05/02/2001
e
e
e
New Hanover County Health Department
Revenue and Expenditure Summaries for March 2001
Cumulative: 74.97% Month 9 of 12
Revenues
Current Year Prior Vear
ype of Budgeted Revenue Balance Budgeted Revenue Balance %
evenue Amount Earned Remainin Amount Earned Remainin
$ 1,339,333 811,405 $ 527,928 $1,339,781 957,654 372,127 72.22%
$ 523,044 384,347 $ 138,697 $ 516,453 281,890 234,563 54.58%
$ 941,900 382,031 $ 559,869 $ 852,884 500,340 352,544 58.66%
$ 153,479 153,479 $ 315,511 366,891 (51,380) 116.28%
$ 312,900 218,654 $ 312,900 228,947 83.953 73.17%
$ 112,015 110,230 $ 109,515 105,807 3,708 96.61%
$ 1,300,423 916,437 $ 824,269 598,251 226,018 72.58%
Expenditures
Type of
expenditure
Budgeted
Amount
Current Vear
Expended Balance
Amount Remaining
PrlorVear
Expended Balance
Amount Remaining
%
%
Budgeted
Amount
Summary
BUdgeted Actual %
FY 00-01 FY 00-01
Expenditures:
Salaries & Fringe $8,207,215 $5,682,301
Operating Expenses $1,957,820 $1,192,041
Capital Outlay $579,475 $320,935
Total Expenditures $10,744,510 $7,195,277 66.97%
Revenue: $4,683,094 $2,976,583 63.56%
Net County $$ $6,061,416 $4,218,694 69.60%
Revenue and Expenditure Summary
For the Month of March 2001
9
e
e
e
NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
PiIti!(IlQliV ...... ~::. .::' ReiJilest~ Pejl(U!,,' Recei.Yell.< Deni~/
Maternity Care Coordination Expansion Grant
4/4/01 -NC DHHS $15,000 $15,000
Wilrnington Housing Authority- Ross Grant -
TAP & Alternative HIV Test Sites for 3 year
funding $192,221 $192,221
Safe Kids Trailer-Safe Kids Safe Communities- G'~f)
NC Governor's Highway Safety $8,740 $8,740
NOllCtiiiitiito:rellQrt'OrJlln, FiibandMllr.200t. ...;... ... ...
~ntensive Home Visitation Program
12/6/00 Expansion Grant - Smart Start $100,000 ...~ $96,000 $4,000
::. :.. .../:.:.:......\.;.
Childhood Asthma Management & Control
Interventions- NC Department of Health &
Human Services, Division of Public Health, WCH
11/1/00 Section $23,000 $10,285 $12,715
.:.:... ;...(....::::.;...;.........: ::::;::;;;;:"::'.' T>
Cape Fear Memorial Foundation-Lice
Eradication Program $5,000 $5,000
Healthy Carollnians- Office of Healthy
Carolinians, Division of Public Health, North
10/4/00 Carolina Dept of Health & Human Services $10,000 $10,000
March of Dimes- March of Dimes Birth Defects
~ Foundation Eastern Carolina Chapter $10,000 $5,750 $4,250
..i ........:.:. ':. .. .: ': .. .: :;;;. .:::.:..;;.;;.;.......:
Enhanced Counseling Program for HIV / AIDS
9/6/00 - Elton John Aids Foundation $48,000 $48']TIill Bccc ~
::::::::::;;;; .':':""':'.':: ":'.' .;:..:.;;;.;.:.:.;..........:
Smart Start applying for Cape Fear Memoriai
8/2/00 Foundation Grant (MOW) $52,000 $50,000 $2, 000
Enhanced Counseling Program- Z. Smith
Reynolds Foundation $48,000 $48,000
Teen Aids Prevention- Z. Smith Reynolds
~........ Foundation $59,000 $59,000
.................................... ............27
March Toward TB Elimination- NC Dept of
7/12/00 Health and Human Services (DHHS) $10,000 $7,200 $2,800
Cape Fear Memorial Foundation (TAP
Program)2 year request $55,000 per year $55,000 $35,000 $20,000
Diabetes Today - DHHS Division of Public
~ Health $10,000 $10.00~
.:.
Serviclos Para Ninos-Rahab Therapy
6/7/00 Foundation $50,000 $50,000
Family Planning Outreach Initiative-NC
Division of Public Health- WPH Unit (Year One
$21,538 and Year Two: $22,615) $21,538 $21,538
Healthy Homes Initiative-NC Childhood Lead
Poisoning Prevention Program $20,000 ~ $12,448 $7,552
...........:;...:.. ..... . .... .. . . ..' :>
Project Assist-American Legacy Foundation
5/3/00 Grant ($57,500 for each of 3 years) $57,500 $8,512 $48~
........ ...........:.........:::<:G?TS..: .................... ...:: ..
.
As of 4/16/01
. NOTE: MCC Expansion Grant not sent forward by County Commissioners
10
NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
e MOW Services (Infant Mortality)-NC Healthy
Start Grant Application (2yr Grant $85,000 yr 1
4/5/00 and $43,845 yr 2) $128,845 $128,845
Skin Cancer Screening- NC Advisory
Committee on Cancer Coordination and Control
WIC Outreach- NC Dept of Health and Human
Services $5,590
rtforjjln~nd; Feb2C1C10 ,,:::.:.,
Child Health Consultant Grant- UNC Dept of
Maternal and Child Health- Contract with NC
Dept of Health and Human Services, Division of
Women and Children's Health
Healthy Carolinians Task Force- NC Office of
11/3/99 Healthy Carolinians (FROZEN) $10,000 $10,000
Operation Reach Women- Susan G. Kamen,
Breast Cancer Foundation $19,822 $19,822
North Carolina Chilhood Asthma Initiative-
NC Dept of Health and Human Services, Women
and Children's Health Section (FROZEN) $7,500 $7,500
....t!foI'Q"U999:.'."...
e School Health Lice Grant- Carolina Power and
9/1/99 Light Company Corporate Contributions Fund $4,900 $4,900
Growing Up Buckled Up- National Highway
Traffic Safety Administration Cooperative
Agreement $54,730 $54,730
Model Community Assessment Grant-North
Carolia Community Health Initiative- Healthy
Carolinians- Center for Disease Control and
9/1/99 Prevention $17,375 $17,375
Diabetes Today Community Planning
Initlative-NC Dept of Health and Human
Services - Diabetes Prevention and Control Unit $10,000 $10,000
NOllcthilt ]oieort'QrAilg1999.:," ,:' ::::""',..
Healthy Women First- Community Health
7/7/99 Improvement Program $24,692 $24,692
Teen Aids Prevention-Cape Fear Foundation
Grant $50,700 $35,000 $15,700
:U;17U6<1: $298.9$1 $<112,920 \$508;982
e
As of 4/16/01
. NOTE: MCC Expansion Grant not sent forward by County Commissioners
11
-
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-
4146
E~...h<n:.E~da~.h<l\b.>d\
DAVID E RICE, M P H,M A
Health Director
LYNDA F SMITH, M P H
Assistant Health Director
April 24, 2001
To: New Hanover County Board of Health
From: Cynthia W Hewett, Business Officer CJil~
Subject: CPT Codes and Rates - Retroactively effective July 1,2001
We are requesting your approval to implement use ofthe following codes with rates as indicated:
Code (Description of Service) Current Fee Charged Medicaid Rate Proposed Fee to Charge
Y2525 (MOW Brief) $0 $ 20.00 $ 20.00
Y2526 (MOW Standard) $0 $ 55.00 $ 55.00
e Y2527 (MOW Extended) $0 $ 85.00 $ 85.00
58301 (Remove Intrauterine Device) $0 $ 94.89 $ 95.00
For State supplied vaccines, the - 52 modifier will be used along with the appropriate CPT code when billing
insurance companies for administration of vaccines. The approved reimbursement rate is $13.71 for a
single vaccine. The total administration fee for all immunizations given at a visit cannot be greater than
twice the fee for a single injection ($27.42). CPT Codes are as follows:
90716-52 (Chicken pox)
90744-52 (HEP-B PED)
90281-52 (Immune Globulin)
90712-52 (Oral Poliovirus)
90745-52 (HEP-B Adolescent)
90657-52 (Flu Child)
90713-52 (Poliomyelitis SC)
90746-52 (HEP-B over 20)
90658-52 (Flu Adult)
90732-52 (Pnueumococcal)
90700-52 (DtaP)
90702-52 (DT)
90707-52 (MMR virus SC/jet)
e
"Your Health - OUT Priority"
12
.7'0 DEPARTMENT HEADS: Ple_e
fill in all blank. and a_wer all que.-
tion<. Enter "N/A" if a blank or que.-
tion doe. not apply. AUo, carefully
review any attached forms to e_ure
proper completion. Incomplete forms
may ,..,oult in delayed action.
e2.
3.
e
Fiscal YeaT: 2001
REQUEST FOR NEW POSITION, RECLASSIFICATION OR SALARY UPGRADE
DepartmentJDivision Name: Public Health/Administration
Agency #:
510
110
Fund #:
Organization #: 5131
Check the Requested Action: 0 New Position [!] Reclassification 0 Salary Uprgrade
1.
Current position classification title (Do not complete for a new position request):
Information Systems Technician (PTOl $27,893-$42,806)
Requested position classification title' Information Systems Support Specialist
Range=($35,859-$54,974)
Requested pay grade: PT04 Proposed effective date of requested action: 04/16/01
4.
Check one: [] Full-time 0 Part-time. Ifpart-time, check one:
050% 075% 080%
.
5.
Essential duties and responsibilities:
To provide support to all department terminal, PC and laptop end-users in the areas
of hardware and software; to include installation, networking, training, and maintenanc.
to operate and maintain the AS400 system and QS Patient Care application, to submit dati
for Medicaid and Medicare billable services via electronic data transmission; to run
reports and queries for inhouse statistical data; to maintain Microcall telephone systel
and to maintain department web page. This position will also provide assistance to the
Business Officer.
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.]:
Within the last two years our department has transitioned into a department-wide
PC based environment. We currently have approximately 200 PC's, laptops, and terminals
within our facility and off-site locations that we provide support. The hardware
and software demands continue to grow thus the need for an IT staff person with
technical expertise with computer hardware and software for daily maintenance and
upkeep of department computer equipment and peripherals, software applications, and
PC and AS400 networks.
HR.NRS.93
Continue on page 2.
13
7.
How will the requested action benefit the County?
page 2
\
This position will reduce our demands on the County IT Department and will provide~
hardware and software support for the health department staff, as well as provide ~
Business Officer with some much needed assistance.
8. Are there any employees currently performing the same duties and responsibilities as described in
the PD~? l!I Yes 0 No If "yes." identify be name, position classification title,
and umt.
Cynthia W. Hewett, Business Officer
Temporary Computer Support Specialist (this position will soon end based on funding
restrictions and limitations)
9. If your answer is "yes" to #8, what impact would the requested action have on the position(s) listed?
This would allow the Business Officer more time to focus on the financial management
of the health department. It would allow for more oversight of solving computer issues
10. What will be the impact if the requested action is not taken?
We will be forced to request more assistance from the County IT department (a depa.n
which is already stretched to provide all the needs of county departments). We wi
experience an even greater amount of prolonged time framesfor problems to be correc
which will result in downtime for end users.
.
11. How will the position be funded?
County Appropriations
~~g ~:l'Jl
gnature
Title
04/17/2001
Date
Assistant Health Director
(Attach additional sheets if neerkd. Do not write below this line.)
Action on Request:
e
HR.NRS.93
14
r
e
e
e
4
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17"' STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
EvaywhIn. e-,day. EwrJIlodJ.
DAVID E. RICE, M.P.H., M.A.
Health Director
May 2, 2000
LYNDA F. SMITH, M.P.A.
Assistant Health Director
Report to Board of Health on staff meeting with AdPR (AdvertIsing, DesIgn, Public Relations) -
Agency <XlI'lIracb!d with USCellular in S.E. N.C. area for dislraclive driving education
Campaign
In attendance: David Howard - Health Educator for Injury Prevention
Audrey Whaley - Account Executive with AdPR
Jeff Aynn - VIce PreskIent at AdPR
Meeting Place: Offices of AdPR at 805 N. 4111 Street, Wilmington, N.C. 28401
This meeting took place after Mr. Flynn contacted me In response to a newspaper artlcle about
\:he distractive driving resolutlon from the N.H.C. B.O.H. and the N.H.C. Sheriffs Dept.
The discussion included the history of the B.O.Ho's involvement in this issue and our goals to
address all distractive, inattentive, and otherwise unsafe driving behavior in N.H.C. for the
purpose of reducing motor vehicle crash rates, injury, and death rates.
They assured me that USCellular is commit:lEd to educating customers as much as possible to
prevent crashes due to dlstraclion. I was provided with a copy of a media packet (produced by
USCellular's home office in Chicago), which was dlsbibutEd to media in March of this year.
While I assured them that we could not consider being a paying dient, we could partner with
\:hem to find ways to make their ongoing local campaign highly sucoessful.
We discussed the need for continued attention to both atlitucIes, beliefs, and behavior of mobile
phone users and also to tEchnical information such as using speed-dialing, speaker phone,
hands-free devices, voice activatEd dialing, voice mail, and \:he like. I mentioned that mere
suggestion and lip lists wlU probably not get many to invest the lime to learn these features, and
local stores wiil have to get more involved in actively teaching customers.
I recently called elght retaillocatlons for information about what Is standard practice with regard
to preventing distraction while using their products in a vehicle: most said there are hands-free
devices coming with phones as standard equipment now, and there Is some other printEd
Information that comes with the phones too. One locallon (SUnCom) said they have done inserts
and printEd messages in bills about hands-free devices for sat'et.y. One USCeIlular agent
mentioned the poster that is part of the national media campaign packet.
Possible steps from here:
1) Advocate for a required level of knowledge among store staff and required Information to customers
2) Get local stores to conbibu1e money and ideas fur local promotion of safe use on the roads
3) Team with Sheriffs Dept and Police Oept's to step up enforcement of wreckIess driving violations
4) Team with media outlets for regular (monthly/weekly) tips on driving In dty-like traffic
N ~ ';1V.rq~ - ~ ~d"', '"
t/U/Oi
e
e
e
.
