07/09/2008
New Hanover County Hea1tFT E>epartment
Revenue and Expenditure Summaries for May FY 2007-2008
Cumulative: 91.671% Month 11 of 12
Rev¢nues
Currant Year Prior Yaar
Types of Budgeted Raven ua Balance % Budgeted Revanua Balance
Raven ua Amount Earned Remaining Amount Earned Ramaining
FY6 era1 Slate $ 2,116,715 $ 1.927,122 $ 189,593 91.04% $ 1.981,895 $ 1.847,363 $ 134,532 93.21%
AC Fees $ 640.161 $ 643,369 $ (3.208) 100.50% $ 613,661 $ 663,912 $ (50.251) 108.19%
Medicaid $ 1.403,558 $ 884,600 $ 518,958 63.03% $ 1,455,867 $ 1.037.443 $ 418.424 71.26%
Medicaid Max $ 309,128 $ - $ 309,128 0.00% $ 310.000 $ - $ 310,000 0.00%
EH Fe- s/\ $ 310,000 $ 261,514 $ 48,486 84.36% $ 310.000 $ 239,440 $ 70,560 77.249
Health Paas $ 357.200 $ 409,671 $ (52,471) 114.69% $ 301.200 $ 370,989 $ (69,789) 123.179
Health Choice $ 35,125 $ 25,206 $ 9.919 71.76% $ 35,125 $ 16,511 $ 18.614 47.01%
Other $ 3.647,007 $ 3,380,999 $ 266.008 92.71% $ 2,580,213 $ 2,402,216 $ 177.996 93.10%
Totals $ 8,818,894 $ 7,532,481 $ 1.286,413 85.41% $ 7.587,961 is 6.577,875 $ 1,010,086 86.69%
Expenditures
Currant Year Prior Year
Types of Budgeted Expanded Balance % Btdgeted Expended Balance
Expandlture Amount Amount Ramaining Amount Amount Ramaln ing
Salary & Fringe $ 12,968,603 $ 11,213.455 $ 1.755,148 86 47% $ 11,988,062 $ 9,947,981 $ 2.040.081 82.98%
OparaTi ng $ 2,553.929 $ 1.832,724 $ 721,204 71.76% $ 2,193,756 $ 1,470,572 $ 723,184 67.03%
Capital Outlay $ 62.514 $ 49,836 $ 12.678 79-72% $ 121.959 $ 81.633 $ 40.326 66.93%
Totals $ 15,585,046 $ 13,096.015 $ 2,489,031 84.03% $ 14,303,777 $ 11.500,186 $ 2,803,591 80.40%
Summary
Budgeted Actual %
FY 07-08 FY 07-08
Expenditures=
Salaries 8 Fringe $ 12,968,603 $ 11.213.455
Operating $ 2,553,929 $ 1,832,724
Capital Outlay $ 62.514 $ 49,836
Total Expenditures $ 15.585,046 $ 13.096,015 84.03%
Revanua_ $ 8,818,894 $ 7,532.481 85.41%
Net County $ 6,766.152 $ 5.563,534 82.23%
A¢Y enu¢ and Expen ditu r¢ Summary
For ti- Mouth of May 2008
7
NHCHl7 BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07
data (BO") Grant Re u¢sted Pendin Received Denied
6/612008 No Activi Tor June 2008
~i 51712008 Tick Control Cemonsiration Proj-t= North
Carolina Department of Environment and
Natural Resou rtes (NClDENR) - possible 3
year funding for Environmental Health Vector $15,000 $15,000
Control ro ram
Ministering Circle donation of funds for
cholestech laborato equipment $1,300 $1,300
Is¢ year un Ing - an ar or
4/2/2008 "0
Health Promotion and Disease Prevention at -
UNC-Chapel Hill-, weight loss program for I-
$24.756
income woman ages 40 no 64. $24,755
3/5/2008 ( ¢tter o I-f-nt On y: ape ear Memorlal
Foundation - Man's Preventive Health - 3
ears, $232,000
2/6/2008 Community Wastes Reduction Q Recycling
to secure low cost Community Animal $25,000
Neuterin $25,000
1/2/2008 Smart Start -New Hanover ounty
Parma rs hip for Children -Child Care
Nursin Pro ram $196,500 $161,042 $35,458
a erns are oor na Ion - o
Carolina ~epartmanf of Health and Human -
Servioes funds-to provide Maternity Care
Coordination services to non-Me~4dicaid eiigibla
clients note= awarded 3 yeaf V___1 at year
prorated for 11 months_ Next 2 years at $17,580 $-16,115
$17,580/ ear.
12/512007 HIV /STS Pr-._tl0n Outreach - North
Carolina HIV/STD Preve n[ion and Care
Branch - total of multi-year funding thru May.
2010 $175000 $175,000
Family Counseling Services -Cape Fear
Memorial Foundation continuation funding for
1 ear (of a ossible 3 years $53 000 $50,000 $3,000
1-1/712007
Living Wail - Additional funds added to
original grant to complete winter edition of $650
newsletter - Cape Fear Memorial Foundation $650
Asthma Program -North Carolina Dept. of
Health and Humn Services Division of Public
Health Asthma Paro ram $18,000 $15000 $3,000
m
101312007 Healthy Carolinians - Request for
Divis fu
the North Caolina ion of Pubic elfthro,
Off ce of Healthy Carolinians, for support of $12,048 7612 048
the local task force.
ACHIEVE Grant - Cen[e rs for Disease
C -t-l/-YMCA - Workplace Wellness $40,000
Services $40,000
9/5/2007 No Activi for Se t¢m b¢r 2007
81112007 No Activi for Au ust 2007
8
Aa of B/11/2O0H
NHCHn BOARD OF HEALTH AP PROV EO GRANT APPLICATION STATUS FY 07-08 and VV 06-07 f
Oat. (BO") Grant Requested Pendin RG..I-a M.ni.d
7/1112007 WIC Mini-grant - Request to ratify application
for mini-grant funds for minor renovations to
the WIC registration workstations to improve
customer service. $18,000 $18,000 ,y
6/612007 Landfall FOU -lotion - Request for funds to
purchase 16 wheelchairs for the NHCHI7
School Health Nursin Pro ram. $2,700 $2,700
512/2007 Living Well: R eceived•notification from Cape
Fear Memorial Foundation of continuation
funding for the publication of the Living Well
newspaper insert. $O $12,000
414/2007 Ministering Circle (Colposcopy funding) -
Request for $12,000 start-up funds from
Ministering Circle for purchase of Colposcopy
equipment. Also plan to request additional
funds from other grant sources such as Cape
Fear Memorial Foundation for expansion of
program to include a second Colposcopy unit
and additional training, supplies and contract
services.
$12,000 $12,000
Cap¢ Fear Memorial Foundation -
Colposcopy Program - Womens Preventative
Health. $25,000 for start up cost for physician
and interpreter contracted services,
equipment, supplies, and training- $25,000 $25 000
3/712007 Closing Th. Gap - Request for $225,000
($75,000 per year for 3 years) from North
Carolina Office Of Minority Health and Health
Disparities fora Health Educator t0 focus on
prevention of HIV and other sexually
transmitted disease in the Latino and Afro-
American o ulations. $225 000 $225,000
2/712007 CA -MRSA: Funding from UNC-Chapel Hill
School of Medicine to assist with research
related to the prevalence of community
associated methicillin resistant staphyl-U.
.U-U.
$1 2, 600 $1 2,600
11312007 mart Start - F4.- Hanover ovnty
Partn.rship for Children -Child Care
Nursin Pro ram $178,500 $170,000 $8,500
1121117106 nuk. Endowment Funds, NHRMC - mental
Unit - Personal Health Services. $25,000 for
indigent dental care and $15,000 for sedation -
equi ment $40,000 $20 000 $20,000
11/1/2006 No Aotivi for M--l- 2006 -
1 0/4/2006
March of Oim¢s - Maternity Care
Coordination expenditures for Baby l_ v
Program Baby Boutiqand Learning Center $3,000 $3,000
M- bar 2006
916/2006 Aotivi for Se PT-u--
81212006 No A.ti vi for Au uat 2006
715/2006 I .rv c¢ U r Ina Ion am y
Cou ns.ling Program (Cap. Fear M.morlal
Foundation) - Funding for Licensed Clinical
Social Worker for 3 ears $260 000 $75 000 1$185.000
9
As of 6/1112008
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07
Pending Received Denied
Date (BOH) Grant =Gran~
Eat Smart Move M=Health (NC Dept of Public 1 and Nutrition Bran$12,416 $4,079
576,492
$15,000 $791,171 $
1.09% 57.66% 42.01%
Pending Grants 1 4%
Funded Total Request 11 46%
Partial) Funded 7 29%
Denied Total Request 5 21%
Numbers of Grants Applied For 24 100%
10
As of 6/11/2008
_ - NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda- Consent Meeting Date:
Agenda: ® BOH: 7/9/08
C: 7/21C/09
Department-. Presenter: Janet McCumbee, Personal
Health Services Marna er
Contact: Janet McCurrmbea 798-6559
Subject: Subject: Grant Application - Cape Fear Memorial Foundation Grant - Men's
Preventive Healtli - Personal Health Services - $232,000 (over 3 ears
Brief Si Y"ury: The Health Department has been invited to apply for funds from Cape
Fear Memorial Foundation to begin a men's preventive health program. The intent to
apply for funding was recommended and approved by the Board of Health in March
2008. The program will address the leading causes of morbidity and mortality in New
Hanover County-heart disease, stroke, and cancer. Men's health fairs would be held at
community sites for the target population of low income, uninsured and underinsured
men _ The customers will receive health risks assessments, screenings, and lab tests for
hypertension, heart disease, diabetes, stroke, and prostate cancer. The men's health
program would require additional supplies, contracted services and staff, hours for the
health department- Partnerships are already in place with other community service
providers to carry out this program of men's health fairs and provide follow up for this
target o elation. The full a licatiorn is due Jul 15, 2008.
