01/02/2008
New Hanover County Health I>epartrrtent
Revenue and Expenditure Summaries for November 2007
Cumulative- 41 _67% MOnth 5 of 12
Revenues
Curren[ Yaar Prior Yaar
Type o[ Budgeted Ravanua Bala nca % Budgeted Ravenna Balance
Revenue Amount Earned Remaining Amount Earned Rama ining
Federal 8 Stale 1.935.757 1.016.959 $ 918,798 52.54% 1.942.005 1,008.875 $ 933,130 51.95%
AC Fees 642,661 270.161 $ 372,500 42.04% 611.161 256,005 $ 355,156 41.B9%
Medicaid 1,569,058 353.449 $ 1.215,609 22.53% 1.546.994 385,160 $ 1.161.834 24.90%
Medicaid Max 309.126 0 $ 309,128 0.00% 310,000 0 $ 310.000 0.00%
EH Fees 310.000 101,996 $ 208,004 32.90% 310,000 77.581 $ 232.419 25.03%
Health Fees 344,700 148,762 $ 195.938 43.16% 250,200 121.262 $ 128.938 48.47%
Health Ghoica 35,125 11.970 $ 23.155 34.08% 35,125 6,637 $ 28.488 18.90%
Other 3,777.812 1.433.167 $ 2,344.645 37.94% 2,797.261 1.087.475 $ 1.709,786 38.88%
Totals $ 8,924,241 $ 3,336.464 $ 5.587.777 37.39% $ 7.802.746 $ 2,942,995 $ 4,659,751 37.72%
Expeuditu res Prior veer
Current Yaar
Types oT Budgeted Expan dad Balance % Budgatacl Expanded Balance
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary 8 Fringe 13.650,018 4,688,344 $ 8,961 .674 34.35% 12.163,729 4,283,696 $ 7.880.033 35.22%
Operating 2,422.201 771.800 $ 1.650.401 31.86% 2,274,248 714,183 $ 1.560.065 31.40%
Capital Outlay 40.900 5.816 $ 35,084 14.22% 88.585 32,684 $ 55,901 36.90%
Totals $ 16.113.119 $ 5.465,960 $ 10,647.158 33.92% $ 14,526,562 $ 5.030,562 $ 9,496.000 34.63%
Summary
Buaa-cl Actual %
FY 06-07 V- 011-07
Expanditurea-
Salaries S Fringe $ 13,650,018 $ 4,688,344
OPeratin9 $ 2,422.201 $ 771.800
Capital Outlay $ 40.900 $ 5,816
Total Expenditures $ 16.113.119 $ 5.465.960 33.92%
Ravenna. $ 8,924,241 $ 3,336.464 37.39%
Net County $ 7.188.878 $ 2,129.496 29.62%
li¢v¢n u¢ and E~cp¢nditu r¢ Summary
For the Month of November 2007
FY 2007-2008
8
NHCHO BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07
Oat. (BOH Grant Ra uastad Panrlin Rac.ivatl Uaniad
121512007 "A STC) Pravan[ion OuYr.ach - North
Carolina HIV/STS Prevention and Care
Branch - total of multi-year funding thru May,
2010 5175,000 $175,000
Family Counseling Sa rvic.s -Cape Fear
Memorial Foundation continuation funding for
1 ear (of a ossibla 3 ears) $53000 $53,000
11/712007
Living Wall - Additional funds added to
original grant to complata winter adition of
nawslatter - C- a Fear Memorial Foundation $650 $650
Asthma Program - North Carolina wept. of
Health and Human Services Division of Public
Health Asthma Pro ram $18,000 $18,000
101312007 Healthy Carolinians - Request for funds from
the North Carolina Division of Public Health,
Office of Ha-Miy Carolinians, for support of
the local task force. $12,048 $12,048
ACHIEVE Grant - Centers for Eisease
-antr0l/l(MCA - Workplace Wellness
Services - $40 000 $40,000
9/512007 No Activi for Sa tam bar 2007
811/2007 No Activi for A,-Gust 2007
711112007 WIG Mini-grant -Request to ratify application
for mini-grant funds For minor ran ovations to
the WIC ragistration workstations to improve
customer service. $18,000 $18,000
61612007 Landfall Foundatio - Req uast for funds to
purchase 16 wheelchnairs for the NHCH-
School Health Nursin Pro ram. $2,700 $2,700
5/212007 Living Wall= Received notification from Cape
Fear Memorial Foundation of continuation
funding for the publication of the Living Well
news a er insert. $O $12 000
4/4/2007 Ministaring cicla (4-- -1 p...opy funding)
RGquet -
for $12,000 start-up Funds from
Ministering Circle for purchase of Colposcopy
equipment. Aiso plan to request additional
funds from other grant sources such as Cape
Fear Memorial Foundation for expansion of
program to include a second colp.... py unit
and additional training, supplies and contract
services.
