07/05/2006
New Hanover County Health Department
Revenue and Expenditure Summaries for May 2006
Cumulative: 91.67% Month 11 of 12
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Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,861,503 $ 1,828,396. $ 33,107 98.220% $ 1,968,297 $ 1,524,495 $ 443,802 77.45%
AC Fees $ 666,096 $ 636,864 $ 29,232 95.61% $ 580,161 $ 638,410 $ (58,249) 110.04%
Medicaid $ 1,500,300 $ 856,775 $ 643,525 57.11% $ 1,624,039 $ 1,076,217 $ 547,822 66.27%
Medicaid Max $ - $ - $ 154,600 $ - $ 154,600
EH Fees $ 302,212 $ 259,242 $ 42,970 85.78% $ 300,212 $ 281,423 $ 18,789 93.74%
Health Fees $ 128,000 $ 203,637 $ (75,637) 159.09% $ 113,545 $ 162,427 $ (48,882) 143.05%
Other $ 3,235,186 $ 2,821,182 $ 414,004 87.20% $ 2,621,654 $ 2,274,131 $ 347,523 86.74°h
Totals $ 7,693,297 $ 6,606,096 $ 1,087,201 85.87% $ 7,362,508 $ 5,957,104 $ 1,405,404 80.91%
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
• Salary & Fringe $ 11,211,551 $ 9,088,912 $ 2,122,639 81.07% $ 10,351,905 $ 8,552,155 $ 1,799,750 82.61%
Operating $ 2,092,980 $ 1,336,981 $ 755,999 63.88% $ 2,452,294 $ 1,540,573 $ 911,721 62.82%
Capital Outlay $ 774,587 $ 460,208 $ 314,379 59.41% $ 139,684 $ 53,653 $ 86,031 38.41%
mm V~NFMWW
Totals $ 14,079,118 $ 10,886,100 $ 3,193,018 77,32%11 $ 12,943,883 $ 10,146,380 $ 2,797,503 78.39%
Summary
Budgeted Actual %
FY 05-06 FY 05-06
Expenditures:
Salaries & Fringe $11,211,551 $9,088,912
Operating Expenses $2,092,980 $1,336,981
Capital Outlay $774,587 $460,208
Total Expenditures $14,079,118 $10,886,101 77.32%
Revenue: $7,693,297 $6,606,096 85.87%
Net County $6,385,821 $4,280,005 67.02%
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Revenue and Expenditure Summary
For the Month of May 2006 7
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NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05-06
Date BOH Grant Requested Pending Received Denied
61712006 Living Well (Cape Fear Memorial -
• Foundation) Ratify grant received to produce
Living Well ublidation~ $0 $12,000
5/112006 No Activity for May 2006
4/5/2006
NC Pandemic Influenza Planning Funds -
Pandemic Influenza planning. Ratification of
grant application submitted for 3/2/06 deadline
Note: Full funding expected per State
notification; currently partial funding
confirmed with additional award to follow. $49,030 $49,030 $13,175
3/1/2006 No Activity for March 2006
Child Care Nursing (Smart Start)
Continuation funding for existing grant
2/1/2006 rogram $186,600 $186,600 $160,000 $26,600
=heck Coord. (Smart Start)
Continuation funding for existing grant
program $45,800 $45,800 $45,800
Famt y Assessment Coord. mart Start) Continuation funding for FAC portion of
Navigator program 'NOTE: May receive
$44,000 in 2nd phase If funds avail. $113,000 $113,000 $0 $113,000
NC Institute for Public Health - Accreditation
- assistance with improvement in areas
(policies/procedures & continuing ed training
log). $17,034 $17,034 $4,150 $12,884
Tabled by BOH Pediatric Primary Care (United
not approved Way/NHRMC) Start-up funds to support new
for submission prima care program for pediatric patients $30,000 $0
• Cape Fear Memorial Foundation- Obesity
1/4/2006 Grant 3 year period) $300,000 $300,000 $225,000 $75,000
Cape Fear United Wa - Panorex Grant $38,000 $38,000
NC Office of Minority Health 8, Health
Disparities- Interpreter Grant $20,000 $20,000
NACCHO Grant-Addressing Disability in
Local Public Health. Collaboration with
12/7/2005 UNCW. $25,000 $25,000
Office of Research, Demonstrations and
11/212005 Rural Health- Pediatric Prima Care Grant $50,000 $50,000
Health Carolinians- Contract Coordinator $5,000 $5,000
10112/2005 No activity for October 2005. -
91712005 No activity for September 2005.
Wolfe-NC Public Health Association
Prenatal Grant for FY 05-06 and FY 06-07-
8/3/2005 assistance for diabetic prenatal patients. $5,000 $5,000
' allocating
North Carolina Alliance(NCAH) for $5,000 from
Secondhand Smoke- Local Control existing PA
Initiative-if approved and awarded PA funds allocating budget. Grant was
$5,000 from approved by not approved
to be used for educational purposes and existing PA NHC-CC by RWJ
media campaigns only. budget 9119105 Foundation
716/2005 No activity for July 2005.
• NC Dept of Insurance- Office of State Fire
6/1/2005 Marshall- Risk Watch Continuation Grant $ 25,000 $ 25,000
HUD (partnership with City of Wilmington)
Lead Outreach and Education Program (3
year funding) $ 275,000 $275,000
As of 6122/2006 8
' NOTE: Notification received since last report.
" Program did not apply for grant.
II
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 05-06 I
Date BOH) Grant Requested °Pending Received Denied'
Ministering Circle- Good Shepherd
Ministries Clinic supply & Equipment $ 15,000 $ 15,000 $ -
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• - No activity for May 2005.
Cape Fear Memorial Foundation- Living
4/6/2005 Well Program $ 20,000 $ 20,000 $
National Safe Kids Coalition- Mobile Van for
312/2005 Car Seat Checks $ 49,500 $ 49,500 $
Smart Start- Child Care Nursing Program $ 239,000 $ 170,000 $ 69,000
Smart Start- Health Check Coordination
Program $ 43,800 $ 43,800 !Smart Start- Navigator Program $ 155,000 $ 44,000 $111,000
2/2/2005 No activity for February - 2005. . „ - i
Champion McDowell Davis Charitable
1/5/2005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No,activi y for December 2004.
March of Dimes- Maternity Care Coordination
Program educational supplies and incentives
11/7/2004 for pregnant women. $ 3,000 $ 3,000 $
10/6/2004 No activity to. report for October 2004.
9/112004 - No activityao repo t for September 2004. 1
Office of the State Fire Marshal- NC
Department of Insurance- Risk Watch
8/4/2004 continuation funding (3 ears $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch-
Eat Smart Move More North Carolina $ 20,000 $ 20,000
NC March of Dimes Community Grant I
717/2004 Program- SmokinCessation- $ 50,000 $ - $ - $
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
Totals $4,866,164 $711,464" $974,825:' $787,484
38.12% 52.24% 42.20%
Pending Grants 0 0%
Funded Total Request - 13 50%
Partial) Funded 6 23%
Denied Total Request 7 27%
Numbers of Grants Applied For 26 100%
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As of 6/222006 9
NOTE: Notification received since last report.
" Program did rot apply for grant.
1
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
• Request for Board Action
Agenda: Consent Meeting Date: 7/5/06
Agenda: ® CC Mt g. 7/10/06
Department: Health Department Presenter: Kim Roane, Business Manager
Contact: Kim Roane, Business Manager 798-6522
Subject: Request to Change Health Department Fee Policy
Brief Summary: The New Hanover County Health Department (NHCHD) requests fee
policy changes to reflect a change to accept patient declaration of income for family
planning patients in the Women's Health Program to comply with state requirements.
Other changes include four new laboratory service codes and a change in language for
sliding fee scale application for limited physicals. There will be no significant change to
revenues or expenditures as a result of these changes.
Recommended Motion and Requested Actions: To approve the revision to the New
Hanover County Health Department Fee Policy to include the fees and language changes
• as listed and to submit to the New Hanover County Commissioners for their
consideration.
Funding Source:
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: Recommended NHCHD Fee Policy Changes
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New Hanover County Health Department
Fee Policy
Requested Changes
• Change to the Fee Policy page 8 Letter F statement should read as follows (Bold notes change):
The NHCHD will require "proof of income" to reduce charges when applying the sliding fee scale. If a
patient is unable to produce this required information, they will be placed on a 100% sliding fee scale
status, for a period of ten (10) business days. If proof of income is provided within the ten business-day
period, the patient will be billed accordingly. If proof of income is not provided within the established
time frame, the patient will be billed at 100% for all patients with the exception of Family Planning
patients in the Women's Prevention Health program. The NHCHD representative has the right to
verify income information in all cases, however the patient must read, understand, and sign the income
statement (Page 35) in order for their income to be checked. The sliding fee scale does not apply to all
services. Services with flat rate fees do not require proof of income. In extreme or unusual
circumstances, the Health Director or designee may make exceptions.
• Change to the Fee Policy page 12 Letter 1343 statement should read as follows (Bold notes change):
Full charges will be assessed if patient income falls at or above 250% of the Federal Poverty Level.
Patient's declaration of income shall be accepted for Family Planning patients receiving
services in the Women's Preventive Health Program.
LU Codes for Limited Physicals -
• Patient with Medicaid or third party insurance will be given the following choices at the time that the
appointment is scheduled.
1. To sign a form giving permission to do an abbreviated physical capturing the information
that is requested on the form brought by the patient for completion. A fee based on type
of physical will be charged to the patient.
2. To have a full physical and bill Medicaid or third party insurer for this service.
• 3. To have a full physical with charges based on sliding fee scale.
• Changes to Fee Policy page 13 Letter D statement should read as follows (Bold notes changes)
Children seen for Child Health Services will be charged in accordance with the NHCHD Sliding Fee
Scale (Page 29) with the exception of Limited Physical Examinations. (see E below)
• Changes to Fee Policy page 13 new category add Limited Services should read as follows:
E. Limited Physical Examinations
Limited Physical examinations for such needs as sports, employment, camp, colleges,
kindergarten, daycare, foster care, scouts, head start programs are offered as an option
to patients. These physicals will be provided at a flat rate per each type of physical
examination, determined by the amount of lab tests and special screenings required.
Fee Schedule
LU203 - Limited Physical: Employment $35.00
LU206 - Limited Physical: Day Care $45.00
LU207 - Limited Physical: Head Start $65.00
LU208 - Limited Physical: Sports $35.00
LU209 - Limited Physical: Foster Care $65.00
LU210 - Limited Physical: Camp $35.00
LU211 - Limited Physical: Scouts $35.00
LU212 - Limited Physical: College $65.00
LU214 - Limited Physical: Kindergarten $65.00
Patients shall be offered the option of a Limited Physical Examination at a flat fee for the
service, or to receive an initial/periodic Comprehensive Preventative Medicine Evaluation and
• Management Visit that will be billed to Medicaid or third party insurance or paid by patient
based on the Sliding Fee Scale.
