07/06/2005
New Hanover County Health Department
Revenue and Expenditure Summaries for May 2005
Cumulative: 91.67% Month 11 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,968,297 $ 1,522,984 $ 445,313 77.38% ' $2,022,090 $ 1,674,610 $ 347,480 82.82%
AC Fees $ 580,161 $ 638,714 $ (58,553) 110.09% $ 583,661 $ 610,391 $ (26,730) 104.58%
Medicaid $ 1,138,039 $ 764,870 $ 373,169 67.21% $1,044,080 $ 795,379 $ 248,701 76.18%
Medicaid Max $ 151,600 $ $ 273,333 $ -
EH Fees $ 300,212 $ 281,423 $ 18,789 93.74% $ 300,212 $ 257,856 $ 42,356 85.89%
Health Fees $ 113,545 $ 162,428 $ (48,883) 143.05%-. $ 127,450 $ 157,851 $ (30,401) 123.85%
Other $ 3,110,654 $ 2,586,684 $ 523,970 83.16% -$2,401,405 $2,337,753 $ 63,652 97.35%
r~~ f
r
Totals $ 7,362,508 $ 5,957103 $ 1,253,805 80.91%'.. $6,752,231 $5,833,840 $ 645,058 86.40%
Expenditures
• Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended 4Bn Expenditure Amount Amount Remainin Amount Amount %
Salary & Fringe $10,325,905 $8,550,025 $ 1,775,880 82.80% $10,004,261 $8,605,872 86.02%
Operating $ 1,992,294 $ 1,540,574 $ 451,720 77.33%$ 1,873,804 $ 1,420,205 75.79%
8.92% $ 351,270 $ 238,274 6783%
Totals S 12943883 $10,146,381 $ 2,79,502 78.39%-$ 12229.335 $ 102643583.93%
Summary
Budgeted FY 04-05 Actual FY 04-05 %
Expenditures:
Salaries & Fringe $10,325,905 $8,550,025
Operating Expenses $1,992,294 $1,540,574
Capital Outlay $625,684 $55,782
Total Expenditures $12,943,883 $10,146,381 73.90%
Revenue: $7,362,508 $5,957,103 80.91% 4
• Net Count $5,581,375 $4,189,278 75.06%
Revenue and Expenditure Summary
For the Month of May 2005 11
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 0405
Date BOH Grant Requested Pending Received Denied
NC Dept of Insurance - Office of State Fire
6/1/2005 Marshall - Risk Watch Continuation Grant $ 25,000 $ 25,000
HUD (partnership with City of Wilmington)
Lead Outreach and Education program (3
6/1/2005 ear funding) $ 275,000 $275,000
-Ministering Circle - Good Shepherd
6/1/2005 Ministries Clinic supply equipment $ 15,000 $ 15,000
-Cape Fear Memorial Foundation - Living
4/6/2005 Well Pro rem $ 20,000 $ 20000
-Natlonal Safe Kids Coalition - Mobile Van
3/2/2005 for Car Seat Checks $ 49,500 $ 49,500
3/2/2005 Smart Start- Child Care Nursing Program $ 239,000 $ 239,000
Smart Start- Health Check Coordination
Pro ram $ 43,800 $ 43,800
Smart Start- Navigator Program $ 155,000 $155,000
2/2/2005 No activity for February 2005.
Champion McDowell Davis Charitable
1/5/2005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No activity for December 2004.
March of Dimes- Maternity Care Coordination
Program educational supplies and incentives
11/7/2004 for pregnant women. $ 3,000 $ 3,000 $
10/6/2004 No activity to report for October 2004.
9/1/2004 No activity to report for September 2004.
Office of the Stale Fire Marshal- NC
Department of Insurance- Risk Watch
8/4/2004 continuation funding 3 ears $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch-
Eat Smart Move More North Carolina $ 20,000 $ 20,000
INC March of Dimes Community Grant
Program- Smoking Cessation- Program did
7!7/2004 not apply for rant. $ 50,000 $ - $ - $ -
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
6/2/2004 No activity to report for June 2004.
Kate B. Reynolds Foundation-
5/5/2004 Transportable Dental Unit Grant $375,000 $ 311.000 $64,000
Cape Fear Memorial Foundation- Dental
Grant $185,000 $175,000 $10000
Cape Fear Memorial Foundation- School
4/7/2004 Health Emergency Dental Services Gram $ 15,000 $ 15,000
Safe Kids Coalition- Governor's Highway
Safe Program- Coalition Vehicle Request) $ 16,000 $ 16,000
Safe Kids Coalition- Safe Kids Buckle Up
3/3/2004 Program- Child Safe Seat Grant $3 500 $3,500
• 2/412004 No activity to report for February 2004.
Cape Fear Memorial Foundation- Funds
needed to enhance health education in 4
areas other than Diabetes (an enhancement
117/2004 to Diabetes Today Grant). (Living Well) 1 $20,000 $18,500 $1,500 12
As of 6/2012005
• NOTE: Notifiwfion received since last report.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05
Date BOH Grant Requested Pending Received Denied
12/3/2003 No activity to report for December 2003.
Cape Fear Memorial Foundation- Funds
needed to cover dental services for needy
children as identified by School Health
11/5/2003 Nurses. $3,000 $3,000
NC Medical Foundation - Through the Good
Shepherd Ministries for nursing services to the
population frequenting the shelter. $25,000 $25,000
Duke University- To provide 10 hours of
nursing services for TB Outreach. $10,388 $10,700 -$312
NC Tobacco and Control Branch, DHHS-
Continuation of Tobacco Prevention Program. $100,000 $64,093 $35,907
10/1/2003 No activity to report for October 2003.
New Hanover County Safe Schools- Uniting
for Youth •U4Youth"(funding will be received
9/3/2003 over a 3 year rant period) $49,000 $ 12,702 $36,298
Safe Kids Coalition- Fire Prevention (Please
note this grant was pulled- coalition not able to
meet deadline for request) $2,500 $2500
8/6/2003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400
Smart Start- Partnership for Children
7/3/2003 Grant Increase for Part Time Nurse Position $5,523 $5,523
Cape Fear Memorial Foundation - Diabetes •
Today (two-year request; $42,740 annually)
Received $25,00 year 1 and $20,000 year 2 $85,480 $45,00 0 $40,480
Duke University Nicholas School of the
Environment-Geographic Information
Systems Grant Env Health $10,000 $10,000
Safe Kids Coalition- Safe Kids Mobile Car
Seat Check u Van $50,000 $50000
$337
Totals $2,019,441 1$737,800 $694,345
36.53% 44.29% 16.70%
Pending Grants 3 12%
Funded Total Request 9 36%
Partial) Funded 7 282
Denied Total Request 6 24%
Numbers of Grants Applied For 25 100%
•
13
As of 6/20/2005
• NOTE: Notification received size last report.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: July 11,
A enda: ® 2005
Department: Health Department Presenter: Cindy Hewett, Business
Manager
Contact: Kim Roane, 343-6522
Subject: Budget Ammendment in the amount of $15,932 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 $15,932 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). This
amount is in addition to previous cost settlement monies already received.
mended Motion and Requested Actions: To accept and approve the $15,932
com
• rad
ditional State funds to be used to support the New Hanover County Health Department
o ams 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:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: No Count match is required for receipt of these funds.
Attachments: Bud et Ammendment and supporting documentation.
•
14
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nlgntrax 0/1V/1.VV0 o:ca rruL 1/1 nlgnw ax
TO:
47001631 NEW HANOVER
2029 S 17TH ST
WILMINGTON NC 28401
Direct deposit notification
Within three business days, pendingg agency funding approval,
Your bank account will receive a direct deposit of 15,932.42
for payment number 25FT0001010637
These funds were paid by the following agency:
DHHS CONTROLLERS OFFICE (25PT)
AP - DMA
2019 MAIL SERVICE CENTER
RALEIGH, NC 27699-2019
AGENCY CONTACT PHONE: 919-715-6985
Please direct all questions regarding this payymment/do osit to the
agency contact phone number listed directly above. This agency
maintains information regarding your payment records. Any questions
concerning payment amount and invoice information/documentation
should be directed to the agency'& Accounts Payable office and they
will be happy to assist you with your inquiries.
PLEASE DO NOT REPLY TO THIS EMAIL.
CONTACT THE PAYING AGENCY AT THE NUMBER LISTED ABOVE.
Your Invoice NO Type Inv Date Invoice Amount Discount Taken Net Amount
HLTH DEPT SETTOS 06/09/05 $15,932.42 $0.00 $15,932.42
HEALTH DEPT COST SETTLEMENT 2005
TOTAL: $15,932.42
This notification was sent from the North Carolina office of the state controller.
laf this notification has been received in error, please contact the agency
fisted above to make corrections.
I
•
17
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 06/28/05
Agenda:
De artment: Health Presenter: Cindy Hewett, Business Mgr
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Changes in the New Hanover County Health Department Fee Policy
Brief Summary: The New Hanover County Health Department is proposing to change its
current Fee Policy, so that Medicaid may be billed for the Menactra (meningococcal)
vaccine (private stock vaccine).
Currently, our fee policy states: (Section I, General Guidelines, Item 1) 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.
