09/07/2005
NEW HANOV R OUNTY BOARD OF HEALT~I
• Ne4 Hano er County Health Department
Dr. Thomas annin Wood Memorial Conference Room
029 S. 17th Street
timing on, North Carolina 28401
edn day, September 7, 2005
AGENDA
Date: S ptemb 7, 2005
Time: 8 00 A.
Place: r. Tho as Fanning Wood Memorial Conference Room
ew Ha over County Health Department
i
Presiding: r. Don Id P. Blake, Chairman
Invocation: r. San a L. Miles
• Minutes: ugust , 2005
Recognitions Mr. Donald P. Blake
Personnel
IFive 5 Year Service ward
Regiha Abate, Adminis ative S pport Technician, Support Services
Lee Ann Cook, LPN, C mmuni y Health, Personal Health Services
Din' Sarro, Nutritionist WIC, ersonal Health Services
Ten 10 Year Service ward
Leig Jackson, Environmental ealth Specialist, Environmental Health Services
De artme I al Focal: I
North Carol na Immunization Registry (NCIR) Ms. JI net McCumbee
I,I Personal Health) Services Manager
8 Month) F'nancial Report: ul 20 Ms. Cindy W. Hewett
Q (Includes Grant Update) I Business Manager
J L'
• I
I
I
I
BOH Agenda
September 7, 2I p5
Page 2
Committee Reports:
Executive Com I I ittee Mr. Donald P. Blake
New Business:) Mr. Donald P. Blake
NHC Board of Health Nmokin Policy
Change' to NHC Health Irain' artme t Fee Policy - Collection Process
Board of Heal h Members Mr. Donald P. Blake
Mr. I
Health Direct) r
r. "avid E. Rice
I Health Director
1. Legisltitive Update
yo al.iG
2. School Sports Physicals 3. Perfo7ance Manageme g3;10~d4/, l9rxg 05,
4. Project Management Tra ning ( -19AQh
• 5. Interim County Manager - Davi Weaver
Other Business: TT P e~~ Mr. Donal) P. Blake
Adiourn: Mr. Donald P. Blake
i
i
i
i
j
Mr. Donald Blake, Chairman called a regular business meeting of the New Hanover County
' Board of Health (NHCBH) to rder at :00 a.m. on Wednesday, August 3, 2005 ini the Thomas
Fanning Wo d Conference Ro m of t e New Hanover County Health Department located at
2029 S. 17th beet, Wilmington North arolina.. I
Members PI esent:
a
Donald P. B ake, Chairman
Edward Weaver, Jr., OD, Vice- hairm n
Marvin E. 6reeman, Sr.
James R. Hiekmon, RPh
Cheryl Lofoen, RN
Sandra L. Miles, DDS
Nancy Pritchett, County Com issione
Robert M. $hakar, MD
G. Robert i eedon, DVM
Members Absent:
John S. T I stall, PE
Stanley GIIWardrip, Jr.
Others Present:
Caroline Kornegay, Star Ne s Repo er
• Lenora Key Lunceford, Ad nistrati a Support Technician, Support Services
Lorna E. Blackler, Health Educator, ommunity Health, Personal Health Services
Panza McNeill, PHN Superv sor, M ternal Health, Clinic Services, PHS
Cindy Helvett, Business Ma ager
Elisabeth Constandy, Health Promo ons Supervisor, Health Programs Administration
Erin Cumlmings, Health Edu ator, alth Programs Administration
Dianne Harvell, Environme tal Hea th Services Manager
Dr. Jeanl#vlcNeil, Animal ntrol S rvices Manager
Janet McCumbee, Personal ealth ervices Manager
Scott Harrelson, Assistant ealth D rector
David E:I Rice, Health Dire for
ecret ry
Marilynoberts, ReI
Invocation•
Mr. BIll i e gave the . i
Minut is
The m'il utes of the 6, 200 Board of Health Meeting were corrected and p 'roved as
submitted. I
Five Year Servi200 Board of Health Meeting were corrected and approved as
Reco Ilitions•
1 Lenor Kay Luncefnis alive Support Technician, Support Services
Lorna EBlackler, Healt Euca r, Community Health, Personal Health Services
1
I
I' I
i I
I ~ I
Mr. David E. Rice, Health Director and Mr. Blake congratulated staff.
Otlh ~r Recognitions .
Mr. Rice presented a plaque received on behalf of the Health Department - A Resolution
Commending New Hanover County Health Department for Support of Wilmington Health
Access for Teens.
