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03/02/2000 .. P~0 I-~ . ~ g-Io NEW HANOVER COUNTY BOARD OF HEALTH Dr. Thomas Fanning Wood Memorial Conference Room New Hanover County Health Department AGENDA Date: March 1, 2000 Time: 8:00 A.M. Place: Dr. Thomas Fanning Wood Conference Room New Hanover County Health Department Presiding: Mr. William T Steuer, Chairman Invocation: Mrs. Anne Braswell Rowe Minutes: February 2, 2000 Recognitions: Retirees Edwin Hart, Environmental Health Specialist Environmental Health Martha B Walton, Public Health Nurse, Community Health Chairman Personnel New EmDlovees Glendora D. Slappy, Clerical Assistant, Administration Brian K. Scott, Environmental Health Specialist, Environmental Health '"5rt/tJlJF)tJ, I tU re;e 11/ ...1- _ v.:L...-! " I H.rt.e/k 1k55011 .:... (J~ =- {!-fl. Departmenta Focal: I Social Work in Public Health . Mr William T. Steuer Ms. Barbara Berkemeier Social Worker Monthly Financial Report: January 2000 Ms. Cindy Hewett Business Officer .e NHCBH Agenda March 1,2000 Page 2 Committee Reports: Executive Committee - Mr. William T Steuer Budget Committee AS 400 Upgrade /I~_. ...:t: t'~,/V/ j/;- .f) urr/) A .. _..,,;J<1s. Anne BRowe f.-,V1YVFU V/f'PV'~ {(5"I//W~ Chazrman Unfinished Business: / Generators/Hookups at Emergency Shelters - Mr. William T Steuer New Business: /1_ 1(. Grnn' Pmpo~1 - Worn," '"fm", """ ChHd= """""'~ 11--J.tf Reclassification Request. Clerical Assistant to Administrative Assistant :;...5- ;Fj Appointments to Animal Control Services Advisory Boar . 30- 3~ Budget Amendment - Medicaid Cost settle~ 997-98 6~-7b RevisiontoFeepOliCY-CPT/ICD9codin~ ~~.' L ~ Appre",tio" L~"""'"~~' April 27 '-1Ml!~F~" Performance Evaluation - Health Director ~ ~ - Mr. William Steuer Comments: Board of Health Members e Health Director 1 AEIOU (;}J1ff(UJO 'd-tto1 ~r~~vrr- ~~ fd~'7-d E. Rice 2. Cape Fear Area United Way - Health Services Allocation Team ~1,t'1&Pf~4~ 3 Regional Health and Human Services Needs Assessment Upda _ Li/lii ~~ ~ . 4 NHC - School Retrofit Projects Steering Group . _./L. - &H ~ 5 Management Academy for Public Health D~ W-" _ F'fOO-()( ~~ 6. NHCHDP'fi~::~~ - ~~.uk, Other Business: ~~ ~ - /)/(9f t/~~fr~5.L__ = 11!Zl~p~ t~\ AdJo.m/'bi9 \\ r;': ~ IY\ L- rto@R:E'%c.-) \ -~/;:f'~~,S I I I 114 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, March 2,2000. Members Present: William T. Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Henry V. Estep, RHO Michael E. Goins, OD Robert G. Greer, Vice-Chair, County Commissioners Gela N. Hunter, RN, Nurse Practitioner Anne Braswell Rowe Philip P. Smith, Sr., MD Melody C. Speck, DVM Estelle G. Whitted, RN Members Absent: W. Edwin Link, Jr., RPH Others Present: Mr. David E. Rice Lynda F. Smith, Assistant Health Director Frances De Vane, Recording Secretary Invocation: Ms. Anne B. Rowe gave the invocation. Minntes: Mr. Steuer asked for corrections to the minutes of the February 2, 2000 New Hanover County Board of Health meeting. The minutes of the February 2, 2000 Board of Health meeting were corrected and approved by the Board of Health. Recognitions: Retirees Mr. David E. Rice, Health Director, presented a retirement plaque to Ms. Martha B. Walton, Public Health Nurse, and Community Health. He congratulated Ms. Walton on her years of service as a Public Health Nurse. Mr. Edwin Hart, Environmental Health Specialist, Environmental Health, was commended for his public health services and his retirement plaque will be sent to him. Personnel New Emplovees Mr. Rice recognized and welcomed Ms. Glendora D. Slappy, Clerical Assistant, Administration, and Mr. Brian K. Scot, Environmental Health Specialist, Environmental Health. Mr. Scott is a new employee and Ms. Slappy is a former health department employee. 1 115 Student Intern Mr. Rice introduced Ms. Michelle Masson, UNCW Intern, who IS servlllg an internship III the Community Health Division. I Department Focal: Social Work in Public Health Ms. Barbara Berkemeier, Social Worker presented a department focal on Social Work in Public Health. March is Social Work Month celebrating 102 years of social work. She gave the history of Social Work in the New Hanover County Health Department. She emphasized there is a great need for social workers in the health department. The health department now employs 9 social workers. They work with Maternity Care Coordinators and with clients at Coastal OB/GYN Center, Carolina and Cape Fear OB/GYN, New Hanover Community Health Center, and Coastal Family Medicine. Child Service Coordinators work with children (from birth to 5 years old) and with their families addressing developmental, environmental, social and medical concerns. A Certified Clinical Social Worker provides more intensive psycho-social counseling to high- risk pregnant women and to women attending the Women's Preventive Health clinics in the health department. Social workers make referrals and work with Women, Infants, and Children and other health department clinics. Ms. Berkemeier emphasized the client comes first and patient care is proactive. Since January clinics are held in the Zimmer Building ofthe New Hanover Regional Medical Center. Mr. Steuer thanked Ms. Berkemeier for her presentation. Monthly Financial Report - January 2000: I Ms. Cindy Hewett, Business Officer, referred the Board to a chart and a summary of the January Revenue and Expenditure Reports. She reported the reports reflect the expenditure and revenue line items are on schedule. The January Health Department Financial Summary Monthly Revenue and Expenditure Report reflects an expenditure remaining balance of $4,787,057 (49.07%) and reflects an earned revenue remaining balance $1,923,375 (53.23 %). She explained Animal Control Services and Environmental Health fees are lower than they should be. This was expected since revenues for both programs were increased by the by the budget office, and we do project earning all the budgeted revenue. Committee Reports: Executive Committee Mr. Steuer reported the Executive Committee at 6:00 p.m. on Tuesday, February 22, 2000. Items are listed under New Business on the Board of Health Agenda. Budeet Committee - AS400 Uperade Ms. Rowe, Chair of the Budget Committee, presented a request and a recommendation from Mr. Bill Clontz, Information Technology (IT) Director, to upgrade the AS400 Computer System. She stated upgrade is needed and will add $50,000 to the Administration Division FY2000-2001 Budget Request. I Mr. Rice advised if the computer requests are not approved in the budget request, the upgrade will not be needed. 2 I ,. 116 Dr. Speck inquired whether personal computers are pu~chased through a central point. Ms. Hewett explained the IT Department is the county's central purchasing department for county computers and computer equipment. MOTION: Ms. Rowe moved from the Budget Committee for the Board of Health to approve the budget request for $50,000 to upgrade the AS400 Computer System and to increase the FY2000-2001 Budget Request ($50,000). Upon vote, the MOTION CARRIED UNAMIOUSL Y. Unfinished Business: Generators/Hookups at Emereencv Shelters - Meetine February 21 Mr. Rice reported the School Retrofit Projects Steering Group met on February 21,2000. The generator hookup project went out to bid. The County Commissioners received two bids. Three bids are required for the first bids. The next time one bid will be required; therefore, the School Retrofit Project will be delayed three weeks. The identified schools for the generator equipment by priority are Dorothy B. Johnson, Trask, Eaton, Noble, and Codington. Mr. Rice stated Mr. Dan Summers, Emergency Management Director, has requested a mobile generator in FY 2000-01 budget request. Mr. Steuer stated perhaps by the end of June 2000 electrical transfer switches will be installed in the schools used for disaster shelters. Dr. Goins commended Mr. Steuer and the Board of Health members for their interest and efforts in obtaining the generator equipment. New Business: I Grant Proposal- Women Infapts, and Children Outreach ($5,590) Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a Grant Application for Women, Infants, and Children Outreach Project in the amount of $5,590. The grant, funded by the Nutrition Services Branch of the North Carolina Department of Health and Human Services, Division of Public Health, is targeted to recovering caseload lost as a result of Hurricane Floyd. The Outreach proposal should increase health department WIC participants. The budget request includes temporary salary for a part-time Clerical Specialist I ($2,390) travel, and operating expenses for outreach activities. I MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve a Grant Application for Women, Infants, and Children Outreach Project in the amount of $5,590 and to submit the grant application to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Reclassification Request - Clerical Assistant to Administrative Assistant II Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a reclassification request of a vacant Animal Control Services (ACS) Clerical Assistant position to an Administrative Assistant II position. The Administrative Assistant will supervise the expanded ACS Management Support staff, assist with budgetary items, and provide office manager skills to the division. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the reclassification request of a vacant Clerical Assistant position to an Administrative Assistant II position in the Animal Control Services Division and to submit the reclassification request to the New Hanover County Manager for consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y. 3 117 Appointments to Animal Control Services Advisory Board Mr. Steuer recommended from the Executive Committee the appointment of Ms. Jewell Ann Diehn for Member at I Large on the Animal Control Services Advisory Committee. The expired terms and vacancies on the committee are Member at Large, Cat Interest, Kennel Operator, and Friends of Feline. Mr. Greer inquired regarding the ACS Advisory Committee appointment procedure. Mr. Rice advised the vacancies are advertised in the newspapers and appointed by the Board of Health. Dr. McNeil reported she will again advertise and present ACS Committee applicants for the Cat Interest, Kennel Operator, and Friends of Feline positions based upon availability. There were no other applications for the vacant positions. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the appointment of Ms. Jewell Ann Diehn for Member at Large on the Animal Control Services Advisory Committee. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Budeet Amendment - Medicaid Cost Settlement 1997-98 Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve the Budget Amendment for the 1997-98 Medicaid Cost Settlement for $174,590, revised to delete partitions for the auditorium ($19,590) and workstations ($34,000), amended to add automation expenditures from FY200 I Budget Request for those programs in which Medicaid revenues were earned. Ms. Lynda F. Smith, Assistant Health Director, explained the budget amendment for $ I 74,590 for the Medicaid Cost Settlement for the period of October 1997 - September 1998. If the budget amendment is approved, the items marked with an *are to be deleted from the Health Department FY2001 Budget Request. The Request for Budgeting Medicaid Maximization is follows: I Administration - 110-510-5131 - $74,450 *Training and Travel ($4,500) *Other Improvements - Medical Records ($16,000) *Partitions for Auditorium ($19,590) *Capital Outlay - Equipment - 8 Workstation cubicles for Upstairs ($34,000) CSC Title XIX Revenue Source - 110-510-5133-3327 - $53,000 To offset projected shortfall of Medicaid Revenue ($ 53,000) CSC Contract Services - 110-510-5133-3700 - $19,000 Additional interpreter services through 1999 ($ 5,000) Temporary clerical help for medical records ($ 4,000) Medical records bar coding transition ($10,000) *EPI - 110-510-51514210 - Snpplies - $5,000 Purchase vaccines from FY2000 Budget Request ($5,000) *EPI - 110-510-5151-6400 - Capital Outlay- Equipment - $15,000* Generator for Pharmacy ($15,000) MATERNAL HEALTH -110-510-5162-3700 - Contracted Services - $1,000 Transportation services additional amount through June 30, 2000 ($1,000) F AMIL Y PLANNING - 110-510-5163-4210 - Supplies and Drugs $7,500 Purchase supplies an drugs cut from FY 2000 Budget Request ($7,500) *Items in FY2001 Budget Request - to be deleted if approved this fiscal year I 4 I I I -.: ' . . ~~, ..<c "" . 118 Ms. Smith stated some of the automation expenditures ($38,000) in FY2001 Budget Request could be substituted for the auditorium partitions and workstations. The Child Health Services Coordinator Title XIX Revenue Source is to offset projected shortfall in current year Title XIX revenue. Mr. Estep inquired whether the health department will receive Medicaid Maximization funding annually. Ms. Smith responded the funding probably will continue at least for the next two years. Ms. Smith advised the Medicaid Cost Settlement ($174,590) reimbursement funds are required to be budgeted and expended to further the objectives of the program that generated the revenues. Mr. Greer stated particularly this budget year, the reimbursement funds need to be expended based upon need. Mr. Rice reported recommendations from Ms. Cam Griffin, New Hanover County Budget Director, were considered in the preparation of the budget amendment for the expenditure of funding. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the Budget Amendment for the 1997-98 Medicaid Cost Settlement for $174,590, revised to delete partitions for the auditorium ($19,590) and workstations ($34,000), amended to add automation expenditures from FY200 I Budget Request for those programs in which Medicaid revenues were earned, and to submit the budget request to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Revision of Fee Policv Mr. Rice referred the Board of Health to their copy of the New Hanover County Fee Policy revised February 2000. He stated this is a fluid document and that health departments are changing the way they do business. The health department will be considered as a single provider. Effective July 1, 2000, health departments will bill Medicaid and third party payors by CPT/ICD9 codes (Current Procedural Terminology (CPT) and International Classification of Diseases-9th Revision (ICD9) diagnosis codes. Ms. Hewett reviewed the changes in the Health Department Fee Policy. Effective July I, the existing codes used to bill Medicaid will not be accepted. In the past many of the health department services were billed and reimbursed by Medicaid as bundled services. The services have been identified and broken down into CPT/ICD9 codes and fees. Ms. Hewett reiterated beginning July 1,2000, the new CPT coding each service will have a specific individual CPT code with a specific fee for each service. Health department services will no longer be billed as bundled services. She expressed in order to accomplish the conversion to CPT/ICD9 billing codes, the health department staff has worked diligently. Ms. Hewett advised the fee policy revision includes CPT Codes and Fees based upon a Sliding Fee Scale at 250% Federal Poverty Level for Women's Health (Family Planning) pending state approval and at 350% Federal Poverty Level for other applicable programs. The Family Planning sliding fee scales are restricted by Title X regulations which require state prior approval. Ms. Hewett stated the health department wants to maintain clients and to utilize the sliding fee schedule. Even though third party payors are billed, many health department clients do not have private insurance. Ms. Whitted referred the Board to page 76 of the Revised Health Department Fee Policy. She expressed concern about the omission of an introductory statement to inform a health department client that an insurance claim was submitted, that no response or payment was received by the health department, and that the client may wish to contact their insurance company to verify the status of their claim. 