.1iI
L- 'C'"'
~l{-)C~ r 11y. r/~r'"
Advertising Design Public Relations
April 9. 2001
Mr David Howard
New Hanover County Health Department
2029 S. 17th Street
Wilmington, NC 28401
Dear Mr Howard:
I noticed in the paper last week that a resolution was passed concerning a driver
distraction program.
Our advertising and public relations agency has been involved with our client US Cellular
in promoting their driving distraction program. -1Icr~::
If you are in need of assistance promoting the campaign to the public we are very
interested in meeting with you to discuss the details. cd- IX" ri' - k,>,<] -:
Please contact me at 763 4439 if we can be of service.
Thank you in advance for your consideration.
;;;~
Jeff Flynn
Vice President
Gc;Mr,Henry Estep
805 North Fourth Street. Wilmington. NC 28401' Voice: 910-763-4439' Fax: 910-251-9989' www.go adpr.com
~.
je
e
e
STRA TEGle PLANNING PRIORITIES
April 25, 2001 Update
Access to health care
(Issues #7, 11 & 5)
.. Kindergarten Health Assessments: Important to be done early Margaret Horton saw a
child in Health Check with a medical problem, referred to private provider, and the child was
scheduled for surgery this week. This child will be healthy and ready to leam at kindergarten
this fall.
.. Established Maternity Care Coordination Services at two private OB/Gyn offices
.. Dr Jewell, Mr Rice, and Dr McDaniel met with Mr Thomas and Dr Butler of the New
Hanover Community Health Center (NHCHC) on 4-3-01 to discuss the Strategic Planning
Retreat and the issue of access to dental care in New Hanover County Ideas of building
additional resources for providing dental care in our community were discussed. The major
focus of the meeting was to explore expansion of dental services at the NHCHC. Two ideas
appear to be workable. Item one includes hiring an additional dentist to staff the NHCHC Dental
Program. Mr Thomas stated that several dentists had been interviewed and that they hope to
hire an additional dentist in August. Item two deals with expansion of services with the NHCHC
Dental Clinic operating on Saturdays from 9 AM until Noon. The plan is to ask for volunteer
dentists and auxiliaries from the community to staff the clinic. NHCHC will provide the
receptionist, supplies, and billing. The group established the following limeline. First, a letter
from Mr Thomas summarizing the meeting will be sent to all participants by April 13. Second,
members of the WTC Dental Society will be presented information concerning this volunteer
clinic at the May 1 WTC Dental Society meeting. Third, an "open house" will be held for
prospective volunteer dentists and auxiliaries at lunchtime on a weekday, possibly the first or
second week in May Fourth, the volunteer clinic would begin with one Saturday in June.
.. CDD and Coastal Care Van celebrate "Still a Sore Subject" with an event at 8th & Anne
Streets on April 11 from 1-4 pm. Breast exams, mammograms, testicular self-exam teaching,
syphilis and HIV screening.
.. Free Rabies Clinic: Saturday, April 21, 2001, 10am-1 45pm
.. Adoptions at the shelter had dramatically decreased as a direct result of construction on
Division Drive for the last month and a half. This message was relayed on WAAV radio to
inform the public that the shelter was open regardless of the "road closed" signs displayed at
each end of our street.
.. On Tuesday, May 1, 2001, members of the Wilmington TriCounty Dental Society will be
presented information concerning establishing a volunteer dental clinic on Saturdays at the New
Hanover Community Health Center An "open house" will be held for prospective dentists and
auxiliaries at lunchtime on a weekday in May
.. The Health Check Clinic staff has revised their clinic scheduling to cut down on no shows
and allow for scheduling more clients in need of well care. More outreach will be done before
scheduling or rescheduling inactive clients.
..
II.
I.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
.. Requesting approval to apply to Wilmington Housing Authority for Family Self-Sufficiency
funds to fund Teen Aids Prevention (TAP)
.. Carol Bottoms, staff dietitian, is serving on a committee at the Department of Aging to form a
support group for osteoporosis.