Mr. Rice presented a plaque received on behalf of the Health Department - Certificate!of
Appreciation for Participating in the 2003-2005 Baby Love Best Practices Pilot.
De i ~i ent Focal: Animal Control Services: Operations Overview I
Ms. JeI n McNeil, Animal Control Services Manager presented updates for Animal Control
Services. Highlights included:
i
Staff' Isition Updates
111 111 Animal Control Services Manager
ACS Su"ervisor Adm. Support Supervisor Shelter Supervisor
7Animal`Control Officers 2 Fiscal Support and 3 Shelter Attendants
1 0 i Y 3 'h Adm. Support Tech. t
Migk6n Statement
II• ~`ithe mission of New Hanover County Animal Control Services is to protect the publicIfforti the
threat of rabies virus exposure, and to ensure proper animal care, through prevention, public
j perception, and education." 1 I •
Divisi nil Responsibilities
Ili Shelter facility
Neutering animals available for adoption
Section Five: NHC Code - Animals & Fowl
Licensing of animals
! i I Citizen complaint response 1
u Emergency response availability - including after-hours and disaster situations I
Potential Complaint Requests 1
~6' Fowl - chickens, ducks, geese
h Reptilian - iguanas, bearded lizard
Large animal - cows and pigs I _
• Smaller large animals - pot-bellied pigs
• Wolf-hybrids
Asiatic Himalayan bears i
Various wildlife I -
Some Hallmark Cases l
• IROSc Avenue - 68 animals seized
• lPit bull fighting scenario - five defendants, with one going to jury trial
• Fairford Road - 47 dogs and 53 birds
• ISanta Ana - 73 assorted beasts i
• Camellia Lane -137 Dachshunds, 2 birds, 8 cats and 8 kittens
Progress is Being Made
• An Control Services generates approximately 2/3 of expenses to function, including s; lary,
fringe, and benefits ,
• Adoption rates are increasing (last check by as much as 20%)
• Increased public awareness and collaboration (animal cruelty cases) 1 •
Continuing Endeavors
Seek to educate the general public for success in future generations.
• Improve the quality of life for all companion animals and the people they co-habitat with.
2
I 1 it
d II I
i
I
Motto I
• "Your pet, otyr priority"
rding the animals and there was discussion in regardslto
Dc Sandra Miles expressed con ern rje
restrictions ortlthe numbers of a imalperson is allowed in their home. There wasjfurther
discussion on laws for animal c ntrol luding breeding permits, fowl regulations and possible
needs of a folltime veterinarian at a fue date.
. Robert eedon expressed hat Ne Hanover County has a "world class" Animal Control
Dr
Services.
Mr. Blake thanked Dr. McNeil foAeesentation.
Monthl F nancial Re ort - une 2 ncludin Grant Status Report)
Ms. Cindy 1W. Hewett, Busine s Man er, presented the June Revenue and Expenditure Summary
Report thatlreflects an earned evenue otal of $6,737,617 with a remaining revenue budget of
$832,298 and an expenditure t tal of 11,456,773 with a remaining expenditure budget of
$1,969,5181 Ms. Hewett stat d that t ere is a slight decrease in revenue and expenditures as
compared tb last year and that revenu s do not reflect June until postings for fundings`are '
received. lithe final report for FY 200 -05 will come later. County appropriations are 84.52%. A
summary f the financial rep rt is bel w:
Bu geted FY 04-05 Actual FY 04-05 %
Expenditures:
• Salaries & Fringe $10,301405 $9,621,296 _
Operating Expens s $2,257,314 $1,765,581
Capital Outlay $594,572 $69,896
Total Expenditur s $13,153,291 $11,456,773 87.10%
Revenue: $7,569,915 $5,957,103 80.91%
Net Count $5,583,376 $4,719,156 84.52%
Ms. Hew tt reported the He Ith De artment Grant Status. Totals for grants requested $981,700
received' $426,700 and deni d $205 0. Two pending grants: NC Dept. of Insurance - Office of
State Fire Marshall - Risk arch C minuation Grant for $25,000 and HUD (partnership with
City of Wilmington) -Lead' Outrea hand Education Program (3 year funding) for $275,000.
Comm Iltee Reports:
Environmental lmental Health Se ices ommittee I
Mr. Ri le reported that on J ly I14 a follow up to our last Board of Health Meeting, the
Environmental Health Se ices Co mittee met at Environmental Health Services and~most
stakehq~ders were present o disco s the Hewlett's Creek sewage spill. Mr. Rice stated itl was a
very productive meeting. ew Ha over County Health Department is working with Emergency
unitylforum as
Managlc{ment Services in r gards t alerts. The City of Wilmington held a comm
• most att questions were di ected t the city. Thresholds were set regarding this most difficult
situation and was moved p on th city's "to do" list.