Lab Codes
• 85025 (complete CBC with Diff) fee $20
• 84152 (PSA) fee $40 11
0 82150 (Amylase) fee $15
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• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 7/5/06
Agenda: ® CC Mt g. 7/10/06
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact: Janet McCumbee, PHS Manager
Subject: Grant Application - Cape Fear Memorial Foundation (CFMF) - Child Service
Coordination - $260,000
Brief Summary: One of the greatest needs we have identified in our work with families
with young children is behavior management and family counseling around children with
atypical behaviors. We are seeing more and more children "out of control" in homes and
in preschools, with frustrated parents in need of help. Home visiting for family
counseling and behavior management by a Licensed Clinical Social Worker (LCSW) will
eliminate transportation problems and provide assistance in the most natural
environment-the home. It is imperative that we tackle behavior problems early in a
child's development, to avoid discipline issues in school and possible juvenile
delinquency. We have received permission from CFMF to submit a grant application in
July 2006, to fund a full time LCSW for 3 years (salary/fringe/operating and
• administrative support) in our Child Service Coordination Program to provide this
service.
Recommended Motion and Requested Actions: To approve the submission of a grant
application for $260,000 (divided over 3 years) to CFMF for Child Service
Coordination, and to approve any resulting budget amendment if the grant is awarded and
to submit to the New Hanover Count Commissioners for their consideration.
Funding Source: CFMF
Will above action result in:
®New Position (1) Number of Position(s)
?Position(s) Modification or change
?No Change in Position(s)
Explanation: If CFMF approves the grant, these funds will support the position for 3
years. No county funds would be required. Some Medicaid revenue may be recognized
from the services provided b the LCSW.
Attachments: Child Service Coordination Grant to CFMF
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APPLICATION FOR FUNDING WILL BE ACCEPTED ONLY IFA LETTER OF INQUIRY HAS BEEN SUBMITTED BY YOUR
ORGANIZATION AND APPROVED BY CFMF PRESIDENT
CAPE FEAR MEMORIAL FOUNDATION
• GRANT APPLICATION FORM
PART I. YOUR ORGANIZATION
Organization Information - - -
Name: New Hanover County Health Department
Street Address: 2029 South 17th Street
City, State, Zip Code: Wilmington, N.C. 28401
Mailing Address: 2029 South 17'h Street
City, State, Zip Code: Wilmington, N.C. 28401
Telephone 910-798-6500 Fax 910-341-4146
E-mail Address: Web Site: www.nhcgov.com
Fiscal Year End: June 30th Federal Tax ID#: 56-6000324
Contact Information
• Name of Key Contact Person:
Title of Contact: Personal Health Services Manager
Telephone 910-798-6559 Fax # : 910-341-4146
E-mail Address: jmccumbee@nhcgov.com
- 1. Is your organization a nonprofit, tax-exempt organization under IRS Code Section 501 (c) (3)
or a governmental unit? If not, you do not qualify for a grant. If your organization is a 501 (c)
(3), please attach a copy of your current IRS tax-exemption letter with this Application.
2. Is your organization a private, non-operating foundation? If Yes, you do not qualify for a grant.
3. Would a grant from Cape Fear Memorial Foundation in the amount being requested jeopardize
your tax-exempt status?
4. Will any of these funds be used to pay a nationally affiliated organization? If yes, please
explain.
5. Does your organization now, or does it plan in the future, to engage in any way in the
• promotion or advancement of political causes? If yes, please explain.
6. Summarize your organization's background, goals and current programs. Also, discuss your assets in
personnel, services and programs that could be built upon by the Foundations help.
CAPE FEAR MEMORIAL FOUNDATION Pape 1 of B 13
GRANT APPLICATION FORM
ta[t ftmd: 1210712003
The New Hanover County Health Department (NHCHD) has provided health services to the community for
over 125 years. In 2004, NHCHD received accreditation, which validates the high standards of public
service provided by a first-class health department. The NHCHD has also participated in several strategic
planning processes over the past six years, identifying the greatest needs in the community. One of the top
goals of our department is "Access to Care". We continue to strive to meet the health care needs of the •
citizens of New Hanover County and/or ensure access to care.
The Child Service Coordination (CSC) team is comprised of 11 coordinators, 6 Registered Nurses and 5
Social Workers, who are crosstrained to provide a total of eight separate, although integrated programs.
Programs provided and the number of coordinators who can provide them are as follows: Family Care
Coordination (FCC) (5), Child Service Coordination (CSC) (11), Targeted Case Management (TCM) (3),
Child Find (2), Postpartum Home Visit Assessments (6) and Newborn Home Visit Assessments (6). Family
Care Coordination provides services to women during pregnancy, in their home, with the emphasis being
with teens and 1m time pregnancies. Child Service Coordination is for children birth to 5 years old who have
either been diagnosed with developmental delays or are at risk for social, emotional or developmental
dysfunctions. Targeted Case Management is provided through contract with the Children's Developmental
Services Agency and is an entitled service for children birth to 3 years old, who have been identified as
eligible for Infant-Toddler Early Intervention Services. Child Find is part of the federal Safe Schools Healthy
Students Grant with New Hanover County Schools, and seeks to identify children in the community who may
need access to services to prepare them for kindergarten. Postpartum and Newborn home visit ,
assessments are offered to Medicaid recipients after birth of a child to provide community information and
assess need for further community services.
Coordinators are trained to provide case management to link families to community resources. Typical
resources include medical care, housing, food banks, crisis intervention, mediation, financial counseling,
social services and counseling. Coordinators are also trained to screen for developmental delays and
dysfunctional social interactions. All referrals, except those for abuse and/or neglect; are made with parental
permission. Families are offered education, support and guidance and coordinators act as mentors and role
models. All services are provided in the families' natural environment, with the goal of assisting them with
obtaining knowledge and skills necessary for optimal care and life skills for their family.
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7. Describe your organization's structure and attach a list of your officers and directors.
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The NHCHD is a county department that operates according to county and state regulations, with the Board
of Health providing oversight. All health services are in the Personal Health Services Department, managed
by the Personal Health Services Manager and Health Director. The Personal Health Services Department
consists of seven programs - Child Service Coordination, Clinic Services, Community Services, Laboratory
Services, Maternal Health, Nutrition Services and School Health.
Attachments:
1) Board of Health members
2) NHCHD and Personal Health Services organizational chart
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CM FW Ma ORIAL FOUNWGN
GR FPPUCATION FORM P+v! 2 OF 8 14
last RMaed: 12JO2 d7
PART fl: PROJECT/PROGRAM Ouanti whenever possible.)
1. Describe the problem/need that the program/project will address.
• One recognized community resource deficit is the provision of in home behavior counseling for children who
are exhibiting atypical behaviors. Upon review of the 400 children currently being served, the CSC team has
identified at least 50 children who would benefit from in home behavior counseling. One of the Life Skill
goals of the previous NAVIGATOR program was parenting education for childhood behavior management.
Since funding for the NAVIGATOR program ended the team has adjusted back to providing CSC. After
review of the needs of the team in order to provide comprehensive services to our clients, in home .
counseling was the area identified. The Health Department currently has 1 Licensed Clinical Social Worker
(LCSW) who is only able to provide limited time per month for in home counseling due to clinic
commitments. Having a LCSW as a member of the CSC team would facilitate access to care by providing
quicker response time for intervention. The average time for obtaining an appointment for counseling is from
6 to 8 weeks.
Past referral for traditional clinical counseling has not been successful for many families for several reasons.
Barriers encountered include lack of transportation, lack of child care for siblings, inclimate weather and
limited access to care. Children who receive Medicaid need authorization for counseling referral and
children with private insurance may not have counseling coverage. Inability of the parent to sustain their
motivation is also a factor. When parents ask for help and then are told the next available appointment is in
6 weeks, the time delay is perceived as putting less worth on the parent's concern. It is difficult for many
parents to ask for help and when they do their concerns need to be acknowledged and information or
intervention provided within a reasonable time frame.
There are only a few professionals who provide in home counseling in New Hanover County, and those who
do, have received many referrals from the team. Typical childhood diagnoses which often have associated
behavior issues include atypical behaviors, oppositional defiant disorder, cognitive delays, history of abuse
or neglect and medical diagnoses which require intensive follow up and depression.
Children identified come from a variety of socio-economic backgrounds. Some are exposed to situations
beyond their control, which negatively impact their social interactions. Specific topics addressed include
behavior management, behavior change, parent/child interaction, social functioning and emotional maturity.
2. Describe the objective(s) of the project/program and indicate how individual lives of the
recipients will be changed and what benefits are expected to result.
Objectives for Licensed Clinical Social Worker (LCSW) counseling:
• to provide parents, of children from birth to 5 years, with information and tools to develop skills they
will use to teach and guide their children towards positive social interactions
• to provide short intense counseling that will lay the ground work for parents, for them to use to deal
with and manage the ever changing behavior of growing children
Benefits and expected changes for parents:
• access to counseling with quick response for intervention when a crisis is perceived _
• experience with intervention strategies to help them deal with problem, inappropriate, atypical or
developmentally appropriate behavior
• exposure to positive life skills, coping with obstacles, one-on-one counseling
• confidence building as they are exposed to and learn techniques they can use and have immediate
feedback in the home when the behavior is occurring
• consistency with managing their own emotions and responses, in relationship to their children's
behavior
• decreased stress and tension, with opportunity for enjoying time with their children
• offering in home counseling in a flexible time frame will decrease work time off for parents in low
wage jobs who find it difficult to maintain job security and income when time is taken off work
Benefits and expected changes for children:
• coping skills will be introduced and allowed to develop as children learn positive ways to deal with
stressful situations
• consistency from their parents, with response to their behavior
• awareness and development of positive social interactions
• • awareness of their own emotions and self control skills
• behavior typical for the home environment can be directly observed in the family's natural
environment;
• behavior can be addressed where the "problem" usually occurs so there is an associative visual cue
for both parent and child
CAPE FEAR MEMORIAL FOUNDATION Page 3 of 8 15
GRAM OPUCATION FORM
La R.md: 12J02=3
3. Describe the strategies you will develop to accomplish the objective(s).
Strategies will be individualized for each family, child and particular behavioral situation.
Initial contact and plan development: •
• Referral to LCSW will be discussed with the family and the family will agree to the referral
• LCSW will contact the family within 2 working days to set up home visit to discuss issues'of concern
• The coordinator will introduce the family to the LCSW
• Parent and LCSW will develop a plan together to address a specific issue -
One-on-one counseling in the home at the time of behavior of concern
• Home visits will be offered at the time the behavior of issue usually occurs
• Tools will be provided (both written and oral) for parents to reference
• Parent will have immediate feedback
• Plans will allow for successes for small behavior issues, to boost confidence of both parent and child
• Counseling will be intensive, allowing for 2 to 3 contacts per week for a period of 2 to 3 weeks per
issue;
• Counseling would not be long term; all behaviors requiring further involvement will be referred to a
licensed psychologist or psychiatrist
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Examples:
Four year old is labeled "the neighborhood bully" at the park because she pushes the other kids and won't
let them on the slide. The LCSW could meet the parent and child at the park and role model how to play
with child and how to encourage appropriate interactions with other children.
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Three year old is not transitioning well at nap time and tantrums every afternoon for half hour. The LCSW
can observe the naptime sequence and offer immediate feedback and suggestions.
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4. State how, when, and who will conduct an evaluation to measure how well your •
project/program is meeting its objective(s).
The program supervisor will develop a plan for evaluating this program and for data collection.
There are several excellent behavior rating scales that we plan to review and will determine which will best
suit this program.
Follow up with parents will be through:
• Behavior rating scale completion before, during and after intervention
• Questionnaire for feedback as to the effectiveness of the program
• 3 month and 6 month post-counseling follow up with completion of questionnaire for feedback.