Recommended Motion and Requested Actions: To ratify the grant application to Cape
Fear Memorial Foundation (due 7/15) for Men's Preventive Health for three years for
$232,000 , and to a rove an budget amendment related to the receipt of the funds-
Fundin Source: Ca pa Fear Memorial Foundation- No count match would be re uired.
Will above action result in:
New Position Number of Position(s)
®Position(s) Modification or change
ONo Change in Position(s)
Explanation: The grant request would include a 20 hour nurse and 10 hours of
administrative support. These may be temporary positions, no benefits, or added to
current part time staff hours- Any positions resulting from the grant would exist only as
funds are available.
Att-h-ts: Letter of Intent; Letter of Acce tance; Grant A lication
11
C Y
New Hanover County
v ^(7
l~~ Health Department
o`a
2029 South 17th Street -
Z z Wilmington, NC 28401-4946 NEW NIINOVER COUNTY NLNS~
?r Phone (910)798-6500 FAX (910) 341-4146
'ff1A.LISHR~".'
March 5, 2008
Mr. Garry A. Garris, President
Cape Fear Memorial Foundation
2508 Independence Blvd., Ste. 200
Wilmington, NC 28412
Dear Mr. Garris:
We would like to request approval to submit a grant in the July cycle for a new initiative from the New
Hanover County Board of Health. At their last meeting, they approved that we go forward with a project to
provide additional preventive health services to men in our community over the next three years, in hopes
that we can affect the morbidity and mortality of that population. As a result of funding streams and state
mandates, many of our traditional services are focused on women's health and children's health. Upon
review of our community assessment data for the years 2001-2005, we see that the leading causes of
death continue to be diseases of the heart, cerebrovascular disease, and cancer. Our department has not
had the resources to provide preventive health care for these conditions, and the Board would like for us
to seek grant opportunities to focus on male health in these areas over the coming years.
If we can receive funds to focus on male health, the board has recommended that we hold quarterly
health fairs that provide screenings and education to uninsured/underinsured males or those not having
regular access to health care. We would focus the screenings on cardiovascular health, prostate cancer
screening, prevention of lung cancer, and detection of diabetes. We would work with community
agencies or organizations such as churches to take the staff and equipment out to the target population.
Men screened at these quarterly health fairs/screenings would be followed by a nurse and health
education staff to ensure they receive care. We would attempt to track these men over three years to
determine whether our screenings, education, and continued follow up have reduced their risk of heart
attacks, stroke, diabetes, and cancer.
To accomplish this new initiative and provide the services free of charge to the target population, we
would need additional supplies, equipment, contract services, and staff time. Our grant proposal would
include a request for approximately $232,000 over three years to cover the expenses of this project, with
a goal of serving at least 200 men per year. We hope future data will show improvement of morbidity and
mortality of men in our community over the three years, as well as the feasibility of integrating some of the
screenings into our routine clinical services over time.
Thank you for consideration of this letter of intent to apply for funding in the July, 2008 cycle. If you have
any questions, please call Janet McCumbee RN at 798-6559.
Sincerely
'L
David E. Rice, M.P.H., M.A. Dr. Sandra L. Miles, Chair
Health Director New Hanover County Board of Health
"Healthy People, Healthy Environment, Healthy Community"
12
- ~ a e F(E) c j r C~ ~v
MEMORIAL FOVNE:>A'TION
2508 INOEPENtJENCE BLVp. (910) 452-061 l PHONE
WILMINGTON. NC 28412 5- 200 (910) 452-5879 FAX
-cf mf dri.org
April 17, 2008
Mr_ David F. Rice, MPH, MA
Health Director I J _
1Vew Hanover County Health Department
2029 South Pith strrot -
Wilmington, NC 2-8401-4946 0_,~~
R73: Rcqucst ID: 1031 /JnvA'//"
Mato Health Initiative
BO..RO OF OGRE CTORS:
Dear 1%4r_ Rice:
A~~+ES R. BEI.ME Thank you £or your interest in Cape Fear Memorial Fotndation_ We
w..~.,... G..MEno.+ have r~eived your letter of inquiry in which you shared information about
J. R~cr.~.o Go.nEri. M.p-. F_A_C R_ yOUr organization and services- We are interested IrL learning more about
your project so that we may decide if a grant from Cape Fear Memorial
Foundation would further the objectives of the Foundation and help you
w c....EF MEB/+E. 111 better serve our commuraity.
Ro,...ie s...«..~« Therefore, we ask that you complete the enclosed Grant Application
RoeEr~ F- W.+vw~cc. CPA Forma and return to us on or before July 15. 2008, if you~w~is/ms h~~ to be
considered in the next grant cycle- If Progress Repoli for are enclosed for
R.c~.i.EO L. W-- projects previously funded, for which an annual report has not y=t been made,
pleas= complete the Terms and return with this application- Please do not -
send any mailing io th= Foundation requiring a recipient`s signature- If
Gnwnt G..ertE. PvESVew` confirmation of receipt is required, organizations are encowaged io follow up
with an ~tt-aail or telephone call_
If you would like to receive the application by c-mail, please let us
1s`Taow and we will be glad to forward it to you- Additionally, we ask that you
e-mail the completed grant application to beth@cfmfdn_org if you have -
acoess to the intemet_ However, the grant application is not offici ally
acc=ptcd until the signed original is received in our o£fico_
We make grant awards twice yearly- The deadline dates for accepting
applications are January 15 and 3uly 15- We look forward to hearing from
yOU.
S i n t j~ e~ i ll yj
Gar (Xdrris
Pa~iodseytm
p 70 Aav{aNCING GOfl'S DESIRE FOR OUR HE^LING ANA HEALTH 13
A PPLIC-~JJON F'OR FL.04'I)JNC Yl'Ji_I_ JSF_.4 CCF_PTFJJ ONL]'IFA LETTER OF INL?L>/KY HA.S XF_E:1'SUJ3.A4JTTFD J3Y YOUR
OItGA NILA %'/ON' A VU APPROVED B CF/Y/F PKLsS1DE/VT
a wear
AEMORIAL FOUNaAT10N
GRANT APPLICATION FORM
PAR T I: YOUR OR GANIZA TION
Or~iani~cstion Iss~ormrstion
Name" New Hanover County Health Department
street Address" 2029 S_ 17" Street
City, State, Zip Code- Wilmington, NC 28401
Mailing Address= 2029 S. 17- Street
City, State, Zip Code: Wilmington, NC 28401
Telephone 4" 910-798-6500 Fax 4: 910-341-4146
E-mail Address: Web Site: www.nhchd_org
Fiscal Year End' June 30 Federal Tax ID#: 56-6000324
Contact Insormation
Name of Key Contact Person: Janet McCumbee, RN
Title of Contact- Personal Health Services Manager
Telephone 4 : 910-798-6559 Fax It : (910) 341-4146
E-mail Address: jmccumbee@nhcgov.com
1. Is your organization a nonprofit, tax-exempt organization under IRS Code Section 501(.)(3) or a
governmental unit? If not, you do not qualify for a grant. If your organization is a 501(.)(3), please
attach a. copy of your current II2S Itzx-cac mpCion Zeller with this Application.
Yes - Our organization is considered a unit of local govern ment_ We are not a 501(.)(3) organization_
2. Is your organization a private, non-operating foundation? If Yes, you do not qualify for a grant.
No
3_ Would a grant from Cape Fear Memorial Foundation in the amount being requested jeopardize your tax-
exempt status?
No
4. Will any of these funds be used to pay a nationally affiliated organization? If yes, please explain.
No
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.
No
14
CAPE FPAR MEMORIAL. FOLNOATION Page 1 0} 1 O
ORANT APPL1CATlON FOAM
Lass Raviacd: 01/12/09-Gd
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-
The New Hanover County Health Department (NHCHD) has provided health services to the
community for over 125 years- In 2004, NHCHD received one of the tfrst local health
d¢pa rtm ent acc-ait.ti-ns_ This year NHCHD was re-accredited, 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 past years, identifying the greatest
needs in the community. One of the top goals of our department is "Access to Car¢"_ We
continue to strive to meet the health care needs of the citizens of New Hanover County and/or
ensure access to care- Another strategic planning goal has been to focus on the problem of
obesity. We have worked within the local Healthy Carolinians to develop programs in our
community through various groups to increase physical activity and encourage healthy eating-
One such program I. "Eat Smart Move More"_
The Personal Health Services Division is comprised of multi-disciplinary teams of nurses,
clinicians, social workers, nutritionists, laboratory staff, mental health therapists, and dental
professionals. The Personal Health Services Manager is responsible for managing the many
bealth programs, with support from the Support Services Division- The list of programs and
services provided is long and is focused on communicable disease prevention and contro\,
provision of women's and children's health services, case management services for prenatal
clients and families with young children; school nursing and mental health, dental care for
children, and nutritional services- Personal Health staff are working jointly with our Health
promotion staff to implement programs on wellness in the county departments and in the
c ommunity_ Our department also strives to decrease tobacco use through our Project Assist
Program and unintentional deaths through our Injury Pr¢v¢nt\on Coordinator and Safe Kids_ -WOO
Our newest goal is to establish a men's preventive health program- We have assembled a
committee to plan new men's preventive health services per Board of Health request this yea r_
We have the expertise to provide these services to rnen; however, we need additional nursing
and support services manpower to Focus on this new program-
7_ Describe your organization's structure and attach a list ofyout offrcers ar:cl directors-
The NHCHD I. a county human services 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 Division, managed by the Personal Health Services Manager and
Health Director- The Personal Health Services Division consists of S teams providing many
programs -Child Service Coordination, Clinic Services, Community Services, Laboratory
Services, Maternal Health, Nutrition Services, School Mental Health, and School 14-Ith_ The
supervisors for these teams report to the Manager.