Proposed Change: 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, as well as, Menactra vaccine provided to
Medicaid 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.
Recommended Motion and Requested Actions: To accept and approve changes to the
New Hanover County Health Department Fee Policy as resented.
Funding Source: Medicaid
Will above action result in:
?New Position Number of Position(s)
QPosition(s) Modification or change
No Change in Position(s)
Explanation: The New Hanover County Health Department is requesting to adjust its
current Fee Policy resulting from the Menactra vaccine now being available for
adolescents and adults 11-55 years of age. Many of the children who are now eligible to
receive the Menactra vaccine are Medicaid recipients and would, otherwise, not be able
to pay for the vaccine (Menactra fee is $92.00, of which, Medicaid will currently
reimburse $62.11).
• Attachments: None
18
Y'
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 06/28/05
Agenda:
Department: Health Presenter: Cindy Hewett, Business
Mana er
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Changes in the New Hanover Count Fee Policy- Fee Changes
Brief Summary: The New Hanover County Health Department is proposing to change its
current Fee Policy to accomodate recent changes in Medicaid Reimbursement rates, as
well as to implement a change in processing Laboratory procedures.
Recommended Motion and Requested Actions: To accept and approve changes in the
New Hanover County Health Department Fee Policy as resented.
Funding Source: Medicaid, Private Pa Patients, Sliding Fee Scale
• Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Positions
Explanation: Please see attachment for specifics. The New Hanover County Health
Department is requesting approval to change its fee policy based on recent changes in
Medicaid Reimbursement rates for services provided within our Clinic and Home
Visiting Programs. Additionally, approval is requested for changes occurring in our
Laboratory processing procedures. Previously, several laboratory procedures were
processed internally, but with the need to replace expensive, costly equipment, it was
determined that it will be more cost effective to send these procedures to a reference lab
for processing.
Attachments: Fee Policy Revisions
19
NEW HANOVER COUNTY
y HEALTH DEPARTMENT
2029 SOUTH 17TH STREET ,t
y WILMINGTON, NC 28401-4946 xew x~xovu cov xeec~+ova`
N P TELEPHONE (910) 343-6500 FAX (910) 341-4146
Jun 28, 2005
To: New Hanover County Board of Health
From: Cynthia W. Hewett, MSIS
Business Manager
Subject: Changes in the New Hanover County Health Department Fee Policy
1. We are requesting approval for the following changes in CPT codes and fees.
Change CPT Code Current Proposed Justification
Needed Fee Fee
• Add Code 90471 EP $20.00 $27.42 Add CPT Code and Fee for Immunization
and Fee Administration Single Dose
Increase Fee 99201 $60.00 $63.00 Increase in TXIX Reimbursement for New
Patient Level I- Minimal Visit
Increase Fee 99202 $90.00 $94.00 Increase in TXIX Reimbursement for New
Patient Level II- Problem Focus Visit
Increase Fee 99203 $128.00 $133.00 Increase in TXIX Reimbursement for New
Patient Level III- Expanded Visit
Increase Fee 99204 $188.00 $195.00 Increase in TXIX Reimbursement New
Patient Level IV- Detailed Visit
Increase Fee 99205 $236.00 $245.00 Increase in TXIX Reimbursement for New
Patient Level V- Comprehensive Visit
Increase Fee 99211 $33.00 $35.00 Increase in TXIX Reimbursement for
Established Patient Level I- Minimal Visit
Increase Fee 99212 $55.00 $57.00 Increase in TXIX Reimbursement for
Established Patient Level II- Problem Focus
Visit
Increase Fee 99213 $76.00 $79.00 Increase in TXIX Reimbursement for
Established Patient Level III- Expanded Visit
Increase Fee 99214 $118.00 $123.00 Increase in TXIX Reimbursement Established
Patient Level IV- Detailed Visit
• Increase Fee 99215 $176.00 $183.00 Increase in TXIX Reimbursement for
Established Patient Level V- Comprehensive
Visit
As of 06/28/05 20
Change CPT Code Current Proposed Justification
Needed Fee Fee
Add Code 90465 EP n/a $27.42 Add CPT Code and Fee for Immunization
and Fee Administration Fee for Children under 8 years
of a e
Increase Fee T1016 $21.00 $21.74 Increase in TXIX Reimbursement for CSC
Services
Delete Code 87081 $20.00 $0 Procedure code will no longer be used.
and Fee Procedure will be captured using CPT Code
87070 (Culture) with a fee of $34.00 (this is
currently in our fee policy).
The following are laboratory procedures that previously have been processed in house. It has
been determined that it is more cost effective to send these procedures to a Reference Laboratory
for processing. When sending laboratory procedures to a reference laboratory for processing, a
modifier of "90" must accompany the CPT Code. We are estimating that with proposed changes
in laboratory services the agency will not experience any changes in revenue.
Change CPT Code Current Proposed Justification
Needed Fee Fee
• Add 80061 90 $0 $0 Lipid Panel. Previously a no charge service.
Modifier This will now be sent to reference lab for
processing.
Add 82247 90 $15.00 $0 Bilirubin, Total. This will now be sent to
Modifier & reference lab for processing
Delete Fee
Add 82465 90 $15.00 $0 Assay Serum Cholesterol. This will now be
Modifier & sent to reference lab for processing
Delete Fee
Add 82947 90 $15.00 $0 Glucose, quantitative. This will now be sent
Modifier & to reference lab for processing
Delete Fee
Add 82565 90 $15.00 $0 Assay Creatinine. This will now be sent to
Modifier & reference lab for processing
Delete Fee
Add 83615 90 $15.00 $0 Lactate (LDH) enzyme. This will now be
Modifier & sent to reference lab for processing
Delete Fee
Add 83718 90 $15.00 $0 Lipoprotein (HDL). This will now be sent to
Modifier & reference lab for processing
Delete Fee
• Add 84075 90 $15.00 $0 Assay Alkaline phosphate. This will now be
Modifier & sent to reference lab for processing
Delete Fee
As of 06/28/05 21
I~
• Change CPT Code Current Proposed Justification
Needed Fee Fee
Add 84450 90 $15.00 $0 SGOT/AST. This will now be sent to
Modifier & reference lab for processing
Delete Fee
Add 84460 90 $15.00 $0 SGPT ALT. This will now be sent to
Modifier & reference lab for processing
Delete Fee
Add Code 84478 90 N/A $0 Triglycerides. This will be sent to reference
lab for processing.
Add Code 80053 90 N/A $0 Comprehensive Metabolic Panel. This will be
sent to reference lab for processing.
Add Code 80051 90 N/A $0 Electrolite Panel. This will be sent to
reference lab for processing.
•
i
As of 06/28/05 22
Clinic
4) Services
Open Access Scheduling
(OAS)
Review
Year1
rx. H. C, H. o.p
_~t What is OAS?
See Every Patient Everyday
• For Everything!
• Eliminated specialty clinic restrictions and limited availability
• All clinic services, every day
(clinician appointments & walk-in nurse services)
• Same day spot scheduling - phone lines open 7:30 am
NM n- co Hee 000
Why OAS?
• Improve efficiency
• Better serve clients
• Maximize staff
• Improve show rates
rw.. n.o...wn..m o.q
1
F Why OAS?
• Manage today's work load today
• Improve patient access to all services
• Improve agency compliance with treatment for STD
pts. within 24 hours
• Patients can be seen on the day they desire to be
seen
Wx Hii-CO IUtl pq
Changes
• General clinic services started July 2004
- Increased typea of pt visits that can be fast-tracked •
• WIC- started January 2005
• Physical renovation of Clinic - Improved environment
-3 Suites and General Clinic
- Increased from 6 to 12 exam rooms
- Addition of registration window and checkout desk
• Uniformly stocked all exam suites for male & female exams
Nm 1-Co H. owt
- - Staffing
• Staff are all cross-trained
• Management support for registration of all clinical services
• Nurses can work general clinic or suites & provide relief for
each other
• Billing & Customer Care Staff man check-out / phone center
with 3 appl takers
Hw Nwvw co Nwq pq •
2
•
Evolving Process
• Constant Change
-can make Gaily changes a evaluate
• Quality Assurance (QA) Committee working on client flow
and data collection and reporting
• Difficult to compare old and new system with current reports
cow H- CC Nw•A s.w
BENEFITS
...thus far
• Clients can be seen for any service M-F
- identified need for evening hwrs
• 'No Show" rates decreased - traditionally approx 50%
WIC 10%
- Clinic 12 - 18%
Iw. x.riawr G •nua•q
More BENEFITS
...thus far
gr5 g.l. Jury mw-NC.mh.r 20U
w
s w •q w~r.s
S w +-.kq M.d
al Aq M91wn
TI
~ 0 -
Y4 .Y.• fw4 NW •F4 R4
uw '0 Sh..11%
• N.. ~bq~GeM cop
3
I
1 More BENEFITS
...thus far
• Flexibility with scheduling staff
• Able to schedule clinic profiles based on staff available
• Able to make daily changes based on unplanned
absences and training needs
• WIC participation up
Jan - May 2004 = 2880 pis/mo
Jan - May 2005 = 3110 pts/mo
x.., X.m.. c. X..xn o.n
Challenges
• Phone system - clients frustrated when calling in early AM
• Clients who need to give notice at work for time off •
can't schedule same day
i
• Staffing has not met demand
• Keeping staff cross-trained - turnover
- gaining mom detailed dce to venety of services
e coiuuming
• Immunization Registry (NCIR) - implemented June 6, 2005
W0- M
Where Do We Go
From Here ?