The behavior rating scale could be completed by parents, coordinators, LCSW, child care providers, etc. to
obtain feedback for objectivity.
Data collection may include:
• Medical/social history of parents and possible correlation to behavior ,I
Medical/social history of child and possible correlation to behavior
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CAPE FEAR MEMORIAL FOUNDATION Page 4 Of 8 16
GRAM APPLICATION FORM
LMIRe d: 11gM3
PART Ill: FINANCIAL INFORMATION
1. Amount requested from Cape Fear Memorial Foundation.
(If multi-year funding is requested, also specify how you wish this to be paid per year.)
Three - year funding total request of $260,000
Year 1 = $86,000, Year 2 = $85,000, Year 3 = $89,000
2. Develop a complete projecUprogram budget; including expenses and income, for the period
you are requesting funds. Also, please attach a copy of your most recent (a) 990 and
(b) audit or financial statement with this application.
Project Budget: From October 2006 To September 2009
Expenses B Category) Income B Sources
Description Year 1 Year 2 Year 3 Description Year 1 Year 2 Year 3
Salary/Fringe NHCHD
Lisc. Clinical Social Wkr. 66,500 70,000 73,600 In-Kind Contributions:
Admin. Support Salary/Fringe:
Tech. 10 hours/week 10,200 10,700 11,200 Supervisor &
Administration 8,000 8,500 9,000
• Cell Phone 200 200 200
Printing 1,000 500 200 Office Space /
Utilities /
Department Supplies: Housekeeping 1,500 1,600 1,700
Supplies 1,000 1,000 1,000
Equip. (PC/Printer) 2,500 0 0
Office Furniture 2,000 0 0 Rev. Generated 0 0 4,000
(May potentially offset expenses)
Mileage 1,200 1,400 1,600
Training / Travel 1,400 1,200 1,200
Total Budget 86,000 85,000 89,000 Total Budget 9,500 10,100 14,700
Total 3 Yr. Expenses: $260,000 Total 3 Yr. Income $34,300
•
17
4. Describe how your project/program will become self-sufficient within three years.
• LCSW counseling is a billable service for Medicaid recipients. Approximately 50 children who would benefit
from in home counseling have already been identified. The LCSW would need to bill for services to become
self-sufficient. As the numbers of children with behavior issues continues to increase, the need for
counseling increases. With the Mental Health reform it is becoming increasing difficult to obtain mental
health counseling for children in a timely manner and also at a time that is convenient for parents, outside
the traditional 8 to 5 work day. The LCSW caseload will gradually increase to a size that will maintain
salary.
•
5. If the funds are to be used for construction or equipment acquisition, explain the bidding
process.
N/A
•
CAPE FEAR MEMORIAL FOUNDATION 19
p T Of R
GRAMAPPICATIONFORM
Last Revised. 1MV2003
PART IV: REPORTING REQUIREMENTS
1. Do you agree to furnish to Cape Fear Memorial Foundation, in a timely manner, pehodic
progress reports informing the Foundation of the progress made by your project/program?
•
_ Note: If Progress Report forms are enclosed for projects previously funded for which an annual
report has not yet been made, please complete the forms and return with this Application.
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SUBMITTED BY:
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Typed or Printed Name of Chief Executive Officer of Requesting Organization
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Signature of Chief Executive Officer Date
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Title •
Typed or Printed Name of Chairman of the Board of Directors
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Signature of Chairman of the Board of Directors Date
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Signature of Chief Executive Officer and Board Chairman is required for Application to be
viewed as complete.
One original of the completed Grant Application Form must be received in the office of Cape
Fear Memorial Foundation by 5:00 p.m. on the cutoff date for each grant cycle. The cutoff
dates are January 15 and July 15 annually, or the first business day thereafter if the deadline
falls on a holiday or weekend.
E-mail one additional copy of the completed Grant Application Form to: anna0-cfmfdn.ora
when internet access is available.
Questions or comments can be directed to the Foundation staff at (910) 452-0611. •
CAPE FEAR MEMORIAL FOUNDATION 20
GRANT APPLICATION FORM Pepe 8 Of 8
Lass Revised: 121072103
J.,
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 7/5/06
Agenda: ® CC Mt g. 7/24/06
Department: Presenter: Elisabeth Constandy, Health
Health Education Supervisor
Contact: Scott Harrelson, Deputy Health Director
Subject: Grant Application - Eat Smart Move More Community Grants - Health
Programs Administration - $16,495
Brief Summary: Eat Smart Move More is the North Carolina statewide health promotion
initiative to reduce chronic disease. There is funding available to local health
departments and their partner agencies to implement community based projects up to
$20,000 that focus on physical activity and/or healthy nutrition. The New Hanover
County Health Department (NHCHD) Health Promotion program intends to apply for
funding to implement the Winners Circle healthy dining program that has been
implemented in other counties across NC. Funds would be used to purchase nutrition
analysis software and license for NHCHD and up to 4 other partner agencies, to attend
training on the program, and to purchase incentives and marketing items to promote the
program once implemented. Partners include UNCW, PPD, and Cape Fear Healthy
• Carolinians. Existing works ace is available in the health department for the interns.
Recommended Motion and Requested Actions: Approve Grant Application for Eat
Smart Move More for $16,495 and budget amendment for FY 06-07 if funding is
received and submit to the New Hanover Count Commissioners for their consideration.
Funding Source: Eat Smart Move More Community Grants program managed by the
Physical Activity and Nutrition Branch of NC Dept. of Public Health. No matching
count funds are required for this ant funding.
Will above action result in:
®New Position Two (2) Number of Position(s)
?Position(s) Modification or change
?No Chan e.in Position(s)
Explanation: Funding is being requested for two (2) undergraduate health education
intern positions, which will be time limited to one semester, and the positions will be
eliminated upon completion of grant period. Funding is based on $8 p/h for 400 hours,
plus FICA.
Attachments: Grant announcement and proposed budget
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Eat Smart, Move More ...North
Carolina
Community Grants Program
Supporting
Physical Activity and Healthy Eating
• Community-Based Interventions
2006 - 2007 RFA
RFA # A118
State Fiscal Year 06/07
Physical Activity and Nutrition Branch
Chronic Disease and Injury Section
NC Division of Public Health
May, 2006
•
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Eat Smart, Move More ...NC Community Grants Program
Guidance Document
The North Carolina Division of Public Health is pleased to announce the Eat
Smart, Move More... North Carolina Community Grants Program for state fiscal
year 2006/2007. These grants, based on availability of funds, will be awarded
through a competitive application process to local health departments and their
community partners to support implementation of the goals and objectives of .
North Carolina Eating Smart and Moving More: A Five Year Plan. The North
Carolina Physical Activity and Nutrition (PAN) Branch in the Division of Public
Health will be responsible for the administration of these grants funds.
Funding for the Community Grants Program comes from combined funding from
the Centers for Disease Control grant "State Nutrition and Physical Activity
Programs to Prevent Obesity and Other Chronic Diseases" and from state
appropriations. Awards will be given to approximately fifteen (15) local health •
departments for a maximum amount of $20,000. The estimated start date is
October 1, 2006. The grant period will end on June 30, 2007.
Poor diet and physical inactivity have been estimated to account for 14% of all
preventable deaths in North Carolina and are known major contributors to
chronic disease. Through the Community Grants program local health
departments are supported in their efforts to develop community-based
interventions that address these two major risk factors for chronic disease
mortality and morbidity in the state. These grants support local health
departments and their community partners in developing sustainable policy and
environmental changes in their communities that support NC citizens in
becoming more physically active, making healthy food choices and preventing
overweight and obesity.
Eat Smart, Move More... NC is a statewide healthy eating and physical activity
movement that helps North Carolinians of all ages and abilities to eat smart and
move more where they live, learn, earn, play and pray.
Mission
"Reverse the rising tide of obesity and chronic disease among North Carolinians
by helping them to eat smart, move more and achieve a healthy weight. "
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• Purpose
The purpose of the Community Grants Program is to provide funding to local
communities committed to implementing strategies that advance the goals and
objectives of North Carolina Eating Smart and Moving More: A 5 Year Plan.
The objectives of North Carolina Eating Smart and Moving More: A 5 Year
Plan are to:
• By June 30, 2011, 36% of adults in North Carolina will consume at least five
(5) servings of fruits and vegetables each day.
• By June 30, 2011, 29.1 % of high school students in North Carolina will
consume at least five (5) servings of fruits and vegetables each day.
• By June 30, 2011, 53.8% of children and youth in North Carolina will
consume at least five (5) servings of fruits and vegetables each day.
• By June 30, 2011, the proportion of North Carolina infants who are breastfed
will increase to 72% and the proportion of North Carolina infants who are
breastfeed for at least six months will increase to 23%.
• By June 30, 2011, the proportion of North Carolinians over age two (2) who
• eat fast food more than once each week will not exceed 20%.
• By June 30, 2011 at least 70% of North Carolinians will eat evening meals
prepared at home at least five (5) times per week.
• By June 30, 2011, the proportion of North Carolina children and youth who
typically consume more than one (1) eight-ounce serving of sugar-sweetened
beverages per day will not exceed 50%.
• By June 30, 2011, more North Carolinians will limit portion size of foods and
beverages.
• By June 30, 2011, at least 46.6% of adults will get recommended amounts of
physical activity and fewer than 15% will report no leisure time physical
activity.
• By June 30, 2011, at least 52.4% of children and youth will participate in at
least 60 minutes of physical activity every day.
• By June 30, 2011, the proportion of all North Carolinians who watch less than
two (2) hours of television each day will exceed 75%.
• • By June 30, 2011, 48.7% of adults in North Carolina will have BMIs between
20 and 24.9.
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• By June 30, 2011, 78% of children and youth in North Carolina who are •
between 2 and 18 years of age will have BMIs that place them between the
5t' and 851h percentiles for their gender and age groups.
Intervention Expectations
Effective Interventions include a combination of strategies that address multiple
levels of the Socio-Ecological Model of Change. This would include behavior
change approaches for individuals as well as strategies to bring about policy and
environmental changes at the organizational or community level.
Interventions through this proposed grant program must be community-based
multi-level interventions that change eating and/or physical activity behavior,
thereby promoting healthy weight and reducing chronic disease.
Interventions are required to:
• Provide sustainable infrastructure to support opportunities for healthy
eating and/or physical activity
• AND ONE of the following: I •
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? Implement best practices (evidence-based interventions) for improving
nutrition and/or physical activity
? Demonstrate and evaluate new and creative approaches to improving
nutrition and/or physical activity
Interventions must also address at least ONE level of change (based on the
Socio-Ecological Model of Change) from EACH of the following categories:!
1. Community Level Change:
• Environmental Change: establish and maintain supportive environments for'.
healthy lifestyle options (i.e. healthy eating, and physical activity) by
improving accessibility, affordability and/or safety.
• Policy Change: establish and implement policies and standards to support
healthy eating and/or physical activity in communities.
2. Organizational, Interpersonal, Individual Level Change
• Organizational: Change rules, regulations, structures, or practices of
institutions and organizations to support healthy eating and/or physical
activity •
25
• • Interpersonal: Establish programs in communities to increase physical
activity and/or improve healthy eating habits.
• Individual Change: Design programs to teach individuals skills needed to
make behavioral changes related to healthy eating and/or physical activity.