Attachments:
1) Board of Health members
2J Management Team members
3) NHCHD and Personal Health Services organizational chart
15
CAPE FEAR MEMORIAL FOI.iNOATION Psga 2 oP 1 O
GRANT APPL1CATlON FORM
l.as~ RriseO: OI/12/00-bd
_ PART Its PROJECT/PROGRAM ( uanti w/=enever ossible_
I . Describe the problem/need that the program/project will address.
Introduction
The New Hanover County Health Department (NH CHD) is requesting funding to initiate a new Men's
Preventive Health Program_ In March 2008, the New Hanover County Board of Health approved the
concept of the Men's Preventive Health Program_ The program plans to provide health fairs or
screenings quarterly in the community for low income or uninsured and underinsured m¢n_ The
purpose is to target prevention o£ the leading causes of death: heart disease, cancer, and stroK¢s_
Currently, the NHCHD provides many services for women and children in our various programs, as a
result o£ our Funding streams and state/federal req uir¢ments_ Our Board of Health would like the
health department to expand services to include a men's preventive health program. Without
additional £u -ding, we cannot provide this new quality health service_ We will address the access to
care issue with low income and uninsured men, by reducing barriers to care and providing s r¢¢nings,
referrals, and follow-up_ With support from Cap¢ Fear Memorial Foundation (CFMF) for three
years, w¢ will to b¢ able to show positives outcomes for men sc r¢en ed through this project and the
need to continue services. Our first men's preventive health fair will be held on September 6, 2008_ We
want to make this type -jr service available on a regular quarterly basis.
P robl¢m/Need
The leading causes of death for New Hanover County residents are heart disease, cerebrovasculav
(stroKes), and --s- Being uninsured or und¢rinsu red is a major barrier to accessing and receiving
health services and relates directly with education, poverty and low-income wages- Other barriers to
ca r¢ are transportation, lack of understanding of need for preventive car-e, and affordable care-
According to the Sheps 2004 Update, New Hanover County has 27,753 people lacking health
insurance, accounting for over 18-4_ of the population_ This ranks New Hanover County 31 in the
state. New Hanover County ranks better than the state in terms o£ the ratio per physician per
population' 33.10 % compared to 20-80-,'- in North Carolina; however, these physicians serve citizens
from the whole region- There is also a lack of affordable care for the uninsured_ The current safety
net providers' New Hanove/r~ Health NetworK, Tilcston Clinic, and N¢w Hanover Community Health
Center, are available as ref~/rraI sites- The challenge has been to get these men to access these
providers. In the "2005 North Carolina Health Risks Among North Carolina Adults", approximately
24-,'- stated they do not have a personal doctor and 12% attributed not seeing a doctor to the cost_ In
the 2007 New Hanover County Community Assessment Survey, health insu ranc¢ was ranked number
one as the response of what most people said they lact-l funds to purchase- Uninsured people
typically seek treatment in a later and more dangerous stage of illness_
Age-Adjusted Death Rates (per 100,000) for Selected Causes 2002-2006"
New Hanover County North Carolina
Heart Disease 216_1 217_9
Cerebrovascular Disease 54.0 61_1
Cancer 192_5 196.4
-E-en though New Hanover County rates are slightly better than the state, we have room for
im prov¢m ent_
16
CAPE FEAR MEMORIAL FOIiNDATION Page 3 of 1 O
GRAM APPLICATION FORM
LaA Rwixtl: OI/12/00-btl
Leading Causes of Death for Males in NC:
1. Cancer
2. Heart disease
3. Chronic lower respiratory disease
4. Cerebrovascular disease
5. Other unintentional injuries
6_ Motor vehicle injuries
7_ Diabetes
According to t/t¢ 2005 Centers ofDis¢as¢ Control (CDC) Behavioral Risk Factor Surv¢ilLanc¢ System
Survey in New Hanover Count ~NHC)t
36_5 % of respondents ranked overweight
23-S -Z- of respondents ranked obese-
14_6 % o£ respondents reported not participating in any physical activity in the past 30 days-
According to DivZsion of Public Health's H¢till/t Profl¢ of North Caroliniansr 2007 Update.
• Researchers report obesity-r¢Zai¢d -Ii--I costs for adults in NC totaled 2.14 billion in 2003,
• Obesity contributes to hypertension, heart disease, diabetes, cancer, asthma, and strokes,
• People with diab¢Y¢s are two to four times more likely to have cardiovascular disease (h¢arY
disease, stroke, and ath¢roscl¢rosis),-
• In 2005, cardiovascular account¢dfor approximat¢Zy one-third of-IZ deaths in the state,
• The leading causes ofcanc¢r deaths in NC are Zang cancer, cancer of the colon and rectum, breast
cancer, and prostate cancer-
Prostate Cancer Facts- The prostate is a gland found only in men_ It is walnut-sized and is located in
front o£ the rectum underneath the urinary bladder- Most prostate cancers grow slowly- During the
period o£ 2002-2006, 77 cases of prostate cancer were reported in New Hanover County_
Plan o£ Action
The New Hanover County Community Needs Assessment and the NHC Health Department Strategic
Plan highlight the need for access to care- NHCHD plans to target the modifiable risk factors
associated with the leading causes of death: overweight/obesity, poor diet, physical inactivity and
tobacco use through our Health Promotions and Personal Health teams- New Hanover County Health
Department, Healthy Carolinians, New' Hanover Health Network, and other community partners plan
on utilizing this assessment to strategically plan access to services and programs that will best impact
the community's health outcomes_ Our partner agencies will assist us with these men's preventive
health screenings when possible.
This Men's Preventive Health Program will provide health screenings for groups of men in the target
population of uninsured/underinsured or men not accessing health care. We plan to deliver the
services in the communities where these men reside- The screenings will include blood tests for
diabetes (which can complicate other risks T- heart disease)o and cholesterol, blood pressure checks,
health histories for risks, and weight/heightsBody Mass Index (BM". We will provide Follow up and
tracking of the men screened, noting progress to healthy lifestyles and monitoring of chronic diseases.
During the month of September each year, we will also provide prostate exams and PSA blood tests to
highlight Prostate Cancer Awareness Month- Participants screened will be referred to appropriate
and affordable health care-
17
CAPE FEAR FIEMORIAL FOUNDATION PaQa 4 OF 1 O
GRAN' APPL~CATtON FORM
Last ReviseA: O V 12/09-W
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.
Objective #1: To provide quarterly health screenings to a target population of uninsured/
underinsured men or men not receiving any health care, in New Hanover County, to identify risks
for leading causes of death: cardiovascular (heart disease), cancer, diabetes, and cerebrovascular
disease (stroke.)
Objective #2: To assist all participants with obtaining a regular medical home, and to provide
follow up of the men with abnormal test results for treatment of positive findings and ongoing
health care to reduce future risks.
Objective #3: To evaluate the participant's risks pre and post screening, to determine effectiveness
of the men's preventive health program.
Objective #4: To track the participants over a three year period, to show access to routine health
care, reduction of risks, treatment of health conditions found during screening.
3. Describe the strategies you will develop to accomplish the objective(s).
Strategy #1: To partner with agencies such as New Hanover Health Network, Cape Fear
Health net, Healthy Carolinians, and other health care providers and community
organizations to hold quarterly Men's Preventive Health Fairs in the community, for the
target population.
Strategy #2: To screen participants at each fair for diabetes, high cholesterol, obesity,
hypertension, and other health risks. In addition, we will screen for prostate cancer in
September of each year.
Strategy #3: To collect data on participants at fairs to track their progress toward accessing
regular health care, follow up, and treatment based on risks and test results. Routine follow up
will be done by a nurse to determine compliance and positive outcomes.
Strategy #4: To assure access to health care for men with no primary care physician through
partnering with area safety net providers.
Strategy #5: To integrate health education into all fairs, so that participants receive
information on risks, and ways to improve their overall health through better nutrition,
increased physical activity levels, and preventive care.
18
CAPE FEAR MEMORIAL FOUNDATION Page 5 of 10
GRANT APPLICATION FORM
Last Revised: 01112107-bd
4_ State how, when, and who will conduct an evaluation t0 measure how well your project/program is -
meeting its objective(s)-
If' funded, the N— Hanover County Health Department will employ a part time nurse and
support staff to lead the efforts of the project t¢-m_ The project team consists of many in-house
staff (nurses, support staff, health educators) and representatives from partner agencies. They
will develop the tools needed to gather data and document follow up on participants from the
health fairs- Customer satisfaction surveys will be used at fairs to document quality oFservices
and satisfaction of participants_
The following outcomes will he evaluated by the project team with a goat of at least 300 men
participating over three years:
Number of men screened
Percentage of men with identified health risks (abnormal test results, elevated BMl, etc-)
N—b¢r of men identified with no health care provider
Number o£rnen who received routine health care after referral
Percentage o£ improved test results (over project period)
Percentage o£ improved lifestyles behaviors (risk behavior survey)
Th¢ evaluation components, to be further developed, will he based on the following questions:
Did w¢ serve our target population? -
Did we connect these men to a primary care provider? 0001
Did we reduce the barriers to access care?