I
3
I
i
I
i I
Stakeholders are to develop a protocol and will work with Ms. Dianne Harvell, Environmental
Health Services Manager to better inform the public. Mr. Rice stated that he is proud~of the
progress we have made. •
~ I
Old Business:
1,
Mr.W Ice stated that we have had two (2) Executive Committee Meetings since the last official
Boardlof Health meeting. Due to lack of quorum at the last Board of Health Meeting,'Ithere are
three (3) items that need Board of Health Approval that have already been sent for approval by
the New Hanover County Commissioners. l
BudlgehtAmendment - Additional Medicaid Maximization Cost Settlement Funds!- $15,932
The IN 1 Hanover County Health Department has received notification from the Division of
Public Health that an additional $15,932 in Medicaid Cost Settlement Funds have been awarded
to Abe used to support programs that earn Medicaid revenues (spending plan to be developed at a
later (date). This amount is in addition to previous cost settlement monies already received.
` t
Motion: Motion passed for the Board of Health members to accept and approve the $15,932
additional State Grant funds to be used to support the New Hanover County Health Department
1 11 1 it
pro i rl is4 which earn Medicaid revenues, and the associated budget amendment.
FI i PoliCV Change - Menactra Vaccine
Th I N ' Hanover County Health Department is proposing to change its current Fee Policy, so
th'a" le I Icaid may be billed for the Menactra (meningococcal) vaccine (private stock vaccine).
Currently, our fee policy states: (Section I, General Guidelines, Item J) payment in full LLquired
at jtliel time of service for vaccines not supplied by the State, with the exception of flu and
pneumonia vaccines provided to Medicaid and Medicare Part B recipients. Insurance companies
will;notlbe billed for these vaccines except for Blue Cross Blue Shield due to Cost Wise
reimbursement (Cost Wise requires us to bill for vaccines). Patients will be provided a receipt for
billing their insurance company.
Pro IoseJ Change: Payment in full is required at the time of service for vaccines not supplied by .
the State;1 with the exception of flu and pneumonia vaccines provided to Medicaid and Medicare
Part'131 recipients, as well as, Menactra vaccine provided to Medicaid recipients. Insurance
companies will not be billed for these vaccines except for Blue Cross Blue Shield due to Cost
Wise reimbursement (Cost Wise requires us to bill for vaccines). Patients will be provided a
receipt foIr billing their insurance company.
Motio I_ I Motion passed for the Board of Health members to accept and approve The New
Hanover County Health Department Fee Policy Change for the Menactra Vaccine as presented.
1
Fee Polic i Changes - Medicaid Reimbursement and Laboratory Procedures
The New IFlanover County Health Department is requesting approval to change its current Fee
Policy based on recent changes in Medicaid Reimbursement rates for services provided within
our Clinic and Home Visiting Programs. Additionally, approval is requested for ;changes
occurring in our Laboratory processing procedures. Previously, several laboratory procedures
were processed internally, but with the need to replace expensive, costly equipment, it was •
determined that it will be more cost effective to send these procedures to a reference lab for
processing i
i
4
. 11 I
I
j
Motion: M tion carried for [he Boa d of Health members to accept and approve the! New
Hanover County Health Depa>ment ee Policy Changes to accommodate recent changes in
Medicaid reibursement and laborato procedures.
New~Businehl
Archivin =1Public Health Re ords
The New Hanover County ealth epartment is seeking approval to adopt the Document
Archiving a~td Destruction of Origin Records Duplicated by Electronic Means. as presented.
The purpose of this policy is o estab ish guidelines for document archiving and for destroying
original records that are du licated electronically through imaging. This policy reflects
guidelines set forth in the N rth'Ca lina Department of Cultural Resources publications (1)
North Caro~ina Guidelines fo Mana ing Public Records produced by Information Technology
Systems and (2) Records Retentio and Disposition Schedule, (a) County/District Health
Department's and (b) County S eriff's ffice.
Board me bets expressed co cem as to the back up of these records but that the system outlined
is good.
Motion: II r. Blake moved f om the xecutive Committee for the Board of Health to accept and
approve thT Document Archi ing an Destruction of Original Records Duplicated by Electronic
Means. Upon vote, the MO ION SED UNANIMOUSLY.