Budget & Budget Justification (20 pts) (Attachment #2)
Provide a detailed itemized budget and written justification consistent with
planned activities of the project. Budget items should be realistic and clearly
linked to project activities and expected outcomes. (You aay describe the in-kind
contribution and provide the estimated value of the contribution in the written
justification, but do NOT add the value of in-kind contributions to your itemized
budget.)
Use the following categories for your itemized budget:
Name of Agency: New Hanover County Health Department
Budget Category: Amount:
• A. Salaries and Fringe Benefits $ 6900.00
B. Sub-contracts $
C. Equipment $ 2400.00
D. Staff Development $ 500.00
E. Training $
F. Educational Materials $
G. Travel Expense (estimated for 2 interns) $ 445.00
Mileage: 1000 miles @ .445 per mile
• H. Supplies $ 250.00
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1. Other $ 6000.00 •
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Total Amount Requested $ 16,495.00
Budget Justification
A. Salaries and Fringe Benefits Amount: $ 6900.00
Requesting funding for two time-limited undergraduate health education interns,
to assist with data entry related to Winners Circle recipe analysis. Maximum of
400 hours each at $8 p/h, plus FICA contribution from NHCHD.
B. Sub-contracts Amount: $
Provide justification for all sub-contracted services. The justification should
include the name of the contractor if known, the scope of work, the period of
performance and expected outcomes or products.
C. Equipment Amount: $ 2400.00
Requesting funding for up to 4 copies of nutritional analysis software "Food
Processor" and associated licenses. Software is $600 per copy, and entitles
owner to install it on up to 5 computers on same network. Purchasing multiple
copies will enable all pilot partners access to software, and will allow at least 3
agencies to also accommodate intern and volunteer assistance.
D. Staff Development Amount: $ 500.00
Requesting funding for a maximum of 4 agency partners to attend Winners Circle
training in Chapel Hill, tentatively scheduled for Fall 2006. Funding to cover
mileage, lodging, and non-provided meals.
E. Training Amount: $
List all expenses anticipated for training that will be provided as part of the
intervention. Include rental space for training (if required), training materials,
speaker fees, substitute teacher fees and any other applicable expenses related
to the training.
F. Educational Materials Amount: $
List the type and approximate quantity of educational materials purchased to
support the intervention and a brief description of how they will be used.
G. Travel Amount: $ 445.00
Requesting local mileage reimbursement not to exceed 50 miles per week/per
intern, for a total of 10 weeks per intern. Mileage reimbursement of .445 per
mile. Maximum of 1000 total miles at.445 p/m = $445.00.
H. Supplies Amount: $ 250.00
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• I. Other Amount: $ 6000.00
Promotional and marketing materials for Winners Circle. Items will include re-
useable banners (3 = $450), "window clings" to identify participating restaurants,
advertising costs in local newspaper ($2000 x 2), and costs associated with
professional printing of materials such as table tents and flyers ($1000).
Total Funds Requested: Amount $ 16,495.00
*Also list the total amount requested on the cover sheet of the application.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
• Request for Board Action
Agenda: Consent Meeting Date: June 27,
Agenda: ? 2006
Department: Health Presenter: David E. Rice
Contact:
Subject: Health Director Performance Appraisal Process
Brief Summary: As a follow up to a request by a Board of Health member, the enclosed
information has been submitted by Mr. Andre' Mallette, Assistant County Manager
regarding an employee satisfaction survey. In addition, the current performance
appraisal form has also been included.
Recommended Motion and Requested Actions: For the New Hanover County Board of
Health to consider including a climate survey as part of the Health Director's performance
appraisal process.
Funding Source:
Will above action result in:
• ?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: 1. Climate Survey, and 2. Health Director Performance Appraisal Form
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Andre Mallette/NHC To David E Rice/NHC@NHC
06120/2006 08:46 AM cc
bcc
Subject Fw: Climate Survey
• Attached is a copy of the survey that was used by DSS. Does this work for you?
xxxxxxrxx+wxxxxxwxxx+exxxxrxxxxxxxxxxxrwxxxxexwxxxexxxrxx
Andr6 R. Mallette, Assistant County Manager/
Human Resources Director
Human Resources Department
New Hanover County
320 Chestnut Street, Suite 405
Wilmington, NC 28401
910.798.7178
- Forwarded by Andre Mallette/NHC on 06/20/2006 08:44 AM
Stephanie
Monteath/NHC To Rose Bryant/NHC@NHC, Andre Mallette/NHC@NHC
06/20/2006 08:39 AM cc
Subject Fw: Climate Survey
Attached is a copy of the climate survey.
Thanks,
Stephanie Monteath
• Administrative Support Coordinator/HR Interface
New Hanover County Department of Social Services
(910) 798-3630
smonteath@nhcgov.com
- Forwarded by Stephanie Monteath/NHC on 06/20/2006 08:35 AM
Christine
~v McNamee/NHC To Stephanie Monteath/NHC@NHC
,.;3 06/20/2006 08:24 AM cc
~e• i
' Subject Climate Survey
Qimatesurvey.doc
Christine B. McNamee
Human Services Planner
New Hanover County Department of Social Services
910.798.3712 (phone)
910.798.3627(fax)
cmcnamee@nhcgov.com
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New Hanover County Department of Social Services
Quality and Productivity Climate Survey
• Directions:
From time to time organizations consider it important to analyze themselves. This survey is intended to assess
the practices, policies. and attitudes within the New Hanover County Department of Social Services as the}'
relate to quality improvement and your work environment. Please answer all questions. Be open and honest.
For each of the statements, please circle (1) response to indicate your opinion. Place completed surveys into the
client satisfaction boxes located in each waiting area by Wednesday, March 24. 2004
y (A
En y
S. S Z y W
1. Work expectations for people in my work unit are fair. "1 2 3 4 .5 6 7
2. My unmediate supervisor is supportive of my efforts to provide quality 1 2 3 4 5 6 7
services.
• 3. My immediate supervisor has ideas that are helpful to me and my work .1 2 3 4 !5 6 7
group to improve our services.
4. Senior managers set examples cf quality performance in their day-today 1 2 •3 4 .5 6 7
activities.
5. People who do outstanding work can expect to be rewarded. 1 2 3 4 5 6 7
6. My unit collects data about how effectively they're getting the job done. 1 2 3 4 5 6 7
--------------------------h - 1-- 2 3 -
7. People aze encouraged-to participate in quality improvement-activities wit 1 4 5 6 7
external groups (professional. local. state, national, trade, business, "
education.)
8. - The qu- -----ality of work --f work pp ---.roduc..-ed-i--st-he - ---prima-ry- --focus-of--this- ------department----------1- 234 -------$--6 -5--6--7-
9. Work units are structured to support each other. 1 2 3 4 5 6 7
10. People in MV ___.___w unit are adequately trained for the position they hold. 1 2 3 4 5 6 7,
11. The people m my work unit who come into contact with clients have the 1' 2 3 4 5 6 7
power to resolve client problems.
- - - -
• 12. My work unit anahzes/uses data on outputs (products/services) to measure 1 2 3 4 5 6 7
success in meeting goals.
13. A spirit of cooperation and teamwrork exists in the department. 1 2 3 4 5 6 T
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'they 1 2 3` 4 5 6 7
14. People in my work unit know how to define the quality of work
produce.
15. People in my work unit are friendly with one another. 1 2 3 , 4 5 6 7
16. The rewards used by the department are worth the effort it takes for a person 1' 2 J 4 5 6 7.,
to achieve them.
-
17. People in m} work unit take pride in their work. 1 2 3 4 3 6 7.
5 6 7'
18. People in m} work unit enjoy their co-workers. 1 - 4 -
19. People in my work unit know that their managers and supervisors will help 1. 2 0, 4 1 5.. 6 7
them find answers to problems they may be having in the workplace.
20. There is a quick recognition of people for outstanding performance in the 1 2 3 4 S 6 •7
department.
21. My work unit collects data about its outputs (e.g,, its products/services). 1 2 3 4 5 6 7 .
22. Senior managers ask people about gays to improve value delivered to 1 ' 2 3 4 5 6 7
clients.
23. The department plays an active role in the community regarding its 1 2 .3 4 15 6 7
responsibilities to the public on issues such as health, safety. ethical business
practices. and/or environmental protection.
24. Effective communication channels eyist between work units in the 1 2 3 4 5 6 7
department.
25. Other comments:
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SAFE KIDS: Highlights for FY 05/06
NHCHD received the van on June 28, 2005. Since that date, we have
accomplished the following:
Seat Checks / Child Passenger Safety Events: 54
• Seats checked / Caregivers educated: 473
Restraints distributed: 249
Who are we reaching for seat distribution?
African American 37%
Caucasian 29%
Latino 28%
Native American 1 %
Asian 1 %
Not specified / Bi-racial 4%
We have contributed to the training of:
2-day technician awareness students 21
5-day Nat'l Certified Technicians 20
Many thanks to the Board for your support of our application and
participation in the SAFE KIDS Worldwide movement.
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Congratulations= Award Winners!
,4xr 7Y ~,q nt,.:;, Donald Blake Gaston County {f r -
New Hanover County Board of Health s
Board of Health Award for
Carl Durham Award Outstanding Local
s =
5r Recipient Board of Health
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Dr. Barbara Ann Hughes presents Mr. From lea to right, Gaston County Board members
Donald Blake with the Carl Durham Tom Novine, Shirley Stowe, AN and Vice-Chair,
Award. Martin Murphy, DDS and Board Chair, and Colleen
Bddger, Health Director
Donald Blake,• Chairperson of the New Hanover County The Outstanding Board of Health Award was bestowed on
Board of Health received the Carl Durham Award for his the Gaston County Board of Health for its leadership as
outstanding service to public health. demonstrated by its growing commitment and comfort
in working with the community to solve controversial
Throughout his years of service on the New Hanover and challenging policy issues. The three major
County Board of Health, Mr. Blake has lived up to the accomplishments cited below have all contributed to the
New Hanover,County Health Department's motto, "Your Board's overall enhanced reputation for being open and
Health - Our Priority." He has been involved with many willing to work with all organizations to improve their
significant public health issues including: community's health.
adopting regulations governing temporary food facilities
at festivals Infant mortality: The Board recognized and questioned
pushing for the current statewide "clean plate the increased infant mortality rate, contracted with a
. requirements for buffets and food bars medical sociologist to analyze the data and report the
procuring funding for a dental van to serve the needs of results, and then established the Gaston County Infant
0 low-income children ' Mortality Task Force to reduce the infant mortality rate.
revising the county's no-smoking policy The Task Force set goals to reduce the infant mortality
ushering in additional health department inspectors for rate and secured a three-year Targeted Infant Mortality
restaurants Reduction grant. The result is an almost 4 percentage
updating rules for private drinking-water wells point reduction in the infant mortality rate over an
This award presentation took on special significance approximately two year time period.
because the meritorious. recipient, Mr. Blake, served
on the New Hanover County Board of Health with Carl Teen pregnancy: The Board, especially through the
Durham in whose name this award is. presented. Mr. leadership of the vice-chair, worked with a full spectrum
Durham was elected chairman of a steering committee of stakeholders on the controversial issue of pregnancy
which ultimately formed the Association of North Carolina and sexual activity among teenagers. Ultimately a
Boards of Health and he then went on to serve as curriculum was selected and; pending the receipt of grant
ANCBH's first president. It was most fitting that Mr. Blake funds, the Teen Pregnancy Prevention Task Force will
receivedan award that recognized his outstanding service begin implementing the program in summer 2006.
to public health and honored his friend, Carl Durham.
