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12/01/1999 91 I Mr. William T. Steuer, Chairman, called the regular business meeting of the New Hanover County Board of Health to order at 8:00 a.m. on Wednesday, December I, 1999. Members Present: William T. Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Henry V. Estep, RHU Michael E. Goins, 00 Robert G. Greer, Vice-Chair, County Commissioners W. Edwin Link, Jr., RPH Anne Braswell Rowe Philip P. Smith, Sr., MD Melody C. Speck, DVM Gela N. Hunter, RN, Nurse Practitioner Estelle G. Whitted, RN Members Absent: Others Present: David E. Rice, Health Director Lynda F. Smith, Assistant Health Director Wyatt Blanchard, New Hanover County Engineer Frances De Vane, Recording Secretary Invocation: I Mr. Edwin Link gave the invncation. Minutes: Mr. Steuer asked for corrections to the minutes of the November 3, 1999 New Hanover County Board of Health meeting. The minutes of the November 3, 1999 Board of Health meeting were corrected by the Board of Health. Recognitions: Personnel Mr. Rice recognized and congratulated the following New Hanover County Service Awards recepients for their public health service to the community: Service Awards Twenty-Five (25) Years Service I Norma Davis, Dental Assistant, Dental Diane V osnock, Laboratory Supervisor, Laboratory 1 92 Ten (0) Years Service I B. J. Stallings, Environmental Health Specialist, Environmental Health Mr. Rice introduced the following health department employees: New Emolovees Dorothy P. Asbaugh, Public Health Nurse I, Community Health/School Murdis W. Charles-craft, Accounting Technician II, Animal Control Services Debbie S. Goodwin, Public Health Nurse I, Child Health Joan A. Michael, Clerical Specialist I, Child Health Helen M. Millinor, Shelter Attendant, Animal Control Services Stacy Skinner, Shelter Attendant, Animal Control Services Other Reco!!nitions Servin!! Safe Food - Clarence Foster's Restaurant Mr. Steuer presented a Serving Safe Food Certificate to Brian Fleishman of Clarence Foster's Restaurant at Wrightsville Beach, North Carolina. The Serving Safe Food Certificate is awarded to restaurants particpating in the Serving Safe Food training sponsored by Cape Fear Community College and New Hanover County Health Department. Ms. Isabel Charlton and Ms. Allison Rankin represented Cape Fear Community College. Mr. Fleishman expressed the Serving Safe Food course is an excellent educational I course, and he hopes more of his staffwill participate. Mr. Rice welcomed UNCW nursing students, who were observing the Board of Health meeting. On behalf of the Board of Health, Mr. Steuer expressed appreciation to the Service Award recipients for their years of service and welcomed new employees and guests. Department Focal: Clinical Laboratory Improvement Act (CLIA) and Quality Assurance Ms. Susan O'Brien, Laboratory Director, presented the department focal on Quality Assurance - a requirement of the Clinical Laboratory Improvement Act (CLIA) of 1988. She gave the history of the CLIA that began in 1967. She explained in 1988 the CLIA passed legislation that governs the Health Department Laboratory. CLIA designated the types of laboratories. New Hanover County Health Department Laboratory is a moderately complex laboratory. Congress designated HCF A the job of implementation of CLIA. The act governs quality assurance, quality control, proficiency testing, reporting of test results, competency testing of personnel, continuing education, and the confirmation of values. Ms. O'Brien reported CLIA certified the New Hanover County Health Department Laboratory as quality assured with no deficiencies. Mr. Steuer thanked Ms. O'Brien for her presentation. The Laboratory staff was congratulated for the I outstanding CLIA Certification. Mr. Rice expressed the Health Department is a real service to the citizens of New Hanover County. 2 I I I 93 Monthly Financial Report - Seotember 1999 and October 1999 Ms. Lynda Smith, Assistant Health Director, presented a health department financial summary monthly revenue and expenditure reports for September and October 1999. The revenue report reflects a 33.32% cumulative percent. She stated county monies are not included in the reports. The budgeted amount was $9,397,435 with a $7,457,612 remaining balance in the expenditure and revenue line items. Earned revenues and fees for the prior and current years were reviewed. Ms. Smith explained $192,301 Medicaid Maximization funding was carried forward for the health department renovation project. Total revenue and expenditure for September and October 1999 were $119,823 (20.47%). Salary and Fringe, Operating, and Capital Outlay expenses were reviewed. Ms. Smith explained Capital Outlay will be expended during the year. Mr. Rice advised he