Grant A lication - Personal Heal h Services - Anne Wolfe Mini Grant ($5,000)
The New-Ianover County H alth D partment needs approval to submit a Prenatal Grant to North
Carolina Public Health Ass ciation NCPHA) (Anne Wolfe Endowment) for $5,000 to provide
assistance) to diabetic prenat 1 pane ts. This money will be used to pay for diabetic supplies for
prenatal patients with no so rce of ayment for those supplies. These patients are identified by
our Maternity Care Coordinators.
Monona Mr. Blake moved tom th Executive Committee for the Board of Health to accept and
approve t e Grant Application to N PHA for $5,000; to accept the funds if awarded and approve
any associated budget am ndmen for FY 05-06 and FY 06-07 (grant period is 11101105 -
05101107j and submit to th New anover County Commissioners for their consideration. Upon
vote, thel MOTION PASS D UN MOUSLY.
Grant lication - Heal I Pro ams Administration - NC Alliance for Health NCAH
I
The NOAH is applying for fundin to the Robert Wood Johnson Foundation, and are looking for
support from New Hanove Count Health Department in this effort. NCAH is seeking funding
to hire 1~ full-time directo who ould provide technical assistance and training to local health
departments working to and es blishing smoke free ordinances, and who are) willing to
challenge the state preem tion c use related to secondhand smoke. NHCHD would allocate
$5,000I of (CDC grant fu ded) P .ect ASSIST monies toward this effort, and would challenge
preemplton to the state le el to i prove local control of secondhand smoke ordinances Current
state law prohibits local ords ( ealth or commissioners) from creating and enforcing stringent
clean indoor air/smoke fre polici s. Local policy cannot supersede state policy.
~I
' Mr. Delvid E. Rice, Health Drrec r expressed that another issue of concern (that would go hand-
in-hand) has past Legislation en bling Health Departments and Departments of Social Services
buildings to extend outside smo g boundaries.
5
•I ~
i I.
Recommended Amendment: Motion from the Board of Health as to more clarification of how
the monies are to be used for media/public relation's education campaign. Amendment approved.
MI tlon: MT. Blake moved from the Executive Committee for the Board of Health to accept and •
approve (with the recommended amendment that the grant will be used for media/public
rel'ation's education campaign), allocation of $5000 matching funds to the NC Alliance for Health
grantlapplication to Robert Wood Johnson Foundation and submit to the New Hanover County
Commissioners for their consideration. Upon vote, the MOTION PASSED UNANIMOUSLY.
Othe 'Business
Comments:
M,dDI n Blake commented that he hopes that Animal Control Services receives a loYOf calls for
[he adoption of the Dachshunds that were picked up on Camellia Lane.
MII. Blake also commended Ms. Janet McCumbee, Personal Health Services Manager, for doing a
great job answering questions related to the Hewlett's Creek sewer spillage at the County
Co'mmissioner's Meeting. Mr. Blake stated "Janet was at the controls when the sewage problem
u i t„
c a u
J p~ .
kBla4ke e also encouraged Board members, if they have not done so already, to "cheek out" the
new SAFE KIDS van now being used by Health Promotions. Ms. Renae Lopez, Health Educator
is already "putting it to work" with 2-3 events per week.
I
MsII Ch I yl L.ofgren, Board of Health Member announced that she would be working part time at
the~ Mill hen's Clinic. I •
Health Director
I i
CII I~ I el Its
I
It's AIB I vn
Mr. Rice congratulated Dr. Robert M. Shakar, Jr. on the recent birth of his fourth child.
I I I L
Newnan ver County Board of Commissioners Approval of Environmental Health Services
and Animal Control Services Positions
Mr. Rilie'reported that the Board of County Commissioners approved the requested positions for
Environmental Health Services and Animal Control Services at their July 11th Meeting.
I
Mr. Rile expressed "thanks" to the County Commissioners for approval of the Environmental
Health Services and Animal Control Services positions. I
t
Ms. Nancy Pritchett expressed that it was unfortunate that the request was sent to Comrtiissioner
Kopp instead of her. h'
I'
Hewlett's (Creek Sewaee Spill Update
Mr. Rice expressed as he did in the Environmental Health Services Committee Report that the
City of Wilmington held a Community Forum and emergency protocols will be processed: •
~I
t
6
I
I ~ f
~ I
' t
Animal Control Services Searc and lizure Update
i
O Mr. Rice reported that 137 Dachshunds, birds, 8 cats and 8 kittens were seized from Camellia
Lane. Animus will be up for ad ption ter all the legalities have been settled. I
Le islative date
Mr. Rice pre ented Board of alth m tubers with a copy of the Legislative Updates. There is
still not action on the Food and dgin Fees.