• Work on Customer Service -
Improve clinic flow
- setup of waiting area am aign-in area is don Sng
Separate checkout and phone center
Less time per visit
Improve check-in process
- Staff to greet, direct, answer questions
• Stable staff with consistent capacity will improve both
customer and staff satisfaction
wx X~•.~ Ce W W 0.q
•
4
NEW HANOVER COUNTY
• INTER=OFFICE MEMORANDUM
MEMORANDUM:
~CONFI TIAL
TO: New Hanover County Board of Commissioners
County Manager
Assistant County Managers
Health Director
Environmental Health Director
FROM: Kemp P. Burpeau, Deputy County Attorney
RE: Blossom Ferry Wells
DATE: June 24, 2005
1 have been asked to give an opinion as to whether the Health Department has
any liability for the approval process used for Blossom Ferry. I have found no
compelling basis for a successful legal action against the County. Staff met with Dr.
• Charles Stehman, State Environmental Health, to discuss procedures utilized by the
New Hanover County Health Department. The group did discuss further protocols, to
enhance sampling procedures and release for electrical service. Nevertheless, Dr.
Stehman did not find any failure to comply with State laws and regulations. In fact, New
Hanover County is one of about twenty proactive counties using local board of health
regulatory powers to supplement the State process.
While I find no negligence or other failure to perform on the County's part, a
public health concern exists with the Blossom Ferry water. The immediate health
concern appears to have been addressed by chlorination devices on individual wells.
For the longer term, connection to public water is the ideal solution. Accordingly, from
the perspective of addressing a public health issue, rather than because of any County
liability, we may wish to monetarily participate in a solution. Such assistance to
residents may prevent filing of a suit against the County.
Although I do not foresee homeowners likely to prevail with such litigation, we
may be well served in terms of fostering public good will and avoiding frivolous suits by
some cost-sharing. Please contact me with any questions or concerns.
KPB/kc
is cc: Clerk to the Board
NEW HANOVER COUNTY %
• HEALTH DEPARTMENT
• 2029 SOUTH 17TH STREET . '
x xM WILMINGTON, NC 28401-4946 "E""••°vevCOMY"[..~°°` I
TELEPHONE (910) 343-6500 FAX (910) 341-4146
July 6, 2005
Mr. Allen O'Neal
New Hanover County Manager
320 Chestnut Street, Room 502
Wilmington, NC 28401
Dear Allen,
It will seem strange here without your diplomatic "More later" messages. Our
residents and visitors to New Hanover County will miss your professionalism.
Let us say once again how much you have done to give New Hanover County its
reputation for "Caring people providing quality services." After many years of
loyal and dedicated public service, we doubt that anyone can replace you.
• Please accept our personal gratitude for your devoted service and our best
wishes for your next chapter in life. Come to visit us as often as you can; we
think of you as part of our public health family.
Sincerely,
kz(
Donald P. Blake, Chairman David E. Rice
New Hanover County Board of Health Heath Director
•
"Healthv Nook. Healthv Environment, Healthy Community"
National Association I Local Boards of Health
United we Stand
lkYewsBrief
Publlshedfor Members ofLocnl Boards of Health Second 9uarter, 2005
What's
7that a me7myjurisdiction's n's board of health, how did I
at doyourself these very questions
ecenr board of health? Well, no
s, thetions and ones that should be
got to your board of health is probably an easy question
Board . Directors to answer. Unless your board has members who are elected to serve or
has members who serve because of their elected city/county offices, you 9
were appointed, generally by your jurisdiction's elected officials. Your ap- I
Report • Washington pointment most likely came as a result of your expertise in one or more of
the following areas:
NALBOH News • Medicine including veterinary medicine or dentistry
• Public health
membership Application • Environmental health
• Life sciences, sociology, health education
• Behavioral health, social work, health promotion
Tobacco-Free • Community advocacy
l • Media relations
• Business
Conference • Special population groups
• Health and medical consumer
1 State Association Now for the tougher question, what to do now that you are on the board of health. Well, you
already have part of the answer in how you got there. You bring with you your expertise, your
interests, your life's experiences, and your desire to strengthen the public health and medical
11 Public Health system in your community. Generally, your state public health code of rules and regulations
Leadership Opportunities created your board as well as mandated your roles and responsibilities. These certainly may vary
depending on your state and local jurisdiction but here are a few of the most common roles and
responsibilities.
Emergency Preparedness • Enacting and enforcing rules and regulations
• Proposing and/or approving the local public health agency's operating budget
• Recruiting, supervising, evaluating the local public health agency's chief official
14 NewsBrief Article • Proposing specific policies and regulations to the jurisdiction's elected officials
Submission . • Developing programs to protect and enhance the health status of their neighbors
• Assessing a community's strengths, problems and needs concerning health and medicine
• Assuring that needed health promotion, health protection, and health prevention services
15 Calendar of Events deemed important to the community are available and effective
• Being a spokesman and advocate in the community on health and medical issues and serving
as the liaison between the community and your local public health agency
contino on Page2
*~ouaa noon National Association of Local Boards of Health
M P,,, ova 1840 East Gypsy Lane
N A L B O H Bowling Green, CH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
Email: <nalboh@nalboh.org>
Website: <www.nalboh.org>
Page 2 NALBOH NewsBrief Second Quarter 2005 Second Quarter 2005 NALBOH New.eBrief Page 3
President's Message (continued)
One way to learn more about your roles and responsibilities as a
member of the governing body of your local public health NALBOH M' ( From Tiffany Hinton, DC Liaison
agency r
is of
to make use the National Public Health Performance This year's legislative committee has identified three priority areas for NALBOH's
Standards Program's Local Public Health System Governance Our mission is to strengthen and prepare local boards of health, advocacy efforts: public health funding, tobacco control, and access to health
Performance Assessment Instrument (see page 4 for more enabling them to protect and promote the health of their care. Here's a little information about each issue, followed by a legislative update.
information). This tool will help you as a board member know communities, through education, technical assistance, and
more about your duties as you use it to measure the advocacy. Public Hearth Funding:
effectiveness of your oversight of your local public health Our nation faces an unprecedented range of health threats, from chronic diseases
agency and your participation in the local public health system. Wsrun nt , and disabilities to terrorism and a shortage of healthcare providers. Our nation's
public health system will not be able to respond to these threats without additional
The goal is to help you address your fundamental The National Association of Local Boards of Health (NALBOH) The for the continuum of medical research, prevention, treatment, and
- the grassroots of public health - is the national voice for trainin
responsibility for ensuring that your community has access to effective and competent public health governance. g programs. According to a recent poll, over 78 percent of Americans want
the essential public health services and that these services government to spend more to protect the nation's health against major diseases all improve community health. It will serve to help you focus on W re and emerging bio-threats. There are tough decisions to make in the face of a
improvements in the local public health system, identify assets, growing deficit, but protecting and improving the health of the nation must be a
target community needs, monitor progress, and advocate for President President-Elect top priority.
additional resources. Ronald Burger (GA) Lee Kyle Allen (NC) Tobacco Control:
NALBOH was formed in 1992 to help strengthen and secretary/Treasurer Past President Tobacco use remains a leading preventable cause of death in the United States, causing more than 440,000 deaths each year and
Gladys Curley (MD) Connie Tatton (UT) resulting in an annual cost of more than $75 billion in direct medical costs. Approximately
80% of adult smokers started smoking
prepare local boards of health members enabling them to Ex-Officio before he a e of 18, promote and protect their communities through education, g and everyday nearly 4,000 young people under the age of 18 try their first cigarette. More than 6.4 million
technical assistance and advocacy. NALBOH can het Ned E. Baker (OH) children living will die because cause of a decision the will make as s adolescents - to smoke cigarettes. Strong ng policies
ry. p you and Marie M. Fallon y prematurely they
your board. Contact us to learn more about the Governance (OH) to regulate tobacco products will ill help save lives.
Anthony Santarsiero
(GA)
Performance Assessment, the Essential Public Health Services,
and many other training and educational materials. If your state Access to Health Care:
East Great Lakes Region Mid Atlantic Region Access to health has become a major y g y
has a State Association of Local Boards of Health or a SALBOH, it Alice Davis (OH) Wafter Stein (N]) problem the able Many Americans have inadequate
rr a uate access to health services -they thehave
too, can het y y no health insurance rising p p p
p you. If ou do not have a SALBOH in our state Midwest Region New England Region drugs , cannot afford ge s e deductibles eductibles v premiums of their current coverage, or cannot afford y the lion
our SALBOH Committee can help you consider the . The lack of health care coverage is detrimental to individuals, their families, and the community at large (we all pay the price
Larry Hudkins Shepard Cohen (MA) of hi h
formation of one. Southeast east Region West Region g er insurance costs). Action is needed to improve access to health care.