5 119 It was the consensus of the Board of Health to include an introductory statement on page 76 of the Revised Health Department Fee Policy to advise the client of the status of their insurance claim as I submitted to their insurance company. Ms. Hewitt will make this revision to page 76 of the fee policy to clarify this issue. Dr. Goins emphasized the health department has no choice since CPT/ICD9 codes and fees are standard billing procedures. He expressed revenues may decrease the first year; however, revenues will probably increase with proper charges and proper application of charges and codes. He informed the conversion process will require a lot of staff time. Mr. Greer asked if this means public health will have another menu of health services. Ms. Beth Jones, Communicable Director, advised the health departments cannot charge for Communicable Disease mandated services. She explained this process is new to the whole state and concerns the Nursing Directors. Concerns include the possibility of a decrease and of changes in public health services and whether clients will go to their private physicians. Ms. Hunter stated the health department provides some services cheaper. Ms. Hunter and Dr. Smith concurred private physicians should not object to the new health department billing process. Ms. Hewett advised if an insurance company is billed for a service, the sliding fee scale will be applied to the balance. Changes in revenues will have to be monitored after the billing system is actually implemented and in place. Mr. Rice added the public health mission is to promote health and prevent disease. He summarized in order for the Health Department to bill, a mechanism must be in place, adjustments will need to be made, I and then we will need to focus on possible changes. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the New Hanover County Health Department Fee Policy (Revised February 2000) based upon a Sliding Fee Scale at 250% Federal Poverty Level for Women's Health (Family Planning) pending state approval and at 350% Federal Poverty Level for other applicable programs and to submit the fee policy revision to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Staff Appreciation Luncheon Mr. Steuer recommended from the Executive Committee for the Board of Health to approve to again sponsor a Staff Appreciation Luncheon. Mr. Rice reported Mr. John Coble, Past Board of Health Chair, is available to assist with the employee luncheon either on Thursday, April 13, or Thursday April 27, 2000. The Board decided to have the luncheon on Thursday, April 13, MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve for the Board of Health to sponsor a Staff Appreciation Luncheon on Thursday, April 13, 2000. Ms. Hunter expressed concern that employees must set-up and clean-up prior to and after the appreciation luncheon. She suggested the Board members consider cleaning after the luncheon. I 6 J 120 I Performance Evaluation - Health Director Mr. Steuer recommended from the Executive Committee for the Board of Health to approve a annual performance evaluation for Mr. Rice with an above expected rating, to give Mr. Rice a 4% merit increase, and to request that Mr. Steuer present a summary of the performance evaluations to Mr. Rice. Mr. Steuer explained that the Board of Health had a better understanding and used the scoring range in a more realistic manner to evaluate each question on Mr. Rice's performance appraisal. This year's salary increase was based on a scoring range of 0-5 with 3 being expected. Mr. Rice's overall average score was 2.574 as compared to 1.7 the previous year. Mr. Steuer advised the scoring this year was more realistic and was equal to or better than previous scores. He reported the Board of Health is extremely pleased with Mr. Rice's performance. Dr. Goins suggested that the performance evaluation tool for the Health Director be reviewed, revised, and presented to the Executive Committee by September for their consideration. It is difficult to apply. It was the consensus of the Board of Health to redesign the performance evaluation and appraisal rating system to clarify and to improve the performance measurement tool. Ms. Lynda Smith advised this year the salary increase for health department employees was based on a maximum of 5%. This was an in-house decision due to the number of excel bonuses and to budget constraints. Mr. Steuer stated Mr. Rice informed him prior to his evaluation that he would not accept a salary increase over the 5% maximum. I Mr. Steuer advised the perfonnance ratings and listing of comments would be presented to Mr. Rice. MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve a performance evaluation for Mr. Rice, Health Director, with an above expected rating, to give Mr. Rice a 4% merit increase, and to request that Mr. Steuer present a summary of the performance evaluations to Mr. Rice. Upon vote, the MOTION CARRIED UNAMIOUSL Y. Comments: Board of Health Members Mr. Rice's Performance Evaluation Ms. Whitted reported all she hears is that Mr. Rice's job performance is great. She thanked Mr. Rice for a job well done and for the improvements he is making in the health department. .I. Mr. Greer expressed his appreciation to Mr. Rice for his good job performance, and he commended Mr. Rice for his position on the acceptance of his' salary increase not to exceed the 5% maximum. Mr. Steuer expressed Mr. Rice prepares newsletters and other informational documents to keep the Board of Health abreast of the Health Department activities. He reminded the Board that certain personnel information and issues are confidential. 7 121 Health Director AEIOU Mr. Rice reported tomorrow the Assessing, Evaluating, Improving, Our Opportunities are Unlimited (AEIOU) Surveys will be distributed to staff for their completion. This is the second Organizational Capacity Assessment Survey. The Board of Health is requested to complete an abbreviated version of the survey. Cape Fear United Wav - Health Services Allocation Team Mr. Rice reported he served on the Cape Fear Area United Way Health Allocations Team. His duties on this team are now complete. Reeional Health and Human Services Needs Assessment Update Mr. Rice stated the Regional Health and Human Services Needs Assessment focus groups are meeting, and they will be the key to the strategic planning process. Telephone surveys are being conducted to identify the needs assessment process and gather data. Manaeement Academv for Public Health Mr. Rice advised Ms. Lynda Smith, Assistant Health Director, and Ms. Cindy Hewitt, Business Officer, attended the Management Academy for Public Health session held in February in Roanoke, Virginia. They gave a presentation on the Diabetes Community Coalition. The final Management Academy session will be held in May in Chapel Hill, North Carolina. NHCHD - Policv and Procedures Manual Update Mr. Rice presented a Table of Contents of the New Hanover County Health Department Policy and Procedures Manual. To date 20 policies have been adopted. The policies have been distributed to employees for their use and placement in their policy manuals. Board of Health Information Mr. Rice referred the Board to information in their packet. It includes: a letter to John Coble regarding the annual fee paid by restaurateurs; a Report on Boards of Health Compensation Per Meeting; a letter regarding Women's and Children' Health Section Clusters for identification of WCH process outcome objectives~ a budget update memo from Mr. Allen O'Neal, County Manager; a letter of support from Sheriff Joseph McQueen for a new LPN position in the Jail Medical Program; an invitation to a Public Health Luncheon and Celebration on April 4 at the Sheraton Imperial Hotel, Research Triangle, North Carolina; a 1999 Dangerous Dog Panel Dog Bite Report; and the results of the New Hanover County Blood Drive that ended January 21, 2000. Mr. Rice reported again the health department was on top with 51 blood donors. I I I. 8 I I I 122 Other Business: Board of Health E-mail Addresses Mr. Rice requested Board members to furnish their e-mail addresses for an e-mail directory that he is preparmg. Adjournment: Mr. Steuer adjourned the regular meeting of the New Hanover County Board of Health at 10:05 a.m. p~cI ~ William T. Steuer, PE/RLS, Chairman New Hanover County Board of Health David E. Rice, M.P .H.,M.A., Health Director New Hanover County Health Department Approved: April 5, 2000 9 New Hanover County Health Department Expenditure Summary for January 2000 . $4,500,000 $4,000,000 $3,500,000 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 $0 Salary & Fringe . $900,000 $800,000 $700,000 $600,000 $500,000 $400,000 $300,000 $200.000 $100,000 . III Projected FY 99 - 00 .. Expended FY 99-00 C Expended FY 98 -99 Opelllting Capital Outlay New Hanover County llealth Department Revenue Summary January 2000 $- .. ~ojected FY 99-00 .. Earned FY 99-00 C Earned FY 98-99 Federal & State AC Fees Medicaid 8-1 Fees Heatth Fees Other Note: The Revenue Summary Chart does not include County Appropriation and Medicaid Maximization funds, Note: The projected figures in both charts are the respective budgeted amounts muhiplid by the cumulative per~ntage (November = 41.65%). This serves as a basis for where earnings and expenditures for the Health Department should be at this point in time if all earnings and expenditures occurred equally each month. 8 -, . . . Type of Expenditure Salary & Fringe Operating Capital Outlay New Hanover County Health Department FY99-00 MONTHLY EXPENDITURE REPORT As of January 31, 2000 Summary for the New Hanover County Health Department Cumulative 0/0 58.31% Month Reported Month 7 of 12: Jan-OO Budgeted Amount Current Year Expended Balance Amount Remaining % Prior Year Expended Balance Amount Remaining % Budgeted Amount Expenditure Summary For Month of January 2000 9 . . . New Hanover County Health Department FY 99 - 00 MONTHLY REVENUE REPORT As of January 31, 2000 Swnmary for the New Hanover County Health Department Cumulative % 58.31% Month Reported Month 7 of 12 JalHlO Current Year (Through Jan 2000) Prior Year rough December Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Federal & State 1 ,353,803 728,890 628,913 53.69% 1,368,943 723,256 645,687 52.83% ACF_ 516,453 203,855 312,598 39.47% . 493,100 209,508 283,592 42.49% Medicaid 852,884 386,608 466,276 45.33% 824,754 346,387 476,387 42.24% Medicaid Max 192,301 192,301 , 00.00% 250,068 401,768 (151,702) 160.68% EHF_ 312,900 130,184 41.60% 236,000 141,169 94,831 59.82% Heafth Fees 109,515 80,473 73.46% 98,065 61,767 38,298 62.99% Other n5,172 469,362 60.55% 568,457 339,605 228,852 59.95% Note: County Appropriation is not calculated above. The County appropriation is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. The budgeted amount for County Appropriation for FY 99 - 00 is ($9.399,758 - $ 4,112.828) = $ 5,286,930. The expended amount for County Appropriation for this FY (year-to-date) is ($4,612,701 . $ 2,189,453) = $ 2,423,246. Revenue Summary For Month of January 2000 10 . " . rtEIiLTt\ EXECLtTlUE- (lDrnm~ NEW HANOVER COUNTY BOARD OF eOMfnl5SroRERS REQUEST FOR BOARD ACTION Meeting Date: 02t.2i'100 ~J. Department: Health Presenter: Nancy Nail, Nutrition Director Contact: Nancy Nail, Nutrition Director SUBJECT. Grant Application for Women/Infants/Children (WIC) Outreach Project (Amount $5,590) BRIEF SUMMARY: The Nutrition Services Branch of the North Carolina Department of Health and Human Services, Division of Public Health, has notified us of a Request for Proposals for WIC Outreach Projects targeted to recovering caseload lost as a result of Hurricane Floyd. These grants will allocate State WIC funds to do grassroots outreach campaigns to locate former and newly eligible WIC participants and encourage them to participate in the program. Grants of $5,000 to $10,000 will be awarded. We are requesting $5,590 in order to increase our WIC participants by 355. In order to accomplish this goal, we are requesting a temporary part.time Clerical Specialist I . (20hrs/week/12weeks). The budget is outlined on page 2 of the grant form as follows: Temporary Salary Travel (50miles) per week Printing Radio ads $2,390 200 1,000 2,000 Please review pages 4 and 5 of the grant form for activities and target audience.. RECOMMENDED MOTION AND REOUESTED ACTIONS: Approve grant application to be forwarded to County Commissioners with approval of Budget amendment for $5,590 if grant awarded. FUNDING SOURCE: WIC Outreach Grant -no county matching funds required ATTACHMENTS: Yes 5 pages . 11 . PROJECT PROPOSAL WIC OUTREACH PROJECT Applicant WlC Agency New Hanover County Health Department Address 2029 South 17 th Street Wilmington, NC 28401 Phone Number 910-343-6541 Fax Number 910-34144072 Project Manager Nancy Nail Title Nutrition Program Directphone 910-343-6541 Other WlC Agencies Participating in this Project (if applicable): Agency Contact Person Title Agency Contact Person Title Agenc)' Contact Person Title _gency Contact Person Title Number of participants to be added to caseload as a result ofthis project: Agency New Hanover County Health Dept. Number 355 Agency Number Agenc:_ Number Agency Number Agency Number Total Number 355 Will the above numbers bring the caseload of each participating agency up to 97% of assigned caseload? ~Yes No 12 !. .' fIlew Hanover County Agency Project Proposal Page 2 Budget through June 20, 2000: Personnel Temporary part-time Clerical Specialist I (20 hrs/week for 12 weeks) Cost $2390':00 Cost Cost Materials Travel 50 miles/week for 12 weeks .quipment Other Specify' Do you plan to use any subcontacts? Cost $1000.00 2000.00 CoSt Cost Cost Total Budget $5590.00 Yes x No If yes, briefly describe: Printing Radio ads . (If you use subcontracts. they must be sent to your regional nutrition program consultant for approval prior to implementation) 13 New Hanover County Agency Project Proposal . Project Activities: Page 3 Briefly describe how your project will target the participants lost or newly eligible as a result of flooding: Activityffarget Audience Hire temporary part-time Clerical Specialist I to perform Outreach activities (20 hours/week for 11 weeks) Outreach activities to include: 1) Door-to-door campaign in hurricane affected areas to distribute WIC out- reach materials and/or provide WIC certification appointments 2) Distribute WIC posters to businesses such as grocery stores, laundromats, etc in areas identified as affected by the hurricanes 3)Distribute WIC Outreach materials to MD offices and encourage referrals 4) Contact identified churches to investigate providing WIC outreach materials in church bulletins 5) Provide WIC Outreach flyers to WIC vendors to be used as grocery bag stuffers 6) Print and provide tray liners promoting WIC participation to cooperati fast food restaurants in New Hanover County such as McDonald's 7) Phone calls to former WIC participant encouraging recertification and Person(s) Responsible Nancy Nail Clerical Specialist I " " " I' I , Nancy Nail & Clerical Specialist I & WIC Administrative Assistant Nancy Nail & Clerical g Specialist I Time Frame By 4-1-00 By 4-14-00 By 4-21-00 By 4-28-00 By 4-21-00 By 5-1-00 During May 2000 WIC .Clerical Specialist 1 throughout duration and entire WIC staff of outreach effort 14 New Hanover County Agency Project Proposal Page 4 eroject Activities (continued): Activityffarget Population Organize at least' three "walk-in" WIC certification days and promote through local media, WIC vendors, and MD offices Person(s) Responsible