.. Carol Bottoms attended the Hoggard High School Health Fair The display, called "Where
are Your Calories Going", compared various calories of soft drink and other sweetened
beverages in all their various sizes to show students caloric content of drinks with no nutritional
1
.
value,
.. The Nutrition Division is celebrated National Nutrition Month in March, An activity was
planned each week for the Health Department staff, These included nutrition word puzzles and
a Lunch & Learn with a master gardener on growing vegetables,
.. The Nutrition Division invited Cooperative Extension staff to present at a Lunch and Learn,
Staff from the Nutrition Division and nursing programs learned about the new In-Home
Breastfeeding Support Program,
.. Asthma Luncheon on 4/2 for Healthcare providers, sponsored by the NHC Asthma Task
Force, Speakers: Dr Yip, Southeastern Allergy, Casey Herget, State Asthma Program
Coordinator, Sadie Daughtey, ALA
.. On March 15, 2001, Nancy Russ, RN presented information to the Brightmore of Wilmington
(a retirement residence facility) re: breast cancer screening and a demonstration of proper
techniques for breast self-exam,
.. ACS Officers doing routine canvassing discovered some problem areas populated by
numerous wild cats, Traps have been set in these places to decrease the vector population
there,
.. Free Rabies Clinic: Held on April 21 Vaccinated 170 pets! Discounted rabies vaccinations
are available through April 28 at participating veterinarians,
.. Staff gave 14 additional doses of pneumonia vaccine at Tileston Diabetic Clinic on 4-10-01
..
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
.. Asthma Task Force: Successful luncheon held on April 2, Dr Alex Yip spoke on NIH
Asthma Treatment Guidelines; Ms Daughtey addressed American Lung Association educational
programs; and Ms, Herget presented the ISAAC Study - Middle School Survey
.. Public Health Month: NHCHD calendar for April activities was distributed at PHM Kick Off
Event on April 2,
.. WAAV Radio: Jean McNeil will discuss Animal Control Services on April 11
.. April is STD Awareness Month,
.. Week of the Young Child: Was April 1-7 Smart Start had a Star News insert highlighting its
funded programs, including NHCHD Child Care Nursing, Health Check Coordination, and
Maternal Outreach Workers,
.. Town Hall @ Mall on May 5
.. National Medical Laboratory Week: Will be celebrated next week, April 15 - 21
.. Women's Health Care Division: Gearing up for May events: Mother's Day Breast Cancer
Screening events, Adolescent Pregnancy Prevention Month, Safe Kids Week events (May 12),
and Town Hall at The Mall (May 5),
.. Critter Magazine: Highlights animal adoption, Animals from ACS Shelter were included,
.. Pet Adopt-A- Thon: Scheduled for May 5-6,
.. Red Cross Safety Day' ACS attended on April 21 at Lowe's,
.. Funeral Directors Training: will be held on May 17 NHCHD and State staff will participate,
.. Media was contacted after the positive rabies fox was determined, This was to alert the
community that additional people may have been exposed and to secure a dog that may have
been in a fight with the fox prior to the group picking up the animal for transport to the park
personnel,
..
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
.. Network Difficulties: IT Staff (County and NHCHD) are continuing to work through Ethernet
problems to resolve issues, Access to LotusNotes, SRVNT1 (H Drive), network printers, HSIS
and as may be delayed
.. PCs: Purchased with Medicaid Maximization monies are being imaged and installed,
e
e
e
2
.
I
e
e
e
.. Keys: Several new locks are being added and some keys to old locks made to better secure
the building after hours.
.. Pharmacy' Freezer not working should be repaired this week. New alarm system for freezer
ordered.
Staff developed the ability to send citation records by creating a file from the database and
sending it electronically to the collection agency This was made possible by the Chameleon
software capabilities and staffs training in techniques of utilizing the Crystal Report writing tool
that is a portion of the system.
.. Chameleon training has given staff the ability to search and store lost and found animals
directly into the database.
.. Orthopedic Clinic moved to larger facilities. Now being held at Wilmington Orthopedic
Group's Oleander Drive Office.
..
V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
..
VI. Emerging health risks
(Issue #13)
.. Nationwide Shortage: A shortage of DTaP, DT, and Td vaccines. Local health departments
asked to ensure appropriate use of all vaccines, and store and handle appropriately to avoid
wastage. Cannot administer any state supplied Td off site. Hurricane Expo on June 1 will be
affected (gave 89 adult tetanus doses last year).
.. Staff investigated a wastewater spill in a remote tributary leading to the storm water pond on
Randall Parkway State Division Of Water Quality and the City Of Wilmington engineers
estimated the spill to be 43,000 gallons of untreated wastewater Once discovered, the
discharge was routed via bypass containment until repair could be made to the 13-feet deep
collection sewer Staff assured that the City Of Wilmington promptly alerted the public and
reviewed laboratory analysis of upstream and downstream samples to determine the public
health and environmental impact of the spill.
.. Positive Rabies Case: First rabies case of 2001 was a fox in the Carolina Beach area.
..
VII. Population growth & diversity
(Issue #2)
.. Carmen Potter, a bilingual staff member, is holding lunch time Spanish classes for staff who
are interested in being able to communicate some with our Hispanic clients.
..
VIII. Discontinued services picked up by Health Department
(Issue #9)
..
IX. Staff Development & continuing education
(Issue # 14)
.. Three staff nutritionists attended "Guidelines for Diabetes Care"
.. Policies: the Management Team adopted the Driving Record Standards and Smoking
policies on April 1 O.