$12,000 $'12.000
cape Faar Mamarial Foundation -
Colposcopy Program - Women. Preventative
Health. $25,000 for start up cost for physician
and interpreter contracted services,
equipment, supplies, and training. $215,000 $25,000
9
As oT '12/l 3/2007
N HCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and F 06-07
Mate BOH Grant R..... ted Pendin Received Denied
3/7/2007 Closing The Gap - Request for 225,000
($75,000 per year for 3 years) from North
Carolina Office of Minority Health and Health
Cimiisson fora Health Educator to focus on mar//
pr-event of HIV and other sexually
transmitted disease in the Latino and Afro-
American po ulations_ 5225,000 5225,000
21712007 CA -M RSA. Funding from UNC-Chapel Hill
School of Medicine to assist with research
related to the prevalence of community
associated methicillin resistant staphylococus
12,600 $1 2,600
--um $
'1/3/2007 mart tart -New anover ounty
Pa Rnens hip for Child ran - Child Care
Nursin Pro ram $178,500 $'770 000 SS 500
12/612006 OuKe Endowment Funds, NHRMC - mental
Unif -Personal Health Services- $25,000 for
Qu- nt dental care and $15,000 for sedation
e ui mant $40,000 $20,000 520 000
11/112006 No Acilvi for November 2006
10/4/2006
March of Dimas -Maternity Care
Coortlination expenditures for Baby Love
Program Baby Boutique antl Learning Center $3,000 $3.000
9/6/2006 No Aciivi for Se tember 2006
8/2/2006 No Activi for Au usY 2006
71512006 erv ca oor gnat on am y
Counseling Program (Cape Fear Memorial
Foundation) -Funding for Licensed Clinical
Social WorKer for 3 ears 5260,000 $75,000 §185 000
at mart ova ore - ommun~ty rant
(NC Oept of Public Health Physical Activity
.-Cl Nutrition Branch $16,495 $12,416 54,079
Totals S1 091,993 5286,000 5372 714 $445,279
26.1 9 % 34.1 3% 40.78
Pendin Grants 4 UQE)-Z. Funded Total Re nest 8
4 otal 2 For 1 O
As of 1213/2007
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 01/02/08
CC: 01/07/08
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact: Janet McCumbee 798-6559
Subject: Grant Application - Child Care Nursing - Smart Start - Personal Health
Services - $196,500
Brief Summary: New Hanover County Health Department (NHCHD) employs two (2)
qualified Child Care Health Consultants (Registered Nurses) and a Program Assistant to
provide health and safety training, technical assistance and consultation to child care
facilities in New Hanover County (NHC) to promote compliance with the county and
state regulations and enhance the quality of child care environments. The Child Care
Nursing Program provides ongoing health and safety education as well as consultation to
child care providers, children, and parents, child developmental monitoring, health record
reviews, Health Check/Health Choice referrals, and assistance in the review and
development of health policies, emergency preparedness plans and medical action plans.
This program had been in existence for over ten years through Smart Start funding. This
is an application to continue the program for the next FY 08-09.
Recommended Motion and Requested Actions: To accept and approve submission of the
continuation grant for Smart Start funds to support the Child Care Nursing Program of
NHCHD and to approve any associated budget amendments if funds are awarded and
submit to the New Hanover Count Commissioners for their consideration.
Funding Source: New Hanover County Smart Start
Will above action result in:
FINew Position Number of Position(s)
®Position(s) Modification or change
E]No Change in Position(s)
Explanation: The grant will be submitted for two (2) full time nurses and a full time
Program Assistant; this will be a change for one nurse position currently part time to full
time. No county funds are required as a match and the positions only exist if funding is
approved.