Performancle Anaraisal Training
Mr. Rice Ice
that B anage and Supervisors would be attending Performance
Management Training beginni 18( Augu t 3`a
Access Ra II in w Ha over Count Health Department Building
Mr. Rice removed the sign in of he New Hanover County Health Department building that
displayed the message "Ac jrsosnt
p in Back". Mr. Rice commented for the sake of
"govemmeIMal humor" becau the H alth Department added the access ramp in the front of the
Health Department building ita 1998 nd in 2004 our security system forced the locking of the
back entrances.
Informatil1nal News Folders
Mr. Rice pl esented the Boar of Hea th members with several informational items in their Board
• of Health Polders:
1. Legislative List
2. Accopy of a New H nover ounty Memo to Commissioner Kopp w/attachments from
dam Griffin, Budget Directo regarding Medicaid Maximization Funds.
3. Itter regarding Cou t Case urrounding the death of a New Hanover County Jail' Inmate.
4. Newspaper Wrap It ert that ppeared in the Wilmington Star News.
i
Adiournment•
Mr. Blake adjourned the reg larlbus ness meeting of the Board of Health at 9:10 a.m.
Mr. Donald P. Blake, Chairman
New Hanover County Board of Health
I I
David E. Rice, M.P.H., M.A., Health Prector
New Hanover County HealthlDepartment
Approv d: i
I II
i I
I ~
i
7
I
i u
New Hanove County Health Department I
FY 05-06 II
MONT Y REVENUE REPORT
. s of WV2005
Sum ary for the New Han ver Cou ty Health Department
Cu Iulative % 8.33% Month Reported Mon 1 of 12 Jul-05
Curre t Year Prior Year
Type of B' dgeted Revenue Balance % Budgeted Revenue Balande I %
Revenue Xmount Earned Re aining Amount Earned Remaining
Federal & State $ 1,814,456 $ 137,4 7 $ 1, 77,049 7.57% $ 1,780,890 $ 181,646 1,59%2441 10.20%
AC Fees $ 1659,496 $ 52,24 $ 07,252 7.92% $ 570,161 $ 39,142 531019 6.87%
Medicaid $ 1,484,368 $ 163,0 0 $ 1 21,328 10.98% $ 1,138,039 $ - 1$ 1,138039 0.00%
Medicaid Max, $ - $ - - $ 151,600 $
EH Fees $ 300,212 $ 21,9 8 1 78,234 7.32% $ 300,212 $ 31,506 $ 268,706 10.490%
Health Fees $ 129,800 $ 21,2 5 $ 108,525 16.39% $ 113,545 $ 14,297 $ 99,248 12.59%
Other $ 12,382,069 $ 32,1 8 2349,871 1.35% $ 2,390,519 $ 3,022 $ 2,387,497 0.13%
Totals $ 16,770,401 $ 428, 41 $ 61342,260 6.329%. lp$ 6,444,966 $ 269,613 $ 6,023,753 4.18%
I
NOTE: Expenditur Report will be p ovide at the BOH Meeting on September 7, 2005 (provided that the
• County Financial System (MUNIS) i wtirki g properly.
i
I I
Revenue Summary I 6
For Month of July 2005
I
HCHD BOARD OF H7LTH AP ROVED GRANT APPLICATION STATUS FY 05-06
Date (BOH Grant- Requested uested Pending Received DI nied r
Wolf IiNC Public Health A Isoclatio
Prena~al Grant for FY 05-0 and FY 06-07-
8/3/2005 assistance for diabetic pren 'tal patie ts. $5,000 $5,000
o aro ma lance or
Seco dhand Smoke- Loc I Contro
• allocating ' allocating
Initiative-if approved and a arded P funds $5,000 from $5,000 from
to bel used for educational urposes nd existing PA existing PA
media campaigns only. budget budget
I I
7/612005 No iotivi for Jul 2005. ! II
NC DD pt of Insurance- O Ice of S to Fire I I
6/1/2005 MarsZ11- Risk Watch Cc inuation rant $ 25,000 $ 25,000 I
HUD (partnership with City f Wilml ton)
Leadjoutreach and Educe on Frog m (3
yearfunding) $ 275,000 $275,000
Ministering Circle- Good Shepher
Ministries Clinic supply & quipmen $ 15,000 $ 15,000 $
IN aotivi for May 2095.1 1 1 !
