10/01/2003
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Revenues
Type of
Revenue
Federal & State
nimal Control
Medicaid
Medicaid Max
EH Fees
Health Fees
Other
Ex enditures
Type of
Ex enditure
New Hanover County Health Department
Revenue and Expenditure Summaries for August 2003
Cumulative: 16.67% Month 2 of 12
Budgeted
Amount
Current Year
Revenue Balance
Earned Remaini"
%
Prior Vear
Revenue Balance
Earned Remalnln
Budgeted
Amount
$ 1,659,620
$ 570,161
$ 1,044,080
$
$ 300,212
$ 113,850
$ 2,183,420
463,661
91,147
81,637
$ 1,195,959
$ 479,014
$ 962,443
$1,692,429
$ 587,944
$1,035,386
$
$ 312,900
$ 112,850
$1,272,101
$ 1,578,744
$ 498,022
$ 958,397
113,685
89,922
76,989
6.72%
15.29%
744%
264,361
$
Budgeted
Amount
Expended
Amount
Balance
Remalnln
%
BUdgeted
Amount
Expended
Amount
Balance
Remalnln
%
8,798,590 $ 1,183,482
1,839,543 $ 220,135
148,964 $ 2,017
Summary -
Budgeted Actual %
FY 03-04 FY03-04
Expenditures:
Salaries & Fringe $ 9,748,182 $ 1,185,987
Operating Expenses $ 1,377,535 $ 185,746
Capital Outlay $ 57,614 $ 12,738
Total Expenditures $ 11,183,331 $ 1,384,471 12,38%
Revenue: $ 5,871,343 $ 762,769 12.99%
Net County $$ $ 5,311,988 $ 621,702 1170%
Revenue and Expenditure Summary
For the Month of August 2003
10
Date (BOH) Grant Reauested Pendina Received Denied
New Hanover County Safe Schools- Uniting for
Voulh "U4Youth"(funding will be received over a
9/312003 3 year grant period) $49,000 $49,000 ,
Safe Kids Coalition- Fire Prevention $2,500 $2,500 ,-. /fA'"
,
8/612003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400 .
Smart Start- Partnership for Children (Grant
7/3/2003 Increase for Part Time Nurse Position) $5,523 - $5,523
Cape Fear Memorial Foundation - Diabetes '~rOtiJ
Today (two-year request; $42,740 annualiy) $85,480 $85,480
Duke University Nicholas School of the I
Environment-Geographic Information Systems
Grant (Env Health) $10,000 $10,000
Safe Kids Coalition- Safe Kids Mobile Car Seat
Check up Van $50,000 $50,000
Safe Kids Coalition- Risk Watch Champion
6/412003 Team $10,000 $12,500
Smart Start- Partnership for Children: Child
51712003 Care Nursing Program (Preliminary Approval) $171,977 $172,500
Smart Start. Partnership for Children: Health
Check (Preliminary Approval) $41,035 $41,747
UNC-CH: Child Care Health Consultant $62,849 $64,495
Cape Fear Memorial Foundation (through
Partnership for Chlidren): Navigator Program $178,707 $180,000
4/312003 No activity to report for April 2003.
3/512003 No activity to report for March 2003.
2/512003 No activity to report for Fabruary 2003.
1/812003 NC DHHS- OPH Preparedness and Response $115,950 $33,600 $82,350
12/412002 No activity to report for Dacember 2002.
NC Health and Weliness Trust Fund-Teen
Tobacco Use Prevention & Cessation Program
111612002 ($100,000 per year for 3 years) $100,000 $100,000
Safe Kids Buckle Up Program-North Carolina
10/212002 Safe Kids $5,000 $5,000
Developing Geographic Information Systems
(GIS) Capacity in Local Health Department In
Eastern North Carolina-Duke University
Nicholas School of the Environment and Earth
Sciences (NSEES) $18,000 $18,000
No actiVity to report for september 2002.
No activity to report for August 2002.
No activity to report for JulY :
Totals $988,371 $186,980 $569,792 $238,273
NHCHD BOARD OF HEALTH APPROVED
GRANT APPLICATION STATUS FY 03..Q4
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18.92%
Pending Grants 4 25%
Funded Total Request 8 50%
Partiallv Funded 2 13%
Denied Total Request 2 13%
Numbars of Grants Applied For 16 100%
As of 9/1612003
. NOTE: Notification reoaivad since last repert.
57.65%
24.11%
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent Meeting Date: 10/01/03
Agenda: 0
Deoartment: Health Presenter' David Rice, Health Director
Contact: Janet McCumbee, Personal Health Services Director
Sub'ecl: Re uest for A roval of Additional State Maternal Funds
Brief Summary' Health Department will receive additional funds from the State to
implement the MCC Best Practice Pilot Model. NHC Health Department was chosen to
pilot a more standardized MCCIMOW program for NC. The State will provide $7500 in
additional support as an incentive. All MCCslMOWs have received free training to
im lement the ro ram be inni November 2003.
Recommended Motion and Requested Actions: NHCHD to accept $7,500 from the state
to be added to their Maternal Child Grant funds routinely received each year, and to
a rove the related bud et amendment when the contract is received.
Funding Source: NC Dept of Health and Human Services, Division of Public
Health,Women's and Children's Health Section.
