06/01/2005
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New Hanover County Health Department
Revenue and Expenditure Summaries for March 2005
Cumulative: 75% Month 9 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Belence %
Revenue Amount Eerned Remaining Amount Eerned Remelnlng
Federal & State $ 1.966.234 $ 1.329.516 $ 636.718 $1.995,125 $ 1.299.600 $ 695,525 65.14%
AC Fees $ 580,161 $ 497.833 $ 82.328 $ 570.161 $ 494,040 $ 76.121 86.65%
Medicaid $ 1,138,039 $ 603,196 $ 534,843 $1.044.080 $ 475.890 $ 568.190 45.58%
Medicaid Max $ 151,600 $ $ 273,333 $
EH Fees $ 300,212 $ 204,212 $ 300.212 $ 198,798
Heatth Fees $ 113.545 $ 125.588 $ 113,650 $ 134.125
Other $ 2.526.535 $ 1 ,875.2n $2.388.703 $1,781.470
Expenditures
. Current Year Prior Vear
ypeol Budgeted Expended Balance % Budgeted Expended Balance %
Ex endlture Amount Amount Remalnln Amount Amount Remalnln
Summary
Budgeted Actual %
FY 04-05 FY 04-05
Expenditures:
Salaries & Fringe $10.369.345 $6.956.201
Operating Expenses $1.860.572 $1.085,872
Capital Outlay $127.784 $17.652
Total Expenditures $12.357.701 $8.059,725 65.22%
Revenue: $6.776.326 4.635.622 68.41%
. Net County $$ $5.581.375 $3,424,103 61.35%
Revenue and Expenditure Summary
For the Month of March 2005
6
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04.05
Date (BOH\ Grant Reouested Pendlna Recalvad Denied
12/3/2003 No activity to reoort lor December 2003.
Cape Fear Memorial Foundation- Funds
needed to cover dental services lor needy
children as identilied by School Hearth
11/5/2003 Nurses. $3,000 $3,000
NC Medical Foundation - Through the Good
Shephard Ministries lor nursing services to the
oooulation Ireouenting the sherter. $25,000 $25,000
Duke University- To provide 10 hours 01
nursing services lor TB Outreach. $10,388 $10700 .$312
NC Tobacco and Control Branch, DHHS-
Continuation 01 Tobacco Prevention Program. $100,000 $64,093 $35,907
10/1/2003 No actlvltv to reoort lor October 2003;..
New Hanover County Sale Schools- Uniling
lor Youth 'U4Youth'(lunding will be received
9/3/2003 over a 3 vear orant oeriod\ $49,000 $ 12702 $36,298
Sale Kids Coalltlon- Fire Prevention (Please
note this grant was pulled- coalilion not able to
meet deadline for reouest) $2,500 $2,500
8/6/2003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50 400
Smart Start- Partnership lor Children
7/3/2003 I/Grant Increase for Part Time Nurse Positionl $5,523 $5,523
Cape Fear Memorial Foundation. Diabetes
Today (two-year request; $42,740 annually)
IIReceived $25,00 vear 1 and $20,000 year 2) $85,480 $45,000 $40 480
Duke University Nicholas School 01 the
Environment-Geographic Inlormation
SYStems Grant IEnv Healthl $10,000 $10,000
Sale Klde Coalition- Sale Kids Mobile Car
Seat Check uo Van $50,000 $50,000
Totals $2,D19,441 $752 800 $879 346 $337 296
37 28%
Pendino Grants 3 12%
Funded Total Reouest 9 36%
Partiallv Funded 7 28%
Denied Total Reouest 6 24%
Numbers 01 Grants Aoolied For 25 100%
As of 5/19/2005
. NOTE: Notification received since last report.
43.54%
16.70%
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May 25, 2005
To:
From:
Subject:
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17m STREET
WILMINGTON, NC 28401.4946
TELEPHONE (910) 343-6500 FAX (910) 341.4146
New Hanover County Board of Health
Cynthia W. Hewett, MSIS
NHCHD Business Manager
FY06 Recommended Budget
We have received a copy of the FY06 Recommended Budget from the County Manager Below,
I have identified those items that have changed (either increased or decreased) from the FY06
Requested Budget submitted by the New Hanover County Health Department.
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Please note when our FY06 Requested Budget was prepared it was completed under the directive
given by the County Manager's Office which was to maintain operating expenses at or below the
level of the FY05 Adopted Budget. We were also directed not to ask for new positions.
It is also important to note that our FY06 Requested Budget included estimates on figures for
salary and fringe. These figures are finalized by the County Human Resources Office and
entered in our budget by the County Budget Office. The FY06 Recommended Budget does not
include the two (2) Environmental Health Specialist positions, the one (1) Animal Control
Shelter Attendant position or the one (1) Animal Control Officer position recently approved by
the Board of Health and submitted to the County Commissioners for consideration.
Revenues:
Proaram Requested Amount Recommended Amount Difference
Animal Control /51141 $445,161 $470,161 $ 25,000
Administration /51311 $ 216,817 $ 230,417 $ 13,600
Navioator Partnershio /51341 $0 $ 44,000 $ 44,000
Mobile Dental Unit 151431 $0 $ 408,251 $408,251
Health Check (51601 $ 41,747 $ 43,800 $ 2,053
Partnershio for Children (51661 $170,800 $170,000 1$ 8001
Aaenev Totals $ 6,221,207 $ 6,713,311 $492,104
Revenue adjustments resulted from increased projection for collection of dog & cat tag fees far Animal
Control (5114), changes in levels of grant funding (as is the case for Partnership for Children- 5166,
Health Check -5160,) or new grant funding (Navigator Partnership -5134 & Mabile Dental Unit- 5143).
Administration (5131) revenue change is due to increased projection for collection of fees for Medical
Records, the amount of which is pending review by the Budget office.
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12
"Healtby People, Healtby Environment, Healtby Community"
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Operating and Capital expenditures:
Prooram Reouested Amount Recommended Amount Difference
Environmental Health (5111) (Cell $1,837 $2,664 $ 827
ohonesl.
Vector Controf75112 Cell ohonesl $ 2,490 $1,620 1$ 8701
Animal Controll5114 Cell ohonesl $6,037 $4,320 1$1,717\
Bioterrorism 151221 Cell nhoneSl $ 3,000 $1,872 ($1,128\
Care Coordination (5123)(Cell $3,160 $ 0 ($3,160)
nhonesl
Administration (5131)(T elephones) $80,267 $ 0 ($80,267)
(Cell Phones\ $ 0 $15,260 $15,260
WICt514ITTeleohones $4,301 $ 0 1$4,3011
Mobile Dental Unit (5143)
Operating Expenses $0 $ 201,008 $201 ,008
Canital E-;'uinment $0 $ 45,000 $ 45,000
~aVigator-PartnershiP ~~134)
Deoartmental Sunnlies $1,080 $ 6,069 $ 4,989
Epidemiology (5151)(Cell Phones) $ 480 $ 360 ($ 120)
TBl5152\1Cell PhoneSl $ 217 $ 180 ($ 37\
Partnership for Children (5166)
(Cell Phones) $ 240 $ 180 l~ 60)
iOenartment Sunnlies1 $2,100 $2,002 98i
~ealth Check (5160) s\ ,
Deoartment Suoolies $1,659 $2,034 $ 375
Maternal Healtht5162HTeleohonel $ 216 $ 0 1$ 216\
School Healtht516911Telenhonel $ 571 $ 0 ($ 571\
Safe $ 600 $ 700 $ 100
Schools/U4 Youth 151 89\1Printino \
Anencv Totals $ 12,994,647 $ 12,859,386 $ 135,261
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Changes in Operating and Capital Expenditures resulted from a variety of events. Expenditures
for telephone service have been transferred to the County IT budget. Additionally, County
Budget staff made changes to the expected expenditure amounts for cell phone costs, some of
which are currently being reviewed by the Budget office for adjustments (such as Care
Coordination). The new grant funding for the Mobile Dental Unit was added to the
recommended budget. Once salary and fringe figures were in place, operating expenses were
adjusted for the following grant funded programs: Navigator Partnership, Partnership for
Children, Safe SchoolslUnited4Youth and Health Check so that revenues and expenditures
would balance for these programs.
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"Healtby People, Healtby Environment, Healtby Community"
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To:
New Hanover County Board of Commissioners
From:
New Hanover County Board of Health
Date:
June 6, 2005
Subject:
FY 2005-06 Budget Appeal
The New Hanover County Board of Health for appeal to the Board of County
Commissioners requests two (2) Environmental Health Specialist positions, one (1)
Shelter Attendant position, and one (1) Animal Control Officer position.
Org Positions: Original County For Propose
Budget Recommen Consideration d Total
Request ds for
Budaet
5111 EH SDecialist 2 0 2 $87 594
5114 Shelter Attendant 1 0 1 $29,269
5114 Animal Control 1 0 1 $35,066
Officer
Justification - (2) Environmental Health Specialists:
Significant and on-going growth in the local food service, hospitality and tourism
industries requires additional Public Health Environmental Staff to assure food safety
and protection of the public's health. In April 2004, The NC Oepartment of Environment
and Natural Resources (NC DENR) Regional Environmental Health Specialist conducted
an evaluation of staffing in the NHC Environmental Health Services Division. This
evaluation determined that NHC does not have the appropriate number of Environmental
Health Specialist positions to cany out an effective program.
FY06 cost of these 2 positions would be $87,594 (no funds are included in the
Recommended FY06 Budget for these positions). NC General Statute 130A-39(g)
prohibits the charging of fees for these specific services as New Hanover County Health
Department Environmental Health Services staff are performing these services as
agents of the State. NC DENR funds only a fraction of the costs for providing these
services, and does so on a performance basis, i.e. if the required number of inspections
of restaurants and other establishments is not achieved, then NC DENR funding is
proportionately decreased. Counties are, therefore, reliant almost exclusively upon
other local sources of revenue to cover costs.
If approved, these positions will benefit our community by providing guidance,
assistance and education to local businesses that are under regulation by the NHC
Health Department and serving as major contributors to our local economy. Illness in
the community attributable to food or water transmission would negatively impact far
more than the business implicated in a potential outbreak. Repercussions, including
12a
medical costs, lost wages and loss of consumer confidence are consequences of an .
event such as an exposure to Hepatitis A. High-risk pathogens such as E. coli 0157:H7
can result in death or permanent disablement for healthy individuals and clearly pose a
serious threat to immuno-compromised individuals such as children and senior citizens.
Increased food safety education in the foodservice industry will reduce the potential for
exposure of the pUblic to food-bome illnesses.
If implemented these positions will allow for more manageable distribution of workload
and more timely provision of services. Improved outcomes would allow staff to opt for
voluntary compliance through education of the client (usually a more time consuming
avenue) as opposed to rigorous and strict enforcement methodology; greater focus on
educating the client should mean a reduction in repeat violations and also should reduce
time spent conducting repeat evaluationslinspections (operator may request a "re-
inspection" when the initial evaluation! inspection documents a low score or high level of
noncompliance).
If not implemented, the health status of our community will be compromised due to
imminent food-bome or waterbome disease outbreak.
Justification - (1) Shelter Attendant and (1) Animal Control Officer
Animal Control Services has increased revenue over the last several years as we aim
toward becoming self-supporting in the balance between budgeted money and revenue .
generated. Additional staff would enable us to generate additional revenue, because
more people will be aware of the need to license their pets, as we are able to do
additional field coverage.