Strategic Planning: In 2005, the Board of Health
engaged in strategic planning for the first time in over a
decade. This planning was also the first time the Board
so extensively involved community groups in developing
f` public health policy. The Board reviewed numerous
issues, determined the health priorities, and then hosted
panel discussions of community and state stakeholders
FA to educate themselves about differing points of view
.w and community programs. Finally, the Board defined
y f program foci and directed staff to build new and improved
programs around the program objectives.
-wtV t
D6 Barbera AIM NUghos looks on as Mc David Rice,
New Harrow Courtly Health Director, prepares to return
a long OVpnlllb Wa4fle0l Joke to Mr. Donald Blake,
willoWM of (ho Curl Durham Award.
7
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National • • • • Local Boards of Health
'United We stand
NewsBrief
Published for Members of Local Boards of Health Second Quarter, 2006
What's V.
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17M Teamwork -what does it really mean
For most of my life I have been involved in some activity that required
teamwork to accomplish the task at hand. I have been involved in sports
Board , Directors where if there was no teamwork, the game would be lost.
National Public As a musician (I play a trombone in church and in several bands) if all of the
Performance Standards instruments are not in tune and playing the same phrase at the same time,
you can imagine what that would sound like. In an emergency room where
teamwork will determine if someone will live or die - the physician(s), nurses(s),
Report , Washing to para-medical personnel and others that make up the medical team must work
together performing life saving measures. Caregivers must anticipate the needs of those who are in
legislative Up---- - their care. These are but a few examples where teamwork has a specific meaning.
I have been involved in healthcare/public health in some way, spanning more than fifty years. I have
Conference Information spent a considerable amount of time in almost every area of hospitals, shipboard medical care as a Navy
Hospital Corpsman, field medical care while serving with the Marine Corps and in hospital medical
Membership Application administration as a Command Master Chief. All of these things have left me with fond memories
although some were very traumatic and heart-wrenching, especially when a life was lost even though
all possible steps were taken.
The thing on my mind now, is how well are our health boards and health officers (health directors)
working together as a team. Each has their specific function either by state law or local governance. I
Tobacco-Free always have to catch myself trying to apply North Carolina as "that is the way it's suppose to be done"
when I know that most states are different and each health department has challenges that are unlike
other health departments. One size does not always ft all. Health boards and health officers have a
8 Environmental Health mission to accomplish and it will never end, but the battle must always be fought.
Emergency Preparednes It is important that each must understand the job of the other and that the members of the health
board do not try to do the health officer's job, and that health officers do not attempt to do the health
10 B board's job. All must work together as a team. To do this, each must understand the others' function.
I always say to health boards "you cannot believe how much trouble you can get into if you try to do
Exploring Accreditation the health officer's job". That is why it is so important that each understands the function of the
other.
Calendar of Events The National Association of Local Boards of Health (NALBOH) is very serious about health board
orientation, as are many State Associations of Local Boards of Health (SALBOH's) and local boards of
health. At least some do an excellent job of making sure that a person, regardless of profession, goes
through an orientation process. Even though many boards of health have medical professionals as
members of their governing body, each has its own unique set of rules; all of the team players must
Continued on page 2
e twos HOGS National Association of Local Boards of Health
V VBLIC fEApH
1840 East Gypsy Lane
N A L B O H Bowling Green, OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
Email: <nalboh@nalboh.org>
Website: <www.nalboh.org>
Page 2 NALBOH NewsBrief Second Quarter 2006
President's Message._Coarrued from page 1 1 , , ,
work in harmony.. The public's health takes on a new meaning VISION: NALBOH represents the grassroots foundation of
when the responsibility of readiness and prevention falls upon those public health in America. The organization is anchored
who have accepted the health board position. That position must serving and empowering boards of health. We activI&
take a front seat if you really want to be a productive engage and represent the public in public health. We a
member of such an important team. recognized and valued as a partner in the public health
Keep safe and stay healthy, system. As a partner, NALBOH influences public health policy,
resource allocation, and education. We are a self-sustaining,
responsive, accountable, and pro-active organization. NALBOH
J' serves boards of health, and provides a national voice for our
members.
Has Your State Used the National MISSION: To prepare and strengthen boards of health,
Public Health Performance empowering them to promote and protect the health of their
Standards? communities.
Board of Directors
The following states have completed the NPHPS State President President-Elect
Assessment Instrument: Lee Kyle Allen (NC) John Gwinn (OH)
Secretary/Treasurer Past President
Alaska, Arkansas, Colorado, Illinois, Florida, Missouri, Montana, Gladys Curley (MD) Ronald Burger (FL)
New Hampshire, New York, North Dakota, Nebraska, New
Mexico, Oklahoma, and,Oregon.
East Great Lakes Region Mid Atlantic Region
The following states have had significant or moderate use of the Alice Davis (OH) Walter Stein (NJ)
NPHPS Local Assessment Instrument: Midwest Region New England Region
Larry Hudkins (NE) Shepard Cohen (MA)
Arkansas, Colorado, Florida, Maine, Missouri, New Hampshire, North Southeast Region West Region
Dakota, Oklahoma, Oregon, and Virginia (planning to implement James Gallenstein (KY) Carolyn Meline (ID)
the local instrument state-wide this spring). West Great Lakes Region
Sharon Hampson (WI) Ex-Officio
One state has had significant use of the NPHPS Governance Ned E. Baker (OH) •
Assessment Instrument: New Jersey. State Affiliates Marie M. Fallon (OH)
Donna Rozar (WI) Janice McMichael (GA)
Other states with use include Connecticut, Illinois, Montana, North Ed Schneider (NE) Anthony Santarsiero (GA)
Dakota, Ohio, Oregon, Utah, and Wisconsin.
Staff
Your local board of health can use the NPHPS to become more Executive Director
informed about public health oversight. For more information on Marie M. Fallon, MHSA
performance standards or improving performance call our DC DC Director Liaison
office at (202) 218-4413, visit our web site at <www.nalboh.org/ Tiffany Hinton, MPH
perfstds/nphpsp.htm>, or e-mail <tffany@nalboh.org>. Project Director-Environmental Health & Emergency
Preparedness
Also, view CDC's enhanced NPHPSP web site. It's packaged as a Jeff Neistadt, MS, RS
"toolkit," and complete with resources, links, and sample Project Director-Tobacco Use Prevention & Control
materials from the field. Lauren Dimitrov, MPH, RD
Grants Manager
The four sections of the toolkil? are: Jennifer O'Brien, MPH, MA
Membership Coordinator/ Publications Manager
• General Resources Grace Serrato
• Preparing for the Assessment NewsBrief Editor
• Conducting the Assessment Fleming Fallon, MD, DrPH
• Post Assessment and Performance Improvement
The NALBOH NewsBrief is published by the
In addition, you'll find an updated User's Guide and frequently National Association of Local Boards of Health
asked questions (both from the main menu). O
NALBOH's 14th Annual Conference 1840 East Gypsy Lane Road, Bowling Green, OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
C Email <nalboh@nalboh.org>; Website: <www.nalboh.oriConference registration is now open for NALBOH's annual
conference. Registrations forms and a detailed program can The production and distribution of this publication
be downloaded via the web at <www.nalboh.org>. is supported by funds from the
Centers for Disease Control and Prevention.
Register soon for early bird rates. Rates end June 30, 2006!
Reproduction or use of any contents enclosed must
Special hotel rates are also available until July 1, 2006. be requested in writing to the NALBOH office. 0
Second Quarter 2006 NALBOH NewsBrief Page 3
Adilk
You may be interested in NACCHO's Operational Definition of a Functional Local Health
u Department (LHD). After a first edition sell-out, the document was back in press and is now
ready for shipment.
The Operational Definition is the basis of an effort to develop a shared understanding of
1 WIM, what people in any community can expect from their LHD. Several organizations including
ITfiurrlp~ NALBOH, the Association of State and Territorial Health Officials, the National Governors
Association, and the National Association of Counties contributed to the development of
the definition. It describes a functional local health department, and includes standards that
I provide a framework for accountability. NACCHO urges LHDs to embrace the standards, and
encourages them to share the operational definition with their local board of health, other
governing bodies, and community partners.
For your information, here's a list of LHD standards:
1. Monitor health status and understand health issues facing the community.
2. Protect people from health problems and health hazards.
3. Give people information they need to make healthy choices.
4. Engage the community to identify and solve health problems.
5. Develop public health policies and plans.
6. Enforce public health laws and regulations.
7. Help people receive health services.
8. Maintain a competent public health workforce.
9. Evaluate and improve programs and interventions.
10. Contribute to and apply the evidence base of public health.
For more information, order a free copy of the Operational Definition by telephone at 866-538-1928. The booklet is also available in
electronic format at NACCHO's website <www.naccho.org>.
Au know, one of our main goals in Washington is to support public health by advocating for optimal federal funding that provides for the
development and support of an effective public health infrastructure. This includes resources to strengthen our ability to respond to
terrorism, emerging infectious diseases, and public health threats. It also includes funds to continue the process of upgrading local and state
public health departments and agencies to respond to concerns from cancer and asthma to terrorism and pandemic flu.
Recently, we sent a letter to Congressional appropriators asking for full restoration of state and local public health preparedness in fiscal year
2007 for the Centers for Disease Control and Prevention (CDC). Why? A cut in CDC's budget results in a decrease in funding for states and
localities.
Hopefully, in your community, you have joined in our advocacy effort by becoming a spokesperson for the health needs of your constituents
and the health department you oversee. Whether it's for preparedness funding, HIV/AIDS prevention, or tobacco control, public health
certainly needs your support.
As I say in each column, if I can assist with local and state advocacy efforts or "anything Washington;" please do not hesitate to contact me
at (202) 218-4413 or e-mail <tiffany@nalboh.org>.
Enjoy the summer. O
Legislative Update
Discussions about the reauthorization of the Public Health Security and Bioterrorism Preparedness Act of 2002 offers an opportunity for
Congress to consider the Public Health Preparedness Workforce Development Act of 2005. The Workforce Development Act would
provide incentives for health professionals to enter the practice of governmental public health, ensure that these individuals commit to a
designated number of years of service in public health agencies, and help to retain current employees in the field of public health.
ublic Health Security Act (up for reauthorization in 2006) aims to improve the ability of the United States to.prevent, prepare for, and
re and to bioterrorism and other public health emergencies. The Act provides attention and funding for preparedness planning, readiness
assessment, and education and training for public health professionals. 13
Page 4 NALBOH NelesBrief Second Quarter 2006
Conference Information 7ofhealth For the first time since 2002, the annual conferences of NALB OH NALBOH Membership •
and the National Association of County and City Health Officials
(NACCHO) will be co-locating in the same city. NALBOH's ider your 2006 NALBOH membership. A
conference will be just a few short blocks away from NACCHO's OH provides an opportunity for you and your
Annual at the Marriott San Antonio Rivercenter Hotel, 101 Bowie Street. The theme of NACCHO's 2006 Annual Conference is "The Have an input into national health policy;
Local Health Department Story: Know it. Live it. Share it." Receive copies of the NALBOH NewsBrief for each board
Bring your health officer for a special NACCHO-NALBOH team member;
discount. Please note that, although the NACCHO and NALBOH Receive discounts for NALBOH educational materials; and
conferences are co-located, each organization is conducting its Participate in NALBOH's exceptional Annual Conference at
a member rate.
own registration process.