Cap Fear Memorial Fou dation- iving i
4/6/2005 Weii Pro ram $ 20,000 $ 20,000 $ -
I I I
Natinal Safe Kids Coal! ion- Mo ile Van for
3/2/2005 Car; eat Checks $ 49,500
Smart Start- Child Care Nursing P o ram $ 239,000 $ 170,000 $ 69,000
Smart Start- Health Che Coordi ation
ProgramSta $ 437800 $ 43,800
Sm rt rt- Navi ator P o ram $ 155,000 $ 44,000 $111,000
• !
2/2/2005 !Foundato o'activi forFebrua 2005.
I
h mpion McDowell D via Cha table
1/5/2005 n -Good She herd Cli is $ 56,400 $ 56,400
11 1
12/1/2004 Nolactivi for December 2004.
Malrch of Dimes-Mater ity pare oordination
P gram educational su plies an incentives
1117/2004 for pre nantwoma . $ 3,000 $ 3,000 $ -
10/6/2004 IN activity toreport fo Octobe 2004. 1
9/1/2004 No activity to report fo September 2004.
Office of the State Fire Marsha NC
Department of Insuran' e- Risk atch
8/4/2004 continuation fundin (3ylears) $ 25,000 $ 25,000
Eat Smorth Car line $ 20,000 $ 20,000
NC PhyAPrena d Nutri on Branch-
II I I I
NF Marmmuni Grant I
Prograsation- rogram did
7/7/2004 nota p$ 50,000 $ - $ - $ -
Wolfe-NGrant- Diabetic I D
$upplies for Prenatal P tients $ 5,000 $ 5,000
f I I
Totals $986,700 $280,000 5451,700 $205,000
• 28.38% 45.78% 20!78%
Pendin Grants 3 20%
(funded Total Re uest I 8 53%
Partiall Funded ! 2 13% !
enied Total Re uest
umbers of Grants A lied Fo 15 100% 9
As of 812812005
' N TE: Notification received since last report.
EW HANOVE COU TY BOARD OF COMMISSIONERS
I Requ st for Board Action
i
A gends: Consent Meetin Date: 09/19/05
® g
' II Agenda:
De artrneni Health Presenter: Cindy Hewett, Business M rJ
Contact: C d Hewett, Busi ess M na er, ext 6680
i f
Subject: C angel in the Ne Hano er County Health Department Fee Policy-
Collections IProcess
Brief Sum " ary: The New anover County Health Department is proposing to chatigei its
current Fee Policy, in order t subm t all eligible outstanding debt on patient ccou Its to
the New H nover Count Le al O cc for possible collection.
Recomme8ded Motion and eques d Actions: To accept and approve changes to the
New Hanover Count Health De pa ment Fee Policy as resented.
dled with existing resources at the New Hanover
County Hea lth Department w Hanover County Legal Office. Potential
revenue m~y be generated t lections, Small Claims Court or the NC Debt-'
Funding S' urce: Process lition(
• Setoff Prol ram.
Will abovl@ action result in:
QNew Position umber of Position(s)
DPosition(s) Modi change
No Chan a in Po Explanati n: The New Ha over unty He
alth Department is requesting to change its
Fee Policy thus allowing s bmissi n of all eligible outstanding debt to the New Hanover
County Legal Office for po sible llection through their internal collection process,
Small Cl~ims Court or through th NC Local Government Debt-Setoff Program.
Revenue generated throug this p cess will be posted as recognized revenue to the New
Hanover ~ounty Health D 'partm t Budget in the Fiscal Year in which it was received.
Respecti a patient account' will b updated to reflect any payment activity resulting from
this collection process.. 11
Attachments: Changes in in New anover County Health Department Fee Policy- Collections
Process
i 10
' I
I
Attachment I: Changes in the Jew Hanover County Health Department Fee
Policy- C, llections Proc¢ss
Current: (Section I, Gen V ral G idelines, Item J.) If a patient has a remaining
balance i n their acc unt, payment agreement and schedule will be
established and signed by a patient (Page 31). Patients who have
demonstrated no "good f ith e rt to pay may be subject to service restrictions
as allowe by law.
