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01/08/1997 1 I Mr. Keith Elmore, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, January 8, 1997, in the Carl Thomas Durham Auditorium, New Hanover County Health Department, Wilmington, North Carolina. Members Present: W. Keith Elmore, RPh, Chairman Mary King Dean, Vice Chairman Mary Lou Alford, RN Thomas V. Clancy, MD Michael E. Goins, OD Robert G. Greer Dennis L. Jackson, DVM William O'Kelly Jewell, DDS Anne Braswell Rowe William T. Steuer, PE, RLS Estelle G. Whitted, RN Members Absent: Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Invocation: I Dr. Thomas Clancy gave the invocation. Minutes: Mr. Elmore called for corrections to the minutes of December 11, 1996. The minutes were approved by the Board of Health. Recognitions: New Board of Health Members On behalf of the Board of Health, Mr. Elmore welcomed and introduced the following three new Board members to the New Hanover County Board of Health: Dr. Wilson O'Kelly Jewell, Dentist Mrs. Anne Braswell Rowe, Public Citizen William T. Steuer, Professional Engineer/Registered Landscape Surveyor Oath of Office I Oath of office was administered by Mrs. Frances De Vane, Notary Public. Mr. Elmore congratulated newly installed Board of Health members. 2 Staff Recognitions Mr. Parker introduced and welcomed the following health department employees: I New Employee Kelly P. Hill, Animal Control Officer, Animal Control Services Linda K. Wilson, Clerical Specialist 1, Communicable Disease Five Year Service Award Jimmy Price, Animal Control Officer, Animal Control Services Mr. Parker explained to the Board that the New Hanover County Commissioners recognize county employees for each five years of service with either a gold pin or charm and that health department employees are also recognized by the Board of Health at their regular meetings. Committee Reports: Executive Mr. Elmore, Chairman, Executive Committee, reported that the Executive Committee met I at 6:00 p.m. on Monday, January 7. Issues discussed are on the Board agenda. Department Focal: New Hanover County Water and Sewer Systems Mr. Dave Weaver, Assistant County Manager, and Mr. Wyatt Blanchard, County Engineer, presented a department focal on the New Hanover County Water and Sewer Systems. Mr. Blanchard gave an overview of the water and sewer systems. Mr. Weaver explained there are five treatment plants in operation which are monitored 24 hours a day. The Southside Treatment Plant will be expanded. Proposed expansion projects including treatment plants for sludge, water and sewer systems were presented to the Board. A task force has been formed to address revenues for these projects. Mr. Blanchard informed the Board that the New Hanover County Commissioners passed an ordinance to amend the County Code to provide required metal clean-out boxes for all sewer clean-outs on public and private property in the county. I I I I .~ MOTION: Dr. Goins moved and Dr. Jackson seconded for the Board of Health to approve a letter of support endorsing the ordinance to amend the New Hanover County Code, Chapter 15, Water Supply System, Article II, Waste Water Collection and Treatment, Section 15-90, Required Connections, Subsection (d), Installation of the Connection, by adding a new subsection 5; entitled Metal Clean-out Boxes Required to Mr. Blanchard, County Engineer. Upon vote, the MOTION CARRIED UNANIMOUSLY. After discussion of drainage problems and the county water and sewer systems, Mr. Parker recognized the NHCHD Environmental Health staff attending the Board meeting. Unfinished Business: New Business: Appointment of Board of Health Committee Chairpersons and Committees Mr. Elmore appointed the following 1997 NHCBH Committee Chairs and Committees: Animal Control Liaison: Dr. Dennis L. Jackson Budget: Mrs. Mary King Dean, Chairman Mr. W. Keith Elmore Mrs. Mary Lou Alford Dr. Thomas V. Clancy Dr. Michael E. Goins Mr. Robert G. Greer Dr. Dennis Jackson Dr. William O'Kelly Jewell Mrs. Anne Braswell Rowe William T. Steuer Mrs. Estelle Grady Whitted Environmental Health: Dr. Dennis Jackson, Chairman Mrs. Mary Lou Alford Mr. Robert G. Greer Dr. William O'Kelly Jewell William T. Steuer Executive Committee: Mr. W. Keith Elmore, Chairman Dr. Thomas V. Clancy Mrs. Mary King Dean Dr. Michael E. Goins Dr. Dennis Jackson Health Promotions: Dr. Michael E. Goins, Chairman Dr. William O'Kelly Jewell Dr. Thomas V. Clancy Mrs. Anne Braswell Rowe Mrs. Estelle Grady Whitted 4 Save Boards of Health I Mr. Elmore recommended from the Executive Committee for the Board of Health to send a letter to the New Hanover County Board of Commissioners requesting them to oppose the North Carolina Association of County Commissioners (NCACC) legislative goal to seek legislation to remove the population threshold and enable all counties to consolidate human service governing boards. Reasons regarding whether the Board should support or not pursue this legislation were discussed. Mr. Parker informed the Board that the legislation discussion is on the agenda of the NCACC Goals Conference which will be held January 9-10 in Raleigh, North Carolina. He stated that the Association of North Carolina Boards of Health (ANCBH) recently voted to oppose this legislation. Mr. Greer explained that this legislation if passed will allow small counties to consolidate human service boards and that he does not see it as a threat to nor would it necessarily abolish all Boards of Health. He expressed it is not a bad idea to have one human service board and that the legislation would benefit some counties. He reiterated that this is a proposed goal of the NCACC Conference to be held on January 9-10. MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to send a letter to the New Hanover County Board of Commissioners requesting them to I oppose the North Carolina Association of County Commissioners (NCACC) legislative