NACCHO members will register and attend the NACCHO Annual The 2005 annual conference was the biggest and best yet. The
Conference. NALBOH members will register and attend the 2006 annual conference is planned for San Antonio, Texas, July 26-28, 2006. Join NALBOH
NALBOH Annual Conference with the exception of the following designed d specifically and vi part of this great conference
shared sessions and events: designed for those serving boards of health. It will
be co-located with the National Association of County and City
Health Officials.
Wednesday, July 26, 2006
1:45 pm - 3:45 pm Join NALBOH now by sending in the membership application
NALBOH - NACCHO Town Hall Meeting below or return the invoice that was mailed to you in November,
Response to "Exploring Accreditation" Recommendations along with payment to: NALBOH, 1840 East Gypsy Lane Road,
NACCHO conference site Bowling Green, OH 43402. Call the office (419) 353-7714 if you
Marriott San Antonio Rivercenter Hotel need a replacement invoice. ?
4:00 - 5:00 pm Application for Membership
Breakouts following NALBOH-NACCHO Town Hall Meeting
NACCHO conference site
Marriott San Antonio Rivercenter Hotel Date:
Membership Year: 2006 (January 1 - December 31, 200
Thursday, July 27, 2006
8:45 am-10:15 am
NALBOH - NACCHO Opening General Session Board of Health/Organ-Hon/Name or Individual
NACCHO conference site
Marriott San Antonio Rivercenter Hotel Mailing Address
3:00 pm - 5:00 pm city stare Zip Code
Supporting One Another in Policy and Practice: Local Boards of
Health and Health Officers and Concurrent Sessions Phone Fax Email
NALBOH conference site
Sheraton Gunter Hotel Contact Person and Title
Check type of desired membership:
7:00 pm - 10:00 prh ? Institutional ($120)
NACCHO-NALBOH Joint Social Event ? Any board of health or other governing body that oversees
local public health services or programs or
NALBOH's Silent Auction ($95) a local board of health whose state association is
an affiliate member of NALBOH (GA, ID, It, MA, NC, NE, NJ,
OH, UT, WI)
NALBOH is pleased to announce that a silent auction will be held ? Affiliate ($300)
to benefit the MacNeal Scholarship fund. This scholarship is State association of local boards of health (SALBOH)
awarded to students seeking a degree in the felds of public health, ? Associate ($60)
environmental health, health education, or clinical services. The Any individual committed to NALBOH's goals and objectives
' scholarship provides an opportunity for the winner to attend ? Retired ($12)
NALBOH's Annual Conference and learn more about the Any former member of a board of health, state board of
governing bodies of local public health agencies. health, local governing body, state, territorial or tribal board
of health
Items that will be auctioned have been graciously donated by the ? Sponsor ($60)
NALBOH Board of Directors, NALBOH members, San Antonio A non-profit organization, agency or corporation commit,
venues, and the Hotel Captain Cook in Anchorage, Alaska. The to NALBOH's goals and objectives or
auction is open to all attendees, exhibitors, presenters, and guests. ($300) a for-profit organization, agency or corporation
Auction items will be found throughout the Ludwig Terrace, in committed to NALBOH's goals and objectives
the Exhibit Hall area. Bidding begins on Wednesday, July 26'" at ? Student ($20)
8:00 a.m. and ends on Thursday, July 271h at 5:00 p.m. All Any full time student committed to NALBOH's goals and
proceeds raised will benefit the MacNeal Scholarship fund. The objectives
silent auction is not only a fundraiser, but a FUN-raiser as well! ?
~SSeecco~ndyQu~arter 2006 NALBOH NewsBrief Page 5
MM99M members. A team from the Ohio
Association of Boards of Health (OABH)
SALBOH'S Converse in Bowling Green OH and the Association of Ohio Health
r• - Commissioners (AOHC) will be available to
meet with local boards in Ohio who are
interested in new board member
orientation.
o Jim Stecker of Wisconsin described his
association's involvement in the statewide
effort on pandemic flu planning.
o Allison Damico shared the new public health
logo being developed for mrarketing public
' health in Michigan.
1 o Lorraine Salois-Deane and Robert Blackburn
i of North Carolina described their
Y9
reorganization and reenergizing of the
' Associatiorl of North Carolina's Boards of
y B Health after having suffered a loss of
funding. They also [Discussed the new
public health accreditation program going
® - on in NC. The 13-member board of
°m)( ® accreditation has 4 local board of health
Ilj' members on the accreditation board. There
are 8 benchmarks for boards of health to
„ ,R m achieve.
o Carolyn Meline indicated that the Idaho
Back row: Paul Roman (NJ), John Gwinn (OH), J. Fred Agel (GA), Robert Balckburn (NC), Association of Local Public Health has been
James Stecker (WI), Ed Schneider (NE), Ned Baker (OH), Donna Rozar (WI) involved in assisting a regional board of health
Front row: Allison Damico (MI), Kay Banta (IL), Lorraine Salois-Deane (NC), Carolyn Meline (ID) determine the representation on its
local board.
0 ril 6 & 7 representatives of nine State Associations of Local Boards of Health (SAL-
E ) (Georgia, Idaho, Illinois, Michigan, Nebraska, New Jersey, North Carolina, Ohio and Following the afternoon meeting the SALBOH
1 consin) met in Bowling Green. On the afternoon of April 6 they shared information members enjoyed dinner with the NALBOH
about their state activities and discussed issues of mutual concern. Ed Schneider, Co-Chair Board of Directors at the Stone Ridge Golf Course
of NALBOH's SALBOH committee chaired the meeting. Also joining in the discussion were Club House.
NALBOH President Lee K. Allen, Marie Fallon, NALBOH Executive Director, Ned Baker, NAL-
BOH staff for SALBOH's and others from NALBOH's Board of Directors and staff. On Friday morning they met with the NALBOH
Board of Directors and participated in a process
During the April 6 afternoon session Jennifer O'Brien shared information about the NALBOH to develop a NALBOH marketing plan. The
annual conference in San Antonio, July 26 through 29. A joint SALBOH/SACCHO session is process was facilitated by Joe Beck, a Professor
being planned. Because of scheduling concerns, NACCHO has requested that we hold this of Environmental Health at Eastern Kentucky
session on Tuesday, July 25. The group decided that such a joint meeting with SACCHO University. Many points coming out of the
representatives will be valuable and they are willing to arrive a day earlier for this session. process can be utilized at a state level.
A new "Tool Kit for Forming a State Association of Local Boards of Health;" developed by In the afternoon, the group attended the Ned
Jennifer O'Brien, John Gwinn (OH), Joan Miles (MT) and Rita Paris (NE) was reviewed. The E. Baker Lecture in Public Health that is
group recommended that it be presented to the NALBOH Board of Directors for approval presented and web-cast by the College of
as an official NALBOH document. Health and Human Services of Bowling Green
State University. The lecture is co-sponsored
Lauren Dimitrov, NALBOH Tobacco Project Director discussed NALBOH tobacco projects. by NALBOH, the Cove Charitable Foundation of
All SALBOH members provided information on their state's tobacco activities. Boston and the Wood Co. Hospital Foundation.
Dean, Linda Petrosino and Professor
Tiffany Hinton, NALBOH's Washington DC Liaison reviewed a NALBOH document under Fleming Fallon introduced the lecture and
development, "A Guide for Appointing Local Board of Health Members." It is hoped that this presenter Dr. David Mathews, Chief Executive
guide will be an important tool to bodies having the responsibility for appointing local board Officer of the Kettering Foundation. Dr.
of health members. Mathews' presentation was " Involving the Public
in Public Health"
Each of the State representatives discussed some of their primary activities and projects.
d Schneider discussed Nebraska's educational teleconferences for local health NALBOH would like to have a face-to-face
10epartments and boards contributing to a real need because so many of Nebraska SALBOH meeting become an annual event as it
local health departments and boards have only recently been formed. provides an opportunity for the SALBOHs and
o Paul Roman described New Jersey's efforts in utilizing the National Public Health NALBOH to build on their already close
Performance Standards statewide. NALBOH staff were very helpful to them in working relations for the benefit of strengthen-
conducting the Governance section. NJ has also gone smoke free except for casinos. ing the role of local boards of health in providing
However, a smoking ban for casinos in NJ is being considered. community input into the nation's public health
o Alice Davis shared the Ohio Association's "Orientation Booklet" for new board system. 0
Page 6 NALBOH NewsBrief Second Quarter 2006
' 100% Smokefree Laws Sustaining States
Now in Effect Funding for Tobacco
Americans for Nonsmokers'Rights- Control
NALBOH Resources! www.no-smoke.org
American Lung Association Centers for Disease Control and Prevention -
-
www.lungusa.org Office on Smoking and Health
In April, NALBOH's Board of Directors approved
two new resolutions! Please review our Americans for Nonsmokers' Rights and the CDC is the lead federal agency for
resolutions on the NALBOH website at:
<www.nalboh.org> American Lung Association track, collect, comprehensive control. A key tobacco prevention and
and analyze tobacco control at the local, y priority for the Office on
• NALBOH joined many other national and state, national, and international levels. Smoking and Health (OSH) is to support states
local organizations by adopting a resolution Many municipalities, states, and countries in their efforts to preserve tobacco control
that su continue to pass and strengthen smoke- capacity and infrastructure. OSH has identified
supports holding meetings in free air regulations. four strategic priority areas. One of these
smokefree locations. As a local priorities, "Promoting Sustainable Science-Based
organization you can also choose to As of April 2006, there were 6595 Comprehensive Tobacco Control Programs at
support this issue. municipalities with 100% smokefree private the CDC-Recommended Levels" was
• NALBOH resolved to support smokeless workplaces/government buildings, and/or established to focus on supporting states in
tobacco control issues such as conducting restaurants, and/or bars, protecting 43.3% their efforts to preserve tobacco control
educational campaigns and initiatives, of the U.S. population. Sixteen states now funding in the face of serious state budget
increasing excise taxes, stronger have strong laws in effect that qualify for challenges. Current state funding levels for
placing at least one of the 100% smokefree list comprehensive tobacco prevention and
warning labels and requirements for categories. A total of 33 states and the control programs are inadequate to support
by the ingredient
US FDA, encouraging FA, disclosure, encauthorizing regulation District of Columbia now have 100% sustained and effective tobacco control efforts.
by the athletes and smokefree air laws at the local level. Out of the potential $20 billion from excise
members of the entertainment industry taxes and tobacco settlement money, state
not glamorize or promote the use, The American Lung Association wants you spending has dropped from a high of $749.7
including smokeless tobacco products in all to join their Smokefree Air 2010 Challenge million in 2002 to $551 million in 2006.
legislation that. regulates tobacco and help make your community smokefree!
restricting advertising, marketing, and sales and Recent research supports
of smokeless tobacco. O The American Lung Association is that the more states
challenging all communities and states to spend on comprehensive tobacco co I
be smokefree by the programs, the
~ y year 2010. greater the reducti
Secondhand smoke is a serious health tobacco use. It is critical that board of heath
oil ` hazard that each year kills 38,000 members are aware of this issue and continue
nonsmoking Americans. For more informa- to support increases and sustained funding of
tion on this petition go to <http:// tobacco prevention efforts in your
0a) 0,-),- lungaction.org/campaign/smoke- communities.