Did we see lifestyle changes?
Did w¢ see improved health outcomes?
19
CAPE FEAR MEMORIAL FOUNDATION Psg~ 6 OF 1 O
GRANT APPLICATION FORM
Lasl RwiavM_ OIA3/00-bd
PART III: FINANCIAL INFORMATION
I . Amount requested From Cape Fear Memorial Foundation.
~Jfzaz u[[iyearjunding is requested, also sped how you wish [his [o be paid per year.)
Three-year funding total request of $232,000_
Year 1 = $75000 Year 2 = $76,000 Year 3 = $81000
2. Develop a complete project/prograrn budget; including expenses and income, for the period you are
requesting Funds. Also please attach a copy of your most rc-cent (a) 996, and (b) oudil orfin[zzz ci-l
Nr"r p Pzt with this application.
Project Budget: From Jul 1, 2008 To June 30, 2009
Ex ansas (13(--ate o ) Income B Sources
Salaries NHCHD In-Kind Contributions:
Registered Nurse (20 hrs/wk) 32,750 Supervisor Sz Ad-in Salary 8c Fringe 17,250
Admin. Support Tech_ (10 hrs/wk) 11,000 Physician/testing services 5,000
In-Kind Supervision 8c Administration 17,250 Office Space/Utii hies/Housekeeping 1,000
In-Kind Physician/Equipment services 5,000
Operating
Contracted Services -Labs 3,500
Contracted Services - Interpreter 9,750
Contracted Services - Physicians 5,250
Advertising 1,500
Printing 500
Postage 250
Lab Supplies 6,000
Office Supplies 600
Mileage Reimbursement 1,250
Training and Tra--1 1,000
Pharmacy 1 ,3 50
Client Transportation 300
in-Kind Office Space / Utilities 8c. 1,000
Housekeeping
Total Ex en ses: $98,000 Total Income: $23,000
Project Budget: From Jul 1 2009 To June 30 201 O
Ex en ses B Cate o Income (B Sources
Salaries NHCHD In-Kind Contributions:
Registered Nurse (20 hrs/wk) 35,250 Supervisor 8c Ad-in Salary 8/ Fringe 5,500
Admin- Support Tech. (10 hrs/wk) 11,750 Physician testing services 5,000
In-Kind Supervision 8c Administration 5,500 Off ce Space/i_ltilities/Housekeeping 1,100
In-Kind physieian/Equipmant services 5,000
Operating
Contracted Services - Labs 3,750
Contracted Services - Interpreter 9,750
Contracted Services - Physicians 3,900
Advertising 1,000
Printing 200
Postage 250
Lab Supplies 6,500
Office Supplies 600
Mileage Reimbursement 1,300
Training and Travel 600
i,.. Pharmacy 850
Client Transportation 300
In-Kind Office Space / Utilities 8c 1,100
Housekeeping
Total Expenses: $87,100 Total lncoma: $11,100
CAP£ FEAR MFMORIAl. FOIINOAT~ON Papa 'l OT l O
GRAM APPL~CATaON FORM
Laat Revised: 01/12/09-W
2. (budget continued)
Project Budget: From July 1, 2010 To June 30, 2011
Ex enses (B Cate o Income (B Sources
Sala rids NHCHD In-Kind Contributionsc
Registered Nurse (20 hr./wk) 37,000 Supervisor 8c Admin Salary 8c Fringe 5,750
Admin. Support Tech. (10 h-/-k) 12,500 Physician/testing services 5,000
]n-Kind Supervision Administration 5,750 Office Space/Utilitics/housekeeping 1,200
In-Kind Physician/Equipment services 5,000
Operating
Contracted Services - Labs 4,250
Contracted Services - Interpreter 10,640
Contracted Services - Physicians 4,100
Advertising 1 , 1 00
Printing 200
Postage 300
Lab Supplies 7,000
Office Supplies 600
Mileage Reimbursement 1,500
Training and Travel 600
Pharmacy 850
Client Transports[ion 360
1n-111-ind Office Space / Utilities 8c 1,200
Housekeeping
Total Ex enses= $ 92,450 Total Income: $ 11,450
3- List the names of organizations, both public and private, to which you have applied for support for this
specific project/program. Also show the amount requested and the status (pending, approved or
di.. roved)-
Organization Amount Status
Ministering Circle $ 1,300 One time grant funds to purchase
cholesterol testing equipment
Total Amount $1_300
21
CAPE FEAR MEMORIAL FOLtNOAT~ON Paga 8 of l O
GRANT APPL~CAT~ON FORM
Las, Revisal[ Ol/l2/09-bd
4. Describe how your project/program will become self-sufficient within 3 years.
We hope to show positive health outcomes for the project participants and determine the need and
community response to these services. If there is a great need to continue men's preventive health
services, there may be several possibilities for future funding through other private grantors or funds
from Healthy Carolinians. Healthy Carolinians has the ability to secure grants for access to care for
indigent patients to support the safety net providers' capacity to see more patients. Based on the
effectiveness of this three year program, we may be able to justify integrating more men's services
into the health department clinic on a routine basis. At that time, without grant funds, we would set
up a fee schedule to cover costs of services.
5. If the funds are to be used for construction or equipment acquisition, explain the bidding process.
N/A
~kw
22
CAPE FEAR MEMORIAL FOUNDATION Page 9 of 10
GRANT APPLICATION FORM
Last Revised: 01/12107-bd
PAR T I V: REPORTING RE UIREMENTS
7 . Do you agree to furnish to Cape Fear Memorial Foundation, in a timely manner, periodic progress
reports informing the Foundation of the progress made by your project/program?
Yes
Not¢x Jf Progress R¢pnrlforms are ¢uc/osedfor projects previously fund¢dfor w/xich axx oxxxxua/ report
has nol y¢1 b¢¢xx made, p/ease couxp!¢!e the forms and r¢lursx with this Applicatfon_
SUBMITTED BY-
David E. Rice
Typed or Printed Name of Chief Executive Officer of Requesting Organization
Signature of Chief Executive Officer Date
Health Director
Title
Sandra L_ Miles, DDS
Typed or Printed Name of Chairman of-the Board o£ Directors
Signature of Chairman of the Board of Directors Date
APPLICATION CHECKLIST
(1J Executive Director AND Chair Signature on signature page
(2) Board of Directors/Officers List
(Ti4 "taaE:' {-tc. 3iipY,f2i'agarti2sl '.3
POtTP 14 ~ ~ th1~ LS11 e
(6) Mail the original application and attached. information to the Foundation oti3ce via
regular mail or hand delivery only by 5:00 p_m_ on the grant cycle deadline date
(January 15 or July 15)
(7) Ei-nail application to beth~7cfmfZln_org ~.rr
~""F 'x ""Please cull ('910 452-0611 fl-y"" all uestions or concerns"-Ye
CAPE FEAR MEMORIAL FO\.lNOAT~ON Page 1 O Of 1 O
GRANT APPLICATION FORM
Lasa RwisaO- O~/12/OO-bd 23
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
.r Request for Board Action
Agenda- Consent Meeting Date:
A enda: ® BOH- July 9, 2008
Roane, Support Services
Department Health Department Presenter: ana
Kimer
Division M
Contact: Kim Roane 798-6522
Subject: Budget Amendment for Audiology Services - Personal Health Services -
$63,900
Brief Summary: The New Hanover County Health Department Has received
notification from the North Carolina Department of Public Health, Children and Youth
Branch (NCDPH WCH) of funding for the provision of audiology services for newborn
hearing screenings through the North Carolina Early Hearing Detection and Intervention
(NC EHDI) program. The mission of the NC HHDI program is to ensure that all infants
are screened for hearing Ioss by one month of age, that children with congenital hearing
loss are identified by six months of age and that they are provided access to appropriate
audiological, educational, and medical intervention by six months of age- The services
of this program will be provided to 15 surrounding counties, fully funded by the
state- Motion and Requested Actions: To approve the establishment of
audiology services and the associated budget amendment of $63,900 to support the North
Carolina Early Hearin Detection and Intervention ]Program -
Funding Source: Fully funded by the North Carolina Department of Public Health,
Children and Youth Branch- No matching County funds required- Program will be
provided only as lon as funds are provided b the state to support the services.
Will above action result in:
New Position Number o£ Position(s)
OPosition(s~> ModiScation or change
®No Change in Position(s)
Ex lanation-
Attachments: A regiment Addendum from State of North Carolina Division of Public Health
24
Division of Public Health
Agreement Addendum
FY 08-09
Page 1 of 5
New Hanover WCH / Children and Youth Branch
Local Health Department Name DPH Section/Branch Name
324 - Speech and Hearing Kathleen Watts 919-707-5632
Activity Number and Description DPH Program Contact Name, Telephone
Number (with area code) and Email
06/01/08 - 05/31/09
Service Period MM/DD/1'YYY-MM/DD/YYYY DPH program signature (only required for
negotiable agreement addendum)
07/01/08 - 06/30/09
Payment Period MM/DD/YYYY-MM/DD/YYYY
® Original Agreement Addendum
? Agreement Addendum Revision # (please do not put the Aid to County revision # here)
1. Background:
Hearing loss is the most common congenital birth defect, affecting as many as three infants per
thousand born. Left undetected, hearing loss in infants can negatively impact speech and language
acquisition, academic achievement, and social and emotional development. If detected, however, these
negative impacts can be diminished and even eliminated through early intervention. Infants who fail the
initial newborn hearing screening are at a higher risk than the general population of having a hearing loss. It
is estimated that approximately half of all children in the United States are "lost to follow up" following a
failed newborn hearing screen. The mission of the NC Early Hearing Detection and Intervention (EHDI)
Program is to ensure that all infants are screened for hearing loss by one month of age, that children with
congenital hearing loss are identified by six months of age and that they are provided access to appropriate
audiological, educational, and medical intervention by six months of age.