Attachments: Budget
11
r Attachment # 2
Projected Line Item Planning Budget for Direct Services Provider Activity
Partnership_ Smart Stan of New Hanover County' 'Fiscal Year: 2008-09
Direct Services Provider= NH(-- HealiFl Oe pt_ Column 1 Column 2 Column 3 Column 4
Activity Nam.: child care Nursing Smart In-Kind Cash Total
contract n: Start Funds Match Funds
Purpose s.rvic. cod.: Funds Amount Amount Amount
11) Personnel $169,020.00. $14,500.00 $203,520.00
12) Contracted Professional_Servroea $0.00 $0.00
13) Total Personnel/Contracted SarvIc¢s $789,020_00 $14,600.00 $0_00 $203,620_00
14) Office Supplias_a Materials _ $300.00 $300.00
1)_S0rv1 nRelated Supplies 8 Materials $1.310.00 $1,310.00
166) Total Supplies 8 Mat¢ria is $1,610_00 $0-00 SO_00 $1,610_00
17) Travel _ $3,495.00 $3,495.00
18) Commumcations_8 Postage _ _ $200.00 $2,000.00 $2,200.00
19) Utilities 4 _ $800.00 $800.00
20) Pnntinga Binding $85.00 $1.500.00 _ _$1.550 00
_21) Repair 8 Maintenance. _ -
221 Maeting_/COnf¢rence Expense. $600.00 $600.00
23) Employee Training Cno travel) .$1,155.00 $1,155.00
24) $0.00
$0.00
25) Not Ava Jable for Use
26) Total Non-Fixed Op.rafing Expanses $6,636.00 $4,300_00 $0.00 $9,835_00
27) Office Rant (Cantle Buildings, etc.) $3,500.00 $3,500.00
28) Furniture Rental $0.00
29) Equipment Rental (Phone, Computer, etc.) $0.00
30) Not Ava Jable for Use _ $0.00
31) Oues 8 Subscriptions _ $335.00 _ $335.00
_
32) Insurance 8 Bonding $0 .00
33) BooKS/Libra Reference Materials _ $0.00
34~ Not Available for Use - _ $0-00
35) Other Expanss _ $500.00 _ $500.00
36) Total Fixed Charges 8 Other Expenses - _ $335.00 $4,000.00 $0.00 $4,335.00
.00
37) Not Available for Use $0
$0.00
38) Not Available for. Use -
39) Furnit_u r_e/Non-Computer _Egpt, $500 per item $0.00
0
40) Computer Equip enVPrinters,_$500+ per item $0.0
Al) Furniture/Egpt, under $500 par item
42) Total Property 8 Equlpmant Outlay $0.00- 50.00 $0..00 $0.00
$0.00
43) Purchases of Services - - - - -
.
44) No[ Available for Usa $000
45) Stipends/Scholarships/Bonus $0.00
$0-00
46) Cash Grants and Awards
47) Non-Cash Grants and $0.00
Awards _
481 Total s_arvic¢s/Sb pends/Grants _ $0.00 $0.00 $0.00 $0.00
5 ota Bu eta Ex end to res 19 'r.00-00 22, -00 SO- 00 $219.300-00
1 2
a NEW HANOVER COUNTY BOARD OF COMMISSIONERS
~r Requ¢st for Board Action
Agenda- Consent Meeting Date:
Agenda: ® BOH: 01/02/08
CC- 01/07/08
Department- Health Presenter: Janet McCumbee, Personal
Health Services Mara er
Contact: Janet McCumbee 798-6559
s - $17,580 for IF-09
vpati~i~ts- : Grant Application - Maternity Care Coordination (MCC) - Personal Health
mmary: North Carolina Department of Health and Human Services (NCDHHS)
nded an invitation to New Hanover County Health Department (NHCHD) to
r state funds to support MCC services for pregnant women who are not eligible
icaid- MCC services are currently available to Medicaid eligible women as a
service, which provides Medicaid revenue to support the nurses and social
in the NHCHD Maternal Health program- new funds, if awarded, would
r coMCC to a small caseload of aid prenatal
patens- These patients are currently assisted in some capacity: however, do not get full
MCC services- The state grant would supply reimbursement for 50 units (15 minutes
each) of service at $29.30 per unit per month. ($1,465 per month)- Total revenue for the
~r ear= $17,580-
Recommended Motion and Requested Actions: To accept and approve submission of the
NCDHHS application for $17,580 for MCC services for women ineligible for Medicaid
for FY 08-09 and submit to the New Hanover County Commissioners for their
consideration-
Fundin Source: NCDHHS
Will above action result in:
QNew Position Number of Position(s)
QPositiorn(s) Modification or change
®No Chan e in Position(S)atching funds required- Services to be provided by existing MCC
staff-
Attachments: Summa information of rant re uirements and -ustiflcation fora lication-
1 3
I
GUN+Y ~O New Hanover County
y Health Department
0 2029 South 17th Street _ f
I i Wilmington, NC 28401-4946
\Z Phone 910/798-6500 FAX 910/341-4146 NEW HnNOVeR COUNTY HEA~t~
.F LJT~flLISMfn ~
Request for Applications
Title: Maternity Care Coordination Services for Women Ineligible
for Medicaid
FUNDING AGENCY: North Carolina Department of Health and Human Services
Division of Public Health, Women's and Children's Health Section
ISSUE DATE: December 12, 2007, applications due Friday, January 25, 2008.
NOTE: Maternity Care Coordination Program agencies that provide services in these counties are
eligible to apply: Alamance, Buncombe, Cabarrus, Catawba, Chatham, Davidson, Duplin,
Durham, Forsyth, Gaston, Guilford, Harnett, Henderson, Iredell, Johnston, Lee, Mecklenburg,
Montgomery, Moore, New Hanover, Orange, Pitt, Randolph, Robeson, Rowan, Sampson, Surry,
Union, Wake, Wayne and Wilson.