.. DHHS Summer 2000 Recovery Corps Report: A report summarizing statewide
participation, including NHCHD, has been routed to Divisions.
.. Epi Lunch and Learn: Sessions begin on April 26, focusing on outbreak investigations.
.. Super Staff Nominations: Due to Shirley Lloyd by May 16.
.. Public Health Month Activities: Chair Massages in Auditorium 4/18/01 from 11 :30am-2pm.
"Dance to Your Health" with John Bennett, Monday evening 4/23/0,1 5.15pm-6: 30 pm
3
.
-+ Laboratory Director and Laboratory Supervisor attended a workshop in the County's
Management Series on "Taking Corrective Action"
-+ CPR Instructors: Are attending American Heart Association re-certification training in April
and May There are changes in the way CPR will be taught, starting in July The Health
Department will need to purchase new books, videos, and supplies prior to scheduling classes
for staff.
-+
X. Evaluation of services
(Issue #16)
-+ Policies: the Management Team will discuss the Driving Record Standards and Smoking
policies on April 10.
-+ Budget: NHCHD Staff are in the process of justifying our FY2001-02 Budget Request with
the NHC Budget Department. Among the areas being addressed are: Grant-funded and
reimbursement programs, County funded travel, and temporary positions.
-+ Performance Measures: NHCHD Staff is clarifying our performance measures with the NHC
Budget Department.
-+ Four members of AEIOU Community Assessment subcommittee attended a presentation by
Steven Meinhold (UNC-W) to look at results of the 2000 Health and Human services community
survey He reported on the results of the telephone interviews, which is a component of the
overall assessment and solicited random input to identify the public's perception of community
health and human service needs. The NHCHD subcommittee will be studying this information as
we begin our work to address community health assessment.
-+ Jean McNeil met with State & County representatives to discuss the County Animal
Response Team and to address emergency protocols for New Hanover County
-+ CPT Team: met with State Consultant on April 2. The next meeting with the Consultant is
scheduled for July 2 to discuss auditing of medical records.
-+ Insurance Billing Team: meets with State Consultant on April 17
-+ County Commissioners Meeting 4/16/01 reviewed grant applications: Approved Safe Kids
Trailer $ 8,740, Wilmington Housing Authority-Ross GrantTAP 3yr $192,221, and denied
Maternity Care Coordination Expansion Grant funding for $15,000.
-+ Fixed Asset Inventory Sheets: Handed out to division directors for programs. Due back to
Frances by Wednesday, 4/25/01
-+ Legislative Action: List of current North Carolina General Assembly bills given to
Management Team. Bills on uncompensated care (SB698/HB788), interpreters
(SB737/HB973), and core/essential public health services SB949) were highlighted.
-+ NHCHD Fees: NHC has requested a review of current NHCHD fees. Dave Rice will discuss
with Assistant County Manager on April 26.
-+ Electronic Calendars: A team (Dianne Harvell, Cindy Hewett, Pat Johnson, and Marcy
Smith) will be reviewing the possibility of placing NHCHD meeting rooms on LotusNotes for
access by Health Department staff. The team will report back to Management Team by May 15.
-+ Vector Control: Lack of funding for overtime will limit ability to provide mosquito control
services.
-+ Lab Director and Lab Supervisor have been evaluating services provided in the lab looking
at ways to decrease costs in anticipation of cuts in the budget for Fiscal Year 2002.
-+ Two more clerical staff completed the Animal Care & Training tape series.
-+
e
e
e
4
.~
NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
320 CHESlNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4045
TELEPHONE (9/9) 34/-7/39
FAX (9/9) 34/-4027
ALLEN O'NEAL
County Manager
ANDREW J. ATKINSON
Deputy County Manager
PATRICIA A. MELVIN
Assistant County Manager
April I?, 2001
DAVID F WEAVER
Assistant County Manager
414 Chestnut Strccl, Room 10]
Telephone (910) 341-7139
Fax (910) 341-4035
Dear fellow employee,
By now, you have read or heard that New Hanover County is in serious financial
trouble. Not true. It is true however, that certain challenges face New Hanover County
government as we prepare next year's budget. There are a number of reasons we are facing
these challenges, not the least of which, is the state's budget problems.
In an effort to make up a nearly 800 million-dollar state budget shortfall in the current
fiscal year, the governor is withholding about a million dollars from New Hanover County;
money we had based our budget on. Annexation also has a role in the loss of dollars the
county receives through the distribution of sales tax revenues; the city's share grew, while the
county's share (and the school district's and the fire district's) became stagnant. And then
there is the overall slowdown in the economy. Consumers are not spending as much as they
have in the recent past, thereby reducing our share of sales taxes even further.