Will above action result in:
ONew Position Number ofPosition(s)
Dposition(s) Modification or change
0No Change in Position(s)
Explanation: The funds are to be used to offset any revenue loss during initial
implementation of the pilot, and to add funds to operating for mileage for required home
visits.
I Attachments: Letter from State Women's Health Branch on MCC/MOW Best Practice Pilot
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North Carolina Department ofHea1th an4 Human Services
Division of Public Health - Women's llt Cbildreo's Health Section
1929 Mail Service Center . Raleigh, Nottb CaroIiDa 17699-1929
Tel919-733-7791. Fax 919-715-3410
a(~D3
C'.aDnm Hooker Odom, Seaowy
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MidIad F. Easley, Governor
July 17, 2003
MEMORANDUM
From:
Selected Health Directors and Community Health Center Directors who provide MCC and/or MOW
Services
BelindaPettiCord, Supervisor ~ ~I #If-
Perinatal Health and Family Support Unit
Women's Health Branch
To:
Subject:
Invitation to Participate in the 2003-04 MCClMOW Best Practice Pilot
You are invited to participate in the 2003-04 MCC/MOW Best Practice Pilot in collaboration with the Women's Health
Branch. As you know, Maternity Care Coordination (MCC) services arepresently available to all women eligible for
_Medicaid through local health departments and a select group of community health centers. Maternal Outreach Worker.
_ (MOW) services are provided in approximately 6Q% ofNC counties to provide additional support under the care plan of
an MCC. The overall goal of the ten-county pilot is to match the identified needs with appropriate service provision and
focus the resources and efforts to those individuals with the greatest need. Medicaid eligibility will not be the sole
determining factor for MCCIMOW service provision, but services will be driven by client identified needs.
Your site has been selected due to your existing program efforts and your interest in strengthening your MCClMOW
service provision. The Regional Social Work Consultant for your county has also made contact with a member of your
MCC/MOW team. The attachment provides an overview of the changes that will be piloted.
In order to be a pilot site the following is required:
. Attendance at the informational teleconference
. All MCC and/or MOW staff must follow the pilot guidelines (no variations)
. All MCC and/or MOW staff must attend a full day training on September 10,2003 (travel and overnight
accommodations will be covered by the~)
. Participation in random record audits
. All MCC and/or MOW staff must attend a follow-up training in early 2004 (travel and overnight accommodations
will be covered by the state)
. Participate in data collection for specific elements
. Service capacity (i.e. staff infrastructure) must be maUrtained
e
The informational teleconf.nce has been scheduled for Wednesday, July 30, 2003 from 9:00 -12:00 noon. The
teleconference sites include Hickory, Wilson, and Raleigh. If you are interested in participating in.the pilot, we are
requiring the MCC/MOW Supervisor along with you and/or your designee to attend. During this session, a formal
presentation will be provided and time allotted for questions and answers. Once the teleconference has concluded, you
will be requested to make a formal commitment to participate in the 2003-2004 MCCJMOW Best Practice Pilot by
Monday, August 11".
13
* t .....,;~. mo St. MoIy'. Su=. Raleigb.N.C 27605 An Equal Oppommity Emp1ayer
Page 2
July 17, 2003
Best PractiCe Pilot
We have secured limited funding in the amount of $7500-$8000 per site that is available to assist sites during
this pilot period and to ensure that sites commit to the pilot for the entire period of September 2003 - June 2004.
If you are interested in attending the informational teleconference, please contact Renee Hannah, State Baby
Love Program Manager, by Monday, Jnly 2811>. She can be reached at 919-715-5293 or
renee.hannah[aJ.ncmail.net. Should you have additional questions or concerns, feel free to contact me at 919-
715-3399 or belinda.Dettiforduv.ncmail.net. We look forward to this new collaboration. Thanks for your
consideration of this request!
C: Kevin Ryan, MO, MPH, Section Chief
Joe Holliday, MO, MPH, Branch Head
Renee Hannah, MSW, Program Manager
Regional Social Work Consultants .
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Concept
Presently the Maternity Care Coordination (MCC) program is available to all women eligible for
Medicaid through local health departments and a select group of community, rural, and migrant
health centers and private providers. We are proposing a pilot MCC/MOW project in ten
targeted counties in which Medicaid eligibility will no longer be the sole determ;n;ng factor for
MCCIMOW service provision that will:
. Focus the resources and efforts to those individuals with the greatest need
. Match the identified needs with appropriate service provision
. Ensure that the identified needs can be adequately addressed and/or impacted by the
MCCIMOW programs
. Increase efficiency by having the client complete a self-screen
. Increase/improve coordination among providers involved in.care of clients
. Enhance service delivery quality by standardizing service provision through the use ofbest
practice methods of care
Proposed Program Changes
New Self-Screeninl! Tool
All potentially eligible pregnant women will complete a self-screening tool that will focus on
such issues as access to care (e.g" transportation, child care), living conditions (e.g.,
homelessness, stability), substlince use, domestic violence, depression/mental illness, and
pregnancy intendedness. The MCC will review the results of the screening toOl with the client.
and determine whether the client needs basic written information or a complete MCC Program
Assessment. If the provider determines that issues/circumstances have changed with the client, a
second point of entry can be either provider or self-referral.