~ free2010>.
Due to the recent decreases in state funding
• NALBOH staff and two national partners, States and municipalities continue efforts OSH has developed the publication "Sustain-
ASTHO and NACCHO, are working to to gain support for legislation. As a board ing State Programs for Tobacco Control Data
update the 2000 publication -the Joint of health member please contribute by Highlights, 2006." This publication provides
supporting your community efforts to pass national and state-specific surveillance data as
Policy Statement on Tobacco use and implement Smokefree air laws. Keep of 2004 and measures that reflect both the
Prevention and Control. Our goal is to have up the good work! ? health and economic impacts of tobacco use.
this to you by the end of the year! This publication also includes sample statements
• NALBOH staff is working with the Public Health Policy for on how to interpret and cite this data for the
Massachusetts Association of Health Boards public, press, and decision makers. NALBOH has
to update the Legal Authority for Internet Cigarette interested of this publication for those se who who are
Retailers and it will be available, along with
Tobacco Control in the United States other valuable resources, to all on the OSH
originally printed in 2000. A Law Synopsis website at <www.cdc.gov/tobacco/sustain-
by the Tobacco Control Legal Consortium ingstates>.
• A Tobacco Control Resource Tool Kit is
under development. This Tool Kit will This synopsis discusses the marketing and Please contact Lauren Dimitrov for more infor-
include a variety of resources for you to operation of internet cigarette retailers and mation at (202) 218-4413 or via email at
use, along with a "how to" guide to use outlines efforts by states to collect their <Luren@nalboh.org>. ?
these resources. tobacco taxes on sales by internet
cigarette retailers and to prevent internet
• NALBOH staff and the Tobacco Control sales to children.
Committee are continually adding <ww'w•wmitchell.edu/TobaccoLaw/re-
resources to the Tobacco Use Prevention sources/Banthin012506.pdf> ?
Program web page. ?
Second Quarter 2006 NALBOH NewsBrief Page 7
Tobacco-Free USA Continued
Get Ready - Increase to Tobacco Industry and The analysis found that more than 40 percent
of Americans smoke, are obese, or both,
tate MSA Payments in Smokeless Tobacco: putting them at high risk of serious health
April 2008 problems or premature death. Researchers from
R.J. Reynolds (RJR) and Philip Morris have the American Legacy Foundation reviewed
Campaign for Tobacco-Free Kids (Fact Sheet) both recently announced that they are health data from 2002 and found that nearly
entering the smokeless tobacco market. 41.5 percent of adults (81 million) in the U.S.
Get ready - the tobacco settlement payments RIR has acquired Conwood (a spit tobacco are either obese or smokers and about 4.7
to the states under the Master Settlement company), and plans to introduce Camel percent smoke and are obese.
Agreement (MSA) are scheduled to increase Snuf for test markets in Portland, OR and
considerably in 2008. These increased payment Austin, TX before June 30. Philip Morris Overall, 23.5 percent of American adults were
levels will continue for at least 10 years. The will begin test-marketing its new Taboka obese, and 22.7 percent, were smokers.
overall increase in actual payments to the 46 product in Indianapolis, IN in July. Although the proportion of adults who smoke
states, the District of Columbia, and the U.S. and are obese is relatively low, the number is 9
territories that are a part of the MSA will total For more information please see the million, and this subgroup is concentrated
more than $900 million annually. Most states RJR factsheet: <www.reynolds- among lower socioeconomic groups. ?
will see these new tobacco revenues starting american.com/Investors/pdfs/4-
in fiscal year 2007-08 because the MSA 25Fact5heet.pdf> and the CTFK Surgeon General's Report
payments are made in April. statement: <www.tobaccofreekids.org/
ScriptDisplayPressRelease.php3?- on Involuntary Exposure
States can expand their tobacco prevention Display=913>. ? to Tobacco Smoke
efforts by allocating these new MSA payment
increases to expand their tobacco prevention Four States to Pass
efforts. Such new state investments in The new Surgeon General's Report, The Health
tobacco prevention would also improve the Fire-Safe Cigarette Consequences of Involuntary Exposure to
state's economic health by improving worker Tobacco Smoke, will be an update to the last
productivity and sharply reducing public and Laws - Are you next? report on the topic in 1986. A great deal of
private smoking-caused costs in the state. Farts excerpted from the Northwest Herald, research has occurred since then and the
5119106 authors have reviewed previous research and
For more information about MSA payment see analyzed recent findings regarding secondhand
<www.tobaccofreekids.org>. ? Illinois, New York, California, and Vermont smoke exposure, the health effects, and
have all mandated fire-safe cigarette laws. examine tobacco control policies and their
Tobacco Companies Fire-safe, or self-extinguishing cigarettes, implications. The release of this publication is
are wrapped in paper that contain anticipated for summer 2006. Please check our
Withhold Some of Their fire-retardant bands that snuff out the website for release information. ?
2006 MSA Payments cigarette when left unpuffed. R.J. Reynolds
Tobacco Co. says.the cigarettes could Learn About the Roles
Tobacco Firms Put $700 Million Aside, Holding It cause people to be more careless while That You Play in
From States, Associated Press; smoking. However, a Harvard School of y
April 18, 2006. Public Health study found that self-extin- Smokefree Air and
guishing cigarettes sold in New York, while
On April 17, R.J. Reynolds and Lorillard not perfect, were much more likely to go Various Tobacco Control
tobacco companies withheld $647 million and out than keep burning and
$108 million respectively from the 2006 potentially cause a fire. Researchers from Resources at NALBOH s
payments due to the 46 settling states under this study concluded that all states should 14th Annual Conference.
the Master Settlement Agreement (MSA). The require fire-safe cigarettes "to prevent
two tobacco companies say they are entitled needless death and suffering" ? The Roles We Pla in
to a reduction in their payment because they y
lost market share in 2003 to cigarette Smokefree Air Policy
manufacturers that were not included in the Millions of Americans In this session you will hear from Americans
MSA. The withheld payments go into a Face Health Problems for Nonsmokers' Rights and the Alabama
disputed payments escrow account until the Department of Public Health about the roles
situation is resolved. Philip Morris made its full from Smoking and that health officials and local board of health
$3.4 billion payment, but feels it is also entitled Obesit members play in smokefree air policy. Please
$ a reduction. t number of states have y bring comments and questions as there will
already filed lawsuits to get back these Parts excerpted from British Medical Journal be ample time for discussion of these issues.
research article, published May 12, 2006
withheld payments. ? Tobacco Resources for
Cigarette smoking and obesity are primary Local Boards of Health
risk factors for several chronic conditions Attendees will hear from the Tobacco
and early death in a large number of Control Legal Consortium about the
people in the United States. Because the importance of law in tobacco control,
presence of these two conditions common legal impediments in enacting
together most likely carries an increased smoke-free policies, and legal resources and
risk to health, a cross sectional analysis of a organizations that provide assistance.
national health interview survey was Attendees will also hear about NALBOH
performed. efforts in tobacco use prevention and
control. ?
w
Page 8 NALBOH NewsBrief Second Quarter 2006
•
Land 7Boardsof g for Public Health - Now Available!
The National Association of LoNALBOH) is pleased to provide LandUse Planning for Public Health: The Role of Local
Boards of Health in Communipment. This educational guide will assist members of local boards of health and other
public health professionals to understand their important role in protecting local environmental health and improving the health of their
communities through land use planning. Land use planning issues remain at the root of some of the most intractable public health problems,
including the declining rates of physical activity resulting from automobile-dependent environments or the isolation of poor and minority
communities in areas plagued by environmental pollutants, violent crime, and high rates of disease. The guide also introduces local board of
health members to health impact assessments. This valuable tool will help integrate boards of health into the local land use planning
process. To request your copy (free to NALBOH members), please visit the NALBOH website at <www.nalboh.org> or call the main office
at (419) 353-7714. ?
CDC Graduates First Environmental Pandemic Flu Checklist Now
Public Health Leadership Institute Available
(EPHLI) Class
A pandemic influenza planning checklist is now available for state
The first class of the Environmental Public Health Leadership and locals. The Department of Health and Human Services (HHS)
Institute (EPHLI) graduated on February 28, 2006! The Institute and the Centers for Disease Control and Prevention (CDC)
is a long etAc-based developed the checklist. Properly preparing our communities for
year 9 comp y program which focuses on pandemic influenza is crucial and must begin now. The checklist
personal understanding and growth. Critical thinking and analysis, provides an opportunity for local boards of health to ensure that
political effectiveness, organizational and team development are their local public health agency and community is taking the neces-
emphasized throughout the one year institute to enhance sary steps. Many of the planning initiatives are specific to pandemic
strategic visioning and direction setting skills. The program was influenza but there are also a number of initiatives that pertain to
developed based upon CDC priorities that identified a need for any public health emergency. NALBOH recommends that the
improving the leadership capacity in the environmental public health checklist be discussed at your next board meeting so any planning
practice. Emphasis is placed on the core functions of public health deficiencies can be addressed now. To obtain your board's copy
as a foundation for achieving Public health goals and the need for
proactive environmental public health leaders to mobilize resources the planning checklist, please visit the NALBOH website )
<www. nalboh.org>. O
in response to the changing public health environment. ?
Continuity of Operations Plans Annual Environmental Training for
(COOP) Small Communities Hosted by WVU
As the possibility of pandemic influenza affecting our communities The seventh annual Environmental Training Institute for Small
becomes more real, local boards of health must be able to ensure Communities, hosted by the National Environmental Services
the safety of its employees and the survivability of Y the health Center, will be held July 25-28 2006, at the West Virginia
agency's critical business functions. This critical need can be University Mountainlair training and conference facility in
accomplished through the development of a continuity of Morgantown, West Virginia. This successful series of training
operations plan (COOP). This plan lays out how an organization will institutes has benefited hundreds of decision-makers, small
maintain its basic operations when a threat or event is detected. community technical assistance providers, regulatory officials,
Boards of health are critical to the development of this plan as they engineers, drinking water and wastewater plant operators and
are responsible for ensuring that health services are continuously managers, environmental consultants and trainers, community
provided to the public regardless of the situation or circumstances. development professionals, and citizens interested in small
More information on developing a continuity of operations plan can community health and environmental management. For more
be found online at <www.nalboh.org>. O information on the training institute, visit the National
Environmental Services Center's Website at <www.nesc.wvu.edu>,
or contact Craig Mains at (800) 624-8301. ?
Guide to On-Site Wastewater Treatment Systems-Available Now
The National Association of Local Boards of Health are pleased to offer the Local Board of Health Guide to On-Site Wastewater Treatment
Systems. The health of a community and its water resources must be protected from the harmful effects of inadequately treated
wastewater. These harmful effects include waterborne diseases or other illnesses and the pollution of rivers, streams, lakes, groundwat~
supplies, or other water bodies.
This guide and companion video are designed to assist local boards of health understand their role in an effective on-site wastewater
treatment program. Local boards of health are responsible for assuring the provision of adequate public health services in their
communities, including protecting the community from the risks associated with inadequately treated effluent from on-site wastewater
treatment systems. To order a copy of your guide (free to NALBOH members), please visit the NALBOH website at <www.nalboh.org>
or call the main office at (419) 353-7714. 0
Second Quarter 2006 NALBOH NewsBrief Page 9
Environmental Health 8 Emergency Preparedness Continued
FDA's Food Defense Awareness
State to State Mutual Aid for Public Broadcast-a-Success!