Time Frame Entire WIC staff One event per month in Xpril, May, and June Write a 15-30 second radio spot promoting WIC participation and pay to advertise on appropriate local radio stations including Local Hispanic stations (goal of 50-75 or more spots) Nancy Nail with help from Health Educator to run during months of April and/or May 15 . '. .Ii . s_~ North Carolina Department of Health and Human Services Division of Public Health 0 Nutrition Services Branch 1330 St. Mary's Street 01914 Mail Service Center oRaleigh, Nonh Carolina 27699.19140 Courier S4-42'()1 Ann F. Wolfe,MD" M.P.H., Director MEMORANDUM January 26,2000 TO: Local Health Directors, Hurricane Floyd Affected Counties ATIENTION: WIC Directors . FROM: Alice Lenihan, Head ~ Nutrition Services Branch SUBJECT: Request fQr Proposals for WIC Outreach Project!; Due February 29, 2000 Enclosed is a Request for Proposals (RFP) for WIC Outreach Projects targeted to recovering caseload lost as a result of Hurricane Floyd. These grants will allocate State WIC funds to do grassroots outreach campaigns to locate former and newly eligible WIC participants and encourage them to participate in the program. . For the remainder of State Contract Year 1999-2000, a total of$IOO,OOO is available for funding outreach projects. Grants of $5,000 to $10,000 will be awarded for this purpose to a limited number ofWIC Programs based on the strength of the proposals. We encourage WIC agencies to partner with other WIC agencies who have common goals and can use similar activities to accomplish them. Additional weight will be given to multi-WIC agency proposals when selecting grantees. The enclosed materials describe the RFP requirements and guidelines. We look forward to you' application. Please contact your Regional Nutrition Consultant if you have questions. Enclosures cc: SMT Regional and Central Office Nutrition Consultants Nutrition Services Branch Staff S:sharelnutritionlcarolynlrfpmem . Every",",,., E>eryDoy. EveryBody 1.: . . . Jean McNeil 02/07/2000 04:55:20 PM To: David E Rice/NHC@NHC cc: Lynda Smith/NHC@NHC, Daisy Brown/NHC@NHC Subject: Re: Position Reclassification This is the response from Cathy Morgan. Let me know if additional information is required in preparation of material for the Executive Meeting of the Board of Health. Thank you for your consideration of this very important matter ...................... Forwarded by Jean McNeil/NHC on 02/07/2000 05:07 PM ............''--........... . Cathy Morgan 02/07/2000 03:06 PM To: Jean McNeil/NHC@NHC cc: Andre Mallette/NHC@NHC Subject: Re: Position Reclassification ~ Jean: I have reviewed the attachment below (the completed position description questionnaire for the vacant position you propose to reclassify). As we discussed, ultimately this request to reclassify the position must go to County Manager Allen O'Neal, who has the authority to approve or deny the request. Although, we are approaching implementation of a new classification and pay system in July hopefully, I agree with you that now.. while you have a position vacancy.. is an opportune time to re.structure your organization the way it will work best for you. I also agree that, with the recent addition of clerical positions to your organization making a total of 6 clerical positions, it makes sense for you to now have a clerical supervisor-type position to free you from some of the direct supervision responsibility so you can devote more time to larger administrative functions. If Mr O'Neal agrees that reclassification is in order at this time, I think the Administrative Assistant II classification (pay grade 114) would be acceptable. Looking at the number supervised, the proposed specialized fiscal support/review work and responsibility for coordinating volunteers, I can see that classification level for now It would probably transfer easily into a classification in the pay plan the consultants recommend. If you need anything further from me, please feel free to call on me at x7324 Cathy Jean McNeil Jean McNeil 02/07/200011.12:14 AM To: Cathy Morgan/NHC@NHC 17,. . . . cc: Subject: Re: Position Reclassification Cathy, please review the attached PDQ document and send me a lotus note (and probably Dave Rice and Lynda Smith) with your comments regarding the write up. They said the form and request must go through the Board of Health and higher prior to advertising for the position. I didn't know it was so involved. This is a DRAFT. I will be happy to make changes per your request. If you simply want to lend your support without reading the information in detail, that's fine by me. (You may be required to read it in detail.) ~ nni;ndn 18 . . . New Hanover Countv Animal Control Services Jean McNeil, Director Request for Position ReclossiflCaIion: Clerical Assistant to Administrative Assistant II Anima1 Control Services has undergone tremendous growth in the last fiscal year both in staffing changes and a growing community. The clerical staffhas doubled in size adding a greater work load to me and a loss of continuity to the flow of division responsibilities. A recent vacancy in a Clerical Assistant position has created an opportunity to reclassifY this position to the much needed job of Administrative Assistant II. Departments that have similar clerical makeups to our present status generally have an Administrative Assistant to supervise the clerical staff. This person will also be utilized to assist me in my job responsibilities, so that the division can be run in a more efficient manner. I have been in contact with Cathy Morgan in Human Resources regarding this issue. She agrees with the decision to reclassify the position to a supervisory position. We discussed the current position reclassification study currently being reviewed, but she feh this should be considered as a separate item. The need has presented itself as an immediate and favorable circumstance by the current vacancy we now face. Please consider approving this reclassification at your earliest convenience, so we can proceed with recruitment. A position description will follow shortly after your approval. Thank you for your consideration. 02/07/0Ojpm 19 I I . . . Fiscal Year: REQUEST FOR'1"IEW'PosrrioN, RECLASSIFICATION OR SALARY UPGRADE TO DEPARTMENT HEADS: Ple_ /ill ill all blGll1u and _"",r all qlU!" tioM. Enter "NIA" if a MaN. ar 9IU!" liD.. does _ appl,. Also, carefbJl, rellUlID GA, altacluJd tornu to ......... p.....rCOllllpleliora. lraeon.plele (orrru ...., res"" ill ckl4yedactiora. DepartmentlDivision Name: Health Dept/ Animal Control 510 110 Agency #: Fund #: 5114 Organization #: Cheek the Requested Action: 0 New Position 0 Reel"-mcation 0 Salary Uprgrade I. Current position classification title (Do lIOt compkte for" -new position request): clerical assistant G~ 109'~18, Ib'L - :tiLtl,1UL) 2. Requested position classification title' Adminis tra tive Assis tan t II 3. Requested pay grade: 114 Proposed effective date of requested action: immedia te ($24,024 - $34,403) Check one: I!I Full-time 0 Part-time. Ifpart-time, check one: 0 50% 0 75% 080% 4. S. Essential duties and responsibilities.Supervises clerical staff and makes decisions regarding entire starr 1n the absence of Director and/or supervisor; includes planning, organizing, and participating in the enforcement of applicable rules and regulations governing animal control, and general office management. Directs the preparation & maintenance of necessary records & reports, assists in preparation of budget & monitors expendi- tures. Responds to public inquiries in person, by telephone, or througn written correspondence.Educates general public concerning rabies & anima care_ Other duties as deemed necessary by the director. (see attached essential duties from PDQ and additional comments) 6. Justification for requested action [For reclassification or salary upgrade, briefly describe changes to this position's duties and responsibilities (and/or to your organization) which you think justify the action; for new position, describe conditions that you think warrant the addition of a new position.]: Animal Control Services has undergone tremendous growth in the last fiscal year both in staffing changes and a growing community. The clerical staff has doubled in size adding a greater work load to the Director and a loss of continuity to the flow of division responsi- bilities. A recent vacancy in a Clerical Assistant position has create< an opportunity to reclassify this position to the much needed job of Administrative Assistant II. Departments that have similar clerical makeups to our present status generally have an Administrative Assistanl to supervise the clerical staff. This person will also be utilized to assist the director in her job responsibilities, so that the division HR-HlWScan be run in a more Co ,,_ 2 efficient manner n....ue on page . . 20 _ . . . 7. page 2 How will the requested action benefit the County? The ACS Division will operate in a more efficient manner by bett€r organization of personnel. More county residents will have the oppor- tunity for education. Volunteers will more readily be utilized to implement positive programs for animals and citizens in our community. 8. Are there any employees currently performing the same duties and respoAsibilities as described in the PDQ? IX] Yes 0 No If "yes," identify be name, position classification title, and unit. Jean McNeil - Director Judy Evonko - Supervisor Delisa Lloyd - Clerical Assistant II 9. If your answer is "yes" to 1/8. what impact would the requested action have; on the Do~ition(s) listed? The supervisory personnel will be free to develop 1nnovAt1ve programs for the department and perform additional educational presentations in the community. The clerical person would be free to dedicate much needed time to understanding and developing programs with the new Chameleon software. 10. What will be the impact if the requested action is not taken? ACS will continue to function, but not at its best capacity. The general public will suffer a diminished opportunity for rabies education, as the supervisory staff will be occupied with managerial duties. The volunteer program will not develop as rapidly with no person to directly oversee the clerical portion. The new Chameleon software will not be utilized as fully as soon as possible. 11. How will the position be funded? General county funds. ~MI'-1.~(.,.~ U Signature Title (Attach czdditio1lGl sheets if needed. Do not write below this line.) Feb. 14, 00 Date Director Action on Request: HR-HIWS 21 . . . New Hanover County IV. ESSENTIAL DUTIES Essential Duties Decisions Required Frequency %01 DWMOAO Time 1. Supervises clerical staff and Clerical staff scheduling, D 45% makes decisions regarding entire periormance appraisals, staff in the absence of Director interpretation of current and/or Supervisor; includes laws and regulations, planning, organizing, and quarantine decisions, participating in the enforcement changes to county code. of applicable rules and regUlations governing animal control, and general office management. 2. Responds to pUblic inquiries in Public compliance to laws D 15% person, by telephone, or through and regulations, response written correspondence. time to complaints, answers questions regarding cases. 3. Directs the preparation and New forms or reports for D 15% maintenance of necessary records job clarity, decisions and and reports, assists in preparation monitoring of expenditures. of budget and monitors expenditures. 4. Educates the general public Presenting information to M 5% concerning rabies and animal meet the understanding care, either by presentaion, capacity of the group by phone, or handout material age level represented. preparation. 5. Attends meetings to clarify Preparation of information M 5% division operation and collaborate to be presented at with internal or external groups, meetings, preventive tracking of rabies epidemiology measu res to protect pet and pUblic population. 22 . . . New Hanover County 6. Reviews statistical reports, Decisions regarding M 10% prepares reports and data, plans appropriate data to track, and schedules special projects graph/format typing, and dangerous dog meetings. special events. 7. Coordination of volunteer Training and overseeing of D 5% program in areas of administrative volunteers for clerical work, aide and community outreach. coordination of special events and community outreach programs. 8. 9. 10. 23 .. . . . XIII. ADDITIONAL COMMENTS Are there any additional comments that you would like to make to be sure you have described you job adequately? Animal Control Services is a complex and diversified entity. The work we do is unique in our protection of both the general public and the pets they choose to call companion animals. The information contained in this written form only begins to give an overview of the stress and mental demands placed on each individual that works in the division. Each employee must have a great love for animals and a great degree of dedication to the service of our community to perform the duties of the job effectively Please take the magnitude of the work performed into consideration when making your decision to reclassify this position. 24 . . . New Hanover Countv Animal Control Services Advisory Committee Appointments The following positions are vacant per the new rotation scheduling and one resignation effective December 1, 1999: Member @ Large Friends ofFelines Kennel Operator Cat Interest (person would fill the remainder ofterrn; to expire December 2000) No applications have been received for kennel operator or Friends of Felines. Current leadership of Friends of Felines is undetennined at present time. ACS can re-advertise for the other open positions and pursue contact with a possible member of the cat group to seek their representation on the committee. 02l15/0Ojpm 25 . . . Aninud Control Advisorv Committee ADDOintment Rotations Replacements will occur by rotation of the respective members in the following categories: Grouo One Member @Large- general public (vacant) Friends of Felines - group representative (Carol Smith) Kennel Operator - general public (restricted selection) (vacant) Grouo Two Hanover Kennel Club - group representative (John Boozer) Azalea Dog Training Club - group representative (Cheryl Fiste) Cat Interest - general public (Maryann Waldron) Grouo Three Member @ Large - general public (Donna Booth-Neal) Hunter - general public (restricted selection) (Eddie Spencer) Humane Society - group representative (Joyce Bradley) Note: The veterinarian position on the committee is the veterinarian that serves on the Board of Health or their designee. Members in group one will come to the end of their term in December, 1999. Groups two and three will be replaced in 2000 and 2001, respectively. Anyone currently in a position will serve until their term expires. If they are serving in their first three year term, they have the option of serving another three year term before going ofIthe committee. These positions are subject to approval by the Board ofHea1th. Group representatives are named by appointment, and that named person is the only voting member of the committee. Another person may be sent to the meetings in their stead for information to be distn"buted to the group that they represent. The selections were made to allow an opportunity for someone from the general public to apply annually. There is as even a dispersernent of group representatives as possible as well. Revised 8/26/99 jpm 26 . December 1, 1999 It is with deep regret that I must resign from the New Hanover County Animal Control Advisory Board and as Volunteer Coordinator for Animal Control. My ten years of working with the professional and dedicated staff at Animal Control and with the members of the Board of Health makes this decision a difficult one, but I find myself in a position where I cannot devote . the necessary time and work to effectively serve in these capacities. Sincerely, m Mar~ Waldron . 