Revised Assessment and Planninl! Process
All participants needing an assessment will be enrolled into the MCC Program. This will be the
initial entry into the MCC/MOW program. During the assessment phase, the MCC will conduct a
more in-depth analysis of the situation and ascertain the level of service provision for the patient.
Through utilization of a best practice assessment and care planning process ("Maternity Care
Coordination Pathways"), the MCC and client will conduct a structured assessment interview;.
S~bsequently, in conjunction with the client, the MCC will develop a plan of care in which.the
established risk factors will drive the direction of service delivery. A re-screen will be conducted
within the third trimester (28-40 weeks) to verify any status and service provision change in
clients who initially screened negatively out of participation will be supplied with written
information specifying who/how to contact at the agency and what change(s) in situation would
constitute reconsideration.
MCCs and MOWs will be required to maintain their documentation (e.g., screening tool,
assessment, care plans, narrative notes, etc.) in the agency medical record rather than in a
separate MCC or MOW record. Providers will be asked to conduct regular coordination
15
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conferences (at a m;nimum of quarterly) among themselves to ensure that issues are being
appropriately addressed.
e
Mandatorv Home Assessment
The pilot will also require a home visit within sixty (60) days to complete an on-site home
environment assessment. The premise in the proposed pilot is that an initial home visit is a
critical step in assuring the assessment's accuracy and precision. During this assessment, data
will be collected pertaining to living situations (e.g., in-door plumbing, food availability,
workable appliances, etc.). In agencies with an MOW, the home assessment will be conducted by
the MOW. This is an appropriate role for the MOW in that they function outside of the clinic in a
community-based function. If an agency does not have an MOW program, the MCC will conduct
the home assessment. For agencies with an MOW program, the completion of the home
assessment by the MOW permits the MCC to focus their efforts on client care coordination.
MOW Focus
MOWs will have a greater focus on outreach and education for "hard to reach" families. During
the pilot process MOWs will also be paired directly with women who need assistance in housing,
transportation, childcare, food, financial resources, and educational/employment needs. Follow-
up must be delivered on identified issues. They will be the primary points of contact for
families while working with the MCC.
Evaluation and Renortinl!
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In addition to the present policy requirement that Maternity Care Coordinators complete and
submit a Pregnancy Outcome Summary/Report within 30 days of service discontinuation, the
proposed pilot incorporates an evaluation plan that strives to analyze the basic premise for
instituting a different approach to service delivery within the current environment. Data
collection for specific elements is a condition of pilot participation.
Regional Social Work Consultants will conduct random record audits periodically.
All Maternity Care Coordinators, Maternal Outreach Workers and their supervisors (at a
m;n;mum) will be mandated to participate in one basic training at the onset of the pilot.
.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: 0 Consent Meeting Date: 10/01/03
Agenda: [gI
Department: Health Presenter Janet McCumbee, Personal
Health Services Director
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Request for approval to accept Temporary Assistance for Needy Families
TANF fundin intheamountof$17,827.
Brief Sununary: New Hanover County Health Department will receive $17,827 funding
from NC Department of Health and Human Services, Division of Public Health,
Women's and Children's Health Branch to provide clinical family planning services to at-
risk individuals who are not covered by Medicaid. (The Health Department has received
T ANF funding in the past but was informed by the State (at the time of budget
preparation) that we would not be receiving these funds this fiscal year; therefore T ANF
fundin was not included in bud eted revenue for FY04.
Recommended Motion and Requested Actions: To approve receipt ofTANF funding in
the amount of$17,827 and associated budget amendment
Funding Source: NC DHHS, Division of Public Health, Women's and Children's Health
Section
Will above action result in:
DNew Position Number ofPosition(s)
DPosition(s) Modification or change
[g\No C e in Position s
Explanation: These funds will be used to support salary and fringe of public health
nursi staff rovidin above listed services.
I Attachments: Copy of Contract Addenda.
19
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DMSION OF PUBLIC JlEALTH
AGREEMENT ADDENDA
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eNr:w Hitnover County Health Department
Contractor Name
Women's and ChUdren's Health
, Seetion
Women's Haith
Brancb
5151 - Family Planning
Activity Number and Title
Women's Preventive Health
Unit
July 1,2003 - June 30,2004
, Effective Pericd (&.ginning and Ending Date)
3
Revision #
9-02-2003
Date
This revision increases T ANF Out-of.- Wedlock birth prevention funds by the amounts in the table below. Funds are to be used
to support activities detailed on the attached Section C-2 Agreement Addenda. See instnJctions in first paragraph of C.2.