INTRODUCTION
The Maternity Care Coordination Program (MCCP) case management services are an integral component
of North Carolina's statewide infant mortality prevention initiatives. Since 1990, the North Carolina
General Assembly has appropriated funds to the Division of Public Health to increase the number of
women receiving MCCP services. This funding provides support for MCCP provider agencies to expand
services to women who were not previously receiving services. This three-year cycle of funding gives
priority to the provision of MCCP services to women who are ineligible for Medicaid. The Women's
Health Branch anticipates availability of $480,000 annually.
BACKGROUND
In response to North Carolina's high infant mortality rates, Maternity Care Coordination Program services
were developed to provide case management to low-income pregnant and postpartum women. The
objectives of the program include increasing access to health care and other related services, in addition to
addressing psychosocial needs that can affect pregnancy outcomes.
SCOPE OF SERVICES
This grant funding will be used to provide units of MCCP services to women who are ineligible for
Medicaid. The services provided and reported under this funding may not be reimbursable by any other
source, including but not limited to: local funds, private insurance, Medicaid, and Presumptive Eligibility
Medicaid. Maternity Care Coordinators providing the grant-funded services may also provide MCCP
_11*vices reimbursed by another source (including Medicaid), but may not count those services as
ortable under the grant funding.
1
14
The initial pro rated 1 1 month fu-dina period is July 1 2008-May 31 2009_ Renewals for two additional
12 month funding periods will be available for funded agencies for the period June 1. 2009-Mav 31,
" 011 based on satisfactory project yerforrnance_ r
FUNDING AVAILABLE
The maximum funding per project is $35,160 per year ($2,930 per month, 100 units o£ M(-_C services at
the current Medicaid rate o£ $29.30/unit). The project period for contracts awarded through this
competition will begin on July 1 , 2008, and end on May 3 1, 201 1. After applicants are selected, contracts
will be developed pending funds availability- The final number and amount of awards will depend upon
the number and quality of acceptable applications received. Continuation funding will be dependent upon
project performance and future funding availability.
SELECTION CRITERIA S. PRIORITIES FOR FUNDING
From the list of eligible counties, the following selection criteria will be used to prioritize awards:
• Number of Emergency Medicaid deliveries in FY06.
• Demonstrated prior success and satisfactory project performance in prior MCC grant
funding cycle.
Capacity to provide required services as evidenced by the level of current MCC services
provided to Medicaid-ineligible women and agency resources.
Successful applicants must follow the policies and procedures outlined in the current Division of Medical
Assistance Clinical Coverage Policy 1M-8 for Maternity Care Coordination,
www dhhs state nc us/dma/babvlovechild/1 mS.pd£, regardless of the participant's Medicaid eligibility
status- _
NOTE: County eligibility was determined by taking the number of Emergency Medicaid deliveries in
FY06 and offering funding to provide MCC services to 35% of the women who will receive Emergency
Medicaid coverage (rounded down to the nearest 10), from a minimum of 40 MCC units per month up to
a naaxin- _rn of 100 MCC units per month per agency. Provider agencies that serve a multi-county area
inay cc,rnbine the potential number of funded MCC units for the eligible counties they serve, up to a
maximum of 100 units per month per agency.
Rationale for New Hanover County Maternity Care Coordination (MCC) program to provide full
MCC services to women ineligible for Medicnid_
The Maternity Care Coordination (MCC) program currently provides sporadic MCC services
to women ineligible for Medicaid. These services include diabetic teaching, presumptive
eligibility application completion, prenatal vitamins, iron, transportation and assistance with social issues.
In the past year, the MCCP has provided "band aid" services to over 500 non-Medicaid women. These
are not billable services because they do not have open MCC records or a source to bill. State Maternal
I-lealth funds are accessed for some of this. Currently, Coastal OB/G YN supported by the MCCs, is the
c,nly clinic that provides prenatal care for non-Medicaid women in New Hanover County_
The MCC program has the capacity to provide full MCC services to at least f 0 non-Medicaid women
monthly. Many of the women wbo are not eligible for Medicaid are Hispanic- We have access to
interpreters to assist the MCC in providing services and culturally appropriate materials and trainings.
2
1 5
'The state grant, if received, will provide for fifty 1 5 minute units of MCC service per month ($29.30 per
unit, for a total of $17,580 per year towards the salary of a MCC. This MCC will also have a caseload of
at least 35 Medicaid women to help supplement her salary- Current MCC staff will be assigned the
'nonMedicaid women, to provide the same level of services as the Medicaid women-
%M.-
Refer to the table below for the list of eligible counties-
Potential Number of funded MCC Emergency Medicaid
County units er month maximum Ueliveri¢s in FY06
MECKLENBURG 100 2102
WAKE 1 00 182S
FO R SYT H 1 00 944
E)URHAM 100 751
GUILFORD 100 747
JOHNSTON 100 399
CABARRUS 100 388
U N ION 1 00 383
ALAMANCE 100 378
RANC)OLPH 90 282
BUNCOMBE 90 271
HENIDERSON 80 247
LEE 80 242 WAYNE 80 241
SAM PSON 80 238
ROBESON 80 231
CHATHAM 70 217
E)UPLIN 70 213
GASTON 70 21"2
CATAW BA 70 205
HAR N ETT 60 191
ROWAN 60 1 86
IRE=-OF-LL 60 182
WILSON 60 177
ORANGE 50 169
NEW HANOVER 50 157
OAVI1DSON 50 1 54
SURRY 40 13,4
MONTGOMERY 40 129
PITT 40 120
MOORE 40 117
3
it C.