Proposed. ( Section I, ener I Guidelines, Item J will remain as is. The
following ill be added s Sec ion I, General Guidelines, Item K. Remaining
items in Section I, Genera I GO elines will be appropriately relabeled to reflect
this insertion.) For patien s wh demonstrated no "good faith" effort to pay Ion
their accoLint with a bala ce o thirty-five ($35) dollars or more and sixty (60)
days or more past due, HCH will submit necessary information to the 'New
Hanover ounty (NI-16 Legal Office for the purpose of collecting such
outstandi I g debt. NHC egal ffice will pursue payment of such outstanding
debt through their interna collection process, Small Claims Court or through the
North Carolina Local Gov rnme t Debt Set-off Program.
Current: (Section III Accounts Receivable, Item 2.) Provided that patient
confidentiality is not jeop rdize , bills showing total charges (less sliding scale
• discount) I (will be mailed to pa dents 30 days after their visit. Two additional
statements with balance wed ill be mailed if no payment or subsequent visit is
made.
Proposed: (Above item Will re ain as is with the following addition at the end of
the paragraph:) Note: Asprevi usly identified in Section I, General Guidelines,
Item K; for patients wh demonstrated no "good faith" effort to pay on their
account 11ith a balance o thirty five ($35) dollars or more and sixty (60) days or
more past due, NHCHD jlnrill su mit necessary information to the New Hanover
County (NHC) Legal Off ce for the purpose of collecting such outstanding debt.
Additionally, such patie t acc unts will be flagged within our patient' care
management database a bein in a collection status.
i
Current: (Bad Debt Writ Off Policy, as contained within the NHCHD Fee Policy)
All eligible bad debts wi I be r ferred to the North Carolina Local Govelnment
Debt SetLoff Clearinghouse for possible collection.
Proposed: (Replace above se ence with the following) All eligible bad debts will
be referrled to the New Hanover County Legal Office for possible collection
through t elr internal collection rocess, Small Claims Court or through the North
Carolina ~ocal Governm nt e t Set-off Clearinghouse.
i i
I
11
NEW HANOVE COU TY BOARD OF COMMISSIONERS
Requ st for Board Action
i
Agenda: Consent Meeting Date: 09/19/05
Agenda:
Departmen : Health; Health rogra s Presenter: Scott Harrelson
Administrat'on; Health Prom tion T am
Contact: Scott Harrelson, As istant ealth Director, 343-6592
Subject: N~w Hanover County Boa of Health No Smoking Policy
g~ nnact mmary: The NHC BOH N Smoking Policy has been revised to include n6 v
~(J! n per N.C. General tatute 43-599, which permits local health departments to
0 ~oinear smoke-fre eri e ter around health department facilities.
Recommended Motion and equest d Actions: BOH approval of revision to policy,
enacting a ~ 1 0 linear-foot sm ke-free perimeter. This policy will prohibit smoking b'y
NHCHD staff and clientele within 5 linear-feet of the NHCHD facility.
Funding S61urce: N/A
• Will above) action result in:
?I)iew Position Number of Position(s)
?Position(s) Modification r change
Z1 o Change in Pos tion s
Ex lanatidi :
Attachments: 1.) Proposed po icy 2.) Current policy revised 2/05 into new template. 3.) NC GS
143-599, ratified June 27, 200.
i
12
i
I
I
NE HANOVERI''~COU TY HEALTH DEPARTMENT
P licie and Procedures s
_ I~ oa<'
NO
Q N
S, NEW XPN jOIIVER COIIXiY f1E PVtH
Subject:! Smoking I
Date of Origin: 04/10/2001
Date Revised: 09/07/2005
Policy Number:! GS-ADM-047
i j
PURPOSE AND SCOPE: , f
The purpose o this policy is to provide guidance to all New Hanover County Health
Department (NHCHD) staff in regard to smoking. The scope of this policy applies to all
members of thl NHCHD work rce.
CHANGE SU MARY:
I
Reformatted F bruary 21, 20051
Revised Septe ber 7, 2005 toireflec addition of NC General Statute 143-599,
prohibiting smi king within 50 linear feet of health department buildings..
POLICY/PROs EDURE:
The New Han c! ver County Health Department (NHCHD) policy regarding smoking is in
• accordance wii h the New Han `ver County Board of Health No Smoking Policy and the
New Hanover ounty Human esou ces Policy, Article VI: Section 9, No Smoking
Policy.
Health Depart ent employes are encouraged to model positive health : behaviors.
Smoking is di couraged for a l heal department employees while conducting! county
business:,
Smoking is not permitted in HCH facilities. All employees and clientele, per N.C.