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01 ALAMANCE $ 14,624 35 FRANKLIN , ' $ 5,989 67 ONSLOW $ 15,564
214 ALBEMARLE REG $ 16,995 36 GASTON $ 25,895 68 ORANGE $ 7,650
02 ALEXANDER $ 2,602 38 GRAHAM $ 585 69 PAMLlCO $ '1,278
04 ANSON $' 5,249 221 GRAN-VANCE $ 15,995 71 PENDER $ 4,494
204 APPALACHIAN $ 3,941 40 GREENE $ 2,818 73 PERSON $ ,,4,449
07 BEAUFORT $ 6,989 41 GUILFORD $ 54,033 74 PITT $ 20,829
09 BLADEN $ 6,050 42 HALIFAX $ 12,684 76 RANDOLPH $ 12,301
10 BRUNSWICK $ 8,021 43 HARNETT $ 12,161 77 RICHMOND $ 10,114
, 11 BUNCOMBE $ 20,382 44 HAYWOOD $ 3,694 78 ROBESON $ 31,745
12 BURKE $ 9,452 45 HENDERSON $ 6,127 79 ROCKlNGHAM $ 11,484
13 CABARRUS $ 12,346 209 HERT-GATES $ 6,436 80 ROWAN $ "\5,857
14 CALDWELL $ 9,145 47 HOKE $ 6,743 216 R"P-M $ 12.932
16 CARTERET $ - 48 HYDE $ 724 82 SAMPSON $ 9-'-314
17 CASWELL $ 2,278 49 IREDELL $ 13,946 83 SCOTLAND $ 9;283
18 CATAWBA $ , 14,810 ' 50 JACKSON $ 2,894 84 STANLY $ .6,174
19 CHATHAM $ 4,494 51 JOHNSTON $ 13,701 85 STOKES $ -
20, CHEROKEE, $ 1,616 52 JONES $ 1,093 .86 SURRY $ 6,374
22 CLAY $ 400 53 LEE $ 8,343 87 SWAIN $ 2,340
23 CLEVELAND $ 14,132 54 LENOIR $ 12,623 205 TOE RIVER $ 2;587
24 COLUMBUS $ 10,268 55 LINCOLN $ 6,312 88 TRANSYLVANIA $ 2;278
25 CRAVEN $ 12,377 56 MACON $ 1,862 90 UNION $ 12,115
26 CUMBERLAND $ 47,708 57 MADISON ' $ 1,231 92 WAKE $ , 54,115
28 DARE $ 2,063 218 MAR-TYR-WASH $ 8,528 93 WARREN $ 2,894
29 DAVIDSON $ 15,564 60 MECKLENBURG $ 85,120 96 WAYNE $ 16,549
30 DAVIE $ 2,171 62 MONTGOMERY $ 4,649 97 WILKES $ 5,834
31 DUPLIN $ 8,928 63 MOORE $ 8,205 98 WILSON $ 14,700
32 DURHAM $ 33,328 64 NASH $ 1350M 99 YADKlN $ 3,018
33 EDGECOMBE $ 15,902 I HANOVER $ 17,82 TOTAL $ 1,000,000
34 FORSYTH $ 43,849 66 NORTt1I\Mt', ;p 4,"l!:Cn
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08-2003
//4 ;2p/l!4P3
Local Health DiIector Signature and Date
20
oOrlglDal
RevIsIon #1. .
.
Activity #I 5151
Activity Nome: Famuy rlaDDmg
.
..
Nole: TANF Iunds... dls_1D IUpporI Qut.ol-WedIock birth p8\I8(llIon _In _ wilIIlhe oppIOVOd TANF IlIock Grant Plan lor FY 2003-2004.
...
.
ROW 1 -- ............". - .........,.".. ~,lRC ...............
.... .11I1.-n T_ of AD
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....... . - . - ~ ~ R.i.' - . ~ - . - . . ~-~ ~ . r~ - ~ ~
. .....--
COUNTY Sources
01 AlAMAIlCE 8 1..624 81..62..00
214 ALBEMARLE REG 8 16,995 816,895.00
02 ALEXANDER 8 2,602 82.602.00
~ ANSON 8 5,249 S5,2.ri.00
2~ APPALACHIAN $ 3,841 13,941.00
07 BEAUFORT $ 6.969 $8 9B9.oo
09BLADEN $ 8.050 $8,050.00
10 BRUNSWICK $ e.o21 $8 021.00
11 BUNCOMBE $ 20 382 $20 382.00
12 BURKE $ U52 $9.e2.oo
13 CABARRUS S 12,349 S12.MB.00
1. CALDWEU. S 9.1015 $91015.00
18 CARTERET I - $0.00
17 CASWELL $ 2.278 ---..;
18 CATAWBA $ 1.,BIO 81U10.oo
19 CHAlHAM 8 U94 $U94.oo
20 CHEROKEE 8 1.816 $U16.OO
22 CLAY $ .00 $400.00
23 CLEVElAND $ 1.132 ' 81.
2. COLUMBUS $ 10.268 810
25 CRAVEN $ 12.377 812,3
28 CUMBERLAND I .7708 M77_
26 DARE 2,063 82,063.00
2B DAVIDSON 151184 115 .....00
$0 DAVIE 2.171 12.171.00
31 DUPUN 8.826 $8 928.00
32 DURHAM 33 326 OM 326.00
33 EllClEllOMBE 15.902 I1B llO2.OO
304 FORSYTH ~M9 M3849.oo
35 FRANKUN 5,889 15 989.00
36 GASTON 25.89' $2S 895.00
38 GRAHAM 185 S565.oo
221 GRAN-VANCE 15895 $1519&;00
.0 'GREENE .. 12.818.00
2.61B ..
.1 GUILFORD S '801.033 sM.033.oo
.2 NAUFAX S 1'884 $12,884.00
~ HARNETT . 12.181 $1' 161.00
.. HAYWOOD S 3.694 13 "".00
015 HENDERSON . ,8127 $8127 .DO
20B HERT-GATES . 8A38 ,,-
.., HOKE . 6.7015 "T~.DO
48 HYOE . . $724.00
724
.9 IREDELL . 13.148 $13.948.00
e
21
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" Fund/RCCIPRC
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hu...... hfted
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I $ 2,894
I JOHNSTON $ 13,701
Z JONES $ 1,093
3 LEE , I 8343
~ LENOIR . $ 12,823
;5 UNCOLN $ 6,312
ie'MACON I 1,862
i7 MADISON $ 1,231
IB MAR-TYR-wASH $ 6.52B
10 MECKLENBURG $ 65,120
52 MO~""ERV I .,849
63 MOORE $ B 205
84 NASH I 13,501
65 NEWHANOVER I 17,627'
66 NORTHAMPTON $ 4,325
87 ONSLOW $ 15,164
6B ORANGE $ 7,650
BB PAMUCO $ 1,278
71 PENDER $ U84
n'PERSON $ U49
7. PITT $ 20 B2B
7B RANDOLPH $ 12.301
77 RICHMOND I 10,11.
7B R08ESON $ 31,745
.,,7 KINGHAM II 11,*
15,B57
21B _ . 12.932
62 SAMPSoN ,I 9,314
B3 SCOTLAND $ 9,26$
84 STANLY S 8.174 -
65 STOKES I .
66 SURRY $ 6,374
,87 SWAIN $ 2.MO
205 TOE RIVER I 2.587
6B TRANSYLVANIA I 2.27B
'90 UNION I 12.115
B2 WAKE '1 84,115
B3 WARREN, $ 2,684
BI WAYNE $ 16,549
B7 WlLKESI5,B$4'
9B WILSON I 14,700
89 YADKlN "$ 3,01B
TOTALS BY CENTER $ 1,000 000 $0.00
CHECK~DTOTAI $ 1,000,000
. ",.A (T/&' '8'-/3-03
S~onIoJt.. ~PH p.,nm Admln_ . J '
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J.A L- ~/r51o~,
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TOllII of All
Soun:ee
$2.B84.oo
113,701.00
$1,093.00
18,~.00
112.823.00
$6,312.00 '
'1,662.00
11,231.00
18,528.00
$85,120.00
M 848.00
$6,205.00
$13501.00
117827.00
M,325,oo
II51M.00
17 650.00
$1,276.00
14 4~.00
M ~9,oo
$20 629.00
112.301.00
110 114,00
131,7~.00
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$15,857.00
$12.932.00
19314.00
$9,263.00
16,17~.00
$0.00
".174.00
$2.MO.oo
.. 587.00
$2.278.00
$';115,00
$84.115.00
$'.684.00
$18,549,00
IS _.00
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13.01'S.00
10.00 11,000,000,00
11,000,000.00
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent I Meeting Date: 10/01/03
Agenda. ~
Department: Health Presenter: Cindy Hewett, Business
Manager
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Additional State Grant Funding for Breast and Cervical Cancer Control
Pro ram BCCCP
Brief Summary: The New Hanover County Health Department will receive $28,175 in
funding from the NC Department of Health and Human Services, Division of Public
Health, Breast and Cervical Cancer Control Program which is an additional $3,910 above
the a roved bud eted amount of $24,265 for FY04.
Recommended Motion and Requested Actions: To approve additional funding of $3,910
and associated budget amendment.
I Funding Source: NC DHHS, DPH, BCCCP
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
[8lNo Chan e in Position(s)
Explanation: These funds will be used to support contracted services for the BCCCP
ro ram.
I Attachments: Funding Authorization attached.
25
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27
NORTH CAROLINA
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH
FUNDING
AUTHORIZATION
ISSUED TO: NEW HANOVER COUNTY
STATE FISCAL YEAR
Public Health DepartmentJDistrict
FROM: July 1,2003 through June 30, 2004
NAME OF PROGRAM: Breast and Cervical Cancer Control
EFFECTIVE
DATE
07/01/03
AUTH#
1
FUNDING SOURCE: 536961 5452
INITIAL ALLOCATION
$28,175.00
PRIOR ADJUSTMENTS YEAR TO DATE... INCREASE (DECREASE)
INCREASE (DECREASE) THIS AUTHORIZATION
$0.00
$0.00
NET ANNUAL ALLOCATION
$28,175.00
GRANT INFORMATION
TvneofFund
Service Months
Payment Months
Codes
Amount
CFDA#
Federal
June-May
July-June
1551 5452 EK
$28,175.00
93.919
~;~3
Local Health Director
Local Finance Officer
AUTHORIZED SIGNATURE
-J/-oA d-n
DATE: 9/17/03
DHHS-CO
7-01
28
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 South 17th Street
Wilmington, NC 28401-4946
Telephone: (910) 343-6500, Fax: (910) 341-4146
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"Your Health, Our Priority"
31
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TH STREET
Wll..MINGTON, NC 28401-4946
TELEPHONE (910) 343-6500 FAX (910) 341-4146
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"Healthy People, Healthy Environment, Healthy Community"
32
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North Carolina Department of Health and Human Services
Division of Public Health - Women's & Children's Health Section
1914 Mail Service Center. !Weigh, North CaJ:olina 27699-1914
Tel 919-733-2973 . Fax 919-733-1384
Michael F Easley, Governor
Carmen Hooker Odom, Secretary
September 10, 2003
Letter of Commendation
North Carolina WIC Program
Dave Rice
Health Director
New Hanover County Health Department
2029 S. 17th Street
Wilmington, NC 28401-4946
Dear Mr. Rice,
On behalf of the North Carolina WIC Program, I am pleased to send this letter of commendation in
recognition of the outstanding quality of the New Hanover County WIC Program.