II. Purpose:
The EHDI Program provides consultation, technical assistance and resources to public and private agencies
to develop and implement effective Early Hearing Detection and Intervention programs. The desired
outcome is fewer children with congenital hearing loss who have poor communication, social and emotional
Health Director Signature (use blue ink) Date
Local Health Department to complete: LHD program contact name:
(If follow up information is needed by DPH) Phone number with area code:
Email address:
Si nature on this page sip-nifies you have read and accepted all paces of this document. 25
Revised 9/27/2007
i
Page 2 of 5
skills and/or who require academic assistance as the result o£ not being identified before three month of age
and receiving curly intervention by six months.
IV_ Scone of Work and Deliverables=
The Health Department shall=
A. Provide up to one audiologist (1.0 PTE) to perform as the Division of Public Health (DPH) Child
Health Audiology Consultant (CHAC) in the following counties: Bladen, Brunswick, Carteret, Columbus,
Craven, Cumberland, Duplin, Harnett, Johnston, Lenoir, New Hanover, Orrslow, Robeson, Sampson and
Scotland. This individual must have a master's degree in audiology.
B. Include the following activities in the workplan for the audiologist:
1. CONSULTATION AND TECHNICAL ASSISTANCE
Consultation and technical assistance to Women's and Children's Health Section/Children and
Youth Branch/Genetics and Newborn Screening Unit program staff, birthing/neonatal facilities,
otolaryngologist's and pediatrician's offices and other health providers. Duties will include but not
be limited to:
a) Provide consultation and technical assistance to birthing/neonatal facilities regarding the
implementation and ongoing management of local Newborn Hearing Screening programs,
including but not limited to, the Division of Public Hcalth Guidelines for Newborn Hearing
Screening, reporting requirements, screening protocols, follow-up protocols, troubleshooting,
quality control.
b) Identify and lirzk with community referral sources (i.e., pediatricians, otolaryngologists,
audiologists, hearing aid fitters, Family Practice Physicians, etc).
c) Consult and collaborate with other regional consultants and programs regarding a child's hearing
health, including but not limited to, public health programs, children's health care providers,
audiological and medical community, hospitals, Child Service Coordinators, health departments,
Social Services, educators of the deaf, speech/larnguage pathologists, occupational therapists,
physical therapists, local education agencies, etc.
d) Consult with community audiologists (private practice or public agency staff) during the period
between a child's follow-up evaluations regarding the status o£ equipment, need for testing etc.
e) Provide consultation to private providers regarding the Guidelines for Newborn Hearing
Screening and reporting requirements of the Universal Newborn Hearing Screening Program.
f) Consult with programs (e.g., Early Intervention for Children who are Deaf/I lard-o£-Hearing,
Department of Public Instruction, Public School Preschool Programs) to facilitate the transition
of children who are deaf/hard of hearing from services through the Individuals with Disabilities
Education Act (Part to Part 13)-
g) Collaborate with local audiologists in the expansion and development of local pediatric
audiological services for infants and children to age 21.
h) Consult with families o£ newly identified children, as needed, through home visits to provide
information regarding hearing loss, anatomy and physiology, review of audiological tests
performed.
i) Consult with parents/families, as needed, to discuss their child's diagnosed hearing loss, -mo
communication approach, present level o£ functioning, auditory potential, current and future
goals, expectations for parent participation and need for any changes in the child's services.
26
Page 3 of 5
j) Make referrals and collaborate, as appropriate, with services and support programs (e.g.
BEGINNINGS, Child Service Coordination, Genetic Counseling, Otolaryngology, Early
Intervention Program for Children Who Are Deaf/Hard of Hearing,).
k) Consult with local agencies, providers and programs regarding the identification and referral of
children, birth to 21, with suspected hearing loss.
1) Attend Individualized Family Service Plan (IFSP) and Individualized Education Program (IEP)
meetings, as needed, to assure proper interpretation of audiograms and to consult regarding
proper hearing related devices and services.
m) Consult with private providers and agencies in the development of programs to identify and refer
children with suspected late onset hearing loss.
n) Consult with cochlear implant centers to provide information regarding hearing aid use,
communication approach, current placement and present level of functioning during a
child's/family's evaluation process.
o) Consult with dispensing audiologists, vendors and other providers regarding procurement of
devices/services under the Assistive Technology, Children's Special Health Services, and Health
Choice Programs.
p) Consult with classroom and itinerant teachers regarding daily/weekly hearing aid/cochlear
implant check, troubleshooting listening checks and sound detection/discrimination/identification
tasks.
q) Maintain professional knowledge of current and future trends in audiological/amplification
services for deaf and hard of hearing infants/children and Newborn Hearing Screening Programs.
r) Consult with local agencies, health departments and school systems regarding the development
and implementation of hearing screening projects.
s) Identify state and local funding resources for hearing related devices.
,r 2. SUPPORT SERVICES
Audiological Management provided by the Child Health Regional Audiology Consultant would
begin with those newborns that referred on their second hearing screening and are being referred for
a diagnostic evaluation, and older children at the point of diagnosis. The management component
can include any of the services listed below and is meant for those children for whom local
audiological management (either privately or through public agencies) is not available or accessible.
a) To assist the Child Health Regional Speech Language Consultants in assuring initial and /or
follow-up hearing screenings for infants (a) who did not receive physiologic hearing screening
prior to discharge from birthing facility and/or (b) who referred on their initial newborn hearing
screening.
b) Support the management of audiological follow-up services by the child's local audiologist i.e.
otoscopy, tympanopmetry, hearing aid/cochlear implant check.
c) Support appropriate fitting and amplification of hearing aids for pediatric population.
d) Create and manage loaner hearing aids and FM inventory as needed.
e) Perform clinical review for provider requests for hearing related equipment and/or services
through Purchase of Medical Care Services, Assistive
Technology Program and /or Health Choice Programs.
f) Conduct needs assessments and provide recommendations for FM technology, including, but not
limited to, classroom, home and daycare settings.
g) Facilitate the acquisition of properly fit earmolds for children whose families are unable to make
or keep appointments (make appointments, arrange transportation etc).
h) Facilitate the procurement of unaided/aided audiological testing.
i) Assist with unaided/aided testing with local audiologists, as necessary.
27
Page 4 of 5
j) Observe individual children in home-based and classroom-based settings to determine necessary
IFSP and IEP services.
k) Facilitate the ordering, fitting, training and technical assistance to parents and professionals
regarding the use of FM systems.
1) Facilitate repair services for malfunctioning equipment.
3. T12AINING AND EDUCATION
a) Develop and supply educational materials related to hearing loss and hearing screening for
parents, providers and program stuff'-
b) Provide training to hospitals and private providers regarding the Newborn Hearing Screening
Program policies and procedures.
c) Provide annual in-services at birthing/neonatal facilities regarding Newborn Hearing Screening
program checklist, Division of Public Health Newborn Hearing Screening Guidelines, reporting
requirements, screening tecl r iques, screening protocols, use of hearing screening devices, etc.
d) Promote public awareness of hearing loss and related issues.
e) Train new regional Division of Public Health consulting audiology staff
f) Provide training, as needed, to private providers regarding the reporting requirements of the
Newborn Hearing Screening Program and the benefits of early hearing detection and
intervention.
g) Provide training and technical assistance to parents and professionals regarding the use of FM
systems and/or other assistive devices.
h) Provide training and technical assistance to private and public providers for audiological services
(e.g., diagnostic procedures £or children, amplification technology, funding, cochlear implant
technology, educational
options)- Within five working days notify the Division of Public Health Speech and Hearing Of£ce of any staff
changes as a result of employment termination of the person designated as the Child Health Audiology
Consultant-
D. Agree not to bill families or third parties for services provided under this agreement.
IV. Performance Measures/ReoortinQ Requirements.
Perfox-niance Measure # 1 : Evidence of the number of consultations and trainings provided for hospitals in
the montbly service logs required of all consultants on the DPH Speech and Hearing Team.
Perfoniiance Measure #2c Evidence of the number o£ consultations with providers and interventions with
families will be documented in the service logs will document. Entries will also be made in the WCSWeb
Hearing Link notes section to document counseling and education provided to families of children who
failed the newborn hearing screening, and consultation with their direct service providers.
