is a section regarding attendance in the OC BOCC Advisory Board Policy. The policy provides an allowance of two excused absences in a 12-month period. It also states that advisory board members can be removed. In response to Dr. Crandell's question regarding who determines removal, Ms. Stewart informed him that, according to the advisory board policy, advisory board members are appointed by and serve at the pleasure of the BOCC and that they may be removed for any reason or no reason with or without cause. Ms. Stewart added that attendance is taken into consideration for reappointments. In addition, we are required to submit quarterly attendance logs to the BOCC Clerk's office. In response to various comments, Ms. Stewart reminded all that not having proper attendance could pose a problem when a quorum is required. She also recognized that there would be times when those that sit on multiple boards will be absent when board meetings occur on the same date. Those absences are considered excused. She also stated that she would consult with the county attorney to obtain more clarification regarding the policy for the BOH to meet virtually as the Emergency Declaration has ended. BOH Responsibility—Administration • Mission Statement BOH Responsibility - Administration HD Mission Statement I Current Statement Proposed Statement { The mission of the The mission of the Orange Orange County Health County Health Departmer7t Department (OCHD) is to is to promote and protect enhance the quality of health to enhance quality life, promote the health, of lifer and to preserve the and preserve the environment for everyone in environmentfor all Orange County_ people in the Orange CaUntyF Oornrnunityf. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 8 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Ms. Stewart began by stating that the strategic planning process began back in 2019; however, it was interrupted by COVID. As the OCHD's governing board, Ms. Stewart asked the Board for feedback on the Mission Statement. Ms. Stewart read the current and proposed Mission Statement. A Mission Statement is a short summary of an organization's core purpose, focus, and aims. This usually includes a brief description of what the organization does and its key objectives Throughout the discussion, Ms. Stewart continuously updated the Mission Statement in real- time based on the Board's suggestions. Ms. Royce advocated for well-being vs quality of life. Ms. Stewart stated that quality of life was broader. Mr. Bagby asked for clarification on what "promote" means. Ms. Stewart explained that promote was used as so much of what we do in public health is suggested/recommended and not always mandated or a regulation to achieve optimal health. Dr. Stuebe proposed using the words "promote and protect". Dr. Jonnal agreed with Dr. Stuebe. Ms. Rodgers also agreed with the usage of the word "protect" as she found it to be more encompassing and it also leans into the environmental health (e.g. sewage and water) aspects. Ms. Royce proposed placing the words "for the OC community" at the end of the Mission Statement. She also liked having the word "well-being" included. Mr. Whitaker also liked Ms. Royce's recommendation of"well-being". Dr. Crandell inquired about using "OC residents". Ms. Stewart, Ms. Hudson and Ms. Rodgers all disagreed with including "OC residents" as they didn't want to exclude anyone based on residency, which may include students. Discussion continued during lunch. A consensus was reached regarding the Mission Statement. H Responsibility _ Administration Vision Statement — Short description of an organization's aspirations and the widerimpact it aims to create; a guiding beacon to everyone within the organization and something which grounds decision-rnoking and determines the int ded direction of the organization. fission is "what" and the "how" while Vision is the "why" N DHH,S Vision Statement dvancing innovative solutions that foster independence, improve health nd prornote well-being for all North Carolinians. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 9 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 • Vision Statement Ms. Stewart stated that the Vision Statement should be the guiding beacon. She reiterated that the Mission Statement is the "what and how"; while, the Vision Statement is the "why". Dr. Stuebe stated the Vision Statement should foster community cohesion and connection vs fostering independence (as stated in the NC DHHS Vision Statement). She added that belonging is an important part of community. Dr. Crandell stated that the "why" should be the reason that we are trying to protect and promote. It should answer the question of why we promote. Dr. Jonnal suggested applying the moral imperative. Ms. Stewart added that when we all do better, we all do better. Dr. Jonnal stated that we should protect the right of health and that healthcare is a right. She also mentioned protecting the right to health. Mr. Whitaker liked the phrase "living best life". Dr. Stuebe was fond of the phrase "when each of us thrive, all of us thrive". Dr. Pickett mentioned that she liked the phrase "right to health", even