27 " I . . . "' Jewell Ann Diehn 4953 Tanbark Dr Wilmington, NC 28412 December 1, 1999 Jean McNeil 220 Division Dr. Wtlmington, NC 28401 Dear Ms. McNeil: I am interested in serving on the NHC Animal Control Services Advisory Committee. I would qualifY for the at-large member or the cat-interest seat. I do not currently own any animals, but have in the past. I am currently serving on the County's Adult Care Advisory Committee. Sincerely, ~~AL Jewell Ann Diehn ,28 . NEW HANOVER COUNTY DAVID E. RICE Health Director ANIMAL CONTROL DMSION 220 DMSION DRIVE Wll..MINGTON, NORTH CAROLINA 28401 TELEPHONE (910) 341-4197 FAX (910) 341-4349 JEAN P. McNEIL Animal Control Director New Hanover County Animal Control Services 220 Division Drive WIlmiruzton. N.C. 28401 (910) 341-4197 Aoolication for Aooointment to Animal Control Advisorv Committee . e: f- D2-0fJ(2/J~ Address: 0? 30 I (j LO O/2CJrfr91W :))rtu{.~ - City: W~lr1U JJ&T<5tJ1 ;\J c.... Telephone: Home: Cjr 0- d{Sfo -10/1.( Business: - - Why do you wish to serve on the Animal Control Advisory Committee? An /} ~ ~C:.tJ tJ~~ lAJ}f'i) rJyt-S 20 Lj/lS eX IVlJ &Jc.L ~ ,PoL 1Jk~/hJ s FEE L A.) f ~jO c7Cf arM- E- ;=oiL A-7vfyy 4-LS IT'S" 7>~ P7'9-t/L ~u tJlre.w <..- G)"JY; iJy ~ ~ ~t areas of concern would ou like to~ the Committee address? ~ . cyOLL't df,altl'z -<0LL't gJ'tw'ti1!J ].9 110.510.5131.6300 (Adm) Other Improvements 16,000 Additional amount for Medical Records Renovation ~ IIO-5\O-S-lal-4~oll C1r..-~ ~C<f>E1V~S ., 1'1,:1ID ~~ 0.5131.6300 (Adm) Other Impro s ~OI\r\.o2A ,t>Ob ~o \)~ -\. . Modern fo able partition I orium), witR SeuI16r\\~" '1Q~ ~~~sl~ransfer Coefficient. 0 artitioning of auditorium ~~ '1,1 \0 IT\o\;into three se spaces when r conference or ?It,:''\.f...Q:> 400 ~meeti ace (in FY2001 Budget Request, thl unt . 0,000) n. . :1 ~ 110 - SIO-S131-~q COlT\~u,..-$:~ E<:>l ~t0scs, _~'ll~;t&L c.'7 R ~~ *. 1-9400 (Adm) Capital 0 ' ment ~ 6'l.8 Workstation cUDlc upstairs to provide 3ct\1Cec-ser,a,Q. 3lc '~rkspace for mployees an ture growth ~$~~s. ~~';t (in FY udget Request this amount IS LCV'\pl6Dead~DDD _'1s.~) rn f\ stations and is $40,000) ~Lte,@' 1 ~~C\).rOL r.. SI):.~D 5t~&D 110.510.5133.332~ (CSC)).Title XIX Revenue Source ft3,OOO" Budget additional ~o offset projected shortfall of revenue earned from Medicaid due partly to position vacancies resulting in fewer visits and fewer billings ('?-.'Lc\U."*'b"'" ':l ctl,lD::lD .~..~~oS) -k ~,,~ a.u.wl"t\~~,-,>~~ >uq~ &t ~ -1iSS" ~IO. ~ a,.....,.,.~ o..ucll.Q~~O\..L~ ~~~ Q~-\ta.S.(~I+Oe~~J~~ wt9'lk.~,J.,~ wcu...~~)~Cl 30 "(-$19,$qO + -t ~4-\ 000 ;::? ~ S3,!5~D) . . . MEDICAID MAXIMIZATION COST SETTLEMENTi BUDGET: REQUEST Line Item Justification Fiscal Year: 1999-2000 -* LJ~~ 0JL0.... ~~O) Department: Health ;-;:O::~::~~ Division: Administration - Health n...t'1:J;u ~.;;> ~kd'O""-'GO Department Contact Person: Lynda Smith ~ Q'\... \cuA ~ J> '1 Sqo ~d; ca;ci eos.\ rl-{lfI\)Ed-. ~rnl~S~~ Request: $174,590 Explanation Request for Budgeting Medicaid Maximization Settlement amount of $174,950 in Fiscal Year 1999.2000 Budget $Request *110.510.5131-5200 (Adm) Training & Travel AS400 training Systems Admin and Business Officer 4,500 ~ . . . Continued Medicaid Maximization Budget Request: 110.510-5133.3700 (CSC) Contract Services Additional interpreter services to get through the year $5,000 Temporary clerical help for medical records move and consolidation of files (this will require additional time outside normal working hours) $4,000 19,000 Medical records bar coding transition SEE. Q.~4&...& Lo4-<<.s ""~'!.. $10000 "\ I '" I :'000 bO~ 8"1""""'0..+' ""-- ' 110-510.5151-4210 (Epi) Supplies Purchase of vaccines.money needed to purchase vaccines was cut from FY2000 Budget Request.unless money is there to make the purchase of vaccines the services cannot be provided 5,000 *110-510.5151-6400 (Epi) CapitalOutlay.Equipment Generator for Pharmacy. needed to store inventory in state provided and purchased vaccines 15,000 110.510.5162-3700 (Maternal Hlth) Contract Services Transportation services.additional amount needed to provide this services through June 30, 2000 1,000 110.510-5163.4210 (Family Planning) Supplies Drugs.FY2000 Budget Request was cut in this line item.money needed to purchase drugs for Family Planning 7,500 *Indicates items included in Fiscal Year 2001 Budget Request which can be deleted from that request if approved this fiscal year See attached pages 104, 106, 108, and 168 from FY 2001 Budget Request Workbook giving justification for items above with *. LFS 2/16/2000 31 . . . Beth Jones .-..-..-..-.-.---.-. ------'----- . 02/16/2000 10:24 AM To: Lynda Smith/NHC@NHC cc: Kim Roane/NHC@NHC, Paula JenkinsINHC@NHC Subject: Medical Records Transition.. Contract services When the Medical Records Room is completed, then we must convert all medical records to the new filing system. The records have been filed using a color -coded system which has exceeded the limits of effective filing and retrieval with the number of records we now have. The new system is designed for the projected number allowing for growth. It is a completly new method called terminal digit. It is what has been recommended by a number of sources, including other health departments and the Administrative consultants. We were hoping for funds to assist in making the transition. It will require contracting with a firm to provide technical assistance to our staff to make the conversion. They quoted a figure of approximately $10,000 to direct this effort. 32 . . . Line Item Justification Fiscal Year: 2000 - 2001 Deparbnent: Health Division: Administration - Health ~D -1L ~~ ~~\\JS:~~ 6Q\-'l' Ql).A...~ ~~tb ~~DDD Deparbnent Contact Person: Lynda Smith Deparbnent Contact Phone Nbr.: 343-6592 Fund: 110 Agency: 510 Orgn: 5131 Object: 5200 TRAINING & TRAVEL Request: $17,600 Explanation Health Director Assistant Health Director Clerks APHA Annual Meeting as Training & as Users Group Meetings Busin A 00 Trainin S stems Admin I & Business Officer *New Clerical Specialist *New Epidemiologist *New Computer Support Specialist $Request 5,000 1,900 1,000 1,000 1,000 4,500 * 1,000 1,000 Increase due to training on AS400 and for 3 new positions 33 . . . Line Item Justification '''caIVear. 2000-2001 tJ".. Lu.." ~j,tE Deparbnent: Health '::-; -\.v ~ ~~ i l"S ecJ) '-1;-CLA - ~ i)t Division: Administration - Health ~~ ~ _ LuLO.O Ul -4 c c4-k Deparbnent Contact Person: Lynda Smith 1.~OID9P ~ _ \,~ ~~ Deparbnent Contact Phone Nbr.: 343-6590 ~ Fund: 110 Agency: 510 Orgn: 5131 Object: 6300 OTHER IMPROVEMENTS Request: $107,000 $Request 47,000 Explanation Outside Concrete Patio. Canopy Covered Area with Tables and Seating Employees' lunch, breaks, etc. Currently, have one small breakroom with table. Employees frequently sit in cars or try to congregate around one small wooden table. ----pL\~\ '{~ ~* Modem Fold Operable Partitions ( . 'um) !; ~ 2Q 0 with Sound Transfer Coefficient - to allow pa' of auditorium into three separate space en needed fp-r-- . ~ L{ ';)DO I conference or meeting spa -i- LL 40,000 Fire/Smoke Detection and Alarm System To upgrade existing system which is outdated (original in building as of 1974). This includes $35,000 for the system and $5,000 for design fee. 34 I Line Item Justification W~~ (l.A \? ~CY. ~ 7~\..0. ~a..o.. ~ ~ h~~ ~~~E~ 1'& ~ CWt~.i\,e1i ~()C{)l..0jJL . \:e~~~o~~~ b 0\.~~~ ,\eC~ U]u.. ~~,,\'l . Fiscal Year: 2000 - 2001 Department: Health Division: Administration - Health Department Contact Person: Lynda Smith Object: 6400 CAPITAL OUTLAY - EQUIPMENT Request: $42,300 Department Contact Phone Nbr.: 343-6592 Fund: 110 Agency: 510 Orgn: 5131 Explanation 12 Work Station cubicles for space ups . workspace for new employees, futur r collaboration with other agencies Large capacity paper tray for Digital Copier 2,300 . 35 GENERATOR FOR PHARMACY: At peak times refrigerator and freezer in the pharmacy contains approximately a $72,435 inventory in state provided and purchased vaccines. Temperature parameters for the refrigerator and the vaccine freezer must be assured for vaccine efficacy. During one notable power failure, the temperature in the refrigerator was dangerously close to becoming out of range in 45 minutes. Power failures occur at times other than hurricanes and are attributed to other weather conditions such as summer thunderstorms, ice and also factors unrelated to weather. Effective March 1, 1999, the cost of any state-supplied vaccine which is lost or damaged must be reimbursed to the state of North Carolina by the county. This is a significant financial exposure which must be considered. The purchase of a generator will greatly mitigate this risk. A cost-benefit analysis clearly concludes that, should vaccine be lost even one time, the cost of the generator at $15,000 is substantially lower than the replacement cost of $72,435 in vaccine inventory. Peak inventory times occur between 8/1 & 12/1 annually. Purchased Vaccines; Total = $33,488 Type Doses Hep B 400 MMR 10 VAR 10 Flu 5300 Pneumonia 500 Hepatitis A 100 Rabies 3 Lymerix 15 Menomune 5 . . . State-Provided Vaccines; Total = $38,947 Type Doses Hep B 2000 MMR 500 VAR 50 OPV 400 _~PV 300 DTaP 425 DT 20 Td 983 Hib 266 Influenza 25 Pnuemococcal 10 ~ .::x 15,000 Value $9300 282 456 15,600 5005 1636 218 718 273 Value $18,000 7345 1771 1164 2097 3931 50 2458 2022 54 55 36 North Carolina Department of Health and Human Services Division of Public Health 1330 St. Mary's Street 01916 Mail Service Center 0 Raleigh, North Carolina 27699-1916 0 Courier S6-P.:M) H. DavidBrulOII,M.D~Secmary o Ann F. Wo1fe,M.D~M.P.H., Direaor 0 FRff v v -:LII/ :J-OOO I MEMORANDUM V-]) C ~( ~. _L -f ()&~ I J ^~ '.:051-0 ~ C~_..;. 1 1/-" 101113' I z-~~o ~~ :jJft~ Ik~I(_.Itt^:rt.=r'\ I ~~2~ I am pleased that we are now able to electronically transmit to you this week Medicaid cost settlement funds & u for fiscal year 1997-98. The atlached shows the reimbursement detail for your health department ~ These Medicaid reimbursement fimds are required to be budgeted and expended to further the objectives of l:P:s, the program that generated the receipts. Consistent with this requirement, these Medicaid receipts may be held in reserve for future needs or expended for a variety of public health needs and activities, including but not limited to: TO: FROM: Loca1 Health Directors II<J Ann F. Wolfe, MO, MPH DATE: January 12, 2000 RE: Medicaid Cost Settlement 1997-98 . expanding the provision of preventive and primary care services to uninsured and IDlOO-insured populations; expanding the provision of support services such as interpreter SerVices;-care coordination, home visiting and transportation; operating expenses, including medical and laboratory supplies, in programs that generate Medicaid revenue; public information, outreach, and other population based services; capital improvement such as building construction, renovation and repair - if the capital expenditure would benefit public health programs other than programs that generated the Medicaid receipts, a simple cost allocation plan would need to be developed to assure that the Medicaid receipts are used in the Program that genaated the receipts . for example, if 80"10 of a new health department building would house the child health program, Medicaid receipts from the child health program could be used to cover 80"10 of the cost of the new building; automation of clinical, fisca1 and administrative operations, if there is a simple cost allocation plan for allocating costs IIJ1J1.oJl,iately to the programs that generated the Medicaid receipts; Any other reasonabl~lic health expenditures, if there is a simple cost allocation plan for allocating costs IIJ1J1.o,...iately to the programs that generated the Medicaid receipts. - If you have any questions, please feel free to call Steven Gamer at 919-715-5265 or Dennis Harrington at 919-733-4981. cc: ColDlty Finance Officer II ,. 7 EveryWher<. EvcryDcry. Evcry..;J . . . Medicaid Cost Settlement October 1997 - September 1998 Local Health Department New Hanover New Hanover New Hanover New Hanover New Hanover New Hanover Total Program Adult Health Family Planning MCH STD Control TB Control Settlement Amount $697 15 $11,143.22 $153,535.50 $7,613.25 $1,60115 $174,590.29 1n12000 38 c . . . NEW HANOVER COUNTY HEALTH DEPARTMENT FEE POLICY FEBRUARY 2000 39 . NEW HANOVER COUNTY HEALTH DEPARTMENT FEE POLICY TABLE OF CONTENTS SECTION I ANIMAL CONTROL 2-4 SECTION II ENVIRONMENTAL HEALTH 5-6 SECTION III PERSONAL HEALTH SERVICES 7-17 General Guidelines 7-10 Program Specific Information 10-12 Accounts Receivable 12 CPT Codes and Fees 13-18 SECTION IV ATTACHMENTS Patient Bill of Rights 19-20 Federal Poverty Levels 21 Sliding Fee Scale 22-24 Sliding Fee Scale Rates 25-27 Bad Debt Write-Off Policy 28 . Socio-Economic Data & Income Form 29 Financial Agreement Form 30 Authorization & Assignment of Benefits Form 31 DEHNR Form 2800- Personal Data Sheet 32 HCFA 1500 Form 33 Letters to Patients 34-37 . As of 02/23/00 40 . . ~ SECTION I ANIMAL CONTROL SERVICES ANIMAL CONTROL SERVICES FEES Cat/D09 Altered Unaltered Cat/dog under 1 year of age Cat/dog 1 year of age or older Cat/dog 1 year of age or older 1 year license 1 year license 3 year license 9.00 9.00 21.00 9.00 18.00 42.00 Any owner of a handicap helper dog which is used for seeing or hearing purposes and can show proof of spay/neuter shall receive a license free of charge. KENNEL LICENSES Cats/Dogs 5 - 10 11 - 20 21 - Over 40.00 60.00 80.00 PET KENNEL Any combination of dogs and cats All must be neutered or spayed Good for one year (renewable on date of purchase) BREEDER KENNEL Either dogs or cats Do not have to be neutered or spayed Good for one year (renewable on date of purchase) Kennel must participate in three AKC or UKC sanctioned events per year (proof to be shown) or equivalent for ~ts or six in three years Not required to purchase "responsible breeding permit" HUNTER KENNEL Dogs only Do not have to be spayed or neutered Good for one year (renewable on date of purchase) Kennel must participate in three lawful or sanctioned events per year (proof when possible) Proof of N.C. hunting license No refund due to death or 1088 of ownership 12/96 41 '- The owner of an animal shall be subject to escalating fees. The fees are directed toward and against the owner The purpose of the fee is to affect the conduct of the owner by seeking tohave.all-Owneuesponsibly_maintain a sufficientrestraint and_confinement of _~ their animal. SHELTER Impoundment per day Bite animals/dangerous dogs per day 8.00 15.00 ADOPTION Cats/Dogs 60.00 Other - Large 15.00 -Small 3.00 REDEMPTION All Animals Owner's Offense - 1st 20.00 2nd 60.00 3rd 100.00 4th 150.00 5th or more 250.00 ADOPTION REFUND POLICY Refunds for adoptions may be granted if the following conditions are met 1. The adopted animal is retumed 2. The adopted animal is examined by a veterinarian within five working days from the adoption date and a health problem is noted 3. The adoptee produces either a handwritten note or a computer generated report from the veterinarian stating the findings and date examined , The amount of refund will be the total of adoption fee and county license fee, if purchased and returned. The adoptee is responsible for any charges by the veterinarian. 10/99 42 I. e . Section/Description CIVIL CITATION 3-1 (d) 3-4 (d) .~ 3-5 3-6 3-7 3-8 3-9 3-10 3-11 3-12 3-13 3-14 3-15 3-16 (d) 3-16 (I) 3-19 3-23 3-30 Article II 3-28 Interference with any Duly Appointed Agent Restraint (2) PUbticNuisance First Violation Second Violation Three or More Violations (A) County License Fee (B) Rabies Vaccination Keeping Stray Animals Rabies Vaccination and Control Wearing of Collar, Tags, & Identification Cats/Dogs Running at Large First Violation Second Violation Third Violation Fourth Violation Fifth Violation Unprovoked Dog Bite/Running Loose 150.00 250.00 50.00 100.00 200.00 100.00 200.00 25.00 500.00 15.00 25.00 75.00 200.00 300.00 500.00 SOO.OO Vicious Animals Barking Dogs First Violation Second Violation Three or More Violations 500.00 50.00 100.00 250.00 Teasing and Molesting Injuring Animals, Notice Required Health and Welfare Manner of Keeping & Treating Animals 100.00 100.00 300.00 300.00 Sterilization of Cats & Dogs Animals Impounded/Judicial Process/Admin. Seizure 250.00 500.00 Interference with Trap or Cage Collection of Cats and Dogs for Resale Responsible Breeding Permit 100.00 500.00 2SO.00 Dangerous Dog/Potentially Dangerous Dog Precautions Against Attacks by Dangerous Dogs/Potentially Dangerous Dogs (a) Unattended Dangerous/Potentially Dangerous 500.00 (a1) Failure to Tattoo/Notice of Death 500.00 (b) Transfer of Ownership 500.00 Ferret Regulation Rabies Vaccination County Pet License Fee Unprovoked Bite Provoked Bite 12/96 100.00 500.00 500.00 100.00 43 ;- ~ . SECTION II ENVIRONMENTAL HEALTH DIVISION The attached schedule of fees has been established for certain Environmental Health Division services. Payment is required prior to the provision of these services. Fees must be accompanied by the appropriate application and any other necessary documents or maps, and are payable QMLY in the Environmental Health Office QB through the US Postal Service. Staff Sl::IAU...liQI accept or agree to transport any payment of fees during their conduction of field work. Fees are collected and recorded by the management support staff in the office during the hours of7:00 AM until 5:00 PM. A receipt shall be issued for each fee collected. In the event that all management support staff are away from the office for a period during the specified hours, an Environmental Health Specialist shall be designated by Environmental Health management staff to accept applications, collect fees and issue receipts. A daily deposit of collected fees shall be made between 3:00 PM and 3:30 PM with the appropriate Health Department management support staff person. 08/97 44 ~ ~ :a 10 bO 0 0 0 0 - ~ t ___I VI - VI l l ,g ---- -.-- 0 0 1 <:r '.;::l '.;::l ... ~ :a :a 8- 5 -g -g '.;::l .~ 0 ~ '.;::l 1 1 :g e i ] ~ ~ 0 ... ... 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NEW HANOVER COUNTY HEALTH DEPARTMENT FEE POLICIES L General Guidelines A. The fee system implemented by this organization has been approved by the New Hanover County Board of Health (NHCBOH). Implementation date was July 1, 1984. For the Women's Preventive Health Section fee system was approved by the NHCBOH in October 1983 Revision Date: B. Services provided for the protection of the public's health and prevention of disease will not be denied based on inability to pay Every effort will be made to provide services to patients at or below 150% of poverty C. Unless confidentiality is a barrier, if a patient has any form of third-party reimbursement, to include Medicaid, Medicare and other private insurance, that payer must be billed for services, with the exception of flat rate charges. Medicaid will be billed as the payer of last resort. Patients must sign the Authorization and Assignment of Benefits Form (page 31). . D Patients who are receiving Medicaid (Title XIX) will submit their Medicaid number for third party payment. Reimbursable visits will be claimed to Title XIX for payment and no further charges will be made to the patient. E. Sliding fee scales will be applied in specified programs (Pages 22, 23 and 24). F The New Hanover County Health Department (NHCHD) will require "proof of income" to reduce charges when applying the sliding fee scale. If a patient is unable to produce this required information, they will be placed on a 100% sliding fee scale status, until the information has been provided. The patient will be billed accordingly The NHCHD representative has the right to verify income information in all cases, however the patient must read, understand, and sign the income statement Page 29) in order for their income to be checked. The sliding fee scale does not apply to all services. Services with flat rate fees do not require proof of income. In extreme or unusual circumstances, the Health Director or designee may make exceptions. G. If a patient prefers not to produce required proof of income information, they will be placed on a 100% sliding fee scale status. However, the patient must read, sign, and date the waiver on the NHCHD Income Statement (page 29). . 02/23/00 46 . H. Payment, or co-pay for third party billing, is expected at the time of service for all chargeable services. Partial payment is accepted for all chargeable services, with the exception of vaccines not provided by the state. I. If a patient has a balance greater than $50 00 remaining on their account, a payment agreement and schedule will be established and signed by the patient (page 30). Patients who have demonstrated no "good faith" effort to pay may be subject to service restrictions as allowed by law J Payment in full is required at the time of service for vaccines not supplied by the State, with the exception of flu and pneumonia vaccines provided to Medicaid and Medicare Part B recipients. Insurance companies will not be billed for these vaccines. Patients will be provided a receipt for billing their insurance company K. A self-pay patient categorized as a 60% or greater on the sliding fee scale, with a previous bad debt write off will not be allowed to charge services unless a payment is made toward their previous balance and other payment arrangements are agreed upon. L. A self-pay patient categorized as a 40% or below on the sliding fee scale, with a previous bad debt write off will not be denied services but their account will be reactivated. . M. North Carolina State Law prohibits charging patients for the following: Administration of vaccines (IMM) required by law; examination and treatment of STDs; and examination and treatment of tuberculosis (TB). . G.S. 130A-153(a) prohibits charging patients for administration of vaccines required by law; . G.S.130A-162 prohibits charging patients for examination and treatment ofV.D patients; and . G.S 130A-178(a) prohibits charging patients for examination and treatment of tuberculosis patients, suspects and contacts. The above general statutes were referenced in a letter from Dr Ronald H. Levine, State Health Director dated March 8, 1984 . If patients receiving state mandated services (STD/ TB/ IMM) have insurance coverage, their insurance company will be billed the established fee unless the breach of confidentiality statement is signed by the patient requesting that third party billing not occur (Authorization and Assignment of Benefits Form, Page 31). If there is a balance remaining after payment is received from the insurance company, the patient will not be billed for this balance. 02/23/00 47 . Maternity Care Coordination, Child SelVice Coordination and Parenting Classes will be billed to Medicaid. These selVices are not reimbursable through private insurance. For Non-Medicaid patients, these selVices will be billed to state grants. Orthopedic and Neurology clinic selVices are available only to Medicaid and indigent patients. All Non-Medicaid visits will be billed to state grants. N. If an insurance company pays for selVices rendered and payment is sent directly to the patient; the patient is responsible for payment to the NHCHD In such instances, selVices may be restricted until said payment is received by the NHCHD, as allowed by law o Reimbursable visits, for patients with insurance coverage, will be billed to the insurance company If there is a balance remaining after the insurance payment is received by NHCHD, the balance will be billed to the patient based on their sliding fee scale rates, except when co-payments have already been applied. p Bad debt write-off policies have been established (page 28). . Q Fees, based on current cost or purchase of supplies, may be adjusted by the Health Director R. Tests or vaccines recommended or required as part of the Employee Health Program will be administered at no charge to NHCHD employees. For other purchased vaccines the Health Director may establish reduced charges. S. New Hanover County employees may purchase certain in-stock medications, at wholesale prices, for themselves, their spouses, and their dependent children. T All environmental health - laboratory services fees will be collected by the Laboratory or Environmental Health. U The Jail Medical Program shall not charge for selVices except according to the Inmate Co-Payment Program. V The Health Director, or designee, has the authority to waive or reduce fees for special projects or targeted populations. . 02/23/00 48 . W Donations may be accepted from any patient regardless of income status as long as they are truly voluntary There should be no "schedule of donations", bills for donations, or implied or overt coercion. n. Program Specific Information A. Environmental Charges - Water Bacteriology 1 Samples collected by the Environmental Health division will be charged and the fee collected in the Environmental Health section. 2. The Environmental Health clerk will submit a monthly report to the Laboratory Director listing total water sample revenues for the month. 3 Fees, for water samples, not collected by the Environmental Health Division will be billed monthly by the Laboratory Director 4. Checks will be received by the Administration Division and deposited to the appropriate account. . . B. Women's Preventive Health 1 The WPH Program has established a method of directly assessing patient charges and collecting payments for clinical services in accordance with Title X regulations and the fee policy as established by New Hanover County Board of Health. 2. There will be no minimum fee requirement or surcharge that is indiscriminately applied to all patients. 3 Patients who are certified for WPH services under Title XX will not be charged for reimbursable WPH visits. Claims will be submitted to Title XX for reimbursable visit.. 4 Full charges will be assessed if patient income falls at or above 250% of the Federal non-farm poverty level. 5 Unemancipated minors seeking confidential services are "a family of one" and are to be considered on the basis of their own resources. In such cases, the minor's income must still be reported through the patient data system. Third-party sources ( e.g. Insurance, Title XIX, Title XX) should be billed if eligibility criteria are met. Charges to emancipated minors will be based on the local fee schedule. . 49 02/23/00 . . . · Reimbursable visits are new and established visits. 6. Charges may be made for supplies not required by the plan of contraceptive care based on cost of supplies. Charges for extra cycles of pills may also be made. Non-family planning services will be charged according to locally established fee schedule and will apply to all patients (Pages 25, 26 and 27). 7 The NHCHD Socio-Economic Data and Income Form (Page 29) is prepared from verified income information. Patient fee is determined using DEHNR Maternal & Child Health sliding fee scale (pages 22, 23 and 24). 8. It is illegal for fees collected in family planning to be put in any fund other than a separate WPH account for use in the local WPH Program. .. .. Re: U S. Department of Human and Health Services Public Health Service, D.H.H.S Publication (OASH) 82- 50,00 pg. 25, Found in Codified Fed. Reg. for FP #420FR59.5 (s) (8). C. Laboratory 1 The Laboratory will initiate the NHCHD encounter form on private provider's patients. The encounter form lists all services provided. All services to be rendered will be indicated on the form. 2. The patient will be directed to the clerk / cashier D Kindergarten Health Assessment 1 Children seen for Kindergarten Health Assessments will be charged in accordance with the NHCHD Sliding Fee Scale (pages 25, 26 and 27). E. Jail Medical Services: Inmate Co-Payment Program 1 This program is established to promote appropriate sick call request, maintain professional health care, maximize utilization of jail and health department staff time, teach inmate responsibility, and recap partial cost of health services. 02/23/00 50 . 2. Medical services listed below will continue to be provided at no charge to inmate: Admission - dental and physical screening Mental health screening Medical emergencies Communicable disease screening and management Follow-up visits initiated by medical staff All health services to federal inmates (sick call services are included in per diem rate, prescriptions totally reimbursed) 3 Medical care will not be refused due to inability to pay m. Accounts Receivable The Accounts Receivable Bookkeeping System includes: . 1 The fee policy will be explained to each patient with explanations of purpose and details of procedure when the patient receives their initial contraceptive services and as indicated on subsequent visits. Each patient is given an opportunity to pay and every effort will be made by the staff to collect total or partial payment on the day of the visits. 2. Provided that patient confidentiality is not jeopardized, bills showing total charges (less sliding scale discount) will be mailed to patients within 45 days after their visit. Two additional statements with balance owed will be mailed if no payment or subsequent visit is made. 3 Patients whose accounts exceed $50 balance and have demonstrated no "good faith" effort to pay will be subject to service restrictions. Service restrictions will be at the discretion of the Health Director or Assistant Health Director or their designee and may include prioritizing appointments, and refusal to serve for non-contraceptive related visits. . 02/23/00 51 . . . New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic I Service Codes CPT I Medicaid Description Fees New Patient 99201 New pt Levell - Minimal $43.00 99202 New pt Level II - Problem Focus $60.00 99203 New pt Level III - Expanded $81.00 99204 New pt Level IV - Detailed $117.00 99205 New pt Level V - Comprehensive $159.00 99381 Well Exam <1 $113.00 99382 1-4 Yr Exam $120.00 99383 5-11 YrExam $119.00 99384 12-17 Yr Exam $145.00 99385 18-39 Year Exam $135.00 Established Patient 99211 Est pt Level I - Minimal $23.00 99212 Est pt Level II - Problem Focus $37.00 99213 Est pt Level III - Expanded $49.00 99214 Est pt Level IV - Detailed $71.00 99215 Est Pt Level V - Comprehensive $117.00 99391 Well Exam <1 $91.00 99392 1-4 Yr Exam $101.00 99393 5-11 YrExam $106.00 99394 12-17 Yr Exam $122.00 99395 18-39 Yr Exam $112.00 Counseling 99401 Prev Medical Counseling - 15 Min $40.00 99402 Prev Medical Counseling - 30 Min $76.00 99403 Prev Medical Counseling- 45 Min $113.00 99404 Prev Medical Counseling- 60 Min $144.00 99411 Group Counseling - 30 Min $39.00 99412 Group Counseling - 60 Min $68.00 99420 Admin & Interpretation Health Risk $88.00 99429 Unlisted Preventive Medicine Service $0.00 '1lml:lm'iilnn; Telephone Contact (Simple Brief) $17.00 Iiln~lm'i2Im; Telephone Intermediate (Consult, Advice) $40.00 ~i1}iiD:ml1[~ Telephone Complex (Counseling) $56.00 99361 Medical Conference (30 min) $73.00 99362 Medical Conference (60 min) $120.00 FP: j1055 DepoProvera Injection $22.00 11975 Insert Norplant $504.90 Legend: AF' Administrative Fee NC: No Charge HF: Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) 52 As of 2/23/00 . . . New Hanover County Health Department CPT Codes and Fees CPT/ Medicaid NHCHD Clinic / Service Codes CPT / Medicaid Description Fees FP: 11976 Remove Norplant $197 11 11977 Remove/Reinsert Norplant $553.00 57170 Diaphragm Fitting $89.00 FP: Medicaid Codes Y2001 Family Planning Initial Visit $165.00 Y2002 Family Planning Limited Visit $45.00 Y2003 Family Planning Extended Visit $79.00 Y2004 Family Planning Complete Visit $110.00 W5131 Norplant Insertion $504.90 W5132 Norplant Removal $197 11 W5133 Norplant Removal and Reinsertion $553.00 W5141 DepoProvera Injection $23.74 CD: 87164 Dark Field Exam $41.00 56501 Destroy Vulva Lesion (s) $132.00 54050 Destruction/Lesion/Condyloma $74.00 46900 Destroy Anal Lesion(s) $109.00 CD: Medicaid Codes Y2013 STD Control Treatment $80.00 TB: 86580 TB Intradermal Test $5.00 1B: Medicaid Codes Y2012 TB Control Treatment $89.00 X-Rays: 71010 Chest X-Ray/PA $40.00 71020 Chest X-Ray/PA & Lat $70.00 71021 Chest X-Ray/Lordotic $40.00 Child Health: 96110 Developmental TesV Limited $168.00 92551 Pure Tone Audiometry, air $30.00 93770 Blood Pressure Check NC CH: Medicaid codes W8203 Childbirth Education classes $87.00 W8010 Child Health Screening Periodic $90.00 W8016 Child Health Screening Interperiodic $90.00 Y2155 Child Service Coordination $89.00 Y2023 Child Health Treatment $60.00 Y2048 Newbom EPSDT Screen Home Visit $65.00 MH: Medicaid Codes W8204 Maternal Care Skilled Nurse Home Visit $88.00 W8201 MCC Initial $110.00 W8202 MCC Subsequent $55.00 Y2044 MCC Home Visit $60.00 W8205 Parenting Education classes $73.00 End 6/30 End 6/30 End 6/30 End 6/30 End 6/30 End 6/30 End 6/30 End 6/30 End 6/30 FR End 6/30 FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) 53 As of 2/23/00 . . . New Hanover County Health Department CPT Codes and Fees CPT/ Medicaid NHCHD Clinic / Service Codes CPT / Medicaid Description Fees MH: Medicaid Codes Y2046 Postpartum Assessment Home Visit $60.00 Y2049 Intensive Psychosocial Counseling $40.00 Y2047 Newborn Assessment Home Visit $60.00 IMM: 90700 52 DTAP vaccine 1M AF 90702 52 DT vaccine 1M AF 90707 52 MMR virus vaccine SC/jet AF 90707 MMR virus vaccine SC/jet $35.00 9071652 Chicken Pox Vaccine AF 90716 Chicken Pox Vaccine $50.00 90712 52 Oral poliovirus vaccine AF 90713 52 Poliomyelitis vaccine SC AF 90647 52 HIB vaccine, PRP-OMP, 1m AF 90632 HEP-A vaccine, adult, 1M $25.00 90633 HEP A Pediatric / Adolescent $25.00 9074452 HEP-B Vaccine PED/AppIIM under 11 AF 9074552 HEP-B AdolescenV Ped High Risk 111-19) AF 9074652 HEP-B vaccine, over 201M AF 90746 HEP-B vaccine, over 201M $40.00 90281 52 Immune Globulin AF 90665 Lyme Disease vaccine, 1M $55.00 90782 Injection (SC) / (1M) $5.00 95115 Immunotherapy, one injection $5.00 95117 Immunotherapy injections $10.00 90657 52 Flu vaccine AF 90657 Flu (Child - 6 - 35 months) $12.00 90658 52 Flu vaccine AF 90658 Flu (Adult / 3 years+) $12.00 90732 Pnueumococcal vaccine $20.00 90732 52 Pnueumococcal vaccine AF 90676 Rabies vaccine $78.00 90733 Meningococcal Vaccine (Private Stock) $65.00 GOO08 Medicare Administration Fee (FLU) $4.00 GOO09 Medicare Administration Fee (Pneu) $5.00 90471 IMM Administration Single Dose $20.00 90472 IMM Administration( Single charge for all add. doses) $10.00 FR FR FR FR FR FR FR FR FR FR FR FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) 54 As of 2/23/00 . . . New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic I Service Codes CPT I Medicaid Description Fees IMM: Medicaid Code W8012 Immunization Update $20.00 00124 Adult Drug Injection (Medicaid) $2.35 Com H:Medicald Y2016 Orthopedic Care $80.00 Y2025 Neurology care $95.00 House Lab : 82465 Assay Serum Cholesterol $20.00 81001 Urinalysis, auto, w/microscopic $22.00 81003 Urinalysis, auto, without microscopic $17 .00 85027 Coulter Hematology Profile $29.00 85018 Hemoglobin $16.00 86592 Serology, qualitative (trust) $21.00 86593 Serology, quantitative (trust) $15.00 87070 Bacteria Culture Screening $20.00 87210 Wet Smear $15.00 87205 Gram Stain $15.00 36415 Veni puncture/Fingerstick $14.00 84450 SGOT lAST $24.00 84460 SGOT ALT $24.00 82250 Bilirubin, Total $24.00 82565 Assay Creatinine $19.00 82947 Glucose, quantitative $20.00 82962 Glucose, blood reagent strip $20.00 83615 Lactate (LD) (LDH) enzyme $24.00 84075 Assay Alkaline phosphate $24.00 85651 RBC SED rate, non-auto $20.00 87430 Step A Ag, EIA $35.00 82270 Test Feces Blood (Occult Bid) $16.00 81025 Urine Pregnancy Test $11.00 87060 Nose, throat, bacteria culture $34.00 87086 Urine Culture, plating and colony count $15.00 87184 Urine Culture (Identification) and Susceptibility Studies LC State Lab: 87060 26 Nose, throat, bacteria culture HF 83655 26 Blood Lead HF 80156 26 Assay Carbamazepine HF 80299 26 Valproic Acid HF End 6/30 End 6/30 Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) 55 As of 2/23/00 . . . New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic 1 Service Codes CPT 1 Medicaid Description Fees State Lab: 80091 26 Thyroid Panel HF 8016426 Assay Dipropylacetic Acid HF 8018426 Assay for Phenobarbital HF 80185 26 Assay for Phenytoin HF 83020 26 Hemoglobin Electrophorsis HF 86701 26 HIV- (State Lab) HF 87270 26 Chlamydia trach ag,DFA HF 87206 26 Smear, Stain Interpret HF 8711826 Mycobacteria identification HF 87045 26 Stool Culture for bacteria HF 84437 26 Assay Total Thyroxine HF 80092 26 Assay Thyroid HF 84443 26 Assay Thyroid Stim Hormone HF 8018826 Assay for Primidone HF 8016826 Assay for Ethosoximide HF 84030 26 Assay Blood PKU HF 86360 26 T-cell counUratio HF 86781 26 Treponema pallidum confirm HF 87252 26 Virus Inoculation for Test (Herpes) HF 87340 26 HEP B Surface ag,E/A HF 82760 26 Assay Galactose HF 87177 26 Ova & Parasites Smears HF 88142 Pap Smear HF 99001 Handling Fee $15.00 NUTRITION Y2041 Enhanced Nutrition Counseling (MH) $47.00 Y2351 Enhanced Nutrition Counseling (CH) $50.00 MISC MRO Medical Record Original (copy of record or immunization certificate) $5.00 MRX Xerox copy of Immunization Record $2.00 MRI Medical Record for Insurance (based on reimbursement from Ins. Co.) varies FAXL Local Fax (per page) $1.00 FAXLD Long Distance Fax (per page) $2.00 TBSF TB Screening Form $5.00 ADM Off- Site Administrative Charge $5.00 FR FR FR FR FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) 56 As of 2/23/00 . . . New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic I Service Codes CPT I Medicaid Description Fees MISC Returned Check Fee $25.00 Jail Health Charges Sick Call Visit $10.00 Dentist Visit $10.00 Prescriptions $5.00 WPH Supplemental Fees Miconazole Vaginal Cream (per tube) $8.00 Triple Sulfa Vaginal Cream (Der tube) $5.00 ReDlacement Oral Contraceptive (per cycle) $8.00 Replacement Diaphragm (each) $10.00 Medications available for NHC Employees Delfen Foam (each) $8.00 Prenatal Vitamins (per package) $12.00 Miconazole Vaginal Cream (per tube) $8.00 Orthocept (per cycle) $8.00 Ortho-Novum 7-7-7 (per cycle) $8.00 Ortho Tricyclen (per cycle) $8.00 Lo-Ovral (per cycle) $8.00 Triphasil (per cycle) $8.00 Replacement Diaphragm (each) $10.00 FR FR FR FR FR FR FR FR FR FR FR FR FR FR FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) As of 2/23/00 57 . . . SECTION IV As of 02/23/00 NEW HANOVER COUNTY HEALTH DEPARTMENT FEE POLICY ATTACHMENTS Patient Bill of Rights Federal Poverty Levels Sliding Fee Scale Sliding Fee Scale Rates Bad Debt Write-Off Policy Socio-Economic Data & Income Form Financial Agreement Form Authorization & Assignment of Benefits Form DEHNR Form 2800- Personal Data Sheet HCFA 1500 Form Letters to Patients 19-20 21 22-24 25-27 28 29 30 31 32 33 34-37 58 fit e . NEW HANOVER ", .,' County Health Department PATIENT'S BILL OF RIGHTS 1. The PATIENT has the right to considerate and respectful C8J'e. 2. The PATIENT has the right to obtain from his/her medical provider complete and current information concerning diagnosis and treatment, in terms the patient can be reasonably expected to understand When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate person in hislher behalf. The patient has the right to know by name the medical provider responsible for coordinating hislher C8J'e. 3. The PATIENT has the right to receive hislher medical provider information necessary to give informed consent prior to the start of any procedure and/or treatment. Except in emergencies, such information for informed consent should include, but not necessarily be limited to, the specific procedure and/or treatment and the medically significant risks involved Where medically significant a1ternatives for C8J'e or treatment exist, or when the patient requests information concerning medical alternatives, the patient has the right to such information. The patient also has the right to know the name of the person responsible for the procedures and/or treatment. 4. The PATIENT has the right to refuse treatment to the extent permitted by law and to be informed of the medical consequences ofhislher action. S. The PATIENT has the right to every consideration ofhislher privacy concerning hislher own medical C8J'e program. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly. Those not directly involved in direct C8J'e must have the permission of the patient to be present. 6. The PATIENT has the right to expect that all communications and records pertaining to hislher C8J'e should be treated as confidential. 7. The PATIENT has the right to expect that within its capacity any agency must make reasonable response to the request of a patient for services. The agency must provide evaluation, service, and/or referral as indicated by the urgency of the case. When medically permiSSIble, a patient may be transferred to another agency only after he/she has received complete information and explanation concerning the needs for and alternatives to such a transfer. The agency to which the patient is to be transferred must first have accepted the patient for transfer. 59 II e . .' Patient's Bill of Rights 8. The PATIENT has the right to obtain information as to any relationship of the agenCy ----- to other similar agencies and educational institutions insofar as hislher C8J'e is concemed The patient has the right to obtain information as to the existence of any professional relationship among individuals, by name who is treating himlher. 9. The PATIENT has the right to expect reasonable continuity of C8J'e. He/she has the right to know in advance what appointment times and health C8J'e providers are available. 10. The PATIENT bas the right to examine and receive an explanation ofhislher bill regardless of source of payment. 11. The P AnENT has the right to know what the Health Department rules and regulations are that apply to hislher conduct as a patient. The NEW HANOVER _ County Health Department staff provides safe and individual patient C8J'e based on each pati~'s needs and rights through: a. recognition of each patient's dignity as a human being, and b. defending the rights of each patient as an advocate. Our goal is to proIllote and contribute to the highest level of health possible for the citizens of _NEW HANOVElt.. County by: lJ Identifying and reducing health risks in the County lJ Detecting, investigating and preventing the spread of disease lJ Promoting healthy lifestyles lJ Providing a safe and healthful environment lJ Providing quality health C8J'e services to those with limited access The observance of these rights is expected to contribute to quality patient C8J'e and greater satisfaction for the patient and health care provider. 60 .' e FEDERAL POVERTY LEVELS FOR 1999 Familv Size Gross Annual Income 1 $ 8,240 2 11,060 3 13,880 4 16,700 5 19,520 6 22,340 7 25,160 . 8 27,980 9 30,800 10 33,620* *Add $2,820 for each additional family member Reference: Federal Reaister, March 18, 1999, Pages 13428-13430. tI Women's Health 5-7-1999 07-01-99 61 . . . ~ 0; > e c. III c. l~ ~n; ,.,us t:", ~ .!: 0"0 ll. 1ii -ll. f!!~ - '" c: 1ii al 0 E lI..'iij 1:: ~ ':;: ca 00 2" tf..: o 0== .cQ)~~ ==Eo:I: ~8-", :I: .E tf. .2!: >->.O'E 'E=~Q) ::I E '" l; Oeo-c. 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New Hanover County Health Department Sliding Fee Scale Rates CPTI Medicaid Codes CPT I Medicaid Description 0% 20% 40% 60% 60% 100% 99201 New PI Levell - Minimal $0.00 $8.60 $17.20 $25.80 $34.40 $43.00 99202 New PI Level II - Problem Focus $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 99203 New PI Level III - Expanded $0.00 $16.20 $32.40 $48,60 $64.80 $81.00 99204 New PI Level IV - Detailed $0,00 $23.40 $46.80 $70.20 $93,60 $117.00 99205 New PI Level V - Comprehensive $0,00 $31.80 $63,60 $95.40 $127.20 $159.00 99381 Wen Exam <1 $0.00 $22.60 $45.20 $67.80 $90.40 $113,00 99382 1-4 Vr Exam $0.00 $24.00 $48.00 $72.00 $96.00 $120.00 99383 5-11 Vr Exam $0.00 $23.80 $47.60 $7140 $95.20 $119.00 99384 12-17 Vr Exam $0.00 $29.00 $58.00 $87.00 $116.00 $145.00 99385 18-39 Year Exam $0.00 $27 00 $54,00 $81.00 $108.00 $135.00 99211 Est PI Levell - Minimal $0.00 $4.60 $9.20 $13.80 $18.40 $23.00 99212 Est PI Level II - Problem Focus $0.00 $740 $14.80 $22.20 $29,60 $37.00 99213 Est PI Level III - Expanded $0.00 $9.80 $19,60 $29.40 $39.20 $49,00 99214 Est PI Level IV - Detailed $0.00 $14.20 $28.40 $42.60 $56.80 $71,00 99215 Est PI Level V - Comprehensive $0.00 $23.40 $46.80 $70.20 $93.60 $117.00 99391 Wen Exam <1 $0.00 $18.20 $36,40 $54.60 $72.80 $91.00 99392 1-4 Vr Exam $0.00 $20.20 $40.40 $60.60 $80,80 $101.00 99393 5-11 VrExam $0.00 $21.20 $42.40 $63.60 $84.80 $106.00 99394 12-17 Vr Exam $0.00 $24.40 $48.80 $73.20 $97,60 $122.00 99395 18-39 Vr Exam $0.00 $22.40 $44.80 $67.20 $89.60 $112.00 99401 Prev Medical Counseling - 15 Min $0.00 $8.00 $16.00 $24.00 $32.00 $40.00 99402 Prev Medical Counseling - 30 Min $0.00 $15.20 $30.40 $45.60 $60.80 $76.00 99403 Prev Medical Counseling- 45 Min $0.00 $22.60 $45.20 $67,80 $90.40 $113.00 99404 Prev Medical Counseling- 60 Min $0.00 $28.80 $57.60 $86.40 $115,20 $144.00 99411 Group Counseling - 30 Min $0.00 $7.80 $15.60 $23.40 $31.20 $39.00 99412 Group Counseling - 60 Min $0.00 $13.60 $27.20 $40.80 $54.40 $68.00 99420 Admin & Interpretation Health Risk $0.00 $17.60 $35,20 $52.80 $70.40 $88.00 99429 Unlisted Preventive Medicine Service $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 .~ml Telephone Contact (Simple Brief) $0.00 $3.40 $6.80 $10.20 $13,60 $17 00 .'W,woV,"',"'WN. It.aJ~* Telephone Intermediate (Consult, Advice) $0.00 $8.00 $16.00 $24.00 $32.00 $40.00 It..