goal to seek legislation to remove the population threshold and enable all counties to consolidate human service governing boards. Upon vote, the MOTION CARRIED. l Aye ~ Nay -L Abstained Maternal Home Visits Mr. Elmore recommended from the Executive Committee for the Board of Health to approve the marketing of maternal home visits to the private sector with the understanding that the program will be reviewed/evaluated within six months. He explained a new position should be established to provide the service with revenues earned if the service grows and generates revenues. Mrs. Betty Jo McCorkle, Director, Women's Health Care, presented the request to the Board for marketing of maternal home visiting. She explained that the Maternal Health nursing team proposes marketing of high-risk maternal and postpartum maternal and newborn home visits within 48 hours after birth to the private sector in our county. Staff will I be on duty on weekends. Services are needed for prenatal patients who do not meet the home health criteria of "homebound". I I I 5 Mrs. McCorkle reported that maternal home visits to the private sector should decrease no-show rates, increase compliance, and improve pregnancy outcomes. Current staff will provide these services until additional staff needs to be hired to meet the demand for services. Mrs. Alford inquired if these services are for high risk patients. Mrs. Alford asked if more staff is needed, will it be funded. Mrs. McCorkle stated that home visits will be marketed for high risks patients and that funds will be generated from services to provide additional staff. Mrs. Whitted expressed there is a great need in this county for this 24-hour service. MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to approve marketing of maternal home visits to the private sector with the understanding that the program will be evaluated within six months and a new position will be requested if needed to provide the service with revenues covering all costs. Upon vote, the MOTION CARRIED UNANIMOUSLY. Reclassification - Community Health Assistant to Clinical/Clerical Assistant Mr. Elmore recommended from the Executive Committee for the Board of Health to approve the reclassification of the Community Health Assistant position to a Clinical /Clerical Assistant in the Communicable Disease Division. Mr. Parker explained that the reclassification of this position will provide additional clerical skills and better utilization of personnel in the Communicable Disease Division and will require no additional funding. MOTION: Mr. Elmore moved from the Executive Committee for the Board of Health to approve and recommend to the New Hanover County Board of Commissioners the reclassification of the Community Health Assistant position to a Clinical/Clerical Assistant in the Communicable Disease Division. Upon vote, the MOTION CARRIED UNANIMOUSLY. Comments: Board Members: Trauma Symposium Dr. Clancy invited the Board to attend a Trauma Symposium from 8:00 a.m. - 4:30 p.m. on February 8. Topics will include Clinical Trauma Care and other related topics. 6 Budget I Mr. Elmore announced that the Budget Committee will consist of the entire Board of Health as it did in the prior year. Mrs. Mary Dean is Chairman of the Budget Committee. She stated each Board member will be assigned a program budget. Ms. Lynda Smith, Assistant Health Director, reviewed the timetable for the budget process. After department heads complete their budgets, they will meet with Board members to review budgets. Ms. Smith will furnish the Board with a budget schedule. Map of Contaminated Wells Dr. Jackson requested the preparation of a map displaying contaminated wells in New Hanover County before next week. Health Director: Elected Officials List I Mr. Parker distributed an Elected Officials List from the Board of Elections to Board members. Campaign for Tobacco-Free Kids Ad Mr. Parker referred the Board to a Campaign for Tobacco-Free Kids ad featured in Governing Magazine which was sponsored by the National Association of County and City Health Officials. Association of North Carolina Boards of Health (ANCBH) Mr. Parker reminded Board members of the ANCBH Annual Meeting on January 24 at the Velvet Cloak Inn, in Raleigh, North Carolina. Mr. John Coble has been nominated as President Elect of ANCBH. Mr. Elmore, Mrs. Dean, Mrs. Alford and Dr. Goins plan to attend this meeting. Graduated Licensing Program Mr. Parker furnished the Board with an informative article on Graduated Licensing I Program. He stated that the Health Promotions Committee plans to address this issue. ~~ Health Policy Information Legislative Forum I Mr. Parker invited the Board to attend a reception and a Showcase of Public Health to be held from 5:00 p.m. - 6:30 p.m. on January 16 in the Carl Thomas Durham Auditorium at the health department. Coastal Area Health Education Center will host a Health Policy Information Legislative Forum from 6:30 p.m. - 8:30 p.m. at Coastal AHEC. The Legislative Health Policy Reception and Forum are being sponsored by Bell South, Inc Board of Health List and News Articles Mr. Parker referred the Board to a Board of Health Roster and to news articles in their packet related to Public Health issues. Other Business: Orientation Guide Orientation guides were given to new Board of Health members. Mr. Parker explained that each month a Board member provides the invocation for the Board meeting. This is an optional assignment. I, .J r Executive Committee Meeting Mr. Elmore announced that the Executive Committee will meet immediately following this meeting. Adjournment: .. There being no further business, the regular business meeting of the Board of Health was adjourned at 9:55 a.m. ál?t/~ W. Keith Elmore, RPh, Chairman New Hanover County Board of Health ~p~ Robert S. (Bob) Parker, Health Director New Hanover County Health Department I Approved: