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05/03/1978 - 00712 MINUTES OF BOARD OF HEALTH MEETING - May 3, 1978 _.... Present. Dr. James Furr, Dr. Murray Seidel, Dr. William Eakins, Mrs. Roma Lee Hall, Mrs. Vivian Wright, Mr. Deother Melvin, Mr. J. R. Reaves and Attorney Joseph Taylor Absent: Mr. George Chadwick and Mr. R. E. Carter Health Department Program Review: Dr. Eakins presented a plan to review Health Department Programs. This plan is to be on a one year trial basis and is a system in which each section and function of the Health Department is reviewed over a twelve month period. He stated the advantages of the program as follows: 1. Give the board a chance to obtain current information about the various activities of the Health Department. It gives one (or more) members of the board a chance to be informed in depth in certain areas of the department. 2. Gives the board a chance to have some input in various areas of the department. 3. Serves as a method to get outside expertise to help in various functions of the department. 4. Serves as a method to inform outside sources of the various functions of the department. The mechanism proposed is as follows: - 1. A calendar be drawn up so that a section of the department is reviewed in a certain month. 2. A sub-committee of the board will meet with the proper members of the Health Department staff and possibly an outside expert chosen by the sub-committee. 3. At these meetings, the members of the department will review' (a) The Function of the section (b) Review the facilities and personnel (c) Present data of work that has been done in that section and review any budget needs. There should be exchange of questions and ideas by sub-committee members. 4. At the following Board of Health Meeting a short five to ten minute presentation to the total board could be made by Health Department staff. Calendar Presented' Month Program Commi ttee Members June Maternal & Child Health Seidel, Finger July Venereal Disease Eakins, Finger, Yue, Waters August Dental Program Furr, Finger September Family Planning, Crippled Chadwick, Finger Children, Immunizations, Chronic Diseases .""".- OU713 October Tuberculosis November Lead Program December Primary Care January Laboratory February Sanitation March Budget April WIC Program May Home Health Services Eakins, Finger, MacKay Wright, Finger ~ Seidel, Finger .... Hall, Finger Reaves, Finger Melvin, Finger Carter, Finger This motion to put this plan in effect was made by Dr. Eakins, seconded by Mrs. Hall and carried unanimously. Primary Care Update: Dr. Seidel explained to the board that a letter had been received by members of the Medical Society from Dr. Harvey Estes, president of the Society opposing Primary Care Projects in Health Departments. He stated that this had made the Medical Society members more opposed to this project. Suggestion was made that the Board of Health try to improve communication with the Medical Society - that we try to keep them better informed. Suggestion was made that perhaps as the monthly reviews were made that the findings be presented to the society if they wished. ~ Drainage at 108 Dawson Street. Mr. Frank Olive, Director of Sanitation, showed some slides of water backed up to homes on Dawson Street. Background was presented about the problem. There is currently a suit being brought by owners against Pace Oil Company who supposedly have caused a private drainage line to cease functioning in the area. The City of Wilmington has also entered the suit with the property owners. The City had for a long time kept the water pumped out of the area but had been advised by their attorney to cease because of their involvement in the suit. After much discussion, Mr. Taylor suggested that we monitor the problem until litigation is resolved. Dr. Seidel made the motion that we direct Mr. Olive to monitor the situation as frequently as needed and direct the city to pump if it becomes a health hazard. Motion carried. --- Transfer of Funds within the Famil Planning Bud et: Request was made that 1,800 be transferred from lapsed salary funds to the following accounts' $525.00 to Capital Outlay to be used for the purpose of purchasing a La Belle Projector and a File Cabinet. $1,275.00 to Educational Materials and Supplies to be used for the purchase of Cassettes for the La Belle Unit, a film on Human Growth, subscription to Family Planning Perspectives, booklets and publications Dr. Seidel made the motion that this money be transferred. Motion was seconded by Mr. Melvin and carried. Black Nurses on Staff. In response to the question of further business - Mr. Melvin stated that he had been asked by members of the community why we do not have a black visiting nurse on our staff. Mrs. Wright made a motion that the board go into executive session to discuss this. Motion was seconded and carried. ~ .... 007/4 Before entering executive session, Dr. Furr asked if there were any further business. ~.. ,~ Clinic on Carolina Beach Road. Mrs. Wright asked what kind of clinic we were establishing on Carolina Beach Road - that she had seen a write up about it in the Commissioner's Read File. Miss A. Lou Davis, Director of Nursing, stated it was a Nursing Clinic - that it is the same type of clinic that we have in other areas of the county. Question was raised as to why these people cannot go to the Federal Point Medical Center instead of establishing another clinic so close. The board asked for information as to the type of service that would be given in this clinic and that Mr. Trottie, the gentleman who asked for the clinic, and the Chairman of the Board of the Federal Point Medical Center be asked to attend this meeting. Dr. Seidel made a motion that we hold plans for this clinic in abeyance until the meeting with Mr. Trottie and the Chair- man of the Federal Point Board. Mr. Reaves made a substitute motion that we continue with our commitment for the clinic, but invite Mr. Trottie and the Director of the Board of Federal Point Clinic to our next meeting for further discussion. Also, that a list of needs and services be brought to the board. This substitute motion was seconded by Mr. Melvin and carried. MINUTES OF EXECUTIVE SESSION. In answer to Mr. Melvin's quiry as to "Why no black visiting nurses?", Dr. Finger explained that we had held one position open for six months to give Mrs. Laura Moseley a second chance to pass the Merit System Examination. He also explained to the board how the Merit System works. Mrs. Wright explained that the Commissioners had recently adopted an Affirmative Action Program that would advertise vacancies within the county departments before they are filled. Mr. Melvin was assured that this department would gladly hire qualified black nurses if they were available and on the State Merit Register, but that we are bound by law to hire through the Merit System Register. There being no further business, the meeting was adjourned. Approved. June 7, 1978 Respectfully submitted, /lL~ /2 fJ~ -.;....