Shelter Attendant: The spay/neuter facility was opened FY04-05, which has placed an
additional strain on an already burdened staff. Safety issues in caring for the numerous
animals that enter the shelter on a daily basis is a major concem, as positive rabies
cases were on the increase this past year, also. There has also been a significant
increase in number of animal bites and dangerous dog cases in the county. We have
dealt with multiple animal cruelty cases that required other staff to assist in facility
cleaning and general animal care. (A necessary requirement 365 days per year.) This
depletes available officer coverage in the field.
Animal Control Officer. This position will address the positions we lost through attrition in
the most recent county downsizing. Eight officers were barely sufficient to meet the
needs of our growing community at that time. We have unfortunately become a
complaint-driven organization, which keeps us from being as much of a pro-active and
positive force in the area as we should be. Officers should have time to do canvassing
(door-to-door license checks), which will increase compliance with the ordinance, as well
as generating additional revenue.
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NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
320 CHESTNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4058
TELEPHONE (910) 341-7184
FAX (910) 341-4027
ALLEN O'NEAL
County Manager
PATRICIAA. MELVIN
Assistant County Manager
Ne'\v I l:'lnovel- ( :ounrv
N (l H T H .:- C ., R l L IN"
DAVID F. WEAVER
Assistant County Manager
230 Marketplace Drive
Wilmington, NC 28403
Telephone (910) 798-7139
Fax (910) 341-4035
May 12, 2005
To the New Hanover County Board of Commissioners and Citizens:
I present to you the Recommended Budget for fiscal year 2005-2006. After completing
a very thorough budget review process and in accordance with the County
Commissioners directive to prepare a budget with no tax increase, I propose a tax rate
of 68 cents. This represents no increase from the tax rate for FY 04-05
The increase in the projected revenue from ad valorem taxes and sales taxes allows me
to recommend additional positions and funding for needs related to increases in
population, expanded county services and facilities, and inflation. The ad valorem tax
rate is less than the FY 01-02 rate.
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Sianificant Increases in Anticipated County Expenditures
. The General Fund transfer to the Schools is recommended to increase by
$2 million.
. The Sheriff's Office budget is recommended to increase $3.4 million, primarily
due to the new Detention Facility
. Funds in the amount of $1 6 million are included to fund the increase in debt in
the General Fund.
. Funding for Medicaid is estimated to increase $1.2 million.
GENERAL FUND
Public Schools:
A transfer of $71.2 million from the General Fund is recommended for the Schools; the
sales tax designated for the Schools will fund $5 8 million of this request.
This level of funding will provide $52.9 million in school operating expenses, $4 million
. in capital outlay, $706,000 in-school pension, and $14.3 million in debt service.
14
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005 , ,
The Board of Education requested an increase of $5 6 million or 11.2 percent in .
operating expenses and $4.2 million in capital outlay A tax increase of 3.4 cents would
be necessary to fund the balance of the School's request and debt service.
The budget also includes a $2.1 million transfer for school improvements approved by
the Commissioners in FY 04-05
Cape Fear Community College (CFCC):
Funding of $5.7 million is recommended for Cape Fear Community College, an increase
of $940,000 The amount recommended is the requested amount.
In addition to the direct contribution to Cape Fear Community College, $3.9 million will
be expended for debt service in FY 05-06.
Personnel Issues:
There are 43 new positions recommended for FY 05-06. Of these positions 39 are
recommended in the General Fund.
The General Fund positions are as follows:
. One additional Administrative Support Assistant is recommended to support the .
efficient operation of the Engineering department.
. One additional Fiscal Support Technician is recommended in the Legal
Department to improve the collection efforts of the County No County funds are
required for this position; the additional revenue collected will offset the cost.
. Two positions are recommended for the Library to provide automation support.
. Eight additional positions are recommended for Inspections due to increased
building activity in the County; these positions will be funded by revenue from
inspection fees.
. Sixteen additional positions are recommended for the Detention Center to
support efficient operations.
. Two positions are recommended for the Gang Task Force - there is an offset of
$52,000 in funding from the Schools for these positions.
. Three additional Economic Services Case Workers are recommended in DSS to
assist with the increasing case load of the department. These positions will
receive 50% of their funding from federal funds.
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. One additional Pretrial Release Coordinator is recommended to help reduce the
inmate popUlation at the new Detention Center
15
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
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. One additional Custodian is recommended for Property Management to assist
with maintenance of County facilities.
. One Telecommunicator for Public Safety Communication is recommended to
meet critical service needs.
. Two Parks positions are recommended to keep the increasing acreage in the
County park system up to standards and support efficient operations of the Parks
Department.
. One Fiscal Support Technician is recommended to increase efficiency for the
Listing Office of the Tax Department. No County funds are required for this
position; the additional revenue collected will offset the cost.
The Water and Sewer Fund positions are as follows:
. Three positions are recommended in the Water and Sewer District to meet
critical service needs. Five Fiscal Support positions were approved by the
Commissioners April 18, 2005, and are included.
. The Fire Services District Fund position is as follows:
. One Administrative Support Technician is recommended in Fire Services to
assist with the efficient operation of the department.
Funding in the amount of $2.5 million is included for a 2 percent market and 2 percent
merit adjustment for deserving employees.
There is a $2.6 million increase projected in the cost of health insurance for County
employees: funds are recommended for the County to absorb the increase. There is a
slight increase in dental insurance, which will be absorbed in the existing budget. An
amount of $165,000 is included for a Wellness Program for County employees; the
program is recommended to help reduce the cost of medical insurance.
Department of Social Services (055):
An increase of $1.6 million in County funds is recommended for the Department of
Social Services due to projected increases in Medicaid and adoption assistance
subsidy
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The County cost of Medicaid is projected to increase $1.2 million or 14 1 percent from
FY 04-05. Based on expenditures-to-date in FY 04-05, we are recommending slightly
less than the state estimate.
16
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
Sheriff's Office:
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An increase of $3.4 million in County funding is recommended for the Sheriffs Office.
The increase includes the full-year funding of 37 positions added for the Detention
Center in FY 04-05 ($1.6 million), 16 positions added for the Detention Center in FY 05-
06 ($600,000), and funding for the Gang Task Force, which includes two positions
($91,000).
Public Safety Communications Center:
An amount of $1 3 million is included for improvements to the Public Safety
Communications Center as part of the move to their new location. Wireline and
Wireless funds will be used to offset eligible costs.
Communication Improvement (800 MHz):
Consultants are currently analyzing the best way to address the communication needs
of the County The amount of $1 million is included for the first year of debt service on
the $8.5 million plan to improve communications (800 MHz) in the County.
Information Technology:
A PC replacement program is recommended. This will provide for a more standardized
PC program and will aid in installation, maintenance and repair Computers will be
replaced on a three to four year cycle The program will also reduce the per-unit cost
through volume discounts. The goal of this program is to replace all obsolete PC
equipment.
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Funds in the amount of $110,000 are included to begin the replacement of the County
telephone system. The total cost of the new system is estimated to be $1 million. The
savings realized on recurring costs of operating a new integrated system would repay
the cost of implementation within five years. The system will provide for uniformity in
County telephones and allow for such advanced features as unified messaging and
automated call distribution; features that are currently unavailable or only available to a
select few departments. The purchase will coincide with the move of the remaining
employees from the County Administration Building. The County has been notified that
timely repair will no longer be guaranteed on some of its older phone systems.
All departmental phone costs are included in the Information Technology budget in FY
05-06 for more efficient bill processing.
WAVE:
Funding in the amount of $150,000 for the contribution for WAVE transportation has .
been moved to the Non-Departmental section of the budget.
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.
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
Parks:
Funds are included for a walking trail at Hugh MacRae Park in the amount of $150,000.
Park's capital expenditures will be eligible for matching funds at a 50 percent return.
Included in an administrative reserve account in the Non-Departmental division of the
budget is $500,000 to begin implementation of the Park's Master Plan (following the
adoption of the Master Plan).
Museum:
Funds of $150,000 are included to implement part of the Museum's Master Plan. This
will include moving the gift shop and creating a new entrance to first floor exhibits.
Property Management:
Funds are included to replace windows and the HVAC system at the Historic
Courthouse. Funds are also included for a generator at the Judicial Annex to keep lift
pumps and security cameras activated during power outages. Also included are funds
to expand the parking lot at the Northeast Branch Library.
. Tax:
.
Funds are included to begin the revaluation process.
Juvenile Day Treatment Center:
County funding for the Juvenile Day Treatment Center is recommended to increase
$173,000 compared to FY 04-05 adopted amount. This is a result of phasing out of
state money Three positions are being eliminated, but funding cannot be reduced
further if the Center is to operate in a safe and efficient manner
Southeastern Center:
Funding of $1 7 million is recommended for the Southeastern Center for Mental Health,
Developmental Disabilities, and Substance Abuse Services. This amount has been
constant since FY 02-03.
The 2001 session of the General Assembly passed legislation to phase in
implementation of mental health system reform at the state and local level. This act is
designed to restructure the state's mental health system. It expands the role of counties
in choosing how these services will be offered and reduces the number of delivery
areas.
18
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
Counties are required to develop business plans describing how administrative .
functions will be carried out and services delivered. Statewide, counties are concerned
that the local cost of providing mental health services may increase as the responsibility
for meeting the needs of patients currently served by the state is shifted to the counties.
Airlie Gardens:
The funding arrangement with the Airlie Foundation is recommended to change. In FY
04-05, the Foundation funded an Administrative Support Technician and an
Environmental Educator position. In FY 05-06, the Airlie Foundation will fund the
temporary Ticket Agents and the Administrative Support Technician. The
recommendation is for the Environmental Educator to be funded by the General Fund.
Funds of $150,000 are included for an irrigation system for the Gardens.
Non-County Agencies:
Funding at the FY 04-05 adopted amounts, with a few changes, is included for Non-
County agencies. Funding applications for FY 05-06 were not sent to Non-County
agencies (nor in FY 04-05), as funding is limited.
An increase of $14,500 is recommended for The New Hanover Soil and Water
Conservation District to fund a portion of a position that was previously federally funded.
.
A $5,000 increase is also recommended for The Carousel Center
Coastal Horizons has requested an additional $98,000 for FY 05-06, the FY 04-05
amount of $44,000 is recommended. In addition to funding, DSS and Southeastern
Center also contract with Coastal Horizons for services and the County provides
meeting space for the agency
Funds currently budgeted and undistributed in FY 04-05 for General Electric and
Verizon will be carried over to FY 05-06. No additional funds for these companies were
budgeted in FY 05-06.
REVENUES
The tax base growth between FY 04-05 and FY 05-06 is expected to be 3.7 percent.
The ad valorem tax base is estimated to be $18.5 billion. Based on this estimate, a
penny will be worth $1.8 million.
The 1 cent sales tax revenue is estimated to increase by $2.9 million from the FY 03-04
actual amount. The projection is that the revenue from the Article 40 and Article 42 half-
cent sales tax will exceed the FY 04-05 adopted amount by 3 percent. Revenue from .
Article 44 sales tax, adopted July 2003, is projected at 3 percent above the FY 04-05
estimated amount. Revenue for FY 04-05 is estimated to exceed the amount
budgeted.
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FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
Local sales taxes are distributed by the ad valorem method and are the second largest
revenue source for the County
Approximately $5.2 million of the undesignated portion of the two existing one-half cent
sales taxes are budgeted for General Fund operations; $1.9 million is budgeted as a
transfer to the Water and Sewer District, the same amount that has been transferred
since FY 01-02.