met with Dr. Jean McNeil, Animal Control Director, regarding the backlog of data entry for Animal Control Services revenues. He reported this data has been entered. Committee Reports: Executive Committee Mr. Steuer, Chairman, Executive Committee, reported the Executive Committee met at 6:00 p.m. on Tuesday, November 28, 1999. Items are listed under New Business on this agenda. Unfinished Business: Generators/Hookups at Emer!!ency Shelters Mr. Rice advised Mr. Allen O'Neal sent a letter to Dr. D. John Morris, Superintendent, New Hanover County Schools, the installation of generator transfer switches in four schools and in the construction plans for new schools used as disaster shelters. Mr. Dennis Ihnant has been employed by New Hanover County Emergency Management. He will lead the School/Emergency Shelter Electric Transfer Switches Project. Mr. Steuer thanked Mr. Greer, Vice-Chair, New Hanover County Commissioners, and the Board of County Commissioners for their support of this project. He reiterated the need to complete the SchoolÆmergency Shelter Electric Switches Project and to provide generators in new schools used as disaster shelters. New Business: Amendment of Bylaws - Article VII. Section 3 Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a proposed amendment of Article VII, Section 3., of the New Hanover Board of Health Bylaws. The amendment requires a 2/3 vote. 3 94 Mr. Rice explained the Health Promotion Program is being placed under the Women's Health Care I Division of Personal Health. The reorganization will focus health promotion activities under Personal Health. The words Health Promotion Committee will be changed to Personal Health Committee in the Board of Health Bylaws. Personal Health will expand and include personal health and clinical activities. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve the amendment to Article VII, Committees, Section 3., of the New Hanover Board of Health Bylaws to state: A Personal Health Committee composed of five members shall be appointed by the Chairman in January. It shall be the duty of this committee to act as an advisor to the Board of Health with respect to health promotion and disease prevention. Upon vote, the MOTION CARRIED UNANAMOUSLY. Dr. Goins suggested when the Board of Health officers are elected, this be done through a secret ballot vote. MOTION: Dr. Goins MOVED, SECONDED by Mr. Greer that any election of Board of Health officers be done through a secret ballot vote. Upon vote the MOTION CARRIED UNANAMIOUSL Y. Child Health Consultant Grant Proposal Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve the Child Health Consultant Grant Proposal ($50,000). I Ms. Janet McCumbee, Child Health Director, presented a Child Care Consultant Grant Proposal. She explained that the University of North Carolina at Chapel Hill Department of Maternal and Child Health was awarded a contract with the Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section. The purpose of the grant is to enhance health, nutrition, and safety for infants and toddlers in out-of-home child care in North Carolina. Funding is to support a child care health consultant and should be spent on salary, communications, office equipment, and travel. Ms. McCumbee advised it is important for the health department to apply for the first funding in order to be eligible for the second disbursement of funding in October 2000. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the Child Care Consultant Grant Proposal in the amount of $50,000 and to submit the grant request to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANAMOUSL Y. Health Department Grant Review Process Dr. Goins expressed concern regarding the current grant process in the health department. He suggested for the Executive Committee to address streamlining the grant process since staff spends a lot of time and effort on the preparation of grants. Dr. Goins stated grants should require less work and paperwork. He advised the time line of grants is a problem. He asked if the Board of Health could be notified after the grant funds are secured. Mr. Estep concurred. Dr. Smith inquired whether the grant proposals have to go to the County Commissioners. Mr. Steuer explained the Board of Health sends the grant proposals to the I County Commissioners for their consideration or approval. Mr. Greer advised the Board of Health's recommendation and study of the grants is important. He stated the time line for grants is perhaps a problem, but the real problem is the continuation of grant monies. Mr. Rice explained if the funds run out, the position is cut. Mr. Greer commented it seems this is very seldom. 