Public health can make a difference. Boards of Health are the Rachel West Great Stevens Lakes (NC) Region Carolyn Meline (ID) Legislative Update:
hub of the local public health system. Thanks for all you do to On March 17, Senators Dewine (R-OH) and Kennedy (D-MA) and Representatives Davis (R-VA) and Waxman (D-CA) reintroduced
Sharon Hampson (WI) identical Senate and House bills to rant the U.S. Food and Drug Administration authori to re ulate tobacco roducts. This
be a part of that system that helps to create the conditions 9 ty g p
where everyone can live, work, play, learn, and worship in a safe State Affiliates legislation would grant the FDA new authority to regulate both current and new tobacco products and restrict tobacco marketing.
and healthy manner. Be safe and stay healthy! John Gwinn Legislation was introduced i 2004, but did not pass the House. A large, bipartisan group of co-sponsors in both the House and
6n^J ,~7 Donna Rozar (W (WI) Senate is needed to move the bill ill forward.
W(~y~,( t?, ~ht to In March, Senators Hagel (R-NE) and Durbin (D-IL) introduced the Public Health Preparedness Workforce Development Act of
/ O 2005. The Act is intended to ensure that the U.S. has a well-trained public health workforce that can effectively respond to
Executive Director terrorist events emerging infectious diseases and other public health emergencies. The Act will rovide scholarshi s and a loan
Ronald C. Burger Marie M. Fallon MHSA p p
President O DC Director Liaison repayment program for eligible students pursuing health profession degrees or certificates preparing them to enter governmental
public health service.
Tiffany Hinton, MPH
Are you attending NALBOH's Project Director-Environmental Health & Emergency For more information about NALBOH's advocacy program, visit <www.nalboh.org/legislative/legislative.htm> or contact me by
Preparedness telephone at (202) 223-4034 or e-mail at <tffany@nalboh.org>.
annual conference? Jeff Neistadt, MS, RS
Do you need registration information? Project Director-Tobacco Use Prevention & Control Happy Summer! O
Are you interested in exhibiting at NALBOH's annual conference? Rachel Weinstein, MEd
Would you like to be a sponsor at NALBOH's annual conference? Grants Manager
Jennifer O'Brien, MPH, MA NALBOH is pleased to inform you that its Annual Conference Preliminary Program is now available online!
If you answered "Yes" to one or more of these questions, visit us on Membership Coordinator/ Publications Manager Please visit <www.nalboh.org> to download your PDF copy. The Annual Conference registration form and sponsor and
Grace Serrato exhibitor opportunities are online at <www.nalboh.org/confer/confmain.htm>.
the web at <www.nalboh.org> or
call the NALBOH office at (419) 353-7714. O Administrative Assistant Some important
JV JV Debbie Fallon dates to keep in mind:
CJ~' h hh (h~~ Chi' NewsBrief Editor June 30 - Early Bird Registration due ($275 for members; $325 non-members)
Fleming Fallon, MD, DrPH July 18 - Conference Hotel Reservations due (special rate of $129 at the Hilton Suites Downtown)
rZ July 29 - Reserve your place in the Golf Scramble ($21 for green fees and cart; $10 for club rental)
Requests for Articles and Meeting Announcements The NALBOH NewsBrief is published by the
National Association of Local Boards of Health
1840 East Gypsy Lane Road, Bowling Green, OH 43402
NALBOH publishes articles about the successes, challenges, and accomplishments of local boards of health as well as Phone: (419) 353-7714; Fax: (419) 352-6278
upcoming conference announcements and meeting dates. To submit an article or announcement, please contact the NALBOH Email: <nalboh@nalboh.org>; Website: <www.nalboh.org>
office at 1840 East Gypsy Lane Road, Bowling Green, OH 43402, fax to (419) 352-6278, or email us at <nalboh@nalboh.org>. A
NewsBrief submission form is available online at <www.nalboh.org/newsbrief/newsbrief.htm>, or see page 14 of this NewsBrief The production and distribution of this publication is supported by funds from the centers for Disease Control and Prevention.
issue. The next publication deadline is July 10, 2005. O Reproduction or use of any contents enclosed must be requested in writing to the NALROH office. 0
Page 4 NALBOH New.vBriel' Second Quarter 2005 Second Quarter 2005 NALBOH NewsBrief Page 5
Measuring Your • Application
g 2. Discuss and complete the Executives, celebrities and political leaders tend
Performance and assessment instrument - The to dominate the headlines and the spotlights. Planning Meeting with Council of 2005 NALBOH Membership
governance instrument is estimated to Rarely do the people with the rolled up sleeve.
Capacity take 6 hours to complete. One way who get their hands dirty, down inthetrenches State Governments and Centers for
to reduce the time spent in this ever asked what they think, what they need, It is time to consider your 2005 NALBOH membership. A
Local boards of health now have a tool to process is to ensure that participants how to fix what's broken or preserve what Disease Control & Prevention membership in NALBOH provides an opportunity for you and your
assess and improve the provision of public look over the instrument and questions works just fine, thank you! Ron Burger, NALBOH President, represented NALBOH on the call local board of health to:
health services in their communities - the in advance of the meeting. Other between Centers for Disease Control & Prevention (CDC) and Have an input into national health policy;
National Public Health Performance suggestions for completing the Well, here's an opportunity for local public Council of State Governments (CSG) concerning the grant Receive copies of the NALBOH NewsBrief for each board
Standards Program (NPHPSP). The instrument include: health agencies to speak up. And it doesn't funding provided to CSG and how they can help promote member;
NPHPSP is a partnership effort to improve come along every day or even every year. environmental health to their constituents. The mission of CSG Receive discounts for NALBOH educational materials; and
the practice of public health. Collabora- Designate a facilitator and The last time NACCHO gave every local public is to provide a network for identifying and sharing ideas with Participate in NALBOH's exceptional Annual Conference at
tors include NALBOH, the Centers for recorder. health agency in the nation a chance to state leaders to build leadership skills to improve decision-making; a member rate.
Disease Control and Prevention, and Hold a retreat to complete the deliver a status report on its public health advocate multi-state problem solving and partnerships; interpret
other public health organizations. instrument. activities and challenges was in 1996. changing national and international conditions to prepare states The 2004 annual conference was the biggest and best yet.
• Break into small groups and divide or the future; and, promote the sovereignty of the states and United States Surgeon General, Admiral Carmona enthralled the
As the governing body responsible for the the essential services. A lot has changed since then, including, in heir role in the American federal system. Plans are to have a audience with his presentation. The 2005 annual conference is
quality and effectiveness of the delivery Hold a series of meetings (3 many cases, the array of policy-makers, session'on environmental health issues at their spring national already being planned for Nashville, Tennessee, August 10-13,
of essential public health services, it is meetings to complete the funders and regulators who influence local committee and a task force meeting in June or their full 2005. Join NALBOH and be part of this great conference
important to complete the NPHPSP instrument). public health, how far health departments conference in the winter. Discussed was a possible agenda with designed specifically for those serving on boards of health.
governance instrument. The instrument reach, and what their limitations and he federal, state, and local perspective. They would like
describes the ten essential public health 3. Submit results to CDC - After opportunities may be. NALBOH to provide a presenter for the local aspect of this Join NALBOH now by sending in the membership application
services and board responsibilities; it completing the assessment, submit presentation. ? below or return the invoice that was mailed to you in October,
measures performance and capacity. results to the CDC website. You will NACCHO's fourth National Profile of Local along with payment to: NALBOH, 1840 East Gypsy Lane Road,
need a USER ID and survey password Public Health agencies study will capture as Recreational Water Illness Bowling Green, OH 43402. Call the office (419) 353-7714 if you
Want to Use the Instrument? The from CDC to submit results. For a User it has in the past information on governance, need a replacement invoice. ?