Health during Disasters
Boards of Health must be aware of a national program administered
1 by the National Emergency Management Association. The program f bG of St
is known as EMAC or Emergency Management Assistance Compact.
In 1992, when Hurricane Andrew devastated Florida, it became _
apparent that even with federal resources, states would need to
call upon one another in times of emergencies. As a result, the
Southern Governor's Association coordinated with Virginia's y
Department of Emergency Services to develop a state-to-state mutual "
aid agreement: the Southern Regional Emergency Management
Assistance Compact that was adopted in 1993. In January 1995, the southern governors voted to open the membership to any
state or territory in the Union that wished to join. The broadened
agreement was called the Emergency Management Assistance
Compact (EMAC). The United States Congress ratified EMAC in
1996 and it became the first national disaster-relief compact since
the Civil Defense Compact of 1950 to be ratifled by Congress. J
EMAC offers the following benefits:
On March 29'", NALBOH participated in a food defense awareness
o EMAC assistance may be more readily available than other re satellite broadcast sponsored by the united States Food and Drug
sources. Administration. The mission of the broadcast was to raise
awareness of food defense issues from farm to fork. Currently,
o EMAC allows for a quick response to disasters using the unique there are no specific regulations targeting food defense so local
human resources and expertise possessed by member states. boards of health must develop and implement an effective
program based on their local needs.
EMAC offers state-to-state assistance during Governor declared
state of emergencies. EMAC offers a responsive and straight Local boards of health have several responsibilities in ensuring that
forward system for states to send personnel and equipment to the local food supply is secure including:
help disaster relief efforts in other states. When resources are
overwhelmed, EMAC helps to fill the shortfalls. a Ensuring that the health agency is educating food service
operators and the public on food defense awareness
o EMAC establishes a flrm legal foundation. Once the conditions o Allocatin sufficient resources to ensure that the
for providing assistance to a requesting state have been set, 9
the terms constitute a legally binding contractual agreement environmental health specialists are receiving ongoing food
that make affected states responsible for reimbursement. defense training so they can properly recognize if the food
Responding states can rest assured that sending aid will not be supply has been compromised
a financial or legal burden and personnel sent are protected
under workers compensation and liability provisions. The EMAC o Communicating with the stakeholders at the local level to build
legislation solves the problems of liability and responsibilities of the collaborations needed to properly secure the food supply
cost and allows for credentials to be honored across state lines.
o Bringing attention to the issue at the local level to ensure that
o EMAC provides fast and flexible assistance. EMAC allows states boards of health are taking the necessary steps towards
to ask for whatever assistance they need for any type of creating a safer, more secure food supply.
emergency, from earthquakes to acts of terrorism. EMAC's
simple procedures help states dispense with bureaucratic To request your DVD copy of the broadcast, please visit the
wrangling. NALBOH website at <www.nalboh.org> or call the main office at
(419) 353-7714. O
o EMAC can move resources other compacts can't - like medical
resources. Requests for Articles and
Thanks to EMAC, states are able to join forces and help one another Meeting Announcements
when they need it the most: whenever disaster strikes!
NALBOH publishes articles about the successes, challenges, and
0 tic health agencies impacted by disasters can request health and accomplishments of boards of health as well as upcoming
Ical personnel, supplies, and equipment from other states. conference announcements and meeting dates. To submit an
nsure that your board and your staff are aware of EMAC for both article or announcement, please contact the NALBOH office at
being ready to help or be helped. 1840 East Gypsy Lane Road, Bowling Green, OH 43402, fax to
(419) 352-6278, or email us at <nalboh@nalboh.org>. A
For more information on the web, go to <www.emac.org>. O NewsBrief submission form is available online at <www.nalboh.org/
newsbrief/newsbrief. htm> . 13
Page 10 NALBOH NeavsBraf Second Quarter 2006
• Exploring Accreditation
Submitted by Pricilla Barnes, MPH, CHES, Program Manager
National Association of County & City Health Officials (NACCHO)
The Jersey Bounce
Y
Submitted by Paul Roman, President Exploring Accreditation is a landmark project established to,
New Jersey Local Boards of Health Association examine the implications and feasibility of a voluntary national
accreditation Texas and New York, New Jersey has never had a on system for state and local public health
recognizable state song. During the "swing era" our official state departments. The initiative began in September 2005 with
funding from the Robert Wood Johnson Foundation and the
song was a sort of a jazz ditty called "The Jersey Bounce." Centers for Disease Control and Prevention.
You couldn't sing it and you would never hear it on Dick Clark's In late April 2006, the Steering Committee met and developed
American Bandstand. Since then they have tried various a proposed model for a voluntary national accreditation system
remedies even attempting multiple Bruce Sprinsteen hits such as, for state and local public health departments. The proposed
"Born to be Run,""'Jersey Girls;" one group even suggested the model will be shared widely for public comment and feedback
theme song from the Sopranos, "Get Yourself a Gun..." during the spring and early summer. In early August, the
In spite of this stillness, the New Jersey Local Boards of Health Steering Committee will reconvene to review public comments
and issue a final report.
Association (NJLBHA) is about to do "the bounce." You may
remember that we were the pilot for statewide implementation The Steering Committee strongly encourages participation in
of the Public Health Performance Standards Governance the public comment period (May-July) and welcomes hearing
Instrument. Our state health department, using Centers for from individuals and organizations interested in this important
Disease Control and Prevention (CDC) funds, granted Rutgers, topic by providing feedback on the proposed model in any of
the State University, with our group as partner, the opportunity the following ways:
to bring the instrument to 200 of approximately 500 local,
regional and county boards. It took a long time to get rolling but • Invite a Steering Committee representative to attend the
we did close the grant period with over 150 submissions. local meeting of your SALBOH to share the proposed model
and get the group's feedback in an interactive discussion
This satisfied the grant due, it did not satisfy us. We have met session. These sessions would have to occur during the
with the state and are now planning a "bounce" back into the public comment period from May through July.
process. Hopefully, with state funding assistance, we will embark
on "Governance Phase II" and bring another 250 boards into the • Encourage your membership to view online the Steerin
assessment process. ? Committee's proposed accreditation model, and provid
feedback electronically via:
Illinois Association <feedback@exploringaccreditation.org>
Boards of Health Meeting • Attend the NACCHO/NALBOH annual conference in San
Subnitted by Carolyn Chapman Antonio, Texas and participate in the Town Hall session on
Wednesday, July 26 where the proposed model will be
The Illinois Association of Boards of Health met in Springfield, the discussed and feedback encouraged.
state capital, during the recent April conference of the Illinois
Association of Public Health. President Kay Banta opened the 0 Participate in a satellite teleconference for state and local
meeting and introduced Sharon Hampson, West Great Lakes public health officials about the proposed model and/or join
Trustee of the National Association of Local Boards of Health, who one of the conference calls to be scheduled for rural and
told the group that she serves on a local Board in La Crosse, large local health departments. Please check the website
Wisconsin. Ms. Hampson encouraged our boards to undertake below for scheduling details and guidance on how to
Performance Standards. She also asked for nominees for an participate in these sessions.
outstanding board of health member for a NALBOH award.
If you would like to invite a Steering Committee member to
Rev. Annie Clark, President of the St. Clair County, Illinois, Board of your state association's meeting, please send your request via
Health, presented a slide program on her county's public health email to Chuck Alexander at <calexander@burness-
foundation, developed as a public/private partnership to help communications.com>. Please include the date and location of
achieve the board's mission and growth, and to promote your meeting and the name, phone and email for a contact
awareness of public health issues in the community. Margaret person who can help finalize the arrangements.
Leonard shared the information that Macon County also has such
a foundation. The success of this venture depends on hearing from those
New officers and executive council members were elected as who support the goal of effective, accountable, public health
agencies well equipped to protect and improve the health of
presented by the nominating committee. Dr. Janice Attala Allen their communities. For more background on the project,
begins her term of office as President on July 1. Margaret Leonard including what has been accomplished so far, please visit,
will serve as President Elect. Both President Banta and Dr. Allen <www.exploringaccreditation.org>. If you have any question
will serve on the Public Health Practitioner Certification Board. ? feel free to contact Priscilla Barnes, Program Manager, at.
(202) 783-5550 extension 258 or by email at
<pbarnes@naccho.org>. ?
Second Quarter 2006 NALBOH Neras6rief Page I /
pr:p
' -to
June 2®®6
Second American Congress of Epidemiology
June 21-24, 2006
Westin Seattle Hotel, Seattle, Washington
Sponsored by American College of Epidemiology, American Public Health Association, Society for Epidemiologic Reseatch
For more information visit <www.epicongress2006.org/index.html>
70th Annual NEHA Educational and Exhibition Conference
June 25-June 28, 2006
San Antonio, Texas
Sponsored by the National Environmental Health Association
For more information visit <www.neha.org/AEC/2006/index.html>
July 2®®6
NALBOH's 14th Annual Conference
Public Health Touches Everybody, Everyday, Everywhere!
July 26-29,2006
Sheraton Gunter Hotel, San Antonio, Texas
Sponsored by National Association of Local Boards of Health
Co-located with the National Association of County & City Health Officials
For more information visit <www.nalboh.org>
NACCHO's Annual Conference
The Local Health Department Story: Know It. Live it. Share It.
July 26-29,2006
Marriott San Antonio Rivercenter Hotel, San Antonio, Texas
Sponsored by National Association of County & City Health Officials
Co-located with the National Association of Local Boards of Health
For more information visit <www.naccho.org>
Future Events 2006
ASTHO Annual Meeting
September 12-15 , 2006
Hyatt Regency Atlanta Hotel, Atlanta, Georgia
Sponsored by the Association of State and Territorial Health Officials
For more information visit <www.astho.org>
2006 Food Safety Education Conference
Reaching At-Risk Audiences and Today's Other Food Safety Challenges
September 27-29 , 2006
Adam's Mark Hotel, Denver, Colorado
Sponsored by the United States Department of Agriculture
For more information visit <www.fsis.usda.gov/Denver2006/>
•
s
Page 12 NALBOH NewsBrief Second Quarter 2006
• i
Sleraton®Gunter Hotel
205 East Hw9onst San Antonio, Texas 78205 Telephone: (210) 227.3241 Fez: (210) 227-3299
Tot Free Resenrelions (888)999-2089
t
4
National Association of Local Boards of Health
National Association of County & City Health Officials
"Public Health Touches Everybody, Everyday, Everywhere!"
July 26 - 29, 2006
Co-located Annual Conference
The Sheraton Gunter Hotel is a historical San Antonio riverwalk hotel near the San Antonio convention center,
riverwalk restaurants, the alamo, theater district, and downtown San Antonio attractions.
For more information on the Sheraton Gunter Hotel visit <www.gunterhotel.com/gunterhome.html>.
For more information on NALBOH's 14th Annual Conference, visit ourwebsite at <www.nalboh.org>.
National Association of Local Boards of Health NON PROFIT ORG.
1840 East Gypsy Lane Road U.S. Postage
OWebsite: Bowling Green, OH 43402 PAID
E-mail: <nalboh@nalboh.org> Bowling Green, OH
Permit No. 47
<www.nalboh.org>
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