4 I I I 95 Ms. Lynda F. Smith advised Mr. Allen O'Neal, County Manager, and the County Commissioners inquire whether the Board of Health has recommended the grant proposals. Occasionally grants are not approved. The Board expressed concern regarding the status of the grants once approved by the Board of Health. Mr. Rice will prepare a list of grant proposals including their status for the Board of Health's reView. MOTION: Dr. Goins moved and seconded by Mr. Link for the Executive Committee to review and study the current grant process of the health department to streamline the grant process. Upon vote, the MOTION CARRIED UNANAMOUSL Y. 1999 Board of Health Accomplishments Mr. Steuer gave a review of the New Hanover County Board of Health 1999 Accomplishments. Accomplishments included new positions and staff appointments, resolutions, Public Health activities, fee changes, newly adopted policies and procedures, a proposal for single-person jail cells, emergency shelter improvements, hurricane response and recovery, Board of Health bylaws amendment, the purchase of a Vector Control boat, a monthly financial report, the installation of a new Animal Control Services (ACS) computer system, the adoption of a Spay Neuter Program, the notification of sewage spills, the adoption of Body Piercing Regulations, and a 120 Years of Public Health in New Hanover County Celebration. Mr. Steuer noted the improvement of the revised Animal Control Services Potentially Dangerous Dog Policy and the amended Adoption Policy that includes a Spay/Neuter Program. He requested Mr. Greer assist with obtaining manual generator switches by June 2000. Mr. Steuer expressed his appreciation to the Board of Health and to the staff for their accomplishments during 1999. He stated the Board addressed and resolved many issues and responded to three hurricanes. FY 1998-99 Annual Re{)ort - January Department Focal Mr. Rice distributed copies of the FY 1998-99 Annual Report to the Board. He advised an Annual Report Committee was appointed to prepare the report. A department focal is planned for the January Board of Health meeting. Mr. Steuer Year 2000 Meetin~ Dates Mr. Steuer presented the New Hanover County Board of Health Year 2000 meeting dates. The Year 2000 dates are: January 5 February 2 March 1 April 5 May 3 June 7 July 5 August 2 Septem ber 6 October 4 November 1 December 6 It was the consensus of the Board of Health to accept the schedule of Year 20000 meeting dates. Election of Board of Health Qfficers 5 96 Mr. Link, Chairman, Nominating Committee, submitted the following nominees at the November 1 Board I of Health meeting for the 2000 New Hanover County Board of Health Chairman and Vice-Chairman. The nominees are Mr. William T. Steuer, Chairman, and Dr. Wilson O'Kelly Jewell, Vice-Chairman Mr. Steuer asked for other nominations from the floor. There were no other nominations. A secret ballot vote was taken. Mr. Steuer requested Mr. Link tabulate the secret ballot votes for the election of the officers. Mr. Link reported the slate officers were selected as presented by the Nominating Committee. MOTION: Mr. Link moved from the Nominating Committee to elect by secret ballot the slate of officers as follows Mr. William T. Steuer, Chairman, and Dr. Wilson O'Kelly Jewell, Vice-Chairman, of the New Hanover County Board of Health. Upon vote the MOTION CARRIED UNANAMIOUSLY. Mr. Steuer thanked the members of the Nominating Committee for serving. He thanked the Board for their vote of confidence and thanked Dr. Jewell for agreeing to serve as Vice-Chairman another year. Comments: Board of Health Dr. Jewell thanked the Board for their vote confidence. He stated much was accomplished this year, and he looks forward to serving as Vice-Chairman of the Board of Health next year. Dr. Smith added after serving a year on the Board of Health, he is impressed with the health department staff and high level of I public health activity. Dr. Goins expressed his appreciation to Mr. Steuer, Chairman, and Dr. Jewell, Vice-Chairman, for their leadership. He challenged the Board of Health and to actively participate in the Community Assessment ($20,000) process to make New Hanover County a healthier county. Dr. Goins stated he supports Mr. Rice, supports the AEIOU Committee, and sees strategic planning for the coming millennial year as a wonderful opportunity. Ms. Whitted stated she appreciates serving as a Board of Health member, appreciates Mr. Greer's support of the Board as Vice Chairman of the County Commissioners, and is grateful to Mr. Rice and the health department staff for serving the public. Dr. Speck stated during her first year on the Board, she has been impressed with the Board of Health and with the accomplishments of the Animal Control Services Division. She expressed her appreciation to the Board; the County Commissioners; Mr. Rice; and to Dr. Jean McNeil, Animal