NPHPSP instrument is available for ID and a description of how to financing, workforce and program activities Prevention Workshop
download at NALBOH's website navigate the web-based instrument, but this profile will also zero in on specific Jeff Neistadt, NALBOH Preparedness Project Director and Ron Application for Membership
<www.nalboh.org>. Print copies are also call the CDC help-line at 1-800-747- issues, including partnerships, workforce i Burger, NALBOH President, attended the workshop hosted by
available. 7649. needs and information technology (of which, the Centers for Disease Control & Prevention (CDC) and Council Date:
this very questionnaire is an example. We of State and Territorial Epidemiologists (CSTE). This workshop Membership Year: 2005 (January 1 - December 31, 2005)
Completing the Instrument. If you do not have internet access, please are distributing it electronically for the first began to develop national recommendations for the
1. Orient participants - Before contact NALBOH for assistance in time, as well as in hard copy to facilities prevention and control of recreational water illnesses in the
jumping into the performance submitting your results. that cannot accept an electronic version). United States. CSTE approved a position paper at its 2004 Board of HealN/Organdadon/Name of individual
assessment discussion, you should All local public health agencies will receive annual meeting requesting that CDC convene a workshop to
consider providing a brief overview of 4. Questions/More Resources - the Profile questionnaire in their e-mail boxes develop such recommendations. This workshop focused Mailing Addr
the NPHPSP and the Essential Public Contact Tiffany Hinton, NALBOH, in June. entirely on recommendations for man-made, disinfected venues
Health Services (the essential Telephone: 202-223-4034, via email such as swimming pools. Invitees to the workshop included city stare zip Code
services are the basis for the at <tiffany@nalboh.org>, or feel This is the best opportunity for local public federal, state, and local epidemiologic, environmental health, and
NPHPSP). A User's Guide is available free to join the National Network of health agencies to provide their peers - and laboratory professionals, academics, and persons who construct nm ax Email
<www.phppo.cdc.gov/nphpsp/ Public Health Institutes monthly many others who help shape the and maintain pools. The group was divided into 4 break-out
NPHPSP>. Print copies are available. NPHPSP users' call. ? future of public health in this country - with workgroups allowing participation in the "Increasing the Public Contaa Pars and Tine
important data that will tell us how far local Awareness and Action." The workshop's recommendations will Check type of desired membership:
The NPHPSP assesses the performance public health has come and how far it needs be used as the foundation for crafting a national strategic plan ? Institutional ($120)
and capacity of local public health system. The Time Has Come for to go. The data NACCHO collects are used for the prevention and control of illnesses spread through Any local board of health or other governing body
The governance instrument measures the by local public health agencies in their disinfected water venues intended for recreational purposes. that oversees local public health services or programs or
performance of the governing entity of Local Public Health advocacy efforts-whether to lobby Plans are also being developed for implementation of the
($95) a local board of health whose state association is
the local public health agency in regards Agencies to Stand Up internally to alter budget allocations, or to recommendations. ? an affiliate member of NALBOH (GA, ID, IL, MA, NC, NE, NJ,
to how it provides oversight for the seek more support from legislators, state OH, UT, WI)
delivery of the ten essential public health and Be Counted health agencies, boards of health, county A Trip to Cabell County ? Affiliate ($300)
services. Submitted by Carolyn Leep, Program Manager, commissioners and other potential State associations of local boards of health (SALBOH)
National Association of County & supporters. Huntington, West Virginia ? Associate ($60)
Essential Public Health Services City Health Officials (NACCHO) ! Ron Burger was invited to speak on behalf of CDC at the West Any individual committed to NALBOH's goals and objectives
The Essential Public Health services We don't want any local public health Virginia Disaster Symposium and the Wayne County Health ? Retired ($12)
describe the public health activities that "Why didn't they ask us about that?" Did agency to miss this chance to have an
Department Administrator invited Ron to address some of the Any former member of a board of health, state board of
should be undertaken in all communities. they even think to check with the ones impact, and to contribute to a more local health departments in the western portion of West Virginia. health, local governing body, state, territorial or tribal board
They provide a working definition of who'd be affected before they decided to accurate "pulse-check" of the public health
Y P 9 he counties represented were: Wayne, Cabell, Mason, Logan, of health
public health and a framework for do that?" "Why doesn't anyone ask us what community's activities, needs, challenges
guiding , and Boone. Board of heatlh members were from Wayne, Cabell, ? Sponsor $60)
the responsibilities of local public health we did to address that issue?" and accomplishments. Encourage you/ I nd Logan counties. Ron encouraged BOH members to come A non-profit organization, agency or corporation committed
systems. Some essential services include: local public health agencies to fill out the J to Nashville for our annual conference. Attendees were very to NALBOH's goals and objectives or
monitoring health status; investigating questionnaire. Help NACCHO to ensure excited about our plans for training and certification. Ron and ($300) a for-profit organization, agency or corporation
health problems; developing policies and that their efforts count. ? attendees talked about some training they will soon be committed to NALBOH's goals and objectives
plans to promote community health; and conducting in the panhandle concerning Emergency ? Student ($20)
enforcing laws and regulations to protect Preparedness. O Any full time student committed to NALBOH's goals and
health.
objectives
Page 6 NALBOH Nesesl3rief Second Quarter 2005 Second Quarter 2005 NALBOH NewsBrief page 7
' TOBACCO-FREE USA (continued)
NALBOH Welcomes Rachel Weinstein, Tobacco Free Kids } ~1 Secondhand Smoke • learning more about secondhand supported some form of preemption in 32
Tobacco Control and Prevention Project Director Wristband is Serious smoke. states. Preemption legislation weakens
local tobacco control laws and prevents
Contact us at <nalboh@nalboh.org> or hundreds more from passing.
NALBOH is an exciting place to work. This work is so _ (419) 353-7714 to learn more about what
important. I am looking forward to learning from all you can do to reduce the risk of To protect your local control, it is
wellou and sharing my knowledge and experience as 4?~1 secondhand smoke to you, your family, and important that you work with your
5, your community. community at both the local and state
levels. Steps you can take include:
I have 13 years of experience and a solid background
in health education, health communication, and lire! Adapted from the National Cancer
social marketing. In these years, I have successfully j(tr•~ Institute Fact Sheet t/ Second Hand Smoke • supporting local clean indoor air
managed local and federal public health programs and <cis.nci.nih.gov/fact/10_18.htm>. O campaigns;
1 • adopting a formal statement
worked in a variety settings: community health Tobacco supporting local control and opposing
clinics, hospitals, high schools, universities, and health I Industry
v - preemption;
l ; communication consulting firms. - Preemption Tricks • educating lobbyists, the media, and
k duet, My career bean with educatin and counselin You have robabl seen oun local community members;
9 9 9 P Y Y g people Secondhand smoke is serious. It is the cause Preemptive legislation is regulation passed • building an infrastructure for grassroots
students on health topics: alcohol and other drugs; wearing rubber wristbands for months
sexually transmitted diseases; eating disorders; now. These bands come in many of approximately 3,000 nonsmoker deaths at the state or federal level that strips local activities; and
nutrition and activity; a year in the United States. jurisdictions of their regulatory authority. • establishing a system to closely
physical ty; smoking; sexual assault; depression and suicide. different colors and have different sayings Preemptive legislation is important to monitor bills in the state legislature.
Later I worked at a regional hospital system, where I partnered with local groups, on them. People wear these wristbands, understand as local boards of health
national agencies, and non-governmental organizations to advocate for healthy which have become very fashionable, to Secondhand smoke, also known as
communities. We promoted smoke-free restaurants, health education in public schools, support causes that are important to them. involuntary smoking or passive smoking, promote clean indoor-air policies to protect To learn more about preemption, email us
drug-free communities, school-based health clinics, and anti-violence programs. Most comes from the burning end of a cigarette, community members from secondhand at <nalboh@nalboh.org> or call
recently, working at social marketing firms, I have managed national communication The Campaign for Tobacco Free Kids has cigar, or pipe. smoke. (419) 353-7714.
projects with the National Institutes of Health, Substance Abuse and Mental Health created a red rubber wristband as a The tobacco industry uses Adapted from: Preemption:
Secondhand smoke contains more than 60 Y preemptive roTaking the Local Out
Services Administration, and the Health Resource and Services Administration. reminder of the dangers of tobacco. of Tobacco Control from the American Medical
Every day, 1200 Americans die from substances that cause cancer. Such legislation to counter local attempts to
Association and
substances are known as carcinogens. regulate smoking, including restrictions on
I am eager to work with all of you and hope you will contact me in the tobacco use. Tobacco use and where people can smoke. Over the past Smokeless States: National Tobacco Policy
NALBOH DC office: (202) 223-4034 or <rachel@nalboh.org>. O secondhand smoke is killing someone Carcinogens disturb a person's growth and initiative http://www.smokelessstates.org/
every 72 seconds. can cause cancer in people who have 20 years, the industry has sucessfully 9eneral PubliU2 _ 1 1 control.shtml o
never used tobacco products themselves.
Join those of us who care about Because the composition of secondhand
- - tobacco-free issues. Wear this wristband smoke is so complex, it is difficult to how Smoking by the Numbers
FDA Regulation of important than ever because tobacco and spread the word about the dangers much, if any, secondhand smoke might be
ompaanies companies continue to find new ways to of tobacco use and secondhand smoke. safe. Scientists do know, however, that • Of the roughly 750,000 kids who become new regular, daily smokers each year
co
Tobacco Products hook children and keep smokers addicted. You may also want to buy extras to give nonsmokers who live with smoking in the almost a third will ultimately die from smoking. In addition,
to family, friends, and those in your home are at the greatest risk for negative smokers lose an average of 13 to 14 years of life because
The federal Food and Drug Administration If proposed legislation is passed, the FDA community who are working on the fight health effects caused by secondhand they smoked.
(FDA) is responsible for protecting our would have the same authority over against tobacco. Give them to your smoke. Campaign for Tobacco Free Kids r •r ,
health by assuring the safety of our food tobacco products as it does over all other county officials and remind them that <www.tobaccofreekids.org/research/factsheets/pdf/0071.pdf>
supply, medical drugs, cosmetics, and more. consumer products. Included in the tobacco is the leading cause of When people are exposed to secondhand
However, the FDA does not have legal benefits would be restrictions on tobacco preventable death in the United States. smoke, they increase their chances of • 8.6 million people in the United States are currently suffering
authority to regulate cigarettes and other marketing and sales to kids. These developing additional health problems, from smoking-caused illnesses. tobacco products. Tobacco products are marketing restrictions could reduce the Order a Tobacco Free Kids wristband by including, lung cancer, chronic coughing, Campaign for Tobacco Free Kids
no different from regulated products. This number of children who start smoking. The visiting the Tobacco Free Kids Web site phlegm production, wheezin9asthma <www.tobaccofreekids.org/research/factsheets/pdf/0071.pdf>
lack of tobacco regulation needs to legislation would also require tobacco <www.tobaccofreekids.org/wristband/> respiratory tract infections nose and eye
• About half of all Americans who continue to smoke will die because of the habit
change. companies to provide meaningful warning or calling (866) 840-0474. O irritation, ear infections, and heart disease.