Fund Balance:
I am recommending appropriating $5.1 million of the County fund balance. Of this
amount, $2.1 million is for school improvements as approved by the County
Commissioners in FY 04-05. The appropriation of fund balance at this level will not
jeopardize the strong financial position of the County Unreserved/undesignated fund
balance grew by $4 4 million between FY 03-04 and FY 04-05. Very preliminary
projections for FY 04-05 indicate a reduction in fund balance of $2 million.
Transfer in from Capital Proiects:
An amount of $4 8 million is recommended to be transferred in from capital projects and
will be used to fund a portion of the FY 05-06 Debt Service.
Municipal Tax Collection Fees:
The proposed rate charged to collect municipal taxes has been decreased from 2
percent to 1 75 percent. This reduces the projected revenue the County will receive for
providing this service by $105,000.
ENVIRONMENTAL MANAGEMENT FUND
The Environmental Management Fund is balanced with a $46 tipping fee. No transfer
from the General Fund is budgeted. Partial funding for construction of Cell 6C was
approved in FY 04-05, with the remainder of $600,000 being recommended in FY 05-
06.
SPECIAL FIRE SERVICES DISTRICT FUND
The tax rate of 6 cents is recommended for the Fire Service District, no increase from
the tax rate for FY 03-04.
The ad valorem tax base in the Fire Service District is estimated to be $7 billion. Based
on this estimate each penny of the tax rate will be worth $684,000.
20
FY 05-06 Recommended Budget
Letter of Transmittal
May 12, 2005
,
WATER AND SEWER DISTRICT FUND
.
The Water and Sewer District currently provides service to approximately 32,000 water
and sewer customers (residential, industrial, and commercial), which is far greater than
many municipalities in North Carolina. The District's current operation and future
expansion is funded by user fees, a $1 9 million transfer funded by sales tax revenue
from the General Fund, and approximately $1 million in Water and Sewer Fund
Balance. No ad valorem property taxes are used to fund the district.
CAPITAL IMPROVEMENT PROGRAM
Capital requests for FY 05-06 were all valuable projects. Due to budgetary constraints,
no funding will be recommended.
I am personally and professionally grateful to the employees of New Hanover County
As the County faces many challenges, I know the citizens can continue to rely upon
high employee dedication.
The staff and I look forward to working with you as the FY 05-06 budget process is
completed.
Sincerely,
.
Allen O'Neal
County Manager
.
21
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
Department: Health Department
Meeting Date: June 6,
2005
David E. Rice, Health Director
Contact: David E. Rice, 343-6591
Subject: Budget Ammendment in the amount of $192,400 for Medicaid Maximization
Cost Settlement Funds
Brief Summary: The New Hanover County Health Department has received notification
from the Division of Public Health that an additional $192,407 in Medicaid Cost
Settlement funds has been awarded to be used to support programs in the department
which earn Medicaid revenues (spending plan to be developed at at later date). A total of
$344,007 has been awarded, and of that amount, there is $151,600 already budgeted in
fiscal year 04-05.
Recommended Motion and Requested Actions: To accept and approve the $192,400
additional State Grant funds to be used to support the New Hanover County Health
Department programs which earn Medicaid revenues, and the associated budget
ammendment.
Funding Source: State Department of Health and Human Services, Division of Medicaid
Assistance
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
I8INo Chan e in Position s
Ex lanation: No Count match is re uired for recei t of these funds.
I Attachments: Bud~et Ammendment and supportin~ documentation.
27
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r;
!
~.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:[gI Consent Meeting Date: June 1,2005
Al!.enda: D
Denartment: Health Presenter. Dr Jean McNeil
Contact:
Subiect: ""TUClffi 61 w~L~....nal Cl..~ri :P~:i9i6ft
Brief Summary- The purpose of this request is to revise three classifications of the
Animal Control Services Advisory Committee, realign the composition of the groups and
to appoint two new members. Staff requests the Board of Health to rename following
classifications: Kennel Operator to Kennel Operator/Pet Sitter, Hanover Kennel Club to
Dog Breeder, and Azalea Dog Training Club to Dog Trainer Staff requests the Group
Two Dog Breeder position be moved to Group Three and the first Group Three Member-
at-large position be moved to Group Two. Staff also requests the appointment of
Whitney Doremus to the position of Kennel Operator/Pet Sitter and Cindy Meyers to the
position of Cat Interest.
. Recommended Motion and Requested Actions: Requested that the Board of Health
approve the revisions and appointments to the Animal Control Services Advisory
Committee
I Funding Source: N/A
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
DNo Change in Position(s
Explanation: Change in classifications of the Animal Control Services Advisory
Committee and a ointments to Adviso Committee.
.
32
.
..
.
.
Aninwl Control Servkes Advisorv Committee
ADpointment Rotations
Replacements will occur by rotation of the respective members in the following categories:
Group One
Member @ Large - general public
Friends of Felines - group representative
Kennel Operator - general public
GTOIIP Two
Hanover Kennel Club - group representative
Azalea Dog Training Club - group representative
Cat Interest - general public
Group Three
Member @ Large - general public
Member @ Large - general public
Humane Society - group representative
Note: The veterinarian position on the committee is the veterinarian that serves on the Board of
Health or their designee.
These positions are subject to approval by the Board of Health. Group representatives are named
by appointment, and that named person is the only voting member ofthe committee. Another person
may be sent to the meetings in their stead for information to be distributed to the group that they
represent.
Individuals may serve two consecutive three year terms, then they must retire for one year before
reappointment. Someone completing a vacated position may finish that term and apply for the two
consecutive terms after that span of service.
The selections were made to allow an opportunity for someone from the general public to apply
annually This also allows for the most even distribution of group representatives.
p"'~'I"'~'-wpd 02I10lOS jpm
33
Aninwl Control Services Advisorv Committee
Appointment Rotations - Proposed Changes May 2005
.~
Group One
Member @ Large - general public
Friends of Felines - group representative
Kennel Operator - general public
Group Two
Hanover Kennel Club - group representative request to change with group three
member-@-Iarge
Azalea Dog Training Club - group representative requested change to Dog Trainer
Cat Interest - general public
Group Three
Member @ Large - general public request to change with Hanover Kennel Club from
group two
Member @ Large - general public
Humane Society - group representative
.
New make-up of committee is listed below:
Group One
Member @ Large - general public
Friends of Felines - group representative
Kennel Operator - general public
Group Two
Member @ Large - general public
Dog Trainer - group representative
Cat Interest - general public
GTOIIp Three
Member @ Large - general public
Hanover Kennel Club - group representative
Humane Society - group representative
....w:upacsadvaJm.wpd osII3/os jpm
.
34
.
..
.
.
AnillUll Control Services
Advisory Committee Members
The ACS Advisory Committee make-up is as follows:
GrOUD One
Member-@-large - Joyce Bradley (2005)*
Friends of Felines - JoE Needham (2011)
Kennel Operator - Sylvia Hall (resigned 2004) Whitney Doremus (2011) =
replacement; suggested category change to Kennel Operator/Pet Sitter
Group Two
Hanover Kennel Club - John Boozer (2006)**
suggested category change to Dog Breeder
Azalea Dog Club - Patrice Kaizer (2012)
suggested category change to Dog Trainer
Cat Interest - Jeannie Leonard (resigned 2005) Cindy Meyers (2012) =
replacement
Group Three
Member-@-large - Jewell Ann Diehn (2007)**
Member-@-large - Gretchen Colby (2007)
Humane Society - Martha Raynor (2007)
Note: The veterinarian position is cWTently filled by Dr. G. Robert Weedon from the
Board of Health.
* The date is when they should rotate off the committee.
** It was suggested that we change one member-at-large from group three to group
two by switching with the Hanover Kennel Club.
Thank you,
Jean McNeil
ACS Manager
35
Jean McNeil
05/161200505:38 PM
To: David E Rice/NHC, Marilyn RobertslNHC,
cc:
Subject: Re: Advisory Committee
This is the e-mail I received from Sylvia Hall as her resignation from the Advisory Committee.
Thanks, Jean
_ Forwarded by Jean McNeil/NHC on 05/16/2005 05:38 PM -
~ SHaIl3920@aol.com
~ 021091200509:22 AM
Dear Jean:
To: jmcneil@nhcgov.com
00:
Subject: Re: Advisory Committee
Please accept this e-mail as my resignation from the advisory board. Be assured that I will miss all of
you. Working on the board was a privilege. Please forward to the Board of Health.
Thanks,
Sylvia
36
.
.'
.
.
..
.
.
Jean McNeil
05/161200505:39 PM
To: David E RicelNHC, Marilyn RobertsINHC,
00:
Subject: Re: Like to remain on Board
This is the e-mail resignation I received from Patrice Kaizar We should talk about the committee
changes, since she would continue to serve if the change was accepted.
Thanks, Jean
- Forwarded by Jean McNeil/NHC on 05/1612005 05.39 PM -
~ DobeROM@aol.com
~ 03/301200511:59AM
To: jmcneil@nhcgov.com
00:
Subject: Re: Like to remain on Board
Dear Jean: March 30, 2005
Per our conversation today, I am no longer affiliated with Azalea Dog Training Club and therefore
cannot be a representative on the Advisory Board for them. However I would like to serve on the
Advisory Board in some other capacity I'm employed at Forest Hills Veterinary Hospital with Dr. Gigliotti.
I am a member of Hanover Kennel Club and I am also starting a training facility on Carolina Beach Rd.
hopefully opening In the fall of 2005.
I would also like to finish our project on educating the public on licensing their pet and or pets. I have
already been in touch with the Chamber of Commerce in the past and had there blessing on distributing
brochures. I also wanted to pursue the Board of Realtors.
However my hugh project that I would like to accomplish is educating our children throughout the
school systems on pet safety. Similar to what Azalea Dog Training does now but on a larger and more
consistent basis.
Sincerely Patrice Kalzar
4915 Carolina Beach Rd.
Wilmington NC 28412
Doberom@aol.com
.91Q.S12-2901 cell
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.. April 27, 2005
I hereby tender my resignation from the New Hanover County
Animal Control Advisory Board.
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This is notification of my interest to serve on the Animal Control Services .'
Advisory Board.
J1~
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'Whitney DOT mus ~
Dogs At Play
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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
To: New Hanover County Board of Health
From: Janet McCumbee RN, BSN Cl'\f'
Personal Health Services Diviitjln Manager
Subj: Children's Special Health Services (CSHS)-
Orthopedic and Neurology Clinics
Date: 5/12/05
We continue to adjust our services based on the needs in our community We will be
discontinuing services related to Children's Special Health Services during the 05-06
FY These services have been provided through a children's Orthopedic Clinic and our
Neurology Clinics. Several changes have occurred over the last few years that have led
us to this decision, including the fact that children are better covered with insurance
(Health Check and Health Choice)
.
The Orthopedic Clinic was staffed by Dr Hundley in cooperation with the Rotary Club
The clinic was busy for years, due to Scoliosis screening done in several grades in the
schools. Children were referred in for re-screening and follow up Scoliosis screening
has been discontinued per state recommendation. Dr Hundley was in agreement with
that decision, but clinic attendance has fallen so that the clinic has been canceled many
months for lack of appointments (total children seen this fiscal year-7). In agreement
with Dr Hundley, we are discontinuing Orthopedic Clinic July 1, 2005
The Neurology Clinic is held twice a month and will continue to serve adult patients.
Children will be referred to a new Pediatric Neurology Clinic through AHEC This
change has occurred because of collaboration with Wilmington Health Associates
(WHA) , the physician group that staffs our clinic, and Pediatric Neurologists from
Chapel Hill. There will be a Pediatric Neurology Clinic held monthly as an AHEC
outpatient clinic, staffed by Chapel Hill physicians, which will begin some time after July
Dr Bachman, our Neurologist, has recommended that we refer all children to this new
clinic. He is the only Neurologist from WHA who sees children for us now, and therefore
we have had to hold child appointments for his rotation through our clinic. The children
should not have to wait as long to be seen at AHEC We have only had 16 child clinic
visits for Neurology this FY
.
We can certainly revisit this decision in the future if the need resurfaces for children's
orthopedic and neurology services.
41
"Healthy People, Healthy Environment, Healthy Commnnity"
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
De artment: Health
Contact:Janet McCumbee
Meeting Date: 6/06/05
Agenda:
David Rice or desi ee
Subject: Partnership with the City of Wilmington for a 3 year HUD Lead Poisoning
Grant Application
Brief Summary: Need approval to partner with the City of Wilmington in the
submission of a Federal HUD Lead Poisoning Prevention Grant. The New Hanover
County Health Department is the agency charged by NC PUblic Health with childhood
lead poisoning prevention and follow up of lead poisoned children in NHC. The City of
Wilmington has asked us to partner with them if a federal grant is received, to provide
outreach and follow up of children with possible Lead exposure. We cuurently have a
half time Health Educator position to provide these services. If approved and grant
received, funding would be available to provide additional capacity through the Health
Dept.
. Recommended Motion and Requested Actions: To approve partnering with the City of
Wilmington in the HUD grant application for federal Lead Poisoning funds and any
associated budget amendment for funds ($275,000 over 3 years) to be allocated to the
Health Dept. to provide additional Childhood Lead Poisoning services to children and
their families.
Will above action result in:
~New Position 2 (1FT LPN, 1PT P A)-Number of Position(s)
Dposition(s) Modification or change
DNo Chan e in Position s
Explanation: The funds would add one Licensed Practical Nurse and a Program
Assistant to rovide follow u and outreach related to children with Lead Poisonin
I Attachments: Letter of Support from Health Director; NHCHD grant budRel.
.
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TI1 STREET
WILMINGTON, Nt 28401-4946
TELEPHONE (910) 343-6500 FAX (910) 341-4146
May 2, 2005
Ms. Emilie Swearingen
Community Development Planner
City of Wilmington
Office of Community Development
P.O. Box 1810
Wilmington, NC 28402
Dear Ms. Swearingen:
New Hanover County Health Department is pleased to partner with the City of Wilmington in its
application for Department of Housing and Urban Development funding to implement a
comprehensive Lead-Based Paint Hazard Reduction Program.
.
The mission of New Hanover County Health Department is to ensure a safe and healthy
community for all of New Hanover County residents. We accomplish this by assessing the
health needs of the community and establishing healthy objectives to maintain essential personal,
family, community, environmental, and animal control services. The Health Department has
dedicated employees who work with other health care providers, contractors, and other agencies
in an integrated and coordinated effort with the goal of developing meaningful partnerships.
Clearly, this tremendous grant opportunity reinforces our existing partnership's strength and
collaboration.
The Department will provide the following expertise and resources in support of this important
childhood lead poisoning prevention initiative:
. Clinical interventions, including blood lead screening, nutritional counseling, and
follow-up
. Home health interventions, by health educator or nurse visitations for lead hazard
prevention, identification, and reduction education
. Environmental interventions, where registered sanitarians conduct environmental
investigations for children with elevated blood lead levels
.
Community awareness interventions, which provide broad outreach to increase the
community's understanding of the dangers associated with lead and mitigating its health
risks
.
"Healthy People, Healthy Environment, Healthy Community"
43
Grant funding will enhance an already pro-active and effective Childhood Lead Poisoning
Prevention Program and enable New Hanover County Health Department to increase -
substantially its efforts to combat the number one preventable environmental health threat to
children.
We strongly endorse your application to the Department of Housing and Urban Development to
implement a comprehensive Lead-Based Paint Hazard Reduction Program. We are confident that
New Hanover County Health Department and the City of Wilmington will continue to work in
concert for the betterment of all County residents, and especially for our young children who
suffer the most significant risks resulting from lead exposure.
s~
David E. Rice, MPH, MA
Health Director
"Healthy People, Healthy Environment, Healthy Community"
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NHCHD
LEAD OUTREACH and EDUCATION GRANT
.. ,: NHCHD IYear2 NHCHD
- 7 Year 1 Oct In-Kind Oct 06- In-Kind Year 3 Oct NHCHD In
, -. Kind Year 3
J 05-Sep106 Year 1 Sept07 Year 2 07 - Sepl 08
Salary/FrfD~~~;iM5
(Progr<lmf~~lYi;;
0.5 FIE, Bit,;- ....
!-PN 1 .0 RIa)' 65,410 48,000 69,210 37,000 73,410 40,000
Contract SKies"":
(Inferpreli';Q)!;t" . 2,500 2,500 2,600
~dvertising" """",.;.' 800 800 800
Cell",Phorie,""',,;[;'; 240 240 240
PhoneSeKilceY . 500 500 500
....":>..'i-J.. 250 250 250
PrinlifiQ' z"", ": 400 800 400 800 400 800
Supplie$-QffjQEiii'i. 900 600 600
piJRPJ!e~~;j'~fiF,f;i-" 1,000 1 ,000 1 ,000
Irjc~htives~;;:;1'Tf,;;~;t:
Supplies.",J."", :,'7'4
iliiriibiin~fiill\W~ 1 ,000 1,000 1 ,000
~upPI!~WQi&{,!iiF
p ;"'ri-.~"th':;;:lY;j'it:;S;L\ 2,000 0 0
.
.Pp,.
. . 'iltlre.',. 2,000 0 0
<,.",.,.;,:'"
500 500 500
si.lpp)
En".
Eab\m 22,000 500 500
MaintenariCE#EH:,
;;'!"";"""""-'-:<;J'4~'4I'..,,;.:.'l;.,,
Equipmen~'iti;.'~. 1 ,000 2,000 2,500
Milea 1,500 1 ,500 1 ,600
Renl.<, ,,;, -1;,.:,,';.. .~, 3,000 3,300 3,600
Housekeeping:~iff 100 200 220
Utilities,;:~~i!'*".'t',t 160 320 330
iTravev;rraini!ig",1'~ 2,500 2,500 2,600
rrOTALJ3l.lPGET $104,000 $52,560 $83,000 $42,120 $88,000 $45,450
.
kr 5/13/2005
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
Consent Meeting Date: 6/06/05
A enda:[gI
Presenter: David Rice or desi ee
De artment: Health
Contact:Janet McCumbee
Sub' ect: Addition of School Nurse osition
Brief Summary: Need approval to add an additional 10 month school nurse position for
05-06 school ear, to serve the new school, Murra ille Elementar School.
Recommended Motion and Requested Actions: To approve the budget increase of
$54,000 in the adopted FY 05-06 School Health Budget, funds to be received from
NHCS. New total for NHCS contract will be $1,740,300.
Funding Source: This position is totally funded via contributions from New Hanover
County Schools, no countv match or inkind needed.
Will above action result in:
[gINew Position 1 ten month nurse- Number of Position(s)
Dposition(s) Modification or change
DNo Chan e in Position s
Ex lanation: addition of one ublic health nurse for new school 0 enin
I Attachments: Letter from NHCS requesting additional nurse to hired.
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NEW
HANOVER
COUNTY
SCHOOLS
DR. D. JOHN MORRIS, JR
Superintendent
DR. ALFRED H. LERCH, JR.
Assistant Superintendent
Student Support Services
and Federal Programs
MEMORANDUM
FROM:
DATE.
New Hanover County Health Dept.
Ellen Harrison
Janet McCumbeev
AI Lerch ~
May 4, 2005
TO'
.
RE
Additional Nurse
10'
FY04 #26
As you know, Murrayville Elementary School is scheduled to open for the 2005-
2006 school year This is a formal request for an additional nurse for that school.
We would like to ensure that the additional person will be included in the new
contract, which is currently being prepared. Let me know if you require any additional
information. Thank you.
.
6410 Carolina Beach Road wilmington, NC 28412 Phone (910) 254-4206 Fax (910) 254-4352 Email alerch@nhcs.k12.nc.us 47
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 6/20/05
A enda:i:8J
Department: Health Programs Presenter: Elisabeth Constandy, Hlth Ed
Administration; Health Promotion Su ervisor; Renae Lo z, Hlth Ed
Contact: Renae Lo ez 343-6636, Elisabeth Constand 343-6658
Sub'ect: Risk Watch Continuation Grants
Brief Summary: The NC Dept of Insurance, Office of the State Fire Marhsall has
announced availability for continuation funding for established Risk Watch Champion
Teams. NHC is one of 5 established teams statewide. Funding is to expand Risk Watch
injury prevention curriculum with the county school system (public and private). The
curriculum is designed to be implemented in elementary schools, and covers fire, water,
bicycle, traffic and pedestrian, and other safety topics. Currently the program is in 6
schools. The goal is to expand to all NHC primary and pre-K school during 05/06 school
year (total of 25 or 26 schools), through a shared curriculum / material design. NHCHD
is one of two counties eligible to apply for up to $25,000 in funding. During FY 04/05,
NHCHD applied for $25,000 and $27,500 total funding and award. Funding is
. exclusivel for curriculum materials, teacher incentives, rintin, and su lies.
Recommended Motion and Requested Actions: Approve grant application for $25,000
and bud!!et amendment if fundin!! is received.
I Funding Source: NC Dept of Insurnace, Office of the State Fire Marshall
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
C8JNo Chan e in Position s
Explanation: Funding will allow continuation and expansion of current Risk Watch
injury Prevention activities in NHC schools. No County match is required for receipt of
these funds.
I Attachments: Brief RFA Description
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Request for Proposal
North Carolina Department of Insurance, Office of State Fire Marshal's
2005 - 2006 Risk Watch Continuation Grants for
Established Risk Watch Projects
Introduction
The North Carolina Department of Insurance, Office of State Fire Marshal announces the
availability of funding for established Risk Watch local Champion Management Teams.
These grants are available to support the continuation of established Risk Watch
programs in the following counties:
Cleveland County
Davie County
New Hanover County
Watauga County
Wilson County
This grant is only available to current local Champion Management Teams that have
worked to establish Risk Watch projects over the last two years. The availability of this
funding is contingent upon a written plan of continuation in current Risk Watch schools
as well as expansion of Risk Watch into other schools within the county's school
system(s) or private.
The maximum amount of funding available for each team is $25,000 for Cleveland and
New Hanover and $10,000 for Davie, Watauga, and Wilson. The NC Risk Watch
Champion Management Team will review each application and determine the amount of
funding that will be awarded. Each proposal will be judged using, at a minimum, the
following items:
Actions of the local Champion Team throughout the past two years ofproject
implementation
Demonstration of the Champion concept of Risk Watch implementation
Prior submission of monthly reports
Documentation of continuation plans that demonstrate the strategic planning
has been conducted by the local Champion team
Objective
The funding earmarked for these projects have been made available by the NC
Department of Insurance, Office of State Fire Marshal by generous funding from the
Duke Endowment through the North Carolina Hospital Association. NC DOl, OSFM is
making this funding available to the current local Champion teams for the purpose of
continuing and expanding current Risk Watch programs.
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The primary objective of this project is to enhance the effectiveness of these Risk Watch
programs in order to reduce the number of children injured and killed due to
unintentional injuries. This will be accomplished by utilizing the Champion Concept of
implementation while implementing Risk Watch in the schools. The Champion Concept
of implementation is the basis for effective and lasting Risk Watch projects. Additional
information pertaining to this concept and the requirements for each team is addressed
later in this document.
These projects shall continue to work to create safer communities through the education
of students concerning certain risk areas targeting unintentional injury. These projects
shall demonstrate teamwork and the ability to collaborate with other agencies who share
a common interest in the safety and well-being of children.
Implementation Requirements
Each project must agree to the following:
1. Have an established local Risk Watch Champion Management team consisting of
a minimum of four representatives (fire, law enforcement, health, and education).
Team member's names must be documented in your proposal. In addition, letters
of commitment must be received from the director, chief, or supervisor of each of
these four team members stating that they are giving permission for this project to
continue to be a part oftheir employee's duties.
2. Hold local Champion Team meetings at least quarterly. Minutes or notes from
these meetings must be taken and included in the required monthly reports.
3. Documentation of current implementation of Risk Watch. This should include the
names of schools, number of classrooms, and number of students reached to date.
In addition, this documentation can include any pertinent information regarding
previous program implementation that could be included and used in
consideration for funding.
4. Documentation of the method used to evaluate the implementation of the
program. This does not include the pre and post-test knowledge exams that the
students complete. This documentation needs to describe how the local
Champion team is evaluating the project. Please include the manner in which you
are evaluating how the teachers and school administrators are working with Risk
Watch in the schools.
5. Document your current plan of action to continue implementation in current
schools and expand Risk Watch in new schools. Continuation and expansion
plans must address the following:
a. School name
b. Number of classrooms
c. Number of students
d. Teacher training for the new schools
e. Teacher training for new teachers at existing schools
f. Updating teachers at existing schools
g. Involvement of media for your project
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h. Plans for evaluation of the project including,
i. Pretest administration, collection, and grading
ii. Post-test administration, collection, and grading
iii. Teacher survey to elicit implementation involvement
6. Provide a brief overview of expenditures over the past two years versus funding
received.
7. Provide a copy of proposed budget for the amount of funding requested.
8. Agree to expend all funding received by May 1, 2006.
9. Agree to provide copies of all receipts to NC DOl, OSFM by May 31, 2006.
Submitting the Proposal
A cover letter should accompany each proposal. All proposals must be typed with each
page numbered. A table of contents should be included in the proposal with all
attachments included as such and referenced in the table of contents. The original and 3
copies of the proposal (including attachments) should be submitted to the NC Risk Watch
coordinator as listed below:
.
Stuart Jones, Eastern Injury Prevention Specialist
NC Department of Insurance, Office of State Fire Marshal
322 Chapanoke Road
Raleigh, NC 27603
To receive consideration for this grant, all complete proposals must be postmarked no
later than May 27,2005. Teams submitting proposals for this funding also have the
option of submitting them in person on the morning of June 1 sl prior to the 2004 - 2005
local Champion Team wrap up training at the Sheraton RTP. No late applications will be
accepted.
Grant winners and specific funding amounts will be announced by June 10,2005.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:U Consent Meeting Date: 6/06/05
Al!enda: ~
Department: Health Presenter: David Rice
Contact: Janet McCumbee
Sub'ect: Acce tance of Ministerin Circle funds throu Good She herd- $15,000
Brief Summary: The Good Shepherd Day Shelter for the homeless has received
notification of a Ministering Circle grant for health services. The grant is for purchase of
medical equipment and supplies to enhance and expand the current nursing clinic staffed
by the NHCHD Community Services Team. The nursing clinic is held daily, Monday
through Friday for 4 hours, staffed by a part time public health nurse, with a Family
Nurse Practitioner providing services 1-2 days per week. The clinic area is being
ex anded to include an additional exam room, and will need e ui ment and furnishin
Recommended Motion and Requested Actions: To approve the acceptance of the
$15,000 Ministering Circle grant and any budget amendment related to the receipt of the
ant funds in the health de 1. 05-06 count bud e1.
Funding Source: Ministering circle through Good Shepherd. Inkind cash not required;
no countv match needed.
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
~No Chan e in Position s
Explanation: The grant will cover the purchase of medical equipment and supplies for
the Good She herd nursin clinic.
[Attachments: Letter from Good Shepherd
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52
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FtOE HlJ. : 9107637394
May. 16 2005 1El:09FI'! P2
~~
811 Mar1bl Street
WDmmc-. NC 28401
PIIoDC: '1"7~ F~: 9''''0.7394
May 16,2005
The Ministering Circle
elo ViJJinia Holland
3748 Reston Ct.
Wilmington, NC 28403
Dear Ministering Circle Friends,
On behalf of Good Shepherd Ministries' Board ofDil<<U>rs, our partna'B from
the New Hanover County Health Department, and the homeless guests we
serve together,) want to thank you for your gift ofSl5,OOO. We lIIlderstand
that these monies are to be used to support the medical sc.rcening clinic heR at
GSM, such as in the purchase ofmuch-needc:d supplies and equipment. We
also understand that, having received $8,000 of your donation, the $7,000
balance win be forthcoming laIe this summer. .
I know that att~tion from the Star-News can be difficult to obtain. but BID
happy to pursue acknowledgement of your gift throuah the paper as requested.
J will be sure to let you know if I have any success in that effortl
We would love to offer our friends at the Ministering Circle a tour of the
expanded medical screening clinic once construction on the new overnight
shelter is complete. Please do not besiwe to call me should you have
questions, and know how grateful we are for yoUJ encouragement and
support!
~
KatriDa R. Knight, MSW
Executive Director
cc: New Hanover County Health Dept.
MA mlaisteriDa p_...""'" lM3w
No goocIs or _eo _... prvvloled ID CS....III. for .... BI'"
55
.
.
.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
De artment: Health
Contact:Janet McCumbee
Meeting Date: 6/06/05
David Rice or desi ee
Subiect: NHCHD Fee Policv Additions
Brief Summary: I) Add Fee: TlOl7HI Targeted Case Management $29.30 per 15
minute unit; Add verbage to Page 10, after paragraph" Maternity Care Coordination,
Child Service Coordination........): Targeted Case Management will be billed to Medicaid
and appropriate third party payors. For Non-Medicaid patients, these services will be
billed to state grants. Medicaid and grant billing will be processed through the Children's
Developmental Services Agency (CDSA) as outlined in the Consolidated Agreement
Between The North Carolina Division of Public Health and Local Health Departments for
The Provision of Infant-Toddler Program Services by a Local Health Department.
Billing to other third party payors will be processed by NHCHD. 2) Add Fee: CPT code
82120 Amines-wet mount $6.00; add to fee list only; to bill Medicaid for test already
done on each wet mount.
Recommended Motion and Requested Actions: To approve the Fee Policy changes: 1)
addition of new service called Targeted Case Management, through a contract with the
CDSA, beginning July 1, 2005; 2) bill for a test already being done on wet mounts by
NHCHD lab.
Funding Source: Medicaid, state grants, and other third party insurance; no county
match or inkind
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
~No Chan e in Position s
Explanation: 1) Targeted Case Management will be an enhancement of the services
already provided by current Child Service Coordination nurses and social workers;
revenue generated from the billings will supplement the Care Coordination self -
supporting budget. 2)The amines CPT code can be billed in addition to the main code for
wet mounts. This will double the revenue for this rocedure.
I Attachments: none
56
.
.
--------------------
.
REVISED ADDITION
.
after payment is received from the insurance company, the patient will not
be billed for this balance.
Maternity Care Coordination, Child Service Coordination, Maternal
Outreach, Intensive Home Visiting and Parenting Classes will be billed to
Medicaid. For Non-Medicaid patients, these services will be billed to
state grants.
Tatge~d Case.M;magem~nt will be b.i!led'~:~edicaid lind~ppropriate
third ~Y'payors.' For .Non-Medicaid ,p~pen~ these serVicesWlll be
billed tostate.grants.Mediqlid and"grantbilling ~n.1:le prQcessed
tI:)io~the Childreti's DevelopriletitaI'$~e Agency '(CDSA) as
outlined ,m theConsolidate4 Agrl:!lrnent B.<mY~nThe'North Carolina
Divi!lion of.~blic HeaIth and LOcal Jiealtll' pepartrilents for. The
PrOyisionof' IJifant-Toddl~r Program Services 'OJ a ~ Health
Dep~e!u. Billing to ollier tool!. pl\Ity Pf!.Y9~..~!L'1:le p~~!ls~d. by
N.HQiP.
All Childhood Lead Poisoning Prevention Program services will be billed
to state grants.
.
N. If an insurance company pays for services rendered and payment is sent
directly to the patient; the patient is responsible for payment to the NHCHD.
In such instances, services 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 entire balance will be billed to the
patient, unless otherwise mandated by law or through the Consolidated
Agreement between the State of North Carolina and the New Hanover County
Health Department.
P. Bad debt write-off policies have been established (page 29).
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 or
volunteers (third party payment will apply). For other purchased vaccines the
Health Director may establish reduced charges.
.
S. New Hanover County employees may purchase certain in-stock medications,
at a reduced price, for themselves, their spouses, and their dependent children.
As of 05/18/05
57
EXISTING
.
It
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. Co-pays
are not subject to sliding fee scale. Medicaid patients are exempt from co-
pays.
I. If a patient has a remaining balance on their account, a payment agreement
and schedule will be established and signed by the patient (Page 31). 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 except for Blue Cross Blue Shield due to Cost Wise
reimbursement (Cost Wise requires us to bill for 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
bylaw; _
. G.S.130A-162 prohibits charging patients for examination and treatment of V.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 32). If there is a balance remaining
As of 05/18/05
58
.
after payment is received from the insurance company, the patient will not
be billed for this balance.
..
Maternity Care Coordination, Child Service Coordination, Maternal
Outreach, Intensive Home Visiting and Parenting Oasses will be billed to
Medicaid. For Non-Medicaid patients, these services will be billed to
state grants.
All Childhood Lead Poisoning Prevention Program services will be billed
to state grants.
N. If an insurance company pays for services rendered and payment is sent
directly to the patient; the patient is responsible for payment to the NHCHD.
In such instances, services 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 J\THCHD, the entire balance will be billed to the
patient, unless otherwise mandated by law or through the Consolidated
Agreement between the State of North Carolina and the New Hanover County
Health Department.
P. Bad debt write-off policies have been established (Page 29).
.
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 or
volunteers (third party payment will apply). For other purchased vaccines the
Health Director may establish reduced charges.
S. New Hanover County employees may purchase certain in-stock medications,
at a reduced price, for themselves, their spouses, and their dependent children.
T. All clinic and laboratory fees will be collected as part of the check-out process
by the New Hanover County Health Department Billing Clerk.
U. The Health Director, or designee, has the authority to waive or reduce fees for
special projects or targeted populations.
V. 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.
.
As of 05/18/05
59
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B
New Hanover County SAFE KIDS
. History
. NHCHD has long recognized the need for
child passenger safety
. Injury Prevention Health Educator
position was created FY 98/99, and the
first educator was hired in January 1999
. County funded position
o
o
o
o
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New Hanover County SAFE KIDS
. Unintentional injuries are the leading cause
of death for children age 0-14
. OUT Coalition focuses on:
. Child passenger safety / car seats / seat belts
. Bike and pedestrian safety
. Water I swimming I drowning / rip currents
. Summer I sun safety
. Fire prevention
. Poisoning prevention
o
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o
o
New Hanover County SAFE KIDS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
New Hanover County SAFE KIDS
. History cont'd
. The SAFE KIDS Coalition was started in
1999, and became affiliated with NC
SAFE KIDS in 2000
. The Coalition became affiliated and
certified with National SAFE KIDS
in 2002
o
o
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o
o
o
o
o
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New Hanover County SAFE KIDS
. Child Passenger Safety has brought the
most attention and funding to the Coalition
. Many coalition
members are
certified as seat
checkers I
technicians
o
o
o
~
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o
~
~
a
o
o
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o
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o
o
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New Hanover County SAFE KIDS
. Events around Child Passenger Safety
. Monthly parent car seat class
tAverages 20 clients per month
. Instruction, installation, and
distribution of seat
. $1 0 or $40 cost associated with seat
1
o
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o
o
~
~
o
o
o
o
o
o
o
o
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o
o
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o
o
o
New Hanover County SAFE KIDS
. Events cont'd
. Community Seat Checks
. Free to the public
. Seats are checked for recall,
installation, positioning, suitability
. Many locations: churches, health fairs,
schools, auto dealers, stores, etc
o
o
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o
New Hanover County SAFE KIDS
o
o
o
o
o
o
o
New Hanover County SAFE KIDS
o
o
o
o
o
o
o
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,
..
.
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o
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New Hanover County SAFE KIDS
. Events cont'd
. Educational classes to learn about
seat use, laws, etc
. Daycare providers
. Parenting classes
. Community locations
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
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o
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o
o
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New Hanover County SAFE KIDS
~
.
o
o
o
o
o
o
o
o
o
~
o
~
o
o
o
o
o
o
o
o
o
o
o
o
New Hanover County SAFE KIDS
. During FY 03-04, the Coalition distributed
139 car seats
. To date this year, 224 seats have been
distributed
.42% African American clients
. 26% Caucasian clients
. 16% Latino clients
.
2
.
,
,
.
.
.
o
o
o
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o
o
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o
New Hanover County SAFE KIDS
. Later this month, NHCHD SAFE KIDS will
be the proud recipients of a new Chevy
Venture Van!
. Outfitted for mobile seat check events
. Van and contents valued at almost
$50,000
. Must participate in 52 events per year
o
o
o
o
o
o
New Hanover County SAFE KIDS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
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o
3
.
"
.
.
Person: DavidE Riee/NHC drice@nhcgov.com
First name:
Middle name:
Last name:
User name:
Alternate name:
Short name/UserID:
Personal title:
Generational qualifier'
Internet password:
Preferred language:
Title:
____ __...____n..
Company'
Department
..._-_.__......_~...^--,--""-"-"._".
Employee ID:
Location:
- -- -~-
M.~..~~er' ____,
Office phone:
---------...
FAX phone:
Cell phone:
._._.~...___m_
number'
Assistant
Street address:
City'
State/province:
Zip/postal code:
----.- --.-....---..---
Country'
Home phone:
FAX phone:
David
E
Rice
drice
Mail system:
Domain:
Mail server'
..-----,..---...-..--
Mail file:
Forwarding address:
Internet address:
.........---..........---.....-.-....... ..-.............---...
Format preference for
incoming mail:
When receiving
unencrypted mail, encrypt N
before storing in your 0
mailfile:
Notes
NHC
srvnotes1/NHC
mailldrice
David E Rice/NHC
David E Rice
David Rice
drice
drice@nhcgov.com
Keep in senders' format
Sametime server"
U~l.Uj!lilU'1
Health
Health_Administration
Street address:
City'
-----....
State/Province:
Zip/postal code:
Country'
-~~---
Office number'
2029 So, 17th Street
_.______..m....... _.,.______
Wilmington
NC
-,. --',-
28401
Health Main
343-6591
341-4146
.
-....,.~'~"":-
, Mailing list group: HEA_BQard
., , '--"\""'.
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Group name: HEA_Board
-----+----_.~._._---
Group type: Mail only
.____u_____._____.__' .---.~---.--------'-
Category'
-..--- ...-..- ---...--... ------------_._._------~
_E.ll...cripti?~:.._______._~~ard of Health Mailing List
Mail Domain:
.__,_._....._._'_.... _....._ ._..__.._,_.__._._..____._......_.._".._..m..___~_
Internet Address:
.__._n..__..______
Members:
. .. N.H.<::=~_OH@..'1~cgov .com ,.._.__
Cheryl Lofgren/NHC
David E Rice/NHC
Donald P Blake/NHC
Edward Weaver/NHC
G Robert Weedon/NHC
James R Hickmon/NHC
John S Tunstall/NHC
Marvin E Freeman/NHC
Nancy Pritchet1lNHC
Robert M Shakar/NHC
Sandra L Miles/NHC
Stanley G Wardrip/NHC
_ _n _____ .____.__.._____
.
'Multi-purpose' groups are the default group type and
used in most s~uations.
They can be used for access control and email purposes.
'Mail only' groups are used for e-mail purposes only.
They cannot be used for Access Control Lists (ACLs).
'Access Control List' groups are used for database and
server access authentication only.
They cannot be used for e-mail purposes.
'Deny List only' groups are used for server access control
only,
They are only visible to server administrators. They
cannot be used for any other purposes.
".
'Server only groups' can be used for connection
documents and in the Domino Administrator Client's
Domain Bookmarks for grouping purposes.
Owners:
Debbie A Toth/NHC
HEA_IT
Debbie A Toth/NHC
HEA_IT
Administrators:
--. ,..-----.--.-.-.--.--------------...--.-..-------
Allow foreign directory Yes
sync~on~".t~~~ .'
~",_updatll.~'-_.__- _~5E..!/2~05 ~6:04:36 PM Debbie A TothlNHC
.
,.; IB~Lotus Domino Web Access Login
Page 1 of2
.
, . ~ t"'" . ' ','
.,,,.,.,. Doniino~ Web AcceSs' . ~. . .' ., .
:~,1' ~ ,-,
~!p'J,'t.."',,';... ~. ':'==~.ff
PI~,,~,-,,;'1.-~ -=-'--"-
~~~rlr\!'~'?.-~~ .J"t~' ==-= =.
Type your user name and password, and then click Log In.
User name:
.
Password:
I Log In I
(c) 1985-2004 IBM Corporation. All rights reserved. This software is subject
to the Lotus Software Agreement and applicable export regulations.
Restricted Rights for U.S. government users.
.
http://mail.nhcgov.coml
5/31/2005
ChflCk for New Messages
Page 1 of 1
. Check for New Messages
1. Point to Mail on the top menu bar, then click Inbox.
2. Double-click any message that is red to open the message for viewing. Red indicates that the
message has not been read. Once you open the message, the message will no longer appear
red in the Inbox.
See also:
Find Unread Messaoes
Message Options
Feedback on Help?
.
.
file://C:\651 Lotus\webmanual\H _CHECKING ]OR _ NEW_MESSAGES _ 529_ STEPS.html 5/31/2005
, Read Mail
Page I of 1
. Read Mail
1. Point to Mail on the top menu bar, then click Inbox.
2. Double-click any message to open and read the message.
Note Unread messages are red while read messages are black.
Feedback on HelD?
.
.
file://C:\65 1 Lotus\webmanual\H _READ_MAIL _ STEPS.htm1
5/31/2005
Go to'a Mail Message
Page I of 1
. Go to a Mail Message
To quickly find a mail message in one of your folders:
1. Open any mail folder (Inbox, Sent, and so on).
2. Click "Go to" to the right of the Subject column.
3. Enter the name of the author of the mail message.
4. Click Go.
You can also search mail messages by date or size.
Tip To locate a mail message without using the "Go to" button, begin typing the name of an author
entry and the "Go to" box will appear as you enter the name.
See also:
Search Your iNotes
Feedback on HelD?
.
.
file://C:\65 1 Lotus\webmanua1\H]IND _A_MAIL_MESSAGE_STEPS.html
5/31/2005
Message Options
Page 1 of 1
. Message Options
When you open a message, you have a number of options available. With one click, you can add
the sender of the message to your contact list. You can move the message to a folder, reply to,
forward, delete, or print the message. When you read a message, you can also create a new
message, to do, calendar entry, contact, or notebook entry.
.
ITa do this task... IITake this action... I
Create a new message, to do, Point to New on the top menu bar, then click one of the
calendar entry, contact, folder, or following options:
notebook page . Message
. Calendar Entry
. To Do
. Contact
. Notebook Page
. Folder
Reply to the sender Point to Reply on the top menu bar, then select one of
these options:
. Reply
. Reply to All
. Reply with History
. Reply to All with History
IForward the message l!cliCk Forward. I
IPrint the message l!cliCk Print. I
Move or copy the message to another Point to Move, then select "Move to Folder" or "Copy to
folder Folder"
Delete the message Click Delete. When you view the Inbox again, the Trash
icon appears next to the message. Click the Trash icon
and click "Empty trash" to remove the message from all
views.
IAdd the sender to your Contacts List IlcliCk Add Sender. I
Tip When you read a message, you can click any e-mail address in the From or To field to create a
new message addressed to that person.
See also:
find Unre<t~LMessaoes
Qroanize Your Mail with Folders
Chg~kfor New Messaoes
Feedback on HelD?
.
file://C :\651 Lotus\webmanual\H _READING _A _ MESSAGE.html
5/31/2005
Organize Your Mail with Folders
Page 1 of 1
. Organize Your Mail with Folders
.
.
It's useful to organize your mail into folders. As your Inbox grows in size, you may want to
organize messages by person or by subject or both. With iNotes Web Access, you can create
folders, move or copy mail messages into folders, rename folders, and delete folders.
When you move a mail message from the Inbox to a folder, the mail message no longer appears
in the Inbox. When you copy a mail message to a folder, the original message stays in the Inbox
and a copy of it appears in the folder.
Tips
. Right mouse click any folder to open it, delete it, rename it, or to create a new one.
. Take advantage of the quick "copy and close" feature. You can select a folder into which you
can copy messages to be read later.
To create a folder
1. Point to New, then click Folder.
2. In the popup box, enter a name for the folder, then click OK.
Tip If you want the new folder to be a sub-folder of an existing folder, enter a name for the folder,
then select the parent folder, then click OK. You can also right mouse click a folder to create a new
folder.
Note When working with folders offline, you need to refresh your browser when returning online
to see the newly added, changed, or deleted folder.
To move a mail message into a folder
. Select a mail message, point to Move, then click Move to Folder.
. Select a folder and click OK.
To copy a mall message into a folder
1. Select a mail message, point to Move, then click Copy to Folder.
2. Select a folder and click OK.
To rename a folder
1. Right mouse click the folder you want to rename.
2. Select Rename Folder from the popup menu.
3. Enter the new name in the popup window and click OK.
To delete a folder
1. Right mouse click the folder you want to delete.
2. Select Delete from the popup menu.
See also:
DeJete and Restore Messages
Select Multiple Messaqes
Feedback on Help?
file://C:\65 1 Lotus\webrnanual\H_ ORGANIZING _YOUR_MAIL _ WITH]OLDERS_ 01.h... 5/31/2005
Check'an E-mail Name
Page I of I
. Check an E-mail Name
1. Point to Mail on the top menu bar, then click New Message.
2. Enter as much of the name that you want to check.
3. Click the Check Name button ~ to the left of the "To:" field in the New Message form.
When creating a message, you can enter a name of a person from your contact list or the server's
Domino Directory. When you click the button, iNotes Web Access displays the first name it finds
that matches the letters you type so that you can select a name rather than type the entire name.
Note If iNotes Web Access does not check the name against the server's Domino Directory, then
you must first enable automatic name lookup In mail oreferences.
See also:
Select an E-mail Address from a Contact List
Find a Contact in vour Contact List
Create a Grouo List
Feedback on Helo?
.
.
file://C:\65I Lotus\webmanual\H _CHECK_THE _E_MAIL _ ADDRESS.html
5/31/2005
Attach a File to a Message
Page I of I
. Attach a File to a Message
1. Point to Mail on the top menu bar, then click "New Message."
2. Enter the name or e-mail address of the person to whom you are sending the e-mail.
3. (Optional) Enter a message.
4. Scroll down and where you see "Add Attachments", click the folder icon.
5. Select the file or files you want to attach to the message, then click Open.
To delete an attached file, click the delete icon. You can arrange your file attachments in the
attachment area by icon, list, or a detailed list by clicking the file icons.
Note If you did not allow the iNotes upload control to be downloaded to your browser, or your
Administrator disallowed the iNotes upload control, then the attachment user interface will still
work but it look different from the graphic below.
Details
I
,lEI
,~
~
~
Q
~
susan.bmp homer2.JPG
wheel. jpg
Clock.e.e
"_", 0...."
._-...-....
.
Attachments showing large icons view
See also:
Remove an Attachment from a Message
Insert an Imaqe into a Messaqe
Insert Links to Web Paqes in a Message
Feedback on HelD?
.
file://C:\65 I Lotus\webmanual\H_ A TT ACHING_A]ILE_ TO _ A_MESSAGE_ Ol_STEPS... 5/31/2005
Enabfe Out-of-Office Mail
Page 1 of2
. Enable Out-oJ-OffIce Mail
1. Click Preferences, and then click the Work Hours tab.
2. Under Out of Office, click "Settings..."
3. Specify the date when you are leaving. This will be your first day out of the office. Use the
date picker by clicking the down arrow.
4. Specify the date when you are returning. This will be your first day back in this office.
S. Click the "out of Office Message" tab, and then enter a subject and message that you wish
sent to people and groups who send you mail.
6. (Optional) Choose any option (see the table below).
7. Select "Enable Out of Office agent."
8. Click Save and Close.
iNotes Web Access automatically sends replies to mail while you're out of the office. The agent
sends only one message to each person who sends you mail, no matter how many messages the
person sends you. On the return date that you specify, the agent sends you a "Welcome Back"
message that includes a list of the people it sent messages to while you were out. You'll continue
to receive "Welcome Back" messages until you disable out-of-office mail.
Notes
. The out-of-office agent has limited interoperability with the Notes client. Once you enable the
out-of-office agent, do not use the Notes client to disable or update the agent. In addition, out-
of-office messages are sent only to INotes Web Access users.
. If you have trouble connecting to out-of-office settings, change your access level to Designer or
Manager in the Notes client, or contact your Domino administrator to change the access level
. for you.
To change your access level In the Notes client
1. Using the standard Notes client, choose File - Database - Access Control.
2. Select your name, then select Manager or Designer access.
3. Click the Advanced button, and for "Maximum Internet name & password", select Manager or
Designer access. Then click OK.
4. Restart your browser.
.
IWhat do you want to do? IITake this action I
Change the time of the day when Out-ot-Office Click the Dates tab and select "Enable Out of
checks for mail and sends a reolv. Office agent."
Keep the out-of-office dates available for Click the Dates tab and do not select "Mark
meeting invitations these dates busy in my calendar" and make
sure you have work hours available (in Work
Hours tab) for meetings. People who check your
calendar will see that you are available for the
specified dates and times.
Indicate to others checking your work hours Click the Dates tab and select "Mark these
and availability tor meetings that you are out of dates busy in my calendar." You also have the
the office. option of changing the text that others see in
the calendar subject.
Change the message or subject of the message Click "Out of Office Message." and change the
that iNotes Web Access sends. subject or message.
Send a different message to certain people Click the Special Message tab and enter an e-
mail address for each person who will be
receiving the different message. To select
names from a contact list, click the down arrow
file:IIC:\651 Lotus\webmanual\H _ENABLE_OUT _OF _ OFFICE.html
5/3112005
Enable Out-of-Office Mail
Page 2 of2
.
I I to the right of the field. Enter a subject and
your message.
Cancel replies to certain people or groups. Click the Exceptions tab and specify one or
more names in the "Do not automatically reply
to mail from these people and groups" field. To
select names from a contact list, click the down
arrow to the right of the field.
Cancel replies to messages sent to groups to Click the Exceptions tab and specify one or
which you belong. more group names in the "Do not automatically
reply to mail which is addressed to these
groups" field. To select names from a contact
list, click the button to the right of the field.
Cancel replies to messages whose subject Click the Exceptions tab specify the text In the
contains certain text. "Do not automatically reply if the subject
contains these phrases" field.
Cancel replies to people who send you Internet Click the Exceptions tab and select "Do not
mail. automatically reply to mail from Internet
addresses. "
See also:
QLs,able Out-of-Offic,e Mail
Chance Work Hour Preferences
.c.lJg.ng,e.,Mail Preferences
.
Feedback on HelD?
.
file:IIC:\651Lotus\webmanual\H_ ENABLE_OUT _OF _ OFFICE.html
5/31/2005
Delete and Restore Messages
Page 1 of 1
. Delete and Restore Messages
.
.
To delete a message
1. Select the message, then click Delete. The Trash icon appears next to the message to mark
the message for deletion.
2. Click Refresh to remove the deleted message from the view.
3. Click Yes when asked if you want to remove the documents that are in the trash folder.
If you think you may want to restore a deleted item later, always say "no" to the prompt, "Do you
want to delete the documents that are currently in the trash folder?"
To delete many messages at the same time
1. Use the mouse to select the messages while pressing the CTRL or SHIFT key.
2. Click Delete. The Trash icon appears next to the message to mark the message for deletion.
3. Click Refresh to remove the deleted message from the view.
4. Click Yes when asked if you want to remove the documents that are in the trash folder.
Tip To remove a message from a folder without deleting it:, right mouse click the message and
choose "Remove From Folder." The message is moved to the All Documents view.
To restore a message
1. Click the Trash folder
2. Select the message you want to restore.
3. Click Restore.
See also:
Qr:g<;lnize Yqur MajLwith 1"91ders
Find Unread Messaaes
Feedback on HelD?
file://C:\651 Lotus\webmanual\H _DELETING_MAIL _2581_ STEPS.html
5/31/2005
Create a Calendar Entry
Page 1 ofl
. Create a Calendar Entry
Use the Calendar to create an appointment, invite people to meetings, schedule an all-day event,
anniversary, or reminder. These entries will display in your calendar. You can set alarms, repeat
entries in your calendar, and view the work hours of others when scheduling a meeting.
Choose a topic:
. Create a new aooointment
. Schedule a meetina and sendina invitations
. Schedule an all-dav event
. Answer a meetina invitation
. Enter an anniversarv in vour calendar
. Enter a reminder in your calendar
. Reoeat a calendar entry
. Set alarms for calendar entries
. Check the work hours of others
See also:
Cut. Copv. and Paste Text
Create a Mail Messaae
!::n'ti;ll!U!...Jo Do Item
EHteLC:Qllt<!~l:;;jJLY_Q_YI CQDJ:<!.ct List
Create a Notebook Page
.
Feedback on Help?
.
file://C:\651 Lotus\webmanual\H _ CREATING _A_NEW _CALENDAR_ENTRY _ STEPS.hoo. 5/31/2005
Create an Appointment
Page 1 of 1
. Create an Appointment
1. Point to Calendar on the top menu bar, and then click New Calendar Entry.
2. If necessary, click the down arrow on the first tab and select Appointment as your calendar
entry type.
3. Enter a few words in the Subject field to identify this appointment.
4. (Optional) Enter a location.
5. Select a date or enter a date in the Date field.
6. Select a start time by clicking the down arrow in the Time field.
7. Select how long the appointment will last in the Duration field. Click the plus (+) or negative
(-) buttons to add or subtract from the default appointment duration.
8. (Optional) Select any of the following:
IOption
ICategories
kocation
Confidential
IIDescriPtion I
IIselect a predefined ~ategpCl' I
IIEnter a location for the appointment. I
Select this to prevent people who have access to your calendar from
reading the entry. People who can manage your calendar can see the time
but not the contents of entries marked confidential.
I Select "Alarm" and enter the time you want to be notified of the
appointment. You can be notified minutes, hours, or days before (on, or
after) the appointment. You also can be notified on a specific day and
time.
I"~
.
Use the message area to make any notes to yourself about this appointment. You also can attach
files to this appointment.
Tip You can change the type of calendar entry by clicking the down arrow on the first tab.
Note The only difference between creating an appointment and creating a reminder is that you
can specify the duration of an appointment.
See also:
SDecifv Dates and Times
Set Alarms for Calendar Entries
sched1!!e a Meeting and Send .Invitations
Chance Calendar Preferences
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file://C:\65 1 Lotus\webmanual\H_ W A YS_ TO _ CREA TE_ CALENDAR_ ENTRlES_MIDT.oo 5/31/2005
Enter Contacts in your Contact List
Page 1 ofl
. Enter Contacts in your Contact List
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You can save information about people in your contact list. You can enter a person's name,
address, phone numbers, company name, business address, e-mail addresses, fax numbers,
pagers, anniversary dates, and other information.
Entering a new contact in your contact list is quick and easy. Although your contact list can
contain a wealth of information about each contact, you can enter as little or as much information
as you choose. The contact form is designed to be tailored to your use.
1. Point to Contacts on the top menu bar, then click "New Contact".
2. Enter the first and last name of the contact.
3. In the "Default E-mail" field, enter the preferred e-mail address of the person. This is the e-
mail address that will appear in the To field of a New Message form.
4. Use the Work, Home, or General tabs to populate your contact list with information about the
person.
S. When you finish, click "Save & Close."
Notes
. You can enter multiple e-mail addresses for a person in the "Default E-mail" field. You can also
change the default e-mail by clicking the down arrow next to work or home, for example.
. If you include the contact's company name, you can later sort your contacts by company.
. Customize the contact form so that it stores the information you want. Click any down arrow on
the contact form to change the label of the field in the form. For example, you can change the
form to suit the types of phones that your contact has.
Information you can store about contacts
. Phone numbers, including fax and pager numbers
. URLs
. Categories (Work, Personal, Suppliers, Vendors, for example).
. Notes to yourself about this contact
. Birthdays, anniversaries, children's names
For more information about adding or using categories, see ChanQe Other Preferences.
See also:
Find a Contact in vour Contact List
Check an E-mail Name
Synchronize Contacts with Lotus Notes
Crl~;;IJ;e a GrouJL!,.ist
Feedback on HelD?