P~~e
ir~~er~~ior~o¦¦y
New Hanover County Board of Health Committees
2008
Executive Committee
Dr. Sandra L. Miles, Chair
Dr. G. Robert Weedon, Vice-Chair
Mr. Donald P. Blake
Dr. Robert M. Shakar, Jr.
Mr. C. Benjamin Spradley
Environmental Health Committee
Mr. Donald P. Blake, Chair
Mr. James R. Hickmon
Mr. John S. Tunstall
Dr. G. Robert Weedon
Personal Health Committee
Dr. Robert M. Shakar, Jr., Chair
Dr. Virginia Adams
Mr. C. Benjamin Spradley
Dr. Michael Goins
Mr. Robert Lewis
Animal Control Services Advisory Committee
Dr. G. Robert Weedon
Association of NC Boards of Health
Mr. Donald P. Blake
Rabies Awareness and
Community. Education
(One Year of
Leadership Development)
Jean P. McNeil, DVM
Animal Control Services Manager
Southeastern Public Health
Leadership Institute
. Recommended by peer
. Encouraged by boss
. Established community partner
. Life-long learning opportunity
err `kvdxa Paa { ~J
But..... did l rea//v know a
Mat was in store for usT.l ;,;~~;,,•r . .,r:,r~~
~rr+
1
Our Project Plan
Fostering collaboration between local veterinarians and
NGw Hanover County Animal Control SGrVices (NH-),
ImplGmentlng rabies awaren GSS and
responsible Pet ownership training at the
elemenbry school bvet.
lOnvolvctll in tFM1e Unitvo~rsig[ypa£ NorthiCaw Wilmngbon
(UNCW) Pre-Veterinary Medical -,.U- ,.U iatlon CPVMAJ
organiaatlon.
Eduvtlng the CItlZGns of our community In coopGratlon
with fYiG NGw Hanover County Health ~Gpartment and
loot media resource.
Our Project Plan (contd.)
Tice overall objective of
our project was to increase rabies
awareness and prevention In
our community- --oof
We addressed this goal
at several levels:
.,Our Project Plan (contd.
. Educate the local
veterinary communfty_
. Educate elementary-aged students in
New Hanover County.
. Educate the population at large-
. Increase rabies vaccination rates-
2
Y
~ Y Future
_ VGtGri l18 x1806
was
I
" I
Sudan[ Mantoring w majer part oP o
~ - ~ crass
The Public Health Forum
a Wa'ct considered repeating one for years, but
hatl no incentive tO do it.
a This -16 comprise completion of our project
(or so we thought!)
a 7'he forum was done April 10, 2007, with very
positive results: 36 veterinarians in attendance
antl a strengtriened connection with the State
Ptibl is H-Ith Veterinarian, inducting three
additional presentations.
3
Additional Public ~y
Health Forums
- -
. July 31, 2007 for veterinary lay staff
. August 8, 2007 Environmental Health
Services workshop in Greensboro, NC
. October 22, 2007 North Carolina Animal
Rabies Control Association conference
No-Cost Rabies Clinic
7..9
Wis. ® F ~ ry
nt PTE M 6~Q~
UNCW Student Organization
Leadership Conference
w. P-r
with stud- W -nduc i fs
two Pr~nbtions.
Community Partnering,
and Ethical
Decision Making
4
: The Year ?s Accomplishments
. January 2007 PVMA student mentoring/training for
school presentations at ACS
¦ April 10, 2007 Public Health Forum for local veterinarians
. April 17 & 20, 2007 UNCW PVMA Parsley Elementary
student rabies education
. July 31, 2007 Public Health Forum for local veterinary lay
staff
. August 8, 2007 EHS workshop presentation
. August 2007 Star News wrap articles
More Accomplishments
. September 8, 2007 World Rabies Awareness Day
UNCW Rabies Clinic, sponsored by PVMA
¦ September 15, 2007 UNCW SOLC presentations
. October 20, 2007 PVMA Brunswick County
Rabies Clinic
. October 22, 2007 NCARC Association conference
presentation
. October 25, 2007 SEPHLI conference call for
scholars on community partnering
. November 3, 2007 Inner City Rabies Clinic
i" L.Graduation Day Surprise!
. Certificate of SEPHLI completion
. Teamwork Award, and
. Best Leadership Project Award
ilillkw
5
"Your pew our p~io~ifyn'
e I
6
a smoke-free Mellow
S'T'AR-NEWS SATURDAY, DECEMBER 29, 2007 Mushroom thumbs up
e owner of Mellow RETAILREPORT
Mushroom said he's got-
en mixed reviews since
going smoke-free on Nov_ 28. JUDY
But among Robert Ray's cs- ROYAL
tourers happiest about the de-
asion are Question Why Youth
_ Leaders, who lxonored the res- just the restaurant that we
- taurant Thursday for adopting hand-picked that we wanted to
a' smoke-free policy_ do," he said. "It was a restaurant
z~. McIIow Mushroom at 4311 that.wealllikedtoeatat,andwe
6leander Drive in Wilraixxgton just went for it°
- rt-c lved a certificate of appre- Ray said Question Why
`station on behalf of the Que.- Youth Leaders gave a --i.-
ti--Why East Youth Exnpow- ing presentation.
erment Center, Wilmington "To hear it from teenagers
assoc~nren rxFSS Health Access for Teens and was pretty cool,-he
and Wellnewe slot fciefrthattohap-
AParisian smokes a cigarette outside a is Paris on the N_C_ Health o osaid."The
shop
17aursday_ With the new year oa 11,aesday> IF--- -M start Tl'IF-n Fund_ pen, and it's something that
e' _ -stag the most Far-reaching phase of a new smoking Early last summer, Question we've always wanted to do_ Like
Myra public places - iachidiag bars and cafes. Why Youth Leaders received it or not every place is going to
$500 funding for a project be like this eventually-
through Real Time Com mu- "We really just wanted to be
After New Year, I10 nity Change, which focused on one of the first people to do it
a topic decided on by the youth and not one of the last," he add-
participants- - ed_ "We want to create a healthy
The project lasted six weeks, product, and we try to create a
K`Jv' jl with a focus on education and healthy atmosphere wl-iile
I- -I- buiidfng support ing it_"
,for the owners of the Mellow ALL T"E WORLD'S A STAGE=
gy Jamey Neaten taurant staffers are looking for- 'Mushroom to adopt a smoke- Jenny Donaldson and Jessica
breathing easier d to free policy_ The four youth Pirona have launched Just Par-
Associated Psess ward to an
clothes that don't stink of seeped- leaders' action plan included feet Home Staging and More, a
Pwaxs Beginning next week, one in odors from the clouds of smoke getti_,o 250 signatures, most of residential staging and interior
of France's most iconic instittx- where they work. 'them within three hours, for a redesign consulting service- Re-
tions - the smoky cafe - will be Just about anywhere indoors petition for Mellow Mushroom design and residential staging
but a hazy memory. will be off-limits for smoking, to go smoke-free and the --pi- are concepts rapidly gr._j_g in
The extension of France's except homes, hotel rooms, and Intion of results from 80 in-res- popularity that have been fea-
sxaoking. ban to bars, disco- sealed smoking chambers at es- 'Laurent surveys. turgid on Oprah and on HGTV's
thaques, restaurants, hotels, ca- tablishments that provide them- Question Why Youth Lead- Decosating Ce-ts and D¢signed
sinos and cafes on Jan. 1 marks "The French culture ....ei- ers tackle Real 'lime Commu- to SeZZ. They also offer personal
a momentous cultural shift in a atad with smoking is a 20th-can- nity Change projects twice a shopping, paint consultations,
countrywhere thinkers like Jean- tury thing, but we won't forget year, typically focusing on get organization, vacation rental
Paul Sartre and Simone de Beau- the experience," ex-smoker Lisa -ting restaurants to ban -I- services and holiday dacorat-
voir held court while clutching Zane, a Chicago-born si-g-who :ing, said 17-year-old Judson ing. Details: 251-7711; wwwjust
cigarettes in Left Bank cafes. lives in Paris, said at Le Fumoir :'Cooper, a New Hanover High perfecthomestagixxg.com.
For smokers, this is the most (The Smoking Denf restaurant School student and one of the SAVE WATER, SAVE MONEY.
distressingp_tofaphas-1-R- and bar behind the Louvre. aeaders_ The Home Depot has paruxered
intr ban that began last February "Smoking sea--sans now." "It's just something that we with Niagara Conservation
one ke to focus on," he said- "It's of Cedar Knolls, N.J_, to offer
rkplaces, schools, airports, The Health Ministry says 'li
Ix~artttals, and other "closed and in Ludo regularsmokers here dies definitely one of the harder North Carolina residents $ly
covered° public places like train of smoking-related illness, and things to accomplish- Because water-saver kits that include
stations- - about 5,000 nonsmokers die each ,of secondhand smoke it's not a low-flow showns'head, faint
But many bartenders and res- year of passive smoking- ;jssst affectin-g tlae smoker but aerators and toilet leak defec-
everybody in the restaurant ^ tion tablets.