though, federally, it isn't recognized. Dr. Crandell mentioned Maslow's Hierarchy of Needs as possible inspiration. Mr. Whitaker suggested using the word "equitable". This sparked conversation amongst the Board regarding whether equity needs to be included in the Vision Statement and if so, how. Ms. Stewart will type up the updated Mission and Vision Statements. Next month, we will revisit and finalize them. • Strategic Planning/Subcommittees • Subcommittee 2020-2022 o Access to Healthcare o Social Justice/Health Equity o Substance Abuse BOH Strategic Plan Priorities 201 -2020 Three Priorities �r+n�.Cwwer�dn i aerareg�c plan r-g d 4 M- mSocial Determinants of Health noPh sisal Activity Nutrition !Substance abuse Mental Health � S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 10 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 BOH Strategic Plan Priorities 22 -222 w During the Board's May 27, 2020 meeting, the group di5cussed the 2019 CHA Results and vofed on the following priority areas: wAccess to Healthcare wSocial Justice/Health Equity wSub5tonce Abuse wSuboomr-nittees were created to support the new priorities, but very rneetin s occurred due to increased VID response acfi ifies and staff turnover. BOH Strategic Plan Priorities 2020-2022 Accomplishments meats � AccesstaHea,il;ere f In 2021,F5A ofticiallyooerieduq rKogrorn oartic1palfonto the entlreCountyrotherthon the original fwo zones - In2021 Mobile Dent olVonbegonseeingp❑fienIs1rr the Southern portof the CountyolSHSC in Cl7apelHi11 Social Juslacef Health Equity f OH c nd E H revlewed Gaines Chapel 51 ud y to o ssess need!desire For connections to pia bllc sewerf'�OFla ssisfedEHstaftwilhsurveydevelopmenttorGainesChapelNeighborhood f April 2. 2022.OCHD in conjunctlon w1hi BOH and several other County Deparlment,hosted a Community Block Party in Gaines Chapel Neighborhood to share information about a host of County services-arrd resources Substance Abuse f December2021.hosteda community conversation,"Preventing Underage&High-Risk Drinking" - January 2022,Opioid Task Force resumed mee-i ng Ms. Stewart reviewed the 2018-20, 2020-2022 Priorities and Accomplishments slides. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 11 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Dr. Stuebe spoke about the Charity Care program with UNC. She and Ms. Stewart are starting to gather data on the eligibility requirements. Ms. Stewart spoke about the Gaines Chapel Neighborhood and how the Environmental Health Division, Mr. Whitaker and Dr. Baldwin were instrumental. The goal was to start building relationships with the community. As we are in the process of starting the next Community Health Assessment (CHA), Ms. Stewart asked the Board if they would like to continue with its current priorities. Dr. Baldwin replied that he would like to keep the current subcommittees. Dr. Stuebe pointed out the need to change Substance Abuse to Substance Use Disorders. Commissioner Bedford will join the Health Equity subcommittee. Dr. Jonnal will move to the Substance Use Disorders subcommittee. Dr. Crandell asked if the goal is for the subcommittees to meet on a quarterly basis. Ms. Stewart stated that we'd get the subcommittees meetings scheduled soon as we have hired a new BOH Strategic Plan Manager. BOH Responsibility—Advocacy & Policy Development • Environmental Health (EH) Overview/Advocacy Opportunities Victoria Hudson, EH Director, provided an overview of the EH Division. Below are some highlights. o There are 19 staff with one vacancy (this position has been reclassed). EH has been equitable in its hiring and its makeup is diverse in race and gender. EH is working on kits to help people chlorinate their own wells with the offer of more resampling after they chlorinate. o Ms. Hudson gave a thorough explanation of how wells work and how well water is filtered in response to Mr. Bagby's questions. o Ms. Hudson stated that the division is working on cross training, to assure continuity of services as staff leave. ➢ Since March 11, 2022, there were 4800 inspections. There has been 1400 public records were gathered due to public requests and 750 establishments have been inspected. ➢ All of the EH programs were reviewed by the State without any suggested corrective actions. ➢ Current challenges include the housing market trends, as EH is a fee for service agency. Staffing shortages at those inspected facilities (e.g. grocery stores, restaurants) require additional follow-ups which is affecting the EH staff. Mr. Privott offered an invitation to BOH members to accompany him on a field trip. • EH 18E Rule Revisions Thomas Privott, Environmental Health Supervisor, provided a presentation on wastewater rules. Below are some highlights. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 12 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 o OC has local EH rules. It has been twenty-three years since a complete overhaul of the rules. The 18E Rules have been in effect since 1983. o Some of the major changes include fundamental changes in regulatory functions. There is legislative routes that differ and that determine the process for applications. A small subcommittee of EH staff met to review the rules. A summary will be prepared and sent to the BOH Subcommittee for review after receiving any suggested changes and a fiscal and legal sufficiency review. In October, the proposed EH rules will be presented to the BOH with a public notice published for feedback/comment. Afterwards, the EH rules will be voted in November. • EH Cell Phone Project Angela Sowers, Environmental Health Program Specialist, presented on cell phone contaminations in food settings. Below are some highlights of her presentation. o There were no published articles regarding cell phones in food settings. Surface swab samplings were conducted on the cell phones of the front and back house staff in full service restaurants only, none of them were fast food restaurants. There were 30 facilities that voluntary participated. A set of hypotheses and sampling criteria were established to ensure the same procedure was performed at each facility. Forty-four percent of the phones had E-coli. o A recommended policy regarding cell phone use in food operations was created to prevent cross contamination was created. Brochures were created with brochures in Spanish and English. The recommended policy was purposely made to be equitable (e.g., some persons work multiple jobs; some are single parents and need to receive calls from their children). o Ms. Hudson stated that they're applying for a $10K grant and plan to conduct a full risk factor study. Below is a link to the presentations. • https://www.orangecountync.gov/241/Board-of-Health Community Health Services (CHS) Division Update Dana Crews, CHS Director, presented an update on CHS Division activities. The link to the presentation and brief highlights are below. • https://www.orangecountync.gov/241/Board-of-Health • 2023 Community Health Assessment (CHA) o The next steps are survey development and data collection. The survey questions asked in the last CHA are being reviewed for relevancy. Community events are being held in March and April. Ms. Royce volunteered to be on the Survey and Data Collection Team. A goal of this CHA will be equitably covering the county for primary data collection. Mr. Whitaker asked if attention to S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 13 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 demographics have been taken into account. Ms. Stewart responded by remarking that the aim is to collect data in diverse rural and suburban/urban areas. • Family Success Alliance (FSA) o The FSA recently hired a new Navigator supervisor, Crystal Kelley. As a result of a vacant Navigator position, a FSA Supervisor position has been created. Interviews have concluded and an offer has been made. o The FSA Quarterly Collaborative is comprised of the partner network, community council and the advisory council. Some of the focus areas of the Collaborative include focusing on mental health, food insecurity, transportation, and housing. Food insecurity and housing are major concerns. As the Emergency Declaration has ended, many have lost a portion of their food subsidy. Housing is a big issue as many persons are experiencing evictions and homelessness with many families sleeping in cars and others engaged in couch surfing. There is a backlog in processing applications. The application processing time for emergency housing assistance is 3-4 months in non-emergency situations. The Housing Department has decreased 50% in staff. Commissioner Bedford remarked that a large amount of the ARPA dollars have been used for services for the homeless including to fill some of the vacant positions in the Housing Department. • Gateway Village Initiative o There are ongoing meetings with property owners and managers regarding structure issues. The Gateway representatives have stated that they cannot make certain repairs because rent has not being paid. Corey Root, Housing Director, is going to assist with the rent issue. o There are many programs such as tailored tutoring and parenting classes occurring at Gateway Village. • Upcoming Events o MedAssist will occur on Friday, March 17th from 9am-2pm. Free OTC medications will be available. o Carrboro in Motion will occur on Saturday, March 25th from 11 am-2pm. o Be Well Community Wellness Event will occur on April 11th from 10am-2pm in the DSS parking lot. Mr. Bagby mentioned that OCPYC would be at Stanback Middle School along with OCHD's Rita Krosner, Tobacco Prevention and Control Coordinator, to speak with the students about tobacco cessation and prevention. At 2:34pm, the Board went into closed session to discuss a few follow up items from the health director's 2022 evaluation. Motion made by Dr. Bruce Baldwin, seconded by Dr. Alison Stuebe and passed without dissent. At 2:56pm there was a motion by Dr. Bruce Baldwin to come out of closed session. The motion was seconded by Dr. Alison Stuebe and passed with out dissent. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 14 MINUTES ORANGE COUNTY BOARD OF HEALTH RETREAT March 11, 2023 Adjournment Motion to adjourn by Dr. Alison Stuebe, seconded by Dr. Lee Pickett. The motion passes without dissent. S:\Managers Working Files\B0H\Agenda&Abstracts\2023 Agenda&Abstracts/Board Retreat Page 15