The performance oflocal agency WIC programs is reviewed at least every two years. This review
includes scrutiny of both the administrative and clinical components of the program. Due to the
many regulations that must be met to both protect the public interest and serve the eligible citizen,
the WIC Program prese!lts many challenges to administer. In addition, the standards for quality
nutrition care must be met for every client. Very rarely is a program review completed without
findings, known as funding conditions, which must be corrected.
It gives me great satisfaction to recognize the superior effort of the New Hanover County WIC
staff that has resulted in a review without funding conditions. This is a testimony to the hard work
and dedication of the WIC staff and their efforts are to be commended.
Please share this recognition with the WIC Program staff. It is extended with my sincere
appreciation for their efforts in providing high quality WIC Program services to the citizens of
New Hanover County.
Best Regards,
~. J~~v;L-
Alice Lenihan, RD, MPH, LON
State WIC Program Director
C:
Kevin Ryan
Nancy Nail
Janet Bryanf
* Location: U30 S, Mary's Streer. Raleigh, N.C. 27605
An Equal Opportunity Employer
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The North Carolina W;seWoman Project:
Improving Women's Cardiovascular Health
.
WI)[WOM^N"
o""r""";;""''''''I'''Oh,",,,,,,o
r"w", ."",,, ,'"" ~'''".,
Carolyn Townsend, RN, MPH, Warren Freas, ME,
Dianah Bradshaw, RN, MSHA, Pat Cannon, RN, MPA
N.C. Department of HeaKh and Human Services
DivisiOrl of P\lblic Health
Purpose
. Provide expanded cardiovascular
disease screening, intervention
counseling and referral services to
NCBCCCP eligible women.
. Promote community-based activities to
enhance heart healthy behaviors.
. Deliver participant services in 41 local
health agencies.
Leading Causes of Death among
North Carolina Women, 2001
Cerebrovascular
Diseases
9.3"10
S""rce.NCC."lorforli..IIl1S..,.tIco
How Did the WISEWOMAN
Program Start?
. Established by u.s. Congress in 1993
. Demonstration project within the
National Breast and cervical Cancer
Early Detection Program (NBCCEDP)
. CDC funded first three projects in 1995
. Currently 11 states have WISEWOMAN
projects
Who is Eligible for
WrSEWOMAN?
. Women 40 to 64 years of age
. Enrolled and participate in the NC
Breast and Cervical Cancer Control
Program (NCBCCCP)
Services Provided
. Blood pressure screening
. Cholesterol screen i ng
. Educational programs related to
CVD risk reduction
. Referral to physician if needed
. Referral/linkage to community
resources
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What Makes WISEWOMAN
Special?
. Individually crafted counseling sessions
teach women about healthy foods and
ways to add them to their meals.
. Educational tip sheets encourage
participants to build physical activity into
their lifestyles.
. Heart healthy eating and being physically
active are two behaviors that help protect
women against heart disease.
NC Wise Woman Project
. Screening &. Follow-up Services
- history
- height & weight
- blood pressure
-serum cholesterol / HDL
-blood glucose (optional)
- referrals for abnormal values
-lifestyle interventions
NC W;seWoman Project Counties
FY 2003 - 2004
. WlseWonuln counties
NC W;seWoman Client Services
# clients
6854 Women have been screened since 1998
I " --~_./ r:.:/ I
"..~-;(I 1 .
,I" I r"-" 1 I 1 1 .
, ,., " 1 1 (;,Jil"1 ve,'];, 1 1ft" ,
"..:-~Ji] 1 ilikfll I I. 1 ..
I L:J 1/1 /1 L:J I iA
FY 98-99 FY 99-00 FY 00-01 FY 01-02 FY 02-03.
I 'Fiscal yearto date total.
NC WiseWoman Serves a
Diverse Community ...
IBasedonFIICllIVHr2001-2002S<:...nlngs I
". with different
educational backgrounds.
"
<9th grade
12%
H.S.or
GED
,,%
I BasedonFlscaIVHr2001.Z002S<:...nlngsI
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NC WiseWoman Clients have many
CVD Risk Factors
% of clients previously diagnosed with
High BP
High Chol
Diabetes
.
20
5.
3.
..
10
lanedonFilcalvHr2001-200ZSGl'1HInlngl I
Range of Clinical Values
TotCbol
0%
40%
80%
60%
20%
s...edon FI.~aIY..r2001-2002 Sentenln",; BP stag..,... billed on JNC7.
Many of our NC WiseWoman
Clients are on Medication
"ood
Pressure
41%
Diabetes
..
"
"
"
"
IsultdonflscaIYMr2001-200Zk...nlnQsl
Prevalence of Obesity among
Wise Woman Clients
Obese
53%
Basltdon~putedBMIY.lu..fJunFI'ClIIY..rZOO1-2D02ScreenlnIlS
Many Clients Smoke
Every
Day
27%
IBasedonFIluIYur2001-2002kreenlngl I
Reducing CVD Risk
. with Lifestyle Interventions
- Diet
- Physical Activity
- Smoking Cessation
- Diabetes management A """ Loaf .