Each year, 440,000 people die in the United States
labels and accurate information about from tobacco use.
The public health community is working to You can take steps to reduce the risks of
ingredients in tobacco products. American Cancer Society develop and pass laws that will allow the secondhand smoke for yosider and the <www.cancer.org/docrooVIDED/content/ merican
FDA to have authority over tobacco people you care about. Consider: tancer
products. Currently, tobacco companies sell Tobacco use is the leading preventable cause PED_10_1K Cigarette_Smoking.asp?si[earea=PED>
Societyo
sand -Flavored cigarettes real cigarettes of death in the United States. Each year, • not allowing people to smoke in our
y ( tobacco kills more than 400 000 y • Nearly 1 of every ci deaths is related to smoking.
flavored with candy and fruit) to hook home or in your car; American Cancer Socie
people in this country. Tobacco products ~ ty
children so they begin using cigarettes at should be regulated to protect the public's • frequenting smokefree restaurants and <www.cancer.org/docroot/PED/content/PED_10_2X_Cigarette_Smoking.asp?sitearea=PED>
a young age. The tobacco companies J bars ("smokefree sections' do not
health.
market "reduced risk" or "light" cigarettes, J eliminate secondhand smoke); • Approximately 80% of adult smokers started smoking before the age of 18
claiming these products have fewer toxins To find out more about this issue contact • supporting friends and family who are Every day, nearly 4,000 young people under the age of 18
than other cigarettes. But there is no <nalboh@nalboh.org> or (419) 353-7714. trying to quit smoking; try their first cigarette. rATNCEK
IOI AL
government agency that has the • encouraging your workplace to go National Cancer Institute authority to evaluate these claims. The FDA smokefree; <www.cancergov/cancertopics/tobacco/statisticssnapshot> o
authority over tobacco is now more • helping your community adopt I TITUTE
smokefree policies; and
Page N NALBOH Not sBrief Second Quarter 2005 Second Quarter 2005 NALBOH Nen•.rBrief Page 9
Conference At-A-Glance (continued)
Conference Keynote 4Q*
& § rv
Plenary Speakers
Stephanie B.C. Bailey William Purcell Michael Leavitt John Maupin Julie Gerherding
Thursday, August 11 Thursday, August 11 Thursday, August 11 Friday, August 12 Friday, August 12
9:00 a.m. - 10:30 a.m. 9:00 a.m. - 10:30 a.m. '12:00 p.m. - 1:30 p.m. 9:00 a.m. - 10:30 a.m. 12:00 p.m. - 1:30 p.m.
Wednesday, August 10, 2005 Thursday, August 11, 2005 Friday, August 12, 2005 Saturday, August 13, 2005
8:00a.m. - 10:00 a.m. State Association of Local Boards 8:00 a.m. - 9:00 a.m. Continental Breakfast 8:00 a.m. - 9:00 a.m. Continental Breakfast 8:00 a.m. - 9:00 a.m. Continental Breakfast
of Health (SALBOH) Executive
Director & Presidents Meeting 8:00 a.m. - 4:00 p.m. Registration 8:00 a.m. - 4:00 p.m. Registration 8:00 a.m. - 10:00 a.m. Registration
10:00 a.m. - 12:30 p.m. NALBOH - SALBOH 9:00 a.m. - 10:30 a.m. Opening Keynote & Welcome 9:00 a.m. - 10:30 a.m. Opening Keynote 9:00 a.m.- 9:50 a.m. Concurrent Sessions
Combined Meeting
11:00 a.m. - 11:50 a.m. Concurrent Sessions 11:00 a.m. - 11:50 a.m. Concurrent Sessions 10:10 a.m. - 11:00 a.m. Concurrent Sessions
10:00 a.m. - 4:00 p.m. Registration
Exhibitor Set Up 12:00 p.m. - 1:30 p.m. Plenary Speaker & Luncheon r 12:00 p.m. - 1:30 p.m. Plenary Speaker & Awards Luncheon 11:45 a.m. Best Ball Scramble Golf Outing
1:00 p.m. - 4:00 p.m. Board Member Orientation 2:00 p.m. - 2:50 p.m. Concurrent Sessions 2:00 p.m. - 2:50 p.m. Concurrent Sessions
4:00 p.m. - 5:00 p.m. Welcome Reception 3:10 p.m. - 4:00 p.m. Concurrent Sessions 3:00 p.m. - 4:00 p.m. NALBOH Business Meeting
6:00 p.m. - 10:00 p.m. Opening Event - Dinner on the 6:00 p.m. - 9:00 p.m. Awards Dinner
General Jackson Riverboat
-
Board Governance Environmental Health Community Health Preparedness
Z Coordinated School Health Using Data for Prevention Strategies
Z How to Influence Legislators- Z Onsite Wastewater - Protecting the
Even from Home Community through Prevention & Thursday, August 11 11:00 a.m. 11 50 a.m. Thursday, August 11 11:00 a.m. - 11:50 a.m.
Thursday, August Il 11:00 a.m. -11:50 a.m. Education Using National Programs at the,Local Level Public Health Emergency Exercises:
Responding to Community Needs through Thursday, August 11 11:00 a.m. -11:50 a.m. Applying Health People 2010 & Putting It All Together
a Public/Private Partnership: Creating a Z The Public Health Impacts of Confined The Community Guide Thursday, August II 2:00p.m. -2:50p.m.
Public Health Foundation Animal Feeding Operations Thursday, August ll 200pm =210p.m. Infectious Disease & Quarantines:
Thursday, August 11 2:00 p.m. - 2:50p.m. Thursday,.4ugust 11 2:00 p.m. - 2:50 p.m. A Regional Approach to Comprehensive Legal Principles for Local Boards of Health
Tobadco Prevention Thursday, August 1 1 3:10 p.m. - 4:00 p.m.
Conducting a Community Health Thursda
Communication Applications for
Needs Assessment Environmental Health Information Thursday, August 11 310 p m. - 4:00 p.m.. ` Z Coordinating Responses to Bioterrorism/
Thursday,August 11 3. 10 p.m. -4.00p.m. Thursday,August 11 3:10p.m. -4:00p.m. Marketing Public Health I Public Health Emergency Events through
National Public Health Performance Z Strategies to Improve Oral Health in the Friday August 12, ` ° ' 2 00p m = 2 50p.m. Multi-Disciplinary Education
Z' Tobacco Roundtable: Friday, August 12 2:00 p.m. - 2:50 p.m.
Standards Program: A Tool to Measure Your Community
S stem's Performance A Snapshot of Local Efforts Z Florida Department of Health - Hurricane
y Friday,August 12 2:00p. m. - 2:50 p m Friday, August 12 2:00 p.m. - 2:50 p.m. State & Local Community Assessment Saturday, August 13 9 00 a m. , 9.50 a.m. Epidemic 2004 - A Day in the Life of Public
~ Addressing the Miadical Needs of the Health Responders
Z Accreditation of Local Public Health Measuring Environmental Health Needs
Agencies Saturday, August 13 9:00 a.m. - 9:50 a.m. ~J Community: Innovations' for the. Uninsured Saturday, August 13 9:00 a.m. - 9:50 a.m.
Saturday, August 13 9:00 a.m. - 9:50 a.m. I Food Safety Awareness: National & Local & Community Health Centers ~D Medical Reserve Corps: Healthier, Safer
Public Health Worker Shortages: How Local Programs Saturday, August 13 10. a .m. - 11 00 a.m. Communities through Local Collaborations
Boards of Health Can be Part of the Solution Saturday, August 13 10:10 a.m. - 11:00 a.m. Saturday, August 13 10a0 a.m. - 11:00 a.m.
Saturday, August 13 10:10 a.m. - 11:00 a,m.
Page /0 NALBOH NewsBrief Second Quarter 2005 Second Quarter 2005 NALBOH NewsBrief Page II
After an invigorating day with Dr. Covello, More than 100 completed instruments Public Health Leadership Training Opportunities
Idaho Association of the association will board a jet boat and have been collected with many mortr j /
take a trip up Hell's Canyon to experience in process. With New Jersey's gret Mate and regional leadership programs across the United States are dedicated to meeting the local grassroots needs by developing
District Health Boards first hand a portion of the Lewis and Clark variety in local government types and and enhancing individual and organizational leadership and management for improving and promoting the health of communities.