_ _ Mellow Mushroom is the Water conservation experts
Operating Procedures
New Hanover County Board or Health
1_ Name and Orfice_
The name o£ this organization is the New Hanover County Board of Health (hereinafter
"Board"~. The principal of£ce of the Board is located at 2029 South 17m Street,
Wilmington, North Carolina-
2. OtTicers and Committees.
a_ Chair and Vice-Chair
The Board members shall elect a Chair and Vice-Chair by plurality vote each year at the
December meeting.
I],- Secretary
The health director shall serve as Secretary to the Board, but he/she is not a member of
the Board. The health director may delegate the duties o£ the Secretary that are set forth
in these operating procedures to an appropriate health department employee.
c. Standing committees
The Board shall have the following standing committees:
Executive Committee=
Section I. The officers of the Board of Health and three members appointed by the
Chair shall constitute the Executive Committee. It has been the practice of the Board of
Health to include the Immediate Past-Chair as one of the three appointed members
Section 2_ The Executive Committee shall have general supervision of the affairs of
the Board of Health between its regular meetings- -I-ho Executive Committee shall be
subject to the orders of the Board of Health and none of its acts shall conflict with action
taken by the Board of Health- Action taken by the Executive Committee shall be
reported to the Board of Health for ratification.
Section 3_ The Chair may call special meetings of the Executive Committee-
IL
Environmental Health Committee: The Chair shall appoint an Environrrtental Health Committee composed of up to five
members in January- It shall be the duty of this committee to act as an advisor to the
Board of Health with respect to environmental health matters.
Personal Healtb Committee:
The Chair shall appoint a Personal Health Committee composed of up to five members in
January. It shall be the duty of this committee to act as an advisor to the Board of Health
with respect to health promotion and disease prevention matters.
Animal Control Services Advisory Committee:
An Animal Control Services Advisory Committee shall be composed of members
appointed by the Board of Health as set forth under Section 3-2 of the New Hanover
County Code_ Members will include, but not be limited to, interested citizens, and
persons representing animal care, welfare or similar organizations- It shall be the duty o£
this committee to act as an advisor to the Board of Health with respect to animal control
matters-
Other Committees:
Committees, standing or special, shall be appointed by the Chair to assist the Board of
Health or Executive Committee- The Chair shall be an ex officio member o£ all
committees except the Nominating Committee- The Chair has no obligation to
participate at committee meetings and should not be counted in determining if a quorum
is present-
A11 committees are subject to the North Carolina open meetings laws and shall comply
with the provisions o£ those laws.
3. Meetings.
a. Regular Meetings.
The Board shall hold a regular meeting on the first Wednesday of each month- In the
event a regular meeting day is a legal holiday, the meetinr, shall be held on the next
Wednesday- The meetings shall be held at 2029 South 17` Street, Wilmington, North
Carolina, or designated location, and shall begin at 8:00
b. Agenda.
The Secretary to the Board shall prepare an agenda for each meeting- Any board member
who wishes to place an item of business on the agenda shall submit a request to the (
2
Secretary at least two working days before the meeting. For regular meetings, the Board
r may add items to the agenda or subtract items from the agenda by a majority vote. The
agenda for a special or emergency meeting may be altered only if permitted by and in
accordance with the North Carolina open meetings laws.
Any person may request that an item be placed on the Board's agenda by submitting a
written request to the Secretary at least ten working days before the meeting.
c. Presiding Officer.
The Chair of the Board shall preside at Board meetings if he or she is present. If the Chair
is absent, the Vice-Chair shall preside. If the Chair and Vice-Chair are both absent,
another member designated by a majority vote of members present at the meeting shall
preside.
d. Quorum.
A majority of the actual membership of the Board, excluding vacant seats, shall
constitute a quorum. A member who has withdrawn from a meeting without being
excused by a majority vote of the remaining members shall be counted as present for
purposes of determining whether or not a quorum is present.
e. Voting.
Each Board member shall be permitted to abstain from voting, by so indicating when the
vote is taken. A member must abstain from voting in cases involving conflicts of interest
as defined by North Carolina law. If a member has withdrawn from a meeting without
being excused by a majority vote of the remaining members, the member's vote shall be
recorded as an abstention.
f. Minutes.
The Secretary shall prepare minutes of each Board meeting. Copies of the minutes shall
be made available to each Board member before the next regular Board meeting. At each
regular meeting, the Board shall review the minutes of the previous regular meeting as
well as any special or emergency meetings that have occurred since the previous regular
meeting, make any necessary revisions, and approve the minutes as originally drafted or
as revised. The public may obtain copies of Board meeting minutes at 2029 South 17`h
Street, Wilmington, North Carolina.