Performance Measure 43: Evidence of expanded resources and coordination of service delivery for
children with hearing loss will be documented in service Iogs, showing Hearing Link training and other in-
services provided to community collaborators and private providers, the number of public awareness -.000
activities, and the number of hearing screenings provided at mass screening events. _
2S
Page 5 of 5
V. Performance Monitoring and Quality Assurance:
The Child Health Audiology Consultant (CHAC) is part of the Early Hearing Detection and Intervention
Team. Child Health Speech and Hearing Consultants (CHSLCs) and Child Health Audiology Consultants
(CHACs) provide training, technical assistance and consultation about EHDI to public and private agencies
in all counties in North Carolina. The CHAC reports to the EHDI Program Manager, as well as to the
Health Department in which she/he is housed. The EHDI Program Manager will:
A. Review all service logs;
B. Stay in touch regularly via phone and email;
C. Conduct site visits at least twice per year;
D. Review the CHAC's workplan semi-annually;
E. Review data on hospitals served by the CHAC quarterly;
F. Meet with the CHSLC during DPH Speech and Hearing Team Meetings and other DPH required
activities.
Should the performance of the CHAC be inadequate because of non completion of expected activities, poor
communication with team members or community collaborators or insufficient documentation, a meeting
will be convened with the CHAC's Health Department supervisor to determine an action plan or the
~4w corrective measures to be taken.
VI. Funding Guidelines or Restrictions: (if applicable)
Funding shall only be used to support the hourly contractual rate for the position.
29
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: July 9, 2008
Co Comm: Jul 21, 2008
Services
Department: Health Department Presenter: Kim Roane, Support
Division Mana ar
Contact: Kim Roane 798-6522
Subject: Establish Fee for Permitting of Tam ora Food Establishments
Brief Summary: The New Hanover County Health Department has received
notification from the North Carolina Department of Environment and Natural Resources,
Division of Envirotztzzental Health, that effective July 2008, local health departments are
mandated to collect a $50.00 fee for temporary food establishments (TFEs) as required in
GS.130A-248(d)_ Fees are to be charged with each issuance o: Ca permit, as well as when
a TFE is relocated or when the permit has expired. Local health departments shall retain
these funds in support of local Food 8c Lodging programs- The collection o£ these fees is
not a local option and required by the State and the fees may not be increased or
dccreased-
Recommended Motion and Requested Actions: To approve the establishment or a
$50.00 fee for the permitting of Temporary Food Establishments, and to allow this
than e to be included in the New Hanover Count Health De artment's Fee Polic
Funding Source: Fees collected from the public- Revenues from permit fees are
ex ected to exceed $5,000 in FY09
Will above action result in:
=New Position Number of Position(s)
=Position(s) Modification or change
®No Change in Position s
Ex lanation-
Attachments: Memo from Terry Pierce, Director, North Carolina Department of Environment
and Natural Resources, Division of Environmental Health.
30
LHDmemo-TFE fees
t State of North Carolina
Michael F. Easley, Governor
Division of Environmental Health
Department of Environment and
Terry L. Pierce, Director
Natural Resources
William G. Ross, Secretary
MEMORANDUM
To:
Local Health Directors
From:
Terry L. Pierce, Director
Division of Environmental Health
Date:
April 27, 2008
subJ'ect:
Collection of Fees for the Permitting of Temporary Food Establishments
Pursuant to a request from the N.C. Association of Local Health Directors, local
health departments
will begin collecting a $50.00 fee for temporary food establishments (TFE), as
required in Gs. 130A248(
d).
After consulting with the Attorney General's staff, TFE are determined to be subject
to the fee set
forth in the law cited above. Furthermore, it was determined that a fee should be
charged for each
issuance of a permit. when a TFE is relocated or when the permit has expired, a new
permit and fee is
appropriate.
Accordingly, all local health departments are directed to collect this fee,
effective July 1, 2008. This
fee shall be collected for all TFE, except for those establishments that are
exempted from fees by law
or rule.
Collection, retention and disbursement of these state fees will be prescribed in the
consolidated
Agreement. Each local health department will report these funds to the Division
through the
Consolidated Agreement Addenda (DENR 3300), Local Health Department Budget (DENR
2948)
and Local Expenditure Report.
Prior to July 1, the consolidated Agreement will be revised to facilitate this
process. The Local
Expenditure Report and Local Health Department Budget forms have been revised to
include a
category for the accounting of these collected fees. This week, Teresa Abbott will
electronically
distribute these revised forms to each health department. Please disregard her
Page 1
31
L HDmemo-TFE fees
previous a-mail
message containing the previous versions of these documents_
=f you have questions regarding the changes described in this memorandum, please
contact Bart
Campbell at C9193 715-7148 or bart_campbell@ncmailnet, or contact me at C919:)
733-2352 or
terry_pi e r ce@ncmai l_ net_ =-F you have specific questions regarding any of the forms
or the reporting
procedures, contact Teresa Abbott at <9193 715-0940 or teresa_abbott@ncmailnet.
cc: John Barkley Joy Reed Kris-ti Nixon Teresa Abbott
Chris Hoke Bart Campbell NCEHSA Jackie Glenn
Dennis Harrington Larry Michael
1630 mail Service Center, Ralei h, North Carolina 27699-1630
Phone 09193 733-2870 / Fax C919~ 715-3242
http://- .ncenvi roheal th_ org
An Equal Opportunity / Affirmative Action Employer
D
Page 2 moo,
:12
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:= Consent Meeting Date:
Agenda: ® BOH: 7/9/08
Co Comm- 7/21/08
Department: Health Presenter: Kim Roane, Support Services
Division Mama er
Contact: Kim Roane 798-6522
Subject: Request to Change Health Department Fee Policy to change the fee structure
for the administration of injectable vaccines to be compatible with current Medicaid
reimbursements.
Brief Summary: Medicaid has, in the past, paid an immunization one flat administration
fee per patient, regardless o£ whether one dose or multiple doses are given. Medicaid
has changed their reimbursement process, and now splits the reimbursement into two
fees: 904711F-11 is the new code for administration of one injectable vaccine, and
90472EP is the new code for administration of multiple injectable vaccines (per dose. If
a patient is administered multiple vaccines in one visit, Medicaid will now pay multiple
administration fees, one per each dose administered. We request approval to make
changes to the New Hanover County Health Department Fee Policy to incorporate the
new Change in Medicaid a meats as per the attached documentation-
Recommended Motion and Requested Actions: To approve the revision to the New
Hanover County Health Department Fee Policy to include the fee schedule and fee policy
Chan es as listed-
Funding Source: Medicaid reimbursements. Revenues are expected to exceed $5,000
for FY09_ No bud et amendment is re nested at this time-
Will above action result in:
=New Position Number of Position(s)
OPosition(s) Modification or change
®No Chan e in Position s
Ex lunation'
Attachments: New Hanover County Health Department Fee Policy Cha-ges and excerpt from
the Medicaid Bulletin
33
Immunization Administration Code and Fee Changes Effective July, 2008
Medicaid is currently paying $27.42 for a child whether one dose our four doses are given. The new
code/fee (90471 EP) will pay $17.25 for one dose. Code 90472EP will pay $9.71 for doses 2 or more. A
claim for a child receiving four doses would pay $17.25 (dose #1) plus $29.13 (doses #2, #3, #4) for a
total of $46.38.
N.C. Medicaid Special Bulletin II Apri12008
Local Health Department Providers
An immunization administration fee may not be billed if the immunization(s) is provided in addition to a
Health Check screening visit. The immunization administration CPT codes 90465, 90467, 90468, 90471,
90473 or 90474 with the EP modifier may be billed if immunizations are the only services provided that
day or if any immunizations are provided in conjunction with an office visit.
• Administration of one injectable vaccine is billed with CPT code 90471 (one unit) or 90465 (one
unit) with the EP modifier and is reimbursed at $17.25.
• Additional injectable immunization administrations are billed with CPT code 90472 or 90466
with the EP modifier and are reimbursed at $9.71 for each unit. The appropriate number of units
must be billed for each additional immunization administration CPT procedure code with the total charge
for all units reflected on the detail.
• Administration of one vaccine that is an intranasal/oral immunization is billed with the
administration CPT code 90467 with EP modifier and is reimbursed at $11.33 or 90473 with the
EP modifier and is reimbursed at $11.67. Note: CPT codes 90467 or 90473 can only be billed
if the intranasal/oral vaccine is the only immunization provided on that date of service.
Neither code can be billed with another immunization administration code on that date of
service. See guidance in next bullet for further clarification. A second intranasal/oral
immunization cannot be billed at this time.
• Administration of an intranasal or oral immunization vaccine provided in addition to one or more
injectable immunization administrations is billed with CPT code 90468 or 90474 with the EP
modifier. CPT code 90468 is reimbursed at $8.61. CPT code 90474 is reimbursed at $7.94.
• CPT vaccine codes for the vaccines administered must be reported or billed, as appropriate, even
if the administration codes are not being billed.
• Immunization administration codes cannot be billed in conjunction with Health Check Screening.
Report the CPT vaccine code(s) without billing the administration codes.
34
t
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda- Consent Meeting Date:
Agenda: ® BOH: 07/09/08
CC: 07/21/08
Department- Health Presenter: Scott Harrelson, Deputy Health
Director
Contact: Am Cook 798-6548
Subject: Grant Application - Eat Smart Move More - Health Programs Administration -
$20,000
Brief Summary: The Eat Smart Move More Grant proposes to provide the infrastructure
for the New Hanover County wellness program which aims to increase knowledge,
attitudes and skills of individuals to make the behavioral changes related to healthy eating
and/or physical activity- Funding of $20,000 will provide wellness programs for New
Hanover Count citizens via the health de artment-
Recommended Motion and Requested Actions: To ratify approval to submit an
application for the NC Eat Smart Move More grant for funding to provide
administration and support to dcvelo local wellness ro rams in New Hanover County-
~r Funding Source: North Carolina Division of Public Health Physical Activity and
Nutrition Branch Chronic Disease and Injury Section- There are no matching County
funds re uired.