While the county is not bringing in the same amount of revenue at the same pace as in
recent history, the list of demands from our public continues to grow, as does the programs
and services mandated from the state and federal governments, mandates that rarely come
with the necessary funding.
Over the next few weeks, you will continue to hear about the options our County
Commissioners will consider as they try to deliberate on the best way to serve the citizen at the
lowest possible cost. Some of those options include reductions or total elimination of services
and the personnel we employ to provide those services.
Let me assure you, that workforce reductions and the elimination of departments are
on the bottom of the list of options. However, tough decisions will have to be made to balance
our resources with the demands made on county government by the public.
There is one thing we can all be guaranteed in the upcoming fiscal year; we will be
expected to do more with less. I trust that all county employees will work together to meet
this challenge to maintain good govenunent. That is our responsibility.
I have always admired and respected the work and commitment of county employees.
I know the pressure of the unknowns with the public budget process can be difficult. I will do
my very best to keep you informed on a timely basis. Please continue to serve the public at the
highest and most professional level possible.
I
e
e
More later.. .
.'
.,
,I
NEW HANOVER COUNTY
INTER-OFFICE
e!\'w-iMEMO........."....
~ "'~" . ''''', ~". '*~'::.<:.i::::~..
?'~~~{::;:;i::;;.;. ...\=;;. :-;~s.:' .::~ ~*~:~:::~::;{:::;;,~xr:ff':..,.~'.~~:.~: '::<j:::mt:?-~..%t. ::~f.::W$.?:1:=:::j;~ ~...~. :~~~(4~"1::: ::;=;-.t'x:' f:::";'"
"', '.' ....~ W.. .;.~:r.@# ....:.;:;. .
TO:
FROM:
New Hanover County Board of Commissioners
Allen O'Neal, County Manage~
Cam Griffin, Budget Director U-
DATE:
April 16, 2001
RE:
PROGRESS ON FY 2001-2002 BUDGET
A summary of the FY 2001-2002 Budget's current status follows.
Staff has been reviewing the departmental requests and revenue estimates to balance
the budget at the lowest possible responsible tax rate. There are no expanded
services, except expenditures related to the opening and maintenance of Veterans
Park. Departmental budget requests have been reduced, and in some cases, services
e may have to be adjusted.
Early in the budget process, department heads were directed to submit budget
proposals with the operating expenses at or below the FY 2000-2001 approved amount.
They were also directed to request only capital outlay items essential to their
operations. Even with the departmental budgets at these funding levels, there is still a
significant gap between estimated expenditures and revenues for next fiscal year's
budget.
Following are the major expense increases in the FY 2001-2002 Budget.
Expenditure Increases - FY 01-02
Debt Service/General Fund $ 4,414,521
General Fund Transfer to Schools (New Schools Only) 3,488,421
Full Year Implementation of Pay and Classification Plan 3,371,517
Department of Social Services - Medicaid 1,857,572
Medical and Dental Insurance 400,000
Veterans Park - Additional Positions 168,413
Veterans Park - Operatinq 283,840
$13,984,284
e
,~
.J.....
- 2 -
The changes in revenue at the current tax rate are not sufficient to balance this
increase. The major changes are as follows:
Revenue Chanqes - FY 01-02
Increase in Ad Valorem Taxes (Current Tax Rate) $2,690,100
Decrease in Sales Taxes' -401,531
Decrease in DSS Revenue (Since Not Electinq County) -600,000
$1,688,569
'Two main factors have created a decrease in sales tax revenues for the
County-slowdown in the economy and annexation. As we stated in
January, we may not receive the amount of sales tax budgeted for the
current fiscal year.
The current gap in the budget is $12.4 million, which is equivalent to 7.6 cents on the
tax rate.
A gap of 1 cent exists in the Fire Service District.
Please let me know if you have any questions or need additional information.
Attachments
"
,
,
d"
II
e
e
-
n
i-
APR-27-01 FRI 10:48 AM
NH CO MANAGER' S OFF ICE
FAX NO. 9103414027
!
e
NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
310 CHESTNUT STREET, ROOM SOl
Wll..MINGTON, NORm CAROLINA 28401-4058
TELEPHONE (910) 941-7184
FAX (910) .141-4027
April 27, 2001
near fellow employees,
P.02~
ALLEN O'NE:M1.)
County Manager
ANDREW J. ATKINSON CPA
Deputy County Manager
PATRICIA A. MELVJl'l
Assistllnt County Manager
DAVlDF.WEAVER
As,istmlt County Manager
414 Cbostoul SI%cet, Room \01
Telephone (9\0) 341-7139
Fax (910)341-403S
As I promised, I wanted to keep everyone informed as to the progress we are making in addressing the upcoming county
budget. As you are keenly aware, next fiscal year will not be easy in terms of providing the services we are required to provide
citizens not to mention the many other services our citizens have demanded.