General Statue 143-599, are rohibi ed from smoking within 50 linear feet of the health
department. moking is prohi ited all entrances to county buildings as well a's on all
sidewalks imrr, , ediately adjace' t to c unty buildings. Smoking is prohibited in' county
vehicles. I
OTHER INFORMATION: Full Text of S143-599 can be found at the following web
address: '
i
hftp://www.nc .state.nc.us/S °ssion /2005/Bills/House/HTML/H1482v4.html
CHANGE~HIS ORY:
4 I
Version: Date Comments ! .
A 1~ 02/87 iOriginal olicy anning smoking in NHCHD facility
• B ; 04 1,0/01 JPolicy r ised reflect NHC HR Policy and proximity policy
C i 0605/01 Revised docu ent to clarify proximity to entrances
D ; 02 21/05 Reform ed in new template ( .
i E 09'07/05 Revised to incl de reference to NC GS 143-599
~ i
"Healthy Peopl Healt y Environment, Healthy Community" i i 13
i
Z2
1
r NEW HANOVER COUNTY HEALTH DEPARTMENT
•
Policies and Procedures F
P
..AC NEW XPNOVER COIINiY XEPVT~
NORiN ~ i
Subject: Smoking
Dateio,fOrigin: 04/10/2001
Date;Revisedi 02/21/2005
Policy Number: GS-ADM-047
PU 1RPOSE AND SCOPE:
The;lpur~p~ose of this policy is to provide guidance to all New Hanover County Health
Department (NHCHD) staff in regard to smoking. The scope of this policy applies to all
members of the NHCHD workforce.
CHANGE SUMMARY:
Ref Ilr I ed February 21, 2005 i
POIJ Y/PROCEDURE:
The~hNew Hanover County Health Department (NHCHD) policy regarding smoking is in •
accordance with the New Hanover County Board of Health No Smoking Policy and the
Newt Hanover County Human Resources Policy, Article VI: Section 9i No Smoking
Policy
Healt Department employees are encouraged to model positive he alth behaviors.
Smoking) is discouraged for all health department employees while conducting county
business
Smoking) is not permitted in NHCHD facilities. Smoking is prohibited, at all, entrances to
county buildings as well as on all sidewalks immediately adjacent to cod my buildings.
Smoking) is prohibited in county vehicles.
~I
OTHER INFORMATION: N/A
III
RE IEI NCES: N/A
CH ~INGE HISTORY:
Version Date Comments j
A 04/10/01 ,Original Document J
15, 06/05/01 )Revised document
K 02/21/05 Reformatted in new template S
14
"Healthy People, Healthy Environment, Healthy Community"
1
i
SL2005-0168 Page 1 of 1
GENERAL SSE BLY OF NORTH CAROLINA
SESSION 2005
SESS ON LAW 2005-168
HOUSE BILL 1482
AN ACT TO D MPT FRO TH LAW GOVERNING SMOKING RESTRICTIONS
LOCAL DEP RTMENTS F I S CIAL SERVICES AND THE BUILDINGS AND
GROUNDS HERE THEY E LOCATED.
The General Assi' bly of North arolin enacts:
SECTI N 1. G.S. 143 599, s amended by S.L. 2005-19, reads as rewritten:
143-599. Exe I ptions.
All of the foll wing facilities s all b exempt from the provisions of this Article:
(1) ny primary or'secon ary school or child care center, except foria teacher's
1 unge.
(2) n enclosed ele ator.
(3 ublic school b s.
(4) Hospital, nursi g home, rest home, and State facility operatedi under the
uthority of G.S. 122C 181.
(5) ocal health
e artment and local department of social services and
e buildin and' oun s where the local health department or local 'de artment
f social servi es' a a licable is located. For the purposes of this
ubdivision, "gr 'unds" means the area located within 50 linear feet of a local
ealth de rtment or a local de artment of social services.
(6) I' Any nonprofit organ zation or corporation whose primary purpose is to
iscourage the u e oft bacco products by the general public.
(7) obacco manuf cturin , processing, and administrative facilities." .
SECTI N 2. This act `s effe tive when it becomes law.
i
In the eneral Assembly read three times and ratified this the 27th day of June, 2005.
s/ Beverly E. Perdue j
President of the Senate
4
f
s/ James B. Black
Speaker of the House of Representatives
s/ Michael F. Easley
Governor
j ~
,i1~•S1 rl,'7thAnx, fl„1. ~nn~
•
i
i
15
L i
http://vfww.ncga.sl te.nc.us/Session 72005 ills/House/HTML/H1482v4.htm1 ` 8/23/2005