~liW Telephone Complex (Counseling) $0.00 $11.20 $22.40 $33.60 $44.80 $56.00 99361 Medical Conference (30 min) $0.00 $14.60 $29.20 $43.80 $58.40 $73.00 99362 Medical Conference (60 min) $0.00 $24.00 $48.00 $72.00 $96.00 $120.00 i1055 DepoProvera Injection $0.00 $4.40 $8,80 $13.20 $17.60 $22.00 11975 Insert Norplant $000 $100.98 $201.96 $302.94 $403,92 $504.90 64 As of 2/23/00 . . . New Hanover County Health Department Sliding Fee Scale Rates CPT/ Medicaid Codes CPT / Medicaid Description 0% 20% 40% 60% 60% 100% 11976 Remove Norplant $0.00 $39.42 $78.84 $118.27 $157.69 $19711 11977 Remove/Reinsert Norplant $0.00 $110.60 $221.20 $331.80 $442.40 $553.00 57170 Diaphragm Filling $0.00 $17.80 $35.60 $53.40 $71.20 $89.00 Y2001 Family Planning Initial Visit $0.00 $33.00 $66.00 $99.00 $132.00 $165.00 Y2002 Family Planning Limited Visit $0.00 $9.00 $18.00 $27.00 $36.00 $45.00 Y2003 Family Planning Extended Visit $0.00 $15.80 $31.60 $4740 $63.20 $79.00 Y2004 Familv Plannino Complete Visit $0.00 $22.00 $44.00 $66.00 $88.00 $110.00 W5131 Norplant Insertion $0.00 $100.98 $201.96 $302.94 $403.92 $504.90 W5132 Norplant Removal $0.00 $39.42 $78.84 $118.27 $157.69 $19711 W5133 NOl'Dlant Removal and Reinsertion $0.00 $110.60 $221.20 $331.80 $442.40 $553.00 W5141 DepoProvera Injection $0.00 $4.75 $9.50 $14.24 $18.99 $23.74 87164 Dark Field Exam $0.00 $8.20 $16.40 $24.60 $32.80 $41.00 56501 Destroy Vulva Lesion (s) $0.00 $26.40 $52.80 $79.20 $105.60 $132.00 54050 Destruction/Lesion/Condyloma $0.00 $14.80 $29.60 $44.40 $59.20 $74.00 46900 Destroy Anal Lesion(s) $0.00 $2180 $43.60 $65.40 $87.20 $109.00 Y2013 STD Control Treatment $0.00 $16.00 $32.00 $48.00 $64.00 $80.00 Y2012 TB Contl'Dl Treatment $0.00 $17.80 $35.60 $53.40 $71.20 $89.00 96110 Developmental Tesll Limited $0.00 $33.60 $67.20 $100.80 $134.40 $168.00 92551 Pure Tone Audiometry, air $0.00 $6.00 $12.00 $18.00 $24.00 $30.00 W8203 Childbirth Education classes $0.00 $17 40 $34.80 $52.20 $69.60 $87.00 W8010 Child Health Screening Periodic $0.00 $18.00 $36.00 $54.00 $72.00 $90.00 W8016 Child Health Screening Interperiodic $0.00 $18.00 $36.00 $54.00 $72.00 $90.00 Y2155 Child Service Coordination $0.00 $17.80 $35.60 $53.40 $71.20 $89.00 Y2048 Newborn EPSDT Screen Home Visit $0.00 $13.00 $26.00 $39.00 $52.00 $65.00 Y2023 Child Health Treatment $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 W8204 Maternal Care Skined Nurse Home Visit $0.00 $17.60 $35.20 $52.80 $70.40 $88.00 W8201 MCC Initial $0.00 $22.00 $44.00 $66.00 $88.00 $110.00 W8202 MCC Subsequent $0.00 $11.00 $22.00 $33.00 $44.00 $55.00 Y2044 MCC Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 W8205 Parenting Education classes $0.00 $14.60 $29.20 $43.80 $58.40 $73.00 Y2046 Postpartum Assessment Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 Y2049 Intensive Psychosocial Counseling $0.00 $8.00 $16.00 $24.00 $32.00 $40.00 Y2047 Newborn Assessment Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 90471 IMM Administration Single Dose $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 90472 IMM Administration( Single charge for an add. $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 65 As of 2/23/00 . . . New Hanover County Health Department Sliding Fee Scale Rates CPT/ Medicaid Codes CPT / Medicaid Description 0% 20% 40% 80% 80% 100% W8012 Immunization Update $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 a0124 Adult Drug Injection (Medicaid) $0.00 $0.47 $0.94 $141 $1.88 $2.35 Y2016 Orthopedic Care $0.00 $16.00 $32.00 $48.00 $64.00 $80.00 Y2025 Neurolooy Care $0.00 $19.00 $38.00 $57.00 $76.00 $95.00 82465 Assav Serum Cholesterol $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 81001 Urinalvsis, auto, w/microscopic $0.00 $4.40 $8.80 $13.20 $17.60 $22.00 81003 Urinalvsis, auto, without microscopic $0.00 $3.40 $6.80 $10.20 $13.60 $17.00 85027 Coulter Hematoloay Profile $0.00 $5.80 $11.60 $1740 $23.20 $29.00 85018 Hemoglobin $0.00 $3.20 $6.40 $9.60 $12.80 $16.00 86592 Serology, qualitative (trust) $0.00 $4.20 $8.40 $12.60 $16.80 $21.00 86593 Serology, quantitative (trust) $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 87070 Bacteria Culture Screening $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 87210 Wet Smear $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 87205 Gram Stain $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 36415 VenipuncturelFinoerstick $0.00 $2.80 $5.60 $8.40 $11.20 $14.00 84450 SGOT / AST $0.00 $4.80 $9.60 $14.40 $19.20 $24.00 84460 SGOT AlT $0.00 $4.80 $9.60 $14.40 $19.20 $24.00 82250 Bilirubin, Total $0.00 $4.80 $9.60 $14.40 $19.20 $24.00 82565 Assav Creatinine $0.00 $3.80 $7.60 $11.40 $15.20 $19.00 82947 Glucose, quantitative $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 82962 Glucose, blood reagent strip $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 83615 lactate (lD) (lDH) enzyme $0.00 $4.80 $9.60 $14.40 $19.20 $24.00 84075 Assay Alkaline phosphate $0.00 $4.80 $9.60 $14.40 $19.20 $24.00 85651 RBC SED rate, non-auto $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 87430 Step A Ag, EIA $0.00 $7.00 $14.00 $21.00 $28.00 $35.00 82270 Test Feces Blood (Occult Bid) $0.00 $3.20 $6.40 $9.60 $12.80 $16.00 81025 Urine Pregnancy Test $0.00 $2.20 $4.40 $6.60 $8.80 $11.00 87060 Nose, throat, bacteria culture $0.00 $6.80 $13.60 $20.40 $27.20 $34.00 87086 Urine Culture, plating and colony count $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 99001 Handling Fee $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 Y2041 Enhanced Nutrition Counseling (MH) $0.00 $9.40 $18.80 $28.20 $37.60 $47.00 Y2351 Enhanced Nutr~ion Counseling (CH) $0.00 $10.00 $20.00 $30.00 $40.00 $50.00 66 As of 2/23/00 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT ---BAD-J}EBl'-W~FRPOUCY----- After all procedures have been followed as previously described in the New Hanover County Health Department fee policy, the bad debt write off procedures will be as followed: Bad debts will be written off as uncollectable, 12 months following the date of the last visit except when: 1. There has been no intervening charge visit within one year and the patient still wishes to remain an active patient. Future services may be denied if effort for payment is not made. 2. Small amounts are being paid toward the bill. An itemized list of uncollectable outstanding patient balances will be prepared at the end of the fiscal year for the Health Director's review Those approved by the Health Director and the Board of Health will be written off. The Accounts Receivable system shall indicate the recording of the bill as uncollectable by adjusting the patient balance to zero. Evidence shall be on file to document required billings. A self-pay patient (categorized as a 60"10 or greater on the sliding fee scale) with a previous bad debt write off will not be allowed to charge services unless a payment is made toward their previous balance and other payment arrangements are agreed upon. A self-pay patient, categorized as 40"10 or below on the sliding fee scale, will not be denied services but their account will re reactivated. If a patient returns to the health department after a bad debt has been determined uncollectable their bad debt write off shall be reactivated and the billing process resumes. The patient' s account balance will be reinstated at the full amount of the write off. A patient should never be informed that a debt has been written off. A copy of the Bad Debt Write-off for the fiscal year will be sent to the New Hanover County Finance Office. Date Health Director Chairman, Board of Health 02/16/00 67 NHCHD Socio-Economic Data and Income Statement . Name Addrass-. Telephone Circle correct answers: Resident of North Carolina Medicaid Eligible Insurance Self-pay No Pay Yes Yes Yes Yes Yes No No No No No Gross annual family income Total number in family including applicant Number of children under 21 Patient Fee According To Scale Depo Provera Injections _% $ $ $ $ $ $ Examination/Contraceptives_ % Norplant Insertion/Removal_% $ $ $ . Gross income is defined as salary, wages, profits, or commissions from self-employed activities, rental from property, pensions, mil nary allotments, retirement income, social security benefits, dividends, interest on savings, stocks, bonds, etc., and/or a combination of the above. Upon penafties prescribed by law, I hereby affirm that to the best of my knowledge and belief, this income slelement is true and correct. I understand that the information may be checked by a state reviewer, and I agree to provide financial records raquired to carry out this review. I also understand that my employar may ba asked to verify information concerning my income. [] I prefer Dot to provide the New Hanover County Health Department with proof of income; therefore I understand that I am fully obligated for payment of services provided. I, the undersigned, verify the above information is true to the best of my knowledge and I understand payment is expected at the time of selVice for all selVices rendered. Relationship of Authorized Representative Signature of PatientIParentl Authorized R.eprcsenta1ivc Date Date Signature ofWitn... . 68 02116/00 . . . New Hanover County Health Department Financial Agreement/Payment Plan POLICY STATEMENT Payment is expected at the time of service for all services rendered. Partial payment is accepted for services with the exception of private stock vaccines. A financial agreement and payment plan will be established for all patients with a remaining balance. Patients whose accounts exceed $50.00 and have made no "good faith" effort to pay will be subject of service restriction as allowed by law PAYMENT PLAN: Previous Balance New Charges + Total Today's Payment Current Balance Patient will agree to pay $ noted above is paid in full. on a weekly/monthly basis until the current balance (Circle) In the event a patient returns for additional services for which a partial payment is made, a new financial agreement will be required. I have read the payment plan as noted above and agree to comply with the specified terms. Signature: Date: (patient) Signature: Date: (Health Dept. Representative) 02116/00 69 New Hanover County Health Department Authorization and Assignment of Benefits Form . Patient Jnronnation: Computer ID# Lost Name First Name I - ..MlddlelMaldoo- ... . Medicare ID# Medicare Name I Subscriben Name Insurance Co Name Insurance Co. Number "'Add..... Secondary Secondary Ins Co. Number Insurance Co Name "'Add..... I request that payment of authorized MedicarelMedicaid/3'" Party Payer benefits be made on my behalf to New Hanover County Health Department (NHCHD) for any services provided. I authorize any holder of medical infonnation (to include mv infonnation / Substance Use / Mental Health and Social Data) about me to release to the Health Care Financing Administration (HCF A) and its agents any information needed to determine these benefits payable for related services. I understand that my signature will serve as legal "signature on File" for purposes of filing my insurance claims and payment of benefits to the NHCHD for services rendered. I understand that my insurance company will send an Explanation of Benefits (EOB) to the address provided on the HCF A fonn when any claims are processed for services provided. . I agree to repay the NHCHD any money I receive from insurance for services that the Health Department provided for me. I further agree that failure to repay assigned insurance benefits to the NHCHD is a reason for denial or restriction of future services until such amounts have been repaid. Si...... ofPatiadl\'aradl Authorized Ilq>resmtaIive Representative's Address: Relationship of Authorizod RopresealaIM Dale Reason Patient is unable to sign: o I do not authorize billing of my insurance company for services provided or release ofinforrnation for services provided (to include IllY information / Substance Use / Mental Health and Social Data) due to breach of confidentiality with notification of claims processing on the Explanation of Benefits. Sl...... ofPatiadl\'aradl Authorized Ilq>resmtaIive Representative's Address: Relationship of Authorized Representative Date Reason Patient is unable to sign: . Date Signature orWitncss 02/16/00 70 NC Department of Environment, Health, and Natural Resoun:es Oftice 01 Public Health Nursing PERSONAL DATA SHEET --- ,,~o. Medicaid No. Medicare No. Health Insurance Coverage Mall Mar. Home IMlrl<lSchoOI IMlrl<lSchool Dala Y/No Address Grade Slat. phone Phone Hours PfMentAdd,.. Add.... Change -- a.ange Add.....O\aI~ -- a.ange --a.ange -- --- ....Iah_ DYnaMo ......-' MIOrant Farm Wartcef DYnaMo -- DYnCMo --- DYnaMo .- D Ves D No COUNTRY OF ORIGIN: Name Uaed by Third Party Payor Confiden\l8l Contact phone Emergency Contact Phone Physician phone Persons \lvino In homo DOB or Aoa Sex Relationship to oallenl, school and grade. awav. deceaaed Idate) .- 71 DEHNR 2800 (Revlo8cllll96) ,,<<'''< nF NURSING (Review 12199) [~_-~~_~~~~ii;=~~] ----, SOURCES OF INCOME Dates 01 ToIallncome Name 01 Family Members List all Employers or Employment AFDC Before Dalo with 8n Income Sources or Income From To Waoes SSI Retirement other Taxes THE ABOVE INFORMATION I HAVE GIVEN IS CORRECT. I UNDERSTAND THE HEAL TH DEPARTMENT HAS THE RIGHT TO CHECK THIS INFORMATION. InteniewW's signature p'-'ellg_ Family Size ($1911_) (Dete) (SIgn.III18) (S1gn.tuI8) (D.te) ($1911.11I18) (SIgn.III18) (Dele) ($1911.11I18) (51911.11I18) (Dele) (51911.11I18) ($1911.11I18) (D.te) (SIgn.III18) ($1911.11I18) (D.te) (SIgn.III18) ENVIRONMENT (D.te) (Dete) (D.te) (D.te) (D.te) (D.te) Worldng Power Water System Indoor RevIeW Review Date Food Slam"" Free Lunch Proo. W1C Relrta. Stove On Heat Public other Plumb. Dates Dstes -' DEHNR 2800 I HEALTH INSURANCE CLAIM FORM PICA rTTl MEDICARE MEDICAID ,CHAMPUS_, CHAMPVA GROUP FECA OTHER '8. INSURED'S 1.0. NUMBER (FOR pROGRAM IN ITEM 1) I ,"""".<e" n ,_lei I) n ,_- ~'n (VAF/Je ~)n-~~'::fo'1"'-h"'i"si~NGn(iDl' ..... --_.~-_. .-.-....... ..-.-.... PAl lENT'S NAME (Last Name, FirSt Name. MIddle InItIBI) 3. PATIENT'S BIRTH DATE SEX 4. INSUREO'S NAME (last Name. FIrst Name, Middle InIIlaII MM, DO I YY Mn Fn , ! PA 111- N-' 'S ADDRESS (No.. Street) 6. p"TlENT RELATlONSHIP TO INSURED 7 .INSURED'S ADDRESS (No.. StrMt) Sell 0 _00"''0 oo.r[] IlY 'STATE 8. PATIENT STATUS CITY I STATE Z Sl.....o -0 "'""'0 0 ~ IPCODE I (LEP")E (Ind........ Code) Z1P CODE I TEL("HOHE )INCtUOE Afl!A COOE) 2; E.-...o Full-limeD pan.lImen II: . Student Student 0 ... OTHER INSUREO'S NAME (Last Name. First Name, Mlddlllnltlall 10. ~ PATIENrS CONDITION RELATED TO: 11, INSURED'S POLICY GROUP OR FECA NUMBER ! fil I OTHER INSURED'S POlICY OR GROUP NUMBER .. EMPlOYMENT? (CURRENT OR PREVIOUS) .. INSURED'S DATI: OF BIRTH SEX II: MM.OO.YY :;) DYES oNO , , "0 Fo en , , ! 1 OIH~ R INSURED'S DATE Of BIRTH SEX b. AUTO ACCIDENT? PLACE (.....) b. EMPLOYER"S NAME OR SCHOOL NAME C NN 00 I yy I Mn Fn DYES oNO Z , L-.J C ~.""iMPi"<>YER'S NAME OR SCHOOL NAME Co OTHER ACCIDENT? Co INSURANCE Pt..AN NAME OR pROGRAM NAME !Z DYES 000 W i ttiNSliRiNCE PLAN NAME OR PROGRAM NAME lOd. RESERVED FOR LOCAL USE d. tS THERE ANOTHER HEAlTH BENEFIT PlAN? - DYES DNO " pes. mum to and c:amPett Item 8 I'd. 1 READ BACK OF FORM BEFORE COiiPLETING . SlGNDtG 1lIIS FORIL 13.INSURED'S OR AUTHORIZED PERSOH'S SIGNATURE I auIhOriz8 12. PATIENT'S OR AuTHORIZED PERSON'S StGNATURE 18UlhDrizetM ,....-01 any mIdIcaI or oIhIr lnIormIIIlonnec:eaIIY payment of medical beMIb 10 Ole ........4lw-.ed phyIIdIn or IUflPIer Iof 10 process 1111$ ctaim. I also request peymenl 01 pemmenl benefiIs eiItWf to myIIIf or to the party who KIC8I* asIgnrMnt ..... desCIIbed beloW. "low. - DATE SIGNED OF CURRENT: ~ ILLNESS (FIrst IY"lptom) OR 15. If PATIENT HAS HAD SAME OR SIMILAR ILLNESS. 16. DATES PATIENT UNABLE TO WORK IN CURRENT OCCUPATION ~ , DO I YY INJURY (~OR GNE FIRST DATE MM , DO,VY MMlOOIYY MM.DDIYY ,I PREGNANCY(LMP) , , FROM" TOI' 17. NAME Of REFERRING PHYSICIAN OR OTHER SOURCE 17..1.0. NUMBER OF REFERRING PHYStclAN 18. HOSPITALIZATION DATES RELATED TO CURRENT SERVICES MM, DO ,VY MM , 00, VY FROM , , TO , , 19. RESERVED FOR LOCAl USE 20. OUTSIDE lAB? S CHARGES DYES oNO I I 21. DiAGNOSIS OR NATURE OF illNESS OR INJURY. (RELATE ITEMS 1,2,3 OR" TO ITEM 24E. BY LINE) t 22. MEDICAID RESUBMISSION CODE I ORIGINAL REF, NO, 1.L--._ 3, L-- - 23. PRtOR AUTHORlZAnoN NUMBER 2. L--. "L----" 2'. A . C 0 E F 0 H I J K z Fr9:TE<S) OF SERVICE,-o .- T,.. PROCEDURES. SERVICES. OR SUPPUES DIAGNOSIS RESERVED FOR 0 01 01 "~='"':'""'~) . CHARGES OR F_ BIG COB LOCAL USE ~ MM 00 VY MM DO VY CODE UNITS .... I 2; , , , , .' I ~ , II: , , , , , , 0 , i , ... , , , , . ~1 I , , ! , II: , , , I , ~ , 2 , , , , , W 't"" , :; , .... I , ~ , ... , , , , ... I , , , , , 3 'f:, :;) ;.- ~. } ~ , en , ,. I I , II: , , , ~. , 0 , I ! , , , . i , .. , I , , . , , " I I i3 , , , , , - , iii 5 -- , >- , , , " I I , :I: , , ... , I I , , , . , FEDERAL TAX 1.0. NUMBER SSNEIN 26. PAnENT'S ACCOUNT NO. l~FI'T~~ 28. TOTAL CHARGE T29. AMOUNT P~ 30, IlAI.ANCE OUE , 00 ........'F'r - , , I VES NO S , . ' . , ; 31. StGNATURE OF PHYSICIAN OR SUPPUER 32. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERE 33, PHYSICIAN'S. SlJPPUER'S .,LLING HAIlE. ADDRESS, ZIP COOE ~ INCUJOtNG DEGREES OR CREDENTW.S RENDERED (a 0IhW Ihan hoI'I'III or orUct) & pHONE' llcenllythaSlhelt8temenllonltMt......... ; apptrtothisbIDand..........partthenlCll.) , ! 72 , 10RPI ! SIGNED DATE PlNI > ,ASE NOT ~PLE THIS EA e t II: W a: II: C u t (APPROVED BY AMA COUNCIL ON MEDtcAI. seRVICE 8188) PLEASE PRINT OR TYPE FORM HCFA-15OD (12-80) FORM r::NICfJ-15OD F()RtlI ARR-1!l;n1'1 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17111 STREET WILMINGTON, NC 28401-4946 --TELEPHONEi910)343-6500;F AX (910)-341-4146- -- ~.