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New Hanover County Health Department
Medicaid Cost Settlement
Spending Plan
May 19, 2005
Hearing Screening Equipment for Child Service
Coordination Pro ram
as Consultation Services to assist IT staff with appointment
scheduling system enhancements and data management for
re ortin needs of de artment.
Mobile shelving for Medical Records inactive file storage
room to increase stora e ca aci
AED Automated External Defibrillator
Annual maintenance agreement cost for Smeadlink
Barcodin software Medical Records
CPR Trainin E ui ment
Laborato Software Pro ram
Pharmac and Su I Invento Software Pro ram
Color copier and regular copier to replace old unit to
im rove roductivi
PA S stem for Clinic
Cubicle furniture enhancements (shelves, desk extensions,
etc. for Child Service Coordination staff
MCC Budget addition of $7,500 in salary/fringe to replace
state funds for continuin best ractice MCC/MOW ro ram
Computers, laptops & Sprint Treos (palm
i1ots/ hone/la to combinations
Vaccines and Contrace tives
TOTAL
$ 3,800
$3,000
$17,000
$3,500
$3,000
$2,000
$7,000
$10,000
$22,000
$10,000
$5,000
$7,500
$40,000
$58,607
$192,407
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North Carolina Department ofInsurance, Office of State Fire Marshal
2005-2006 Risk Watch Continuation Grant for
Established Risk Watch Projects
New Hanover County Risk Watch Champion Team
Proposal for Continuation and Expansion
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Submitted June 1, 2005 to:
Stuart Jones, Eastern Injury Prevention Specialist
NC Department ofInsurance, Office of State Fire Marshal
322 Chapanoke Road
Raleigh, North Carolina 27603
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Project Re-organization & Expansion
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This year, the NBC Risk Watch Champion Team proposes are-organization of the
project to accornplish 4 goals:
1. Bring Risk Watch to each elementary school in the New Hanover County Public
School System.
2. Get the most bang for our buck when purchasing or securing curriculum for use in
the school system.
3. Create the most sustainable model possible.
4. Provide teachers with integrated lessons in line with curriculum pacing guides.
The Champion Team has become concerned that many teachers in our Risk Watch
schools are not using the curriculum as intended or at all. While some teachers have
adopted Risk Watch as an important, regular classroom activity, many have not. We
have heard from principals that they are concerned about the true integration of the Risk
Watch activities with the skills teachers must teach and the amount of time involved in
insuring the activities provided fit-in with what the students are supposed to be learning
during the month that each Risk Watch topic changes. The principal from Rachel
Freeman Elementary strongly suggested that we consult with the curriculum specialists
about curriculum pacing, to learn what skills teachers aim to teach each 9 weeks.
Here are the things we know about our schools:
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1. They operate on a 9 week planning schedule, not a monthly schedule.
2. Pacing guides are available to help teachers stay on-track with which skills they
should aim to teach during which 9 week period.
3. Teachers are focused on skills that will be tested.
4. Teachers have many demands on their time and even though NFP A shows
curriculum correlation, teachers must still tailor to their needs.
Here are things we know about Risk Watch:
I. It is arranged on a monthly schedule.
2. Activities focus on the life safety skills - not the academic skills teachers must
teach.
3 Manuals are expensive.
4. Manuals have very valuable information on key messages that children need to
learn, presented in age appropriate progression.
5. Each lesson is designed to take about an hour.
Here is a way the NBC RW Champion Team proposes to mesh these:
I. Combine current newsletters so each covers 2 safety topics and distribute at the
beginning of every 9 weeks, so teachers can plan to cover both safety topics and .
aren't reminded about a second topic half-way through the 9 week session (this
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really does follow the monthly Risk Watch plan, but communicates the
information to the teachers on their time schedule).
2. Write 2-4 new lesson plans per topic, per grade that are reviewed by the NHC
Curriculum Specialists. Key Risk Watch messages will be covered but activities
will also line up with lessons teachers are actually teaching during that 9 week
period. *see attached 3rd grade examples, Appendix B
3. Deliver 1 Risk Watch Tote per grade level at the beginning of each 9 week
session. Fill totes with Risk Watch Curriculum, new lesson plans labeled "math"
or "reading" or "writing" ., . supplies needed to teach each lesson (enough
consurnables to accommodate 4 classrooms and 1 master folder so teachers can
make additional copies as needed).
4. Pick-Up totes at the end of the 9 weeks and replace with 2 more topics for the
following 9 week period.
Our team feels that setting Risk Watch on a 9 week schedule, providing lesson plans that
integrate the Risk Watch Skills with the academic skills for that time period, bringing
fresh materials every 9 weeks and forcing discussion at least every 9 weeks among the
entire grade level will make it more likely that the Risk Watch Lessons will be delivered.
This format also lends itself to be executed by substitute teachers. Our team feels that it
doesn't matter who delivers the information as long as the students are being exposed to
it.
Evaluation
Beyond pre and post knowledge testing, success of the 05-06 Risk Watch implementation
will be judged by the following criteria:
1. All lesson plans / activities will be reviewed by Maggie Guggenheimer and
Cynthia Shields, both Curriculum Resource Specialists with the school system.
2. 23 Totes per grade level will be assembled, one for every school.
3. Conduct group training sessions, to capture more than one school at a time.
4. When we pick up totes at the end of the 9 weeks, inventory what was used and
what wasn't.
5. Disposable cameras will be included in each tote for development after each 9
weeks.
6. Teacher feedback will be collected mid and post year.
Our Champion Team is working to find out the number of students that need to be pre-
tested and post-tested to be statistically significant for evaluation purposes. The
workload of pre-testing post-testing every single student does not seem to be a good use
of resources. We will deliver pre-tests and post-tests to be distributed to appropriate
classrooms at schools and pick up after giving the teachers two weeks to administer. The
Champion Team will continue to hand grade the Kindergarten and First grade tests and
send scantrons for the other grade levels to OSFM for grading. With the addition of Pre-
K Centers we will hand grade those as well.
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Our Team will distribute teacher surveys to all classrooms in all schools. Give teachers a
few weeks to complete and then we will pick up from schools. We will possibly
distribute the teacher survey via e-mail instead. This past year doing a mid-year feedback
session at each of the schools during a teacher meeting worked well. Next year we will
do mid-year feedback session in addition to an end of year survey.
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Continuation and Expansion of Risk Watch in New Hanover County Schools
a. Current New Hanover County Risk Watch Schools:
St. Mary, Pine Valley, Forest Hills, Williams, Bellamy, Eaton.
b. New Risk Watch Elementarv Schools:
Alderman, Blair, Bradley Creek, Carolina Beach, Codington, College Park,
Freeman, Gregory, Holly Tree, Johnson, Murrayville, Ogden, Parsley, Snipes,
Sunset Park, Winter Park, Wrightsboro, Wrightsville Beach.
c. New Risk Watch Pre-K Centers:
Blount, Howe, Roe.
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Every classroom will have access to the Risk Watch materials, but there will be one tote
and one curriculum book for every grade level. Therefore, six sets of curriculum
materials for each of the twenty-seven schools to be included. The total number of
Elementary school students that will be reached through Risk Watch in New Hanover
County: 10,790. Total number ofPre-K Students: 484. *Please see appendix C.
Teacher Training
Our Champion Team will do a refresher teacher training for current Risk Watch Schools
at the beginning of the school year. We will also do a teacher training for Pre-K Centers
and new Elementary Schools. New teachers at existing schools will be invited to the new
schools training.
Media Coverage
We hope that Star News will continue to do articles and columns focusing on Risk
Watch. Our Team will also keep working on expanding the media coverage of Risk
Watch to radio and TV outlets.
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Overview of past two years budget expenditures
The majority of spending over the last two years of funding has been on printing the Risk
Watch student workbooks. The next largest single expenditure was purchasing Risk
Watch curriculum. The rest of expenditures include purchasing teacher tote materials,
teacher incentives and supplies for teacher trainings.
Proposed budget expenditures for '05/06
The major expense of the budget will be for student workbooks. The rest of the budget
would divided into quarters to restock the totes on a nine week basis. The expenses
would include supplies and materials to refurbish the totes. *Please see appendix D.
The two different budget worksheets reflect two different potential printing costs based
on the number of student workbooks ordered. One at $.68 per book, the other being
$.1.0125 per book. The $1.0125 price per book is based on only ordering 12,000
workbooks, but if the order is placed with other Champion Teams throughout the state
the price goes down to $.68 per book.
The New Hanover County Risk Watch Champion Team meets formally each month
immediately following the SAFE KIDS meeting. Monthly reports will continue to be
filed by the 10lh of each month to Stuart Jones and the NHC RW CT agrees to expend
. and report all expenditures by May 31, 2006.
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Food and Lodging ?
Fees
HB900/SB902 AN ACT TO AMEND THE PROCESS FOR THE
ISSUANCE OF AN IMPROVEMENT PERMIT FOR AN
ON-SITE SUBSURFACE WASTEWATER SYSTEM BY
REQUIRING THE COMPLETION OF A SOIL AND SITE
EVALUATION PRIOR TO THE ISSUANCE OF AN
IMPROVEMENT PERMIT, TO AUTHORIZE LOCAL
HEALTH DEPARTMENTS, AUTHORIZED AGENTS OF
THE DEPARTMENT OF ENVIRONMENT AND NATURAL
RESOURCES, LICENSED SOIL SCIENTISTS, AND
PROFESSIONAL ENGINEERS TO COMPLETE SOIL AND
SITE EVALUATIONS; AND TO MAKE OTHER CHANGES.
SB 871 AN ACT TO ESTABLISH A LEGISLATIVE OVERSIGHT
COUNCIL ON CHILD MAL TREATMENT PREVENTION
AND AN INTERAGENCY LEADERSHIP TEAM FOR CHILD
MAL TREATMENT PREVENTION AND TO APPROPRIATE
FUNDS FOR THAT PURPOSE.
SB 686 AN ACT TO ADD PSEUDOEPHEDRINE, A CRITICAL
INGREDIENT IN THE MANUFACTURE OF THE ILLEGAL
DRUG METHAMPHETAMINE, TO SCHEDULE V OF THE
CONTROLLED SUBSTANCES LIST, TO MAKE THE
MANUFACTURE OF METHAMPHETAMINE IN A
DWELLING THAT IS ONE OF FOUR OR MORE
CONTIGUOUS DWELLINGS AN AGGRAVATING FACTOR;
TO AUTHORIZE THE LEGISLATIVE RESEARCH
COMMISSION TO STUDY THE ISSUES RELATING TO
THE ABUSE OF METHAMPHETAMINE, AND TO MAKE
TECHNICAL CHANGES,
Cigarette Tax to 75
cents
S81032 AN ACT DIRECTING THE DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES TO
DETERMINE THE BEST MEANS OF PROTECTING THE
PUBLIC AGAINST THE HEALTH AND SAFETY RISKS
POSED BY INHERENTLY DANGEROUS ANIMALS,
S872 A BILL TO BE ENTITLED
AN ACT TO AUTHORIZE CERTAIN COUNTIES TO
CHANGE COUNTY BOARD OF HEALTH MEMBERSHIP
TO INCLUDE A RESTAURANT OWNER.
S876 A BILL TO BE ENTITLED AN ACT RELATING TO THE
COUNTY OF MECKLENBURG, TO BAN SMOKING IN
RESTAURATNTS.