Trail that weaves through North Central the corresponding variety of boards of
Sumitted by Carolyn Moehrle, Director, They provide a unique learning experience for a broad array of public health professionals and others who are integral to the
North Central District Health Board Idaho. The conference will conclude with health, this practice is complicated and development of healthy communities, including board of health members. Through the development of leadership skills and shared
an association business meeting, approval challenging. However, we are now in vision, the institutes/programs facilitate creative, integrated, collaborative approaches to the achievement of the Public Health Core
The story of the of new resolutions, budget recommenda- high gear and hope to gather at least Functions and Essential Public Health Services. The state/regional programs are developing an extensive network of public health
Public Health Districts tions and issues of concern to public health another 100 instruments. leaders with an increased capacity to strengthen the relationships among public health practitioners, health care service providers,
in Idaho is one of local in Idaho.
control responding to NJLBHA and Rutgers University are academia, and communities.
local issues. The boards of health in Idaho have been pleased to be engaged in this project r For more information, locate the leadership institute closest to you and contact them directly for more information:
strong for 32 years. We consider ourselves which is helping to educate board
Idaho has a unique some of the pioneers of public health, and members about their roles and
t public health district are proud of the work that we have done responsibilities based on national
"
amr~ system. Seven public TOGETHER, acting as a unified body to guidelines. The data submitted will also I Padarchin Program Email Information Additional Information
+L health districts were strengthen public health in Idaho. provide some insight into New Jersey's
established to insure strengths and weaknesses in public Arizona mullinsj@coph.arizona.edu
that preventive public If you would like more information on the health governance.
" health services are formation or sustainability of Idaho's Arkansas Ileslie@ healthyarkansas.com
:3p 'r available to all citizens Association of District Health Boards, Our state association is also working
of the state through- please contact Carol Moehrle, Director for closely with the New Jersey Health Colorado kkennedy@du.edu Serves CO, NM, and WY
out Idaho's 44 counties. The district system is North Central District Health Department, Officials Association in helping to shape
the ideal structure to enable even the at (208) 799-3100 or via email at certain legislative and budgetary Florida dlandis@hscprime.hscusf.edu
smallest rural counties to join resources with <cmoehrle@phd2.idaho.gov>. O initiatives at the state level. Through
their surrounding counties so services are this cooperation and the governance Illinois Irowitz@uic.edu Serves IL, IN, NO, and WI
available to all citizens in every part of our state. Local Governance Is road show discussed above, we are also
spreading the NJLBHA membership Kansas tstromain@ kumc.edu Applications due 08/26/05
The districts were established in 1971 by the Alive In New Jersey message and putting in a good word
Idaho Legislature, with the intent that they Submitted by Paul Roman, President, for NALBOH membership as well.
operate and be recognized as governmental New Jersey Local Boards of Health Association 1 Kentucky cdlamb2@ uky.edu
entities; hence, the districts were placed For more information, please contact
under local control. Each district is governed Paul Roman via phone at (732) 842- Louisiana acanders@tulane.edu Serves AL, AR, LA, MS, and TX
by a board of health comprised of 7-8 7850 or via fax at (732) 933-9595. O
members appointed by the County Maryland Igoldman@jhsph.edu Serves DC, DE, and MD
Commissioners within that district. Each board
of health appoints a director to administer and Immunizations - Massachusetts merrigan@bu.edu
manage the day-to-day activities of the You Call the Shots
district. Michigan jackwhee@ umich.edu
Web-Based Training Course
In 1973, the members of the boards of Minnesota gail.gentling@health.state.mn.us
directors of the seven public health districts This project is an initiative of the
voluntarily associated themselves together to Centers for Disease Control and Missouri weberdl@slu.edu
create the "Idaho Association of District Health Prevention and the Association of
Boards." This state association of boards of Teachers of Preventative Medicine's National Public Health Institute ddinkin@sph.unc.edu
health has been strong and active since its The New Jersey Local Boards of Health continuing work to educate
inception. Association (NJLBHA), in collaboration with immunization providers.
the Edward J. Bloustein School of Planning New York dcw01@ health. state. ny. us Serves PA, ME, NY, NJ, RI and VT
The Idaho Association of District Health Boards and Public Policy at Rutgers, the State Now Available:
convenes yearly in one of the seven districts University, is now hosting meetings around Understanding the Basics: General North Carolina claudia_fernandez@ unc.edu Serves NC, SC, TN, VA, and WV
to hold their annual conference and business the state to orient local board members Recommendations on Immunization
meeting. This year's conference will be held on the completion, use, and benefits of Ohio msever@ sph.osu.edu Applications due 06/30/05
June 15 -17 in Lewiston, Idaho, home to North the Local Public Health System Performance Other Modules in Development:
Central District Health. This year's theme is Assessment Instrument (Governance Diphtheria, Tetanus, and Pertussis, r Oklahoma timothy@health.state.ok.us
"Exploring New Territory;" and will combine Instrument). This document is one of Haemophilus Influenzae type b (Hib),
training for the boards, as well as celebrating three tools for success as a part of the Hepatitis A, Hepatitis B, Influenza, Pennsylvania gbarron@achd.net Preparedness Institute
the Lewis and Clark Bicentennial. National Public Health Performance Measles, Mumps, and Ruebella,
Standards Program (NPHPSP). Meningococcal, Pneumococcal, Puerto Rico ilisap@rcm.upr.edu
This year's training will focus on risk Poliomyelitis, Varicella, Vaccink
communication, and the boards will spend an NJLBHA and Rutgers University have Administration Practices, and Overview Utah Jgaufin@ utah.gov Serves NV and UT
entire day with the world renowned expert , hosted over twenty meetings since of Bioterrorism.
Vincent Covello, as he works through the do's October 2004 with several more Washington i . erem@ u.washington.edu Serves AK, I D, OR, MT, and WA
and don'ts of communicating public health scheduled throughout the spring. To date, For more information visit
issues. more than 250 board members, represent- <www.cdc.gov>. O Wisconsin Kgruebli@ mcw.edu
ing close to 120 boards, have attended.
Page 12 NALBOH Nen'sBrief Second Quarter 2005 Second Quarter 2005 NALBOH Nnt.,Brief Page 13
Environmental Health & Emergency Preparedness (continued)
NALBOH Introduces New Food Safety Guide On-Site Wastewater (1\ Radiation Emergencies Anti-Terrorism New Website Launched
Online Web Course and Sheltering in Place Programs to Receive for Food-Borne Illness
The National Association of Local Boards of Health (NALBOH) is pleased to announce Specifically for Local Over $11 Billion in New Reporting
a new publication entitled The Role of Local Boards of Health in Community Food
ty• Board of Health CAUTION Technology Grants
Assuring the community is protected from exposure to food-borne illness and injury is Members
a primary responsibility of a local board of health. NALBOH's new food safety guide is
designed to help local board of health members understand their important role in a The Barnstable County Department
Health and the Environment in
n
successful food safety program. Local boards of health are responsible for assuring i`
Massachusetts is
the provision of adequate public health services in their communities, including offering an online training
protecting the community from the risks associated with food preparation, storage, course to board of health members •
on-site wastewater. The course se
serving, and transportation. Members of NALBOH will receive a copy of this manual at introduces board members to the
no cost. Call the NALBOH office to reserve your copy. Non-members may obtain a wonderful world of on-site wastewater! As i
copy for purchase by calling the NALBOH office at (419) 353-7714. ? _ board members are taking the online course,
- -
us organisms such as Cryptosporidi- they have to remember that Title 5 A new website is up and running
infectious Brings Together um, Gius nismsla and as E.Coli Cry 01 portal information is specific only to Massachusetts. RADIOACTIVE at the National Food Safety & Toxicology
Health Ex p for First Even though recreational waters may More information regarding the course can MATERIALS New legislation introduced to Congress this Center Michigan State University
p be found at <www.learntitle5.org>. 71 (MSU). The purpose of the website, is to
appear clean they may be harboring year recommends more than $11 billion help local health departments do their jobs
National Initiative to these infectious organisms. The CDC in grant funding for technology-focused more efficiently by allowing the public to
recommends swimmers forego swimming Department of initiatives that prevent terrorist attacks and
Promote Health report their suspected food-borne
y activities when they have diarrhea which can With increased awareness of address key security vulnerabilities. The
Homeland Security illnesses online. Epidemiologists from the
Swimming contaminate the water and possibly make ty the different terrorism scenarios, boards priorities in the homeland security agenda
Michigan Department Community Health,
other swimmers ill. In particular, local boards Announces Over $91 of health are challenged with the focus on increasing the dependency on Michigan Department of Agriculture,
In February, NALBOH and leaders from of health must ensure parents of possibility of a terrorist attack involving highly technical solutions to protect the
Million in Buffer Zone University of Michigan, MSU, and several
local, state, public health institutions, the children in diapers are educated to keep their radioactive materials. Depending upon the nation against terrorist threats at our local health departments came together to
aquatics industry and children out of the pool Protection Program specific situation, people who live near the borders, seaports and within our mass
create this website.
if they have attack may be required to stay indoors and transportation systems.