U_'.....,"',"~..
- Osteoporosis risk
~.
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Improving Women's Health
Since 1998 we have ...
Iy diagnosed cases of diabetes
o 200 400
. aystollcBP > 140,dlutollc>90
u tobl cholesterol> 240
600
1000
800
Referrals for Immediate
Medical Intervention
. 314 participants with clinical values requiring
immediate medical attention
. 270 participants with systolic blood pressure
~ 180 mm Hg or diastolic blood pressure ~
110 mm Hg
. 36 participants with blood glucose levels>
375 mg/dl
. 12 participants with total serum cholesterol
levels> 400 mg/dl
Individual Success Stories
. Healthy lifestyle changes to
manage hypertension
. Quality 1:1 time aids individual
nutritional goal setting
. Controlling diabetes: " I feel
better."
Community Success
Stories
. Group activities: Women learning from
each other in group lifestyle sessions in
Cumberland Co.
. Access to care partnership with
Community Free Clinic in Cabarrus Co.
. Healthwise Partnerships with YWCA for
physical activity in Forsyth Co.
4
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September 2003 New Hanover County Health Department Betsy Summey, FNP, 343-6531
There's Damp, and Then carpet due to their inability epi.state.nc.usJepi/air.
There's Wet! Mold, to be thoroughly cleaned. html.
Mosquitoes, and Semi-porous materials such
Hurricanes as wood can often be Arborviral Surveillance
cleaned, thoroughly dried
North Carolina's unusu- and reused. Non-porous A rborviral illnesses have
ally wet summer has materials such as metal and continued to increase
contributed to a host of plastic can be cleaned and in numbers and spread
health problems, with the dried. A complete removal throughout North Carolina.
potential for more when hur- of the mold is necessary to As of 9/13/03 arborviral iII-
ricanes come our way. Mold prevent regrowth. nesses in humans have been
formation, both inside and diagnosed in residents of 15
outside, has serious implica- Detergent and water counties from the coast to
tions for the health of many. should be used for the mountains. The break-
Mold experts with the North cleanup. Disin- down is as follows: 14 cases
e Carolina Division of Public f""",,, . ""',, II of West Nile Virus (WNV),
Health recommend reducing all should be used II human cases of laCrosse,
the exposure to mold in any with caution to and one case of Eastern
building through identifica- prevent health Equine Encephalitis (EEE).
tion of its presence and risks from the chemicals. The equine population has
abatement. Protection of the person been more severely affected
cleaning, including a mask, with 54 cases of WNV and
Where there's moisture eye protection, and protec- I 07 cases of EEE.
there's mold, tion of the skin, is necessary
and moisture The North Carolina State
inside build- About one in ten people is Laboratory of Public Health
ings is the especially sensitive to mold, in Raleigh has continued to
factor that experiencing common symp- monitor arborviral activity
can be best controlled. toms such as sneezing, irri- using several different meth-
Plumbing leaks, water tated eyes, the triggering of ods-sentinel chicken and
leaks through roofs or asthma symptoms and diffi- dead bird test-
walls. flooding, and con- cult breathing. In rare cases, ~ ing, mosquito
densation on windows, indoor exposure to mold / ' ~ pool monitor-
walls, and air ducts may cause infectious respira- ing, equine ne-
should be searched out tory disease in the immuno- cropsy, and
and corrected. compromised. Some types testing of human clinical
of mold can produce tox- specimens. With September
e Afterward the mold must be ins that may cause illness. one of the highest months
removed. Experts recom- for mosquito activity and in-
mend throwing out porous More information is avail- creased moisture as a result
materials like drywall and able on the web at www. of recent storms, their job
may be far from over. We cations in stock are lim- Of interest is the data
should continue to encour- ited to a very few over- that the highest average
age patients to employ the-counter type prepara- annual incidence of re-
protective measures. tions such as aspirin, ported tetanus was -
acetaminophen, etc. among persons aged 60
Hurricane Shelter . EMT squads are grounded years and older, persons
during the hours immedi-
Reminders ately preceding, during, of Hispanic ethnicity, and
and after a storm. Do not older adults who have
Thankfully, we were spared depend on them to come diabetes. Fifteen percent
from the worst of Hurricane to the rescue. of cases are among injec-
Isabel, but a refresher in what . Patients on oxygen should tion drug users.
to tell patients who need to be experienced in refilling
evacuate to shelters is appro- their own tanks and alert With those cases with a
priate. their oxygen providers as known injury, only 37 per-
to their whereabouts. cent sought medical care, and
. Patients with needs for
. Time away from home only 63 percent of those eli-
could well be 3 to 4 days, assistance should have a gible received tetanus toxoid
friend or family member
sometimes longer. with them at a shelter- for wound prophylaxis. Sev-
. Bring all medications enty-five percent of the
taken on a regular basis, they should not be alone.
deaths were in those 60
as well as those on an as- Tetanus Risk years and older, but no
needed basis, especially
asthma-related inhalers, deaths occurred in those
nebulizer medications, Tetanus is a severe and with up-to-date
etc. often fatal infection. ;mm"'''tio", ~
. When hurricane watches The incidence of reported Rem.mb~. ) 0
are issued, check medica- cases in the United States has it's important e
ticn supplies to be sure declined steadily since intro- to monitor
they are ample. duction of tetanus toxoid patient im-
. There are no pharmacies vaccines in the United States. munization status.