~~~. DAVID E. RICE, M.P.H., M.A. Hcallh Direclor LYNDA F. SMITH, M.P.A. Assistant Heal1b DiredOr DATE: RE: Name Acct # Your insurance company has informed me that your visit to the Health Department on has been applied to your deductible. Your balance of $ of this notification. is your responsibility. Payment is due within 30 days If you have any questions, please contact me at (910) 343-6500 Ext. Claims Processor NHCHD 02/11/00 73 "'~ ~,tP-~~..~'" . . . NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17111 STREET WILMINGTON, NC 28401-4946 TELEPHONEi9Hlp43-65eo;FAX(910)-341-4146-----.~."..... ....,..,. ....'...L. DAVID E. RICE, M.P.H., M.A. Hcallh Director LYNDA F. SMITH, MP.A. Assistant Health Director DATE: RE. Name Acct # Your insurance company has informed us that the claim for your visit on been denied due to the following: has _ Non-covered service _ Insurance not in effect on date of service Other: The balance due on your account is notification. . Payment is due within 30 days of this If you have any questions, please contact me at (910) 343-6500 Ext. Claims Processor NHCHD 02/11/00 "'~ ~,IAI-~~Il~'" 74 Ie NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH l-rm STREET WILMINGTON, NC 28401-4946 TELEPHONE-(910)-343-65eo,FAX (91 0)-341-4146------.......... ~ E~ DAVID E. RICE, M.P.H., M.A. Health Director LYNDA F. SMITH, M.P.A. Assistant Health Director DATE: RE: Name Acct # . Your insurance company has paid $ visit on towards your The remaining balance for your visit is $ this notification. . Payment is due within 30 days of If you have any questions, please contact me at (910) 343-6500 Ext. Claims Processor NHCHC 02/11100 . "'~ ~r~-a,.Aat~" 75 . - NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH I1fH STREET WILMINGTON, NC 28401-4946 .. TELEPHONEi9lO) 343-6500;-FA*i9i~41--4146 DAVID E. RICE, M.P.H., M.A. Health Director DATE. RE: Name Acet # . Your insurance company has not paid on the claim submitted for your visit on LYNDA F. SMITH, M.P.A. Assistant Health Director The balance due on your account is $ notification. . Payment is due within 30 days of this If you have any questions, please contact me at (910) 343-6500 Ext. 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Social Work Month March, 2000 102 Years -1898 -2000 New Hanover County Health Department Public Health Social Workers Maryann Adkins Barbara Berkemeier Sylvia Brown Paula Calvert Pam Cooke Alfreda Gee Joyce Hatem Susan Sanderford Martha Wright New Hanover County employs nine social workers, 4 in Maternity Care Coordination (MCC) and 4 as Child Service Coordinators (CSC). Maternity Care Coordinators work with Medicaid eligible women during their pregnancy and two months post partum. MCC's work with clients at Coastal OB/GYN Center, Carolina and Cape Fear OB/GYN, New Hanover Community Health Center, and Coastal Family Medicine. Child Service Coordinator work with children from birth to five years of age and their families. These children have been referred because of developmental delay, env.ironmentai, social and medical concerns. We have one Perinatal Social Worker, who is also a Certified Clinical Social Worker, who provides the more intensive psycho-social counselling to "high risk" pregnant women and their families and also women of reproductive age attending the Women's Preventive Health Clinics in the Health Dept. CONTENTS . . . Introduction and Implementation . Attendance . Code of Ethical Conduct . Committees and Special Activities . Computer Usage . Confidentiality . Customer Service Statement . Division Orientation and Training . Dress Code . Gifts and Favors . Legal Contacts On-Call / Stand By . Outside Employment . Parking . Personal Leave . Personnel - Vacancies . PhoneMail . Political Activity . Sick Leave . Staff Meetings . Workday - Workweek . . Adopted Policies New Hanover County Health Department Policy and Procedures Manual February 22, 2000 e . . NEW HANOVER COUNTY HEALTH DEPARTMENT ENV1RONMENTALHEALTH 2029 SOUTH 1 rrn STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6667, FAX (910) 772-7810 ............-..-. DAVID E. RICE, M.P.H., M.A. Health Director LYNDA F. SMITH, M.P.A. Assistant Health Director February 10, 2000 John Coble 18 W Oxford St Wrightsville Beach, NC 28480 Dear John: The Board Of Health requested that I solicit your advice about a matter discussed at our meeting last week. While assessing the Health Department's FY 00- 01 budget proposal, it became clear that growth in the county has substantially increased the workload of Environmental Health staff. As we considered potential sources of revenue to support or supplement the costs of Environmental Health Services, we were reminded of the state statute prohibiting fees for services related to the permitting and grading of restaurants. We also discussed the very nominal $25.00 annual fee paid by restaurateurs to the state Department Of Environment And Natural Resources Division Of Environmental Health. Board members suggested that the North Carolina Restaurant Association may be willing to support an increase in the $25.00 annual fee or may be willing to support a petition of legislators to change this statute so that local fees can be established for these and other similar services. A significant cost is incurred by the Health Department before an establishment ever opens for business. Analysis of menus, review of plans and equipment specifications plus construction site visits take an appreciable amount of staff time. We highly value this service as it is designed to facilitate more than regulate compliance with food safety standards. Our customers also highly value this service. A user fee would not only help support it, but additionally would force speculators to share in the costs. There are certainly other important factors that you may share with us on this subject. I look forward to the opportunity of hearing your perspective. Very truly yours, d~ ~/t;;-. William T Steuer, PE, RLS, Chairman New Hanover County Board Of Health M~ ~I'_-d..~'" . Board of Health Compensation per Meeting . NC County Members Chairman _er $25 + mifeage An"'" $0 -- $15 Bertie $35 $50 Bladen $15... mileaage $20 ... mileage Brunswick $35 ... mileage Buncombe Dinner in lieu r:I Cabanu. $0 ca..... $35 C...... $40 Chatham $15... mileage Cherokee $50 Columbus $35 C....... $50 $60 Cumber1and $0 Dare $50 + mileage $75 + mileage ~ $25 $30 Duplin Dinner in lieu of FOB,," $20 $25 Gaston $25 Granllille-Vance $20 ... mUeage $25 ... mileage G..... $20 $25 GuilfOrd $18 - $20 + mileage $25 ... mileage Haywood $25 + meal Henderson $20 Hertford.Gates $50 $125 lredell $25 + mileage Johnston $25 ... mileage Jones $20 $35 Lee $20 Lenoir $20 donated to Health Department Uncoln $20 Macon $35 Madison $25 New Hanover $20 $25 Northhampton $25 $30 Onslow $10 Orange $25 $30 p"""" $20 Randolph $20 ... mileage Richmond $50 $55 Robeson $50 $100 Rockingham $25 $30 Rowan $40 $50 Sampsal $15 ... mileage and meal Scotland $25 $35 Stanly $20 $30 Stokes $30 Suny $0 Swain $25 pAaced in a SCXlIarship fund Transylania $0 Union $15 Wilson $20 $25 Yadkin $17 $20 0212212000 . ~MEMO .'X-'. r -S)~\:::l~ f-(.'c:-:m. . dL(r~ ~ NEW HANOVER COUNTY INTER-OFFICE TO' FROM: Department He~ Allen O'Nea~ v February 22, 2000 DATE: RE. FY 00-01 BUDGET We are at the very preliminary stage of developing the FY 00-01 Budget. Staff met with the Commissioners on Feb 11 and 12 to discuss the budget. . There will be a large -increase in debt service required for the school bonds. While this is considered separately from the County operating and capital budget, the reality is that a tax increase beyond the amount required to cover debt service may not be acceptable. At this time, it looks like there will be no increases recommended in the budget for new positions or new programs. The only exception to this will be critical positions, grant funded, or those positions and programs for self-supporting organizations. The review of vacant positions before they are filled will become more stringent. This information is provided to keep you updated on the FY 00-01 Budget process. Your continued cooperation is very much appreciated. Please feel free to check with Cam or me if you have any questions or need any additional information. btb cc: Board of Commissioners e . ~ efn ~ututfter (lJ:ollltiv ~4~riff5 @ffi.c~ Jloseplt ~lItelt, Jlr., ~lteriff ;IIIilmiltgton, ~ort!f (lJ:uroHnu 284Dl-4591 1fip>ne (910) 341-4200 Jlrax (910) 341-4039 :2;;1 W':!!::-' r, . .. (-0 ('O~)C\:' ~, v {~ ) ~J)we. I ' ,,' "/";': u ''\ \r : ;~u-.J_\: ') .J (', ,1/1 ' \ ~--~~\ . \-=.- - -" \...... I - C, \ I ~., ,--"~ ( C \ -.-.:::. February 10, 2000 Betty Creech, RN Community Health Director New Hanover County Health Departmerit Dear Mrs. Creech: (~1~~J:- i", ., .(. ~'...;" ' ,:'; '::<' ~ ;!,~~~' ,. <..... --; ," 1 offer this correspondence in,supp~rt6fyou{aitejrtpt to a4c1:lin'J...PNpOsition in the jail clinic. There has been a marked increase in o,!!:jairpop1,llatiOl;'Rver,th,!l,plisqe~y~in<:reasing the work load of the entire staff. The medical stliffassigned to the Jail;Clinicd6ano1.list8iidiiigjob. It is my understanding, . however, that the clinic is ~6t,jri;~~inpiiance~itIisfirttll~wsan'an'at:i(5ria:rstandards as a direct result of insufficient staff ., . '\,' "'',,0 ", ',.;. . r .,.".,",.' ..;"? i '," "~",. .', " _.::' The national accreditation ~~!4h;otlt.~~(bini~Cis ~'achi~{~ilt,~ntf~:~roud of. Accreditation has also proven valuable in the area of':lia~ilityniiti~i6rjart4r~elieyethe pfQfi:~sionalism it fosters benefits the county on a daily basis. ' . ";.:\\J,' :., ;';~ . , '''-. ,';' i-?' Your proposed request to prOVide"~ I,icenSed 'Practical N!irsetotiieJ~iIClinic staff has my full support. Please contact me in can be of.~hh:ei~~i;~ce.-iiiJ:l1is"I#~tr~r:cr ';;"';;';J 'I .i "':'~,':, -', '~'j \~.>-,i\; 'r~.'c-' !., ;~',~ ;' Sincerely, .(;::;:t~.' ' ,:.-" :.;-~\ ~ c,.. A.._ M'" ...~r7./. Sheriff Joseph McQueen, Jr ,..;~ .C-,,"i-- . i-'Y. \).J.:__~"il", .'~!~\~> . ~~~'.g! v,~",,:.'l,' "'. '." ..'.'~ '. - . ,I, \..... "';I;, 'Ii,."." '~'JY.~~\.. .'/'."<;;,:".1":"~ . MEMBER , - Ii.._.~ ~...- ~~ ~ ' ~ . ~ ....-:..::~ North Carolina Department of Health and Human Services Division of Public Health 1330 St. Mary's Street 01916 Mail Service Center 0 Raleigh, Nonh Carolina 27699-1916 o Courier 56-23-01 H. David Bruton, M.D., Secretary 0 Ann F Wolfe, M.D., M.P.H., Director January 20, 2000 TO: Accountability Work Group Participants FROM: Dorothy Cilenti, MSW, MPH ~ Deputy Section Chief RE: Clusters Attached please find the most recent groupings for accountability clusters. Recall that the Women's & Children's Health Section intends to use these clusters to identify outliers on WCH process outcome objectives. . Based on the discussion at our last meeting, counties were grouped by race, child poverty, percent offamilies with two parents, percent of births to women with less than a lih grade education, and percent of households without cars. We had discussed adding a physician per capita variable but doing so greatly skewed the cluster sizes. We also researched the economic tiers published by the Department of Commerce to determine whether those five tiers could be used for public health accountability purposes. Only one tier Le.most economically distressed counties, moderately corresponded to one of our proposed clusters. Please review the clusters and give me your feedback by February 9, 2000. You can call me at (919) 715-3662 or e-mail at dorothv,cilenti(a)ncmaiLnet. My plan is to present these agreed upon clusters to WCH Liaison Committee members at their February meeting. Thanks in advance for your feedback. c: Sarah McCracken SMT e EveryWhere, Evet)Day. EveryBody . ---- --- I . . . . By Race, Urban, Child Poverty, 2 Parent Family, Education, Car -- Standardized Cluster 1 1 Alamance 2 Albemarle 3 Buncombe 4 Burke 5 Cabarrus 6 Caldwell Cluster 2 1 Anson 2 Beaufort 3 Bertie 4 Bladen 5 Columbus 6 Duplin 7 Gates/Hertford 7 Cleveland 8 Davidson 9 Gaston 10 Harnett 11 Iredell 12 Johnston 8 Greene 9 Hyde 10 Northampton 11 Sampson 12 Swain 13 Warren 13 Lee 14 Nash 15 Person 16 Rockingham 17 Rowan 18 Stanly Cluster 3 1 Craven 6 Mecklenburg 2 Cumberland 7 New Hanover 3 Durham 8 Pitt 4 Forsyth 9 Wake 5 Guilford 10 Wayne Cluster 4 . 1 Alexander 8 Graham 15 RPM 2 Appalachian 9 Jackson 16 Surry 3 Brunswick 10 Jones 17 Toe River 4 Caswell 11 Madison 18 Wilkes 5 Cherokee 12 Montgomery 19 Yadkin 6 Clay 13 Pamlico 7 Franklin 14 Pender Cluster 5 1 Carteret 7 Henderson 12 Orange 2 Catawba 8 Lincoln 13 Randolph 3 Chatham 9 Macon 14 Stokes 4 Dare 10 Moore 15 Transylvania 5 Davie 11 Onslow 16 Union 6 Haywood Cluster 6 1 Edgecombe 6MTW 2 GranvilleNance 7 Richmond 3 Halifax 8 Robeson 4 Hoke 9 Scotland 5 Lenoir 10 Wilson . reVlsec,v C lus-k-(S . Public Health Luncheon & Celebration Sheraton Imperial Hotel, Research Triangle Park April 4, 2000 11 :00 am - 1 :00 pm Er'el)'II,/Jere, Er'elJ'drfY, Fi/,/,rybor/l' In every crisis or emergency situation, the public health family of North Carolina is the first to respond and volunteer their time, knowledge and expertise. Whether the crisis is a result of a natural disaster, man-made disaster or medical emergency, the public can depend on public health professionals to respond. Join us in celebrating the volunteer spirit of public health at this luncheon during National Public Health Week. Registmtion Fee: $20.00 Registmtion DemfJine: Mardi 27, 2000 Mail to: NCPRA . 4208 Six Forks Road, Suite 2-JJ8B Raleigh, NC 27609 SPOD80red by Pride In Public Health Committee ottbe North Carolina Public Dealtb Association North Carolina Public Health Association 4208 Six Forks Rd. Suite 2.3388 Raleigh. NC 27609 Phone:919-7S9-8004 Fax: 919-789-8005 Email: ncpha@interpath.com Contact Deborah Rowe: 919.789.8004, Registration Name Address Phone Signature Sign up for: Luncheoo = Registered for L.ocal Health Directors Spring Educational Conference (Luncheoo included in Conference Registration Fee) $20.00 _ Vegetarian Lunch Preferred . . . . f)~ J; .' ,1!= ~ ff1tJ C I' 5 IJ-eT/ ON ~() m.' 6lo;uIJA 72oovl- jJQf}L Ate ,f ~ ~-O() rPe ,/ I? 99 -frTt9 L3 oAJ 13i ie:5 he A-fl-c2 by 'j--J e r:J)AIt) I e~ Clt.< 5 d)o ~ rpA- ,vE?- L (J Le Me- ~ i ve ~ d~(I D OF kk ~L i-t- ;',<) f}1fl(2cl- JA~/ O{//1M~ .d L.:~. 000e ~ 'qa~ rs;:~ BSv 0>6 : 'ON 3NIl-td ~ ll:8N H1ClJll t;jNN0a : W()(j~ . /999 : J)AAJge~()u..5 j)o{ ;;i Te s - & 9 Femf}t e -:;~ mJ4 j e -s/1' - .::rft/T~c T - Fem~/.e. - /0 mr+ L e.. ;;:{ 3 . </8'0 of fJi res . / 0 70 of f1)7;:JL 13; Tes we p. e 'J)f!1J1 e/ZtJtd l) j pi Te 5 ( ft;7t+L f?iTes == </3t) 1</ /JK.€e&.5 - Top J W~fe ! 'Ru1twei LeI?- 5 f;T fJ~L Ls m ;'y f?S (vIUKIfJ()u.;,u f3j(eecI) ~d 8, :~, 000e ~~ 'q"~ ~~ 8SV 0>6 : 'eN 3'IOHd ~ "l::8N HlOO8 l::N'-0l : WO<l.,j . . . -~-. ~........v",--.... -J--.... ';'''~ibbY Johnson 02/14/2000 11 :48 AM To: N otesEveryone_ARah ha Uo_JZygm u nt, NotesE veryone_KAbram s_to_ VPu rifoy cc: Subject: Blood Drive / Final Results Following are the results of our 1st Blood Drive for 2000 which ended on January 21st: Health Department Department of Social Services Property Management Tax Department Inspections Department Library 51 Donors (always on top) 42 Donors (a close second) 14 Donors (very impressive) 11 Donors 8 Donors 7 Donors Parks, Environmental Management, & Engineering: 6 Donors Cooperative Extension & Museum: Aging Department & Finance: Register of Deeds 5 Donors 4 Donors 3 Donors Planning Department, Information Technology, Fire Services, Human Resources & Sheriff's Department: 2 Donors County Manager's Office & Elections:1 Donor And the grand total of donations is......... 184 Units Wow! Thanks to all who made this a successful Drive and mark you calendars for our next Blood Drive on April 4th