other non-governmen- Y Grants shelter in place instead of evacuating the
tal agencies convened in diarrhea. The CDC also Much of the data needed to conduct a
recommends that area. This emergency action is called House Bill 153 "Rail and Public
Atlanta t begin The U.S. Department of Homeland 11 sheltering in place." Sheltering in Place Transportation Security Act of 2005" food-borne illness investigation is collected
planning the first swimmers refrain from Y on the website. We have anecdotal evidence
national initiative to getting Pool water in Security recently announced over $91 during a radiation emergency may allow proposes over $75 billion to be spent over that this website has helped save
reduce and prevent their mouths and million in grant funding to secure areas time for radioactive materials to decay and the next five years to increase rail and
a investigators time on food-borne illness
recreational water practice good hygiene surrounding critical infrastructure locations dissipate thus protecting people from transportation security. The majority of the investigations.
illnesses associated with l by showering before including chemical facilities, dams, and exposure. spending will be to prevent the seizure of
swimming pools, lakes - swimming and washing nuclear power plants. The Buffer Zone communications and infrastructure as well
9 P Local health departments can choose to
and other natural water f~_ -their hands after Protection Program (BZPP) provides The Centers for Disease Control and as to respond to any type of terrorist
visiting the restroom or targeted funding through states to local Prevention (CDC) recommends that attack. The prevention and response participate in this website. A participating
sources. Among those 9 health department receives a password to
in attendance were changing diapers. jurisdictions for the purchase of equipment people properly prepare their homes and measures in the bill include the need for the website where they can log in and view
that will extend the zone of protection store enough emergency supplies for interoperable communications systems,
Ron Burger, NALBOH Jeff
President and nd Jeff According to the CDC's beyond the property lines of these critical several days for use during an emergency protection for public transit operations, reports from the citizens of their
Neistadt, NALBOH most recent surveil- facilities. ? involving radioactive materials. employee security preparedness training, jurisdiction. There is also i automatic email
Preparedness Project Director. lance data, over 2,500 Emergency supplies include three days and improved security surveillance systems. notification system that notifies local health
worth of canned food, water, medicines, department shortly after an individual in their
people became ill during 65 water-related Upcoming Events w jurisdiction enters a complaint.
During the two day workshop, nearly 100 outbreaks from only 23 states. These Jun 12-15 and battery operated flashlights and Senate Bill 12 "Targeting Terrorists More
participants worked on creating a national figures represent the highest number of Title: 2005 National HIV Prevention to radios. More information on how Effectively Act a 2o enhance proposes $3.5 The website's predecessor, the RUsick2
dialogue on the risks and solutions for outbreaks and illnesses since surveillance prepare for sheltering in place can be billion over five years t to enhance security at
Conference Forum, was up and running for two years .
ensuring health swimming. This initial reporting began in 1978. These figures may City: Atlanta, Georgia found at <www.bt.cdc.gov/radiation our borders and ports including upgrading The RUsick2 Forum provided insight into
workshop primarily focused on reducing not truly represent the actual numbers of sheltenasp>. ? the security of cargo containers. Large scale
P P Y 9 Location: Hyatt Regency Atlanta Hotel what works and what does not work when
illnesses associated with swimming pools but cases because many water-related illnesses Contact: Enid Quiles technology projects in the bill include the collecting food-borne illness data online.
the initiative will also eventually include lakes, 90 unreported. For more information Phone: 787-876-8704 implementation of radiation detection
After researching RUsick2 for two years, the
rivers and other natural water sources. regarding healthy swimming and water- Email: tsalud@caribe.net portal equipment and integrated cargo website was redone to the current
Recommendations for a national strategic related illnesses, please visit <www.cdc.gov/ inspection systems. ? <www.ReportFoodPoisoning.com>. The
plan will include improved training for public healthyswimming>. ? Jun 13-15
new website is easier than RUsick2 for both
health officials and pool staff. The Title: The Public's Health and the Law iq reporting citizens and participating local
recommendations will be published in a the 21st Century: Fourth Annual \J, health departments. Local health
Centers for Disease Control and Prevention Conference departments can learn more about the
(CDC) report later this summer. City: Atlanta, GA website by contacting the project manager
Location: Sheraton Colony Square Hotel at <ffmod@cvm.msu.edu> or (517) 432-
Recreational water illnesses can be caused Contact: Tonya Roberts 3100 x128. Reading material is also
by swallowing contaminated water with Phone: 770-488-2886 available at <www.rusick2.msu.edu/
Email: tlrS@cdc.gov ? toolkit.as ?
Page 14 NALBOH NewsBrief Second Quarter 2005 Second Quarter 2005 NALBOH NewsBrief Page 15
We Want to Hear From You!
NALHON-
NALBOH is interested in publishing articles from board of health members in its quarterly NewsBrief. Submitting an article has never(
d The
been easier! Please consider sharing stories about your board's successes, challenges, or accomplishments. To submit an article: 1 J
r ,a
1. Select from the options below
2. Use this form to write an article or to suggest a topic
3. Return this form to the NALBOH office by postal mail at 1840 East Gypsy Lane Road; Bowling Green, OH 43402, by fax at June 2005
(419) 352-6278 or via email to <marie@nalboh.org>, please indicate NewsBrief Article in the subject line.
Submissions are welcomed any time. Please note that all articles are subject to revision or editing. To ensure consideration for a 2005 Council of State and Territorial Epidemiologist Annual Conference 2005
particular issue of the NewsBrief, please submit your article by the following dates: June 5-9,
, Albuquerque, New Mexico
Hyatt Regency,
Sponsored by Council of State and Territorial Epidemiologists
• First Quarter due by January 10 For more information visit <www.cste.org/annualconference/index.htm>
• Second Quarter due by April 10
• Third Quarter due by July 10 4th Annual Public Health Law Program Partnership Conference
The Public's Health and the Law in the 21st Century
• Fourth Quarter due by October 10 June 13-15, 2005
Sheraton Midtown Atlanta Hotel at Colony Square, Atlanta, Georgia
? I have written an article that I would like considered for the NewsBrief (please include article below or attach on a separate Co-Sponsored by the Centers for Disease Control & Prevention's Public Health Law Program &
American Society of Law, Medicine, & Ethics
sheet) For more information visit <www.phppo.cdc.gov/od/phlp/Conference/con2005_overview.asp>
? I suggest the following topic(s) or recommend the following writer(s) for the NewsBrief (please list in space below) 69th Annual National Environmental Health Association Education Conference
June 25-29, 2005
Providence, Rhode Island
? I would like to work with a NALBOH staff member to prepare an article about the following topic(s) (please list topic(s) and your Sponsored by National Environmental Health Association
contact information in the space below) For more information visit <www.neha.org/AEC/2005/>
2005 Association of Public Health Laboratories Annual Conference
Compounding the Elements of Laboratory Preparedness
1 June 26-28, 2005
Hilton Salt Lake City Center, Salt Lake City, Utah
Sponsored by Association of Public Health Laboratories
For more information visit <www.aphl.org/conferences/>
July 2005
NACCHO-ASTHO Joint Conference
Reversing the Tide: Promoting Policies and Programs to Advance the Nation's Health
July 12-15, 2005
The Boston Marriott Copley Place, Boston Massachusetts
Sponsored by National Association of County & City Health Officials and the Association of State and Territorial Health Officals
For more information visit <www.naccho.org> or <www.astho.org>
August 2005 *
Contact Information: 13th Annual National Association of Local Boards of Health Conference
Local Boards of Health: Responding to Our Community's Needs
Name: Phone: August 10-13, 2005
Hilton Suites Downtown, Nashville, Tennessee
Organization: Fax: Sponsored by National Association of Local Boards of Health
For more information visit <www.nalboh.org> or see pages 8 and 9 of this issue for conference schedule at-a-glance
Address: E-mail:
Save the Date - 2006
City, State: Zip Code 7th Annual Ned E. Baker Lecture in Public Health
, riday, April 7, 2006
National Association of Local Boards of Health CSponsored by National Association of Local Boards of Health
1840 East Gypsy Lane Road, Bowling Green, OH 43402 For more information, visit <www.nalboh.org>
Phone: (419) 353-7714; Fax: (419) 352-6278
E-mail: <nalboh@nalboh.org>; Website: <www.nalboh.org> For NALBOH's complete list of future upcoming events, visit <http://www.nalboh.org/about/events.htm>
or call the NALBOH office at (419) 353-7714.
i
National Association of Local Boards of Health
National Association of County & City Health Officials
j Co-located Annual Conference
July 26 - 29, 2006
p
cGo
Sheaton®Gunter Hotel
205 Fst Ha_uiW £r®t San Mtonb, Tar= 78205 Telephone: (210) 2273241 For (210) 2213299
Toll Fie9 Resrova8oiq: (888) 9992089
r~
The Sheraton Gunter Hotel is a historical San Antonio riverwalk hotel near the San Antonio convention center,
riverwalk restaurants, the alamo, theater district, and downtown San Antonio attractions.
For more information on the Sheraton Gunter Hotel visit <www.gunterhotel.com/gunterhome.html>.
For more information on NALBOH's 14th Annual Conference, visit our website at <vwvw.nalboh.org>.
i
National Association of Local Boards of Health NON PROFrT oRG.
1840 East Gypsy Lane Road us. Postage
N A L B O H Bowling Green, OH 43402 BowlingPGrOeen, OH
E-mail: <nalboh @ nalboh.org> Permit No. 47
Websit9: <www.nalboh.org>
V