I have presented our County Commlssionm with various scenarios for increasing the county's revenue by way of an increased
property tax rate. Unfortunately, each of those scenarios comes at a high price; namely a decreased level of service to our
community, and perhaps most importantly, a decrease in the level of support we give to our schools.
Allow me to briefly explain the scenarios....
Scenario one: a 7.6 cents increase in the property tax rate would allow for our continued operation and for the continued
operation of the schools. However, the amount of revenue the 7.6 cents increase would fund just covers the bare necessities.
County training and travel would be cut in h~ funding of outside agencies and library books would be reduced by twenty-
five percent. In addition, there arc a number of other reductions that are too numerous to list.
Scenario two: a 4 cents increase in the property tax rate would force us to dip into the county's fund balance (savings
account) aud eliminate all funding for outside agencies, renovation to the Main Library Branch and the county's commitment
to the Airlie Gardens Foundation and Legion Stadium renovation, and a list of other reductions.
Scenario three, a 1.8 cents increase in the property tax rate would force US to dip into the county's schools fund balance as
well as our own, stop development orY aterans Park, decrease Community College and mental health funding, as well as those
measures listed in scenarios one and two. The decrease or elimination of your employee appreciation day and holiday
receptions are also included in the above lists.
e
OUr Board of Commissioners have ri.mtlv reiected .unaMns two and three. which would have involved reducing the county's
and county's school fund balances to dangerously low levels. Either scenario would have jeopardized the county's excellent
bond rating which measures the county's ability to borrow money for capital projects at low interest rates.
The process of budgeting is far from complete. Other scenarios will likely be considered. Further budget reductions and
elimination of specific programs and services may be considered. The elimination of specific programs and services.
obviously, may require the elimination of the employees that fill the positions that provide the services. As noted in my April
I'" letter to you ".. woIkforce reductions and the elimination of departments are on the bottom of the list of options." That
approach to budgeting remains. As I have slated before, and will state again, the financial integrity of the county is paramount.
The County Commissioners are approaching the budget challenges very respoDSibly and, I'm sure, will continue to do so.
Please continue to provide the public with the good services they have come to expect and deserve.
More later..
e
e
e
e
APR-27-01 FRI 03:40 PM NH CO MANAGER'S OFFICE
FAX NO. 9103414027
P.02/02
NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
310 CHESTNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4058
TELlIPHONE (910) .141-7184
FAX (910) 5414027
ALLEN O'NEAL
County Manager
ANDREW.I. ATKINSON CPA
Dcpury County Man.,...
PATRICIA A. MELVIN
i\ssistant County M_
I)AVIDF. WEAVER
As';'loDt County MlIlJIIgcr
414 Che$lnllt Street. Room 101
Ttlephotle (910) 341.7139
FIX (910) 341-4035
April 27, 2001
near fellow employees,
The putpose of this letter is to clarify a statement in the next to the last paragraph
in the letter that was distributed to you earlier today. The letter stated that, "Our Board of
Commissioners has ri2htlv ~ected scenarios two and three..." lbt statement is Dot
accurate. The Board stated their desiIc Dot to use fund balance if at all possible, but they
did not reiect the scenarios two and three.
Again, I must reiterate that the budget is a work in progress.
1 apologize for not communicating the outcome of the last work session entirely
accurately.
Thank you for your patience and Wlderstanding.
More later...
e
;Nort~ <!Iarolina OileneraI !,-ssemhI1J
;Mouse of ;RI'prI'sI'matif<I's
;!ElanieI ~_ ~drromas
13flj ;!Elisfrirl
OFFICE ADDRESS: 606 LEGISLATIVE OFFICE BUILDING
RALEIGH, NC 27601-1096
TELEPHONE: (9f 9) 733-5786
(919) 733-5815 FAX
E-MAIL: clannym@ms.ncga.state.nc.u.s
DISTRICT ADDRESS: PO Box 2274
WILMINGTON, NC 28402
(910) 343-8372
April 17, 2001
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401-4946
Attention: Mr David E. Rice, M.P.H.,M.A.
Health Director
Dear Mr Rice:
e
Thank you so much for your letter requesting my reconsideration of my support for the repeal of
the Motorcycle Helmet Law
My Co-sponsorship ofthis legislation came about when one of the primary sponsors approached
me on the House floor, to elicit my support. At that time, I was assured this had broad support,
since it was only permissive legislation, and only applied to those older than 21 years of age. At
that time, there was not much time to review this, and with other members of our local delegation
supporting it, I went ahead.
In hindsight, it was probably not the right thing to do, and I am glad to inform you that I have
withdrawn my support.
You will be pleased to know that the bill did fail in committee, and will probably not be voted on.
Again, thank you so much for writing. In can be of further assistance, please do not hesitate to
let me know
e
DFM/jnw
~~
\..-