Will above action result in:
QNcw Position Number of Position<s)
OPosition(s~ Modification or change
®No Chan a in Position s
Ex lanation-
Attachments: Bud et Sheet
35
Eat Smart Move More Grant
Category Expense
Eat Smart Move More Grant FY 08-09
Program Administration $6000.00
.10 FTE to support salary & fringe benefits of existing
Health Educator
Program Expenses $6000.00
Wellness Program Software & wellness program
materials
Marketing/Outreach $3000.00
Printed posters, fliers, brochures
Customized wellness cups, ens, stress balls
Educational Materials $2500.00
Brochures & teaching models on healthy lifestyles, stress
management, chronic disease management and display
boards
Incentives $2000.00
Gym memberships, gym bags, yoga mats, pedometers,
health cook books, exercise videos, health books, etc.
Travel $500.00
Travel to promote wellness policies and programs
throughout the county
Total $20,000.00
$20,000 will provide wellness programs for New Hanover County citizens via the
health department.
36
i
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: July 9, 2008
Co Comm: Jul 21, 2008
Department: Health Department Presenter: Kim Roane, Support Services
Division Manager
Contact: Kim Roane 798-6522
Subject: Establish Fee for Permitting of Temporary Food Establishments and Approve
Bud et Amendment to increase Revenues and ]Expenditures b $11,000
Brief Summary: The New Hanover County Health Department has received
notification from the North Carolina Department of Environment and Natural Resources,
Division o£ Enviroritizental Health, tbat effective July 2008, local health departments are
mandated to collect a $50-00 fee for temporary food establishments (TFEs) as required in
GS.130A-248(d)- Fees are to be charged with each issuance of a permit, as well as when
a TFE is relocated or when the permit has expired. Revenue collections for fiscal year 09
are estimated to exceed $11,000 ($50.00 fee for 230+ Temporary Food Establishments)-
Local health departments shall retain these funds in support of local Food 8c Lodging
programs- The collection of these fees is not a local option and required by the State, is
r not a local option, and the fees may not be increased or decreased- Funds will be used to
pay for temporary contract services for an Envirori ri~ental Health Specialist to conduct
field inspections for the Food and Lodging program - Currently, these services are
available via the North Carolina Alliance of Public Health Agencies.
Recommended Motion and Requested Actions: To approve the establishment of a
$50.00 fee for the permitting of Temporary Food Establishments, the associated budget
amendment to increase revenues and expenditures for FY09, and to allow this fee
chan e to be included in the New Hanover Count Health Department's Fee Polic
Fundin Source: Fees collected from the ublie-
Will above action result in:
=New Position Number o£ Position(s)
=Position(s) Modification or change
®No Change in Position(s)
Ex lanation-
Attachments: Memo from Terry Pierce, Director, North Carolina Department of Environment
and Natural Resources, Division of Environmental Health.
Rice, David
From: Rice, David
ent: Friday, June 13, 2008 7:56 AM
To: Roane, Kim
Cc: Jenkins, Paula; Standfest, Maria; Roberts, Marilyn
Subject: RE: F.A.C.T. Recommendation
First bullet is approved. Second bullet will be placed on the NHCBH Executive Committee Agenda.
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
I 2029 South 17th Street
Wilmington, NC 28401
910-798-6591
driceCo.nhc4ov.com
htt2://www.nhchd.or,g
From: Roane, Kim
Sent: Thursday, June 12, 2008 4:41 PM
To: Rice, David
Cc: Jenkins, Paula; Standfest, Maria
Subject: F.A.C.T. Recommendation
Dave,
The F.A.C.T. meeting held Wednesday, June 11, 2008 resulted in the following recommendations:
• Establish a new code for Microgestin FE, at a fee of $10.00/cycle. This is a new birth control product. Revenues
11#4r will be well below $1,000/year and therefore require Health Director approval to implement.
• Establish a new fee for permits for Temporary Food Establishments at $50.00/permit. The revenues for this new
fee are expected to be $5,000/year or greater, requiring Board of Health and County Commission approval.
Request your permission to submit as an agenda item for the July Board of Health meeting.
Thank you for your consideration,
Kim
Kim Roane
Support Services Manager
New Hanover County Health Department
(910) 798-6522
fax (910) 341-4146
1
g
\ - O
woNTY HEPLSN
NEW HANOVER COUNTY
Child Fatality Prevention Team 2007 Summary
Presented to the Board of Health July 2008
Joyce _ ~jiat csw
Vim„ CFP eview Coordinator
Zo-c~SS
Je r Grundy, BSw Date
CFPT/R~ eview Coordinator /
J cCumbee, RN, BSN Da etet
Person Health Services Manager
id E_ Rice, H, MA.
Datc
Health Director
I. INTRODUCTION
The New Hanover County Child Fatality Prevention Team
comprised of community representatives from diverse agencies and ds ciplines, c urrentl
with 19 members. Members are appointed by their agency board or New Hanover y
County Board of Commissioners, per state legislation. The mission of the NHC CFPT is
to promote the development of a community wide approach to understanding the causes
of childhood fatalities, identify the deficiencies in public services to children and
families, and to make and carry out recommendations for change to prevent future
childhood deaths. The NHC CFPT meets on a quarterly basis.
II. 2007 CHILD DEATH REVIEWS
During 2007, the team reviewed 22 deaths that occurred in 2006. The following chart
explains the different causes of the child deaths reviewed in New Hanover County.
III , , 1
Complications from Prematurity 8
Accidental
Suicide I1
Genetic Disorders 4
Other Medical Conditions 5
SIDS I
Total 22
III. PROBLEMS IDENTIFIED/RECOMMENDATIONS /ACTIONS TAKEN
PROBLEM: Several deaths were not reported to Department of Social Services as
required or were not reported in a timely manner for investigative purposes.
RECOMMENDATION: For county entities to follow current protocol for notification.
ACTION TAKEN: The Assistant Director of Social Services met with many community
organizations' members to reiterate the protocol and stress the importance of notification
to Social Services.
PROBLEM: The New Hanover County Health Department is not being notified of all
SIDS deaths.
RECOMMENDATIONS: To work with local medical examiners to report SIDS deaths
to the trained SIDS counselor at the Health Department for follow up with families per
state guidelines.
Healthy People, Healthy Environment, Healthy community"
1
ACTION: Contact made by letter and phone call to the County Medical Examiner to
review the protocol for notification.
3. PROBLEM: Autopsies are not being completed on all deceased children by a Pathologist
who has additional training/certification in Pediatric Pathology. This is the standard of
care in many states.
RECOMMENDATION: That child autopsies be completed by a Pediatric Pathologist.
ACTION: The CFPT Quarterly Report to the State office included a recommendation for
Pediatric Pathologists to complete the autopsies. This was also recommended in the State
Review Report and the Annual Report which were submitted to the State Fatality Task
Force. A letter was written by team physician and submitted to the State Program
Coordinator.
4. PROBLEM: Inaccuracies in recording cause of death for the State Center for Health
Statistics. Inaccurate information skews data and changes the overall picture.
RECOMMENDATION: To include more information on the cause of death as listed on
the death certificate. Create consistent reporting across the state.
ACTIONS: A letter drafted by the team physician was sent to the State Review
Coordinator with specific examples of inaccurate and incomplete information listed as
V4W the cause of death. Recommendations were also included in the quarterly report to the
State.
IV. ADDITIONAL ACTIVITIES
• The Team Review Coordinator, DSS Director, DSS Assistant Director, DSS
Supervisor, and one Registered Nurse from New Hanover Regional Medical
Center attended a CFPT Statewide conference in Chapel Hill, North Carolina.
• NHC CFPT was chosen as a pilot county to test online quarterly reporting to the
State. Two members attended training in Raleigh to practice the software while
also providing feedback for improvement. Now all 100 counties are online for the
2007 annual CFPT report to the state.
• Three team members gave a presentation at the local Child Watch Forum titled
"Soothing Parents: Preventing Shaken Baby Syndrome
• Members of the Team participated in two local State Fatality Reviews. A State
Review is conducted when the family has been involved with the Department of
Social Services (DSS) before the death.
Ir°
Healthy People, Healthy Environment, Healthy Community"
2
• The local Review Coordinator met with a detective from the Carolina Beach
Police Department in an effort to complete a thorough review on one case.
• The team physician investigated building codes for private residencies and
reported this information back to the team for a better understanding of one
accident.
• A team member researched current services regarding bereavement counseling
within the school system to ensure support following suicide.
• The NHC CFPT receives a small amount of funds annually from the Department
of Health and Human Services (DHHS). During the 2006-2007 review year,
funds were used to purchase car seats that are distributed through the New
Hanover County Health Department. Funding was also used for transportation to
the two out-of-town trainings.
V. CONCLUSION
The New Hanover County Child Fatality Team continues to work to improve
participation of its members and invite persons related to investigations of child deaths to
be a part of the review process. Attendance has been steady, and members are sharing
agency information with the coordinator prior to the reviews when they are unable to
attend. The team has worked diligently to obtain and review needed records and work
collaboratively in the process of the actual review of each child death. Goals for next
year include: 1) to improve the team's ability to identify system problems surrounding
child deaths and 2) to enhance the communication between local CFPT and State Fatality
Task Force.