Control Services Director; for addressing Animal Control Services issues. The Animal Control Services accomplishments included the Spay Neuter Program, the new computer system, and the addition of two staff members. Mr. Link and Mr. Estep reiterated Dr. Speck's comments and commended Mr. Rice; Ms. Lynda Smith, Assistant Health Director; Ms. Dianne Harvell, and the health department staff for their leadership and for their assistance during the hurricanes. Mr. Greer thanked the health department staff. He stated he has served on the Board of Health for ten years. He congratulated the New Hanover County Health Department for being known as one of the best I health departments in the state. He commended the Board of Health for their commitment and dedication to public health services in the community. 6 I I I 97 Ms. Rowe explained she is at the end of her first term on the Board of Health and the Board is quite cohesive team that does a remarkable job. She expressed she is appreciative of the opportunity to serve another term on the Board. On behalf of the staff, Mr. Rice thanked the Board for their support and accepted the Board's challenge for Year 2000. Health Director Wodd AIDS Day Mr. Rice reported World AIDS Day is Thursday, December 2, 1999. A memorial service, activities, and bulletin boards have been prepared for AIDS awareness. Red ribbons were distributed to the Board and will be worn in support of World AIDS Day. End of Hurricane Season Mr. Rice reminded the Board the 1999 Hurricane Season is officially over. Manae:ement Academy for Public Health - November 4-5. 1999 Mr. Rice reported Ms. Hewett, Ms. Smith, and Mr. Rice attended Phase II of the Management Academy for Public Health on November 4-5, 1999. A session will be held in February in Roanoke, Virginia, for North Carolina, South Carolina, and Virginia participants. Mr. Rice stated the courses contam infonnation that will help both individual and agency growth. American Public Health Association Meetine: - November 6-11.1999 Mr. Rice attended the Annual American Public Health Association Meeting on November 6-11, 1999, in Chicago, Illinois. He thanked the Board for allowing him to attend the annual meeting, and he stated the national issues will affect local health departments. North Carolina Grant Funds Frozen Mr. Rice reported the funds for the New Hanover County Healthy Carolinians Task Force Grant Application ($10,000) from the N. C. Office of Healthy Carolinians and for the N.C. Childhood Asthma Initiative Request for Proposals to Support Local Asthma Management and Control Activities were frozen. These funds were frozen due to the impact of Hurricane Floyd in eastern North Carolina. United Way Campaie:n Mr. Rice reported the Health Department United Way Campaign exceeded its goal of $3,500. In fact, the health department exceeded last year's goal ($5,000) and collected $6,226 this year. New Hanover County collected $50,434.20. Ms. Susan O'Brien, Laboratory Director, was the County United Way Co- Chair. Invocation Request Mr. Rice presented and passed an invocation schedule for 1999 Board of Health meetings. Volunteers were asked to sign the schedule. 7 98 Christmas Doll Display Ms. Smith displayed several dolls dressed by Health Department employees for needy children at Christmas. The dolls will be displayed in the lobby of the Health Department and then returned to the Salvation Army on December 3, 1999. They will be displayed during the Old Wilmington by Candlelight Tour on December 4 and 5 at the Salvation Army Church. Christmas Party. December 9 Mr. Rice reminded Board members to attend the Health Department Annual Christmas Party to be held at 11 :30 a.m. - 2:00 p.m. on December 9, 1999, in the auditorium. Board of Health Information Mr. Rice referred the Board to additional information in their Board packet containing a copy of the EP I Information Newsletter, a letter to Dr. D. John Morris, Superintendent of New Hanover County Schools regarding the installation of generator transfer switches at the emergency shelters, a letter of appreciation for Ms. Mary Jo Newton's antismoking program entitled Smoking is Not Your Friend, and a copy of the 1998-99 Health Department Annual Report. Other Business: Year 2000 Board of Health Committee Assie:nments Mr. Steuer reminded the Board committee appointments will be made after the first of the year. Anyone wishing to serve on a particular committee should notify Mr. Rice or Mr. Steuer. Adjournment: Mr. Steuer adjourned the regular meeting of the New Hanover County Board of Health at 9: 17 a.m. d~J_~ William T. Steuer, PEtRLS, Chairman New Hanover County Board of Health ~ David E. Rice, M.P.H.,M.A., Health Director New Hanover County Health Department Approved: January 5, 2000 8 I I I