4. Amendments to Operating Procedures.
These operating procedures may be amended at any regular meeting or at any properly
called special meeting that includes amendment of the operating procedures as one of the
stated purposes of the meeting. A quorum must be present at the meeting at which
~ww
3
amendments are discussed and approved, and any amendments must be approved by a -
majority of the members present at the meeting. „-.Oy/
5_ Other Procedural Matters_
The Board shall refer to the current edition of Robert's Rules of Order Newly Revised
(RR) to answer procedural questions not addressed in this document, so long as the
procedures prescribed in RONR do not conflict with North Carolina law_
6_ Compliance with North Carolina Law_
In conducting its business, the Board shall comply with all applicable North Carolina
laws, including but not limited to open meetings laws, public records laws, and the laws
setting forth the powers and duties of local boards of health- To assist the Board in
compliance, the local health director shall maintain a current copy of relevant North
Carolina General Statutes and make them available to Board members on request.
Approved and adopted by the New Hanover County Board of Health on January 3, 2007.
Edward Weaver, Jr-, OD ,-___"`•••e~~~
Chair, New Hanover County Board of Health
c
David E_ Rice, MPH,
Secretary, New Hanover County Board of Health
4
RE: F. A.C.T. 12/12/07 Recommendations Page 1 of 2
Roberts, Marilyn
- - - - - - - - - - -
From= Rica David E.
Sant: Wednesday, December 19, 2007 1:33 PM
To= Roberts, Marilyn
Subject= FW: F.A. C.T. 12/12/07 Recommendations
Please make 15 copies for the NHCBH meeting.
- - - - - -
From: Rice, David E
Sent: Wed 12/19/2007 10:28 AM
To: Roane, Kim; Rice, David E.
Subject: RE: F.A.C.T. 12/12/07 Recommendations
Approved-
-----Original Message-----
From- "Roane, Kim" ~K Roane@nhcgov_com>
To: "Rice, David E." ~drice@nhcgov.com>
Sent: 12/19/07 10:02 AM
Subject: FW: F_A.C. T. 12/12/07 Recommendations
Please consider for approval the Following recommendations from the 12/12/07 F.A.C.T. meeting (none are anticipated to
exceed $5,0001year in revenue changes:
1 . Colposcopy service, endocerv ical curettage, CPT code -:57505 - This service is performed as a follow up to
colposcopies. We are recommending adding this CPT code with a fee of $125. Sliding fee scale -f-250-1. will apply as with
other colposcopy services. The $125 fee was determined using the cost For the contracted doctor, R.N, billing,
registration, and cost for supplies- The reimbursement rate from BCBS o£NC, and Medicaid were taken into consideration,
as well as a neighboring county's fee.
2. Change of fee policy verbiage to be consistent with Blue Cross Blue Shield of- C's collection of deductible and co-
insurance required practices- Change the below sections located on page 9 and page 14 of our fee policy-
Page 9
Current
H_ Payment, or applicable deductible, co-insurance, and co-pay For third party billing, is expected at the time of service for
all chargeable services. Partial payment is accepted for all chargeable services, with the exception offlat fee services. Co-
pays are not subject to sliding fee scale. Medicaid patients are exempt from co-pays. Payment for non-covered services is
expected at time of service. Patient must sign the Acknowledgment of Non-Covered Services Form to accept responsibility
for payment of designated services.
Recommended revision:
Payment or co-pay for third party billing is expected at the time of service for all chargeable services. Applicable deductible
and co-insurance amounts will Be billed to the patient upon receipt of insurance Explanation of Payment. Partial payment is
accepted for all chargeable services, with the exception of flat fee services. Co-pays are not subject to sliding fee scale.
Medicaid patients are exempt from co-pays- Payment for non-covered services is expected at time of service- Patient must
sign the Acknowledgment of T,4 -Covered Services form to accept responsibility for payment of designated
1 2/ 1 9/2007
RE: F.A.C.T. 12/12/07 Recommendations Page 2 of 2
services.
Page 14
1. The fee policy will be explained to each patient with explanations of purpose and details of procedure when the patient
presents for services. Each patient is given an opportunity to pay and every effort will be made by the staff to collect total or
partial payment or applicable deductible, co-insurance, and co-pay for third party billing on the day of the visits. Payment in
full is required for flat fee services with the exception of flu, pneumonia, and meningococcal vaccines not provided by the
State for Medicaid, Medicare, and Health Choice recipients and vaccines not provided by the State for BCBS recipients.
Recommended revision:
The fee policy will be explained to each patient with explanations of purpose and details of procedure when the patient
presents for services. Each patient is given an opportunity to pay and every effort will be made by the staff to collect total or
partial payment or co-pay for third party billing on the day of the visits. Applicable deductible and co-insurance will be
billed to the patient upon receipt of insurance Explanation of Payment. Payment in full is required for flat fee services with
the exception of flu, pneumonia, and meningococcal vaccines not provided by the State for Medicaid, Medicare, and
Health Choice recipients and vaccines not provided by the State for BCBS recipients.
12/19/2007