Healthy People, Healthy Environment, Healthy Community"
3
ml ~ s. 'a w¢ a r a- '.+~r i s t.. ~a r'S
1 1
I
~qv t~ ~ X14
in school ew drama-ticall
Nurs
g Y
under Dean Adams' leaclership
When Virginia W" Adams arrived at UNC Wilmington in t 994 to lead the School of
Nursing, she inherited a program with tremendous potential. Using her extensive
experience as a nurse and military leader, Dean Adams assessed the program's
condition and charted a course for the school's remarkable growth. x
To thrive, the nursing school needed: 14-year tenure, increasing the
more scholarships to recruit and number of full-time faculty by 40
retain students; more faculty to percent, enrollment by 46 percent,
teach students as well as funds to the school's operating budget by
provide them with adequate salaries 49 percent, student graduation rates
and to support their research; by 68 percent and scholarships by n c. ra a a a rn s
strong community partnerships; a phenomenal 176 percent-
enhanced clinical experiences For founded two rural health clinics in
students locally regionally and Under Dean Adams' leadership, the Bnynswick and Columbus counties.
acade progr school strengthened partnerships The nursin school develoPed a
abroad; mic programs tailored g
- to serve Wilmington's burgeoning with New Hanover Regional. Medical
Center and other Ca a Fear area rePutation for innovative degree
pharmaceutical industry; and a P programs - such as a bachelor's
health care agencies, established
building designed specifically for degree in clinical research -and ~l
21st century health care instruction. a research and exchange program outstanding instruction in huma{n-
with a university in Japan, initiated pati
ent simulation-
The School of Nursing achieved a community health course with
remarkable success during her indigenous people in Peru, and In 2006, Dean Adams spearheaded
the university's efforts to obtain state
funding to construct a building for
B'41-- rtC fI- SSt.-* t" 11 - : t 1111 I I. i Ci tl gift t' ? t I: I L' SC3. the School of Nursing. The General
- Assembly earmarked $30.1 million
Charlotte, N.C., philanthropist Irwin "Ike" Belk established for the project; the groundbreaking is
a $1 million distinguished professorship in April to recruit scheduled for the fall 2008 semester.
and retain experts in technology-enhanced applied learning. In April, the nursing school received
A business executive and hi her education advocate, Belk its first $1 million professorship,
g established by and named in honor of
provided a major gift, enabling the university to receive Irwin "Ike" Belk_
matching funds from the Spangler Foundation of
Charlotte and North Carolina's Distinguished Professors "I am so proud of the accomplishments
Endowment Trust Fund. our School of Nursing achieved since
3' ° r rc 1994," said Dean Adams, who begins
"Nursing faculty are the key to solving the nursing shortage in a new role as special assistant to the
North Carolina," said Dean Virginia W. Adams. "The number of stud enYS vice provost in July. "Our students,
that we may accept is directly related to the number of faculty we have- faculty and staff are the best; I
Unfortunately, this year we had to turn away one-third of the students eligible enjoyed working with them and
for admission to our nursing program because we did not have enough look forward to making even greater
educators available. That's why A.Ir. Be1Ks gift is so critical." con. tributions to nursing practice and
In NIay, the university presented Belk with an honorary Doctor of Humanities nursing education in the future."
degree in recognition of his generosity-
gym, yhjs?'1F e...
In r E2nl0ry Eo „tman ef.~ma ms~n saituraaY Srof'av fof ~ooa.: r...s„a - .~,=-~v ~r.~a r,ng UVC 'N e.,,.ns, .n s
of M-ElrZjtlerite fvlary Hopkins,
The School of Nursing mourns the loss DeCeZllber 2007 a77d Ma 2008 actuates
of Marguerite Hopkins, a lecturer in y gr
the School of Nursing, who died in an Ori the job across the Stag
automobile accident March 17, 2008.
A faculty member starting in 1991, In the past six months, 89 prelicensura and 13 clinical research nursing students
Hopkins retired in 1999 after a 25-year have graduated from the university many of them accepting positions with
career in nursing. She returned to health-care agencies and companies in North Carolina- Employers include
UNC Wilmington in 2003 in response cardiac diabetic, nephrology, pediatric neurology and surgical centers in New
to the shortage of nurse educators in Hanover County as well as a labor and delivery unit in Craven County an
the School of Nursing. Her colleagues emergency room in Wake County and a pediatric and neonatal intensive care
wil remember her ready smile, never- unit at Duke University I~.4edical Center.
ending jokes, flair For fashion and ha order to make a nursing education available to more students, the School
international travel in addition to her of Nursing began two years ago to accept a spring class of students into the
professional contributions. program. Prior to that, all students began the program in the fall. The
Hopkins was an experienced public December 2007 graduates were the first students admitted in the spring t0
health nurse- Her past professional complete the program.
experience included the role of "The majority of our nursing graduates stay in the state to take jobs and practice
supervising public health nurse in nursing," said Deborah Pollard, nursing professor and coordinator of the
the Suffolk County Department of prelicensura program. "This is a great time to pursue a career in nursing. There
Health Services in Hauppauge, N.Y. are many jobs available and unlimited opportunities for qualified, dedicated
She received both her
anbachelor's
nurses.'"
degree in nursing d her master's
degree with a concentration in In Fact, the starting wages for many graduates are $25-30 per hour, and some
psychology/public health nursing new nurses obtained positions with annual salaries that exceed $55,000.
from SUNY Stony Brook. The spring Graduation Recognition and _\w ards Ceremony held Nlay 9, was
Marguerite is survived by five children extra-special For Brook Tr--ell '08, who received a marriage proposal on stage.
and 11 grandchildren. be said yes.
2010: School of Nursing
Building to open
Plans are well underway for the new
School of Nursing, a $30.1 million building a~f r
scheduled to open in fall 2010. The
building's features will include state-of- u
the-art classrooms, a conference center
4
and 250-seat lecture hall, virtual hospitals
and hospice simulation units, faculty -
and administrative offices, research labs p
and the Technology-Enhanced Applied
Learning (TEAL) Center. At press time, the
building's groundbreaking was scheduled
for December 2008. Please visit the School of Nursing Web site at www.uncw.edu/son
for updates. -
Scholarships for nursing students on the rise
'The amount of scholarship funding exceed $1,000," she said.
available to nursing students continues "Although many of our
to increase, topping $90,000 for the
students work, their
GG7-08 academic year. In comparison, clinical rotations and the
students enrolled in 2006-07 received
more than $72,000 in scholarship and to practice essential
support, in 2005-06, students received skills prohibit most of
about $64,000 in scholarship funding. them from maintaining
Increasing scholarship support for full-time jobs.
nursing students is a critical component Scholarships help them
of addressing the nursing shortage in afford to study full-time
C,ance!~ur pc,emaryePaoiaa irh
North Carolina, according to Paula and to enter the health-care workforce aiu33jt
Kennedy-Dudley, director of student in a timely fashion." of riu ~,~n y r,~ . ,s _
services for the School of Nursin ` 4i v
g. Want to establish a scholarship to
"in addition to textbooks and course support nursing students? Contact
materials, our nursing students development directors Terri MCDermot
must purchase uniforms and health
at 910.962.2525 or Kevin Williamson
assessment equipment that can easily at 910.962.2424.
~icooi of Nursing received a $400.1100
m the N.C. GlaxoSmithKline
1,3tion for Camp BONES, a university/
Y partnership to prepare _
n..,2d and underrepresented youth for
y lu\
careers in nursing and health science.
athre Camp BONES (Brigade of "
L:<p):3rinrg Seahawks) introduces
d r-inth graders from Now Hanover
d
,d tine Cape Fear region to careers {
The program has becomes a mcdei
a the Scroot of Nursing plans t
cis-Saiem State Un€versit-y'sith ?
E rnifar camp for Tried youth.
x..
FR°0Ma
IN:
n ih 14 ~ 'f 4 t 5'i... .[y= ~+pg~ ~''SN'° ..•%t}. 1
F
i r
f
School of Nursing
recognizes outstand_iizg -,,,,a„~~ ~~~~~--r
alun-ini~ faculty
Lorle Moore Floyd '90, vice president of home care services
For Liberty Home Care has t-- named Outstanding Alumni " _ a - _ s _ -
of the Year by the School of r z ,g. The preli--- class - ~y
of 2ooS selected lecturer M---3F alurd oelc, a nurse with the
mother/baby unit at New H ~ cr Regional Medical Center,
as Faculty of the Year winner. Associate professor Rutftjk---
1Gui f- received the Chancellor's Teaching Excellence Award_
v.. a. o ~z n.a,. zoo <op•=+ or m.: o~ei< m<..•..~... cn...<w <o,: o, zbs :n o, s 6s a• <vo.-<c s. ,.n-. ~o_. i_
4w
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paoa a6allop 41noS L09
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uo~Bulw11M eullo~>?p y1.loN }o iClls~an!un
bb4 'oN 1!w~ad
OIVd ~1\ I, ¦
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New Hanover
N Regional Medical Center
Free
M en's H ea.mth
Screenings
Date: September 6th
Time: 8 AM - 12 NOON
Location: 2029 South
17th Street at the New
• Hanover County Health
' Department
y"tijr • • - •
• 798-65"00:
. 2
Virc~sss 42, :Aricl • - Prioritv it'
QP
o~
VNEW HANOVER COUNTY HEA~~~
ention MOO
FREE!!
Health Screenings
Worth $500
(Men without health insurance)
September 6, 2008
8-12 Noon
New Hanover County Health Department
Call for appointment
798-6500 Press #2, and then press #2 again
Ycour
• New Hanover
g
Priurity
4 Regional Medical Center
Q~ '
a~
NEW HANOVER COUNTY HEAV