at shelters, and any medi-
Communicable Disease Statistics
New Hanover County
July 1, 2003 - August 31, 2003
AIDS .........................................13
Campylobacter .......................... 2
Chlamydia ................................ 84
Ehrlichiosis, Monocytic ............ 1
Gonorrhea................................ 43
Haemophilus Influenza,
Invasive .................................0
Hepatitis A................................. 0
Hepatitis B (acute)..................... 0
Hepatitis B (chronic carrier)..... 7
Hepatitis C (acute)..................... 0
HIV Infection ............................ 13
Legionellosis ............................. 0
Listeriosis .................................. 0
Lyme Disease ............................ 2
Meningitis Pneumococcal............O
Meningococcal Disease ...............0
Pertussis .......................................2
Rky. Mtn. Spotted Fever ...............0
Salmonellosis .............................21
Shiga-Toxin Producing Infection
(formerly E. coli 0157:H7)..........0
Shigellosis ....................................0
Strep, Group A, Invasive ..............0
Syphilis..........................................5
Toxic Shock Syndrome................O
Tuberculosis .................................2
Typhoid (acute).............................O
Vancomycin Resistant
Enterococcus ............................ 3
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NEW HANOVER COUNTY
BOARD OF HEALTH
2029 South 1 T" Street
Wilmington, N.C. 28401-4946
Telephone (910) 343-6500, FAX (910) 341-4146
Everywhorc. Everyday. ~y.
W Edwin Unk, Jr., RPh, Chairman
Melody C. Speck, DVM, Vice-Chairman
Donald P Blake
Henry V Estep, RHU
Marvin E. Freeman, SI.
Commissioner Robert G. Greer
Gela N. Hunter, RN, FNP
Sandra L. Miles, DDS
Philip P Smith, Sr., MD
John S. Tunstall, PE
Edward Weaver, Jr., 00
David E. Rice, MPH, MA
Health Director
Memorandum
e
To: Members of the New Hanover County Board of Health
From: W Edwin Link, Jr., Chairman
New Hanover County Board of Health
Date: October 1 , 2003
Re: Evaluation of David E. Rice, Health Director
Enclosed is an evaluation form I am asking you to complete. Mer you complete this
form, please return it to me in the enclosed addressed stamped envelope by October
10, 2003.
The Executive Committee will review these evaluations on October 28. Upon
completion of the review, we will submit our recommendations and findings to the
Board of Health on November 5. If you give a rating of anything other than
"expected" on a performance factor, please give specific reasons (positive or
negative) in comment area of the evaluation form. Please call me regarding your
concerns. My telephone number is 763-0845.
Thank you.
-
~~Your Health - Our PrioritY'
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NEW-RAN-OYER COUNTY_ _n______
HEALTH DEPARTMENT
2029 SOUTH 17nl STREET
WILMINGTON, NC 28401-4946
TELEPHONE(910) 343-6500. FAX (910) 341-4146 ............,.....-.
DAVID E. RICE; M.P.H., M.A.
Health Director
March 6, 2002
LYNDA F. SMITH, M.P.A.
Assistant Health Director
Mr. Andre Mallette, Director .
New Hanover County Human Resources Department
320 Chestnut Street, Suite 405
Wilmingtc:lO, NC 28401
Dear Mr. Malletl8:
e
The New Hanover County Board of Health approved the performance appraisal
for David E. Rice, Health Director. New Hanover County Health Department on
March 6, 2001..Mr. Rice's overall performance rating was above expected with
an average score of 1.9. The scoring range was 1-5 (1 = exceptional, 3 =
~xpected, and 5 = unsatisfactory). .
Inclu~ed is a copy of Mr. Rice's performance appraisal with an attachment. The
Board of Health continues to be pleased with his performance.
$incerely.. ..
/i~i1#
Gela N. Hunter, RN, FNP
Chairman
New Hanover County Board of Heal1h
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HEALTH DIRECTOR l'ERFORMANCE Al'l'RAlSAL
A. Relationship with the Board 1.8
B. Community Relationships 1.9
C. Staff and persoMel relationships 2.1
D, Public Health Leadership 1.3
E. Business and Finance 1.8
F. Personal Qualities 1.5
.'
Overall Total Scores
1.9 which indicates that overall Mr. Rice is perfonning
above the eJpeeted leveL
,
Comments:
1. Overall, 1 think that Mr. Rice does a very good job for the H.Dept.
2. He consistently does an exceptional job.We are fortunate to have bini as director.
3. His strengths: devotion to job;judgement in deddoD making process; well infonned on
fianances; executes board decisions effectively; relationship with the media and other
entities in the county.
4. He continues to exceed expeetions on many levels. His organization and attention to
deuiil while keeping the big picture in focuS helps keep the department and the board
moving in the right direction.
S. He certainly seems to be a good administrator in that he designates to staffwell. He
effectively gets to know his board members. ..
6. I am not c1tar if all issues and problems of the H.Dept. are brought to full boards
attention.
7. I don't know about staff morale and issues relating to staff.
8. I am concerned that staff morale could be improved upon even within the budget
constraints. I think that some staff do not feel an ease ~f expressing concerns to
administration.