HomeMy WebLinkAboutAgenda - 08-19-2008 - 3cORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: August 19, 2008
Action Agenda
Item No, ~- ~
SUBJECT: Orange County Health Department Accreditation
DEPARTMENT: Health PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): INFORMATION CONTACT:
Rosemary Summers, 245-2411
PURPOSE: To recognize the Orange County Health Department for achieving Accredited
Status.
BACKGROUND: North Carolina is the first state in the country to mandate accreditation for its
local health departments. The purpose of the accreditation program is to assure a basic level of
capacity and services in each of the local health departments across the state.
Since the 2004 pilot program that involved six local health departments, forty health
departments have been accredited. The process of accreditation includes three major
components - aself-assessment completed by the agency, a site visit by a multidisciplinary
team of peers to review performance standards, and determination of accreditation status by an
independent Accreditation Board comprised of state and local public health officials, Board of
Health members, County Commissioners and public members.
The accreditation process is a collaboration of the North Carolina Division of Public Health, part
of the Department of Health and Human Services, and the North Carolina Institute for Public
Health of the School of Public Health at the University of North Carolina in Chapel Hill, with
input from the North Carolina Association of Local Health Directors.
A few highlights from the final report from the site visit team to the NC Accreditation Board
included:
• The department appears to have a cooperative and participatory management style.
The site visitors were impressed with the expertise and experience of the staff,
particularly the environmental health staff.
• The Board of Health members have a clear understanding and are knowledgeable of
their legal role and responsibilities. There is ample evidence of a good working
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relationship between the Board of Health, the health director and the county
commissioners.
• The community is well represented on the Board of Health and the Board has
appropriately acted on community priorities.
• Community Partners were generous with praise for the Health Department and valued
their associations with the department. Community partners trust and support the
Health Department and respect and appreciate the department's participation in
community initiatives. Community partners stated the Health Department uses
resources wisely.
• The Health Department has worked with and contributed to the development of a strong
Health Carolinians partnership with an impressive membership and participation rate.
• The Health Department is to be commended for its efforts in developing ~a Volunteer
Corp and for their ongoing outreach to sustain the Corp.
• The department has worked to develop a broad and varied pool of qualified contract
interpreters, not only with the Spanish speaking population, but also with a growing
Burmese, Karan speaking population. Recently, three new contract Karan Interpreters
were recruited and qualified for interpretation.
• The clinical health services team is impressive, providing services at both the
Hillsborough and Southern Human Services Center (SHSC) locations with a limited
number of full time nurses (4) and nurse practitioners (3).
• The home visit staff working with clients in the Maternal Care Coordination, Intensive
Home Visiting and Child Service Coordination are allowed and encouraged to flex their
hours in order to meet the needs of families that work the traditional hours of 8:00 am -
5:00 pm. Staff members that make evening hour visits have a safety plan in place to
assure check-in after evening visits are complete.
The Orange County Health Department met 100% of all benchmarks and activities and was
accredited by the NC Accreditation Board for Local Health Departments on July 18 for a four
year period. The plaque for achieving accredited status will be presented by the NC
Accreditation Agency. The Department will be due for re-accreditation in 2012.
FINANCIAL IMPACT: There was a financial impact associated with becoming accredited,
including facility improvements and personnel costs. However, the State provided cone-time
allocation of $25,000 to help defray the costs for first-time accreditation. These funds allowed
the department to come into compliance with some of the requirements that had been
unfulfilled.
RECOMMENDATION(S): The Manager recommends that the Board commend the Health
Department for its achievement as an Accredited Health Department and accept the plaque
designating this achievement.